Trial Outcomes & Findings for Effective Study of ARNI on Ventricular Arrhythmia in HFrEF Patients With ICD or CRT-D (RHYTHM) (NCT NCT04491136)

NCT ID: NCT04491136

Last Updated: 2025-05-16

Results Overview

VA events were measured through devices to determine sustained ventricular tachycardia (SVT), non-sustained ventricular tachycardia (NSVT) and premature ventricular contraction (PVC). SVT was defined as tachycardia lasting for ≥30 seconds or with hemodynamic disorder as determined by Holter and/or device. NSVT was defined as recorded by Holter and/or device. PVC was defined as an early ventricular depolarization as determined by the device, and/or detected by Holter. PVC data were not available for patients with single -lumen implantation type

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

201 participants

Primary outcome timeframe

Up to 12 months (6 months of ACEI/ARB treatment and 6 months of ARNI treatment)

Results posted on

2025-05-16

Participant Flow

Participants took part in 23 investigative sites in China

All patients provided written informed consent prior to the start of any study-related activities.

Participant milestones

Participant milestones
Measure
ACEI/ARB Followed by ARNI
Patients received angiotensin-converting enzyme inhibitor/angiotensin receptor blockers treatment the first 6 months. The following 6 months patients received angiotensin receptor neprilysin inhibitor treatment.
Overall Study
STARTED
201
Overall Study
Safety Set (SS)
201
Overall Study
Efficacy Analysis Set (EAS)
140
Overall Study
COMPLETED
122
Overall Study
NOT COMPLETED
79

Reasons for withdrawal

Reasons for withdrawal
Measure
ACEI/ARB Followed by ARNI
Patients received angiotensin-converting enzyme inhibitor/angiotensin receptor blockers treatment the first 6 months. The following 6 months patients received angiotensin receptor neprilysin inhibitor treatment.
Overall Study
Patient withdraw informed consent
9
Overall Study
Adverse Event
2
Overall Study
Death
3
Overall Study
Lost to Follow-up
3
Overall Study
Physician Decision
45
Overall Study
sponsor terminated the study early
16
Overall Study
Patient/guardian's decision
1

Baseline Characteristics

Effective Study of ARNI on Ventricular Arrhythmia in HFrEF Patients With ICD or CRT-D (RHYTHM)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ACEI/ARB Followed by ARNI
n=201 Participants
Patients received angiotensin-converting enzyme inhibitor/angiotensin receptor blockers treatment the first 6 months. The following 6 months patients received angiotensin receptor neprilysin inhibitor treatment.
Age, Continuous
61.3 years
STANDARD_DEVIATION 10.32 • n=5 Participants
Sex: Female, Male
Female
41 Participants
n=5 Participants
Sex: Female, Male
Male
160 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
201 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 12 months (6 months of ACEI/ARB treatment and 6 months of ARNI treatment)

Population: Efficacy analysis set (EAS): Patients in the safety set who received at least one dose of ARNI and completed 12 months of complete treatment and follow-up or withdrew early after receiving at least one dose of ARNI. Only subjects who had this measurement index successfully paired (ACEI/ARB treatment and ARNI treatment) were included in the analysis.

VA events were measured through devices to determine sustained ventricular tachycardia (SVT), non-sustained ventricular tachycardia (NSVT) and premature ventricular contraction (PVC). SVT was defined as tachycardia lasting for ≥30 seconds or with hemodynamic disorder as determined by Holter and/or device. NSVT was defined as recorded by Holter and/or device. PVC was defined as an early ventricular depolarization as determined by the device, and/or detected by Holter. PVC data were not available for patients with single -lumen implantation type

