Trial Outcomes & Findings for Study to Assess the Efficacy and Safety of Ruxolitinib in Patients With COVID-19 Associated Cytokine Storm (NCT NCT04362137)

NCT ID: NCT04362137

Last Updated: 2021-10-11

Results Overview

Efficacy is measured by a composite endpoint of proportion of patients who die, develop respiratory failure \[require mechanical ventilation\], or require intensive care unit \[ICU\] care for the treatment of COVID-19. Analyses are cumulative, thus analysis on Day 29 includes all events till that day. Patients who developed respiratory failure and/or required ICU at randomization are excluded from the analysis.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

432 participants

Primary outcome timeframe

Day 1 - Day 29

Results posted on

2021-10-11

Participant Flow

Participants took part in 61 investigative sites in 12 countries.

Patients were to be randomized on the same day as screening or up to 2 days after completing the screening procedures.

Participant milestones

Participant milestones
Measure
Ruxolitinib 5 mg
Ruxolitinib 5 mg tablets twice daily (b.i.d.) for 14 days with possible extension of treatment to 28 days
Placebo
Matching-image placebo for 14 days with possible extension of treatment to 28 days
Overall Study
STARTED
287
145
Overall Study
Safety Set
281
143
Overall Study
COMPLETED
269
139
Overall Study
NOT COMPLETED
18
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Ruxolitinib 5 mg
Ruxolitinib 5 mg tablets twice daily (b.i.d.) for 14 days with possible extension of treatment to 28 days
Placebo
Matching-image placebo for 14 days with possible extension of treatment to 28 days
Overall Study
Death
9
3
Overall Study
Patient decision
6
3
Overall Study
Adverse Event
1
0
Overall Study
Lost to Follow-up
1
0
Overall Study
Protocol deviation
1
0

Baseline Characteristics

Study to Assess the Efficacy and Safety of Ruxolitinib in Patients With COVID-19 Associated Cytokine Storm

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ruxolitinib 5 mg
n=287 Participants
Ruxolitinib 5 mg tablets twice daily (b.i.d.) for 14 days with possible extension of treatment to 28 days
Placebo
n=145 Participants
Matching-image placebo for 14 days with possible extension of treatment to 28 days
Total
n=432 Participants
Total of all reporting groups
Age, Continuous
56.4 years
STANDARD_DEVIATION 13.7 • n=5 Participants
56.9 years
STANDARD_DEVIATION 12.5 • n=7 Participants
56.5 years
STANDARD_DEVIATION 13.3 • n=5 Participants
Sex: Female, Male
Female
125 Participants
n=5 Participants
72 Participants
n=7 Participants
197 Participants
n=5 Participants
Sex: Female, Male
Male
162 Participants
n=5 Participants
73 Participants
n=7 Participants
235 Participants
n=5 Participants
Race/Ethnicity, Customized
White
242 Participants
n=5 Participants
109 Participants
n=7 Participants
351 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian Or Alaska Native
26 Participants
n=5 Participants
13 Participants
n=7 Participants
39 Participants
n=5 Participants
Race/Ethnicity, Customized
Black Or African American
6 Participants
n=5 Participants
9 Participants
n=7 Participants
15 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Race/Ethnicity, Customized
Multiple
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Race/Ethnicity, Customized
Unknown
5 Participants
n=5 Participants
7 Participants
n=7 Participants
12 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 1 - Day 29

Population: Randomized participants excluding those who developed respiratory failure and/or required ICU at randomization.

Efficacy is measured by a composite endpoint of proportion of patients who die, develop respiratory failure \[require mechanical ventilation\], or require intensive care unit \[ICU\] care for the treatment of COVID-19. Analyses are cumulative, thus analysis on Day 29 includes all events till that day. Patients who developed respiratory failure and/or required ICU at randomization are excluded from the analysis.

Outcome measures

Outcome measures
Measure
Ruxolitinib 5 mg
n=284 Participants
Ruxolitinib 5 mg tablets twice daily (b.i.d.) for 14 days with possible extension of treatment to 28 days
Placebo
n=144 Participants
Matching-image placebo for 14 days with possible extension of treatment to 28 days
Proportion of Patients Who Die, Develop Respiratory Failure [Require Mechanical Ventilation] or Require Intensive Care Unit (ICU) Care
34 Participants
17 Participants

SECONDARY outcome

Timeframe: Baseline, Day 15, Day 29

Population: Randomized participants with a valid assessment for the outcome measure.

