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| ID | Type | Description | Link |
|---|---|---|---|
| EP08043.001 | Other Identifier | Merck Epidemiology Number | |
| SCH 503034 P08518 | Other Identifier | Schering Protocol Number | |
| MK-3034-072 | Other Identifier | Merck Protocol Number |
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This is an observational prospective follow-up study to assess the utilization of boceprevir and the management of pre-specified health outcomes of interest (HOIs) under conditions of routine clinical care in participants with chronic hepatitis C (CHC) genotype 1.
As an observational prospective study, this study is not intended to change the participant/physician relationship, nor influence the physician's drug prescription or therapeutic management of the participant. No individual administration of any therapeutic or prophylactic agent is assigned in this protocol, and there are no procedures required as part of this protocol. Physician choice of the drug used to treat the participant is based on clinical judgment alone.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Boceprevir + PR | CHC genotype-1 participants included in study and prescribed boceprevir plus PR as routine clinical management. | ||
| Telaprevir + PR | CHC genotype-1 participants included in study and prescribed telaprevir plus PR as routine clinical management. | ||
| PR Alone | CHC genotype-1 participants included in study and prescribed PR alone as routine clinical management. |
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| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants Initiating Boceprevir Plus PR Treatment, Telaprevir Plus PR Treatment, or PR Treatment Alone (Drug Utilization Pattern) | The percentage of CHC participants initiating boceprevir plus PR treatment, telaprevir plus PR treatment, or PR treatment alone was determined from a Drug Utilization questionnaire that was administered to physicians using an electronic Case Report Form (eCRF) to collect site level information and reported with 95% confidence intervals. | Up to 37 months |
| Baseline Characteristics of Participants Initiating Boceprevir Plus PR Treatment, Telaprevir Plus PR Treatment, or PR Treatment Alone: Weight | Baseline mean weight (standard deviation [SD]) in kilograms (Kg) was recorded from the eCRF. | Before initiation of CHC treatment (Week 0 baseline) |
| Baseline Characteristics of Participants Initiating Boceprevir Plus PR Treatment, Telaprevir Plus PR Treatment, or PR Treatment Alone: Height | Baseline mean height (SD) in centimeters (cm) was recorded from the eCRF. | Before initiation of CHC treatment (Week 0 baseline) |
| Baseline Characteristics of Participants Initiating Boceprevir Plus PR Treatment, Telaprevir Plus PR Treatment, or PR Treatment Alone: Body Mass Index (BMI) | Baseline mean body mass index (SD) in Kg/m^2 was recorded from the eCRF. | Before initiation of CHC treatment (Week 0 baseline) |
| Baseline Disease Characteristics of Participants Initiating Boceprevir Plus PR Treatment, Telaprevir Plus PR Treatment, or PR Treatment Alone: Baseline Hepatitis C Virus (HCV) Genotype | Baseline HCV genotype was recorded from the eCRF and the number of participants who were 1a genotype, 1b genotype, or unknown/other was reported. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Anemia, Grade 3/4 Neutropenia, Grade 3/4 Thrombocytopenia, and Serious Skin Rash | The incidence (events per 1000 participant-days) of the protocol-defined HOIs (anemia, grade 3/4 neutropenia, grade 3/4 thrombocytopenia, and serious skin rash) was calculated over the 48-week period following the start of CHC treatment exposure. All protocol-defined HOIs were taken into account (serious and non-serious HOIs). For this analysis, participants were categorized by CHC treatment group of exposure, and could successively be assigned to different treatment groups of exposure depending on their treatment regimen (treatment groups were not mutually exclusive). The incidence per 1000 participant-days of anemia, grade 3/4 neutropenia, grade 3/4 thrombocytopenia, and serious skin rash were reported by CHC treatment group of exposure with 95% confidence intervals. |
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Inclusion Criteria:
Exclusion Criteria:
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Adults 18 years or older with CHC genotype 1
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Merck Sharp & Dohme LLC | Study Director |
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Of 713 Chronic Hepatitis C (CHC) participants included in the study, 679 were included in the Analysis Population and 34 were excluded. The Analysis Population comprised participants receiving Boceprevir plus peginterferon and ribavirin (PR), Telaprevir plus PR, or PR alone.