Outcome measures

Outcome measures
Measure
ACEI/ARB
n=76 Participants
Patients received angiotensin-converting enzyme inhibitor/angiotensin receptor blockers treatment the first 6 months.
ARNI
n=76 Participants
The following 6 months patients received angiotensin receptor neprilysin inhibitor treatment (sacubitril/valsartan).
Proportion of Paired Patients With Ventricular Arrhythmia (VA) Events
At least one SVT occurred
13 Participants
12 Participants
Proportion of Paired Patients With Ventricular Arrhythmia (VA) Events
At least one NSVT occurred
23 Participants
21 Participants
Proportion of Paired Patients With Ventricular Arrhythmia (VA) Events
At least one PVC occurred
40 Participants
38 Participants

PRIMARY outcome

Timeframe: Up to 12 months (6 months of ACEI/ARB treatment and 6 months of ARNI treatment)

Population: Efficacy analysis set (EAS): Patients in the safety set who received at least one dose of ARNI and completed 12 months of complete treatment and follow-up or withdrew early after receiving at least one dose of ARNI. Only subjects who had this measurement index successfully paired (ACEI/ARB treatment and ARNI treatment) were included in the analysis.

Once VA events were detected, implantable cardioverter defibrillator (ICD) could treat with high-energy shocks or Anti-tachycardia pacing (ATP). ATP consists of one or more trains of pacing stimuli, expressed as a percentage of the tachycardia cycle length for a given RR interval, from the onset of the preceding R wave. Patients with sustained VA events would receive ICD or cardiac resynchronization therapy-defibrillator (CRT-D) shock therapy.

Outcome measures

Outcome measures
Measure
ACEI/ARB
n=87 Participants
Patients received angiotensin-converting enzyme inhibitor/angiotensin receptor blockers treatment the first 6 months.
ARNI
n=87 Participants
The following 6 months patients received angiotensin receptor neprilysin inhibitor treatment (sacubitril/valsartan).
Proportion of Paired Patients Who Experienced at Least One ICD or CRT-D Shock and ATP Event
Occurrence of at least one ICD or CRT-D shock
3 Participants
2 Participants
Proportion of Paired Patients Who Experienced at Least One ICD or CRT-D Shock and ATP Event
Occurrence of at least one ATP event
15 Participants
8 Participants

SECONDARY outcome

Timeframe: Up to 12 months (6 months of ACEI/ARB treatment and 6 months of ARNI treatment)

Population: Efficacy analysis set (EAS): Patients in the safety set who received at least one dose of ARNI and completed 12 months of complete treatment and follow-up or withdrew early after receiving at least one dose of ARNI. Only subjects who had this measurement index successfully paired (ACEI/ARB treatment and ARNI treatment) were included in the analysis.

To assess the number of occurrences of Ventricular arrhythmia (VA) events and Implantable cardioverter defibrillator (ICD) or Cardiac resynchronization therapy-defibrillator (CRT-D) shocks over 6 months of ACEI/ARB and 6 months of ARNI treatment. PVC data were not available for patients with single-lumen implantation type

Outcome measures

Outcome measures
Measure
ACEI/ARB
n=87 Participants
Patients received angiotensin-converting enzyme inhibitor/angiotensin receptor blockers treatment the first 6 months.
ARNI
n=87 Participants
The following 6 months patients received angiotensin receptor neprilysin inhibitor treatment (sacubitril/valsartan).
Pairwise Number of SVT, NSVT, PVC, ICD or CRT-D Shocks and ATP Events Experienced by Patients
SVT
170 number of events
117 number of events
Pairwise Number of SVT, NSVT, PVC, ICD or CRT-D Shocks and ATP Events Experienced by Patients
NSVT
5353 number of events
1648 number of events
Pairwise Number of SVT, NSVT, PVC, ICD or CRT-D Shocks and ATP Events Experienced by Patients
PVC
9676979 number of events
17482398 number of events
Pairwise Number of SVT, NSVT, PVC, ICD or CRT-D Shocks and ATP Events Experienced by Patients
ICD or CRT-D shock
6 number of events
5 number of events
Pairwise Number of SVT, NSVT, PVC, ICD or CRT-D Shocks and ATP Events Experienced by Patients
ATP
217 number of events
156 number of events

SECONDARY outcome

Timeframe: Up to 12 months (6 months of ACEI/ARB treatment and 6 months of ARNI treatment)

Population: Efficacy analysis set (EAS): Patients in the safety set who received at least one dose of ARNI and completed 12 months of complete treatment and follow-up or withdrew early after receiving at least one dose of ARNI. Only participants with assessment of LVEF at 6 months of ACEI/ARB treatment and 6 months of ARNI treatment are included in the analysis.

