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This is an open-label extension study for patients who participated in the BPS-MR-PAH-201 study.
This is an open-label study for patients who participated in the BPS-MR-PAH-201 study and have volunteered to continue treatment for PAH with BPS-MR tablets. Each patient will return to the clinic following enrollment in the study at 3, 6, and 12 months, and annually thereafter for assessment.
Currently enrolled patients may be invited to participate in an optional four times daily (QID) dosing substudy of BPS-MR with total daily dose of BPS-MR achieved previously in the main study. Patients will return to the clinic for baseline visit, week 12, and then will follow the visit schedule provided to them in BPS-MR-PAH-202 main study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| B.I.D | Experimental | Beraprost Sodium Modified Release Tablets, 60mcg, b.i.d (twice a day dosing) |
|
| Q.I.D | Experimental | Beraprost Sodium Modified Release Tablets, 60mcg, q.i.d (four times a day dosing) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Beraprost Sodium Modified Release | Drug |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Reporting at Least One Treatment-Emergent Adverse Event (TEAE) | A treatment-emergent adverse event (TEAEs) is defined as an event not present prior to the initiation of the treatments or any event already present that worsens in either intensity or frequency following exposure to the treatments. AEs occurring more than 3 days after the last day study drug is taken in the study will not be included in the statistical analyses or summaries (except for subjects with adverse events leading to study drug withdrawn). Only treatment-emergent adverse events occurring during the treatment period of the BPS-MR-PAH-202 study will be summarized. Any adverse event starting prior to the first dose of study drug will be excluded from the summary analyses and only presented in the data listings. A summary of serious and all other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. | Up to 56 months |
| Number of Treatment Emergent Adverse Events Reported During The Study | A treatment-emergent adverse event (TEAE) is defined as an event not present prior to the initiation of the treatment or any event already present that worsens in either intensity or frequency following exposure to the treatment. AEs occurring more than 3 days after the last day study drug was taken in the study was not included in the statistical analyses or summaries (except for participants with adverse events leading to study drug withdrawn). Only TEAEs that occurred during the treatment period of the BPS-MR-PAH-202 study were summarized. Any adverse event starting prior to the first dose of study drug was excluded from the summary analyses and only presented in the data listings. All efficacy results are descriptive; no statistical analysis was conducted. A summary of serious and all other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. | Up to 56 months |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Change From Baseline in Six Minutes Walk Distance (6MWD) at End of Study | The area used for the Six Minute Walk Test (6MWT) was pre-measured at a minimum of 30 meters in length and at least 2 to 3 meters in width. There were no turns or significant curves to the 6-minute walk area. The length was marked with gradations to ensure the accurate measurement of the distance walked. The area was well ventilated with air temperature controlled at 20 to 23°C. Intermittent rest periods were allowed if the participant could no longer continue. If the participant needed to rest briefly, he/she could stand or sit and then begin again when rested but the clock continued to run. At the end of 6 minutes, the tester called "stop" while simultaneously stopping the watch and then measured the distance walked. For the purposes of the 6MWT if a participant was assessed at Baseline using oxygen therapy, then all future 6MWT were conducted in the same manner. All efficacy results are descriptive; no statistical analysis was conducted. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Aimee Smart | Study Sponsor | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Harbor-UCLA Medical Center | Torrance | California | 90502 | United States | ||
| Allegheny General Hospital |
A Protocol Amendment was to include an optional arm investigating Beraprost Sodium Modified Release Tablets administered four times daily (QID), however, no participants were enrolled into this arm.
Participants with pulmonary artery hypertension (PAH) who had completed lead in study BPS-MR-PAH-201 were enrolled in this study
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| ID | Title | Description |
|---|---|---|
| FG000 | Beraprost Sodium | Beraprost Sodium Modified Release Tablets, 60mcg, b.i.d (twice a day dosing) |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Beraprost Sodium | Beraprost Sodium Modified Release Tablets, 60mcg, b.i.d (twice a day dosing) |
| 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 | Number of Participants Reporting at Least One Treatment-Emergent Adverse Event (TEAE) | A treatment-emergent adverse event (TEAEs) is defined as an event not present prior to the initiation of the treatments or any event already present that worsens in either intensity or frequency following exposure to the treatments. AEs occurring more than 3 days after the last day study drug is taken in the study will not be included in the statistical analyses or summaries (except for subjects with adverse events leading to study drug withdrawn). Only treatment-emergent adverse events occurring during the treatment period of the BPS-MR-PAH-202 study will be summarized. Any adverse event starting prior to the first dose of study drug will be excluded from the summary analyses and only presented in the data listings. A summary of serious and all other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. | Posted | Count of Participants | Participants | Up to 56 months |
|
From baseline to 30 days after study treatment discontinuation, up to 56 months.
