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The objectives of this study is to evaluate the Safety and Efficacy of Intravenous Daptomycin (Cubicin®)Compared with that of Comparator (Vancomycin or Vancomycin Followed by Semi-synthetic Penicillin-cloxacillin) in the Treatment of Chinese Subjects with Complicated Bacterial Skin and Skin Structure Infection due to Gram-Positive Pathogens.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AZ drug | Experimental | Daptomycin |
|
| Comparator | Active Comparator | Vancomycin or Vancomycin Followed by Semi-synthetic Penicillin-Cloxacillin |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Daptomycin | Drug | 4mg/kg IV ; Q 24 hr (once every 24 hours) |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Change of Erythrocyte Volume Fraction(Percentage of Erythrocyte Volume in Total Volume of Blood) | Erythrocyte volume fraction means under certain conditions, after centrifugation pressing, the percentage of erythrocyte volume in the total volume of blood | baseline to TOC(test of cure), for up to 4 weeks |
| Change in Creatinine Clearance | baseline to TOC(test of cure), for up to 4 weeks | |
| Change in Serum Total Creatine Phosphokinase (CPK) | baseline to TOC(test of cure), for up to 4 weeks | |
| Change in Urine pH | baseline to TOC(test of cure), for up to 4 weeks | |
| Shift in ECG | percentage of patients who were primarily tested as normal ECG at baseline and changed into abnormal ECG at TOC visit in all the patients with normal ECG at baseline | baseline to TOC(test of cure), for up to 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Blinded Investigator's Assessement of Clinical Response at TOC(Test of Cure) | The percentage of patients who were cured or clinically improved in the clinical evaluable (CE) population of each arm at TOC visit was analyzed. CE population includes all the patients with no significant deviation from study protocol in full analysis set population, and meetting the following specific criteria: 1.receiving randomly dispensed study treatment at appropriate time(with a compliance of at least 80% or 4 days [3 days for patients evaluated as treatment failure]). 2.without the administration of potentially confounding non-investigational antibiotics (using one potentially effective non-investigational antibiotic for the treatment of primary infection due to other reasons than lack of efficacy from Day 1 to TOC [for systemicadministration of non-glycopeptides, >1 calendar day]). 3.meeting the study inclusion/exclusion criteria 4.necessary clinical evaluation performed (evaluation for effectiveness at TOC visit, except for the condition confirmed as clinically ineffective) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Karen Atkin | AstraZeneca | Study Director |
| Zhang Yingyuan, Prof. | Antibiotics Institute, Huashan Hospital Affilicated to Fudan University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Beijing | Beijing Municipality | China | |||
| Research Site |
Not provided
| Label | URL |
|---|---|
| Related Info | View source |
| CSR-D1790C00003.pdf | View source |
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Overall, 265 patients were randomised (daptomycin: 131 patients, comparator: 134 patients), with 264 patients receiving study treatment
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| ID | Title | Description |
|---|---|---|
| FG000 | Daptomycin | daptomycin 4mg/kg iv every 24hours |
| FG001 | Vancomycin, or Vancomycin Switch to Cloxacillin | vancomycin 1g per 12 hours, for 7-14 days; or switch to cloxacillin: 1 g every 6 hours or 2 g every 8 hours |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
One patient was randomized but did not receive any study drug, so the patient was not included in FAS(full analysis set) population analysis.
