Trial Outcomes & Findings for Open-Label Phase 3 Study to Examine the Long-Term Safety, Tolerability and Efficacy of APL-130277 for the Acute Treatment of "OFF" Episodes in Patients With Parkinson's Disease (NCT NCT02542696)

NCT ID: NCT02542696

Last Updated: 2023-11-22

Results Overview

Number of Participants (%) with Adverse Events in the LTS Phase

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

496 participants

Primary outcome timeframe

up to approximately 3 years

Results posted on

2023-11-22

Participant Flow

Participant milestones

Participant milestones
Measure
APL-130277
APL-130277 sublingual thin film (10 mg, 15 mg, 20 mg, 25 mg, 30 mg and 35 mg)
Overall Study
STARTED
496
Overall Study
Titration Full Analysis Population
449
Overall Study
LTS Phase Full Analysis Population
426
Overall Study
COMPLETED
120
Overall Study
NOT COMPLETED
376

Reasons for withdrawal

Reasons for withdrawal
Measure
APL-130277
APL-130277 sublingual thin film (10 mg, 15 mg, 20 mg, 25 mg, 30 mg and 35 mg)
Overall Study
Adverse Event
167
Overall Study
Lack of Efficacy
26
Overall Study
Lost to Follow-up
6
Overall Study
Withdrawal by Subject
104
Overall Study
Protocol Violation
5
Overall Study
Death
8
Overall Study
DECREASED OFF TIME
1
Overall Study
DID NOT MEET CRITERIA FOR CONTINUATION
1
Overall Study
ELIGIBILITY CRITERIA NOT MET
8
Overall Study
MEDICAL HISTORY
1
Overall Study
PATIENT WITHDRAWN DURING TITRATION AS COULD NOT TITRATE DRUG TO GET RESPONSE OF "ON" FROM PATIENT
1
Overall Study
PROGRESSION OF PARKINSON'S DISEASE
5
Overall Study
SITE UNABLE TO COMPLY WITH PROTOCOL
2
Overall Study
SPONSOR DECISION
3
Overall Study
STUDY TERMINATED BY SPONSOR
36
Overall Study
SUBJECT DECISION
2

