Trial Outcomes & Findings for Safety and Effectiveness of Nabiximols Oromucosal Spray as Add-on Therapy in Participants With Spasticity Due to Multiple Sclerosis (NCT NCT04203498)

NCT ID: NCT04203498

Last Updated: 2024-05-08

Results Overview

The change in the average daily spasm count was assessed compared to the baseline period.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

139 participants

Primary outcome timeframe

Baseline to Week 12

Results posted on

2024-05-08

Participant Flow

Participant milestones

Participant milestones
Measure
Nabiximols
Patients randomized to receive GW-1000-2 (nabiximols) self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Placebo
Patients randomized to receive placebo self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Overall Study
STARTED
69
70
Overall Study
Safety Analysis Set
67
70
Overall Study
COMPLETED
55
66
Overall Study
NOT COMPLETED
14
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Nabiximols
Patients randomized to receive GW-1000-2 (nabiximols) self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Placebo
Patients randomized to receive placebo self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Overall Study
Decision by the investigator, GW, or authority
0
1
Overall Study
Withdrawal of patient consent
7
2
Overall Study
Adverse Event
4
1
Overall Study
Drug not dispensed due to endpoint error
1
0
Overall Study
Did not receive IMP
2
0

Baseline Characteristics

Safety and Effectiveness of Nabiximols Oromucosal Spray as Add-on Therapy in Participants With Spasticity Due to Multiple Sclerosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Nabiximols
n=67 Participants
Patients randomized to receive GW-1000-2 (nabiximols) self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Placebo
n=70 Participants
Patients randomized to receive placebo self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Total
n=137 Participants
Total of all reporting groups
Age, Continuous
52.1 years
STANDARD_DEVIATION 10.4 • n=5 Participants
53.0 years
STANDARD_DEVIATION 10.2 • n=7 Participants
52.6 years
STANDARD_DEVIATION 10.2 • n=5 Participants
Age, Customized
<18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Customized
≥18 years to <45 years
14 Participants
n=5 Participants
15 Participants
n=7 Participants
29 Participants
n=5 Participants
Age, Customized
≥45 years to <65 years
44 Participants
n=5 Participants
46 Participants
n=7 Participants
90 Participants
n=5 Participants
Age, Customized
≥65 years
9 Participants
n=5 Participants
9 Participants
n=7 Participants
18 Participants
n=5 Participants
Sex: Female, Male
Female
43 Participants
n=5 Participants
52 Participants
n=7 Participants
95 Participants
n=5 Participants
Sex: Female, Male
Male
24 Participants
n=5 Participants
18 Participants
n=7 Participants
42 Participants
n=5 Participants
Race/Ethnicity, Customized
White
62 Participants
n=5 Participants
68 Participants
n=7 Participants
130 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline to Week 12

Population: Average daily spasm count was assessed in participants with available data in the Full Analysis Set defined as all patients from the Safety Analysis Set who signed the informed consent and are randomized by interactive response technology..

The change in the average daily spasm count was assessed compared to the baseline period.

Outcome measures

Outcome measures
Measure
Nabiximols
n=67 Participants
Patients randomized to receive GW-1000-2 (nabiximols) self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Placebo
n=70 Participants
Patients randomized to receive placebo self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Change in Average Daily Spasm Count From Baseline to Week 12 By 4-Week Period During the 12-Week Randomized Period
Week 1 to 4
-2.23 daily spasm count
Standard Error 0.412
-1.62 daily spasm count
Standard Error 0.394
Change in Average Daily Spasm Count From Baseline to Week 12 By 4-Week Period During the 12-Week Randomized Period
Week 5 to 8
-3.42 daily spasm count
Standard Error 0.607
-2.62 daily spasm count
Standard Error 0.583
Change in Average Daily Spasm Count From Baseline to Week 12 By 4-Week Period During the 12-Week Randomized Period
Week 9 to 12
-3.84 daily spasm count
Standard Error 0.689
-3.11 daily spasm count
Standard Error 0.659

SECONDARY outcome

Timeframe: Week 8 and Week 12

Population: Changes in Multiple Sclerosis Spasticity Scale were assessed in participants with available data in the Full Analysis Set defined as all patients from the Safety Analysis Set who signed the informed consent and are randomized by interactive response technology.