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| ID | Title | Description |
|---|---|---|
| BG000 | Daptomycin | daptomycin 4mg/kg iv every 24hours |
| BG001 | Vancomycin, or Vancomycin Switch to Cloxacillin | vancomycin 1g per 12 hours, for 7-14 days; or switch to cloxacillin: 1 g every 6 hours or 2 g every 8 hours |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change of Erythrocyte Volume Fraction(Percentage of Erythrocyte Volume in Total Volume of Blood) | Erythrocyte volume fraction means under certain conditions, after centrifugation pressing, the percentage of erythrocyte volume in the total volume of blood | Only patients who had measurements in both baseline and TOC visit were included for the analysis. Change=TOC visit-baseline | Posted | Mean | Standard Deviation | percentage | baseline to TOC(test of cure), for up to 4 weeks |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Daptomycin | daptomycin 4mg/kg iv every 24hours |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Pneumonia | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| ALANINE AMINOTRANSFERASE INCREASED | Investigations | MedDRA 10.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Gerard Lynch | AstraZeneca | aztrial_results_posting@astrazeneca.com |
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| ID | Term |
|---|---|
| D012871 | Skin Diseases |
| D003141 | Communicable Diseases |
| D002481 | Cellulitis |
| ID | Term |
|---|---|
| D017437 | Skin and Connective Tissue Diseases |
| D007239 | Infections |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
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| ID | Term |
|---|---|
| D017576 | Daptomycin |
| D014640 | Vancomycin |
| ID | Term |
|---|---|
| D010456 | Peptides, Cyclic |
| D047028 | Macrocyclic Compounds |
| D011083 | Polycyclic Compounds |
| D055666 | Lipopeptides |
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| Vancomycin | Drug | Vancomycin - 1g per 12 hrs, for 7-14 days Or switch to Vancomycin Followed by Semi-synthetic Penicillin-Cloxacillin: - 1 g every 6 hours or 2 g every 8 hours |
|
| baseline and TOC, for up to 4 weeks |
| Blinded Investigator's Assessement of Clinical Response at EOT(End of Therapy) | The percentage of patients who were cured or clinically improved in the clinical evaluable (CE) population at EOT visit was analyzed. CE population includes all the patients with no significant deviation from study protocol in full analysis set population, and meetting the following specific criteria: 1.receiving randomly dispensed study treatment at appropriate time(with a compliance of at least 80% or 4 days [3 days for patients evaluated as treatment failure]). 2.without the administration of potentially confounding non-investigational antibiotics (using one potentially effective non-investigational antibiotic for the treatment of primary infection due to other reasons than lack of efficacy from Day 1 to TOC [for systemicadministration of non-glycopeptides, >1 calendar day]). 3.meeting the study inclusion/exclusion criteria 4.necessary clinical evaluation performed (evaluation for effectiveness at TOC visit, except for the condition confirmed as clinically ineffective) | baseline and EOT(end of therapy), for up to 2 weeks |
| Microbiological Response at TOC(Test of Cure) | The microbiological response rate (removal or presumed removal) in ME(microbiological evaluable) population of daptomycin group and comparator group at TOC visit was analyzed. ME population includes all the patients with Gram-positive pathogenic bacteria isolated at baseline in CE population. Microbiological response rate means the percentage of strains which were removed or presumably removed at TOC visit in all the strains isolated from ME population at baseline. | baseline and TOC, for up to 4 weeks |
| Microbiological Response at EOT(End of Therapy) | The microbiological response rate (removal or presumed removal) in ME(microbiological evaluable) population of daptomycin group and comparator group at EOT visit was analyzed. ME population includes all the patients with Gram-positive pathogenic bacteria isolated at baseline in CE population. Microbiological response rate means the percentage of strains which were removed or presumably removed at EOT visit in all the strains isolated from ME population at baseline. | baseline and EOT, for up to 2 weeks |
| Per-pathogen(Methicillin Resistant Staphylococcus Aureus) Clinical Response at TOC(Test of Cure) | This is the comparison of clinical efficacy by methicillin resistant staphylococcus aureus(MRSA) between the two groups. As the analysis was performed by specific pathogen in ME population and clinical efficacy was compared meanwhile, the clinical evaluation was based on the number of cases under the category of specific pathogen rather than the number of strains. Percentage of patients who were cured or improved at TOC visit in the patients who were identified with MRSA infection at baseline of both groups. | baseline and TOC, for up to 4 weeks |