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| ID | Title | Description |
|---|---|---|
| FG000 | All Included Participants | All CHC genotype-1 participants included in study. |
| FG001 | Boceprevir + PR | CHC genotype-1 participants included in study and prescribed boceprevir plus PR as routine clinical management. |
| FG002 | Telaprevir + PR | CHC genotype-1 participants included in study and prescribed telaprevir plus PR as routine clinical management. |
| FG003 | PR Alone | CHC genotype-1 participants included in study and prescribed PR alone as routine clinical management |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Screening/Eligibility |
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| |||||||||||||||||||||
| Analysis Population |
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Analysis Population: All CHC genotype-1 participants included in study meeting eligibility criteria and receiving boceprevir plus peginterferon and ribavirin (PR), telaprevir plus PR, or PR alone.
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| ID | Title | Description |
|---|---|---|
| BG000 | Boceprevir + PR | CHC genotype-1 participants included in study and prescribed boceprevir plus PR as routine clinical management. |
| BG001 | Telaprevir + PR | CHC genotype-1 participants included in study and prescribed telaprevir plus PR as routine clinical management. |
| 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 | Percentage of Participants Initiating Boceprevir Plus PR Treatment, Telaprevir Plus PR Treatment, or PR Treatment Alone (Drug Utilization Pattern) | The percentage of CHC participants initiating boceprevir plus PR treatment, telaprevir plus PR treatment, or PR treatment alone was determined from a Drug Utilization questionnaire that was administered to physicians using an electronic Case Report Form (eCRF) to collect site level information and reported with 95% confidence intervals. | Analysis Population: All CHC genotype-1 participants included in study meeting eligibility criteria and receiving boceprevir plus peginterferon and ribavirin (PR), telaprevir plus PR, or PR alone. | Posted | Number | 95% Confidence Interval | percentage of participants | Up to 37 months |
|
Up to 14 days following a 48-week treatment regimen (up to 50 weeks)
AEs reported for Analysis Population by CHC treatment arms (mutually exclusive). Nonserious AEs (NSAEs) that were non-HOIs were not actively solicited on this study, however spontaneous drug-related NSAEs were collected and reported. As prespecified by the protocol, AEs were not collected for the PR Alone Arm until after amendment 3 (6/18/2013).
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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 | Boceprevir + PR | CHC genotype-1 participants included in study and prescribed boceprevir plus PR as routine clinical management. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Agranulocytosis | Blood and lymphatic system disorders | MedDRA 15.0 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA 15.0 | Systematic Assessment |
This was a non-interventional study that collected data on both boceprevir and telaprevir treatment regimens within routine medical practice. No individual administration of any therapeutic or prophylactic agent was assigned in this protocol.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Senior Vice President, Global Clinical Development | Merck Sharp & Dohme Corp. | 1-800-672-6372 | ClinicalTrialsDisclosure@merck.com |
| ID | Term |
|---|---|
| D019698 | Hepatitis C, Chronic |
| ID | Term |
|---|---|
| D006526 | Hepatitis C |
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
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| Before initiation of CHC treatment (Week 0 baseline) |
| Baseline Disease Characteristics of Participants Initiating Boceprevir Plus PR Treatment, Telaprevir Plus PR Treatment, or PR Treatment Alone: Baseline Viral Load | Participant baseline HCV viral load was recorded from the eCRF and categorized as either "Low" (<800,000 IU/mL or <2,000,000 RNA copies/mL) or "High" (≥800,000 IU/mL or ≥2,000,000 RNA copies/mL). | Before initiation of CHC treatment (Week 0 baseline) |
| Baseline Disease Characteristics of Participants Initiating Boceprevir Plus PR Treatment, Telaprevir Plus PR Treatment, or PR Treatment Alone: Baseline Grade for Child-Pugh Score | The Child-Pugh Score is used to determine the prognosis of chronic liver disease, in particular cirrhosis. It is classified into Classes A (best prognosis) to C (worst prognosis). Child-Pugh scores assessed within 3 months before CHC treatment regimen initiation were recorded from the eCRF, and the number of participants who were Grade A, Grade B, Grade C, not assessed, or unknown whether assessed were reported. | Before initiation of CHC treatment (Week 0 baseline) |