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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 | Beraprost Sodium | Beraprost Sodium Modified Release Tablets, 60mcg, b.i.d (twice a day dosing) |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Right ventricular failure | Cardiac disorders | MedDRA, version 16.0 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA, version 16.0 | Systematic Assessment |
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Lung Biotechnology PBC Study Director | Lung Biotechnology PBC | 301-608-9292 |
Not provided
| ID | Term |
|---|---|
| D000081029 | Pulmonary Arterial Hypertension |
| ID | Term |
|---|---|
| D006976 | Hypertension, Pulmonary |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| Baseline and 56 months |
| Change From Baseline in Borg Dyspnea Score at End of Study | The modified 0-10 category-ratio Borg scale consists of an 11-point scale rating the maximum level of dyspnea experienced during the 6MWT. Scores range from 0 (for the best condition) and 10 (for the worst condition) with nonlinear spacing of verbal descriptors of severity corresponding to specific numbers. The participant chose the number or the verbal descriptor to reflect presumed ratio properties of sensation or symptom intensity. Baseline was defined as the last non-missing evaluation preceding the first dose of study drug in study BPS-MR-PAH-201. Only participants with both a measurement at baseline and at the given visit are presented. All efficacy results are descriptive; no statistical analysis was conducted. | Baseline and 56 months |
| Number of Participants That Experienced Clinical Worsening During the Study | Number of Participants that experienced Clinical Worsening in the opinion of the Investigator. Clinical Worsening was defined as any of these events following the Baseline visit: Death, Transplantation or atrial septostomy, Clinical deterioration as defined by: Hospitalization as a result of PAH symptoms or Initiation of any new PAH specific therapy (e.g. ERA, PDE-5 inhibitor, prostanoid). All efficacy results are descriptive; no statistical analysis was conducted. | Up to 56 months |
| Number of Participants With a Change in WHO Functional Class | Change from Baseline in participant clinical status was recorded according to the World Health Organization (WHO) Functional Class. A change from lower to higher functional class (i.e. 'III to IV' or 'II to III') was considered as a deterioration. A change from higher to lower functional class (i.e. 'III to II' or 'II to I') was considered as an improvement. All efficacy results are descriptive; no statistical analysis was conducted. | Baseline and 56 months |
| Pittsburgh |
| Pennsylvania |
| 15212 |
| United States |
| UTSW Medical Center Dallas | Dallas | Texas | 75390-8550 | United States |
| Universite Libre de Bruxelles | Brussels | Belgium |
| Gastuisberg University Hospital | Leuven | Belgium |
| Mater Misericordiae University Hospital Ltd. | Dublin | Ireland |
| Other |
|
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Six-Minute Walk Distance | A 6 minute walk test (6MWT) was conducted that measured how far a participant could walk in 6 continous minutes. Participants were instructed to walk as far as possible in 6 minutes, and were allowed to slow down and take breaks as needed due to symptoms. | Mean | Standard Deviation | meters |
|
| Borg Dyspnea Score | The Modified Borg scale was an 11 point scale with a score range of 0-10, where 0 indicated no breathlessness at all and 10 indicated maximum breathlessness. | Mean | Standard Deviation | score on a scale |
|
Beraprost Sodium Modified Release Tablets, 60mcg, b.i.d (twice a day dosing) |
|
|
| Primary | Number of Treatment Emergent Adverse Events Reported During The Study | A treatment-emergent adverse event (TEAE) is defined as an event not present prior to the initiation of the treatment or any event already present that worsens in either intensity or frequency following exposure to the treatment. AEs occurring more than 3 days after the last day study drug was taken in the study was not included in the statistical analyses or summaries (except for participants with adverse events leading to study drug withdrawn). Only TEAEs that occurred during the treatment period of the BPS-MR-PAH-202 study were summarized. Any adverse event starting prior to the first dose of study drug was excluded from the summary analyses and only presented in the data listings. All efficacy results are descriptive; no statistical analysis was conducted. A summary of serious and all other non-serious adverse events regardless of causality is located in the Reported Adverse Events module. | Posted | Number | TEAEs | Up to 56 months |
|
|
|