The MSSS-88 is a self-reported measure of the impact of spasticity (muscle stiffness and spasms) in MS. This 88-item scale captures the patient experience and impact of spasticity, including muscle stiffness, pain and discomfort, muscle spasms, effect on daily activities, ability to walk, body movement, patient feelings, and social functioning. Responses to individual questions can range from "1 - not at all bothered" to "4 - extremely bothered", ranging from 88 to 352 total score. Scores are summed and higher scores indicate poor clinical outcome. Least square means are being reported, with greater negative values indicating better outcome.

Outcome measures

Outcome measures
Measure
Nabiximols
n=51 Participants
Patients randomized to receive GW-1000-2 (nabiximols) self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Placebo
n=54 Participants
Patients randomized to receive placebo self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Change in Multiple Sclerosis Spasticity Scale (MSSS-88) Total Score
Week 8
-21.64 unit on a scale
Standard Error 5.775
-26.11 unit on a scale
Standard Error 5.461
Change in Multiple Sclerosis Spasticity Scale (MSSS-88) Total Score
Week 12
-26.53 unit on a scale
Standard Error 5.807
-23.18 unit on a scale
Standard Error 5.426

SECONDARY outcome

Timeframe: From date of first dose of IMP up to 30 days after last dose, up to approximately 16 weeks

Population: Treatment-emergent adverse events were assessed in the Safety Analysis Set defined as all participants who received at least 1 dose of study intervention in the study.

A TEAE is an adverse event that started, or worsened in severity or seriousness, following the first dose of the investigational medicinal product.

Outcome measures

Outcome measures
Measure
Nabiximols
n=67 Participants
Patients randomized to receive GW-1000-2 (nabiximols) self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Placebo
n=70 Participants
Patients randomized to receive placebo self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Number of Patients Reporting Any Treatment-emergent Adverse Events
47 Participants
32 Participants

SECONDARY outcome

Timeframe: Baseline up to Week 12

Population: Clinical laboratory values were assessed in patients with available data in the Safety Analysis Set defined as all participants who received at least 1 dose of study intervention in the study.

Outcome measures

Outcome measures
Measure
Nabiximols
n=59 Participants
Patients randomized to receive GW-1000-2 (nabiximols) self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Placebo
n=62 Participants
Patients randomized to receive placebo self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Change From Baseline in Clinical Laboratory Test Values
Basophils
-0.009 10^9 cells/liter
Standard Deviation 0.030
0.002 10^9 cells/liter
Standard Deviation 0.037
Change From Baseline in Clinical Laboratory Test Values
Eosinophils
-0.007 10^9 cells/liter
Standard Deviation 0.110
0.006 10^9 cells/liter
Standard Deviation 0.086
Change From Baseline in Clinical Laboratory Test Values
Leukocytes
0.146 10^9 cells/liter
Standard Deviation 1.095
0.139 10^9 cells/liter
Standard Deviation 1.881
Change From Baseline in Clinical Laboratory Test Values
Lymphocytes
-0.056 10^9 cells/liter
Standard Deviation 0.368
0.009 10^9 cells/liter
Standard Deviation 0.315
Change From Baseline in Clinical Laboratory Test Values
Monocytes
0 10^9 cells/liter
Standard Deviation 0.120
0.001 10^9 cells/liter
Standard Deviation 0.126
Change From Baseline in Clinical Laboratory Test Values
Neutrophils
0.217 10^9 cells/liter
Standard Deviation 1.004
0.083 10^9 cells/liter
Standard Deviation 1.788
Change From Baseline in Clinical Laboratory Test Values
Platelets
-0.085 10^9 cells/liter
Standard Deviation 42.392
5.290 10^9 cells/liter
Standard Deviation 49.972

SECONDARY outcome

Timeframe: Baseline up to Week 12

Population: Erythrocytes were assessed in patients with available data in the Safety Analysis Set defined as all participants who received at least 1 dose of study intervention in the study.

Outcome measures

Outcome measures
Measure
Nabiximols
n=59 Participants
Patients randomized to receive GW-1000-2 (nabiximols) self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Placebo
n=62 Participants
Patients randomized to receive placebo self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Change From Baseline in Erythrocytes
0.010 10^12 cells/liter
Standard Deviation 0.241
-0.007 10^12 cells/liter
Standard Deviation 0.251

SECONDARY outcome

Timeframe: Baseline up to Week 12

Population: Hemoglobin was assessed in patients with available data in the Safety Analysis Set defined as all participants who received at least 1 dose of study intervention in the study.

