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| ID | Type | Description | Link |
|---|---|---|---|
| 2009-017978-21 | EudraCT Number |
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Prospective Observational Long-term Safety Registry of Multiple Sclerosis Participants who Have Participated in Cladribine Clinical Trials
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Never Exposed to Cladribine | All participants who received placebo matched to cladribine in previously conducted clinical trials (NCT Number: NCT00213135, NCT00436826 , NCT00641537, NCT00938366 and NCT00725985). | ||
| Exposed to Cladribine | All participants who received cladribine in previously conducted clinical trials (NCT Number: NCT00213135, NCT00436826, NCT00641537, NCT00938366 and NCT00725985). |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Serious Adverse Drug Reactions (SADRs) | SADR is an adverse drug reaction that fulfils at least one of the seriousness criterion; results in death, is life-threatening, requires in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is otherwise considered as medically important. An adverse drug reaction (ADR) is a response to a medicinal product which is noxious and unintended, and which occurs at doses normally used in man for prophylaxis, diagnosis, or therapy of disease or for the restoration, correction, or modification or physiological functions. Number of participants with SADRs were reported. | up to 3251 days |
| Time to Resolution of Lymphopenia, Among Registry Participants With Persistent Lymphopenia | Persistent lymphopenia was defined as Grade 3 (less than [<] 500-200 per millimeter [mm] ^3 or < 0.5-0.2 multiply [*]10^9 per Liter) or Grade 4 (< 200/mm^3 or < 0.2*10^9 per Liter) lymphopenia as defined by the Common Terminology Criteria for Adverse Events (CTCAE) version 3.0. The resolution is the achievement of a CTCAE Grade 1 (< lower limit of normal [LLN] to 800 per mm^3 or < LLN to 0.8*10^9 per Liter) or Grade 0 (< 910 per mm^3 ) lymphocyte count. Persistent Lymphopenia was reported only in Cladribine group, hence results are reported only for "Exposed to Cladribine" arm. Time to resolution is reported. | up to 3251 days |
| Number of Participants With Adverse Events (AEs) in the "Blood and Lymphatic System Disorders" System Organ Class (SOC) and in the "Neoplasms Benign, Malignant, and Unspecified" SOC | An Adverse event (AE) was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug or worsening of pre-existing medical condition, whether or not related to study drug. | up to 3251 days |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Pregnancy Outcomes | Pregnancies occurred among female participants exposed to cladribine were identified by a participant-reported positive pregnancy test and at least a 2-week delay in menses, or a participant-reported pregnancy diagnosed by a physician. Pregnancy outcomes were Live birth, Induced abortion (Termination), Spontaneous loss (Miscarriage) (< 22 weeks), Foetal death (stillbirth) (>=22 weeks), Ectopic pregnancy, Congenital malformations and others (unknown). Number of participants as per pregnancy outcome category were reported. |
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Inclusion Criteria:
Exclusion Criteria:
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Participants with Multiple Sclerosis and had already participated in Sponsor oral cladribine clinical development trials
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| Name | Affiliation | Role |
|---|---|---|
| Medical Responsible | EMD Serono Inc., an affiliate of Merck KGaA, Darmstadt, Germany | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Outcome Sciences, Inc | Cambridge | Massachusetts | 02139 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32447743 | Derived | Giovannoni G, Galazka A, Schick R, Leist T, Comi G, Montalban X, Damian D, Dangond F, Cook S. Pregnancy Outcomes During the Clinical Development Program of Cladribine in Multiple Sclerosis: An Integrated Analysis of Safety. Drug Saf. 2020 Jul;43(7):635-643. doi: 10.1007/s40264-020-00948-x. |
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Study enrolled participants from previous clinical trials (NCT00213135, NCT00436826, NCT00641537, NCT00938366 and NCT00725985) and were exposed either to placebo matched to cladribine or cladribine itself. 13 enrolled participants from NCT00938366 were excluded from safety analysis as the dose was relatively lower compared with other studies.