Baseline Characteristics

some subjects had missing height measurement

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
APL-130277
n=496 Participants
APL-130277 sublingual thin film (10 mg, 15 mg, 20 mg, 25 mg, 30 mg and 35 mg)
Age, Categorical
<=18 years
0 Participants
n=496 Participants
Age, Categorical
Between 18 and 65 years
239 Participants
n=496 Participants
Age, Categorical
>=65 years
257 Participants
n=496 Participants
Age, Continuous
64.4 Years
STANDARD_DEVIATION 8.72 • n=496 Participants
Sex: Female, Male
Female
163 Participants
n=496 Participants
Sex: Female, Male
Male
333 Participants
n=496 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
39 Participants
n=496 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
457 Participants
n=496 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=496 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=496 Participants
Race (NIH/OMB)
Asian
4 Participants
n=496 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=496 Participants
Race (NIH/OMB)
Black or African American
10 Participants
n=496 Participants
Race (NIH/OMB)
White
478 Participants
n=496 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=496 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=496 Participants
ON State Modified Hoehn and Yahr Score
0
2 Participants
n=496 Participants
ON State Modified Hoehn and Yahr Score
1
12 Participants
n=496 Participants
ON State Modified Hoehn and Yahr Score
1.5
9 Participants
n=496 Participants
ON State Modified Hoehn and Yahr Score
2
243 Participants
n=496 Participants
ON State Modified Hoehn and Yahr Score
2.5
53 Participants
n=496 Participants
ON State Modified Hoehn and Yahr Score
3
42 Participants
n=496 Participants
ON State Modified Hoehn and Yahr Score
4
1 Participants
n=496 Participants
ON State Modified Hoehn and Yahr Score
Missing
134 Participants
n=496 Participants
Age, Customized
<65 years
239 Participants
n=496 Participants
Age, Customized
>=65 years and <75 years
197 Participants
n=496 Participants
Age, Customized
>=75 years
60 Participants
n=496 Participants
Baseline Height (cm)
172.01 cm
STANDARD_DEVIATION 9.754 • n=488 Participants • some subjects had missing height measurement
Baseline Weight (kg)
82.14 kg
STANDARD_DEVIATION 18.740 • n=492 Participants • some subjects had missing weight at baseline
Baseline BMI (kg/m^2)
27.654 kg/m^2
STANDARD_DEVIATION 5.5287 • n=487 Participants • some subjects had missing BMI value at baseline
Country
Aut
4 Participants
n=496 Participants
Country
Can
7 Participants
n=496 Participants
Country
Deu
23 Participants
n=496 Participants
Country
Esp
11 Participants
n=496 Participants
Country
Gbr
41 Participants
n=496 Participants
Country
Ita
19 Participants
n=496 Participants
Country
United States
391 Participants
n=496 Participants
Baseline MDS-UPDRS Part III Score
43.0 Score
STANDARD_DEVIATION 14.85 • n=426 Participants • based on subjects with data only
Screening MDS-UPDRS Part III Score
42.0 Score
STANDARD_DEVIATION 14.55 • n=367 Participants • Based on subjects with data only
Mini-Mental State Examination Total Score
<26
3 Participants
n=496 Participants
Mini-Mental State Examination Total Score
26
30 Participants
n=496 Participants
Mini-Mental State Examination Total Score
27
38 Participants
n=496 Participants
Mini-Mental State Examination Total Score
28
53 Participants
n=496 Participants
Mini-Mental State Examination Total Score
29
114 Participants
n=496 Participants
Mini-Mental State Examination Total Score
30
183 Participants
n=496 Participants
Mini-Mental State Examination Total Score
Missing
75 Participants
n=496 Participants
Baseline MDS-UPDRS Part I Score
11.0 Score
STANDARD_DEVIATION 5.42 • n=492 Participants • Only subjects with data were summarized
Baseline MDS-UPDRS Part II Score
14.6 Score
STANDARD_DEVIATION 7.15 • n=492 Participants • based on subjects with data only

PRIMARY outcome

Timeframe: up to approximately 3 years

Population: Based on Long Term Safety Full Analysis Set

Number of Participants (%) with Adverse Events in the LTS Phase

Outcome measures

Outcome measures
Measure
APL-130277
n=426 Participants
APL-130277 sublingual thin film (10 mg, 15 mg, 20 mg, 25 mg, 30 mg and 35 mg)
Evaluation of Safety and Tolerability Data Collected, Based on Number of Participants With Adverse Events in the LTS Phase
365 Participants

SECONDARY outcome

Timeframe: Week 24

Population: Based on the number of subjects who provided data at the specified timepoint in the analysis population

The percentage of instances where a full "ON" response was achieved

Outcome measures

Outcome measures
Measure
APL-130277
n=167 Participants
APL-130277 sublingual thin film (10 mg, 15 mg, 20 mg, 25 mg, 30 mg and 35 mg)
The Percentage of Instances Where a Full "ON" Response Was Achieved Within 30 Minutes After Self-administration of Study Medication at Week 24 Visit (LTS V4) of the LTS Phase Based on the Home Dosing Diary Entries.
80.7 percentage of instances
Standard Deviation 32.55

SECONDARY outcome

Timeframe: Week 36

Population: Based on the number of subjects who provided data at the specified timepoint in the analysis population

Outcome measures

Outcome measures
Measure
APL-130277
n=80 Participants
APL-130277 sublingual thin film (10 mg, 15 mg, 20 mg, 25 mg, 30 mg and 35 mg)
The Percentage of Instances Where a Full "ON" Response Was Achieved Within 30 Minutes After Self-administration of Study Medication at Week 36 Visit (LTS V5) of the LTS Phase Based on the Home Dosing Diary Entries.
87.3 percentage of instances
Standard Deviation 28.70

