Trial Outcomes & Findings for A Safety and Efficacy Study of Relamorelin in Diabetic Gastroparesis Study 04 (NCT NCT03383146)
NCT ID: NCT03383146
Last Updated: 2021-11-23
Results Overview
Clinical Laboratory tests included Hematology, Chemistry and Urinalysis tests. The investigator determined if the results were clinically significant. Only those categories where at least 1 participant had a non-PCS value at Baseline and met the PCS criterion at least once during postbaseline are reported.
TERMINATED
PHASE3
450 participants
Up to 52 weeks
2021-11-23
Participant Flow
Participants who completed the placebo run-in of relamorelin studies: RLM-MD-01 \[NCT03285308\] and RLM-MD-02 \[NCT03426345\] were eligible to rollover to this study. De novo (New) participants, who had not participated in the previous studies, were also eligible for enrollment.
Participant milestones
| Measure |
Placebo
Placebo injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
Relamorelin 10 μg
Relamorelin 10 micrograms (μg) injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
|---|---|---|
|
Overall Study
STARTED
|
148
|
302
|
|
Overall Study
Safety Population
|
145
|
299
|
|
Overall Study
Run-in Period
|
91
|
207
|
|
Overall Study
COMPLETED
|
63
|
118
|
|
Overall Study
NOT COMPLETED
|
85
|
184
|
Reasons for withdrawal
| Measure |
Placebo
Placebo injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
Relamorelin 10 μg
Relamorelin 10 micrograms (μg) injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
|---|---|---|
|
Overall Study
Screen Failure
|
1
|
0
|
|
Overall Study
Adverse Event
|
6
|
18
|
|
Overall Study
Lack of Efficacy
|
0
|
3
|
|
Overall Study
Withdrawal by Subject
|
20
|
36
|
|
Overall Study
Lost to Follow-up
|
5
|
15
|
|
Overall Study
Death
|
0
|
2
|
|
Overall Study
Physician Decision
|
0
|
1
|
|
Overall Study
Protocol Deviation
|
1
|
8
|
|
Overall Study
Study Terminated by the Sponsor
|
48
|
95
|
|
Overall Study
Reason not Specified
|
4
|
6
|
Baseline Characteristics
A Safety and Efficacy Study of Relamorelin in Diabetic Gastroparesis Study 04
Baseline characteristics by cohort
| Measure |
Placebo
n=148 Participants
Placebo injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
Relamorelin 10 μg
n=302 Participants
Relamorelin 10 μg injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
Total
n=450 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
57.0 years
STANDARD_DEVIATION 12.37 • n=5 Participants
|
57.9 years
STANDARD_DEVIATION 11.57 • n=7 Participants
|
57.6 years
STANDARD_DEVIATION 11.84 • n=5 Participants
|
|
Sex: Female, Male
Female
|
102 Participants
n=5 Participants
|
224 Participants
n=7 Participants
|
326 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
46 Participants
n=5 Participants
|
78 Participants
n=7 Participants
|
124 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
50 Participants
n=5 Participants
|
82 Participants
n=7 Participants
|
132 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
98 Participants
n=5 Participants
|
220 Participants
n=7 Participants
|
318 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
7 Participants
n=5 Participants
|
11 Participants
n=7 Participants
|
18 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Asian
|
0 Participants
n=5 Participants
|
9 Participants
n=7 Participants
|
9 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
1 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Black or African American
|
27 Participants
n=5 Participants
|
53 Participants
n=7 Participants
|
80 Participants
n=5 Participants
|
|
Race (NIH/OMB)
White
|
109 Participants
n=5 Participants
|
218 Participants
n=7 Participants
|
327 Participants
n=5 Participants
|
|
Race (NIH/OMB)
More than one race
|
4 Participants
n=5 Participants
|
11 Participants
n=7 Participants
|
15 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
PRIMARY outcome
Timeframe: Baseline (14-day Run-in Period of the previous relamorelin study RLM-MD-01 or RLM-MD-02 for rollover participants or Day -14 to Day -1 for new participants) to Week 12 of this studyPopulation: Modified-intent-to-treat (mITT) Population included all randomized participants with ≥1 postbaseline assessment of DGSSD. Number analyzed is the number of participants with data available for analysis at the given timepoint.