| Per-pathogen(Methicillin Sensitive Staphylococcus Aureus) Clinical Response at TOC | This is the comparison of clinical efficacy by methicillin sensitive staphylococcus aureus(MSSA) between the two groups. As the analysis was performed by specific pathogen in ME population and clinical efficacy was compared meanwhile, the clinical evaluation was based on the number of cases under the category of specific pathogen rather than the number of strains. Percentage of patients who were cured or improved at TOC visit in the patients who were identified with MSSA infection at baseline of both groups. | baseline and TOC(test of cure), for up to 4 weeks |
| Per-pathogen(Staphylococcus Aureus) Microbiological Response at TOC | This is the comparison of clinical efficacy by staphylococcus aureus between the two groups. As the analysis was performed by specific pathogen in ME population and clinical efficacy was compared meanwhile, the clinical evaluation was based on the number of cases under the category of specific pathogen rather than the number of strains. Percentage of patients who were cured or improved at TOC visit in the patients who were identified with staphylococcus aureus infection at baseline of both groups. | baseline and TOC(test of cure), for up to 4 weeks |
| Guangzhou |
| Guangdong |
| China |
| Research Site | Wuhan | Hubei | China |
| Research Site | Changsha | Hunan | China |
| Research Site | Nanjing | Jiangsu | China |
| Research Site | Suzhou | Jiangsu | China |
| Research Site | Shenyang | Liaoning | China |
| Research Site | Shanghai | Shanghai Municipality | China |
| Research Site | Chengdu | Sichuan | China |
| Research Site | Chongqing | China |
| Research Site | Dalian | China |
| Research Site | Hangzhou | China |
| Research Site | Qingdao | China |
| Lost to Follow-up |
|
| incorrect enrolment |
|
| Protocol Violation |
|
| all others |
|
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
|
|
| Primary | Change in Creatinine Clearance | Only patients who had measurements in both baseline and TOC visit were included for the analysis. Change=TOC visit-baseline | Posted | Mean | Standard Deviation | ml/min | baseline to TOC(test of cure), for up to 4 weeks |
|
|
|
| Primary | Change in Serum Total Creatine Phosphokinase (CPK) | Only patients who had measurements in both baseline and TOC visit were included for the analysis. Change=TOC visit-baseline | Posted | Mean | Standard Deviation | IU/L | baseline to TOC(test of cure), for up to 4 weeks |
|
|
|
| Primary | Change in Urine pH | Only patients who had measurements were included in the summary of a specific parameter at a specific time point. Change = TOC visit - baseline | Posted | Mean | Standard Deviation | pH | baseline to TOC(test of cure), for up to 4 weeks |
|
|
|
| Primary | Shift in ECG | percentage of patients who were primarily tested as normal ECG at baseline and changed into abnormal ECG at TOC visit in all the patients with normal ECG at baseline | Only patients who had both measurements at baseline and TOC visit and those who got normal ECG resluts at baseline were included in the summary. Change=TOC visit-baseline | Posted | Number | percentage of patients | baseline to TOC(test of cure), for up to 4 weeks |
|
|
|
| Secondary | Blinded Investigator's Assessement of Clinical Response at TOC(Test of Cure) | The percentage of patients who were cured or clinically improved in the clinical evaluable (CE) population of each arm at TOC visit was analyzed. CE population includes all the patients with no significant deviation from study protocol in full analysis set population, and meetting the following specific criteria: 1.receiving randomly dispensed study treatment at appropriate time(with a compliance of at least 80% or 4 days [3 days for patients evaluated as treatment failure]). 2.without the administration of potentially confounding non-investigational antibiotics (using one potentially effective non-investigational antibiotic for the treatment of primary infection due to other reasons than lack of efficacy from Day 1 to TOC [for systemicadministration of non-glycopeptides, >1 calendar day]). 3.meeting the study inclusion/exclusion criteria 4.necessary clinical evaluation performed (evaluation for effectiveness at TOC visit, except for the condition confirmed as clinically ineffective) | There were 107 patients in daptomycin arm and 101 patients in comparator arm meeting the criteria of CE population and completed TOC visit. | Posted | Number | percentage of patients | baseline and TOC, for up to 4 weeks |
|
|
|
| Secondary | Blinded Investigator's Assessement of Clinical Response at EOT(End of Therapy) | The percentage of patients who were cured or clinically improved in the clinical evaluable (CE) population at EOT visit was analyzed. CE population includes all the patients with no significant deviation from study protocol in full analysis set population, and meetting the following specific criteria: 1.receiving randomly dispensed study treatment at appropriate time(with a compliance of at least 80% or 4 days [3 days for patients evaluated as treatment failure]). 2.without the administration of potentially confounding non-investigational antibiotics (using one potentially effective non-investigational antibiotic for the treatment of primary infection due to other reasons than lack of efficacy from Day 1 to TOC [for systemicadministration of non-glycopeptides, >1 calendar day]). 3.meeting the study inclusion/exclusion criteria 4.necessary clinical evaluation performed (evaluation for effectiveness at TOC visit, except for the condition confirmed as clinically ineffective) | There were 110 patients in daptomycin arm and 103 patients in comparator arm who both completed EOT visit and met the criteria of CE population | Posted | Number | Percentage of patients | baseline and EOT(end of therapy), for up to 2 weeks |