SECONDARY outcome

Timeframe: Week 48

Population: Based on the number of subjects who provided data at the specified timepoint in the analysis population

Outcome measures

Outcome measures
Measure
APL-130277
n=70 Participants
APL-130277 sublingual thin film (10 mg, 15 mg, 20 mg, 25 mg, 30 mg and 35 mg)
The Percentage of Instances Where a Full "ON" Response Was Achieved Within 30 Minutes After Self-administration of Study Medication at Week 48 Visit (LTS V6) of the LTS Phase Based on the Home Dosing Diary Entries.
84.1 percentage of instances
Standard Deviation 30.74

SECONDARY outcome

Timeframe: Week 24

Population: Based on the number of subjects who provided data at the specified timepoint in the analysis population

Outcome measures

Outcome measures
Measure
APL-130277
n=224 Participants
APL-130277 sublingual thin film (10 mg, 15 mg, 20 mg, 25 mg, 30 mg and 35 mg)
Percentage of Subjects With a Subject-rated Full "ON" Response Within 30 Minutes at Week 24 Visit (LTS V4) of the LTS Phase.
77.2 percent of participants

SECONDARY outcome

Timeframe: Week 36

Population: Based on the number of subjects who provided data at the specified timepoint in the analysis population

Outcome measures

Outcome measures
Measure
APL-130277
n=112 Participants
APL-130277 sublingual thin film (10 mg, 15 mg, 20 mg, 25 mg, 30 mg and 35 mg)
Percentage of Subjects With a Subject-rated Full "ON" Response Within 30 Minutes at Week 36 Visit (LTS V5) of the LTS Phase.
83.9 percent of participants

SECONDARY outcome

Timeframe: Week 48

Population: Based on the number of subjects who provided data at the specified timepoint in the analysis population

Outcome measures

Outcome measures
Measure
APL-130277
n=90 Participants
APL-130277 sublingual thin film (10 mg, 15 mg, 20 mg, 25 mg, 30 mg and 35 mg)
Percentage of Subjects With a Subject-rated Full "ON" Response Within 30 Minutes at Week 48 Visit (LTS V6) of the LTS Phase.
84.4 percent of participants

SECONDARY outcome

Timeframe: Week 24, 15 mins after dosing

Population: Based on the number of subjects who provided data at the specified timepoint in the analysis population

The summary score used here is Part III motor examination score. Higher MDS-UPDRS scores reflect worse motor function. MDS-UPDRS III is a total of 18 questions with 33 individual items, each item ranges from 0-4 (0=normal, 1=slight, 2=mild, 3= moderate, and 4=severe). The MDS-UPDRS III motor score is the summation of all these 33 individual item scores, and hence ranges from 0-132. Score drops over time imply improvement in motor function (higher values represent a worse outcome).

Outcome measures

Outcome measures
Measure
APL-130277
n=223 Participants
APL-130277 sublingual thin film (10 mg, 15 mg, 20 mg, 25 mg, 30 mg and 35 mg)
Mean Change From Pre-dose in MDS-UPDRS Part III Motor Examination (MDS UPDRS MOTOR) Score at 15 Minutes After Dosing at Week 24 Visit (LTS V4) of the LTS Phase.
-14.2 Units on a scale
Standard Deviation 11.91

SECONDARY outcome

Timeframe: Week 24, 30 mins after dosing

Population: Based on the number of subjects who provided data at the specified timepoint in the analysis population

The summary score used here is Part III motor examination score. Higher MDS-UPDRS scores reflect worse motor function. MDS-UPDRS III is a total of 18 questions with 33 individual items, each item ranges from 0-4 (0=normal, 1=slight, 2=mild, 3= moderate, and 4=severe). The MDS-UPDRS III motor score is the summation of all these 33 individual item scores, and hence ranges from 0-132. Score drops over time imply improvement in motor function (higher values represent a worse outcome).

