Trial Outcomes & Findings for The BEST Trial: Biomarkers for Evaluating Spine Treatments (NCT NCT05396014)

NCT ID: NCT05396014

Last Updated: 2025-07-23

Results Overview

Patient-reported pain intensity and interference is measured by the Pain, Enjoyment of Life, and General Activity (PEG) scale. The PEG is a series of 3 questions. Results range from -10 to 10, with higher scores indicating increased pain intensity and interference at 24 Weeks compared to Baseline.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

1014 participants

Primary outcome timeframe

Baseline, 24 Weeks

Results posted on

2025-07-23

Participant Flow

While 1014 participants in total were enrolled in the trial, 805 were randomized. This was due to participant withdrawal or participant ineligibility during the run-in period between the enrollment visit and randomization.

Participant milestones

Participant milestones
Measure
Acceptance and Commitment Therapy (ACT) Alone
This arm included both participants who had a strong response to Acceptance and Commitment Therapy (ACT) in Period 1 and participants who were not assessed for response at the end of Period 1. In Period 1, participants randomized to ACT took part in 12 therapy sessions over the course of 12 weeks. Each participant was scheduled for a combination of 4 remote face-to-face visits and 8 therapist-supported online sessions, which included a self-directed module combined with personalized provider coaching delivered via an online messaging system. In Period 2, strong responders were encouraged to continue to practice ACT skills at home without therapist supervision and were given access to an additional 11 ACT audio modules.
ACT Plus Duloxetine, Moderate Treatment Response
This arm included participants who had a moderate response to ACT in Period 1 and started Duloxetine in Period 2 while continuing ACT treatment.
ACT Plus Evidence Based Exercise and Manual Therapy (EBEM), Moderate Period 1 Treatment Response
This arm included participants who had a moderate response to ACT in Period 1 and started Evidence Based Exercise and Manual Therapy (EBEM) treatment in Period 2 while continuing ACT.
ACT Plus Enhanced Self-Care Therapy (ESC), Moderate Period 1 Treatment Response
This arm included participants who had a moderate response to ACT in Period 1 and started Enhanced Self-Care Therapy (ESC) treatment in Period 2 while continuing ACT.
ACT Plus Duloxetine, Low Period 1 Treatment Response
This arm included participants who had a low response to ACT in Period 1 and started Duloxetine treatment in Period 2 while continuing ACT.
ACT Plus Evidence Based Exercise and Manual Therapy (EBEM), Low Period 1 Treatment Response
This arm included participants who had a low response to ACT in Period 1 and started EBEM treatment in Period 2 while continuing ACT.
ACT Plus Enhanced Self-Care Therapy (ESC), Low Period 1 Treatment Response
This arm included participants who had a low response to ACT in Period 1 and started ESC treatment in Period 2 while continuing ACT.
ACT Followed by Duloxetine, Low Period 1 Treatment Response
This arm included participants who had a low response to ACT in Period 1 and started Duloxetine treatment in Period 2. ACT treatment was discontinued.
ACT Followed by Evidence Based Exercise and Manual Therapy (EBEM), Low Period 1 Treatment Response
This arm included participants who had a low response to ACT in Period 1 and started EBEM treatment in Period 2. ACT treatment was discontinued.
ACT Followed by Enhanced Self-Care Therapy (ESC), Low Period 1 Treatment Response
This arm included participants who had a low response to ACT in Period 1 and started ESC treatment in Period 2. ACT treatment was discontinued.
ACT Followed by Duloxetine, Poor Period 1 Treatment Response
This arm included participants who had a poor response to ACT in Period 1 and started Duloxetine treatment in Period 2. ACT treatment was discontinued.
ACT Followed by Evidence Based Exercise and Manual Therapy (EBEM), Poor Period 1 Treatment Response
This arm included participants who had a poor response to ACT in Period 1 and started EBEM treatment in Period 2. ACT treatment was discontinued.
ACT Followed by Enhanced Self-Care Therapy (ESC), Poor Period 1 Treatment Response
This arm included participants who had a poor response to ACT in Period 1 and started ESC treatment in Period 2. ACT treatment was discontinued.
Duloxetine Alone
This arm included both participants who had a strong response to Duloxetine in Period 1 and participants who were not assessed for response at the end of Period 1.
Duloxetine Plus Acceptance and Commitment Therapy (ACT), Moderate Period 1 Treatment Response
This arm included participants who had a moderate response to Duloxetine in Period 1 and started ACT treatment in Period 2 while continuing Duloxetine.
Duloxetine Plus Evidence Based Exercise & Manual Therapy(EBEM), Moderate Period 1 Treatment Response
This arm included participants who had a moderate response to Duloxetine in Period 1 and started EBEM treatment in Period 2 while continuing Duloxetine.
Duloxetine Plus Enhanced Self-Care Therapy (ESC), Moderate Period 1 Treatment Response
This arm included participants who had a moderate response to Duloxetine in Period 1 and started ESC treatment in Period 2 while continuing Duloxetine.
Duloxetine Plus Acceptance and Commitment Therapy (ACT), Low Period 1 Treatment Response
This arm included participants who had a low response to Duloxetine in Period 1 and started ACT treatment in Period 2 while continuing Duloxetine.
Duloxetine Plus Evidence Based Exercise and Manual Therapy (EBEM), Low Period 1 Treatment Response
This arm included participants who had a low response to Duloxetine in Period 1 and started EBEM treatment in Period 2 while continuing Duloxetine.
Duloxetine Plus Enhanced Self-Care Therapy (ESC), Low Period 1 Treatment Response
This arm included participants who had a low response to Duloxetine in Period 1 and started ESC treatment in Period 2 while continuing Duloxetine.
Duloxetine Followed by Acceptance and Commitment Therapy (ACT), Low Period 1 Treatment Response
This arm included participants who had a low response to Duloxetine in Period 1 and started ACT treatment in Period 2. Duloxetine treatment was discontinued.
Duloxetine Followed by Evidence Based Exercise and Manual Therapy(EBEM), Low Period 1 Trt Response
This arm included participants who had a low response to Duloxetine in Period 1 and started EBEM treatment in Period 2. Duloxetine treatment was discontinued.
Duloxetine Followed by Enhanced Self-Care Therapy (ESC), Low Period 1 Treatment Response
This arm included participants who had a low response to Duloxetine in Period 1 and started ESC treatment in Period 2. Duloxetine treatment was discontinued.
Duloxetine Followed by Acceptance and Commitment Therapy (ACT), Poor Period 1 Treatment Response
This arm included participants who had a poor response to Duloxetine in Period 1 and started ACT treatment in Period 2. Duloxetine treatment was discontinued.
Duloxetine Followed by Evidence Based Exercise and Manual Therapy (EBEM), Poor Period 1 Trt Response
This arm included participants who had a poor response to Duloxetine in Period 1 and started EBEM treatment in Period 2. Duloxetine treatment was discontinued.
Duloxetine Followed by Enhanced Self-Care Therapy (ESC), Poor Period 1 Treatment Response
This arm included participants who had a poor response to Duloxetine in Period 1 and started ESC treatment in Period 2. Duloxetine treatment was discontinued.
Evidence Based Exercise and Manual Therapy (EBEM) Alone
This arm included both participants who had a strong response to EBEM in Period 1 and participants who were not assessed for response at the end of Period 1.
EBEM Plus Duloxetine, Moderate Period 1 Treatment Response
This arm included participants who had a moderate response to EBEM in Period 1 and started Duloxetine treatment in Period 2 while continuing EBEM.
EBEM Plus Acceptance and Commitment Therapy (ACT), Moderate Period 1 Treatment Response
This arm included participants who had a moderate response to EBEM in Period 1 and started ACT treatment in Period 2 while continuing EBEM.
EBEM Plus Enhanced Self-Care Therapy (ESC), Moderate Period 1 Treatment Response
This arm included participants who had a moderate response to EBEM in Period 1 and started ESC treatment in Period 2 while continuing EBEM.
EBEM Plus Duloxetine, Low Period 1 Treatment Response
This arm included participants who had a low response to EBEM in Period 1 and started Duloxetine treatment in Period 2 while continuing EBEM.
EBEM Plus Acceptance and Commitment Therapy (ACT), Low Period 1 Treatment Response
This arm included participants who had a low response to EBEM in Period 1 and started ACT treatment in Period 2 while continuing EBEM.
EBEM Plus Enhanced Self-Care Therapy (ESC), Low Period 1 Treatment Response
This arm included participants who had a low response to EBEM in Period 1 and started ESC treatment in Period 2 while continuing EBEM.
EBEM Followed by Duloxetine, Low Period 1 Treatment Response
This arm included participants who had a low response to EBEM in Period 1 and started Duloxetine treatment in Period 2. EBEM treatment was discontinued.
EBEM Followed by Acceptance and Commitment Therapy (ACT), Low Period 1 Treatment Response
This arm included participants who had a low response to EBEM in Period 1 and started ACT treatment in Period 2. EBEM treatment was discontinued.
EBEM Followed by Enhanced Self-Care Therapy (ESC), Low Period 1 Treatment Response
This arm included participants who had a low response to ESC in Period 1 and started Duloxetine treatment in Period 2. EBEM treatment was discontinued.
EBEM Followed by Duloxetine, Poor Period 1 Treatment Response
This arm included participants who had a poor response to EBEM in Period 1 and started Duloxetine treatment in Period 2. EBEM treatment was discontinued.
EBEM Followed by Acceptance and Commitment Therapy (ACT), Poor Period 1 Treatment Response
This arm included participants who had a poor response to EBEM in Period 1 and started ACT treatment in Period 2. EBEM treatment was discontinued.
EBEM Followed by Enhanced Self-Care Therapy (ESC), Poor Period 1 Treatment Response
This arm included participants who had a poor response to EBEM in Period 1 and started ESC treatment in Period 2. EBEM treatment was discontinued.
Enhanced Self-Care Therapy (ESC) Alone
This arm included both participants who had a strong response to ESC in Period 1 and participants who were not assessed for response at the end of Period 1.
ESC Plus Duloxetine, Moderate to Low Period 1 Treatment Response
This arm included participants who had a moderate to poor response to ESC in Period 1 and started Duloxetine treatment in Period 2. ESC treatment was discontinued.
ESC Plus Acceptance and Commitment Therapy (ACT), Moderate to Low Period 1 Treatment Response
This arm included participants who had a moderate to poor response to ESC in Period 1 and started ACT treatment in Period 2. ESC treatment was discontinued.
ESC Plus Evidence Based Exercise and Manual Therapy (EBEM), Moderate to Low Period 1 Trt Response
This arm included participants who had a moderate to poor response to ESC in Period 1 and started EBEM treatment in Period 2. ESC treatment was discontinued.
Stage 1 Intervention (Weeks 0-12)
STARTED
63
8
8
5
12
21
20
12
22
28
2
1
1
71
9
4
4
4
8
9
25
26
26
4
3
5
97
5
15
12
6
9
14
13
12
7
4
1
4
46
41
59
59
Stage 1 Intervention (Weeks 0-12)
COMPLETED
28
8
8
5
12
21
20
12
22
28
2
1
1
48
9
4
4
4
8
9
25
26
26
4
3
5
71
5
15
12
6
9
14
13
12
7
4
1
4
16
41
59
59
Stage 1 Intervention (Weeks 0-12)
NOT COMPLETED
35
0
0
0
0
0
0
0
0
0
0
0
0
23
0
0
0
0
0
0
0
0
0
0
0
0
26
0
0
0
0
0
0
0
0
0
0
0
0
30
0
0
0
Stage 2 Screening (Week 12 Pre-Rand.)
STARTED
28
8
8
5
12
21
20
12
22
28
2
1
1
48
9
4
4
4
8
9
25
26
26
4
3
5
71
5
15
12
6
9
14
13
12
7
4
1
4
16
41
59
59
Stage 2 Screening (Week 12 Pre-Rand.)
COMPLETED
26
8
8
5
12
21
20
12
22
28
2
1
1
45
9
4
4
4
8
9
25
26
26
4
3
5
70
5
15
12
6
9
14
13
12
7
4
1
4
14
41
59
59
Stage 2 Screening (Week 12 Pre-Rand.)
NOT COMPLETED
2
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
Stage 2 Intervention (Weeks 12-24)
STARTED
26
8
8
5
12
21
20
12
22
28
2
1
1
45
9
4
4
4
8
9
25
26
26
4
3
5
70
5
15
12
6
9
14
13
12