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| ID | Title | Description |
|---|---|---|
| FG000 | Never Exposed to Cladribine | All participants who received placebo matched to cladribine in previously conducted clinical trials (NCT Number: NCT00213135, NCT00436826 , NCT00641537, NCT00938366 and NCT00725985). |
| FG001 | Exposed to Cladribine | All participants who received cladribine in previously conducted clinical trials (NCT Number: NCT00213135, NCT00436826, NCT00641537, NCT00938366 and NCT00725985). |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Safety analysis set included all participants in the current study who either received placebo matched to cladribine or cladribine in previously conducted clinical trials (NCT Number: NCT00213135, NCT00436826 , NCT00641537 and NCT00725985).
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| ID | Title | Description |
|---|---|---|
| BG000 | Never Exposed to Cladribine | All participants who received placebo matched to cladribine in previously conducted clinical trials (NCT Number: NCT00213135, NCT00436826, NCT00641537 and NCT00725985). |
| BG001 | Exposed to Cladribine |
| 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 With Serious Adverse Drug Reactions (SADRs) | SADR is an adverse drug reaction that fulfils at least one of the seriousness criterion; results in death, is life-threatening, requires in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is otherwise considered as medically important. An adverse drug reaction (ADR) is a response to a medicinal product which is noxious and unintended, and which occurs at doses normally used in man for prophylaxis, diagnosis, or therapy of disease or for the restoration, correction, or modification or physiological functions. Number of participants with SADRs were reported. | Safety analysis set included all participants in the current study who either received placebo matched to cladribine or cladribine in previously conducted clinical trials (NCT Number: NCT00213135, NCT00436826 , NCT00641537 and NCT00725985). | Posted | Count of Participants | Participants | up to 3251 days |
|
up to 3251 days
Safety analysis set included all participants in the current study who either received placebo matched to cladribine or cladribine in previously conducted clinical trials (NCT Number: NCT00213135, NCT00436826, NCT00641537 and NCT00725985).
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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 | Never Exposed to Cladribine | All participants who received placebo matched to cladribine in previously conducted clinical trials (NCT Number: NCT00213135, NCT00436826, NCT00641537 and NCT00725985). |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Immune thrombocytopenic purpura | Blood and lymphatic system disorders | MedDRA version 21.0 | Non-systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Lymphopenia | Blood and lymphatic system disorders | MedDRA version 21.0 | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Communication Center | Merck KGaA, Darmstadt, Germany | +49-6151-72-5200 | service@emdgroup.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jul 20, 2016 | Oct 24, 2019 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Nov 21, 2018 | Oct 24, 2019 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D009103 | Multiple Sclerosis |
| ID | Term |
|---|---|
| D020278 | Demyelinating Autoimmune Diseases, CNS |
| D020274 | Autoimmune Diseases of the Nervous System |
| D009422 | Nervous System Diseases |
| D003711 | Demyelinating Diseases |
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| up to 3251 days |
| Physician Decision |
|
| Withdrawal by Subject |
|
| Death |
|
| Participant entered interventional study |
|
| Other |
|
All participants who received cladribine in previously conducted clinical trials (NCT Number: NCT00213135, NCT00436826, NCT00641537 and NCT00725985).
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| OG000 |
| Never Exposed to Cladribine |
All participants who received placebo matched to cladribine in previously conducted clinical trials (NCT Number: NCT00213135, NCT00436826, NCT00641537 and NCT00725985). |
| OG001 | Exposed to Cladribine | All participants who received cladribine in previously conducted clinical trials (NCT Number: NCT00213135, NCT00436826, NCT00641537 and NCT00725985). |
|
|
| Primary | Time to Resolution of Lymphopenia, Among Registry Participants With Persistent Lymphopenia | Persistent lymphopenia was defined as Grade 3 (less than [<] 500-200 per millimeter [mm] ^3 or < 0.5-0.2 multiply [*]10^9 per Liter) or Grade 4 (< 200/mm^3 or < 0.2*10^9 per Liter) lymphopenia as defined by the Common Terminology Criteria for Adverse Events (CTCAE) version 3.0. The resolution is the achievement of a CTCAE Grade 1 (< lower limit of normal [LLN] to 800 per mm^3 or < LLN to 0.8*10^9 per Liter) or Grade 0 (< 910 per mm^3 ) lymphocyte count. Persistent Lymphopenia was reported only in Cladribine group, hence results are reported only for "Exposed to Cladribine" arm. Time to resolution is reported. | Lymphocyte Population included participants from safety analysis set who had persistent lymphopenia. Here, "overall number of participants analyzed" signified participants with resolved lymphopenia. | Posted | Mean | Standard Deviation | months | up to 3251 days |
|
|
|