Outcome measures

Outcome measures
Measure
APL-130277
n=222 Participants
APL-130277 sublingual thin film (10 mg, 15 mg, 20 mg, 25 mg, 30 mg and 35 mg)
Mean Change From Pre-dose in MDS-UPDRS Part III Motor Examination (MDS UPDRS MOTOR) Score at 30 Minutes After Dosing at Week 24 Visit (LTS V4) of the LTS Phase.
-22.1 Units on a scale
Standard Deviation 13.04

SECONDARY outcome

Timeframe: Week 24, 60 mins after dosing

Population: Based on the number of subjects who provided data at the specified timepoint in the analysis population

The summary score used here is Part III motor examination score. Higher MDS-UPDRS scores reflect worse motor function. MDS-UPDRS III is a total of 18 questions with 33 individual items, each item ranges from 0-4 (0=normal, 1=slight, 2=mild, 3= moderate, and 4=severe). The MDS-UPDRS III motor score is the summation of all these 33 individual item scores, and hence ranges from 0-132. Score drops over time imply improvement in motor function (higher values represent a worse outcome).

Outcome measures

Outcome measures
Measure
APL-130277
n=221 Participants
APL-130277 sublingual thin film (10 mg, 15 mg, 20 mg, 25 mg, 30 mg and 35 mg)
Mean Change From Pre-dose in MDS-UPDRS Part III Motor Examination (MDS UPDRS MOTOR) Score at 60 Minutes After Dosing at Week 24 Visit (LTS V4) of the LTS Phase.
-21.0 Units on a scale
Standard Deviation 13.34

SECONDARY outcome

Timeframe: Week 24, 90 mins after dosing

Population: Based on the number of subjects who provided data at the specified timepoint in the analysis population

The summary score used here is Part III motor examination score. Higher MDS-UPDRS scores reflect worse motor function. MDS-UPDRS III is a total of 18 questions with 33 individual items, each item ranges from 0-4 (0=normal, 1=slight, 2=mild, 3= moderate, and 4=severe). The MDS-UPDRS III motor score is the summation of all these 33 individual item scores, and hence ranges from 0-132. Score drops over time imply improvement in motor function (higher values represent a worse outcome).

Outcome measures

Outcome measures
Measure
APL-130277
n=48 Participants
APL-130277 sublingual thin film (10 mg, 15 mg, 20 mg, 25 mg, 30 mg and 35 mg)
Mean Change From Pre-dose in MDS-UPDRS Part III Motor Examination (MDS UPDRS MOTOR) Score at 90 Minutes After Dosing at Week 24 Visit (LTS V4) of the LTS Phase.
-16.9 Units on a scale
Standard Deviation 13.58

SECONDARY outcome

Timeframe: Week 36, 15 mins after dosing

Population: Based on the number of subjects who provided data at the specified timepoint in the analysis population

The summary score used here is Part III motor examination score. Higher MDS-UPDRS scores reflect worse motor function. MDS-UPDRS III is a total of 18 questions with 33 individual items, each item ranges from 0-4 (0=normal, 1=slight, 2=mild, 3= moderate, and 4=severe). The MDS-UPDRS III motor score is the summation of all these 33 individual item scores, and hence ranges from 0-132. Score drops over time imply improvement in motor function (higher values represent a worse outcome).

Outcome measures

Outcome measures
Measure
APL-130277
n=111 Participants
APL-130277 sublingual thin film (10 mg, 15 mg, 20 mg, 25 mg, 30 mg and 35 mg)
Mean Change From Pre-dose in MDS-UPDRS Part III Motor Examination (MDS UPDRS MOTOR) Score at 15 Minutes After Dosing at Week 36 Visit (LTS V5) of the LTS Phase.
-11.7 Units on a scale
Standard Deviation 10.48

SECONDARY outcome

Timeframe: Week 36, 30 mins after dosing

Population: Based on the number of subjects who provided data at the specified timepoint in the analysis population

The summary score used here is Part III motor examination score. Higher MDS-UPDRS scores reflect worse motor function. MDS-UPDRS III is a total of 18 questions with 33 individual items, each item ranges from 0-4 (0=normal, 1=slight, 2=mild, 3= moderate, and 4=severe). The MDS-UPDRS III motor score is the summation of all these 33 individual item scores, and hence ranges from 0-132. Score drops over time imply improvement in motor function (higher values represent a worse outcome).