Clinical status is measured with the 9-point ordinal scale. The scoring is: * Uninfected patients have a score 0 (no clinical or virological evidence of infection). * Ambulatory patients (not in hospital or in hospital and ready for discharge) can have a score 1 (no limitation of activities) or 2 (limitation of activities). * Hospitalized patients with mild disease can have score 3 (no oxygen therapy defined as peripheral oxygen saturation (SpO2) ≥ 94% on room air) or 4 (oxygen by mask or nasal prongs). * Hospitalized patients with severe disease can have score 5 (non-invasive ventilation or high-flow oxygen), 6 (intubation and mechanical ventilation) or 7 (ventilation + additional organ support - pressors, RRT (renal replacement therapy), ECMO (extracorporeal membrane oxygenation)). * Patients who die have a score 8.

Outcome measures

Outcome measures
Measure
Ruxolitinib 5 mg
n=287 Participants
Ruxolitinib 5 mg tablets twice daily (b.i.d.) for 14 days with possible extension of treatment to 28 days
Placebo
n=145 Participants
Matching-image placebo for 14 days with possible extension of treatment to 28 days
Clinical Status
Baseline
3.7 score on scale
Standard Deviation 0.56
3.7 score on scale
Standard Deviation 0.53
Clinical Status
Day 15
1.8 score on scale
Standard Deviation 1.54
1.8 score on scale
Standard Deviation 1.41
Clinical Status
Day 29
1.1 score on scale
Standard Deviation 1.61
1.0 score on scale
Standard Deviation 1.41

SECONDARY outcome

Timeframe: Baseline, Day 15, Day 29

Population: Randomized participants with a valid assessment of clinical status at baseline.

Percentage of patients with at least two points improvement in clinical status on the 9-point ordinal scale. The baseline value of clinical status is defined as the last assessment prior to first dose of double-blind treatment. Patients with missing data at Day 15 and/or Day 29 are treated as non-responders.

Outcome measures

Outcome measures
Measure
Ruxolitinib 5 mg
n=286 Participants
Ruxolitinib 5 mg tablets twice daily (b.i.d.) for 14 days with possible extension of treatment to 28 days
Placebo
n=145 Participants
Matching-image placebo for 14 days with possible extension of treatment to 28 days
Percentage of Patients With at Least Two-point Improvement From Baseline in Clinical Status
Day 15
206 Participants
108 Participants
Percentage of Patients With at Least Two-point Improvement From Baseline in Clinical Status
Day 29
252 Participants
129 Participants

SECONDARY outcome

Timeframe: Baseline, Day 15, Day 29

Population: Randomized participants with a valid assessment of clinical status at baseline.

Percentage of patients with at least one point improvement in clinical status on the 9-point ordinal scale. The baseline value of clinical status is defined as the last assessment prior to first dose of double-blind treatment. Patients with missing data at Day 15 and/or Day 29 are treated as non-responders.

Outcome measures

Outcome measures
Measure
Ruxolitinib 5 mg
n=286 Participants
Ruxolitinib 5 mg tablets twice daily (b.i.d.) for 14 days with possible extension of treatment to 28 days
Placebo
n=145 Participants
Matching-image placebo for 14 days with possible extension of treatment to 28 days
Percentage of Patients With at Least One-point Improvement From Baseline in Clinical Status
Day 15
250 Participants
128 Participants
Percentage of Patients With at Least One-point Improvement From Baseline in Clinical Status
Day 29
261 Participants
136 Participants

SECONDARY outcome

Timeframe: Baseline, Day 15, Day 29

Population: Randomized participants with a valid assessment of clinical status at baseline.

Percentage of patients with at least one point deterioration in clinical status on the 9-point ordinal scale. The baseline value of clinical status is defined as the last assessment prior to first dose of double-blind treatment. Patients with missing data at Day 15 and/or Day 29 are treated as non-responders.