7
4
1
4
14
41
59
59
Stage 2 Intervention (Weeks 12-24)
COMPLETED
26
8
8
3
12
20
18
12
18
27
2
1
1
43
9
3
3
3
7
9
25
25
23
3
1
2
67
4
15
12
5
7
13
13
9
5
4
1
4
14
37
54
56
Stage 2 Intervention (Weeks 12-24)
NOT COMPLETED
0
0
0
2
0
1
2
0
4
1
0
0
0
2
0
1
1
1
1
0
0
1
3
1
2
3
3
1
0
0
1
2
1
0
3
2
0
0
0
0
4
5
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Acceptance and Commitment Therapy (ACT) Alone
This arm included both participants who had a strong response to Acceptance and Commitment Therapy (ACT) in Period 1 and participants who were not assessed for response at the end of Period 1. In Period 1, participants randomized to ACT took part in 12 therapy sessions over the course of 12 weeks. Each participant was scheduled for a combination of 4 remote face-to-face visits and 8 therapist-supported online sessions, which included a self-directed module combined with personalized provider coaching delivered via an online messaging system. In Period 2, strong responders were encouraged to continue to practice ACT skills at home without therapist supervision and were given access to an additional 11 ACT audio modules.
ACT Plus Duloxetine, Moderate Treatment Response
This arm included participants who had a moderate response to ACT in Period 1 and started Duloxetine in Period 2 while continuing ACT treatment.
ACT Plus Evidence Based Exercise and Manual Therapy (EBEM), Moderate Period 1 Treatment Response
This arm included participants who had a moderate response to ACT in Period 1 and started Evidence Based Exercise and Manual Therapy (EBEM) treatment in Period 2 while continuing ACT.
ACT Plus Enhanced Self-Care Therapy (ESC), Moderate Period 1 Treatment Response
This arm included participants who had a moderate response to ACT in Period 1 and started Enhanced Self-Care Therapy (ESC) treatment in Period 2 while continuing ACT.
ACT Plus Duloxetine, Low Period 1 Treatment Response
This arm included participants who had a low response to ACT in Period 1 and started Duloxetine treatment in Period 2 while continuing ACT.
ACT Plus Evidence Based Exercise and Manual Therapy (EBEM), Low Period 1 Treatment Response
This arm included participants who had a low response to ACT in Period 1 and started EBEM treatment in Period 2 while continuing ACT.
ACT Plus Enhanced Self-Care Therapy (ESC), Low Period 1 Treatment Response
This arm included participants who had a low response to ACT in Period 1 and started ESC treatment in Period 2 while continuing ACT.
ACT Followed by Duloxetine, Low Period 1 Treatment Response
This arm included participants who had a low response to ACT in Period 1 and started Duloxetine treatment in Period 2. ACT treatment was discontinued.
ACT Followed by Evidence Based Exercise and Manual Therapy (EBEM), Low Period 1 Treatment Response
This arm included participants who had a low response to ACT in Period 1 and started EBEM treatment in Period 2. ACT treatment was discontinued.
ACT Followed by Enhanced Self-Care Therapy (ESC), Low Period 1 Treatment Response
This arm included participants who had a low response to ACT in Period 1 and started ESC treatment in Period 2. ACT treatment was discontinued.
ACT Followed by Duloxetine, Poor Period 1 Treatment Response
This arm included participants who had a poor response to ACT in Period 1 and started Duloxetine treatment in Period 2. ACT treatment was discontinued.
ACT Followed by Evidence Based Exercise and Manual Therapy (EBEM), Poor Period 1 Treatment Response
This arm included participants who had a poor response to ACT in Period 1 and started EBEM treatment in Period 2. ACT treatment was discontinued.
ACT Followed by Enhanced Self-Care Therapy (ESC), Poor Period 1 Treatment Response
This arm included participants who had a poor response to ACT in Period 1 and started ESC treatment in Period 2. ACT treatment was discontinued.
Duloxetine Alone
This arm included both participants who had a strong response to Duloxetine in Period 1 and participants who were not assessed for response at the end of Period 1.
Duloxetine Plus Acceptance and Commitment Therapy (ACT), Moderate Period 1 Treatment Response
This arm included participants who had a moderate response to Duloxetine in Period 1 and started ACT treatment in Period 2 while continuing Duloxetine.
Duloxetine Plus Evidence Based Exercise & Manual Therapy(EBEM), Moderate Period 1 Treatment Response
This arm included participants who had a moderate response to Duloxetine in Period 1 and started EBEM treatment in Period 2 while continuing Duloxetine.
Duloxetine Plus Enhanced Self-Care Therapy (ESC), Moderate Period 1 Treatment Response
This arm included participants who had a moderate response to Duloxetine in Period 1 and started ESC treatment in Period 2 while continuing Duloxetine.
Duloxetine Plus Acceptance and Commitment Therapy (ACT), Low Period 1 Treatment Response
This arm included participants who had a low response to Duloxetine in Period 1 and started ACT treatment in Period 2 while continuing Duloxetine.
Duloxetine Plus Evidence Based Exercise and Manual Therapy (EBEM), Low Period 1 Treatment Response
This arm included participants who had a low response to Duloxetine in Period 1 and started EBEM treatment in Period 2 while continuing Duloxetine.
Duloxetine Plus Enhanced Self-Care Therapy (ESC), Low Period 1 Treatment Response
This arm included participants who had a low response to Duloxetine in Period 1 and started ESC treatment in Period 2 while continuing Duloxetine.
Duloxetine Followed by Acceptance and Commitment Therapy (ACT), Low Period 1 Treatment Response
This arm included participants who had a low response to Duloxetine in Period 1 and started ACT treatment in Period 2. Duloxetine treatment was discontinued.
Duloxetine Followed by Evidence Based Exercise and Manual Therapy(EBEM), Low Period 1 Trt Response
This arm included participants who had a low response to Duloxetine in Period 1 and started EBEM treatment in Period 2. Duloxetine treatment was discontinued.
Duloxetine Followed by Enhanced Self-Care Therapy (ESC), Low Period 1 Treatment Response
This arm included participants who had a low response to Duloxetine in Period 1 and started ESC treatment in Period 2. Duloxetine treatment was discontinued.
Duloxetine Followed by Acceptance and Commitment Therapy (ACT), Poor Period 1 Treatment Response
This arm included participants who had a poor response to Duloxetine in Period 1 and started ACT treatment in Period 2. Duloxetine treatment was discontinued.
Duloxetine Followed by Evidence Based Exercise and Manual Therapy (EBEM), Poor Period 1 Trt Response
This arm included participants who had a poor response to Duloxetine in Period 1 and started EBEM treatment in Period 2. Duloxetine treatment was discontinued.
Duloxetine Followed by Enhanced Self-Care Therapy (ESC), Poor Period 1 Treatment Response
This arm included participants who had a poor response to Duloxetine in Period 1 and started ESC treatment in Period 2. Duloxetine treatment was discontinued.
Evidence Based Exercise and Manual Therapy (EBEM) Alone
This arm included both participants who had a strong response to EBEM in Period 1 and participants who were not assessed for response at the end of Period 1.
EBEM Plus Duloxetine, Moderate Period 1 Treatment Response
This arm included participants who had a moderate response to EBEM in Period 1 and started Duloxetine treatment in Period 2 while continuing EBEM.
EBEM Plus Acceptance and Commitment Therapy (ACT), Moderate Period 1 Treatment Response
This arm included participants who had a moderate response to EBEM in Period 1 and started ACT treatment in Period 2 while continuing EBEM.
EBEM Plus Enhanced Self-Care Therapy (ESC), Moderate Period 1 Treatment Response
This arm included participants who had a moderate response to EBEM in Period 1 and started ESC treatment in Period 2 while continuing EBEM.
EBEM Plus Duloxetine, Low Period 1 Treatment Response
This arm included participants who had a low response to EBEM in Period 1 and started Duloxetine treatment in Period 2 while continuing EBEM.
EBEM Plus Acceptance and Commitment Therapy (ACT), Low Period 1 Treatment Response
This arm included participants who had a low response to EBEM in Period 1 and started ACT treatment in Period 2 while continuing EBEM.
EBEM Plus Enhanced Self-Care Therapy (ESC), Low Period 1 Treatment Response
This arm included participants who had a low response to EBEM in Period 1 and started ESC treatment in Period 2 while continuing EBEM.
EBEM Followed by Duloxetine, Low Period 1 Treatment Response
This arm included participants who had a low response to EBEM in Period 1 and started Duloxetine treatment in Period 2. EBEM treatment was discontinued.
EBEM Followed by Acceptance and Commitment Therapy (ACT), Low Period 1 Treatment Response
This arm included participants who had a low response to EBEM in Period 1 and started ACT treatment in Period 2. EBEM treatment was discontinued.
EBEM Followed by Enhanced Self-Care Therapy (ESC), Low Period 1 Treatment Response
This arm included participants who had a low response to ESC in Period 1 and started Duloxetine treatment in Period 2. EBEM treatment was discontinued.
EBEM Followed by Duloxetine, Poor Period 1 Treatment Response
This arm included participants who had a poor response to EBEM in Period 1 and started Duloxetine treatment in Period 2. EBEM treatment was discontinued.
EBEM Followed by Acceptance and Commitment Therapy (ACT), Poor Period 1 Treatment Response
This arm included participants who had a poor response to EBEM in Period 1 and started ACT treatment in Period 2. EBEM treatment was discontinued.
EBEM Followed by Enhanced Self-Care Therapy (ESC), Poor Period 1 Treatment Response
This arm included participants who had a poor response to EBEM in Period 1 and started ESC treatment in Period 2. EBEM treatment was discontinued.
Enhanced Self-Care Therapy (ESC) Alone
This arm included both participants who had a strong response to ESC in Period 1 and participants who were not assessed for response at the end of Period 1.
ESC Plus Duloxetine, Moderate to Low Period 1 Treatment Response
This arm included participants who had a moderate to poor response to ESC in Period 1 and started Duloxetine treatment in Period 2. ESC treatment was discontinued.
ESC Plus Acceptance and Commitment Therapy (ACT), Moderate to Low Period 1 Treatment Response
This arm included participants who had a moderate to poor response to ESC in Period 1 and started ACT treatment in Period 2. ESC treatment was discontinued.
ESC Plus Evidence Based Exercise and Manual Therapy (EBEM), Moderate to Low Period 1 Trt Response
This arm included participants who had a moderate to poor response to ESC in Period 1 and started EBEM treatment in Period 2. ESC treatment was discontinued.
Stage 1 Intervention (Weeks 0-12)
Withdrawal by Subject
18
0
0
0
0
0
0
0
0
0
0
0
0
13
0
0
0
0
0
0
0
0
0
0
0
0
14
0
0
0
0
0
0
0
0
0
0
0
0
14
0
0
0
Stage 1 Intervention (Weeks 0-12)
Lost to Follow-up
15
0
0
0
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
0
14
0
0
0
Stage 1 Intervention (Weeks 0-12)
Adverse Event
2
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
Stage 1 Intervention (Weeks 0-12)
Protocol Violation
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
Stage 1 Intervention (Weeks 0-12)
Physician Decision
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Stage 2 Screening (Week 12 Pre-Rand.)
Withdrawal by Subject
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Stage 2 Screening (Week 12 Pre-Rand.)
Lost to Follow-up
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
Stage 2 Screening (Week 12 Pre-Rand.)
Physician Decision
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Stage 2 Screening (Week 12 Pre-Rand.)
Adverse Event
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Stage 2 Intervention (Weeks 12-24)
Lost to Follow-up
0
0
0
2
0
1
1
0
2
1
0
0
0
0
0
1
0
0
0
0
0
0
1
1
1
2
0
0
0
0
1
1
0
0
1
0
0
0
0
0
3
2
1
Stage 2 Intervention (Weeks 12-24)
Withdrawal by Subject
0
0
0
0
0
0
1
0
2
0
0
0
0
1
0
0
1
1
1
0
0
1
2
0
1
1
1
1
0
0
0
1
1
0
1
2
0
0
0
0
1
3
1
Stage 2 Intervention (Weeks 12-24)
Adverse Event
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
Stage 2 Intervention (Weeks 12-24)
Protocol Violation
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Baseline Characteristics