Outcome measures

Outcome measures
Measure
Nabiximols
n=59 Participants
Patients randomized to receive GW-1000-2 (nabiximols) self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Placebo
n=62 Participants
Patients randomized to receive placebo self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Change From Baseline in Hemoglobin
-0.025 g/dL
Standard Deviation 0.735
-0.021 g/dL
Standard Deviation 0.726

SECONDARY outcome

Timeframe: Baseline up to Week 12

Population: Hematocrit ratio was assessed in patients with available data in the Safety Analysis Set defined as all participants who received at least 1 dose of study intervention in the study.

The hematocrit ratio measures the volume of red blood cells compared to the total blood volume.

Outcome measures

Outcome measures
Measure
Nabiximols
n=59 Participants
Patients randomized to receive GW-1000-2 (nabiximols) self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Placebo
n=62 Participants
Patients randomized to receive placebo self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Change From Baseline in Hematocrit Ratio
-0.002 ratio of packed cells to total volume
Standard Deviation 0.025
-0.002 ratio of packed cells to total volume
Standard Deviation 0.027

SECONDARY outcome

Timeframe: Baseline up to Week 12

Population: Erythrocyte mean corpuscular hemoglobin was assessed patients with available data in the Safety Analysis Set defined as all participants who received at least 1 dose of study intervention in the study.

Outcome measures

Outcome measures
Measure
Nabiximols
n=59 Participants
Patients randomized to receive GW-1000-2 (nabiximols) self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Placebo
n=62 Participants
Patients randomized to receive placebo self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Change From Baseline in Erythrocyte Mean Corpuscular Hemoglobin
-0.156 pg
Standard Deviation 0.608
-0.005 pg
Standard Deviation 0.881

SECONDARY outcome

Timeframe: Baseline up to Week 12

Population: Blood pressure was assessed in patients with available data in the Safety Analysis Set defined as all participants who received at least 1 dose of study intervention in the study.

Outcome measures

Outcome measures
Measure
Nabiximols
n=60 Participants
Patients randomized to receive GW-1000-2 (nabiximols) self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Placebo
n=67 Participants
Patients randomized to receive placebo self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Change From Baseline in Blood Pressure
Systolic Blood Pressure
-1.6 mmHg
Standard Deviation 10.95
2.6 mmHg
Standard Deviation 11.31
Change From Baseline in Blood Pressure
Diastolic Blood Pressure
0.3 mmHg
Standard Deviation 8.20
2.7 mmHg
Standard Deviation 13.38

SECONDARY outcome

Timeframe: Baseline up to Week 12

Population: Heart rate was assessed in patients with available data in the Safety Analysis Set defined as all participants who received at least 1 dose of study intervention in the study.

Outcome measures

Outcome measures
Measure
Nabiximols
n=60 Participants
Patients randomized to receive GW-1000-2 (nabiximols) self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Placebo
n=67 Participants
Patients randomized to receive placebo self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Change From Baseline in Heart Rate
2.5 beats/minute
Standard Deviation 7.70
0.4 beats/minute
Standard Deviation 10.14

SECONDARY outcome

Timeframe: Baseline up to Week 12

Population: Electrocardiogram parameters were assessed in patients with available data in the Safety Analysis Set. defined as all participants who received at least 1 dose of study intervention in the study.

Outcome measures

Outcome measures
Measure
Nabiximols
n=61 Participants
Patients randomized to receive GW-1000-2 (nabiximols) self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Placebo
n=67 Participants
Patients randomized to receive placebo self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Change From Baseline in Electrocardiogram Parameters
PR interval, aggregate
5.5 msec
Standard Deviation 20.51
1.3 msec
Standard Deviation 21.05
Change From Baseline in Electrocardiogram Parameters
QRS duration
1.9 msec
Standard Deviation 9.89
-6.5 msec
Standard Deviation 37.08
Change From Baseline in Electrocardiogram Parameters
QTcB interval
1.5 msec
Standard Deviation 29.58
-2.4 msec
Standard Deviation 33.29
Change From Baseline in Electrocardiogram Parameters
QTcF interval
2.9 msec
Standard Deviation 26.69
-3.2 msec
Standard Deviation 32.40

SECONDARY outcome

Timeframe: Baseline up to Week 12

Population: Electrocardiogram heart rate was assessed in patients with available data in the Safety Analysis Set defined as all participants who received at least 1 dose of study intervention in the study.