Participants assessed the severity of diabetic gastroparesis symptoms daily using the Diabetic Gastroparesis Symptom Severity Diary (DGSSD), recorded in an electronic diary (e-diary). The DGSSS was derived as the sum of the weekly averages of the 4 DGSSD items: nausea, abdominal pain, postprandial fullness and bloating. Each symptom was scored using an 11-point ordinal scale where: 0=no or not at all uncomfortable to 10=worst possible or most uncomfortable for a total possible DGSSS of 0 (best) to 40 (worst). A negative change from Baseline indicates improvement. Baseline was defined as the average of the 2 weekly DGSSS from the run-in period of the previous study or the run-in period of this study for new participants.
Outcome measures
| Measure |
Placebo
n=147 Participants
Placebo injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
Relamorelin 10 μg
n=295 Participants
Relamorelin 10 μg injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
|---|---|---|
|
Change From Baseline to Week 12 in the Weekly Diabetic Gastroparesis Symptom Severity Score (DGSSS)
Baseline
|
20.3 score on a scale
Standard Deviation 6.70
|
19.7 score on a scale
Standard Deviation 6.39
|
|
Change From Baseline to Week 12 in the Weekly Diabetic Gastroparesis Symptom Severity Score (DGSSS)
Change from Baseline to Week 12
|
-7.1 score on a scale
Standard Deviation 8.82
|
-6.5 score on a scale
Standard Deviation 7.80
|
PRIMARY outcome
Timeframe: Baseline (14-day Run-in Period of the previous relamorelin study RLM-MD-01 or RLM-MD-02 for rollover participants or Day -14 to Day -1 for new participants) to Week 52 of this studyPopulation: mITT Population included all randomized participants with ≥1 postbaseline assessment of DGSSD. Number analyzed is the number of participants with data available for analysis at the given timepoint.
Participants assessed the severity of diabetic gastroparesis symptoms daily using the DGSSD, recorded in an electronic diary (e-diary). The DGSSS was derived as the sum of the weekly averages of the 4 DGSSD items: nausea, abdominal pain, postprandial fullness and bloating. Each symptom was scored using an 11-point ordinal scale where: 0=no or not at all uncomfortable to 10=worst possible or most uncomfortable for a total possible DGSSS of 0 (best) to 40 (worst). The average weekly scores at Week 52 were the average of the DGSSS scores from Week 49 to Week 52. A negative change from Baseline indicates improvement. Baseline was defined as the average of the 2 weekly DGSSS from the run-in period of the previous study or the run-in period of this study for new participants.
Outcome measures
| Measure |
Placebo
n=147 Participants
Placebo injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
Relamorelin 10 μg
n=295 Participants
Relamorelin 10 μg injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
|---|---|---|
|
Change From Baseline to Week 52 in the Weekly Average DGSSS
Baseline
|
20.3 score on a scale
Standard Deviation 6.70
|
19.7 score on a scale
Standard Deviation 6.39
|
|
Change From Baseline to Week 52 in the Weekly Average DGSSS
Change from Baseline to Week 52
|
-10.7 score on a scale
Standard Deviation 8.93
|
-8.6 score on a scale
Standard Deviation 8.92
|
PRIMARY outcome
Timeframe: First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)Population: Safety Population included all participants who received ≥1 administration of study treatment.
An adverse event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study treatment. A TEAE is an AE that begins or worsens after receiving study drug.
Outcome measures
| Measure |
Placebo
n=145 Participants
Placebo injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
Relamorelin 10 μg
n=299 Participants
Relamorelin 10 μg injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
|---|---|---|
|
Number of Participants Who Experienced One or More Treatment-Emergent Adverse Events (TEAE)
|
105 Participants
|
221 Participants
|
PRIMARY outcome
Timeframe: Up to 52 weeksPopulation: Safety Population included all participants who received ≥1 administration of study treatment. Number analyzed is the number of participants with non-PCS Baseline values and at least one post-baseline assessment.