Outcome measures

Outcome measures
Measure
APL-130277
n=110 Participants
APL-130277 sublingual thin film (10 mg, 15 mg, 20 mg, 25 mg, 30 mg and 35 mg)
Mean Change From Pre-dose in MDS-UPDRS Part III Motor Examination (MDS UPDRS MOTOR) Score at 30 Minutes After Dosing at Week 36 Visit (LTS V5) of the LTS Phase.
-22.3 Units on a scale
Standard Deviation 12.22

SECONDARY outcome

Timeframe: Week 36, 60 mins after dosing

Population: Based on the number of subjects who provided data at the specified timepoint in the analysis population

The summary score used here is Part III motor examination score. Higher MDS-UPDRS scores reflect worse motor function. MDS-UPDRS III is a total of 18 questions with 33 individual items, each item ranges from 0-4 (0=normal, 1=slight, 2=mild, 3= moderate, and 4=severe). The MDS-UPDRS III motor score is the summation of all these 33 individual item scores, and hence ranges from 0-132. Score drops over time imply improvement in motor function (higher values represent a worse outcome).

Outcome measures

Outcome measures
Measure
APL-130277
n=112 Participants
APL-130277 sublingual thin film (10 mg, 15 mg, 20 mg, 25 mg, 30 mg and 35 mg)
Mean Change From Pre-dose in MDS-UPDRS Part III Motor Examination (MDS UPDRS MOTOR) Score at 60 Minutes After Dosing at Week 36 Visit (LTS V5) of the LTS Phase.
-21.3 Units on a scale
Standard Deviation 13.54

SECONDARY outcome

Timeframe: Week 36, 90 mins after dosing

Population: Based on the number of subjects who provided data at the specified timepoint in the analysis population

The summary score used here is Part III motor examination score. Higher MDS-UPDRS scores reflect worse motor function. MDS-UPDRS III is a total of 18 questions with 33 individual items, each item ranges from 0-4 (0=normal, 1=slight, 2=mild, 3= moderate, and 4=severe). The MDS-UPDRS III motor score is the summation of all these 33 individual item scores, and hence ranges from 0-132. Score drops over time imply improvement in motor function (higher values represent a worse outcome).

Outcome measures

Outcome measures
Measure
APL-130277
n=54 Participants
APL-130277 sublingual thin film (10 mg, 15 mg, 20 mg, 25 mg, 30 mg and 35 mg)
Mean Change From Pre-dose in MDS-UPDRS Part III Motor Examination (MDS UPDRS MOTOR) Score at 90 Minutes After Dosing at Week 36 Visit (LTS V5) of the LTS Phase.
-13.3 Units on a scale
Standard Deviation 13.11

SECONDARY outcome

Timeframe: Week 48, 15 mins after dosing

Population: Based on the number of subjects who provided data at the specified timepoint in the analysis population

The summary score used here is Part III motor examination score. Higher MDS-UPDRS scores reflect worse motor function. MDS-UPDRS III is a total of 18 questions with 33 individual items, each item ranges from 0-4 (0=normal, 1=slight, 2=mild, 3= moderate, and 4=severe). The MDS-UPDRS III motor score is the summation of all these 33 individual item scores, and hence ranges from 0-132. Score drops over time imply improvement in motor function (higher values represent a worse outcome).