Outcome measures

Outcome measures
Measure
Ruxolitinib 5 mg
n=286 Participants
Ruxolitinib 5 mg tablets twice daily (b.i.d.) for 14 days with possible extension of treatment to 28 days
Placebo
n=145 Participants
Matching-image placebo for 14 days with possible extension of treatment to 28 days
Percentage of Patients With at Least One-point Deterioration From Baseline in Clinical Status
Day 15
16 Participants
9 Participants
Percentage of Patients With at Least One-point Deterioration From Baseline in Clinical Status
Day 29
14 Participants
5 Participants

SECONDARY outcome

Timeframe: 29 days

Population: Randomized participants with a valid assessment of clinical status at baseline.

Time to improvement in clinical status from baseline category to one less severe category of the 9-point ordinal scale. The baseline value of clinical status is defined as the last assessment prior to first dose of double-blind treatment. Median time to improvement is estimated by Kaplan-Meier method, with dead patients being censored at the maximum follow-up time in the study. Patients who did not achieve improvement and did not die are censored at their last clinical status assessment date.

Outcome measures

Outcome measures
Measure
Ruxolitinib 5 mg
n=286 Participants
Ruxolitinib 5 mg tablets twice daily (b.i.d.) for 14 days with possible extension of treatment to 28 days
Placebo
n=145 Participants
Matching-image placebo for 14 days with possible extension of treatment to 28 days
Time to Improvement in Clinical Status
9.0 days
Interval 8.0 to 10.0
9.0 days
Interval 8.0 to 12.0

SECONDARY outcome

Timeframe: Baseline, Day 15, Day 29

Population: Randomized participants with a valid assessment for the outcome measure.

Mean change from baseline in the 9-point ordinal scale. The baseline value of clinical status is defined as the last assessment prior to first dose of double-blind treatment. Patients with missing data at Day 15 and/or Day 29 are excluded from the analysis. A negative change from baseline in the clinical status is a favorable outcome.

Outcome measures

Outcome measures
Measure
Ruxolitinib 5 mg
n=287 Participants
Ruxolitinib 5 mg tablets twice daily (b.i.d.) for 14 days with possible extension of treatment to 28 days
Placebo
n=145 Participants
Matching-image placebo for 14 days with possible extension of treatment to 28 days
Mean Change From Baseline in the Clinical Status
Day 15
-1.96 score on scale
Standard Error 0.084
-1.93 score on scale
Standard Error 0.118
Mean Change From Baseline in the Clinical Status
Day 29
-2.61 score on scale
Standard Error 0.090
-2.69 score on scale
Standard Error 0.126

SECONDARY outcome

Timeframe: Day 15, Day 29

Population: All randomized participants including those who did not receive any dose, as per intent-to-treat principle, and excluding patients lost to follow up.

Mortality rate is determined as the proportion of participants who died by study Day 15 and Day 29

Outcome measures

Outcome measures
Measure
Ruxolitinib 5 mg
n=287 Participants
Ruxolitinib 5 mg tablets twice daily (b.i.d.) for 14 days with possible extension of treatment to 28 days
Placebo
n=145 Participants
Matching-image placebo for 14 days with possible extension of treatment to 28 days
Mortality Rate
Day 15
6 Participants
2 Participants
Mortality Rate
Day 29
9 Participants
3 Participants

SECONDARY outcome

Timeframe: Day 1 - Day 29

Population: Randomized participants with a valid assessment for the outcome measure.

Proportion of patients requiring mechanical ventilation. Analyses are cumulative, thus analysis on Day 29 includes all events till that day. Patients who required mechanical ventilation at randomization are excluded from the analysis.

Outcome measures

Outcome measures
Measure
Ruxolitinib 5 mg
n=286 Participants
Ruxolitinib 5 mg tablets twice daily (b.i.d.) for 14 days with possible extension of treatment to 28 days
Placebo
n=145 Participants
Matching-image placebo for 14 days with possible extension of treatment to 28 days
Proportion of Patients Requiring Mechanical Ventilation
22 Participants
10 Participants

SECONDARY outcome

Timeframe: 29 days

Population: Randomized participants with a valid assessment for the outcome measure.