Clinical Laboratory tests included Hematology, Chemistry and Urinalysis tests. The investigator determined if the results were clinically significant. Only those categories where at least 1 participant had a non-PCS value at Baseline and met the PCS criterion at least once during postbaseline are reported.
Outcome measures
| Measure |
Placebo
n=145 Participants
Placebo injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
Relamorelin 10 μg
n=299 Participants
Relamorelin 10 μg injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
|---|---|---|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Neutrophils Absolute Cell Count (10^9/L): >1.5×ULN
|
2 Participants
|
0 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Neutrophils Absolute Cell Count (10^9/L): <0.8×LLN
|
7 Participants
|
3 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Red Blood Cell Count (10^12/L):<0.9×LLN
|
2 Participants
|
10 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
White Blood Cell Count (10^9/L): <0.7×LLN
|
2 Participants
|
0 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Alanine Aminotransferase (Serum Glutamate-Pyruvate transaminase (SGPT)) (Unit (U)/L): ≥3.0×ULN
|
0 Participants
|
6 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Albumin (gram (g)/L): <0.9×LLN
|
0 Participants
|
1 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Alkaline Phosphatase (U/L): ≥3.0×ULN
|
0 Participants
|
1 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Aspartate Aminotransferase (Serum Glutamic-Oxaloacetic Transaminase (SGOT)) (U/L): ≥3.0×ULN
|
2 Participants
|
3 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Bicarbonate (HCO3) (millimole (mmol)/L): >1.1×ULN
|
3 Participants
|
2 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Bicarbonate (HCO3) (millimole (mmol)/L): >1.1×LLN
|
3 Participants
|
2 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Bicarbonate (HCO3) (millimole (mmol)/L): <0.9×LLN
|
6 Participants
|
6 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Bilirubin, Total (micromole (umol)/L): >1.5×ULN
|
0 Participants
|
1 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Blood Urea Nitrogen (mmol/L): >1.2×ULN
|
14 Participants
|
27 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Calcium (mmol/L): >1.1×ULN
|
0 Participants
|
1 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Chloride (mmol/L): <0.9×LLN
|
1 Participants
|
1 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Cholesterol, Total, Fasting (mmol/L): >1.6×ULN
|
2 Participants
|
5 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Creatinine (umol/L): >1.3×ULN
|
15 Participants
|
20 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Glucose-Chemistry, Fasting (mmol/L): >2.5×ULN
|
22 Participants
|
52 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Glucose-Chemistry, Fasting (mmol/L): <0.9×LLN
|
4 Participants
|
14 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Glycohemoglobin A1C (%): Increase of ≥0.5%
|
95 Participants
|
247 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Glycohemoglobin A1C (%): Increase of ≥1%
|
94 Participants
|
246 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Phosphorus (mmol/L): >1.1×ULN
|
13 Participants
|
5 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Phosphorus (mmol/L): <0.9×LLN
|
1 Participants
|
4 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Potassium (mmol/L): <0.9×LLN
|
1 Participants
|
0 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Protein, Total (g)/L): >1.1×ULN
|
1 Participants
|
0 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Hematocrit (RATIO): >1.1×Upper Limit of Normal Value (ULN)
|
0 Participants
|
1 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Hematocrit (RATIO): <0.9×Lower Limit of Normal Value (LLN)
|
5 Participants
|
14 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Hemoglobin (gram(g)/L): <0.9×LLN
|
10 Participants
|
20 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Lymphocytes Absolute Cell Count (10^9/(Liter(L)): >1.5×ULN
|
1 Participants
|
5 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Lymphocytes Absolute Cell Count (10^9/L): <0.8×LLN
|
2 Participants
|
9 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Mean Corpuscular Volume [femtoliter(fL)]: >1.1×ULN
|
2 Participants
|
2 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Triglycerides, Fasting (mmol/L): ≥3.0×ULN
|
8 Participants
|
9 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Uric Acid (Urate) (umol/L): >1.1×ULN
|
17 Participants
|
37 Participants
|
|
Number of Participants With Potential Clinically Significant (PCS) Clinical Laboratory Results
Uric Acid (Urate) (umol/L): <0.9×LLN
|
1 Participants
|
9 Participants
|
PRIMARY outcome
Timeframe: Up to 52 weeksPopulation: Safety Population included all participants who received ≥1 administration of study treatment.