To compare the changes in Left Ventricular Ejection Fraction (LVEF) between ACEI/ARB and ARNI treatments. LVEF is a measurement expressed as a percentage of how much blood in the left ventricle is pumped out with each contraction of the heart.

Outcome measures

Outcome measures
Measure
ACEI/ARB
n=108 Participants
Patients received angiotensin-converting enzyme inhibitor/angiotensin receptor blockers treatment the first 6 months.
ARNI
n=108 Participants
The following 6 months patients received angiotensin receptor neprilysin inhibitor treatment (sacubitril/valsartan).
Left Ventricular Ejection Fraction
38.84 percentage of ejected blood
Standard Deviation 9.923
41.24 percentage of ejected blood
Standard Deviation 10.021

SECONDARY outcome

Timeframe: Up to 12 months (6 months of ACEI/ARB treatment and 6 months of ARNI treatment)

Population: Efficacy analysis set (EAS): Patients in the safety set who received at least one dose of ARNI and completed 12 months of complete treatment and follow-up or withdrew early after receiving at least one dose of ARNI. Only participants with assessment of NYHA at 6 months of ACEI/ARB treatment and 6 months of ARNI treatment are included in the analysis.

To compare the changes in New York Heart Association (NYHA) level between ACEI/ARB and ARNI treatments. NYHA classification is a subjective physician's assessment of heart failure patient's functional capacity and symptomatic status. Class I - No limitation of physical activity. Class II - Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity results in fatigue, palpitation, dyspnea (shortness of breath). Class III - Marked limitation of physical activity. Comfortable at rest. Less than ordinary activity causes fatigue, palpitation, or dyspnea. Class IV - Unable to carry on any physical activity without discomfort. Symptoms of heart failure at rest. If any physical activity is undertaken, discomfort increases.

Outcome measures

Outcome measures
Measure
ACEI/ARB
n=109 Participants
Patients received angiotensin-converting enzyme inhibitor/angiotensin receptor blockers treatment the first 6 months.
ARNI
n=109 Participants
The following 6 months patients received angiotensin receptor neprilysin inhibitor treatment (sacubitril/valsartan).
New York Heart Association Classification
2.03 score on a scale
Standard Deviation 0.499
2.00 score on a scale
Standard Deviation 0.509

SECONDARY outcome

Timeframe: Up to 12 months (6 months of ACEI/ARB treatment and 6 months of ARNI treatment)

Population: Efficacy analysis set (EAS): Patients in the safety set who received at least one dose of ARNI and completed 12 months of complete treatment and follow-up or withdrew early after receiving at least one dose of ARNI. Only participants with assessment of NT-proBNP at 6 months of ACEI/ARB treatment and 6 months of ARNI treatment are included in the analysis.

To compare the changes in the N-Terminal prohormone of Brain Natriuretic Peptide(NT-proBNP) level between ACEI/ARB and ARNI treatments. NT-proBNP are small proteins produced in large amounts when the heart senses it needs to work harder, such as in heart failure.

Outcome measures

Outcome measures
Measure
ACEI/ARB
n=107 Participants
Patients received angiotensin-converting enzyme inhibitor/angiotensin receptor blockers treatment the first 6 months.
ARNI
n=107 Participants
The following 6 months patients received angiotensin receptor neprilysin inhibitor treatment (sacubitril/valsartan).
N-Terminal Prohormone of Brain Natriuretic Peptide (NT-proBNP) Level
1233.79 pg/mL
Standard Deviation 1974.401
1002.33 pg/mL
Standard Deviation 1738.400

SECONDARY outcome

Timeframe: Up to 12 months (6 months of ACEI/ARB treatment and 6 months of ARNI treatment)

Population: Efficacy analysis set (EAS): Patients in the safety set who received at least one dose of ARNI and completed 12 months of complete treatment and follow-up or withdrew early after receiving at least one dose of ARNI.