Duration of hospitalization is defined as time to hospital discharge. Median time to hospital discharge is estimated by Kaplan-Meier method, with dead patients being censored at the maximum follow-up time in the study. Patients who were not discharged and did not die are censored at their last assessment date.

Outcome measures

Outcome measures
Measure
Ruxolitinib 5 mg
n=286 Participants
Ruxolitinib 5 mg tablets twice daily (b.i.d.) for 14 days with possible extension of treatment to 28 days
Placebo
n=145 Participants
Matching-image placebo for 14 days with possible extension of treatment to 28 days
Duration of Hospitalization
9.0 days
Interval 8.0 to 10.0
9.0 days
Interval 8.0 to 12.0

SECONDARY outcome

Timeframe: 29 days

Population: Randomized participants with a valid assessment for the outcome measure.

The time to hospital discharge or to a National Early Warning Score 2 (NEWS2) of ≤2 and maintained for 24 hours whichever comes first. The NEWS2 is based on a simple aggregate scoring system in which a score is allocated to physiological measurements, already recorded in routine practice presentation or when a patient is being monitored in hospital. The score ranges from 0 (best) to 23 (worst). Median time is estimated by Kaplan-Meier method, with dead patients being censored at the maximum follow-up time in the study.

Outcome measures

Outcome measures
Measure
Ruxolitinib 5 mg
n=286 Participants
Ruxolitinib 5 mg tablets twice daily (b.i.d.) for 14 days with possible extension of treatment to 28 days
Placebo
n=145 Participants
Matching-image placebo for 14 days with possible extension of treatment to 28 days
Time to Hospital Discharge or to a NEWS2 Score of ≤2
4.0 days
Interval 3.0 to 4.0
4.0 days
Interval 3.0 to 5.0

SECONDARY outcome

Timeframe: Baseline, Days 3, 5, 8, 11, 15, and 29

Population: Randomized participants with a valid assessment for the outcome measure.

The National Early Warning Score 2 (NEWS2) is based on a simple aggregate scoring system in which a score is allocated to physiological measurements, already recorded in routine practice presentation or when a patient is being monitored in hospital. The score ranges from 0 (best) to 23 (worst). At each visit, only patients with a value at both baseline and the respective visit are included. A negative change from baseline in NEWS2 score is a favorable outcome.

Outcome measures

Outcome measures
Measure
Ruxolitinib 5 mg
n=287 Participants
Ruxolitinib 5 mg tablets twice daily (b.i.d.) for 14 days with possible extension of treatment to 28 days
Placebo
n=145 Participants
Matching-image placebo for 14 days with possible extension of treatment to 28 days
Change From Baseline in NEWS2 Score
Day 3
-0.7 score on scale
Standard Deviation 1.91
-0.6 score on scale
Standard Deviation 2.13
Change From Baseline in NEWS2 Score
Day 5
-1.0 score on scale
Standard Deviation 2.02
-0.8 score on scale
Standard Deviation 2.19
Change From Baseline in NEWS2 Score
Day 8
-1.3 score on scale
Standard Deviation 2.25
-1.3 score on scale
Standard Deviation 2.60
Change From Baseline in NEWS2 Score
Day 11
-1.1 score on scale
Standard Deviation 2.70
-1.3 score on scale
Standard Deviation 2.74
Change From Baseline in NEWS2 Score
Day 15
-1.9 score on scale
Standard Deviation 2.34
-2.2 score on scale
Standard Deviation 2.35
Change From Baseline in NEWS2 Score
Day 29
-2.3 score on scale
Standard Deviation 2.37
-2.5 score on scale
Standard Deviation 2.17

SECONDARY outcome

Timeframe: Baseline, Day 15, Day 29

Population: Randomized participants with a valid assessment of the outcome measure.

Change from baseline in peripheral oxygen saturation / fraction of inspired oxygen ratio (SpO2/FiO2 ratio). At each visit, only patients with a value at both baseline and the respective visit are included. A positive change from baseline in SpO2/FiO2 ratio is a favorable outcome.