The number of participants analyzed are participants who had a low back operation.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Stage 1: Acceptance and Commitment Therapy (ACT)
n=203 Participants
ACT is a form of cognitive behavioral therapy that is well established for the treatment of chronic pain. The goal of ACT is to build psychological flexibility thereby interrupting pain avoidance behavior patterns. Participants randomized to ACT will take part in 12 sessions over the course of 12 weeks. Sessions will be delivered as a combination of 4 remote face-to-face visits with a therapist and 8 therapist-supported online sessions (self-directed online modules supported by provider coaching). Online sessions will focus on helping participants accept pain, connect with negative thoughts and emotions, develop mindfulness and identify and commit to values and goals that are important to them. During face-to-face sessions with the therapist, participants will be encouraged to share their experience of skills practice and mastery, provide examples of skill use at home, and describe what barriers they encountered.
Stage 1: Duloxetine
n=198 Participants
Duloxetine is a serotonin norepinephrine reuptake inhibitor (SNRI) that is FDA-approved for use in Chronic Low-Back Pain, and, as such, is included as a recommended therapy in nearly all current treatment guidelines for low back pain. Study participants will be treated with duloxetine for 12 weeks during the active treatment phase. At the time of randomization, the approved drug pharmacy at each study site will dispense between 185 and 192 duloxetine 30 mg capsules and provide to participants. This will ensure enough capsules to maintain up to a 60 mg dosage through the 12-week intervention phase and to taper the dose in the 13th week if needed.
Stage 1: Evidence Based Exercise and Manual Therapy (EBEM)
n=199 Participants
Licensed physical therapists (PTs) or Doctors of Chiropractic (DCs) will rely on evidence-based guidance to direct decision-making on the particular type of manual and exercise therapy that may be best suited to an individual study participant. Special attention will be paid to the clinician's choice of language in regard to the purpose and expected outcomes of manual therapy in order to avoid enhancing catastrophizing ideations or preference for passive interventions. A total of 10 sessions will be provided over an 8-week treatment period. Two sessions per week are provided in the first two weeks followed by weekly sessions over the next 6 weeks. Treatment sessions will last approximately 60 minutes each.
Stage 1: Enhanced Self-Care Therapy (ESC)
n=205 Participants
The Enhanced Self-Care intervention will be comprised of educational modules on evidence-based cognitive-behavioral self-management skills for pain. These modules will be provided digitally for self-administration over a period of 12 weeks. There will be no therapist associated with the delivery of these educational materials; however, after the first four modules, email or text messages will be used to make personalized recommendations for accessing additional modules based upon identified problems from the baseline assessment. Additionally, the walking program module will utilize Fitbit step tracking to allow participants to monitor their walking progress.
Total
n=805 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
0 Participants
n=205 Participants
0 Participants
n=805 Participants
Age, Categorical
Between 18 and 65 years
166 Participants
n=203 Participants
160 Participants
n=198 Participants
161 Participants
n=199 Participants
164 Participants
n=205 Participants
651 Participants
n=805 Participants
Age, Categorical
>=65 years
37 Participants
n=203 Participants
38 Participants
n=198 Participants
38 Participants
n=199 Participants
41 Participants
n=205 Participants
154 Participants
n=805 Participants
Age, Continuous
49.4 years
STANDARD_DEVIATION 16.5 • n=203 Participants
51.6 years
STANDARD_DEVIATION 15.4 • n=198 Participants
49.5 years
STANDARD_DEVIATION 16.3 • n=199 Participants
51.2 years
STANDARD_DEVIATION 16.1 • n=205 Participants
50.4 years
STANDARD_DEVIATION 16.1 • n=805 Participants
Sex: Female, Male
Female
116 Participants
n=203 Participants
115 Participants
n=198 Participants
131 Participants
n=199 Participants
134 Participants
n=205 Participants
496 Participants
n=805 Participants
Sex: Female, Male
Male
87 Participants
n=203 Participants
83 Participants
n=198 Participants
68 Participants
n=199 Participants
71 Participants
n=205 Participants
309 Participants
n=805 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
24 Participants
n=203 Participants
13 Participants
n=198 Participants
17 Participants
n=199 Participants
18 Participants
n=205 Participants
72 Participants
n=805 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
172 Participants
n=203 Participants
182 Participants
n=198 Participants
178 Participants
n=199 Participants
187 Participants
n=205 Participants
719 Participants
n=805 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
7 Participants
n=203 Participants
3 Participants
n=198 Participants
4 Participants
n=199 Participants
0 Participants
n=205 Participants
14 Participants
n=805 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=203 Participants
1 Participants
n=198 Participants
1 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants
Race (NIH/OMB)
Asian
23 Participants
n=203 Participants
21 Participants
n=198 Participants
17 Participants
n=199 Participants
19 Participants
n=205 Participants
80 Participants
n=805 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
2 Participants
n=205 Participants
3 Participants
n=805 Participants
Race (NIH/OMB)
Black or African American
21 Participants
n=203 Participants
19 Participants
n=198 Participants
21 Participants
n=199 Participants
29 Participants
n=205 Participants
90 Participants
n=805 Participants
Race (NIH/OMB)
White
142 Participants
n=203 Participants
144 Participants
n=198 Participants
144 Participants
n=199 Participants
142 Participants
n=205 Participants
572 Participants
n=805 Participants
Race (NIH/OMB)
More than one race
6 Participants
n=203 Participants
6 Participants
n=198 Participants
7 Participants
n=199 Participants
8 Participants
n=205 Participants
27 Participants
n=805 Participants
Race (NIH/OMB)
Unknown or Not Reported
10 Participants
n=203 Participants
7 Participants
n=198 Participants
9 Participants
n=199 Participants
4 Participants
n=205 Participants
30 Participants
n=805 Participants
Region of Enrollment
United States
203 Participants
n=203 Participants
198 Participants
n=198 Participants
199 Participants
n=199 Participants
205 Participants
n=205 Participants
805 Participants
n=805 Participants
Highest Level of Education Completed
Did not complete Secondary School or High School
6 Participants
n=203 Participants
6 Participants
n=198 Participants
8 Participants
n=199 Participants
8 Participants
n=205 Participants
28 Participants
n=805 Participants
Highest Level of Education Completed
High School or Secondary School Degree Complete
31 Participants
n=203 Participants
24 Participants
n=198 Participants
33 Participants
n=199 Participants
41 Participants
n=205 Participants
129 Participants
n=805 Participants
Highest Level of Education Completed
Associate's or Technical Degree Complete
33 Participants
n=203 Participants
27 Participants
n=198 Participants
36 Participants
n=199 Participants
35 Participants
n=205 Participants
131 Participants
n=805 Participants
Highest Level of Education Completed
College or Baccalaureate Degree Complete
75 Participants
n=203 Participants
85 Participants
n=198 Participants
65 Participants
n=199 Participants
69 Participants
n=205 Participants
294 Participants
n=805 Participants
Highest Level of Education Completed
Doctoral or Postgraduate Education
56 Participants
n=203 Participants
56 Participants
n=198 Participants
57 Participants
n=199 Participants
51 Participants
n=205 Participants
220 Participants
n=805 Participants
Highest Level of Education Completed
Missing
2 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants
Current Employment Status
Full-time employment
102 Participants
n=203 Participants
101 Participants
n=198 Participants
112 Participants
n=199 Participants
84 Participants
n=205 Participants
399 Participants
n=805 Participants
Current Employment Status
Not employed
64 Participants
n=203 Participants
72 Participants
n=198 Participants
60 Participants
n=199 Participants
83 Participants
n=205 Participants
279 Participants
n=805 Participants
Current Employment Status
Part-time employment
35 Participants
n=203 Participants
25 Participants
n=198 Participants
27 Participants
n=199 Participants
37 Participants
n=205 Participants
124 Participants
n=805 Participants
Current Employment Status
Missing
2 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants
Current Relationship Status
Married
97 Participants
n=203 Participants
117 Participants
n=198 Participants
94 Participants
n=199 Participants
99 Participants
n=205 Participants
407 Participants
n=805 Participants
Current Relationship Status
Never Married
53 Participants
n=203 Participants
37 Participants
n=198 Participants
49 Participants
n=199 Participants
46 Participants
n=205 Participants
185 Participants
n=805 Participants
Current Relationship Status
Domestic Partner
13 Participants
n=203 Participants
12 Participants
n=198 Participants
17 Participants
n=199 Participants
10 Participants
n=205 Participants
52 Participants
n=805 Participants
Current Relationship Status
Widowed
6 Participants
n=203 Participants
11 Participants
n=198 Participants
6 Participants
n=199 Participants
7 Participants
n=205 Participants
30 Participants
n=805 Participants
Current Relationship Status
Divorced or Separated
32 Participants
n=203 Participants
21 Participants
n=198 Participants
33 Participants
n=199 Participants
42 Participants
n=205 Participants
128 Participants
n=805 Participants
Current Relationship Status
Missing
2 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants
Number of People Living in Household
1
50 Participants
n=203 Participants
43 Participants
n=198 Participants
53 Participants
n=199 Participants
58 Participants
n=205 Participants
204 Participants
n=805 Participants
Number of People Living in Household
2
85 Participants
n=203 Participants
88 Participants
n=198 Participants
62 Participants
n=199 Participants
87 Participants
n=205 Participants
322 Participants
n=805 Participants
Number of People Living in Household
3
30 Participants
n=203 Participants
25 Participants
n=198 Participants
40 Participants
n=199 Participants
19 Participants
n=205 Participants
114 Participants
n=805 Participants
Number of People Living in Household
4
25 Participants
n=203 Participants
29 Participants
n=198 Participants
29 Participants
n=199 Participants
23 Participants
n=205 Participants
106 Participants
n=805 Participants
Number of People Living in Household
5
8 Participants
n=203 Participants
9 Participants
n=198 Participants
8 Participants
n=199 Participants
13 Participants
n=205 Participants
38 Participants
n=805 Participants
Number of People Living in Household
6
3 Participants
n=203 Participants
3 Participants
n=198 Participants
7 Participants
n=199 Participants
1 Participants
n=205 Participants
14 Participants
n=805 Participants
Number of People Living in Household
7
0 Participants
n=203 Participants
1 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
2 Participants
n=805 Participants
Number of People Living in Household
8
0 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
2 Participants
n=205 Participants
2 Participants
n=805 Participants
Number of People Living in Household
Missing
2 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants
Annual household income from all sources
Less than $10,000
11 Participants
n=203 Participants
4 Participants
n=198 Participants
9 Participants
n=199 Participants
12 Participants
n=205 Participants
36 Participants
n=805 Participants
Annual household income from all sources
$10,000 to $24,999
20 Participants
n=203 Participants
14 Participants
n=198 Participants
16 Participants
n=199 Participants
23 Participants
n=205 Participants
73 Participants
n=805 Participants
Annual household income from all sources
$25,000 to $34,999
15 Participants
n=203 Participants
11 Participants
n=198 Participants
15 Participants
n=199 Participants
16 Participants
n=205 Participants
57 Participants
n=805 Participants
Annual household income from all sources
$35,000 to $49,999
15 Participants
n=203 Participants
15 Participants
n=198 Participants
21 Participants
n=199 Participants
13 Participants
n=205 Participants
64 Participants
n=805 Participants
Annual household income from all sources
$50,000 to $74,999
24 Participants
n=203 Participants
21 Participants
n=198 Participants
25 Participants
n=199 Participants
20 Participants
n=205 Participants
90 Participants
n=805 Participants
Annual household income from all sources
$75,000 to $99,999
21 Participants
n=203 Participants
19 Participants
n=198 Participants
22 Participants
n=199 Participants
28 Participants
n=205 Participants
90 Participants
n=805 Participants
Annual household income from all sources
$100,000 to $149,999
31 Participants
n=203 Participants
24 Participants
n=198 Participants
34 Participants
n=199 Participants
39 Participants
n=205 Participants
128 Participants
n=805 Participants
Annual household income from all sources
$150,000 to $199,999
17 Participants
n=203 Participants
21 Participants
n=198 Participants
14 Participants
n=199 Participants
6 Participants
n=205 Participants
58 Participants
n=805 Participants
Annual household income from all sources
$200,000 or more
22 Participants
n=203 Participants
39 Participants
n=198 Participants
20 Participants
n=199 Participants
20 Participants
n=205 Participants
101 Participants
n=805 Participants
Annual household income from all sources
Prefer not to answer
0 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
0 Participants
n=205 Participants
0 Participants
n=805 Participants
Annual household income from all sources
Missing
27 Participants
n=203 Participants
30 Participants
n=198 Participants
23 Participants
n=199 Participants
28 Participants
n=205 Participants
108 Participants
n=805 Participants
Pain, Enjoyment of Life, General Activity (PEG) score
5.4 units on a scale
STANDARD_DEVIATION 2.0 • n=203 Participants
5.1 units on a scale
STANDARD_DEVIATION 1.9 • n=198 Participants
5.3 units on a scale
STANDARD_DEVIATION 1.8 • n=199 Participants
5.5 units on a scale
STANDARD_DEVIATION 1.9 • n=205 Participants
5.3 units on a scale
STANDARD_DEVIATION 1.9 • n=805 Participants
Pain, Enjoyment of Life, General Activity (PEG) score, median (range)
5.3 units on a scale
n=203 Participants
5.0 units on a scale
n=198 Participants
5.3 units on a scale
n=199 Participants
5.3 units on a scale
n=205 Participants
5.3 units on a scale
n=805 Participants
Self-reported low back pain duration (months)
163.4 months
STANDARD_DEVIATION 150.0 • n=203 Participants
156.7 months
STANDARD_DEVIATION 151.0 • n=198 Participants
156.4 months
STANDARD_DEVIATION 139.8 • n=199 Participants
154.7 months
STANDARD_DEVIATION 123.4 • n=205 Participants
157.8 months
STANDARD_DEVIATION 141.2 • n=805 Participants
Self-reported low back pain duration
<1 year
12 Participants
n=203 Participants
14 Participants
n=198 Participants
9 Participants
n=199 Participants
15 Participants
n=205 Participants
50 Participants
n=805 Participants
Self-reported low back pain duration
1-5 years
70 Participants
n=203 Participants
66 Participants
n=198 Participants
71 Participants
n=199 Participants
67 Participants
n=205 Participants
274 Participants
n=805 Participants
Self-reported low back pain duration
>5 years
121 Participants
n=203 Participants
118 Participants
n=198 Participants
119 Participants
n=199 Participants
123 Participants
n=205 Participants
481 Participants
n=805 Participants
Self-reported low back pain duration
Missing
0 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
0 Participants
n=205 Participants
0 Participants
n=805 Participants
Low Back Pain Frequency in the past 6 months
Every day or nearly every day
181 Participants
n=203 Participants
163 Participants
n=198 Participants
160 Participants
n=199 Participants
169 Participants
n=205 Participants
673 Participants
n=805 Participants
Low Back Pain Frequency in the past 6 months
At least half the days
22 Participants
n=203 Participants
35 Participants
n=198 Participants
39 Participants
n=199 Participants
36 Participants
n=205 Participants
132 Participants
n=805 Participants
Low Back Pain Specific Pain Intensity
5.6 units on a scale
STANDARD_DEVIATION 1.9 • n=203 Participants
5.4 units on a scale
STANDARD_DEVIATION 1.8 • n=198 Participants
5.6 units on a scale
STANDARD_DEVIATION 1.7 • n=199 Participants
5.8 units on a scale
STANDARD_DEVIATION 1.7 • n=205 Participants
5.6 units on a scale
STANDARD_DEVIATION 1.8 • n=805 Participants
Low Back Pain Specific Pain Intensity, median (range)
5.0 units on a scale
n=203 Participants
6.0 units on a scale
n=198 Participants
6.0 units on a scale
n=199 Participants
6.0 units on a scale
n=205 Participants
6.0 units on a scale
n=805 Participants
Ever had low back operation
No
176 Participants
n=203 Participants
174 Participants
n=198 Participants
177 Participants
n=199 Participants
171 Participants
n=205 Participants
698 Participants
n=805 Participants
Ever had low back operation
Yes, at least one
25 Participants
n=203 Participants
24 Participants
n=198 Participants
22 Participants
n=199 Participants
33 Participants
n=205 Participants
104 Participants
n=805 Participants
Ever had low back operation
Missing
2 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants
When was last back operation
Less than 6 months ago
20 Participants