To compare the healthcare resource utilization of Heart Failure (HF) patients during ACEI/ARB and ARNI treatments

Outcome measures

Outcome measures
Measure
ACEI/ARB
n=140 Participants
Patients received angiotensin-converting enzyme inhibitor/angiotensin receptor blockers treatment the first 6 months.
ARNI
n=140 Participants
The following 6 months patients received angiotensin receptor neprilysin inhibitor treatment (sacubitril/valsartan).
Number of Hospitalizations for Arrhythmia or HF Related Hospitalizations
Number of hospitalizations
25 number of hospitalizations
16 number of hospitalizations
Number of Hospitalizations for Arrhythmia or HF Related Hospitalizations
Number of hospitalizations for heart failure
13 number of hospitalizations
3 number of hospitalizations

Adverse Events

ACEI/ARB

Serious events: 38 serious events
Other events: 99 other events
Deaths: 3 deaths

ARNI

Serious events: 19 serious events
Other events: 58 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
ACEI/ARB
n=201 participants at risk
Patients received angiotensin-converting enzyme inhibitor/angiotensin receptor blockers treatment the first 6 months.
ARNI
n=140 participants at risk
The following 6 months patients received angiotensin receptor neprilysin inhibitor treatment
Cardiac disorders
Angina unstable
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Arrhythmia
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Arrhythmic storm
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Atrial fibrillation
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
1.4%
2/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Atrial flutter
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Cardiac failure
7.5%
15/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
2.9%
4/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Cardiac failure acute
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Cardiac failure chronic
2.0%
4/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
1.4%
2/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Congestive cardiomyopathy
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Palpitations
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Ventricular extrasystoles
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Ventricular tachycardia
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
1.4%
2/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Gastrointestinal disorders
Diarrhoea
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
General disorders
Chest pain
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
General disorders
Complication associated with device
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Infections and infestations
Erysipelas
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Infections and infestations
Gastroenteritis
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Infections and infestations
Lower respiratory tract infection
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Infections and infestations
Pneumonia
2.0%
4/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Infections and infestations
Pyelonephritis acute
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Infections and infestations
Upper respiratory tract infection
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Infections and infestations
Vascular device infection
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Metabolism and nutrition disorders
Diabetes mellitus
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Metabolism and nutrition disorders
Gout
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastric cancer
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Oesophageal neoplasm
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Nervous system disorders
Cerebral infarction
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Nervous system disorders
Cerebral ischaemia
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Nervous system disorders
Syncope
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Product Issues
Lead dislodgement
1.00%
2/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Psychiatric disorders
Depression
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Renal and urinary disorders
Diabetic nephropathy
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Skin and subcutaneous tissue disorders
Hyperhidrosis
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Vascular disorders
Hypotension
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months