| Secondary | Mean Change From Baseline in Six Minutes Walk Distance (6MWD) at End of Study | The area used for the Six Minute Walk Test (6MWT) was pre-measured at a minimum of 30 meters in length and at least 2 to 3 meters in width. There were no turns or significant curves to the 6-minute walk area. The length was marked with gradations to ensure the accurate measurement of the distance walked. The area was well ventilated with air temperature controlled at 20 to 23°C. Intermittent rest periods were allowed if the participant could no longer continue. If the participant needed to rest briefly, he/she could stand or sit and then begin again when rested but the clock continued to run. At the end of 6 minutes, the tester called "stop" while simultaneously stopping the watch and then measured the distance walked. For the purposes of the 6MWT if a participant was assessed at Baseline using oxygen therapy, then all future 6MWT were conducted in the same manner. All efficacy results are descriptive; no statistical analysis was conducted. | Only participants with both a measurement at baseline and at the given visit are presented. | Posted | Mean | Standard Deviation | meters | Baseline and 56 months |
|
|
|
| Secondary | Change From Baseline in Borg Dyspnea Score at End of Study | The modified 0-10 category-ratio Borg scale consists of an 11-point scale rating the maximum level of dyspnea experienced during the 6MWT. Scores range from 0 (for the best condition) and 10 (for the worst condition) with nonlinear spacing of verbal descriptors of severity corresponding to specific numbers. The participant chose the number or the verbal descriptor to reflect presumed ratio properties of sensation or symptom intensity. Baseline was defined as the last non-missing evaluation preceding the first dose of study drug in study BPS-MR-PAH-201. Only participants with both a measurement at baseline and at the given visit are presented. All efficacy results are descriptive; no statistical analysis was conducted. | Only participants with both a measurement at baseline and at the given visit are presented. | Posted | Mean | Standard Deviation | scores on a scale | Baseline and 56 months |
|
|
|
| Secondary | Number of Participants That Experienced Clinical Worsening During the Study | Number of Participants that experienced Clinical Worsening in the opinion of the Investigator. Clinical Worsening was defined as any of these events following the Baseline visit: Death, Transplantation or atrial septostomy, Clinical deterioration as defined by: Hospitalization as a result of PAH symptoms or Initiation of any new PAH specific therapy (e.g. ERA, PDE-5 inhibitor, prostanoid). All efficacy results are descriptive; no statistical analysis was conducted. | Posted | Count of Participants | Participants | Up to 56 months |
|
|
|
| Secondary | Number of Participants With a Change in WHO Functional Class | Change from Baseline in participant clinical status was recorded according to the World Health Organization (WHO) Functional Class. A change from lower to higher functional class (i.e. 'III to IV' or 'II to III') was considered as a deterioration. A change from higher to lower functional class (i.e. 'III to II' or 'II to I') was considered as an improvement. All efficacy results are descriptive; no statistical analysis was conducted. | Posted | Number | Participants | Baseline and 56 months |
|
|
|
| 1 |
| 18 |
| 7 |
| 18 |
| 18 |
| 18 |
| Worsening Pulmonary arterial hypertension | Respiratory, thoracic and mediastinal disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Haemoptysis | Respiratory, thoracic and mediastinal disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Lower respiratory tract infection | Infections and infestations | MedDRA, version 16.0 | Systematic Assessment |
|
| Post procedural haemorrhage | Injury, poisoning and procedural complications | MedDRA, version 16.0 | Systematic Assessment |
|
| Presyncope | Nervous system disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Atrial fibrillation | Cardiac disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Gastroenteritis viral | Infections and infestations | MedDRA, version 16.0 | Systematic Assessment |
|
| Syncope | Nervous system disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Atrial flutter | Cardiac disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Bronchitis | Infections and infestations | MedDRA, version 16.0 | Systematic Assessment |
|
| Atrial septal defect repair | Surgical and medical procedures | MedDRA, version 16.0 | Systematic Assessment |
|
| Arrhythmia | Cardiac disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Atrial Fibrillation | Cardiac disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Palpitations | Cardiac disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Right ventricular heave | Cardiac disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Tinnitus | Ear and labyrinth disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Vertigo | Ear and labyrinth disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Astigmatism | Eye disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Cataract | Eye disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Eyelid Cyst | Eye disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Myopia | Eye disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Retinal Detachment | Eye disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Retinal Tear | Eye disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Abdominal Discomfort | Gastrointestinal disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Abdominal Pain | Gastrointestinal disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Abdominal Pain Upper | Gastrointestinal disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Defaecation urgency | Gastrointestinal disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Gastritis | Gastrointestinal disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Irritable Bowel Syndrome | Gastrointestinal disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Rectal Hemmorrhage | Gastrointestinal disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Asthenia | General disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Chest Pain | General disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Generalised oedema | General disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Pain | General disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Biliary Colic | Hepatobiliary disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Cholecystitis | Hepatobiliary disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Hepatitis acute | Hepatobiliary disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Seasonal Allergy | Immune system disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Bronchiolitis | Infections and infestations | MedDRA, version 16.0 | Systematic Assessment |
|
| Bronchitis | Infections and infestations | MedDRA, version 16.0 | Systematic Assessment |
|
| Cystitis | Infections and infestations | MedDRA, version 16.0 | Systematic Assessment |
|
| Fungal skin infection | Infections and infestations | MedDRA, version 16.0 | Systematic Assessment |
|
| Herpes zoster | Infections and infestations | MedDRA, version 16.0 | Systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA, version 16.0 | Systematic Assessment |
|
| Pharyngitis | Infections and infestations | MedDRA, version 16.0 | Systematic Assessment |
|
| Sinusitis | Infections and infestations | MedDRA, version 16.0 | Systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA, version 16.0 | Systematic Assessment |
|
| Urinary Tract Infections | Infections and infestations | MedDRA, version 16.0 | Systematic Assessment |
|
| Liver Function Test Abnormal | Investigations | MedDRA, version 16.0 | Systematic Assessment |
|
| Platelet Count Decreased | Investigations | MedDRA, version 16.0 | Systematic Assessment |
|
| Urine analysis abnormal | Investigations | MedDRA, version 16.0 | Systematic Assessment |
|
| Weight increased | Investigations | MedDRA, version 16.0 | Systematic Assessment |
|
| Fluid overload | Metabolism and nutrition disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Hyperuricaemia | Metabolism and nutrition disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Hypokalemia | Metabolism and nutrition disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Hypomagnesaemia | Metabolism and nutrition disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Lactose Intolerance | Metabolism and nutrition disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Muscle Tightness | Musculoskeletal and connective tissue disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Muscle twitching | Musculoskeletal and connective tissue disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Musculoskeletal Chest Pain | Musculoskeletal and connective tissue disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Osteoporosis | Musculoskeletal and connective tissue disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Pain in Jaw | Musculoskeletal and connective tissue disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Hypoaesthesia | Nervous system disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Presyncope | Nervous system disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Restless Leg Syndrome | Nervous system disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Syncope | Nervous system disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Anxiety | Psychiatric disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Depression | Psychiatric disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Panic Attack | Psychiatric disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Haematuria | Renal and urinary disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Pollakiuria | Renal and urinary disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Worsening pulmonary arterial hypertension | Respiratory, thoracic and mediastinal disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Sleep apnoea syndrome | Respiratory, thoracic and mediastinal disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Urticaria | Skin and subcutaneous tissue disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Skin Irritation | Skin and subcutaneous tissue disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Tooth Extraction | Surgical and medical procedures | MedDRA, version 16.0 | Systematic Assessment |
|
| Flushing | Vascular disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Peripheral Coldness | Vascular disorders | MedDRA, version 16.0 | Systematic Assessment |
|
| Vasculitis | Vascular disorders | MedDRA, version 16.0 | Systematic Assessment |
|
Not provided
| Title | Measurements |
|---|---|
|
| Hospitalization |
|
| Title | Measurements |
|---|---|
|
| Not Reported |
|