n=25 Participants • The number of participants analyzed are participants who had a low back operation.
18 Participants
n=24 Participants • The number of participants analyzed are participants who had a low back operation.
15 Participants
n=22 Participants • The number of participants analyzed are participants who had a low back operation.
21 Participants
n=33 Participants • The number of participants analyzed are participants who had a low back operation.
74 Participants
n=104 Participants • The number of participants analyzed are participants who had a low back operation.
When was last back operation
More than 6 months ago but less than 1 year ago
5 Participants
n=25 Participants • The number of participants analyzed are participants who had a low back operation.
6 Participants
n=24 Participants • The number of participants analyzed are participants who had a low back operation.
7 Participants
n=22 Participants • The number of participants analyzed are participants who had a low back operation.
12 Participants
n=33 Participants • The number of participants analyzed are participants who had a low back operation.
30 Participants
n=104 Participants • The number of participants analyzed are participants who had a low back operation.
When was last back operation
Between 1 and 2 years ago
0 Participants
n=25 Participants • The number of participants analyzed are participants who had a low back operation.
0 Participants
n=24 Participants • The number of participants analyzed are participants who had a low back operation.
0 Participants
n=22 Participants • The number of participants analyzed are participants who had a low back operation.
0 Participants
n=33 Participants • The number of participants analyzed are participants who had a low back operation.
0 Participants
n=104 Participants • The number of participants analyzed are participants who had a low back operation.
When was last back operation
More than 2 years ago
0 Participants
n=25 Participants • The number of participants analyzed are participants who had a low back operation.
0 Participants
n=24 Participants • The number of participants analyzed are participants who had a low back operation.
0 Participants
n=22 Participants • The number of participants analyzed are participants who had a low back operation.
0 Participants
n=33 Participants • The number of participants analyzed are participants who had a low back operation.
0 Participants
n=104 Participants • The number of participants analyzed are participants who had a low back operation.
Any back operations involve a spinal fusion
No
15 Participants
n=25 Participants • The number of participants analyzed are those who had a low back operation.
13 Participants
n=24 Participants • The number of participants analyzed are those who had a low back operation.
13 Participants
n=22 Participants • The number of participants analyzed are those who had a low back operation.
20 Participants
n=33 Participants • The number of participants analyzed are those who had a low back operation.
61 Participants
n=104 Participants • The number of participants analyzed are those who had a low back operation.
Any back operations involve a spinal fusion
Yes
7 Participants
n=25 Participants • The number of participants analyzed are those who had a low back operation.
9 Participants
n=24 Participants • The number of participants analyzed are those who had a low back operation.
7 Participants
n=22 Participants • The number of participants analyzed are those who had a low back operation.
10 Participants
n=33 Participants • The number of participants analyzed are those who had a low back operation.
33 Participants
n=104 Participants • The number of participants analyzed are those who had a low back operation.
Any back operations involve a spinal fusion
Not Sure
3 Participants
n=25 Participants • The number of participants analyzed are those who had a low back operation.
2 Participants
n=24 Participants • The number of participants analyzed are those who had a low back operation.
2 Participants
n=22 Participants • The number of participants analyzed are those who had a low back operation.
3 Participants
n=33 Participants • The number of participants analyzed are those who had a low back operation.
10 Participants
n=104 Participants • The number of participants analyzed are those who had a low back operation.
Ever unemployed for 1 or more months due to low back pain
No
145 Participants
n=203 Participants
151 Participants
n=198 Participants
142 Participants
n=199 Participants
134 Participants
n=205 Participants
572 Participants
n=805 Participants
Ever unemployed for 1 or more months due to low back pain
Yes
40 Participants
n=203 Participants
27 Participants
n=198 Participants
36 Participants
n=199 Participants
43 Participants
n=205 Participants
146 Participants
n=805 Participants
Ever unemployed for 1 or more months due to low back pain
Does not apply
16 Participants
n=203 Participants
20 Participants
n=198 Participants
21 Participants
n=199 Participants
27 Participants
n=205 Participants
84 Participants
n=805 Participants
Ever unemployed for 1 or more months due to low back pain
Missing
2 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants
Ever filed or awarded worker's compensation claim related to back problem
No
179 Participants
n=203 Participants
176 Participants
n=198 Participants
175 Participants
n=199 Participants
174 Participants
n=205 Participants
704 Participants
n=805 Participants
Ever filed or awarded worker's compensation claim related to back problem
Yes
6 Participants
n=203 Participants
9 Participants
n=198 Participants
7 Participants
n=199 Participants
7 Participants
n=205 Participants
29 Participants
n=805 Participants
Ever filed or awarded worker's compensation claim related to back problem
Does not apply
16 Participants
n=203 Participants
13 Participants
n=198 Participants
17 Participants
n=199 Participants
23 Participants
n=205 Participants
69 Participants
n=805 Participants
Ever filed or awarded worker's compensation claim related to back problem
Missing
2 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants
Involved in a lawsuit or legal claim related to back problem
No
199 Participants
n=203 Participants
196 Participants
n=198 Participants
198 Participants
n=199 Participants
201 Participants
n=205 Participants
794 Participants
n=805 Participants
Involved in a lawsuit or legal claim related to back problem
Yes
0 Participants
n=203 Participants
1 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
2 Participants
n=805 Participants
Involved in a lawsuit or legal claim related to back problem
Not sure
2 Participants
n=203 Participants
1 Participants
n=198 Participants
1 Participants
n=199 Participants
2 Participants
n=205 Participants
6 Participants
n=805 Participants
Involved in a lawsuit or legal claim related to back problem
Missing
2 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants
Ever applied for, or received, disability insurance for pain condition
No
180 Participants
n=203 Participants
185 Participants
n=198 Participants
183 Participants
n=199 Participants
170 Participants
n=205 Participants
718 Participants
n=805 Participants
Ever applied for, or received, disability insurance for pain condition
Yes
21 Participants
n=203 Participants
13 Participants
n=198 Participants
16 Participants
n=199 Participants
34 Participants
n=205 Participants
84 Participants
n=805 Participants
Ever applied for, or received, disability insurance for pain condition
Missing
2 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants
BMI
28.8 kg/m^2
STANDARD_DEVIATION 6.3 • n=203 Participants
29.3 kg/m^2
STANDARD_DEVIATION 7.2 • n=198 Participants
29.0 kg/m^2
STANDARD_DEVIATION 6.3 • n=199 Participants
29.4 kg/m^2
STANDARD_DEVIATION 6.9 • n=205 Participants
29.1 kg/m^2
STANDARD_DEVIATION 6.7 • n=805 Participants
Systolic Blood Pressure (mmHg)
125.8 mmHg
STANDARD_DEVIATION 15.5 • n=203 Participants
129.5 mmHg
STANDARD_DEVIATION 17.2 • n=198 Participants
124.2 mmHg
STANDARD_DEVIATION 14.3 • n=199 Participants
125.6 mmHg
STANDARD_DEVIATION 13.6 • n=205 Participants
126.3 mmHg
STANDARD_DEVIATION 15.3 • n=805 Participants
Diastolic Blood Pressure (mmHg)
78.5 mmHg
STANDARD_DEVIATION 10.5 • n=203 Participants
78.7 mmHg
STANDARD_DEVIATION 10.2 • n=198 Participants
76.7 mmHg
STANDARD_DEVIATION 9.6 • n=199 Participants
77.7 mmHg
STANDARD_DEVIATION 10.1 • n=205 Participants
77.9 mmHg
STANDARD_DEVIATION 10.1 • n=805 Participants
Heart Rate (bpm)
71.7 bpm
STANDARD_DEVIATION 12.9 • n=203 Participants
70.9 bpm
STANDARD_DEVIATION 11.6 • n=198 Participants
73.2 bpm
STANDARD_DEVIATION 12.0 • n=199 Participants
72.8 bpm
STANDARD_DEVIATION 12.3 • n=205 Participants
72.2 bpm
STANDARD_DEVIATION 12.2 • n=805 Participants
Ever Hip Replacement Surgery
Yes
7 Participants
n=203 Participants
7 Participants
n=198 Participants
9 Participants
n=199 Participants
9 Participants
n=205 Participants
32 Participants
n=805 Participants
Ever Hip Replacement Surgery
No
196 Participants
n=203 Participants
191 Participants
n=198 Participants
190 Participants
n=199 Participants
196 Participants
n=205 Participants
773 Participants
n=805 Participants
Ever Hip Replacement Surgery
Missing
0 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
0 Participants
n=205 Participants
0 Participants
n=805 Participants
Ever Knee Replacement Surgery
Yes
13 Participants
n=203 Participants
13 Participants
n=198 Participants
15 Participants
n=199 Participants
9 Participants
n=205 Participants
50 Participants
n=805 Participants
Ever Knee Replacement Surgery
No
190 Participants
n=203 Participants
185 Participants
n=198 Participants
184 Participants
n=199 Participants
196 Participants
n=205 Participants
755 Participants
n=805 Participants
Ever Knee Replacement Surgery
Missing
0 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
0 Participants
n=205 Participants
0 Participants
n=805 Participants
Observed Gait
Normal
179 Participants
n=203 Participants
164 Participants
n=198 Participants
172 Participants
n=199 Participants
169 Participants
n=205 Participants
684 Participants
n=805 Participants
Observed Gait
Antalgic
24 Participants
n=203 Participants
34 Participants
n=198 Participants
27 Participants
n=199 Participants
36 Participants
n=205 Participants
121 Participants
n=805 Participants
Observed Gait
Missing
0 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
0 Participants
n=205 Participants
0 Participants
n=805 Participants
TAPS Tobacco Use
Daily or Almost Daily
14 Participants
n=203 Participants
15 Participants
n=198 Participants
14 Participants
n=199 Participants
25 Participants
n=205 Participants
68 Participants
n=805 Participants
TAPS Tobacco Use
Less Than Daily
18 Participants
n=203 Participants
17 Participants
n=198 Participants
17 Participants
n=199 Participants
20 Participants
n=205 Participants
72 Participants
n=805 Participants
TAPS Tobacco Use
Never
169 Participants
n=203 Participants
166 Participants
n=198 Participants
168 Participants
n=199 Participants
159 Participants
n=205 Participants
662 Participants
n=805 Participants
TAPS Tobacco Use
Missing
2 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants
TAPS Alcohol Use
At Least Weekly
15 Participants
n=203 Participants
12 Participants
n=198 Participants
13 Participants
n=199 Participants
11 Participants
n=205 Participants
51 Participants
n=805 Participants
TAPS Alcohol Use
Monthly
8 Participants
n=203 Participants
15 Participants
n=198 Participants
12 Participants
n=199 Participants
25 Participants
n=205 Participants
60 Participants
n=805 Participants
TAPS Alcohol Use
Less Than Monthly
52 Participants
n=203 Participants
52 Participants
n=198 Participants
52 Participants
n=199 Participants
46 Participants
n=205 Participants
202 Participants
n=805 Participants
TAPS Alcohol Use
Never
125 Participants
n=203 Participants
118 Participants
n=198 Participants
122 Participants
n=199 Participants
122 Participants
n=205 Participants
487 Participants
n=805 Participants
TAPS Alcohol Use
Missing
3 Participants
n=203 Participants
1 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
5 Participants
n=805 Participants
TAPS Drug Use
Daily or Almost Daily
11 Participants
n=203 Participants
5 Participants
n=198 Participants
8 Participants
n=199 Participants
11 Participants
n=205 Participants
35 Participants
n=805 Participants
TAPS Drug Use
Between Monthly to Weekly
14 Participants
n=203 Participants
8 Participants
n=198 Participants
11 Participants
n=199 Participants
13 Participants
n=205 Participants
46 Participants
n=805 Participants
TAPS Drug Use
Less Than Monthly
11 Participants
n=203 Participants
17 Participants
n=198 Participants
13 Participants
n=199 Participants
22 Participants
n=205 Participants
63 Participants
n=805 Participants
TAPS Drug Use
Never
165 Participants
n=203 Participants
168 Participants
n=198 Participants
167 Participants
n=199 Participants
158 Participants
n=205 Participants
658 Participants
n=805 Participants
TAPS Drug Use
Missing
2 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants
TAPS Prescription Drug Used Not as Intended
At Least Once
13 Participants
n=203 Participants
16 Participants
n=198 Participants
12 Participants
n=199 Participants
19 Participants
n=205 Participants
60 Participants
n=805 Participants
TAPS Prescription Drug Used Not as Intended
Never
188 Participants
n=203 Participants
182 Participants
n=198 Participants
187 Participants
n=199 Participants
185 Participants
n=205 Participants
742 Participants
n=805 Participants
TAPS Prescription Drug Used Not as Intended
Missing
2 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants
Currently Taking Opioid Medication (daily)
Yes
11 Participants
n=203 Participants
8 Participants
n=198 Participants
9 Participants
n=199 Participants
13 Participants
n=205 Participants
41 Participants
n=805 Participants
Currently Taking Opioid Medication (daily)
No
192 Participants
n=203 Participants
190 Participants
n=198 Participants
190 Participants
n=199 Participants
192 Participants
n=205 Participants
764 Participants
n=805 Participants
Currently Taking Opioid Medication (daily)
Not Sure
0 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
0 Participants
n=205 Participants
0 Participants
n=805 Participants
Previously Diagnosed with Coronavirus Disease 2019 (COVID-19)
Yes
112 Participants
n=203 Participants
98 Participants
n=198 Participants
107 Participants
n=199 Participants
104 Participants
n=205 Participants
421 Participants
n=805 Participants
Previously Diagnosed with Coronavirus Disease 2019 (COVID-19)
No
84 Participants
n=203 Participants
95 Participants
n=198 Participants
85 Participants
n=199 Participants
98 Participants
n=205 Participants
362 Participants
n=805 Participants
Previously Diagnosed with Coronavirus Disease 2019 (COVID-19)
Not Sure
4 Participants
n=203 Participants
5 Participants
n=198 Participants
5 Participants
n=199 Participants
1 Participants
n=205 Participants
15 Participants
n=805 Participants
Previously Diagnosed with Coronavirus Disease 2019 (COVID-19)
Prefer not to answer
3 Participants
n=203 Participants
0 Participants
n=198 Participants
2 Participants
n=199 Participants
2 Participants
n=205 Participants
7 Participants
n=805 Participants
Previously Diagnosed with Coronavirus Disease 2019 (COVID-19)
Missing
0 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
0 Participants
n=205 Participants
0 Participants
n=805 Participants
Long COVID
Yes
20 Participants
n=203 Participants
18 Participants
n=198 Participants
21 Participants
n=199 Participants
23 Participants
n=205 Participants
82 Participants
n=805 Participants
Long COVID
No
79 Participants
n=203 Participants
74 Participants
n=198 Participants
81 Participants
n=199 Participants
74 Participants
n=205 Participants
308 Participants
n=805 Participants
Long COVID
Not Sure
13 Participants
n=203 Participants
6 Participants
n=198 Participants
5 Participants
n=199 Participants
7 Participants
n=205 Participants
31 Participants
n=805 Participants
Long COVID
Prefer not to answer
0 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
0 Participants
n=205 Participants
0 Participants
n=805 Participants
Long COVID
No self-reported COVID-19 diagnosis
91 Participants
n=203 Participants
100 Participants
n=198 Participants
92 Participants
n=199 Participants
101 Participants
n=205 Participants
384 Participants
n=805 Participants
COVID-19 Vaccine
Yes
186 Participants
n=203 Participants
188 Participants
n=198 Participants
182 Participants
n=199 Participants
189 Participants
n=205 Participants
745 Participants
n=805 Participants
COVID-19 Vaccine
No
15 Participants
n=203 Participants
8 Participants
n=198 Participants
17 Participants
n=199 Participants
14 Participants
n=205 Participants
54 Participants
n=805 Participants
COVID-19 Vaccine
Not Sure
0 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
0 Participants
n=205 Participants
0 Participants
n=805 Participants
COVID-19 Vaccine
Prefer Not to Answer
2 Participants
n=203 Participants
2 Participants
n=198 Participants
0 Participants
n=199 Participants
2 Participants
n=205 Participants
6 Participants
n=805 Participants
Fear-Avoidance Beliefs - Physical Activity (FABQ-PA) Score
13.7 units on a scale
STANDARD_DEVIATION 5.1 • n=203 Participants
12.3 units on a scale
STANDARD_DEVIATION 5.4 • n=198 Participants
13.3 units on a scale
STANDARD_DEVIATION 5.2 • n=199 Participants
13.4 units on a scale
STANDARD_DEVIATION 5.6 • n=205 Participants
13.2 units on a scale
STANDARD_DEVIATION 5.3 • n=805 Participants
Generalized Anxiety Disorder (GAD-2) Raw Score
1.7 units on a scale
STANDARD_DEVIATION 1.8 • n=203 Participants
1.1 units on a scale
STANDARD_DEVIATION 1.2 • n=198 Participants
1.5 units on a scale
STANDARD_DEVIATION 1.7 • n=199 Participants
1.4 units on a scale
STANDARD_DEVIATION 1.6 • n=205 Participants
1.4 units on a scale
STANDARD_DEVIATION 1.6 • n=805 Participants
Keele STarT Back Screening Tool Risk
Low Risk