Other adverse events

Other adverse events
Measure
ACEI/ARB
n=201 participants at risk
Patients received angiotensin-converting enzyme inhibitor/angiotensin receptor blockers treatment the first 6 months.
ARNI
n=140 participants at risk
The following 6 months patients received angiotensin receptor neprilysin inhibitor treatment
Investigations
Platelet count decreased
1.00%
2/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Investigations
Urinary occult blood positive
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Investigations
White blood cell count decreased
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Investigations
White blood cell count increased
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Metabolism and nutrition disorders
Acidosis
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Metabolism and nutrition disorders
Alkalosis
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Metabolism and nutrition disorders
Decreased appetite
1.00%
2/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Blood and lymphatic system disorders
Anaemia
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
2.1%
3/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Blood and lymphatic system disorders
Coagulopathy
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Blood and lymphatic system disorders
Red blood cell abnormality
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Blood and lymphatic system disorders
Thrombocytopenia
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Atrial fibrillation
1.5%
3/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Cardiac dysfunction
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Cardiac failure
1.5%
3/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Cardiac failure chronic
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
1.4%
2/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Congestive cardiomyopathy
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Ischaemic cardiomyopathy
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Palpitations
1.00%
2/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Sinus bradycardia
1.00%
2/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Sinus tachycardia
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Supraventricular extrasystoles
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Supraventricular tachycardia
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Tachycardia
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Ventricular arrhythmia
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Ventricular extrasystoles
1.00%
2/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Ventricular fibrillation
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Ventricular pre-excitation
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Cardiac disorders
Ventricular tachycardia
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
1.4%
2/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Endocrine disorders
Hypothyroidism
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Endocrine disorders
Thyroid mass
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Eye disorders
Cataract
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Eye disorders
Photophobia
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Gastrointestinal disorders
Abdominal distension
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Gastrointestinal disorders
Abdominal pain
1.5%
3/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Gastrointestinal disorders
Abdominal pain upper
1.00%
2/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Gastrointestinal disorders
Aphthous ulcer
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Gastrointestinal disorders
Constipation
1.00%
2/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Gastrointestinal disorders
Diarrhoea
2.0%
4/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
2.9%
4/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Gastrointestinal disorders
Dyspepsia
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Gastrointestinal disorders
Gingival bleeding
1.00%
2/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Gastrointestinal disorders
Nausea
1.5%
3/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Gastrointestinal disorders
Toothache
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Gastrointestinal disorders
Vomiting
1.5%
3/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
General disorders
Adverse drug reaction
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
General disorders
Asthenia
2.0%
4/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
General disorders
Chest discomfort
2.5%
5/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
2.9%
4/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
General disorders
Chest pain
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
General disorders
Multiple organ dysfunction syndrome
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
General disorders
Oedema
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
General disorders
Oedema peripheral
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
General disorders
Pain
1.5%
3/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
General disorders
Peripheral swelling
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
General disorders
Pyrexia
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
2.1%
3/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Hepatobiliary disorders
Hepatic failure
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Hepatobiliary disorders
Hepatic function abnormal
1.00%
2/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
1.4%
2/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Immune system disorders
Hypersensitivity
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Immune system disorders
Immunodeficiency
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Infections and infestations
Appendicitis
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Infections and infestations
Bronchitis
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Infections and infestations
COVID-19
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Infections and infestations
COVID-19 pneumonia
1.00%
2/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Infections and infestations
Cystitis
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Infections and infestations
Eye infection
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Infections and infestations
Laryngopharyngitis
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Infections and infestations
Liver abscess
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Infections and infestations
Nasopharyngitis
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
2.1%
3/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Infections and infestations
Pneumonia
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Infections and infestations
Sepsis
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Infections and infestations
Upper respiratory tract infection
4.0%
8/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
2.1%
3/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Infections and infestations
Urinary tract infection
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Injury, poisoning and procedural complications
Eyelid injury
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
1.4%
2/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Injury, poisoning and procedural complications
Facial bones fracture
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Injury, poisoning and procedural complications
Foreign body in throat
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Injury, poisoning and procedural complications
Heat stroke
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Injury, poisoning and procedural complications
Injury
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Injury, poisoning and procedural complications
Scar