Outcome measures

Outcome measures
Measure
APL-130277
n=90 Participants
APL-130277 sublingual thin film (10 mg, 15 mg, 20 mg, 25 mg, 30 mg and 35 mg)
Mean Change From Pre-dose in MDS-UPDRS Part III Motor Examination (MDS UPDRS MOTOR) Score at 15 Minutes After Dosing at Week 48 Visit (LTS V6) of the LTS Phase.
-13.3 Units on a scale
Standard Deviation 10.17

SECONDARY outcome

Timeframe: Week 48, 30 mins after dosing

Population: Based on the number of subjects who provided data at the specified timepoint in the analysis population

The summary score used here is Part III motor examination score. Higher MDS-UPDRS scores reflect worse motor function. MDS-UPDRS III is a total of 18 questions with 33 individual items, each item ranges from 0-4 (0=normal, 1=slight, 2=mild, 3= moderate, and 4=severe). The MDS-UPDRS III motor score is the summation of all these 33 individual item scores, and hence ranges from 0-132. Score drops over time imply improvement in motor function (higher values represent a worse outcome).

Outcome measures

Outcome measures
Measure
APL-130277
n=90 Participants
APL-130277 sublingual thin film (10 mg, 15 mg, 20 mg, 25 mg, 30 mg and 35 mg)
Mean Change From Pre-dose in MDS-UPDRS Part III Motor Examination (MDS UPDRS MOTOR) Score at 30 Minutes After Dosing at Week 48 Visit (LTS V6) of the LTS Phase.
-23.2 Units on a scale
Standard Deviation 12.44

SECONDARY outcome

Timeframe: Week 48, 60 mins after dosing

Population: Based on the number of subjects who provided data at the specified timepoint in the analysis population

The summary score used here is Part III motor examination score. Higher MDS-UPDRS scores reflect worse motor function. MDS-UPDRS III is a total of 18 questions with 33 individual items, each item ranges from 0-4 (0=normal, 1=slight, 2=mild, 3= moderate, and 4=severe). The MDS-UPDRS III motor score is the summation of all these 33 individual item scores, and hence ranges from 0-132. Score drops over time imply improvement in motor function (higher values represent a worse outcome).

Outcome measures

Outcome measures
Measure
APL-130277
n=90 Participants
APL-130277 sublingual thin film (10 mg, 15 mg, 20 mg, 25 mg, 30 mg and 35 mg)
Mean Change From Pre-dose in MDS-UPDRS Part III Motor Examination (MDS UPDRS MOTOR) Score at 60 Minutes After Dosing at Week 48 Visit (LTS V6) of the LTS Phase.
-22.3 Units on a scale
Standard Deviation 13.35

SECONDARY outcome

Timeframe: Week 48, 90 mins after dosing

Population: Based on the number of subjects who provided data at the specified timepoint in the analysis population

The summary score used here is Part III motor examination score. Higher MDS-UPDRS scores reflect worse motor function. MDS-UPDRS III is a total of 18 questions with 33 individual items, each item ranges from 0-4 (0=normal, 1=slight, 2=mild, 3= moderate, and 4=severe). The MDS-UPDRS III motor score is the summation of all these 33 individual item scores, and hence ranges from 0-132. Score drops over time imply improvement in motor function (higher values represent a worse outcome).

Outcome measures

Outcome measures
Measure
APL-130277
n=48 Participants
APL-130277 sublingual thin film (10 mg, 15 mg, 20 mg, 25 mg, 30 mg and 35 mg)
Mean Change From Pre-dose in MDS-UPDRS Part III Motor Examination (MDS UPDRS MOTOR) Score at 90 Minutes After Dosing at Week 48 Visit (LTS V6) of the LTS Phase.
-16.6 Units on a scale
Standard Deviation 10.93

Adverse Events

APL-130277

Serious events: 64 serious events
Other events: 319 other events
Deaths: 8 deaths