72 Participants
n=203 Participants
92 Participants
n=198 Participants
73 Participants
n=199 Participants
79 Participants
n=205 Participants
316 Participants
n=805 Participants
Keele STarT Back Screening Tool Risk
Medium Risk
100 Participants
n=203 Participants
79 Participants
n=198 Participants
80 Participants
n=199 Participants
86 Participants
n=205 Participants
345 Participants
n=805 Participants
Keele STarT Back Screening Tool Risk
High Risk
31 Participants
n=203 Participants
27 Participants
n=198 Participants
44 Participants
n=199 Participants
40 Participants
n=205 Participants
142 Participants
n=805 Participants
Keele STarT Back Screening Tool Risk
Missing
0 Participants
n=203 Participants
0 Participants
n=198 Participants
2 Participants
n=199 Participants
0 Participants
n=205 Participants
2 Participants
n=805 Participants
Oswestry Disability Index (ODI) Percentage
29.4 units on a scale
STANDARD_DEVIATION 13.5 • n=203 Participants
27.7 units on a scale
STANDARD_DEVIATION 12.0 • n=198 Participants
30.7 units on a scale
STANDARD_DEVIATION 14.1 • n=199 Participants
31.1 units on a scale
STANDARD_DEVIATION 14.3 • n=205 Participants
29.8 units on a scale
STANDARD_DEVIATION 13.6 • n=805 Participants
Oswestry Disability Index (ODI) Percentage, median (range)
28.0 units on a scale
n=203 Participants
26.7 units on a scale
n=198 Participants
28.0 units on a scale
n=199 Participants
28.9 units on a scale
n=205 Participants
28.0 units on a scale
n=805 Participants
Pain Catastrophizing Scale - Short Form 6 (PCS-SF6)
11.6 units on a scale
STANDARD_DEVIATION 5.3 • n=203 Participants
10.4 units on a scale
STANDARD_DEVIATION 4.5 • n=198 Participants
10.9 units on a scale
STANDARD_DEVIATION 4.9 • n=199 Participants
11.7 units on a scale
STANDARD_DEVIATION 5.0 • n=205 Participants
11.1 units on a scale
STANDARD_DEVIATION 5.0 • n=805 Participants
Pain Detect Neuropathic Pain Questionnaire (painDETECT) Raw Score
Nociceptive Pain
136 Participants
n=203 Participants
154 Participants
n=198 Participants
142 Participants
n=199 Participants
147 Participants
n=205 Participants
579 Participants
n=805 Participants
Pain Detect Neuropathic Pain Questionnaire (painDETECT) Raw Score
Possible Neuropathic Pain
38 Participants
n=203 Participants
33 Participants
n=198 Participants
35 Participants
n=199 Participants
36 Participants
n=205 Participants
142 Participants
n=805 Participants
Pain Detect Neuropathic Pain Questionnaire (painDETECT) Raw Score
Neuropathic Pain
28 Participants
n=203 Participants
11 Participants
n=198 Participants
20 Participants
n=199 Participants
20 Participants
n=205 Participants
79 Participants
n=805 Participants
Pain Detect Neuropathic Pain Questionnaire (painDETECT) Raw Score
Missing
1 Participants
n=203 Participants
0 Participants
n=198 Participants
2 Participants
n=199 Participants
2 Participants
n=205 Participants
5 Participants
n=805 Participants
Patient Health Questionnaire-2 (PHQ-2): Raw Score
1.6 units on a scale
STANDARD_DEVIATION 1.6 • n=203 Participants
1.2 units on a scale
STANDARD_DEVIATION 1.2 • n=198 Participants
1.4 units on a scale
STANDARD_DEVIATION 1.6 • n=199 Participants
1.6 units on a scale
STANDARD_DEVIATION 1.6 • n=205 Participants
1.5 units on a scale
STANDARD_DEVIATION 1.5 • n=805 Participants
Healing Encounters and Attitudes Lists (HEAL) Positive Outlook: Raw Score
21.6 units on a scale
STANDARD_DEVIATION 5.6 • n=203 Participants
23.0 units on a scale
STANDARD_DEVIATION 4.9 • n=198 Participants
21.6 units on a scale
STANDARD_DEVIATION 5.8 • n=199 Participants
21.2 units on a scale
STANDARD_DEVIATION 5.4 • n=205 Participants
21.8 units on a scale
STANDARD_DEVIATION 5.4 • n=805 Participants
PROMIS Cognitive Function and Abilities - Short Form 2a Raw Score
7.2 units on a scale
STANDARD_DEVIATION 1.8 • n=203 Participants
7.5 units on a scale
STANDARD_DEVIATION 1.6 • n=198 Participants
7.1 units on a scale
STANDARD_DEVIATION 1.8 • n=199 Participants
7.2 units on a scale
STANDARD_DEVIATION 1.8 • n=205 Participants
7.3 units on a scale
STANDARD_DEVIATION 1.8 • n=805 Participants
General Sensory Sensitivity Score (GSS) - External
0.9 units on a scale
STANDARD_DEVIATION 1.4 • n=203 Participants
0.7 units on a scale
STANDARD_DEVIATION 1.2 • n=198 Participants
1.1 units on a scale
STANDARD_DEVIATION 1.5 • n=199 Participants
0.9 units on a scale
STANDARD_DEVIATION 1.3 • n=205 Participants
0.9 units on a scale
STANDARD_DEVIATION 1.3 • n=805 Participants
General Sensory Sensitivity (GSS) Score - Interoception
0.6 units on a scale
STANDARD_DEVIATION 0.8 • n=203 Participants
0.4 units on a scale
STANDARD_DEVIATION 0.7 • n=198 Participants
0.6 units on a scale
STANDARD_DEVIATION 0.8 • n=199 Participants
0.6 units on a scale
STANDARD_DEVIATION 0.8 • n=205 Participants
0.6 units on a scale
STANDARD_DEVIATION 0.8 • n=805 Participants
General Sensory Sensitivity (GSS) Score - Total
1.5 units on a scale
STANDARD_DEVIATION 1.8 • n=203 Participants
1.1 units on a scale
STANDARD_DEVIATION 1.6 • n=198 Participants
1.7 units on a scale
STANDARD_DEVIATION 2.0 • n=199 Participants
1.5 units on a scale
STANDARD_DEVIATION 1.8 • n=205 Participants
1.5 units on a scale
STANDARD_DEVIATION 1.8 • n=805 Participants
Self-reported Sleep Duration in the Past Month (hours)
6.6 hours
STANDARD_DEVIATION 1.2 • n=203 Participants
6.7 hours
STANDARD_DEVIATION 1.5 • n=198 Participants
6.5 hours
STANDARD_DEVIATION 1.2 • n=199 Participants
6.6 hours
STANDARD_DEVIATION 1.6 • n=205 Participants
6.6 hours
STANDARD_DEVIATION 1.4 • n=805 Participants
Symptom Severity Index
5.5 units on a scale
STANDARD_DEVIATION 2.9 • n=203 Participants
4.8 units on a scale
STANDARD_DEVIATION 2.4 • n=198 Participants
5.5 units on a scale
STANDARD_DEVIATION 2.9 • n=199 Participants
5.9 units on a scale
STANDARD_DEVIATION 2.7 • n=205 Participants
5.5 units on a scale
STANDARD_DEVIATION 2.8 • n=805 Participants
Widespread Pain Inventory: Raw Score
2.3 units on a scale
STANDARD_DEVIATION 1.8 • n=203 Participants
2.1 units on a scale
STANDARD_DEVIATION 1.8 • n=198 Participants
2.4 units on a scale
STANDARD_DEVIATION 1.9 • n=199 Participants
2.5 units on a scale
STANDARD_DEVIATION 1.7 • n=205 Participants
2.3 units on a scale
STANDARD_DEVIATION 1.8 • n=805 Participants
Stomach Pain in the Past 4 Weeks
Not bothered at all
111 Participants
n=203 Participants
120 Participants
n=198 Participants
106 Participants
n=199 Participants
109 Participants
n=205 Participants
446 Participants
n=805 Participants
Stomach Pain in the Past 4 Weeks
Bothered a little
71 Participants
n=203 Participants
66 Participants
n=198 Participants
78 Participants
n=199 Participants
77 Participants
n=205 Participants
292 Participants
n=805 Participants
Stomach Pain in the Past 4 Weeks
Bothered a lot
19 Participants
n=203 Participants
12 Participants
n=198 Participants
15 Participants
n=199 Participants
18 Participants
n=205 Participants
64 Participants
n=805 Participants
Stomach Pain in the Past 4 Weeks
Missing
2 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants
Headaches in the Past 4 Weeks
Not bothered at all
86 Participants
n=203 Participants
90 Participants
n=198 Participants
85 Participants
n=199 Participants
77 Participants
n=205 Participants
338 Participants
n=805 Participants
Headaches in the Past 4 Weeks
Bothered a little
95 Participants
n=203 Participants
96 Participants
n=198 Participants
92 Participants
n=199 Participants
103 Participants
n=205 Participants
386 Participants
n=805 Participants
Headaches in the Past 4 Weeks
Bothered a lot
20 Participants
n=203 Participants
12 Participants
n=198 Participants
22 Participants
n=199 Participants
24 Participants
n=205 Participants
78 Participants
n=805 Participants
Headaches in the Past 4 Weeks
Missing
2 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants
Radiating Pain to Buttock/Thigh, Past 2 Weeks
Yes
117 Participants
n=203 Participants
101 Participants
n=198 Participants
121 Participants
n=199 Participants
132 Participants
n=205 Participants
471 Participants
n=805 Participants
Radiating Pain to Buttock/Thigh, Past 2 Weeks
No
65 Participants
n=203 Participants
77 Participants
n=198 Participants
66 Participants
n=199 Participants
62 Participants
n=205 Participants
270 Participants
n=805 Participants
Radiating Pain to Buttock/Thigh, Past 2 Weeks
Not Sure
19 Participants
n=203 Participants
20 Participants
n=198 Participants
12 Participants
n=199 Participants
10 Participants
n=205 Participants
61 Participants
n=805 Participants
Radiating Pain to Buttock/Thigh, Past 2 Weeks
Missing
2 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants
Radiating Pain to Below Knee, Past 2 Weeks
Yes
53 Participants
n=203 Participants
40 Participants
n=198 Participants
52 Participants
n=199 Participants
56 Participants
n=205 Participants
201 Participants
n=805 Participants
Radiating Pain to Below Knee, Past 2 Weeks
No
126 Participants
n=203 Participants
143 Participants
n=198 Participants
136 Participants
n=199 Participants
132 Participants
n=205 Participants
537 Participants
n=805 Participants
Radiating Pain to Below Knee, Past 2 Weeks
Not Sure
22 Participants
n=203 Participants
15 Participants
n=198 Participants
11 Participants
n=199 Participants
16 Participants
n=205 Participants
64 Participants
n=805 Participants
Radiating Pain to Below Knee, Past 2 Weeks
Missing
2 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants
Social Determinants of Health (SDOH): Transportation Needs
Yes
17 Participants
n=203 Participants
13 Participants
n=198 Participants
14 Participants
n=199 Participants
18 Participants
n=205 Participants
62 Participants
n=805 Participants
Social Determinants of Health (SDOH): Transportation Needs
No
184 Participants
n=203 Participants
185 Participants
n=198 Participants
185 Participants
n=199 Participants
186 Participants
n=205 Participants
740 Participants
n=805 Participants
Social Determinants of Health (SDOH): Transportation Needs
Missing
2 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants
Social Determinants of Health (SDOH): Healthcare Needs
Yes
33 Participants
n=203 Participants
28 Participants
n=198 Participants
37 Participants
n=199 Participants
31 Participants
n=205 Participants
129 Participants
n=805 Participants
Social Determinants of Health (SDOH): Healthcare Needs
No
168 Participants
n=203 Participants
170 Participants
n=198 Participants
162 Participants
n=199 Participants
173 Participants
n=205 Participants
673 Participants
n=805 Participants
Social Determinants of Health (SDOH): Healthcare Needs
Missing
2 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants
Social Determinants of Health: Food Insecurity
Often True
7 Participants
n=203 Participants
3 Participants
n=198 Participants
7 Participants
n=199 Participants
7 Participants
n=205 Participants
24 Participants
n=805 Participants
Social Determinants of Health: Food Insecurity
Sometimes True
27 Participants
n=203 Participants
17 Participants
n=198 Participants
24 Participants
n=199 Participants
32 Participants
n=205 Participants
100 Participants
n=805 Participants
Social Determinants of Health: Food Insecurity
Never True
167 Participants
n=203 Participants
178 Participants
n=198 Participants
168 Participants
n=199 Participants
165 Participants
n=205 Participants
678 Participants
n=805 Participants
Social Determinants of Health: Food Insecurity
Missing
2 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants
Social Determinants of Health (SDOH): Food Money
Often True
5 Participants
n=203 Participants
4 Participants
n=198 Participants
7 Participants
n=199 Participants
6 Participants
n=205 Participants
22 Participants
n=805 Participants
Social Determinants of Health (SDOH): Food Money
Sometimes True
20 Participants
n=203 Participants
9 Participants
n=198 Participants
21 Participants
n=199 Participants
22 Participants
n=205 Participants
72 Participants
n=805 Participants
Social Determinants of Health (SDOH): Food Money
Never True
176 Participants
n=203 Participants
185 Participants
n=198 Participants
171 Participants
n=199 Participants
176 Participants
n=205 Participants
708 Participants
n=805 Participants
Social Determinants of Health (SDOH): Food Money
Missing
2 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants
Social Determinants of Health (SDOH): Utilities
Yes
5 Participants
n=203 Participants
9 Participants
n=198 Participants
6 Participants
n=199 Participants
11 Participants
n=205 Participants
31 Participants
n=805 Participants
Social Determinants of Health (SDOH): Utilities
No
196 Participants
n=203 Participants
189 Participants
n=198 Participants
193 Participants
n=199 Participants
193 Participants
n=205 Participants
771 Participants
n=805 Participants
Social Determinants of Health (SDOH): Utilities
Missing
2 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants
Social Determinants of Health (SDOH): Stable Housing
Yes
14 Participants
n=203 Participants
6 Participants
n=198 Participants
12 Participants
n=199 Participants
16 Participants
n=205 Participants
48 Participants
n=805 Participants
Social Determinants of Health (SDOH): Stable Housing
No
187 Participants
n=203 Participants
192 Participants
n=198 Participants
187 Participants
n=199 Participants
188 Participants
n=205 Participants
754 Participants
n=805 Participants
Social Determinants of Health (SDOH): Stable Housing
Missing
2 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants
Social Determinants of Health (SDOH): Emotional Support
Yes
185 Participants
n=203 Participants
180 Participants
n=198 Participants
184 Participants
n=199 Participants
187 Participants
n=205 Participants
736 Participants
n=805 Participants
Social Determinants of Health (SDOH): Emotional Support
No
16 Participants
n=203 Participants
17 Participants
n=198 Participants
15 Participants
n=199 Participants
17 Participants
n=205 Participants
65 Participants
n=805 Participants
Social Determinants of Health (SDOH): Emotional Support
Missing
2 Participants
n=203 Participants
1 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
4 Participants
n=805 Participants
Social Determinants of Health (SDOH): Number of Close Friends
0
1 Participants
n=203 Participants
8 Participants
n=198 Participants
6 Participants
n=199 Participants
2 Participants
n=205 Participants
17 Participants
n=805 Participants
Social Determinants of Health (SDOH): Number of Close Friends
1-2
46 Participants
n=203 Participants
41 Participants
n=198 Participants
46 Participants
n=199 Participants
49 Participants
n=205 Participants
182 Participants
n=805 Participants
Social Determinants of Health (SDOH): Number of Close Friends
3-5
99 Participants
n=203 Participants
89 Participants
n=198 Participants
90 Participants
n=199 Participants
94 Participants
n=205 Participants
372 Participants
n=805 Participants
Social Determinants of Health (SDOH): Number of Close Friends
6-10
36 Participants
n=203 Participants
40 Participants
n=198 Participants
40 Participants
n=199 Participants
48 Participants
n=205 Participants
164 Participants
n=805 Participants
Social Determinants of Health (SDOH): Number of Close Friends
More than 10
19 Participants
n=203 Participants
20 Participants
n=198 Participants
17 Participants
n=199 Participants
11 Participants
n=205 Participants
67 Participants
n=805 Participants
Social Determinants of Health (SDOH): Number of Close Friends
Missing
2 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants
Perceived Discrimination: Race/Ethnicity
Never
113 Participants
n=203 Participants
120 Participants
n=198 Participants
115 Participants
n=199 Participants
126 Participants
n=205 Participants
474 Participants
n=805 Participants
Perceived Discrimination: Race/Ethnicity
Rarely
47 Participants
n=203 Participants
42 Participants
n=198 Participants
45 Participants
n=199 Participants
40 Participants
n=205 Participants
174 Participants
n=805 Participants
Perceived Discrimination: Race/Ethnicity
Sometimes
40 Participants
n=203 Participants
36 Participants
n=198 Participants
39 Participants
n=199 Participants
38 Participants
n=205 Participants
153 Participants
n=805 Participants
Perceived Discrimination: Race/Ethnicity
Often to Almost Always
0 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
0 Participants
n=205 Participants
0 Participants
n=805 Participants
Perceived Discrimination: Race/Ethnicity
Not sure
0 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
0 Participants
n=205 Participants
0 Participants
n=805 Participants
Perceived Discrimination: Race/Ethnicity
Missing
3 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
4 Participants
n=805 Participants
Perceived Discrimination: Orientation/Gender Identity
Never
161 Participants
n=203 Participants
172 Participants
n=198 Participants
159 Participants
n=199 Participants
166 Participants
n=205 Participants
658 Participants
n=805 Participants
Perceived Discrimination: Orientation/Gender Identity
Rarely
24 Participants
n=203 Participants
16 Participants
n=198 Participants
20 Participants
n=199 Participants
19 Participants
n=205 Participants
79 Participants
n=805 Participants
Perceived Discrimination: Orientation/Gender Identity
Sometimes
16 Participants
n=203 Participants
10 Participants
n=198 Participants
20 Participants
n=199 Participants
19 Participants
n=205 Participants
65 Participants
n=805 Participants
Perceived Discrimination: Orientation/Gender Identity
Often to Almost Always
0 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
0 Participants
n=205 Participants
0 Participants
n=805 Participants
Perceived Discrimination: Orientation/Gender Identity
Not sure
0 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
0 Participants
n=205 Participants
0 Participants
n=805 Participants
Perceived Discrimination: Orientation/Gender Identity
Missing
2 Participants
n=203 Participants
0 Participants
n=198 Participants
0 Participants
n=199 Participants
1 Participants
n=205 Participants
3 Participants
n=805 Participants