|
|
|
| Secondary | Microbiological Response at TOC(Test of Cure) | The microbiological response rate (removal or presumed removal) in ME(microbiological evaluable) population of daptomycin group and comparator group at TOC visit was analyzed. ME population includes all the patients with Gram-positive pathogenic bacteria isolated at baseline in CE population. Microbiological response rate means the percentage of strains which were removed or presumably removed at TOC visit in all the strains isolated from ME population at baseline. | ME population includes all the patients with Gram-positive pathogenic bacteria isolated at baseline in CE population. There were 83 strains isolated from ME population of daptomycin arm(78 patients) and 86 strains from ME population in comparator arm(79 patients). | Posted | Number | Percentage of strains | baseline and TOC, for up to 4 weeks | strains | Participants |
|
|
|
| Secondary | Microbiological Response at EOT(End of Therapy) | The microbiological response rate (removal or presumed removal) in ME(microbiological evaluable) population of daptomycin group and comparator group at EOT visit was analyzed. ME population includes all the patients with Gram-positive pathogenic bacteria isolated at baseline in CE population. Microbiological response rate means the percentage of strains which were removed or presumably removed at EOT visit in all the strains isolated from ME population at baseline. | ME population includes all the patients with Gram-positive pathogenic bacteria isolated at baseline in CE population. There were 86 strains isolated from 81 patients in daptomycin arm and 88 strains from 81 patients in comparator arm who met the criteria of ME population at EOT visit. | Posted | Number | Percentage of strains | baseline and EOT, for up to 2 weeks | strains | Participants |
|
|
|
| Secondary | Per-pathogen(Methicillin Resistant Staphylococcus Aureus) Clinical Response at TOC(Test of Cure) | This is the comparison of clinical efficacy by methicillin resistant staphylococcus aureus(MRSA) between the two groups. As the analysis was performed by specific pathogen in ME population and clinical efficacy was compared meanwhile, the clinical evaluation was based on the number of cases under the category of specific pathogen rather than the number of strains. Percentage of patients who were cured or improved at TOC visit in the patients who were identified with MRSA infection at baseline of both groups. | There were 14 patients indentified MRSA infection in daptomycin group and 10 patients indentified with MRSA in comparator group. | Posted | Number | Percentage of patients | baseline and TOC, for up to 4 weeks |
|
|
|
| Secondary | Per-pathogen(Methicillin Sensitive Staphylococcus Aureus) Clinical Response at TOC | This is the comparison of clinical efficacy by methicillin sensitive staphylococcus aureus(MSSA) between the two groups. As the analysis was performed by specific pathogen in ME population and clinical efficacy was compared meanwhile, the clinical evaluation was based on the number of cases under the category of specific pathogen rather than the number of strains. Percentage of patients who were cured or improved at TOC visit in the patients who were identified with MSSA infection at baseline of both groups. | There were 33 patients indentified MSSA infection in daptomycin group and 37 patients indentified with MSSA in comparator group. | Posted | Number | Percentage of patients | baseline and TOC(test of cure), for up to 4 weeks |
|
|
|
| Secondary | Per-pathogen(Staphylococcus Aureus) Microbiological Response at TOC | This is the comparison of clinical efficacy by staphylococcus aureus between the two groups. As the analysis was performed by specific pathogen in ME population and clinical efficacy was compared meanwhile, the clinical evaluation was based on the number of cases under the category of specific pathogen rather than the number of strains. Percentage of patients who were cured or improved at TOC visit in the patients who were identified with staphylococcus aureus infection at baseline of both groups. | There were 48 patients indentified staphylococcus aureus infection both in daptomycin group and in comparator group. | Posted | Number | Percentage of patients | baseline and TOC(test of cure), for up to 4 weeks |
|
|
|
| 1 |
| 30 |
| EG001 | Vancomycin, or Vancomycin Switch to Cloxacillin | vancomycin 1g per 12 hours, for 7-14 days; or switch to cloxacillin: 1 g every 6 hours or 2 g every 8 hours | 3 | 39 |