Serious adverse events

Serious adverse events
Measure
APL-130277
n=496 participants at risk
APL-130277 sublingual thin film (10 mg, 15 mg, 20 mg, 25 mg, 30 mg and 35 mg)
Blood and lymphatic system disorders
Iron deficiency anaemia
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Cardiac disorders
Acute myocardial infarction
0.60%
3/496 • Number of events 3 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Cardiac disorders
Angina unstable
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Cardiac disorders
Arrhythmia
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Cardiac disorders
Atrial fibrillation
0.40%
2/496 • Number of events 2 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Cardiac disorders
Atrioventricular block complete
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Cardiac disorders
Atrioventricular block second degree
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Cardiac disorders
Bradyarrhythmia
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Cardiac disorders
Cardiac arrest
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Cardiac disorders
Cardiac failure congestive
0.60%
3/496 • Number of events 3 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Cardiac disorders
Cardio-respiratory arrest
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Cardiac disorders
Coronary artery stenosis
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Cardiac disorders
Myocardial infarction
0.40%
2/496 • Number of events 2 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Cardiac disorders
Sinus node dysfunction
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Eye disorders
Retinal artery occlusion
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Gastrointestinal disorders
Constipation
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Gastrointestinal disorders
Duodenitis
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Gastrointestinal disorders
Dysphagia
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Gastrointestinal disorders
Lip blister
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Gastrointestinal disorders
Parotid gland enlargement
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Gastrointestinal disorders
Small intestinal obstruction
0.40%
2/496 • Number of events 2 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
General disorders
Chest pain
0.20%
1/496 • Number of events 2 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
General disorders
Drowning
0.40%
2/496 • Number of events 2 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
General disorders
General physical health deterioration
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Hepatobiliary disorders
Hepatitis toxic
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Infections and infestations
Abscess limb
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Infections and infestations
Cellulitis
0.40%
2/496 • Number of events 3 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Infections and infestations
Corona virus infection
0.40%
2/496 • Number of events 2 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Infections and infestations
Kidney infection
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Infections and infestations
Oral candidiasis
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Infections and infestations
Osteomyelitis
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Infections and infestations
Pneumonia
1.0%
5/496 • Number of events 5 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Infections and infestations
Psoas abscess
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Infections and infestations
Sepsis
0.40%
2/496 • Number of events 2 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Infections and infestations
Septic shock
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Infections and infestations
Streptococcal sepsis
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Infections and infestations
Urinary tract infection
0.81%
4/496 • Number of events 6 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Infections and infestations
Urosepsis
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Infections and infestations
Wound infection
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Injury, poisoning and procedural complications
Adjacent segment degeneration
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Injury, poisoning and procedural complications
Clavicle fracture
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Injury, poisoning and procedural complications
Contusion
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Injury, poisoning and procedural complications
Craniocerebral injury
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Injury, poisoning and procedural complications
Fall
1.0%
5/496 • Number of events 5 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Injury, poisoning and procedural complications
Femoral neck fracture
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Injury, poisoning and procedural complications
Fractured sacrum
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Injury, poisoning and procedural complications
Lumbar vertebral fracture
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Injury, poisoning and procedural complications
Pelvic fracture
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Injury, poisoning and procedural complications
Rib fracture
0.40%
2/496 • Number of events 2 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Injury, poisoning and procedural complications
Spinal compression fracture
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Injury, poisoning and procedural complications
Sternal fracture
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Injury, poisoning and procedural complications
Tendon injury
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Injury, poisoning and procedural complications
Thoracic vertebral fracture
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Injury, poisoning and procedural complications
Wrist fracture
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Investigations
Carbon dioxide increased
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Metabolism and nutrition disorders
Dehydration
0.20%
1/496 • Number of events 2 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Musculoskeletal and connective tissue disorders
Arthralgia
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Musculoskeletal and connective tissue disorders
Arthropathy
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Musculoskeletal and connective tissue disorders
Back pain
0.60%
3/496 • Number of events 3 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Musculoskeletal and connective tissue disorders
Bursitis
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Musculoskeletal and connective tissue disorders
Lumbar spinal stenosis
0.20%
1/496 • Number of events 2 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.40%
2/496 • Number of events 2 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Musculoskeletal and connective tissue disorders
Rhabdomyolysis
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma
0.40%
2/496 • Number of events 2 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bone cancer
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Glioblastoma
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Non-Hodgkin's lymphoma
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer stage II
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Squamous cell carcinoma
0.40%
2/496 • Number of events 3 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Nervous system disorders
Autonomic nervous system imbalance
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Nervous system disorders
Cerebrovascular accident
0.40%
2/496 • Number of events 2 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Nervous system disorders
Coma
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Nervous system disorders
Encephalopathy
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Nervous system disorders
Facial paresis
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Nervous system disorders
Hypoaesthesia
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Nervous system disorders
Myelopathy
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Nervous system disorders
Neuropathy peripheral
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Nervous system disorders
Parkinson's disease
0.40%
2/496 • Number of events 2 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Nervous system disorders
Subarachnoid haematoma
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Nervous system disorders
Syncope
0.40%
2/496 • Number of events 2 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Psychiatric disorders
Adjustment disorder with mixed anxiety and depressed mood
0.20%
1/496 • Number of events 2 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Psychiatric disorders
Depression
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Psychiatric disorders
Dopamine dysregulation syndrome
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Psychiatric disorders
Mental status changes
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Psychiatric disorders
Psychotic disorder
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Psychiatric disorders
Substance-induced psychotic disorder
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Renal and urinary disorders
Acute kidney injury
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Renal and urinary disorders
Bladder neck obstruction
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Renal and urinary disorders
Calculus bladder
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Renal and urinary disorders
Cystitis haemorrhagic
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Renal and urinary disorders
Nephrolithiasis
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Renal and urinary disorders
Obstructive uropathy
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Respiratory, thoracic and mediastinal disorders
Asthma
0.20%
1/496 • Number of events 2 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Respiratory, thoracic and mediastinal disorders
Pleural thickening
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Respiratory, thoracic and mediastinal disorders
Pneumonia aspiration
0.40%
2/496 • Number of events 2 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Respiratory, thoracic and mediastinal disorders
Pulmonary arterial hypertension
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Skin and subcutaneous tissue disorders
Nail fold inflammation
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Vascular disorders
Deep vein thrombosis
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Vascular disorders
Hypotension
0.20%
1/496 • Number of events 1 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.