| Percentage of Anemia Episodes Managed by at Least One Clinical Intervention | Anemia (hemoglobin <10 g/dL) was considered a Health Outcome of Interest (HOI) for this study. Clinical interventions used to manage episodes of anemia in participants could include erythropoiesis stimulating agent (ESA), blood transfusion, drug dose reduction, other treatment, and CHC treatment regimen modifications (drug dose reduction, drug discontinuation, and drug interruption). For this analysis, participants were categorized by CHC treatment group of exposure, and could successively be assigned to different treatment groups of exposure depending on their treatment regimen (treatment groups were not mutually exclusive). The percentage of anemia episodes that were managed by at least one intervention is reported for each CHC treatment exposure group with 95% confidence intervals. | Up to 48 weeks of a treatment regimen |
| Percentage of Anemia Episodes Managed by Each Clinical Intervention Out of All Managed Anemia Episodes | Clinical interventions used to manage episodes of anemia in participants could include erythropoiesis stimulating agent (ESA), blood transfusion (BT), other treatment (OT), and CHC treatment regimen modifications including drug dose reduction (DDR), drug discontinuation (DD), and drug interruption (DI). Interventions could be used in combination (e.g. ESA plus blood transfusion) and more than one treatment modification could have been performed. For this analysis, participants were categorized by CHC treatment group of exposure, and could successively be assigned to different treatment groups of exposure depending on their treatment regimen (treatment groups were not mutually exclusive). For each CHC treatment exposure group, the percentage of anemia episodes managed by a particular intervention are reported out of the total number of managed anemia episodes with data available for that intervention (i.e. anemia episodes with missing data for an intervention were excluded). | Up to 48 weeks of a treatment regimen |
| Percentage of Grade 3/4 Neutropenia Episodes Managed by at Least One Clinical Intervention | Grade 3/4 neutropenia (Grade 3: neutrophil count 0.5 - <0.75 × 10^9/L, Grade 4: <0.5 × 10^9/L) was considered a HOI for this study. Clinical interventions used to manage episodes of grade 3/4 neutropenia in participants could include Granulocyte colony-stimulating factor (G-CSF) use and CHC treatment regimen modifications (drug dose reduction, drug discontinuation, and drug interruption). For this analysis, participants were categorized by CHC treatment group of exposure, and could successively be assigned to different treatment groups of exposure depending on their treatment regimen (treatment groups were not mutually exclusive). The percentage of grade 3/4 neutropenia episodes that were managed by at least one intervention is reported for each CHC treatment exposure group with 95% confidence intervals. | Up to 48 weeks of a treatment regimen |
| Percentage of Grade 3/4 Neutropenia Episodes Managed by Each Clinical Intervention Out of All Managed Episodes | Clinical interventions used to manage episodes of grade 3/4 neutropenia in participants could include Granulocyte colony-stimulating factor (G-CSF) use, other treatment (OT), and CHC treatment regimen modifications including drug dose reduction (DDR), drug discontinuation (DD), and drug interruption (DI). More than one treatment modification could have been performed. For this analysis, participants were categorized by CHC treatment group of exposure, and could successively be assigned to different treatment groups of exposure depending on their treatment regimen (treatment groups were not mutually exclusive). For each CHC treatment exposure group, the percentage of grade 3/4 neutropenia episodes managed by a particular intervention are reported out of the total number of managed grade 3/4 neutropenia episodes with data available for that intervention (i.e. grade 3/4 neutropenia episodes with missing data for an intervention were excluded). | Up to 48 weeks of a treatment regimen |
| Percentage of Grade 3/4 Thrombocytopenia Episodes Managed by at Least One Clinical Intervention | Grade 3/4 thrombocytopenia (Grade 3: platelet count 25 - <50 × 10^9/L, Grade 4: <25 × 10^9/L) was considered a HOI for this study. Clinical interventions used to manage episodes of grade 3/4 thrombocytopenia in participants could include thrombopoietin, platelet transfusion, other treatment, and CHC treatment regimen modifications (drug dose reduction, drug discontinuation, and drug interruption). For this analysis, participants were categorized by CHC treatment group of exposure, and could successively be assigned to different treatment groups of exposure depending on their treatment regimen (treatment groups were not mutually exclusive). The percentage of grade 3/4 thrombocytopenia episodes that were managed by at least one intervention is reported for each CHC treatment exposure group with 95% confidence intervals. | Up to 48 weeks of a treatment regimen |