Vital Signs included assessments of heart rate, respiratory rate, systolic and diastolic blood pressure, and body temperature. The investigator determined if the abnormal results were clinically significant.
Outcome measures
| Measure |
Placebo
n=145 Participants
Placebo injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
Relamorelin 10 μg
n=299 Participants
Relamorelin 10 μg injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
|---|---|---|
|
Number of Participants With Clinically Meaningful Trends for Vital Signs
|
0 Participants
|
0 Participants
|
PRIMARY outcome
Timeframe: Up to 52 weeksPopulation: Safety Population included all participants who received ≥1 administration of study treatment.
A standard 12-lead ECG was performed. The investigator determined if the abnormal results were clinically significant.
Outcome measures
| Measure |
Placebo
n=145 Participants
Placebo injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
Relamorelin 10 μg
n=299 Participants
Relamorelin 10 μg injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
|---|---|---|
|
Number of Participants With Clinically Significant Abnormal Electrocardiogram (ECG) Results
|
2 Participants
|
2 Participants
|
PRIMARY outcome
Timeframe: Up to 52 weeksPopulation: Safety Population included all participants who received ≥1 administration of study treatment.
Outcome measures
| Measure |
Placebo
n=145 Participants
Placebo injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
Relamorelin 10 μg
n=299 Participants
Relamorelin 10 μg injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
|---|---|---|
|
Number of Participants With a ≥1% Increase in Glycosylated Hemoglobin A1c (HbA1c)
|
94 Participants
|
246 Participants
|
PRIMARY outcome
Timeframe: Baseline (Day 1), Day 84, Day 364, and End of Treatment (Up to Day 364)Population: Safety Population included all participants who received ≥1 administration of double-blind study treatment (N=299 in the Relamorelin 10 μg arm). Anti-relamorelin antibody testing was only done for those participants who received treatment with relamorelin. Number analyzed is the number of participants with data available at the given timepoint. Due to a laboratory issue not all positive screening tests were confirmed.
A blood sample was collected that was sent to a laboratory for an anti-relamorelin antibody screening test. A positive screening test was confirmed by an immunodepletion assay. The number of participants in each of the following categories are reported: Negative Screening Test, Positive Screening Test, Negative Confirmatory Test, and Positive Confirmatory Test at each time point.