| lung infection | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
|
| tuberculosis | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
|
| Hepatic Cirrhosis | Hepatobiliary disorders | MedDRA 10.0 | Systematic Assessment |
|
| renal failure chronic | Renal and urinary disorders | MedDRA 10.0 | Systematic Assessment |
|
| Aspartate Aminotransferase Increased | Investigations | MedDRA 10.0 | Systematic Assessment |
|
| Blood Creatine Phosphokinase Increased | Investigations | MedDRA 10.0 | Systematic Assessment |
|
| WHITE BLOOD CELL COUNT DECREASED | Investigations | MedDRA 10.0 | Systematic Assessment |
|
| Blood Lactate Dehydrogenase Increased | Investigations | MedDRA 10.0 | Systematic Assessment |
|
| RED BLOOD CELLS URINE POSITIVE | Investigations | MedDRA 10.0 | Systematic Assessment |
|
| Blood Alkaline Phosphatase Increased | Investigations | MedDRA 10.0 | Systematic Assessment |
|
| BLOOD CREATININE INCREASED | Investigations | MedDRA 10.0 | Systematic Assessment |
|
| Blood Potassium Decreased | Investigations | MedDRA 10.0 | Systematic Assessment |
|
| Blood Urine Present | Investigations | MedDRA 10.0 | Systematic Assessment |
|
| ELECTROCARDIOGRAM QRS COMPLEX PROLONGE0D | Investigations | MedDRA 10.0 | Systematic Assessment |
|
| Electrocardiogram T Wave Abnormal | Investigations | MedDRA 10.0 | Systematic Assessment |
|
| GAMMA-GLUTAMYLTRANSFERASE INCREASED | Investigations | MedDRA 10.0 | Systematic Assessment |
|
| Monocyte Percentage Increased | Investigations | MedDRA 10.0 | Systematic Assessment |
|
| Platelet Count Decreased | Investigations | MedDRA 10.0 | Systematic Assessment |
|
| WHITE BLOOD CELLS URINE POSITIVE | Investigations | MedDRA 10.0 | Systematic Assessment |
|
| PRURITUS | Skin and subcutaneous tissue disorders | MedDRA 10.0 | Systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA 10.0 | Systematic Assessment |
|
| UPPER RESPIRATORY TRACT INFECTION | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
|
| Lung Infection | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
|
| PNEUMONIA | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
|
| Tuberculosis | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
|
| PYREXIA | General disorders | MedDRA 10.0 | Systematic Assessment |
|
| CHEST DISCOMFORT | General disorders | MedDRA 10.0 | Systematic Assessment |
|
| CHILLS | General disorders | MedDRA 10.0 | Systematic Assessment |
|
| INJECTION SITE PAIN | General disorders | MedDRA 10.0 | Systematic Assessment |
|
| BACK PAIN | Musculoskeletal and connective tissue disorders | MedDRA 10.0 | Systematic Assessment |
|
| MUSCULAR WEAKNESS | Musculoskeletal and connective tissue disorders | MedDRA 10.0 | Systematic Assessment |
|
| Joint Swelling | Musculoskeletal and connective tissue disorders | MedDRA 10.0 | Systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA 10.0 | Systematic Assessment |
|
| ABDOMINAL DISTENSION | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
|
| ABDOMINAL DISCOMFORT | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
|
| ASCITES | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
|
| CONSTIPATION | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
|
| NAUSEA | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
|
| ANOREXIA | Metabolism and nutrition disorders | MedDRA 10.0 | Systematic Assessment |
|
| AMNESIA | Nervous system disorders | MedDRA 10.0 | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA 10.0 | Systematic Assessment |
|
| HEADACHE | Nervous system disorders | MedDRA 10.0 | Systematic Assessment |
|
| MUSCLE CONTRACTIONS INVOLUNTARY | Nervous system disorders | MedDRA 10.0 | Systematic Assessment |
|
| ANGINA PECTORIS | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
|
| LEFT VENTRICULAR HYPERTROPHY | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
|
| SUPRAVENTRICULAR EXTRASYSTOLES | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
|
| VENTRICULAR EXTRASYSTOLES | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
|
| DYSURIA | Renal and urinary disorders | MedDRA 10.0 | Systematic Assessment |
|
| HAEMATURIA | Renal and urinary disorders | MedDRA 10.0 | Systematic Assessment |
|
| RENAL FAILURE CHRONIC | Renal and urinary disorders | MedDRA 10.0 | Systematic Assessment |
|
| Flushing | Vascular disorders | MedDRA 10.0 | Systematic Assessment |
|
| HEPATIC CIRRHOSIS | Hepatobiliary disorders | MedDRA 10.0 | Systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA 10.0 | Systematic Assessment |
|
| PRURITUS GENITAL | Reproductive system and breast disorders | MedDRA 10.0 | Systematic Assessment |
|
| BLOOD PHOSPHORUS INCREASED | Investigations | Systematic Assessment | BLOOD PHOSPHORUS INCREASED |
|
| BLOOD POTASSIUM INCREASED | Investigations | Systematic Assessment |
|
| BLOOD URIC ACID INCREASED | Investigations | Systematic Assessment |
|
Not provided
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D012874 | Skin Diseases, Infectious |
| D013492 | Suppuration |
| D003240 | Connective Tissue Diseases |
| D007249 | Inflammation |
| D008055 |
| Lipids |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D006020 | Glycopeptides |
| D006001 | Glycoconjugates |
| D002241 | Carbohydrates |