| Primary | Number of Participants With Adverse Events (AEs) in the "Blood and Lymphatic System Disorders" System Organ Class (SOC) and in the "Neoplasms Benign, Malignant, and Unspecified" SOC | An Adverse event (AE) was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug or worsening of pre-existing medical condition, whether or not related to study drug. | Safety analysis set included all participants in the current study who either received placebo matched to cladribine or cladribine in previously conducted clinical trials (NCT Number: NCT00213135, NCT00436826 , NCT00641537, NCT00725985). | Posted | Count of Participants | Participants | up to 3251 days |
|
|
|
| Secondary | Number of Participants With Pregnancy Outcomes | Pregnancies occurred among female participants exposed to cladribine were identified by a participant-reported positive pregnancy test and at least a 2-week delay in menses, or a participant-reported pregnancy diagnosed by a physician. Pregnancy outcomes were Live birth, Induced abortion (Termination), Spontaneous loss (Miscarriage) (< 22 weeks), Foetal death (stillbirth) (>=22 weeks), Ectopic pregnancy, Congenital malformations and others (unknown). Number of participants as per pregnancy outcome category were reported. | Safety analysis set. Here, "Overall Number of Participants Analyzed" signifies number of participants with pregnancies. | Posted | Count of Participants | Participants | up to 3251 days |
|
|
|
| 3 |
| 198 |
| 10 |
| 198 |
| 26 |
| 198 |
| EG001 | Exposed to Cladribine | All participants who received cladribine in previously conducted clinical trials (NCT Number: NCT00213135, NCT00436826, NCT00641537 and NCT00725985). | 5 | 950 | 63 | 950 | 124 | 950 |
| Leukocytosis | Blood and lymphatic system disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Thrombocytopenic purpura | Blood and lymphatic system disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Cardiac failure | Cardiac disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Coronary artery insufficiency | Cardiac disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Myocardial infarction | Cardiac disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Dandy-Walker syndrome | Congenital, familial and genetic disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Vertigo | Ear and labyrinth disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Vertigo positional | Ear and labyrinth disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Goitre | Endocrine disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Thyroid mass | Endocrine disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Vision blurred | Eye disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Dysphagia | Gastrointestinal disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Gastrointestinal melanosis | Gastrointestinal disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Pancreatitis acute | Gastrointestinal disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Accidental death | General disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Non-cardiac chest pain | General disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Pyrexia | General disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Cholecystitis | Hepatobiliary disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Cholecystitis acute | Hepatobiliary disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Anal abscess | Infections and infestations | MedDRA version 21.0 | Non-systematic Assessment |
|
| Appendicitis | Infections and infestations | MedDRA version 21.0 | Non-systematic Assessment |
|
| Bronchitis | Infections and infestations | MedDRA version 21.0 | Non-systematic Assessment |
|
| Clostridium difficile colitis | Infections and infestations | MedDRA version 21.0 | Non-systematic Assessment |
|
| Diverticulitis | Infections and infestations | MedDRA version 21.0 | Non-systematic Assessment |
|
| Meningoencephalitis herpetic | Infections and infestations | MedDRA version 21.0 | Non-systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA version 21.0 | Non-systematic Assessment |
|
| Pneumonia bacterial | Infections and infestations | MedDRA version 21.0 | Non-systematic Assessment |
|
| Pneumonia viral | Infections and infestations | MedDRA version 21.0 | Non-systematic Assessment |
|
| Pulmonary tuberculosis | Infections and infestations | MedDRA version 21.0 | Non-systematic Assessment |
|
| Tooth infection | Infections and infestations | MedDRA version 21.0 | Non-systematic Assessment |
|
| Urinary tract infection | Infections and infestations | MedDRA version 21.0 | Non-systematic Assessment |
|
| Brain herniation | Injury, poisoning and procedural complications | MedDRA version 21.0 | Non-systematic Assessment |
|
| Femur fracture | Injury, poisoning and procedural complications | MedDRA version 21.0 | Non-systematic Assessment |
|
| Hip fracture | Injury, poisoning and procedural complications | MedDRA version 21.0 | Non-systematic Assessment |
|
| Lumbar vertebral fracture | Injury, poisoning and procedural complications | MedDRA version 21.0 | Non-systematic Assessment |
|
| Subdural haemorrhage | Injury, poisoning and procedural complications | MedDRA version 21.0 | Non-systematic Assessment |
|
