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.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

450 participants

Primary outcome timeframe

Up to 52 weeks

Results posted on

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

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

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

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 study

Population: 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

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 study

Population: 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

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

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 weeks

Population: 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

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 weeks

Population: 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

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 weeks

Population: 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

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 weeks

Population: Safety Population included all participants who received ≥1 administration of study treatment.

Outcome measures

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

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

Serious events: 21 serious events
Other events: 37 other events
Deaths: 0 deaths

Relamorelin 10 μg

Serious events: 43 serious events
Other events: 82 other events
Deaths: 2 deaths

Serious adverse events

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

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

Therapeutic Area, Head

Allergan

Phone: 714-246-4500

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