Outcome measures

Outcome measures
Measure
Ruxolitinib 5 mg
n=287 Participants
Ruxolitinib 5 mg tablets twice daily (b.i.d.) for 14 days with possible extension of treatment to 28 days
Placebo
n=145 Participants
Matching-image placebo for 14 days with possible extension of treatment to 28 days
Change From Baseline in SpO2/FiO2 Ratio
Day 15
90.110 no units
Standard Deviation 104.4783
106.766 no units
Standard Deviation 100.9778
Change From Baseline in SpO2/FiO2 Ratio
Day 29
105.553 no units
Standard Deviation 98.2452
109.710 no units
Standard Deviation 95.4279

SECONDARY outcome

Timeframe: Day 15, Day 29

Population: Randomized participants with a valid assessment of the outcome measure.

Proportion of patients with no oxygen therapy (defined as oxygen saturation ≥ 94% on room air) at Days 15 and 29. Analyses are cumulative, thus analysis on each day includes all events till that day. Patients with missing data at Day 15 and/or Day 29 are excluded from the analysis.

Outcome measures

Outcome measures
Measure
Ruxolitinib 5 mg
n=287 Participants
Ruxolitinib 5 mg tablets twice daily (b.i.d.) for 14 days with possible extension of treatment to 28 days
Placebo
n=145 Participants
Matching-image placebo for 14 days with possible extension of treatment to 28 days
Proportion of Patients With no Oxygen Therapy
Day 29
262 Participants
136 Participants
Proportion of Patients With no Oxygen Therapy
Day 15
255 Participants
133 Participants

POST_HOC outcome

Timeframe: 29 days

Population: Clinical database population - all randomized participants

Deaths in the safety population were evaluated in all participants who received at least one dose of double-blind treatment. Total deaths were evaluated in all participants randomized.

Outcome measures

Outcome measures
Measure
Ruxolitinib 5 mg
n=287 Participants
Ruxolitinib 5 mg tablets twice daily (b.i.d.) for 14 days with possible extension of treatment to 28 days
Placebo
n=145 Participants
Matching-image placebo for 14 days with possible extension of treatment to 28 days
All Collected Deaths
Deaths in the safety population
9 participants
3 participants
All Collected Deaths
Total deaths
9 participants
3 participants

Adverse Events

Ruxolitinib 5 mg

Serious events: 31 serious events
Other events: 113 other events
Deaths: 9 deaths

Placebo

Serious events: 15 serious events
Other events: 62 other events
Deaths: 3 deaths

Serious adverse events

Serious adverse events
Measure
Ruxolitinib 5 mg
n=281 participants at risk
Ruxolitinib 5 mg tablets twice daily (b.i.d.) for 14 days with possible extension of treatment to 28 days
Placebo
n=143 participants at risk
Matching-image placebo for 14 days with possible extension of treatment to 28 days
Cardiac disorders
Atrial fibrillation
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Cardiac disorders
Cardiac arrest
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Nervous system disorders
Hypoglycaemic coma
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Nervous system disorders
Ischaemic stroke
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Blood and lymphatic system disorders
Disseminated intravascular coagulation
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Cardiac disorders
Adams-Stokes syndrome
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Cardiac disorders
Cardiopulmonary failure
0.00%
0/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.70%
1/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Ear and labyrinth disorders
Vertigo
0.00%
0/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.70%
1/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Gastrointestinal disorders
Pancreatitis
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
General disorders
Adverse event
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
General disorders
General physical health deterioration
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
General disorders
Multiple organ dysfunction syndrome
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.70%
1/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
General disorders
Performance status decreased
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Infections and infestations
Antibiotic associated colitis
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Infections and infestations
Bacteraemia
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Infections and infestations
COVID-19
2.8%
8/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
2.1%
3/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Infections and infestations
COVID-19 pneumonia
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Infections and infestations
Escherichia bacteraemia
0.00%
0/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.70%
1/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Infections and infestations
Pneumonia
1.1%
3/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Infections and infestations
Pneumonia fungal
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Infections and infestations
Urinary tract infection
0.00%
0/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.70%
1/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Injury, poisoning and procedural complications
Endotracheal intubation complication
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Injury, poisoning and procedural complications
Fall
0.00%
0/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.70%
1/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Investigations
Alanine aminotransferase increased
0.00%
0/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.70%
1/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Investigations
Transaminases increased
0.00%
0/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.70%
1/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Nervous system disorders
Cerebral infarction
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Psychiatric disorders
Mental status changes
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Respiratory, thoracic and mediastinal disorders
Acute respiratory distress syndrome
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.70%
1/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
1.4%
4/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.70%
1/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Respiratory, thoracic and mediastinal disorders
Hypoxia
1.4%
4/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
2.8%
4/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Respiratory, thoracic and mediastinal disorders
Pulmonary fibrosis
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Respiratory, thoracic and mediastinal disorders
Respiratory disorder
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Respiratory, thoracic and mediastinal disorders
Respiratory distress
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.71%
2/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
1.4%
2/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Vascular disorders
Deep vein thrombosis
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Vascular disorders
Shock
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.