Outcome measures

Outcome measures
Measure
Nabiximols
n=61 Participants
Patients randomized to receive GW-1000-2 (nabiximols) self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Placebo
n=67 Participants
Patients randomized to receive placebo self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Change From Baseline in Electrocardiogram Pulse Rate
-2.6 beats/min
Standard Deviation 10.21
0.5 beats/min
Standard Deviation 8.74

SECONDARY outcome

Timeframe: Baseline up to Week 12

Population: Weight was assessed in patients with available data in the Safety Analysis Set defined as all participants who received at least 1 dose of study intervention in the study.

Outcome measures

Outcome measures
Measure
Nabiximols
n=59 Participants
Patients randomized to receive GW-1000-2 (nabiximols) self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Placebo
n=67 Participants
Patients randomized to receive placebo self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Change From Baseline in Weight
-0.338 kg
Standard Deviation 3.198
-0.394 kg
Standard Deviation 3.578

SECONDARY outcome

Timeframe: Baseline up to Week 12

Population: Body mass index was assessed in patients with available data in the Safety Analysis Set defined as all participants who received at least 1 dose of study intervention in the study.

Outcome measures

Outcome measures
Measure
Nabiximols
n=59 Participants
Patients randomized to receive GW-1000-2 (nabiximols) self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Placebo
n=67 Participants
Patients randomized to receive placebo self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Change in Body Mass Index
-0.086 kg/m^2
Standard Deviation 1.052
-0.159 kg/m^2
Standard Deviation 1.287

SECONDARY outcome

Timeframe: Screening up to Week 12

Population: Suicidal ideation or behavior was assessed in the Safety Analysis Set. defined as all participants who received at least 1 dose of study intervention in the study

The C-SSRS is a short questionnaire that is used to assess suicidal ideation (5 questions) and behavior (5 questions) since last patient visit. The questionnaire is completed by participants answering yes or no to each question.

Outcome measures

Outcome measures
Measure
Nabiximols
n=67 Participants
Patients randomized to receive GW-1000-2 (nabiximols) self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Placebo
n=70 Participants
Patients randomized to receive placebo self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 4: Ideation, Non-specific active thoughts
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 12: Ideation, Active intent to act, no plan
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 12: Ideation, Active specific plan/intent
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 12: Suicidal ideation or behavior
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 4: Ideation, Active any method no intent
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 4: Ideation, Active intent to act, no plan
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Screening: Ideation, Wish to be dead
1 Participants
1 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Screening: Ideation, Non-specific active thoughts
1 Participants
1 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Screening: Ideation, Active any method no intent
0 Participants
1 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Screening: Ideation, Active intent to act, no plan
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Screening: Ideation, Active specific plan/intent
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Screening: Behavior, Preparatory acts or behavior
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Screening: Behavior, Aborted attempt
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Screening: Behavior, Interrupted attempt
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Screening: Behavior, Actual attempt
0 Participants
1 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Screening: Behavior, Completed suicide
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Screening: Suicidal ideation or behavior
1 Participants
1 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Screening: Self-injurious behavior without suicidal intent
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Baseline: Ideation, Wish to be dead
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Baseline: Ideation, Non-specific active thoughts
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Baseline: Ideation, Active any method no intent
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Baseline: Ideation, Active intent to act, no plan
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Baseline: Ideation, Active specific plan/intent
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Baseline: Behavior, Preparatory acts or behavior
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Baseline: Behavior, Aborted attempt
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Baseline: Behavior, Interrupted attempt
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Baseline: Behavior, Actual attempt
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Baseline: Behavior, Completed suicide
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Baseline: Suicidal ideation or behavior
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Baseline: Self-injurious behavior without suicidal intent
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 2: Ideation, Wish to be dead
1 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 2: Ideation, Non-specific active thoughts
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 2: Ideation, Active any method no intent
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 2: Ideation, Active intent to act, no plan
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 2: Ideation, Active specific plan/intent
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 2: Behavior, Preparatory acts or behavior
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 2: Behavior, Aborted attempt
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 2: Behavior, Interrupted attempt
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 2: Behavior, Actual attempt
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 2: Behavior, Completed suicide
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 2: Suicidal ideation or behavior
1 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 2: Self-injurious behavior without suicidal intent
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 4: Ideation, Wish to be dead
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 4: Ideation, Active specific plan/intent
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 4: Behavior, Preparatory acts or behavior
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 4: Behavior, Aborted attempt
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 4: Behavior, Interrupted attempt
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 4: Behavior, Actual attempt
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 4: Behavior, Completed suicide
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 4: Suicidal ideation or behavior
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 4: Self-injurious behavior without suicidal intent
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 8: Ideation, Wish to be dead
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 8: Ideation, Non-specific active thoughts
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 8: Ideation, Active any method no intent
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 8: Ideation, Active intent to act, no plan
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 8: Ideation, Active specific plan/intent
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 8: Behavior, Preparatory acts or behavior
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 8: Behavior, Aborted attempt
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 8: Behavior, Interrupted attempt
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 8: Behavior, Actual attempt
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 8: Behavior, Completed suicide
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 8: Suicidal ideation or behavior
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 8: Self-injurious behavior without suicidal intent
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 12: Ideation, Wish to be dead
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 12: Ideation, Non-specific active thoughts
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 12: Ideation, Active any method no intent
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 12: Behavior, Preparatory acts or behavior
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 12: Behavior, Aborted attempt
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 12: Behavior, Interrupted attempt
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 12: Behavior, Actual attempt
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 12: Behavior, Completed suicide
0 Participants
0 Participants
Number of Patients With Suicidal Ideation or Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
Week 12: Self-injurious behavior without suicidal intent
0 Participants
1 Participants