Outcome measures
| Measure |
Placebo
n=299 Participants
Placebo injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
Relamorelin 10 μg
Relamorelin 10 μg injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
|---|---|---|
|
Number of Participants With Anti-relamorelin Antibody Testing Results by Visit
Screening Test (Baseline) · Negative
|
127 Participants
|
—
|
|
Number of Participants With Anti-relamorelin Antibody Testing Results by Visit
Screening Test (Baseline) · Positive
|
39 Participants
|
—
|
|
Number of Participants With Anti-relamorelin Antibody Testing Results by Visit
Confirmatory Test (Baseline) · Negative
|
5 Participants
|
—
|
|
Number of Participants With Anti-relamorelin Antibody Testing Results by Visit
Confirmatory Test (Baseline) · Positive
|
0 Participants
|
—
|
|
Number of Participants With Anti-relamorelin Antibody Testing Results by Visit
Screening Test (Day 84) · Negative
|
73 Participants
|
—
|
|
Number of Participants With Anti-relamorelin Antibody Testing Results by Visit
Screening Test (Day 84) · Positive
|
23 Participants
|
—
|
|
Number of Participants With Anti-relamorelin Antibody Testing Results by Visit
Confirmatory Test (Day 84) · Negative
|
6 Participants
|
—
|
|
Number of Participants With Anti-relamorelin Antibody Testing Results by Visit
Confirmatory Test (Day 84) · Positive
|
1 Participants
|
—
|
|
Number of Participants With Anti-relamorelin Antibody Testing Results by Visit
Screening Test (Day 364) · Positive
|
4 Participants
|
—
|
|
Number of Participants With Anti-relamorelin Antibody Testing Results by Visit
Confirmatory Test (Unscheduled) · Positive
|
0 Participants
|
—
|
|
Number of Participants With Anti-relamorelin Antibody Testing Results by Visit
Screening Test (Day 364) · Negative
|
10 Participants
|
—
|
|
Number of Participants With Anti-relamorelin Antibody Testing Results by Visit
Screening Test (End of Treatment) · Negative
|
20 Participants
|
—
|
|
Number of Participants With Anti-relamorelin Antibody Testing Results by Visit
Screening Test (End of Treatment) · Positive
|
6 Participants
|
—
|
|
Number of Participants With Anti-relamorelin Antibody Testing Results by Visit
Confirmatory Test (End of Treatment) · Negative
|
1 Participants
|
—
|
|
Number of Participants With Anti-relamorelin Antibody Testing Results by Visit
Confirmatory Test (End of Treatment) · Positive
|
0 Participants
|
—
|
|
Number of Participants With Anti-relamorelin Antibody Testing Results by Visit
Screening Test (Unscheduled) · Negative
|
2 Participants
|
—
|
|
Number of Participants With Anti-relamorelin Antibody Testing Results by Visit
Screening Test (Unscheduled) · Positive
|
1 Participants
|
—
|
|
Number of Participants With Anti-relamorelin Antibody Testing Results by Visit
Confirmatory Test (Unscheduled) · Negative
|
1 Participants
|
—
|
Adverse Events
Placebo
Relamorelin 10 μg
Serious adverse events
| Measure |
Placebo
n=145 participants at risk
Placebo injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
Relamorelin 10 μg
n=299 participants at risk
Relamorelin 10 μg injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
|---|---|---|
|
Cardiac disorders
Cardiac arrest
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.67%
2/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Cardiac disorders
Acute left ventricular failure
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Cardiac disorders
Acute myocardial infarction
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Cardiac disorders
Angina pectoris
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Cardiac disorders
Angina unstable
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Cardiac disorders
Arteriosclerosis coronary artery
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Cardiac disorders
Atrial fibrillation
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Cardiac disorders
Bradycardia
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Cardiac disorders
Myocardial infarction
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Cardiac disorders
Cardiac failure
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Cardiac disorders
Sinus tachycardia
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Congenital, familial and genetic disorders
Atrial septal defect
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Ear and labyrinth disorders
Vertigo
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.67%
2/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Gastrointestinal disorders
Pancreatitis
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Gastrointestinal disorders
Large intestine perforation
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Gastrointestinal disorders
Abdominal pain upper
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Gastrointestinal disorders
Constipation
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Gastrointestinal disorders
Diabetic gastroparesis
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Gastrointestinal disorders
Nausea
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
General disorders
Non-cardiac chest pain
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.67%
2/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
General disorders
Physical deconditioning
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Hepatobiliary disorders
Cholelithiasis
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.67%
2/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Hepatobiliary disorders
Cholecystitis
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Infections and infestations
Bronchitis
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.67%
2/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Infections and infestations
Diverticulitis
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.67%
2/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Infections and infestations
Sepsis
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.67%
2/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Infections and infestations
Pneumonia
|
1.4%
2/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Infections and infestations
Bacteraemia
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Infections and infestations
COVID-19
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Infections and infestations
Cellulitis
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Infections and infestations
Diabetic gangrene
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Infections and infestations
Herpes zoster
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Infections and infestations
Metapneumovirus infection
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Infections and infestations
Otitis media
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Infections and infestations
Urinary tract infection
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Infections and infestations