PRIMARY outcome

Timeframe: Baseline, 24 Weeks

Population: The analysis population is the all-randomized population to Stage 1 interventions.

Patient-reported pain intensity and interference is measured by the Pain, Enjoyment of Life, and General Activity (PEG) scale. The PEG is a series of 3 questions. Results range from -10 to 10, with higher scores indicating increased pain intensity and interference at 24 Weeks compared to Baseline.

Outcome measures

Outcome measures
Measure
Stage 1: Acceptance and Commitment Therapy (ACT)
n=203 Participants
ACT is a form of cognitive behavioral therapy that is well established for the treatment of chronic pain. The goal of ACT is to build psychological flexibility thereby interrupting pain avoidance behavior patterns. Participants randomized to ACT will take part in 12 sessions over the course of 12 weeks. Sessions will be delivered as a combination of 4 remote face-to-face visits with a therapist and 8 therapist-supported online sessions (self-directed online modules supported by provider coaching). Online sessions will focus on helping participants accept pain, connect with negative thoughts and emotions, develop mindfulness and identify and commit to values and goals that are important to them. During face-to-face sessions with the therapist, participants will be encouraged to share their experience of skills practice and mastery, provide examples of skill use at home, and describe what barriers they encountered.
Stage 1: Duloxetine
n=198 Participants
Duloxetine is a serotonin norepinephrine reuptake inhibitor (SNRI) that is FDA-approved for use in Chronic Low-Back Pain, and, as such, is included as a recommended therapy in nearly all current treatment guidelines for low back pain. Study participants will be treated with duloxetine for 12 weeks during the active treatment phase. At the time of randomization, the approved drug pharmacy at each study site will dispense between 185 and 192 duloxetine 30 mg capsules and provide to participants. This will ensure enough capsules to maintain up to a 60 mg dosage through the 12-week intervention phase and to taper the dose in the 13th week if needed.
Stage 1: Evidence Based Exercise and Manual Therapy (EBEM)
n=199 Participants
Licensed physical therapists (PTs) or Doctors of Chiropractic (DCs) will rely on evidence-based guidance to direct decision-making on the particular type of manual and exercise therapy that may be best suited to an individual study participant. Special attention will be paid to the clinician's choice of language in regard to the purpose and expected outcomes of manual therapy in order to avoid enhancing catastrophizing ideations or preference for passive interventions. A total of 10 sessions will be provided over an 8-week treatment period. Two sessions per week are provided in the first two weeks followed by weekly sessions over the next 6 weeks. Treatment sessions will last approximately 60 minutes each.
Stage 1: Enhanced Self-Care Therapy (ESC)
n=205 Participants
The Enhanced Self-Care intervention will be comprised of educational modules on evidence-based cognitive-behavioral self-management skills for pain. These modules will be provided digitally for self-administration over a period of 12 weeks. There will be no therapist associated with the delivery of these educational materials; however, after the first four modules, email or text messages will be used to make personalized recommendations for accessing additional modules based upon identified problems from the baseline assessment. Additionally, the walking program module will utilize Fitbit step tracking to allow participants to monitor their walking progress.
Patient-Reported Pain Intensity and Interference Score
4.16 score on a scale
Interval 3.74 to 4.58
3.86 score on a scale
Interval 3.43 to 4.28
3.57 score on a scale
Interval 3.15 to 3.99
4.72 score on a scale
Interval 4.3 to 5.14

SECONDARY outcome

Timeframe: Baseline, 24 Weeks

Population: The analysis population is the all-randomized population to Stage 1 interventions.

Pain interference is measured by the 4-item PROMIS (Patient-Reported Outcomes Measurement Information System) Pain Interference scale (PROMIS-PI, 4a). The PROMIS-PI, 4a is a series of 4 questions, and measures self-reported consequences of pain on relevant aspects of one's life. Results range from -34 to 34 (t-scores range from 41.6 to 75.6). For each t-score, 50 indicates the population mean with a standard deviation of 10. Lower scores indicate lower pain interference and a better outcome. PROMIS measures are not used for clinical decision making but to describe participant symptoms.

Outcome measures

Outcome measures
Measure
Stage 1: Acceptance and Commitment Therapy (ACT)
n=203 Participants
ACT is a form of cognitive behavioral therapy that is well established for the treatment of chronic pain. The goal of ACT is to build psychological flexibility thereby interrupting pain avoidance behavior patterns. Participants randomized to ACT will take part in 12 sessions over the course of 12 weeks. Sessions will be delivered as a combination of 4 remote face-to-face visits with a therapist and 8 therapist-supported online sessions (self-directed online modules supported by provider coaching). Online sessions will focus on helping participants accept pain, connect with negative thoughts and emotions, develop mindfulness and identify and commit to values and goals that are important to them. During face-to-face sessions with the therapist, participants will be encouraged to share their experience of skills practice and mastery, provide examples of skill use at home, and describe what barriers they encountered.
Stage 1: Duloxetine
n=198 Participants
Duloxetine is a serotonin norepinephrine reuptake inhibitor (SNRI) that is FDA-approved for use in Chronic Low-Back Pain, and, as such, is included as a recommended therapy in nearly all current treatment guidelines for low back pain. Study participants will be treated with duloxetine for 12 weeks during the active treatment phase. At the time of randomization, the approved drug pharmacy at each study site will dispense between 185 and 192 duloxetine 30 mg capsules and provide to participants. This will ensure enough capsules to maintain up to a 60 mg dosage through the 12-week intervention phase and to taper the dose in the 13th week if needed.
Stage 1: Evidence Based Exercise and Manual Therapy (EBEM)
n=199 Participants
Licensed physical therapists (PTs) or Doctors of Chiropractic (DCs) will rely on evidence-based guidance to direct decision-making on the particular type of manual and exercise therapy that may be best suited to an individual study participant. Special attention will be paid to the clinician's choice of language in regard to the purpose and expected outcomes of manual therapy in order to avoid enhancing catastrophizing ideations or preference for passive interventions. A total of 10 sessions will be provided over an 8-week treatment period. Two sessions per week are provided in the first two weeks followed by weekly sessions over the next 6 weeks. Treatment sessions will last approximately 60 minutes each.
Stage 1: Enhanced Self-Care Therapy (ESC)
n=205 Participants
The Enhanced Self-Care intervention will be comprised of educational modules on evidence-based cognitive-behavioral self-management skills for pain. These modules will be provided digitally for self-administration over a period of 12 weeks. There will be no therapist associated with the delivery of these educational materials; however, after the first four modules, email or text messages will be used to make personalized recommendations for accessing additional modules based upon identified problems from the baseline assessment. Additionally, the walking program module will utilize Fitbit step tracking to allow participants to monitor their walking progress.
Patient-Reported Outcomes Measurement Information System-Pain Interference
59.03 t-scores
Interval 57.67 to 60.39
58.48 t-scores
Interval 57.12 to 59.84
57.61 t-scores
Interval 56.25 to 58.97
60.13 t-scores
Interval 58.77 to 61.49

SECONDARY outcome

Timeframe: 24 Weeks

Population: The analysis population is the all-randomized population to Stage 1 interventions.

The number of participants self-reporting taking opioids ("Yes" response) is measured by a single question, "Are you currently taking any opioid pain medication on a daily basis?".

Outcome measures

Outcome measures
Measure
Stage 1: Acceptance and Commitment Therapy (ACT)
n=203 Participants
ACT is a form of cognitive behavioral therapy that is well established for the treatment of chronic pain. The goal of ACT is to build psychological flexibility thereby interrupting pain avoidance behavior patterns. Participants randomized to ACT will take part in 12 sessions over the course of 12 weeks. Sessions will be delivered as a combination of 4 remote face-to-face visits with a therapist and 8 therapist-supported online sessions (self-directed online modules supported by provider coaching). Online sessions will focus on helping participants accept pain, connect with negative thoughts and emotions, develop mindfulness and identify and commit to values and goals that are important to them. During face-to-face sessions with the therapist, participants will be encouraged to share their experience of skills practice and mastery, provide examples of skill use at home, and describe what barriers they encountered.
Stage 1: Duloxetine
n=198 Participants
Duloxetine is a serotonin norepinephrine reuptake inhibitor (SNRI) that is FDA-approved for use in Chronic Low-Back Pain, and, as such, is included as a recommended therapy in nearly all current treatment guidelines for low back pain. Study participants will be treated with duloxetine for 12 weeks during the active treatment phase. At the time of randomization, the approved drug pharmacy at each study site will dispense between 185 and 192 duloxetine 30 mg capsules and provide to participants. This will ensure enough capsules to maintain up to a 60 mg dosage through the 12-week intervention phase and to taper the dose in the 13th week if needed.
Stage 1: Evidence Based Exercise and Manual Therapy (EBEM)
n=199 Participants
Licensed physical therapists (PTs) or Doctors of Chiropractic (DCs) will rely on evidence-based guidance to direct decision-making on the particular type of manual and exercise therapy that may be best suited to an individual study participant. Special attention will be paid to the clinician's choice of language in regard to the purpose and expected outcomes of manual therapy in order to avoid enhancing catastrophizing ideations or preference for passive interventions. A total of 10 sessions will be provided over an 8-week treatment period. Two sessions per week are provided in the first two weeks followed by weekly sessions over the next 6 weeks. Treatment sessions will last approximately 60 minutes each.
Stage 1: Enhanced Self-Care Therapy (ESC)
n=205 Participants
The Enhanced Self-Care intervention will be comprised of educational modules on evidence-based cognitive-behavioral self-management skills for pain. These modules will be provided digitally for self-administration over a period of 12 weeks. There will be no therapist associated with the delivery of these educational materials; however, after the first four modules, email or text messages will be used to make personalized recommendations for accessing additional modules based upon identified problems from the baseline assessment. Additionally, the walking program module will utilize Fitbit step tracking to allow participants to monitor their walking progress.
Number of Participants Self-Reporting Taking Opioids
8 Participants
6 Participants
8 Participants
9 Participants

SECONDARY outcome

Timeframe: Baseline, 24 Weeks

Population: The analysis population is the all-randomized population to Stage 1 interventions.

Physical function is measured by the Patient-Reported Outcomes Measurement Information System-Physical Function (PROMIS-PF) Short Form 6b. The PROMIS-PF Short Form 6b is a series of 6 questions. T-scores range from 21.6 to 58.7 and for each t-score, 50 indicates the population mean with a standard deviation of 10. Results range from -37.1 to 37.1, with higher physical function scores indicating a better outcome and increased physical functioning at 24 Weeks compared to Baseline. A higher physical function is the better outcome. PROMIS measures are not used for clinical decision making but to describe participant symptoms.

Outcome measures

Outcome measures
Measure
Stage 1: Acceptance and Commitment Therapy (ACT)
n=203 Participants
ACT is a form of cognitive behavioral therapy that is well established for the treatment of chronic pain. The goal of ACT is to build psychological flexibility thereby interrupting pain avoidance behavior patterns. Participants randomized to ACT will take part in 12 sessions over the course of 12 weeks. Sessions will be delivered as a combination of 4 remote face-to-face visits with a therapist and 8 therapist-supported online sessions (self-directed online modules supported by provider coaching). Online sessions will focus on helping participants accept pain, connect with negative thoughts and emotions, develop mindfulness and identify and commit to values and goals that are important to them. During face-to-face sessions with the therapist, participants will be encouraged to share their experience of skills practice and mastery, provide examples of skill use at home, and describe what barriers they encountered.
Stage 1: Duloxetine
n=198 Participants
Duloxetine is a serotonin norepinephrine reuptake inhibitor (SNRI) that is FDA-approved for use in Chronic Low-Back Pain, and, as such, is included as a recommended therapy in nearly all current treatment guidelines for low back pain. Study participants will be treated with duloxetine for 12 weeks during the active treatment phase. At the time of randomization, the approved drug pharmacy at each study site will dispense between 185 and 192 duloxetine 30 mg capsules and provide to participants. This will ensure enough capsules to maintain up to a 60 mg dosage through the 12-week intervention phase and to taper the dose in the 13th week if needed.
Stage 1: Evidence Based Exercise and Manual Therapy (EBEM)
n=199 Participants
Licensed physical therapists (PTs) or Doctors of Chiropractic (DCs) will rely on evidence-based guidance to direct decision-making on the particular type of manual and exercise therapy that may be best suited to an individual study participant. Special attention will be paid to the clinician's choice of language in regard to the purpose and expected outcomes of manual therapy in order to avoid enhancing catastrophizing ideations or preference for passive interventions. A total of 10 sessions will be provided over an 8-week treatment period. Two sessions per week are provided in the first two weeks followed by weekly sessions over the next 6 weeks. Treatment sessions will last approximately 60 minutes each.
Stage 1: Enhanced Self-Care Therapy (ESC)
n=205 Participants
The Enhanced Self-Care intervention will be comprised of educational modules on evidence-based cognitive-behavioral self-management skills for pain. These modules will be provided digitally for self-administration over a period of 12 weeks. There will be no therapist associated with the delivery of these educational materials; however, after the first four modules, email or text messages will be used to make personalized recommendations for accessing additional modules based upon identified problems from the baseline assessment. Additionally, the walking program module will utilize Fitbit step tracking to allow participants to monitor their walking progress.
Patient-Reported Outcomes Measurement Information System- Physical Function
42.14 t-scores
Interval 40.81 to 43.46
43.32 t-scores
Interval 41.99 to 44.64
43.11 t-scores
Interval 41.78 to 44.43
41.18 t-scores
Interval 39.86 to 42.5

SECONDARY outcome

Timeframe: Baseline, 24 Weeks

Population: The analysis population is the all-randomized population to Stage 1 interventions.

Depression score is measured by the Patient-Reported Outcomes Measurement Information System (PROMIS) 4-item depression scale from the PROMIS 29 profile. The PROMIS 4-item depression scale from the PROMIS 29 profile is a series of 4 questions. T-scores range from 41.0 to 79.4), and for each t-score, 50 indicates the population mean with a standard deviation of 10. Results range from -38.4 to 38.4, with higher scores indicating increased depression at 24 Weeks compared to Baseline. A lower depression score is the better outcome. PROMIS measures are not used for clinical decision making but to describe participant symptoms.

Outcome measures

Outcome measures
Measure
Stage 1: Acceptance and Commitment Therapy (ACT)
n=203 Participants
ACT is a form of cognitive behavioral therapy that is well established for the treatment of chronic pain. The goal of ACT is to build psychological flexibility thereby interrupting pain avoidance behavior patterns. Participants randomized to ACT will take part in 12 sessions over the course of 12 weeks. Sessions will be delivered as a combination of 4 remote face-to-face visits with a therapist and 8 therapist-supported online sessions (self-directed online modules supported by provider coaching). Online sessions will focus on helping participants accept pain, connect with negative thoughts and emotions, develop mindfulness and identify and commit to values and goals that are important to them. During face-to-face sessions with the therapist, participants will be encouraged to share their experience of skills practice and mastery, provide examples of skill use at home, and describe what barriers they encountered.
Stage 1: Duloxetine
n=198 Participants
Duloxetine is a serotonin norepinephrine reuptake inhibitor (SNRI) that is FDA-approved for use in Chronic Low-Back Pain, and, as such, is included as a recommended therapy in nearly all current treatment guidelines for low back pain. Study participants will be treated with duloxetine for 12 weeks during the active treatment phase. At the time of randomization, the approved drug pharmacy at each study site will dispense between 185 and 192 duloxetine 30 mg capsules and provide to participants. This will ensure enough capsules to maintain up to a 60 mg dosage through the 12-week intervention phase and to taper the dose in the 13th week if needed.
Stage 1: Evidence Based Exercise and Manual Therapy (EBEM)
n=199 Participants
Licensed physical therapists (PTs) or Doctors of Chiropractic (DCs) will rely on evidence-based guidance to direct decision-making on the particular type of manual and exercise therapy that may be best suited to an individual study participant. Special attention will be paid to the clinician's choice of language in regard to the purpose and expected outcomes of manual therapy in order to avoid enhancing catastrophizing ideations or preference for passive interventions. A total of 10 sessions will be provided over an 8-week treatment period. Two sessions per week are provided in the first two weeks followed by weekly sessions over the next 6 weeks. Treatment sessions will last approximately 60 minutes each.
Stage 1: Enhanced Self-Care Therapy (ESC)
n=205 Participants
The Enhanced Self-Care intervention will be comprised of educational modules on evidence-based cognitive-behavioral self-management skills for pain. These modules will be provided digitally for self-administration over a period of 12 weeks. There will be no therapist associated with the delivery of these educational materials; however, after the first four modules, email or text messages will be used to make personalized recommendations for accessing additional modules based upon identified problems from the baseline assessment. Additionally, the walking program module will utilize Fitbit step tracking to allow participants to monitor their walking progress.
Patient-Reported Outcomes Measurement Information System (PROMIS) - Depression Score
49.22 t-scores
Interval 47.71 to 50.74
47.83 t-scores
Interval 46.32 to 49.35
49.03 t-scores
Interval 47.51 to 50.54
50.19 t-scores
Interval 48.68 to 51.71

SECONDARY outcome

Timeframe: Baseline, 24 Weeks

Population: The analysis population is the all-randomized population to Stage 1 interventions.

Anxiety score is measured by the Patient-Reported Outcomes Measurement Information System-Emotional Distress-Anxiety (PROMIS-EDA) scale 4a. The PROMIS-EDA 4a is a series of 4 questions. T-scores range from 40.3 to 81.6, and for each t-score, 50 indicates the population mean with a standard deviation of 10. Results range from -41.3 to 41.3, with higher scores indicating increased anxiety at 24 Weeks compared to Baseline. A lower anxiety score is the better outcome. PROMIS measures are not used for clinical decision making but to describe participant symptoms.

Outcome measures

Outcome measures
Measure
Stage 1: Acceptance and Commitment Therapy (ACT)
n=203 Participants
ACT is a form of cognitive behavioral therapy that is well established for the treatment of chronic pain. The goal of ACT is to build psychological flexibility thereby interrupting pain avoidance behavior patterns. Participants randomized to ACT will take part in 12 sessions over the course of 12 weeks. Sessions will be delivered as a combination of 4 remote face-to-face visits with a therapist and 8 therapist-supported online sessions (self-directed online modules supported by provider coaching). Online sessions will focus on helping participants accept pain, connect with negative thoughts and emotions, develop mindfulness and identify and commit to values and goals that are important to them. During face-to-face sessions with the therapist, participants will be encouraged to share their experience of skills practice and mastery, provide examples of skill use at home, and describe what barriers they encountered.
Stage 1: Duloxetine
n=198 Participants
Duloxetine is a serotonin norepinephrine reuptake inhibitor (SNRI) that is FDA-approved for use in Chronic Low-Back Pain, and, as such, is included as a recommended therapy in nearly all current treatment guidelines for low back pain. Study participants will be treated with duloxetine for 12 weeks during the active treatment phase. At the time of randomization, the approved drug pharmacy at each study site will dispense between 185 and 192 duloxetine 30 mg capsules and provide to participants. This will ensure enough capsules to maintain up to a 60 mg dosage through the 12-week intervention phase and to taper the dose in the 13th week if needed.
Stage 1: Evidence Based Exercise and Manual Therapy (EBEM)
n=199 Participants
Licensed physical therapists (PTs) or Doctors of Chiropractic (DCs) will rely on evidence-based guidance to direct decision-making on the particular type of manual and exercise therapy that may be best suited to an individual study participant. Special attention will be paid to the clinician's choice of language in regard to the purpose and expected outcomes of manual therapy in order to avoid enhancing catastrophizing ideations or preference for passive interventions. A total of 10 sessions will be provided over an 8-week treatment period. Two sessions per week are provided in the first two weeks followed by weekly sessions over the next 6 weeks. Treatment sessions will last approximately 60 minutes each.
Stage 1: Enhanced Self-Care Therapy (ESC)
n=205 Participants
The Enhanced Self-Care intervention will be comprised of educational modules on evidence-based cognitive-behavioral self-management skills for pain. These modules will be provided digitally for self-administration over a period of 12 weeks. There will be no therapist associated with the delivery of these educational materials; however, after the first four modules, email or text messages will be used to make personalized recommendations for accessing additional modules based upon identified problems from the baseline assessment. Additionally, the walking program module will utilize Fitbit step tracking to allow participants to monitor their walking progress.
Patient-Reported Outcomes Measurement Information System-Emotional Distress-Anxiety
49.73 t-scores
Interval 48.1 to 51.35
48.15 t-scores
Interval 46.52 to 49.77
49.14 t-scores
Interval 47.52 to 50.77
50.43 t-scores
Interval 48.8 to 52.05

SECONDARY outcome

Timeframe: Baseline, 24 Weeks

Population: The analysis population is the all-randomized population to Stage 1 interventions.

Sleep disturbance is measured by the Patient-Reported Outcomes Measurement Information System (PROMIS) short form 6a. The PROMIS short form 6a is a series of 6 questions. T-scores range from 31.7 to 76.1 and for each t-score, 50 indicates the population mean with a standard deviation of 10). Results range from -44.4 to 44.4, with higher scores indicating increased sleep disturbance at 24 Weeks compared to Baseline. A lower sleep disturbance score is the better outcome. PPROMIS measures are not used for clinical decision making but to describe participant symptoms.

Outcome measures

Outcome measures
Measure
Stage 1: Acceptance and Commitment Therapy (ACT)
n=203 Participants
ACT is a form of cognitive behavioral therapy that is well established for the treatment of chronic pain. The goal of ACT is to build psychological flexibility thereby interrupting pain avoidance behavior patterns. Participants randomized to ACT will take part in 12 sessions over the course of 12 weeks. Sessions will be delivered as a combination of 4 remote face-to-face visits with a therapist and 8 therapist-supported online sessions (self-directed online modules supported by provider coaching). Online sessions will focus on helping participants accept pain, connect with negative thoughts and emotions, develop mindfulness and identify and commit to values and goals that are important to them. During face-to-face sessions with the therapist, participants will be encouraged to share their experience of skills practice and mastery, provide examples of skill use at home, and describe what barriers they encountered.
Stage 1: Duloxetine
n=198 Participants
Duloxetine is a serotonin norepinephrine reuptake inhibitor (SNRI) that is FDA-approved for use in Chronic Low-Back Pain, and, as such, is included as a recommended therapy in nearly all current treatment guidelines for low back pain. Study participants will be treated with duloxetine for 12 weeks during the active treatment phase. At the time of randomization, the approved drug pharmacy at each study site will dispense between 185 and 192 duloxetine 30 mg capsules and provide to participants. This will ensure enough capsules to maintain up to a 60 mg dosage through the 12-week intervention phase and to taper the dose in the 13th week if needed.
Stage 1: Evidence Based Exercise and Manual Therapy (EBEM)
n=199 Participants
Licensed physical therapists (PTs) or Doctors of Chiropractic (DCs) will rely on evidence-based guidance to direct decision-making on the particular type of manual and exercise therapy that may be best suited to an individual study participant. Special attention will be paid to the clinician's choice of language in regard to the purpose and expected outcomes of manual therapy in order to avoid enhancing catastrophizing ideations or preference for passive interventions. A total of 10 sessions will be provided over an 8-week treatment period. Two sessions per week are provided in the first two weeks followed by weekly sessions over the next 6 weeks. Treatment sessions will last approximately 60 minutes each.
Stage 1: Enhanced Self-Care Therapy (ESC)
n=205 Participants
The Enhanced Self-Care intervention will be comprised of educational modules on evidence-based cognitive-behavioral self-management skills for pain. These modules will be provided digitally for self-administration over a period of 12 weeks. There will be no therapist associated with the delivery of these educational materials; however, after the first four modules, email or text messages will be used to make personalized recommendations for accessing additional modules based upon identified problems from the baseline assessment. Additionally, the walking program module will utilize Fitbit step tracking to allow participants to monitor their walking progress.
Patient-Reported Outcomes Measurement Information System - Sleep Disturbance
52.61 t-scores
Interval 50.98 to 54.25
51.45 t-scores
Interval 49.82 to 53.09
51.91 t-scores
Interval 50.28 to 53.54
53.21 t-scores
Interval 51.58 to 54.84

SECONDARY outcome

Timeframe: Baseline, 24 Weeks

Population: The analysis population is the all-randomized population to Stage 1 interventions.

Sleep duration is measured by the Back Pain Consortium (BACPAC) sleep duration question, "During the past month, how many hours and minutes of actual sleep did you get at night? (This may be different than the number of hours and minutes you spent in bed)." Participants respond with a number of hours and minutes. Results range from -24 to 24 hours, with higher number of hours indicating increased sleep duration at 24 Weeks compared to Baseline.

Outcome measures

Outcome measures
Measure
Stage 1: Acceptance and Commitment Therapy (ACT)
n=203 Participants
ACT is a form of cognitive behavioral therapy that is well established for the treatment of chronic pain. The goal of ACT is to build psychological flexibility thereby interrupting pain avoidance behavior patterns. Participants randomized to ACT will take part in 12 sessions over the course of 12 weeks. Sessions will be delivered as a combination of 4 remote face-to-face visits with a therapist and 8 therapist-supported online sessions (self-directed online modules supported by provider coaching). Online sessions will focus on helping participants accept pain, connect with negative thoughts and emotions, develop mindfulness and identify and commit to values and goals that are important to them. During face-to-face sessions with the therapist, participants will be encouraged to share their experience of skills practice and mastery, provide examples of skill use at home, and describe what barriers they encountered.
Stage 1: Duloxetine
n=198 Participants
Duloxetine is a serotonin norepinephrine reuptake inhibitor (SNRI) that is FDA-approved for use in Chronic Low-Back Pain, and, as such, is included as a recommended therapy in nearly all current treatment guidelines for low back pain. Study participants will be treated with duloxetine for 12 weeks during the active treatment phase. At the time of randomization, the approved drug pharmacy at each study site will dispense between 185 and 192 duloxetine 30 mg capsules and provide to participants. This will ensure enough capsules to maintain up to a 60 mg dosage through the 12-week intervention phase and to taper the dose in the 13th week if needed.
Stage 1: Evidence Based Exercise and Manual Therapy (EBEM)
n=199 Participants
Licensed physical therapists (PTs) or Doctors of Chiropractic (DCs) will rely on evidence-based guidance to direct decision-making on the particular type of manual and exercise therapy that may be best suited to an individual study participant. Special attention will be paid to the clinician's choice of language in regard to the purpose and expected outcomes of manual therapy in order to avoid enhancing catastrophizing ideations or preference for passive interventions. A total of 10 sessions will be provided over an 8-week treatment period. Two sessions per week are provided in the first two weeks followed by weekly sessions over the next 6 weeks. Treatment sessions will last approximately 60 minutes each.
Stage 1: Enhanced Self-Care Therapy (ESC)
n=205 Participants
The Enhanced Self-Care intervention will be comprised of educational modules on evidence-based cognitive-behavioral self-management skills for pain. These modules will be provided digitally for self-administration over a period of 12 weeks. There will be no therapist associated with the delivery of these educational materials; however, after the first four modules, email or text messages will be used to make personalized recommendations for accessing additional modules based upon identified problems from the baseline assessment. Additionally, the walking program module will utilize Fitbit step tracking to allow participants to monitor their walking progress.
Sleep Duration
6.82 units on a scale
Interval 6.58 to 7.06
6.74 units on a scale
Interval 6.49 to 6.98
6.73 units on a scale
Interval 6.49 to 6.97
6.67 units on a scale
Interval 6.43 to 6.91

Adverse Events

Stage 1: Acceptance and Commitment Therapy (ACT)

Serious events: 4 serious events
Other events: 2 other events
Deaths: 0 deaths

Stage 1: Duloxetine

Serious events: 1 serious events
Other events: 92 other events
Deaths: 0 deaths

Stage 1: Evidence Based Exercise and Manual Therapy (EBEM)

Serious events: 6 serious events
Other events: 7 other events
Deaths: 0 deaths

Stage 1: Enhanced Self-Care Therapy (ESC)

Serious events: 2 serious events
Other events: 4 other events
Deaths: 0 deaths

Stage 2: Acceptance and Commitment Therapy (ACT)

Serious events: 4 serious events
Other events: 1 other events
Deaths: 0 deaths

Stage 2: Duloxetine

Serious events: 0 serious events
Other events: 29 other events
Deaths: 0 deaths

Stage 2: Evidence Based Exercise and Manual Therapy (EBEM)

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

Stage 2: Enhanced Self-Care Therapy (ESC)

Serious events: 2 serious events
Other events: 0 other events
Deaths: 0 deaths

Stage 2: ACT and Duloxetine

Serious events: 1 serious events
Other events: 12 other events
Deaths: 0 deaths

Stage 2: ACT and EBEM

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

Stage 2: ACT and ESC

Serious events: 4 serious events
Other events: 2 other events
Deaths: 0 deaths

Stage 2: Duloxetine and EBEM

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Stage 2: Duloxetine and ESC

Serious events: 1 serious events
Other events: 18 other events
Deaths: 0 deaths

Stage 2: EBEM and ESC

Serious events: 4 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Stage 1: Acceptance and Commitment Therapy (ACT)
n=191 participants at risk
ACT is a form of cognitive behavioral therapy that is well established for the treatment of chronic pain. The goal of ACT is to build psychological flexibility thereby interrupting pain avoidance behavior patterns. Participants randomized to ACT will take part in 12 sessions over the course of 12 weeks. Sessions will be delivered as a combination of 4 remote face-to-face visits with a therapist and 8 therapist-supported online sessions (self-directed online modules supported by provider coaching). Online sessions will focus on helping participants accept pain, connect with negative thoughts and emotions, develop mindfulness and identify and commit to values and goals that are important to them. During face-to-face sessions with the therapist, participants will be encouraged to share their experience of skills practice and mastery, provide examples of skill use at home, and describe what barriers they encountered.
Stage 1: Duloxetine
n=172 participants at risk
Duloxetine is a serotonin norepinephrine reuptake inhibitor (SNRI) that is FDA-approved for use in Chronic Low-Back Pain, and, as such, is included as a recommended therapy in nearly all current treatment guidelines for low back pain. Study participants will be treated with duloxetine for 12 weeks during the active treatment phase. At the time of randomization, the approved drug pharmacy at each study site will dispense between 185 and 192 duloxetine 30 mg capsules and provide to participants. This will ensure enough capsules to maintain up to a 60 mg dosage through the 12-week intervention phase and to taper the dose in the 13th week if needed.
Stage 1: Evidence Based Exercise and Manual Therapy (EBEM)
n=184 participants at risk
Licensed physical therapists (PTs) or Doctors of Chiropractic (DCs) will rely on evidence-based guidance to direct decision-making on the particular type of manual and exercise therapy that may be best suited to an individual study participant. Special attention will be paid to the clinician's choice of language in regard to the purpose and expected outcomes of manual therapy in order to avoid enhancing catastrophizing ideations or preference for passive interventions. A total of 10 sessions will be provided over an 8-week treatment period. Two sessions per week are provided in the first two weeks followed by weekly sessions over the next 6 weeks. Treatment sessions will last approximately 60 minutes each.
Stage 1: Enhanced Self-Care Therapy (ESC)
n=205 participants at risk
The Enhanced Self-Care intervention will be comprised of educational modules on evidence-based cognitive-behavioral self-management skills for pain. These modules will be provided digitally for self-administration over a period of 12 weeks. There will be no therapist associated with the delivery of these educational materials; however, after the first four modules, email or text messages will be used to make personalized recommendations for accessing additional modules based upon identified problems from the baseline assessment. Additionally, the walking program module will utilize Fitbit step tracking to allow participants to monitor their walking progress.
Stage 2: Acceptance and Commitment Therapy (ACT)
n=65 participants at risk
Participants newly randomized to ACT in Stage 2 will take part in 12 sessions over the course of 12 weeks. Sessions will be delivered as a combination of 4 remote face-to-face visits with a therapist and 8 therapist-supported online sessions (self-directed online modules supported by provider coaching). Participants assigned to maintain ACT will be encouraged to continue at-home skills and will have access to all previously viewed online content. In addition, participants will have access to 11 additional online ACT audio modules, but without the communications with the therapist.
Stage 2: Duloxetine
n=71 participants at risk
Study participants will be treated with duloxetine for 12 weeks during the active treatment phase. All participants will be assessed at the midpoint of the intervention treatment period (Week 18) for tolerance, adverse events, and response. At the midpoint phone call: Participants tolerating the medication with no side effects will be instructed to increase to 60mg/day (if currently taking 30mg/day) or remain on their current dosage (if currently taking 60mg/day).
Stage 2: Evidence Based Exercise and Manual Therapy (EBEM)
n=110 participants at risk
Participants newly randomized to EBEM in stage 2 will take part in a total of 10 sessions over an 8-week treatment period. Two sessions per week are provided in the first two weeks followed by weekly sessions over the next 6 weeks. Treatment sessions will last approximately 60 minutes each. Participants assigned to maintain EBEM will receive 4 additional in-person EBEM sessions during weeks 1-4 of this period. If visits are missed and/or need to be rescheduled, visits may be scheduled up to 5 weeks from the date of the first augmenting/maintenance visit.
Stage 2: Enhanced Self-Care Therapy (ESC)
n=85 participants at risk
Participants newly randomized to ESC in stage 2 will be provided modules digitally for self-administration over a period of 12 weeks. There will be no therapist associated with the delivery of these educational materials; however, after the first four modules, email or text messages will be used to make personalized recommendations for accessing additional modules based upon identified problems from the baseline assessment. Additionally, the walking program module will utilize Fitbit step tracking to allow participants to monitor their walking progress. Participants assigned to maintain ESC in the second period intervention will receive personalized recommendations based on the most recently completed PROMIS 29+2.
Stage 2: ACT and Duloxetine
n=33 participants at risk
Participants received both ACT and duloxetine in Stage 2. Participants who received augmented Stage 2 treatments always continued their stage 1 treatment. The continued intervention matches the dose of those maintaining Stage 1 treatment alone, and the added intervention is as if they were newly randomized.
Stage 2: ACT and EBEM
n=52 participants at risk
Participants received both ACT and EBEM in Stage 2. Participants who received augmented Stage 2 treatments always continued their stage 1 treatment. The continued intervention matches the dose of those maintaining Stage 1 treatment alone, and the added intervention is as if they were newly randomized.
Stage 2: ACT and ESC
n=84 participants at risk
Participants received both ACT and ESC in Stage 2. Participants who received augmented Stage 2 treatments always continued their stage 1 treatment. The continued intervention matches the dose of those maintaining Stage 1 treatment alone, and the added intervention is as if they were newly randomized.
Stage 2: Duloxetine and EBEM
n=22 participants at risk
Participants received both duloxetine and EBEM in Stage 2. Participants who received augmented Stage 2 treatments always continued their stage 1 treatment. The continued intervention matches the dose of those maintaining Stage 1 treatment alone, and the added intervention is as if they were newly randomized.
Stage 2: Duloxetine and ESC
n=54 participants at risk
Participants received both duloxetine and ESC in Stage 2. Participants who received augmented Stage 2 treatments always continued their stage 1 treatment. The continued intervention matches the dose of those maintaining Stage 1 treatment alone, and the added intervention is as if they were newly randomized.
Stage 2: EBEM and ESC
n=85 participants at risk
Participants received both EBEM and ESC in Stage 2. Participants who received augmented Stage 2 treatments always continued their stage 1 treatment. The continued intervention matches the dose of those maintaining Stage 1 treatment alone, and the added intervention is as if they were newly randomized.
Reproductive system and breast disorders
Prostate cancer
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
1.2%
1/85 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Cardiac disorders
Atrial Fibrillation
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
1.2%
1/85 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Cardiac disorders
Chest pain
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
1.2%
1/85 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Gastrointestinal disorders
Abdominal pain
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.54%
1/184 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Gastrointestinal disorders
Appendicitis
0.52%
1/191 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Gastrointestinal disorders
Colitis ulcerative
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.91%
1/110 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Gastrointestinal disorders
Gastroenteritis
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
1.5%
1/65 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
3.0%
1/33 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Gastrointestinal disorders
Incisional hernia
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
1.5%
1/65 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Gastrointestinal disorders
Intestinal mass
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.54%
1/184 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
General disorders
Ulcer
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
1.2%
1/85 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Infections and infestations
Cat scratch disease
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
1.2%
1/84 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Infections and infestations
Pneumonia
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
1.2%
1/84 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Injury, poisoning and procedural complications
Accident
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
1.2%
1/85 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Injury, poisoning and procedural complications
Cervical vertebral fracture
0.52%
1/191 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Injury, poisoning and procedural complications
Fall
0.52%
1/191 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
1.9%
1/54 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Injury, poisoning and procedural complications
Ligament rupture
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.54%
1/184 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Investigations
Magnetic resonance imaging abnormal
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.54%
1/184 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Metabolism and nutrition disorders
Ketoacidosis
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.91%
1/110 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine polyp
0.52%
1/191 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Nervous system disorders
Headache
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.54%
1/184 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Nervous system disorders
Migraine
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.58%
1/172 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Renal and urinary disorders
Urinary tract infection
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.54%
1/184 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Reproductive system and breast disorders
Testis cancer
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.91%
1/110 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Social circumstances
Physical assault
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
1.2%
1/84 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Surgical and medical procedures
Knee arthroplasty
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
1.5%
1/65 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
1.2%
1/85 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
1.2%
1/84 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Surgical and medical procedures
Metabolic surgery
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
1.5%
1/65 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Surgical and medical procedures
Psychiatric care
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.49%
1/205 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Vascular disorders
Angina pectoris
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.49%
1/205 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.

Other adverse events

Other adverse events
Measure
Stage 1: Acceptance and Commitment Therapy (ACT)
n=191 participants at risk
ACT is a form of cognitive behavioral therapy that is well established for the treatment of chronic pain. The goal of ACT is to build psychological flexibility thereby interrupting pain avoidance behavior patterns. Participants randomized to ACT will take part in 12 sessions over the course of 12 weeks. Sessions will be delivered as a combination of 4 remote face-to-face visits with a therapist and 8 therapist-supported online sessions (self-directed online modules supported by provider coaching). Online sessions will focus on helping participants accept pain, connect with negative thoughts and emotions, develop mindfulness and identify and commit to values and goals that are important to them. During face-to-face sessions with the therapist, participants will be encouraged to share their experience of skills practice and mastery, provide examples of skill use at home, and describe what barriers they encountered.
Stage 1: Duloxetine
n=172 participants at risk
Duloxetine is a serotonin norepinephrine reuptake inhibitor (SNRI) that is FDA-approved for use in Chronic Low-Back Pain, and, as such, is included as a recommended therapy in nearly all current treatment guidelines for low back pain. Study participants will be treated with duloxetine for 12 weeks during the active treatment phase. At the time of randomization, the approved drug pharmacy at each study site will dispense between 185 and 192 duloxetine 30 mg capsules and provide to participants. This will ensure enough capsules to maintain up to a 60 mg dosage through the 12-week intervention phase and to taper the dose in the 13th week if needed.
Stage 1: Evidence Based Exercise and Manual Therapy (EBEM)
n=184 participants at risk
Licensed physical therapists (PTs) or Doctors of Chiropractic (DCs) will rely on evidence-based guidance to direct decision-making on the particular type of manual and exercise therapy that may be best suited to an individual study participant. Special attention will be paid to the clinician's choice of language in regard to the purpose and expected outcomes of manual therapy in order to avoid enhancing catastrophizing ideations or preference for passive interventions. A total of 10 sessions will be provided over an 8-week treatment period. Two sessions per week are provided in the first two weeks followed by weekly sessions over the next 6 weeks. Treatment sessions will last approximately 60 minutes each.
Stage 1: Enhanced Self-Care Therapy (ESC)
n=205 participants at risk
The Enhanced Self-Care intervention will be comprised of educational modules on evidence-based cognitive-behavioral self-management skills for pain. These modules will be provided digitally for self-administration over a period of 12 weeks. There will be no therapist associated with the delivery of these educational materials; however, after the first four modules, email or text messages will be used to make personalized recommendations for accessing additional modules based upon identified problems from the baseline assessment. Additionally, the walking program module will utilize Fitbit step tracking to allow participants to monitor their walking progress.
Stage 2: Acceptance and Commitment Therapy (ACT)
n=65 participants at risk
Participants newly randomized to ACT in Stage 2 will take part in 12 sessions over the course of 12 weeks. Sessions will be delivered as a combination of 4 remote face-to-face visits with a therapist and 8 therapist-supported online sessions (self-directed online modules supported by provider coaching). Participants assigned to maintain ACT will be encouraged to continue at-home skills and will have access to all previously viewed online content. In addition, participants will have access to 11 additional online ACT audio modules, but without the communications with the therapist.
Stage 2: Duloxetine
n=71 participants at risk
Study participants will be treated with duloxetine for 12 weeks during the active treatment phase. All participants will be assessed at the midpoint of the intervention treatment period (Week 18) for tolerance, adverse events, and response. At the midpoint phone call: Participants tolerating the medication with no side effects will be instructed to increase to 60mg/day (if currently taking 30mg/day) or remain on their current dosage (if currently taking 60mg/day).
Stage 2: Evidence Based Exercise and Manual Therapy (EBEM)
n=110 participants at risk
Participants newly randomized to EBEM in stage 2 will take part in a total of 10 sessions over an 8-week treatment period. Two sessions per week are provided in the first two weeks followed by weekly sessions over the next 6 weeks. Treatment sessions will last approximately 60 minutes each. Participants assigned to maintain EBEM will receive 4 additional in-person EBEM sessions during weeks 1-4 of this period. If visits are missed and/or need to be rescheduled, visits may be scheduled up to 5 weeks from the date of the first augmenting/maintenance visit.
Stage 2: Enhanced Self-Care Therapy (ESC)
n=85 participants at risk
Participants newly randomized to ESC in stage 2 will be provided modules digitally for self-administration over a period of 12 weeks. There will be no therapist associated with the delivery of these educational materials; however, after the first four modules, email or text messages will be used to make personalized recommendations for accessing additional modules based upon identified problems from the baseline assessment. Additionally, the walking program module will utilize Fitbit step tracking to allow participants to monitor their walking progress. Participants assigned to maintain ESC in the second period intervention will receive personalized recommendations based on the most recently completed PROMIS 29+2.
Stage 2: ACT and Duloxetine
n=33 participants at risk
Participants received both ACT and duloxetine in Stage 2. Participants who received augmented Stage 2 treatments always continued their stage 1 treatment. The continued intervention matches the dose of those maintaining Stage 1 treatment alone, and the added intervention is as if they were newly randomized.
Stage 2: ACT and EBEM
n=52 participants at risk
Participants received both ACT and EBEM in Stage 2. Participants who received augmented Stage 2 treatments always continued their stage 1 treatment. The continued intervention matches the dose of those maintaining Stage 1 treatment alone, and the added intervention is as if they were newly randomized.
Stage 2: ACT and ESC
n=84 participants at risk
Participants received both ACT and ESC in Stage 2. Participants who received augmented Stage 2 treatments always continued their stage 1 treatment. The continued intervention matches the dose of those maintaining Stage 1 treatment alone, and the added intervention is as if they were newly randomized.
Stage 2: Duloxetine and EBEM
n=22 participants at risk
Participants received both duloxetine and EBEM in Stage 2. Participants who received augmented Stage 2 treatments always continued their stage 1 treatment. The continued intervention matches the dose of those maintaining Stage 1 treatment alone, and the added intervention is as if they were newly randomized.
Stage 2: Duloxetine and ESC
n=54 participants at risk
Participants received both duloxetine and ESC in Stage 2. Participants who received augmented Stage 2 treatments always continued their stage 1 treatment. The continued intervention matches the dose of those maintaining Stage 1 treatment alone, and the added intervention is as if they were newly randomized.
Stage 2: EBEM and ESC
n=85 participants at risk
Participants received both EBEM and ESC in Stage 2. Participants who received augmented Stage 2 treatments always continued their stage 1 treatment. The continued intervention matches the dose of those maintaining Stage 1 treatment alone, and the added intervention is as if they were newly randomized.
Gastrointestinal disorders
Constipation
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
9.9%
17/172 • Number of events 18 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
2.8%
2/71 • Number of events 2 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
1.9%
1/54 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Gastrointestinal disorders
Diarrhea
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
4.7%
8/172 • Number of events 8 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
4.2%
3/71 • Number of events 3 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
9.3%
5/54 • Number of events 5 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Gastrointestinal disorders
Nausea
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
19.2%
33/172 • Number of events 34 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
19.7%
14/71 • Number of events 14 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
21.2%
7/33 • Number of events 7 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
9.1%
2/22 • Number of events 2 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
16.7%
9/54 • Number of events 9 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
General disorders
Fatigue
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
12.2%
21/172 • Number of events 21 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
1.1%
2/184 • Number of events 2 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.49%
1/205 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
7.0%
5/71 • Number of events 5 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
6.1%
2/33 • Number of events 2 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
4.5%
1/22 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
11.1%
6/54 • Number of events 6 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
1.2%
1/85 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
General disorders
Irritability
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/172 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/71 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
6.1%
2/33 • Number of events 2 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Musculoskeletal and connective tissue disorders
Back pain
1.0%
2/191 • Number of events 2 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.58%
1/172 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
2.2%
4/184 • Number of events 4 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.49%
1/205 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
1.5%
1/65 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
4.2%
3/71 • Number of events 3 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
1.8%
2/110 • Number of events 2 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
3.0%
1/33 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
5.8%
3/52 • Number of events 3 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/54 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
4.7%
4/85 • Number of events 4 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Nervous system disorders
Headache
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
7.0%
12/172 • Number of events 12 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.54%
1/184 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
7.0%
5/71 • Number of events 6 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/33 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
1.2%
1/84 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
9.1%
2/22 • Number of events 2 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
7.4%
4/54 • Number of events 4 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Nervous system disorders
Insomnia
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
6.4%
11/172 • Number of events 11 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
2.8%
2/71 • Number of events 2 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
3.0%
1/33 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
4.5%
1/22 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
5.6%
3/54 • Number of events 3 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Nervous system disorders
Somnolence
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
9.3%
16/172 • Number of events 17 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/205 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
1.4%
1/71 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/110 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
3.0%
1/33 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/84 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/22 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
1.9%
1/54 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
Vascular disorders
Dizziness
0.00%
0/191 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
7.0%
12/172 • Number of events 12 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/184 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.98%
2/205 • Number of events 2 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/65 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
11.3%
8/71 • Number of events 8 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.91%
1/110 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
6.1%
2/33 • Number of events 2 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/52 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
1.2%
1/84 • Number of events 1 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
9.1%
2/22 • Number of events 3 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
5.6%
3/54 • Number of events 3 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.
0.00%
0/85 • All adverse events were recorded between the time the participant provided informed consent at Week -2 (Run-in Period: Weeks -2 to 0) through 4 weeks after their last treatment (Stage 1 intervention period: Weeks 0 to 12; Stage 2 intervention period: Weeks 12 to 24), up to 30 weeks.

Additional Information

Matthew Mauck, MD, PhD

UNC Chapel Hill

Phone: (919) 966-5136

Results disclosure agreements

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