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Hyponatraemia | Metabolism and nutrition disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Intervertebral disc degeneration | Musculoskeletal and connective tissue disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Intervertebral disc protrusion | Musculoskeletal and connective tissue disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Spondylolisthesis | Musculoskeletal and connective tissue disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Basal cell carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 21.0 | Non-systematic Assessment |
|
| Breast cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 21.0 | Non-systematic Assessment |
|
| Breast cancer stage II | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 21.0 | Non-systematic Assessment |
|
| Cervix carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 21.0 | Non-systematic Assessment |
|
| Cervix carcinoma stage 0 | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 21.0 | Non-systematic Assessment |
|
| Colon cancer stage 0 | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 21.0 | Non-systematic Assessment |
|
| Metastases to lung | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 21.0 | Non-systematic Assessment |
|
| Nonkeratinising carcinoma of nasopharynx | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 21.0 | Non-systematic Assessment |
|
| Ovarian germ cell teratoma benign | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 21.0 | Non-systematic Assessment |
|
| Papillary thyroid cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 21.0 | Non-systematic Assessment |
|
| Polycythaemia vera | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 21.0 | Non-systematic Assessment |
|
| Rectal adenocarcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 21.0 | Non-systematic Assessment |
|
| Rectal adenoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 21.0 | Non-systematic Assessment |
|
| Rectal cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 21.0 | Non-systematic Assessment |
|
| Thyroid adenoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 21.0 | Non-systematic Assessment |
|
| Uterine leiomyoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 21.0 | Non-systematic Assessment |
|
| Ataxia | Nervous system disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Brain oedema | Nervous system disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Cerebellar syndrome | Nervous system disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Cerebral infarction | Nervous system disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Hemiparaesthesia | Nervous system disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Loss of consciousness | Nervous system disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Monoparesis | Nervous system disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Multiple sclerosis | Nervous system disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Multiple sclerosis relapse | Nervous system disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Optic neuritis | Nervous system disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Relapsing-remitting multiple sclerosis | Nervous system disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Abortion | Pregnancy, puerperium and perinatal conditions | MedDRA version 21.0 | Non-systematic Assessment |
|
| Abortion missed | Pregnancy, puerperium and perinatal conditions | MedDRA version 21.0 | Non-systematic Assessment |
|
| Abortion spontaneous | Pregnancy, puerperium and perinatal conditions | MedDRA version 21.0 | Non-systematic Assessment |
|
| Abortion threatened | Pregnancy, puerperium and perinatal conditions | MedDRA version 21.0 | Non-systematic Assessment |
|
| Foetal death | Pregnancy, puerperium and perinatal conditions | MedDRA version 21.0 | Non-systematic Assessment |
|
| Foetal distress syndrome | Pregnancy, puerperium and perinatal conditions | MedDRA version 21.0 | Non-systematic Assessment |
|
| Premature separation of placenta | Pregnancy, puerperium and perinatal conditions | MedDRA version 21.0 | Non-systematic Assessment |
|
| Depression | Psychiatric disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Jealous delusion | Psychiatric disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Suicide attempt | Psychiatric disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Acute kidney injury | Renal and urinary disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Urinary incontinence | Renal and urinary disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Urinary retention | Renal and urinary disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Neonatal anoxia | Respiratory, thoracic and mediastinal disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Pneumothorax | Respiratory, thoracic and mediastinal disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Abortion induced | Surgical and medical procedures | MedDRA version 21.0 | Non-systematic Assessment |
|
| Stem cell transplant | Surgical and medical procedures | MedDRA version 21.0 | Non-systematic Assessment |
|
| Thrombophlebitis | Vascular disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
| Multiple sclerosis relapse | Nervous system disorders | MedDRA version 21.0 | Non-systematic Assessment |
|
Not provided
Not provided
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| Spontaneous Loss (Miscarriage) |
|
| Foetal Death (Still birth) |
|
| Ectopic Pregnancy |
|
| Congenital Malformations |
|
| Unknown |
|