Other adverse events

Other adverse events
Measure
APL-130277
n=496 participants at risk
APL-130277 sublingual thin film (10 mg, 15 mg, 20 mg, 25 mg, 30 mg and 35 mg)
Gastrointestinal disorders
Lip swelling
5.4%
27/496 • Number of events 36 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Gastrointestinal disorders
Mouth ulceration
5.6%
28/496 • Number of events 37 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Gastrointestinal disorders
Nausea
27.4%
136/496 • Number of events 197 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Gastrointestinal disorders
Oral mucosal erythema
8.7%
43/496 • Number of events 60 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Gastrointestinal disorders
Stomatitis
5.0%
25/496 • Number of events 39 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
General disorders
Fatigue
7.1%
35/496 • Number of events 48 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Injury, poisoning and procedural complications
Fall
8.9%
44/496 • Number of events 63 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Nervous system disorders
Dizziness
10.5%
52/496 • Number of events 70 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Nervous system disorders
Dyskinesia
6.9%
34/496 • Number of events 47 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Nervous system disorders
Headache
6.2%
31/496 • Number of events 43 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Nervous system disorders
Somnolence
11.5%
57/496 • Number of events 81 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Respiratory, thoracic and mediastinal disorders
Yawning
11.1%
55/496 • Number of events 99 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Gastrointestinal disorders
Vomiting
5.0%
25/496 • Number of events 33 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.
Vascular disorders
Orthostatic hypotension
5.2%
26/496 • Number of events 34 • Up to approximately 3 years for Long Term Safety Phase, including up to approximately 22 weeks for titration phase.

Additional Information

CNS Medical Director

Sumitomo Pharma America, Inc.

Phone: 1-866-503-6351

Results disclosure agreements

  • Principal investigator is a sponsor employee In the event the Study is part of a multi-center study, the first publication of the results of the Study shall be made in conjunction with the results of other participating study sites as a multi-center publication; provided however, if a multi-center publication is not forthcoming within twenty-four (24) months following completion of the Study at all sites, Institution and Investigator shall be free to publish.
  • Publication restrictions are in place

Restriction type: OTHER