Adverse Events

Nabiximols

Serious events: 3 serious events
Other events: 46 other events
Deaths: 0 deaths

Placebo

Serious events: 5 serious events
Other events: 19 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Nabiximols
n=67 participants at risk
Patients randomized to receive GW-1000-2 (nabiximols) self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Placebo
n=70 participants at risk
Patients randomized to receive placebo self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Infections and infestations
COVID-19
3.0%
2/67 • Number of events 2 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).
2.9%
2/70 • Number of events 2 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).
Infections and infestations
Cellulitis
1.5%
1/67 • Number of events 1 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).
0.00%
0/70 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).
Infections and infestations
Arthritis bacterial
0.00%
0/67 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).
1.4%
1/70 • Number of events 1 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).
Infections and infestations
Pneumonia
0.00%
0/67 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).
1.4%
1/70 • Number of events 1 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).
Investigations
SARS-CoV-2 test positive
0.00%
0/67 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).
2.9%
2/70 • Number of events 2 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).

Other adverse events

Other adverse events
Measure
Nabiximols
n=67 participants at risk
Patients randomized to receive GW-1000-2 (nabiximols) self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Placebo
n=70 participants at risk
Patients randomized to receive placebo self-administered as an oromucosal spray in the morning and evening, up to a maximum of 12 sprays per day for 12 weeks.
Nervous system disorders
Dizziness
20.9%
14/67 • Number of events 15 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).
7.1%
5/70 • Number of events 8 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).
General disorders
Fatigue
11.9%
8/67 • Number of events 9 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).
2.9%
2/70 • Number of events 3 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).
Nervous system disorders
Somnolence
10.4%
7/67 • Number of events 7 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).
2.9%
2/70 • Number of events 2 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).
Ear and labyrinth disorders
Vertigo
9.0%
6/67 • Number of events 8 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).
0.00%
0/70 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).
General disorders
Asthenia
6.0%
4/67 • Number of events 4 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).
2.9%
2/70 • Number of events 2 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).
Nervous system disorders
Taste disorder
6.0%
4/67 • Number of events 4 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).
0.00%
0/70 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).
Gastrointestinal disorders
Nausea
4.5%
3/67 • Number of events 3 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).
5.7%
4/70 • Number of events 5 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).
Infections and infestations
Urinary tract infection
4.5%
3/67 • Number of events 3 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).
5.7%
4/70 • Number of events 5 • Adverse event data were collected from baseline up to 14 days after the end of treatment visit, up to Day 99 (safety follow up visit).

Additional Information

Clinical Trial Disclosure & Transparency

Jazz Pharmaceuticals Inc.

Phone: 215-832-3750

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place