Other adverse events

Other adverse events
Measure
Ruxolitinib 5 mg
n=281 participants at risk
Ruxolitinib 5 mg tablets twice daily (b.i.d.) for 14 days with possible extension of treatment to 28 days
Placebo
n=143 participants at risk
Matching-image placebo for 14 days with possible extension of treatment to 28 days
Blood and lymphatic system disorders
Leukocytosis
1.4%
4/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
2.8%
4/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Blood and lymphatic system disorders
Neutropenia
2.1%
6/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
2.8%
4/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Metabolism and nutrition disorders
Hyperkalaemia
2.1%
6/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
4.2%
6/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Blood and lymphatic system disorders
Thrombocytosis
2.1%
6/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
2.1%
3/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Gastrointestinal disorders
Abdominal pain
1.4%
4/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
2.8%
4/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Gastrointestinal disorders
Constipation
3.2%
9/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
4.9%
7/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Gastrointestinal disorders
Diarrhoea
7.5%
21/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
8.4%
12/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Gastrointestinal disorders
Nausea
2.1%
6/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
7.7%
11/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
General disorders
Asthenia
2.1%
6/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.00%
0/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
General disorders
Fatigue
3.6%
10/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
1.4%
2/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
General disorders
Pyrexia
2.1%
6/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
1.4%
2/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Infections and infestations
Urinary tract infection
1.1%
3/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
2.8%
4/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Investigations
Alanine aminotransferase increased
6.0%
17/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
4.2%
6/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Investigations
Aspartate aminotransferase increased
1.8%
5/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
2.1%
3/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Investigations
Transaminases increased
2.5%
7/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
1.4%
2/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Metabolism and nutrition disorders
Hyperglycaemia
1.4%
4/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
3.5%
5/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Metabolism and nutrition disorders
Hypokalaemia
2.8%
8/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
4.9%
7/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Metabolism and nutrition disorders
Hyponatraemia
0.36%
1/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
2.1%
3/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Metabolism and nutrition disorders
Hypoproteinaemia
1.4%
4/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
2.1%
3/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Nervous system disorders
Dizziness
0.71%
2/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
2.8%
4/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Nervous system disorders
Headache
8.2%
23/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
7.7%
11/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Psychiatric disorders
Anxiety
2.1%
6/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
0.70%
1/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Psychiatric disorders
Insomnia
1.1%
3/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
2.8%
4/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Respiratory, thoracic and mediastinal disorders
Cough
4.3%
12/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
2.1%
3/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
1.1%
3/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
2.1%
3/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
Vascular disorders
Hypertension
1.4%
4/281 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.
2.1%
3/143 • From first dose of double-blind treatment and up to the last study visit (Day 29).
Adverse events are considered as treatment-emergent if the event started after the first dose of double-blind treatment or the event was present prior to start of double-blind treatment but increased in severity based on preferred term and up to the last study visit (Day 29). Adverse events and all-cause mortality are evaluated in the Safety Set that includes all participants who received at least one dose of double-blind treatment.

Additional Information

Study Director

Novartis Pharmaceuticals

Phone: 862-778-8300

Results disclosure agreements

  • Principal investigator is a sponsor employee The terms and conditions of Novartis' agreements with its investigators may vary. Novartis does not prohibit any investigator from publishing. Any publications from a single site are postponed until the publication of the pooled data (ie, data from all sites) in the clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER