Trial Outcomes & Findings for Phase 3 Study of Difelikefalin in Haemodialysis Chinese Adult Subjects With Moderate-to-Severe Pruritus (NCT NCT05885737)

NCT ID: NCT05885737

Last Updated: 2025-09-12

Results Overview

On a daily basis, participants recorded the intensity of the worst itching they experienced over the past 24 hours using a numerical rating scale (NRS) scale from 0 to 10, where 0 represents "no itching" and 10 was "worst itching imaginable". A higher score indicated a more severe outcome. The weekly mean of the daily values of the daily 24-hour WI-NRS was calculated for the analysis. The least square (LS) means of change from baseline to Week 4 in the weekly mean of the daily 24-hour WI-NRS score was estimated using the mixed model repeated measures (MMRM) method. The MMRM model included use of prior anti-itch medication (yes/no), presence of specific medical conditions at baseline (yes/no), treatment, visit, and treatment-by-visit-interaction as fixed categorical effects and baseline WI-NRS score as fixed continuous effects.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

260 participants

Primary outcome timeframe

From Baseline to Week 4

Results posted on

2025-09-12

Participant Flow

This study was conducted at 35 investigative sites in China.

A total of 291 participants were screened, and 31 of these were screen failures. Of the screened participants, 260 were randomized in the study. Of these 260 participants, 227 completed the double blind (DB) treatment period and 217 of these participants entered the open-label extension (OLE) period of the study.

Participant milestones

Participant milestones
Measure
Difelikefalin/Difelikefalin
Participants received Difelikefalin injected into the venous line of the dialysis circuit at the end of each dialysis session for up to 12 weeks (3 times weekly, 36 times in total) in the DB period. Upon completion of the DB period, participants who chose to enter the optional OLE period received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
Placebo/Difelikefalin
Participants received Placebo injected into the venous line of the dialysis circuit at the end of each dialysis session matching to Difelikefalin for up to 12 weeks (3 times weekly, 36 times in total) in the DB period. Upon completion of the DB period, participants who chose to enter the optional OLE period received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
DB Period
STARTED
130
130
DB Period
Treated
129
130
DB Period
COMPLETED
110
117
DB Period
NOT COMPLETED
20
13
OLE Period
STARTED
103
114
OLE Period
Treated
103
113
OLE Period
COMPLETED
92
106
OLE Period
NOT COMPLETED
11
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Difelikefalin/Difelikefalin
Participants received Difelikefalin injected into the venous line of the dialysis circuit at the end of each dialysis session for up to 12 weeks (3 times weekly, 36 times in total) in the DB period. Upon completion of the DB period, participants who chose to enter the optional OLE period received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
Placebo/Difelikefalin
Participants received Placebo injected into the venous line of the dialysis circuit at the end of each dialysis session matching to Difelikefalin for up to 12 weeks (3 times weekly, 36 times in total) in the DB period. Upon completion of the DB period, participants who chose to enter the optional OLE period received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
DB Period
Adverse Event
4
4
DB Period
Lost to Follow-up
0
1
DB Period
Physician Decision
2
0
DB Period
Withdrawal by Subject
12
6
DB Period
Other: Unspecified
2
2
OLE Period
Adverse Event
3
2
OLE Period
Physician Decision
1
0
OLE Period
Withdrawal by Subject
5
5
OLE Period
Other: Unspecified
2
1

Baseline Characteristics

Phase 3 Study of Difelikefalin in Haemodialysis Chinese Adult Subjects With Moderate-to-Severe Pruritus

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
DB Period: Difelikefalin
n=129 Participants
Participants received Difelikefalin injected into the venous line of the dialysis circuit at the end of each dialysis session for up to 12 weeks (3 times weekly, 36 times in total).
DB Period: Placebo
n=130 Participants
Participants received Placebo injected into the venous line of the dialysis circuit at the end of each dialysis session matching to Difelikefalin for up to 12 weeks (3 times weekly, 36 times in total).
Total
n=259 Participants
Total of all reporting groups
Age, Continuous
56.3 years
STANDARD_DEVIATION 12.26 • n=93 Participants
55.7 years
STANDARD_DEVIATION 12.38 • n=4 Participants
56.0 years
STANDARD_DEVIATION 12.30 • n=27 Participants
Sex: Female, Male
Female
44 Participants
n=93 Participants
42 Participants
n=4 Participants
86 Participants
n=27 Participants
Sex: Female, Male
Male
85 Participants
n=93 Participants
88 Participants
n=4 Participants
173 Participants
n=27 Participants
Race/Ethnicity, Customized
Asian - Chinese
129 Participants
n=93 Participants
130 Participants
n=4 Participants
259 Participants
n=27 Participants
WI-NRS
7.35 score on a scale
STANDARD_DEVIATION 1.291 • n=93 Participants
7.00 score on a scale
STANDARD_DEVIATION 1.223 • n=4 Participants
7.18 score on a scale
STANDARD_DEVIATION 1.268 • n=27 Participants

PRIMARY outcome

Timeframe: From Baseline to Week 4

Population: Analysis was performed on the FAS. The FAS included all participants who were randomized to treatment, received at least 1 dose of investigational product and had a non-missing baseline assessment for the weekly mean of the daily 24-hour WI-NRS score. Here, 'overall number of participants analyzed', 'N' = participants with available data for this outcome measure.

On a daily basis, participants recorded the intensity of the worst itching they experienced over the past 24 hours using a numerical rating scale (NRS) scale from 0 to 10, where 0 represents "no itching" and 10 was "worst itching imaginable". A higher score indicated a more severe outcome. The weekly mean of the daily values of the daily 24-hour WI-NRS was calculated for the analysis. The least square (LS) means of change from baseline to Week 4 in the weekly mean of the daily 24-hour WI-NRS score was estimated using the mixed model repeated measures (MMRM) method. The MMRM model included use of prior anti-itch medication (yes/no), presence of specific medical conditions at baseline (yes/no), treatment, visit, and treatment-by-visit-interaction as fixed categorical effects and baseline WI-NRS score as fixed continuous effects.

Outcome measures

Outcome measures
Measure
DB Period: Difelikefalin
n=119 Participants
Participants received Difelikefalin injected into the venous line of the dialysis circuit at the end of each dialysis session for up to 12 weeks (3 times weekly, 36 times in total).
DB Period: Placebo
n=126 Participants
Participants received Placebo injected into the venous line of the dialysis circuit at the end of each dialysis session matching to Difelikefalin for up to 12 weeks (3 times weekly, 36 times in total).
OLE Period: Difelikefalin/Difelikefalin
Upon completion of the DB period, participants who received Difelikefalin in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
OLE Period: Placebo/Difelikefalin
Upon completion of the DB period, participants who received placebo in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
Change From Baseline in the Weekly Mean of the Daily 24-hour WI-NRS Score at Week 4 of the DB Period
-2.09 score on a scale
Standard Error 0.198
-1.27 score on a scale
Standard Error 0.194

SECONDARY outcome

Timeframe: From Baseline, and at Weeks 4, 8, and 12

Population: Analysis was performed on FAS. The FAS included all participants who were randomized to treatment, received at least 1 dose of investigational product and had a non-missing baseline assessment for the weekly mean of the daily 24-hour WI-NRS score. Here, 'number analyzed', 'n' = participants with available data for each specified timepoint.

On a daily basis, participants recorded the intensity of the worst itching they experienced over the past 24 hours using a NRS scale from 0 to 10, where 0 represents "no itching" and 10 was "worst itching imaginable". A higher score indicated a more severe outcome. The weekly mean of the daily values of the daily 24-hour WI-NRS was calculated for the analysis. Missing weekly mean WI-NRS data were imputed using missing at random (MAR) multiple imputation (MI) approach, assuming that participants who do not have weekly mean WI-NRS score at a timepoint would have similar weekly mean WI-NRS scores as other participants in their respective treatment arm who have complete data. The percentage of participants were estimated using a logistic regression model with terms for treatment group, baseline WI-NRS score, use of anti-itch medication during the week prior to randomisation, and the presence of specific medical conditions at baseline.

Outcome measures

Outcome measures
Measure
DB Period: Difelikefalin
n=129 Participants
Participants received Difelikefalin injected into the venous line of the dialysis circuit at the end of each dialysis session for up to 12 weeks (3 times weekly, 36 times in total).
DB Period: Placebo
n=130 Participants
Participants received Placebo injected into the venous line of the dialysis circuit at the end of each dialysis session matching to Difelikefalin for up to 12 weeks (3 times weekly, 36 times in total).
OLE Period: Difelikefalin/Difelikefalin
Upon completion of the DB period, participants who received Difelikefalin in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
OLE Period: Placebo/Difelikefalin
Upon completion of the DB period, participants who received placebo in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
Percentage of Participants Achieving Greater Than or Equal to (>=) 3-point Improvement From Baseline With Respect to the Weekly Mean of the Daily 24-hour WI-NRS in the DB Period
Week 4
21.9 percentage of participants
Interval 11.4 to 38.1
8.9 percentage of participants
Interval 3.9 to 19.0
Percentage of Participants Achieving Greater Than or Equal to (>=) 3-point Improvement From Baseline With Respect to the Weekly Mean of the Daily 24-hour WI-NRS in the DB Period
Week 8
35.8 percentage of participants
Interval 22.7 to 51.3
22.3 percentage of participants
Interval 12.9 to 35.8
Percentage of Participants Achieving Greater Than or Equal to (>=) 3-point Improvement From Baseline With Respect to the Weekly Mean of the Daily 24-hour WI-NRS in the DB Period
Week 12
48.7 percentage of participants
Interval 34.2 to 63.3
33.8 percentage of participants
Interval 22.0 to 48.0

SECONDARY outcome

Timeframe: From Baseline, and at Weeks 4, 8, and 12

Population: Analysis was performed on FAS. The FAS included all participants who were randomized to treatment, received at least 1 dose of investigational product and had a non-missing baseline assessment for the weekly mean of the daily 24-hour WI-NRS score. Here, 'number analyzed', 'n' = participants with available data for each specified timepoint.

On a daily basis, participants recorded the intensity of the worst itching they experienced over the past 24 hours using a NRS scale from 0 to 10, where 0 represents "no itching" and 10 was "worst itching imaginable". A higher score indicated a more severe outcome. The weekly mean of the daily values of the daily 24-hour WI-NRS was calculated for the analysis. Missing weekly mean WI-NRS data were imputed using MAR-MI approach, assuming that participants who do not have weekly mean WI-NRS score at a timepoint would have similar weekly mean WI-NRS scores as other participants in their respective treatment arm who have complete data.

Outcome measures

Outcome measures
Measure
DB Period: Difelikefalin
n=129 Participants
Participants received Difelikefalin injected into the venous line of the dialysis circuit at the end of each dialysis session for up to 12 weeks (3 times weekly, 36 times in total).
DB Period: Placebo
n=130 Participants
Participants received Placebo injected into the venous line of the dialysis circuit at the end of each dialysis session matching to Difelikefalin for up to 12 weeks (3 times weekly, 36 times in total).
OLE Period: Difelikefalin/Difelikefalin
Upon completion of the DB period, participants who received Difelikefalin in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
OLE Period: Placebo/Difelikefalin
Upon completion of the DB period, participants who received placebo in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
Percentage of Participants Achieving at Least 4-point Improvement From Baseline With Respect to the Weekly Mean of the Daily 24-hour WI-NRS in the DB Period
Week 4
10.9 percentage of participants
Interval 3.7 to 28.1
2.2 percentage of participants
Interval 0.5 to 8.8
Percentage of Participants Achieving at Least 4-point Improvement From Baseline With Respect to the Weekly Mean of the Daily 24-hour WI-NRS in the DB Period
Week 8
21.2 percentage of participants
Interval 11.2 to 36.6
11.6 percentage of participants
Interval 5.4 to 23.2
Percentage of Participants Achieving at Least 4-point Improvement From Baseline With Respect to the Weekly Mean of the Daily 24-hour WI-NRS in the DB Period
Week 12
29.9 percentage of participants
Interval 18.1 to 45.3
19.7 percentage of participants
Interval 10.9 to 32.9

SECONDARY outcome

Timeframe: From Baseline to Weeks 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, and 12

Population: Analysis was performed on FAS. The FAS included all participants who were randomized to treatment, received at least 1 dose of investigational product and had a non-missing baseline assessment for the weekly mean of the daily 24-hour WI-NRS score. Here, 'number analyzed', 'n' = participants with available data for each specified timepoint.

On a daily basis, participants recorded the intensity of the worst itching they experienced over the past 24 hours using a NRS scale from 0 to 10, where 0 represents "no itching" and 10 was "worst itching imaginable". A higher score indicated a more severe outcome. The weekly mean of the daily values was calculated for the analysis. The weekly mean of the daily values of the daily 24-hour WI-NRS was calculated for the analysis. The MMRM model included use of prior anti-itch medication (yes/no), presence of specific medical conditions at baseline (yes/no), treatment, visit, and treatment-by-visit-interaction as fixed categorical effects and baseline WI-NRS score as fixed continuous effects.

Outcome measures

Outcome measures
Measure
DB Period: Difelikefalin
n=129 Participants
Participants received Difelikefalin injected into the venous line of the dialysis circuit at the end of each dialysis session for up to 12 weeks (3 times weekly, 36 times in total).
DB Period: Placebo
n=130 Participants
Participants received Placebo injected into the venous line of the dialysis circuit at the end of each dialysis session matching to Difelikefalin for up to 12 weeks (3 times weekly, 36 times in total).
OLE Period: Difelikefalin/Difelikefalin
Upon completion of the DB period, participants who received Difelikefalin in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
OLE Period: Placebo/Difelikefalin
Upon completion of the DB period, participants who received placebo in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
Change From Baseline in the Weekly Mean of the 24-hour WI-NRS Score at Each Week of the DB Period
Week 1
-0.68 score on a scale
Standard Error 0.153
-0.53 score on a scale
Standard Error 0.149
Change From Baseline in the Weekly Mean of the 24-hour WI-NRS Score at Each Week of the DB Period
Week 2
-1.37 score on a scale
Standard Error 0.179
-0.89 score on a scale
Standard Error 0.175
Change From Baseline in the Weekly Mean of the 24-hour WI-NRS Score at Each Week of the DB Period
Week 3
-1.86 score on a scale
Standard Error 0.188
-1.08 score on a scale
Standard Error 0.185
Change From Baseline in the Weekly Mean of the 24-hour WI-NRS Score at Each Week of the DB Period
Week 4
-2.09 score on a scale
Standard Error 0.198
-1.27 score on a scale
Standard Error 0.194
Change From Baseline in the Weekly Mean of the 24-hour WI-NRS Score at Each Week of the DB Period
Week 5
-2.35 score on a scale
Standard Error 0.208
-1.46 score on a scale
Standard Error 0.204
Change From Baseline in the Weekly Mean of the 24-hour WI-NRS Score at Each Week of the DB Period
Week 6
-2.51 score on a scale
Standard Error 0.216
-1.55 score on a scale
Standard Error 0.212
Change From Baseline in the Weekly Mean of the 24-hour WI-NRS Score at Each Week of the DB Period
Week 7
-2.61 score on a scale
Standard Error 0.219
-1.78 score on a scale
Standard Error 0.215
Change From Baseline in the Weekly Mean of the 24-hour WI-NRS Score at Each Week of the DB Period
Week 8
-2.71 score on a scale
Standard Error 0.222
-1.96 score on a scale
Standard Error 0.217
Change From Baseline in the Weekly Mean of the 24-hour WI-NRS Score at Each Week of the DB Period
Week 9
-2.90 score on a scale
Standard Error 0.223
-2.00 score on a scale
Standard Error 0.218
Change From Baseline in the Weekly Mean of the 24-hour WI-NRS Score at Each Week of the DB Period
Week 10
-2.97 score on a scale
Standard Error 0.227
-2.04 score on a scale
Standard Error 0.222
Change From Baseline in the Weekly Mean of the 24-hour WI-NRS Score at Each Week of the DB Period
Week 11
-3.08 score on a scale
Standard Error 0.228
-2.16 score on a scale
Standard Error 0.223
Change From Baseline in the Weekly Mean of the 24-hour WI-NRS Score at Each Week of the DB Period
Week 12
-3.11 score on a scale
Standard Error 0.235
-2.16 score on a scale
Standard Error 0.229

SECONDARY outcome

Timeframe: From Baseline to Weeks 4, 8, and 12

Population: Analysis was performed on FAS. The FAS included all participants who were randomized to treatment, received at least 1 dose of investigational product and had a non-missing baseline assessment for the weekly mean of the daily 24-hour WI-NRS score. Here, 'number analyzed', 'n' = participants with available data for each specified timepoint.

The 5-D itch scale is a questionnaire where participants assess the 5 dimensions of itch (degree, duration, direction, disability, and distribution). The scores of each of the 5 domains are achieved separately and then summed together to obtain a total 5-D score. 5-D itch scale scores can potentially range between 5 (no pruritus) and 25 (most severe pruritus) where a higher score indicates a more severe outcome. The LS means of change from baseline in itch-related QoL as assessed by the 5-D itch scale total score was estimated using the MMRM method. The MMRM model included use of prior anti-itch medication (yes/no), presence of specific medical conditions at baseline (yes/no), treatment sequence, visit, and treatment sequence-by-visit-interaction as fixed categorical effects and baseline 5-D Itch score (total score) as fixed continuous effects.

Outcome measures

Outcome measures
Measure
DB Period: Difelikefalin
n=129 Participants
Participants received Difelikefalin injected into the venous line of the dialysis circuit at the end of each dialysis session for up to 12 weeks (3 times weekly, 36 times in total).
DB Period: Placebo
n=130 Participants
Participants received Placebo injected into the venous line of the dialysis circuit at the end of each dialysis session matching to Difelikefalin for up to 12 weeks (3 times weekly, 36 times in total).
OLE Period: Difelikefalin/Difelikefalin
Upon completion of the DB period, participants who received Difelikefalin in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
OLE Period: Placebo/Difelikefalin
Upon completion of the DB period, participants who received placebo in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
Change From Baseline in Itch-related Quality-of-life (QoL) as Assessed by the 5-D Itch Scale Total Score (DB Period)
Week 4
-3.3 score on a scale
Standard Error 0.37
-2.5 score on a scale
Standard Error 0.36
Change From Baseline in Itch-related Quality-of-life (QoL) as Assessed by the 5-D Itch Scale Total Score (DB Period)
Week 8
-3.9 score on a scale
Standard Error 0.38
-2.8 score on a scale
Standard Error 0.37
Change From Baseline in Itch-related Quality-of-life (QoL) as Assessed by the 5-D Itch Scale Total Score (DB Period)
Week 12
-4.3 score on a scale
Standard Error 0.40
-3.6 score on a scale
Standard Error 0.39

SECONDARY outcome

Timeframe: From Baseline to OLE Period - Weeks 4, 8, 12, and 14

Population: Analysis was performed on the OLE Safety Analysis Set, which included all participants who received at least 1 dose of IP in the OLE period. Here, 'number analyzed', 'n' = participants with available data for each specified timepoint.

The 5-D itch scale is a questionnaire where participants assess the 5 dimensions of itch (degree, duration, direction, disability, and distribution). The scores of each of the 5 domains are achieved separately and then summed together to obtain a total 5-D score. 5-D itch scale scores can potentially range between 5 (no pruritus) and 25 (most severe pruritus) where a higher score indicates a more severe outcome. The LS means of change from baseline in itch-related QoL as assessed by the 5-D itch scale total score was estimated using the MMRM method. The MMRM model included use of prior anti-itch medication (yes/no), presence of specific medical conditions at baseline (yes/no), treatment sequence, visit, and treatment sequence-by-visit-interaction as fixed categorical effects and baseline 5-D Itch score (total score) as fixed continuous effects.

Outcome measures

Outcome measures
Measure
DB Period: Difelikefalin
n=103 Participants
Participants received Difelikefalin injected into the venous line of the dialysis circuit at the end of each dialysis session for up to 12 weeks (3 times weekly, 36 times in total).
DB Period: Placebo
n=113 Participants
Participants received Placebo injected into the venous line of the dialysis circuit at the end of each dialysis session matching to Difelikefalin for up to 12 weeks (3 times weekly, 36 times in total).
OLE Period: Difelikefalin/Difelikefalin
Upon completion of the DB period, participants who received Difelikefalin in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
OLE Period: Placebo/Difelikefalin
Upon completion of the DB period, participants who received placebo in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
Change From Baseline in Itch-related QoL as Assessed by the 5-D Itch Scale Total Score (OLE Period)
Week 4
-5.0 score on a scale
Standard Error 0.40
-5.3 score on a scale
Standard Error 0.38
Change From Baseline in Itch-related QoL as Assessed by the 5-D Itch Scale Total Score (OLE Period)
Week 8
-5.4 score on a scale
Standard Error 0.40
-5.8 score on a scale
Standard Error 0.37
Change From Baseline in Itch-related QoL as Assessed by the 5-D Itch Scale Total Score (OLE Period)
Week 12
-5.7 score on a scale
Standard Error 0.41
-6.0 score on a scale
Standard Error 0.39
Change From Baseline in Itch-related QoL as Assessed by the 5-D Itch Scale Total Score (OLE Period)
Week 14
-6.2 score on a scale
Standard Error 0.41
-6.0 score on a scale
Standard Error 0.38

SECONDARY outcome

Timeframe: From Baseline to Weeks 4, 8, and 12

Population: Analysis was performed on FAS. The FAS included all participants who were randomized to treatment, received at least 1 dose of investigational product and had a non-missing baseline assessment for the weekly mean of the daily 24-hour WI-NRS score. Here, 'number analyzed', 'n' = participants with available data for each specified timepoint.

The Skindex-10 scale is a questionnaire that measures QoL in relationship to the itch intensity. Participants are asked the question "During the past week, how often have you been bothered by" and respond by filling in 1 of 7 circles numbered from 0 (labelled with the anchor phrase "never bothered") to 6 (labelled as "always bothered") for each of the 10 questions. The total score is the sum of the numeric value of each answered question. Here, a higher score indicated a severe outcome. The LS means of change from baseline in itch-related QoL as assessed by the Skindex-10 scale total score was estimated using the MMRM method. The MMRM model included use of prior anti-itch medication (yes/no), presence of specific medical conditions at baseline (yes/no), treatment, visit, and treatment-by-visit-interaction as fixed categorical effects and baseline skindex-10 scale score (total score) as fixed continuous effects.

Outcome measures

Outcome measures
Measure
DB Period: Difelikefalin
n=129 Participants
Participants received Difelikefalin injected into the venous line of the dialysis circuit at the end of each dialysis session for up to 12 weeks (3 times weekly, 36 times in total).
DB Period: Placebo
n=130 Participants
Participants received Placebo injected into the venous line of the dialysis circuit at the end of each dialysis session matching to Difelikefalin for up to 12 weeks (3 times weekly, 36 times in total).
OLE Period: Difelikefalin/Difelikefalin
Upon completion of the DB period, participants who received Difelikefalin in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
OLE Period: Placebo/Difelikefalin
Upon completion of the DB period, participants who received placebo in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
Change From Baseline in Itch-related QoL as Assessed by the Skindex-10 Scale Total Score (DB Period)
Week 4
-9.1 score on a scale
Standard Error 1.46
-5.1 score on a scale
Standard Error 1.43
Change From Baseline in Itch-related QoL as Assessed by the Skindex-10 Scale Total Score (DB Period)
Week 8
-11.3 score on a scale
Standard Error 1.51
-7.4 score on a scale
Standard Error 1.48
Change From Baseline in Itch-related QoL as Assessed by the Skindex-10 Scale Total Score (DB Period)
Week 12
-10.5 score on a scale
Standard Error 1.59
-9.5 score on a scale
Standard Error 1.55

SECONDARY outcome

Timeframe: From Baseline to OLE Period - Weeks 4, 8, 12, and 14

Population: For the OLE period analysis was performed on OLE-SAS, which included all participants who received at least 1 dose of IP in the OLE period. Here, 'number analyzed', 'n' = participants with available data for each specified timepoint.

The Skindex-10 scale is a questionnaire that measures QoL in relationship to the itch intensity. Participants are asked the question "During the past week, how often have you been bothered by" and respond by filling in 1 of 7 circles numbered from 0 (labelled with the anchor phrase "never bothered") to 6 (labelled as "always bothered") for each of the 10 questions. The total score is the sum of the numeric value of each answered question. Here, a higher score indicated a severe outcome. The LS means of change from baseline in itch-related QoL as assessed by the Skindex-10 scale total score was estimated using the MMRM method. The MMRM model included use of prior anti-itch medication (yes/no), presence of specific medical conditions at baseline (yes/no), treatment, visit, and treatment-by-visit-interaction as fixed categorical effects and baseline skindex-10 scale score (total score) as fixed continuous effects.

Outcome measures

Outcome measures
Measure
DB Period: Difelikefalin
n=103 Participants
Participants received Difelikefalin injected into the venous line of the dialysis circuit at the end of each dialysis session for up to 12 weeks (3 times weekly, 36 times in total).
DB Period: Placebo
n=113 Participants
Participants received Placebo injected into the venous line of the dialysis circuit at the end of each dialysis session matching to Difelikefalin for up to 12 weeks (3 times weekly, 36 times in total).
OLE Period: Difelikefalin/Difelikefalin
Upon completion of the DB period, participants who received Difelikefalin in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
OLE Period: Placebo/Difelikefalin
Upon completion of the DB period, participants who received placebo in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
Change From Baseline in Itch-related QoL as Assessed by the Skindex-10 Scale Total Score (OLE Period)
Week 4
-14.7 score on a scale
Standard Error 1.47
-14.1 score on a scale
Standard Error 1.39
Change From Baseline in Itch-related QoL as Assessed by the Skindex-10 Scale Total Score (OLE Period)
Week 8
-15.8 score on a scale
Standard Error 1.49
-15.2 score on a scale
Standard Error 1.41
Change From Baseline in Itch-related QoL as Assessed by the Skindex-10 Scale Total Score (OLE Period)
Week 12
-17.5 score on a scale
Standard Error 1.48
-16.4 score on a scale
Standard Error 1.39
Change From Baseline in Itch-related QoL as Assessed by the Skindex-10 Scale Total Score (OLE Period)
Week 14
-18.3 score on a scale
Standard Error 1.56
-15.8 score on a scale
Standard Error 1.48

SECONDARY outcome

Timeframe: At Week 12

Population: Analysis was performed on FAS. The FAS included all participants who were randomized to treatment, received at least 1 dose of investigational product and had a non-missing baseline assessment for the weekly mean of the daily 24-hour WI-NRS score. Here, 'overall number of participants analyzed', 'N' = participants with available data for the outcome measure.

The Patient Global Impression of Change is a global participant reported outcome measure that assesses the change in itch (no change, improvement or worsening) overall relative to the start of the study. The scale has only 1 item, and the participant was asked to mark the category that best describes the change in itch ranging from "Very Much Improved" to "Very Much Worse". Number of participants within all individual categories are reported here.

Outcome measures

Outcome measures
Measure
DB Period: Difelikefalin
n=110 Participants
Participants received Difelikefalin injected into the venous line of the dialysis circuit at the end of each dialysis session for up to 12 weeks (3 times weekly, 36 times in total).
DB Period: Placebo
n=119 Participants
Participants received Placebo injected into the venous line of the dialysis circuit at the end of each dialysis session matching to Difelikefalin for up to 12 weeks (3 times weekly, 36 times in total).
OLE Period: Difelikefalin/Difelikefalin
Upon completion of the DB period, participants who received Difelikefalin in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
OLE Period: Placebo/Difelikefalin
Upon completion of the DB period, participants who received placebo in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
Patient Global Impression of Change
Minimally improved
22 Participants
49 Participants
Patient Global Impression of Change
No change
18 Participants
24 Participants
Patient Global Impression of Change
Minimally worse
2 Participants
2 Participants
Patient Global Impression of Change
Much worse
2 Participants
1 Participants
Patient Global Impression of Change
Very Much worse
0 Participants
0 Participants
Patient Global Impression of Change
Very much improved
20 Participants
14 Participants
Patient Global Impression of Change
Much improved
46 Participants
29 Participants

SECONDARY outcome

Timeframe: Up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow up)

Population: Analysis was performed on safety analysis set in DB period (DB-SAF). DB-SAF included all randomized participants who received at least 1 dose of investigational product during the DB period. For the OLE period analysis was performed on OLE Safety Analysis Set, which included all participants who received at least 1 dose of IP in the OLE period.

Outcome measures

Outcome measures
Measure
DB Period: Difelikefalin
n=129 Participants
Participants received Difelikefalin injected into the venous line of the dialysis circuit at the end of each dialysis session for up to 12 weeks (3 times weekly, 36 times in total).
DB Period: Placebo
n=130 Participants
Participants received Placebo injected into the venous line of the dialysis circuit at the end of each dialysis session matching to Difelikefalin for up to 12 weeks (3 times weekly, 36 times in total).
OLE Period: Difelikefalin/Difelikefalin
n=103 Participants
Upon completion of the DB period, participants who received Difelikefalin in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
OLE Period: Placebo/Difelikefalin
n=113 Participants
Upon completion of the DB period, participants who received placebo in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
Number of Participants With Adverse Events (AEs)
106 Participants
92 Participants
82 Participants
90 Participants

SECONDARY outcome

Timeframe: Up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow up)

Population: The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received. Here, 'number analyzed', 'n' = participants with available data for each specified timepoint.

Outcome measures

Outcome measures
Measure
DB Period: Difelikefalin
n=129 Participants
Participants received Difelikefalin injected into the venous line of the dialysis circuit at the end of each dialysis session for up to 12 weeks (3 times weekly, 36 times in total).
DB Period: Placebo
n=130 Participants
Participants received Placebo injected into the venous line of the dialysis circuit at the end of each dialysis session matching to Difelikefalin for up to 12 weeks (3 times weekly, 36 times in total).
OLE Period: Difelikefalin/Difelikefalin
Upon completion of the DB period, participants who received Difelikefalin in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
OLE Period: Placebo/Difelikefalin
Upon completion of the DB period, participants who received placebo in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
Number of Participants With Clinically Significant Abnormal 12-lead Electrocardiogram (ECG)
DB period: Week 12
41 Participants
48 Participants
Number of Participants With Clinically Significant Abnormal 12-lead Electrocardiogram (ECG)
OLE period: Week 14
34 Participants
46 Participants

SECONDARY outcome

Timeframe: From baseline to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow up)

Population: The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.

Outcome measures

Outcome measures
Measure
DB Period: Difelikefalin
n=129 Participants
Participants received Difelikefalin injected into the venous line of the dialysis circuit at the end of each dialysis session for up to 12 weeks (3 times weekly, 36 times in total).
DB Period: Placebo
n=130 Participants
Participants received Placebo injected into the venous line of the dialysis circuit at the end of each dialysis session matching to Difelikefalin for up to 12 weeks (3 times weekly, 36 times in total).
OLE Period: Difelikefalin/Difelikefalin
Upon completion of the DB period, participants who received Difelikefalin in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
OLE Period: Placebo/Difelikefalin
Upon completion of the DB period, participants who received placebo in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
Number of Participants With Clinically Relevant Change From Baseline in Vital Signs and Laboratory Evaluations
0 Participants
0 Participants

Adverse Events

DB Period: Difelikefalin

Serious events: 18 serious events
Other events: 85 other events
Deaths: 0 deaths

DB Period: Placebo

Serious events: 12 serious events
Other events: 66 other events
Deaths: 0 deaths

OLE Period: Difelikefalin/Difelikefalin

Serious events: 19 serious events
Other events: 65 other events
Deaths: 0 deaths

OLE Period: Placebo/Difelikefalin

Serious events: 12 serious events
Other events: 69 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
DB Period: Difelikefalin
n=129 participants at risk
Participants received Difelikefalin injected into the venous line of the dialysis circuit at the end of each dialysis session for up to 12 weeks (3 times weekly, 36 times in total).
DB Period: Placebo
n=130 participants at risk
Participants received Placebo injected into the venous line of the dialysis circuit at the end of each dialysis session matching to Difelikefalin for up to 12 weeks (3 times weekly, 36 times in total).
OLE Period: Difelikefalin/Difelikefalin
n=103 participants at risk
Upon completion of the double-blind period, participants who received Difelikefalin in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
OLE Period: Placebo/Difelikefalin
n=113 participants at risk
Upon completion of the double-blind period, participants who received placebo in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
Injury, poisoning and procedural complications
Humerus fracture
0.78%
1/129 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Cardiac disorders
Cardiac failure
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
1.5%
2/130 • Number of events 4 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Cardiac disorders
Acute coronary syndrome
0.78%
1/129 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.77%
1/130 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Cardiac disorders
Cardiac failure acute
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.77%
1/130 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.97%
1/103 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.88%
1/113 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Cardiac disorders
Palpitations
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.77%
1/130 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Cardiac disorders
Myocardial injury
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.88%
1/113 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Cardiac disorders
Coronary artery disease
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.88%
1/113 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Cardiac disorders
Acute myocardial infarction
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
1.9%
2/103 • Number of events 2 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Cardiac disorders
Cardiac failure chronic
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
1.9%
2/103 • Number of events 3 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Cardiac disorders
Angina pectoris
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.97%
1/103 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Infections and infestations
Pneumonia
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
1.5%
2/130 • Number of events 2 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.97%
1/103 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
1.8%
2/113 • Number of events 2 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Infections and infestations
Pneumonia bacterial
0.78%
1/129 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.97%
1/103 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Infections and infestations
Respiratory tract infection
0.78%
1/129 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.88%
1/113 • Number of events 2 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Infections and infestations
Abdominal infection
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.88%
1/113 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Infections and infestations
Sepsis
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.88%
1/113 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Infections and infestations
Febrile infection
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.97%
1/103 • Number of events 2 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Infections and infestations
Postoperative wound infection
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.97%
1/103 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Infections and infestations
Urinary tract infection
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.97%
1/103 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Injury, poisoning and procedural complications
Arteriovenous fistula site complication
1.6%
2/129 • Number of events 2 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
1.5%
2/130 • Number of events 2 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Injury, poisoning and procedural complications
Arteriovenous fistula occlusion
1.6%
2/129 • Number of events 2 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.88%
1/113 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Injury, poisoning and procedural complications
Arteriovenous fistula thrombosis
1.6%
2/129 • Number of events 2 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.97%
1/103 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.88%
1/113 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Injury, poisoning and procedural complications
Fall
0.78%
1/129 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Injury, poisoning and procedural complications
Spinal compression fracture
0.78%
1/129 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.97%
1/103 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Eye disorders
Corneal opacity
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.77%
1/130 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Eye disorders
Retinal artery occlusion
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.77%
1/130 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.88%
1/113 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Eye disorders
Vitreous haemorrhage
0.78%
1/129 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Eye disorders
Cataract cortical
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.97%
1/103 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
General disorders
Gait disturbance
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.77%
1/130 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
General disorders
Pyrexia
0.78%
1/129 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
General disorders
Fatigue
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.88%
1/113 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
General disorders
Chest pain
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.97%
1/103 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Metabolism and nutrition disorders
Hyperkalaemia
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.77%
1/130 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Nervous system disorders
Cerebral haemorrhage
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.77%
1/130 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Nervous system disorders
Cerebral infarction
0.78%
1/129 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
1.9%
2/103 • Number of events 2 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Nervous system disorders
Dizziness
0.78%
1/129 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.88%
1/113 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Nervous system disorders
Loss of consciousness
0.78%
1/129 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Nervous system disorders
Post herpetic neuralgia
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.97%
1/103 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Psychiatric disorders
Mental status changes
0.78%
1/129 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.77%
1/130 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.97%
1/103 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Psychiatric disorders
Insomnia
0.78%
1/129 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Respiratory, thoracic and mediastinal disorders
Asthma
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.77%
1/130 • Number of events 3 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.88%
1/113 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.78%
1/129 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.88%
1/113 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Gastrointestinal disorders
Nausea
0.78%
1/129 • Number of events 2 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Gastrointestinal disorders
Vomiting
0.78%
1/129 • Number of events 2 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Vascular disorders
Hypotension
0.78%
1/129 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.97%
1/103 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.88%
1/113 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Vascular disorders
Venous stenosis
0.78%
1/129 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Ear and labyrinth disorders
Tinnitus
0.78%
1/129 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Blood and lymphatic system disorders
Anaemia
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.88%
1/113 • Number of events 2 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Hepatobiliary disorders
Cholecystitis acute
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.88%
1/113 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Renal and urinary disorders
Renal cyst haemorrhage
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/103 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.88%
1/113 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Invasive breast carcinoma
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.97%
1/103 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Surgical and medical procedures
Vascular access placement
0.00%
0/129 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/130 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.97%
1/103 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.00%
0/113 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.

Other adverse events

Other adverse events
Measure
DB Period: Difelikefalin
n=129 participants at risk
Participants received Difelikefalin injected into the venous line of the dialysis circuit at the end of each dialysis session for up to 12 weeks (3 times weekly, 36 times in total).
DB Period: Placebo
n=130 participants at risk
Participants received Placebo injected into the venous line of the dialysis circuit at the end of each dialysis session matching to Difelikefalin for up to 12 weeks (3 times weekly, 36 times in total).
OLE Period: Difelikefalin/Difelikefalin
n=103 participants at risk
Upon completion of the double-blind period, participants who received Difelikefalin in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
OLE Period: Placebo/Difelikefalin
n=113 participants at risk
Upon completion of the double-blind period, participants who received placebo in DB period, who chose to enter the optional OLE period, received Difelikefalin additionally for up to 14 weeks (3 times weekly), starting at Week 13, and until Week 26 inclusive.
Metabolism and nutrition disorders
Hyperkalaemia
16.3%
21/129 • Number of events 27 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
16.2%
21/130 • Number of events 25 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
19.4%
20/103 • Number of events 32 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
18.6%
21/113 • Number of events 34 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Metabolism and nutrition disorders
Hypocalcaemia
2.3%
3/129 • Number of events 3 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
1.5%
2/130 • Number of events 3 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
6.8%
7/103 • Number of events 7 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
1.8%
2/113 • Number of events 2 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Metabolism and nutrition disorders
Hypercalcaemia
1.6%
2/129 • Number of events 2 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.77%
1/130 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
4.9%
5/103 • Number of events 5 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
5.3%
6/113 • Number of events 6 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Vascular disorders
Dialysis hypotension
14.7%
19/129 • Number of events 71 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
6.9%
9/130 • Number of events 26 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
12.6%
13/103 • Number of events 55 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
14.2%
16/113 • Number of events 63 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Vascular disorders
Hypotension
16.3%
21/129 • Number of events 29 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
6.2%
8/130 • Number of events 11 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
10.7%
11/103 • Number of events 12 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
13.3%
15/113 • Number of events 28 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Infections and infestations
Upper respiratory tract infection
10.1%
13/129 • Number of events 15 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
10.8%
14/130 • Number of events 16 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
8.7%
9/103 • Number of events 9 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
9.7%
11/113 • Number of events 14 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Musculoskeletal and connective tissue disorders
Muscle spasms
14.0%
18/129 • Number of events 39 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
8.5%
11/130 • Number of events 15 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
10.7%
11/103 • Number of events 30 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
13.3%
15/113 • Number of events 33 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Cardiac disorders
Tachycardia
4.7%
6/129 • Number of events 16 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
4.6%
6/130 • Number of events 37 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
2.9%
3/103 • Number of events 4 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
8.0%
9/113 • Number of events 48 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Cardiac disorders
Palpitations
6.2%
8/129 • Number of events 10 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
3.8%
5/130 • Number of events 7 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
3.9%
4/103 • Number of events 4 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
6.2%
7/113 • Number of events 11 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Gastrointestinal disorders
Diarrhoea
4.7%
6/129 • Number of events 6 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
4.6%
6/130 • Number of events 6 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
6.8%
7/103 • Number of events 7 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
2.7%
3/113 • Number of events 3 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Gastrointestinal disorders
Constipation
7.0%
9/129 • Number of events 11 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
3.1%
4/130 • Number of events 4 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
3.9%
4/103 • Number of events 4 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.88%
1/113 • Number of events 3 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Nervous system disorders
Dizziness
12.4%
16/129 • Number of events 18 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
6.2%
8/130 • Number of events 16 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
5.8%
6/103 • Number of events 7 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
5.3%
6/113 • Number of events 9 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Respiratory, thoracic and mediastinal disorders
Cough
3.1%
4/129 • Number of events 5 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
5.4%
7/130 • Number of events 8 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
5.8%
6/103 • Number of events 8 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
1.8%
2/113 • Number of events 2 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
Psychiatric disorders
Insomnia
5.4%
7/129 • Number of events 10 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
3.1%
4/130 • Number of events 5 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
0.97%
1/103 • Number of events 1 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.
1.8%
2/113 • Number of events 2 • From Baseline up to Week 27 (12 weeks in DB + 14 weeks in OLE +1 week of follow-up)
The DB and OLE SAS consisted of all participants who received at least 1 dose of investigational product during the DB period and OLE period, respectively. Participants were analysed according to the actual treatment received.

Additional Information

Clinical Study Disclosure Manager

CSL Behring

Phone: Use email contact

Results disclosure agreements

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