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Investigations
Alanine aminotransferase increased
1.5%
3/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Investigations
Aspartate aminotransferase increased
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Investigations
Blood bilirubin increased
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Investigations
Blood bilirubin unconjugated increased
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Investigations
Blood creatinine increased
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Investigations
Blood glucose abnormal
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
2.9%
4/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Investigations
Blood glucose decreased
1.00%
2/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Investigations
Blood lactate dehydrogenase increased
1.00%
2/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Investigations
Blood potassium decreased
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Investigations
Blood pressure decreased
1.5%
3/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Investigations
Blood urea increased
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Investigations
Brain natriuretic peptide increased
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Investigations
Coagulation test abnormal
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Investigations
Electrocardiogram QT prolonged
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Investigations
Fibrin D dimer increased
1.00%
2/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Investigations
Glomerular filtration rate decreased
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Investigations
Glucose urine present
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Investigations
Lipids increased
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
2.1%
3/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Investigations
Lipoprotein (a) increased
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Investigations
Neutrophil count increased
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Metabolism and nutrition disorders
Diabetes mellitus inadequate control
1.5%
3/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Metabolism and nutrition disorders
Dyslipidaemia
1.5%
3/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Metabolism and nutrition disorders
Electrolyte imbalance
1.00%
2/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Metabolism and nutrition disorders
Glucose tolerance impaired
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Metabolism and nutrition disorders
Gout
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Metabolism and nutrition disorders
Hypercholesterolaemia
1.00%
2/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Metabolism and nutrition disorders
Hyperhomocysteinaemia
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Metabolism and nutrition disorders
Hyperkalaemia
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Metabolism and nutrition disorders
Hyperlipidaemia
2.0%
4/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
5.7%
8/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Metabolism and nutrition disorders
Hypertriglyceridaemia
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Metabolism and nutrition disorders
Hyperuricaemia
2.5%
5/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
2.1%
3/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Metabolism and nutrition disorders
Hypokalaemia
1.5%
3/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Metabolism and nutrition disorders
Hyponatraemia
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Metabolism and nutrition disorders
Hypoproteinaemia
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Metabolism and nutrition disorders
Metabolic acidosis
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Metabolism and nutrition disorders
Sodium retention
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Metabolism and nutrition disorders
Type 2 diabetes mellitus
1.00%
2/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Musculoskeletal and connective tissue disorders
Pain in extremity
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Musculoskeletal and connective tissue disorders
Rotator cuff syndrome
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Nervous system disorders
Cerebral atrophy
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Nervous system disorders
Cerebral ischaemia
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Nervous system disorders
Diabetic neuropathy
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Nervous system disorders
Dizziness
5.5%
11/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
1.4%
2/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Nervous system disorders
Headache
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Nervous system disorders
Lacunar infarction
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Nervous system disorders
Muscle spasticity
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Nervous system disorders
Syncope
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Psychiatric disorders
Insomnia
2.0%
4/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Psychiatric disorders
Poor quality sleep
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Psychiatric disorders
Sleep disorder
1.00%
2/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Renal and urinary disorders
Dysuria
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Renal and urinary disorders
Nephrolithiasis
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Renal and urinary disorders
Oliguria
1.00%
2/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Renal and urinary disorders
Renal failure
1.5%
3/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Renal and urinary disorders
Renal impairment
1.00%
2/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Reproductive system and breast disorders
Benign prostatic hyperplasia
1.5%
3/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Reproductive system and breast disorders
Breast pain
1.00%
2/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Respiratory, thoracic and mediastinal disorders
Cough
5.5%
11/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Respiratory, thoracic and mediastinal disorders
Dyspnoea
1.5%
3/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Respiratory, thoracic and mediastinal disorders
Productive cough
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Respiratory, thoracic and mediastinal disorders
Tachypnoea
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Skin and subcutaneous tissue disorders
Cold sweat
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Skin and subcutaneous tissue disorders
Dermatitis allergic
1.00%
2/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Skin and subcutaneous tissue disorders
Hyperhidrosis
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Skin and subcutaneous tissue disorders
Solar dermatitis
0.50%
1/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.00%
0/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Vascular disorders
Diabetic vascular disorder
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Vascular disorders
Haemorrhage
0.00%
0/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Vascular disorders
Hypertension
2.0%
4/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
0.71%
1/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
Vascular disorders
Hypotension
7.5%
15/201 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months
5.0%
7/140 • Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment. Patients were followed up for 6 months for each treatment, up to a maximum duration of 13 months

Additional Information

Study Director

Novartis Pharmaceuticals

Phone: + 1 862 778 8300

Results disclosure agreements

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

Restriction type: OTHER