Urosepsis
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Infections and infestations
Appendicitis
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Infections and infestations
COVID-19 pneumonia
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Infections and infestations
Diabetic foot infection
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Infections and infestations
Gastroenteritis
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Infections and infestations
Pneumonia pneumococcal
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Injury, poisoning and procedural complications
Fall
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
1.0%
3/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Injury, poisoning and procedural complications
Accidental overdose
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Injury, poisoning and procedural complications
Craniocerebral injury
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Injury, poisoning and procedural complications
Joint injury
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Injury, poisoning and procedural complications
Patella fracture
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Injury, poisoning and procedural complications
Animal bite
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Injury, poisoning and procedural complications
Road traffic accident
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Injury, poisoning and procedural complications
Upper limb fracture
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Investigations
Blood glucose decreased
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Investigations
Blood glucose increased
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Investigations
Glomerular filtration rate decreased
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Metabolism and nutrition disorders
Diabetic ketoacidosis
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.67%
2/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Metabolism and nutrition disorders
Dehydration
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Metabolism and nutrition disorders
Hyperglycaemia
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Metabolism and nutrition disorders
Hyperkalaemia
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Metabolism and nutrition disorders
Hypoglycaemia
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Metabolism and nutrition disorders
Hypokalaemia
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Musculoskeletal and connective tissue disorders
Intervertebral disc degeneration
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Musculoskeletal and connective tissue disorders
Tendonitis
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Musculoskeletal and connective tissue disorders
Osteoarthritis
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Squamous cell carcinoma of skin
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Plasmacytoma
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Nervous system disorders
Cervical radiculopathy
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Nervous system disorders
Headache
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Nervous system disorders
Migraine
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Nervous system disorders
Transient ischaemic attack
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Nervous system disorders
Vertebral artery occlusion
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Nervous system disorders
Cerebrovascular accident
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Nervous system disorders
Lumbar radiculopathy
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Nervous system disorders
Presyncope
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Psychiatric disorders
Suicide attempt
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Psychiatric disorders
Anxiety disorder
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Psychiatric disorders
Major depression
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Renal and urinary disorders
Acute kidney injury
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Renal and urinary disorders
Ureterolithiasis
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Respiratory, thoracic and mediastinal disorders
Asthma
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
1.0%
3/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Skin and subcutaneous tissue disorders
Diabetic foot
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Vascular disorders
Aortic stenosis
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Vascular disorders
Hypertension
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Vascular disorders
Hypotension
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Vascular disorders
Peripheral arterial occlusive disease
|
0.00%
0/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.33%
1/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Vascular disorders
Orthostatic hypotension
|
0.69%
1/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
0.00%
0/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
Other adverse events
| Measure |
Placebo
n=145 participants at risk
Placebo injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
Relamorelin 10 μg
n=299 participants at risk
Relamorelin 10 μg injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
|
|---|---|---|
|
Gastrointestinal disorders
Diarrhoea
|
9.7%
14/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
7.0%
21/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Infections and infestations
Urinary tract infection
|
6.2%
9/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
9.4%
28/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Metabolism and nutrition disorders
Hyperglycaemia
|
5.5%
8/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
5.0%
15/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Musculoskeletal and connective tissue disorders
Arthralgia
|
7.6%
11/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
6.0%
18/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
|
Nervous system disorders
Headache
|
4.8%
7/145 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
5.0%
15/299 • First dose of study drug to within 30 days of the last dose of study drug (Up to approximately 56 weeks)
All-Cause Mortality included all randomized participants. Adverse Events: Safety Population included all participants who received ≥1 administration of study treatment.
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee A disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 90 days from the time submitted to the sponsor for review. The sponsor cannot require changes to the communication and cannot extend the embargo.
- Publication restrictions are in place
Restriction type: OTHER