| Percentage of Grade 3/4 Thrombocytopenia Episodes Managed by Each Clinical Intervention Out of All Managed Episodes | Clinical interventions used to manage episodes of grade 3/4 thrombocytopenia in participants could include thrombopoietin (TPO), platelet transfusion (PT), other treatment (OT) , and CHC treatment regimen modifications including drug dose reduction (DDR), drug discontinuation (DD), and drug interruption (DI). For this analysis, participants were categorized by CHC treatment group of exposure, and could successively be assigned to different treatment groups of exposure depending on their treatment regimen (treatment groups were not mutually exclusive). For each CHC treatment exposure group, the percentage of grade 3/4 thrombocytopenia episodes managed by a particular intervention are reported out of the total number of managed grade 3/4 thrombocytopenia episodes with data available for that intervention (i.e. grade 3/4 thrombocytopenia episodes with missing data for an intervention were excluded). | Up to 48 weeks of a treatment regimen |
| Percentage of Serious Rash Episodes Managed by at Least One Clinical Intervention | Serious rash was considered a HOI for this study and included rash > 50% of body surface area, rash associated with significant systemic symptoms, or rash resulting in hospitalization or urgent care visit. Clinical interventions used to manage episodes of serious rash in participants could include topical corticosteroid use, intravenous (IV) and/or oral corticosteroids, emollients/moisturizers, antihistamines, other treatment, and CHC treatment regimen modifications (drug dose reduction, drug discontinuation, and drug interruption). For this analysis, participants were categorized by CHC treatment group of exposure, and could successively be assigned to different treatment groups of exposure depending on their treatment regimen (treatment groups were not mutually exclusive). The percentage of serious rash episodes that were managed by at least one intervention is reported for each CHC treatment exposure group with 95% confidence intervals. | Up to 48 weeks of a treatment regimen |
| Percentage of Serious Rash Episodes Managed by Each Clinical Intervention Out of All Managed Episodes | Clinical interventions used to manage episodes of serious rash in participants could include topical corticosteroid (TC), intravenous (IV) and/or oral (PO) corticosteroids (IV/PO CS), emollients/moisturizers (E/M), antihistamines (AH), other treatment (OT), and CHC treatment regimen modifications including drug dose reduction (DDR), drug discontinuation (DD), and drug interruption (DI). For this analysis, participants were categorized by CHC treatment group of exposure, and could successively be assigned to different treatment groups of exposure depending on their treatment regimen (treatment groups were not mutually exclusive). For each CHC treatment exposure group, the percentage of serious rash episodes managed by a particular intervention are reported out of the total number of managed serious rash episodes with data available for that intervention (i.e. serious rash episodes with missing data for an intervention were excluded). | Up to 48 weeks of a treatment regimen |
| Up to 48 weeks of treatment |
| Eligibility Criteria Not Met |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
| BG002 | PR Alone | CHC genotype-1 participants included in study and prescribed PR alone as routine clinical management |
| BG003 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
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| Primary | Baseline Characteristics of Participants Initiating Boceprevir Plus PR Treatment, Telaprevir Plus PR Treatment, or PR Treatment Alone: Weight | Baseline mean weight (standard deviation [SD]) in kilograms (Kg) was recorded from the eCRF. | Participants in the Analysis Population (all CHC genotype-1 participants included in study meeting eligibility criteria and receiving boceprevir plus peginterferon and ribavirin (PR), telaprevir plus PR, or PR alone) with available demographic data (weight). | Posted | Mean | Standard Deviation | kilograms (Kg) | Before initiation of CHC treatment (Week 0 baseline) |
|
|
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| Primary | Baseline Characteristics of Participants Initiating Boceprevir Plus PR Treatment, Telaprevir Plus PR Treatment, or PR Treatment Alone: Height | Baseline mean height (SD) in centimeters (cm) was recorded from the eCRF. | Participants in the Analysis Population (all CHC genotype-1 participants included in study meeting eligibility criteria and receiving boceprevir plus peginterferon and ribavirin (PR), telaprevir plus PR, or PR alone) with available demographic data (height). | Posted | Mean | Standard Deviation | centimeters | Before initiation of CHC treatment (Week 0 baseline) |
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| Primary | Baseline Characteristics of Participants Initiating Boceprevir Plus PR Treatment, Telaprevir Plus PR Treatment, or PR Treatment Alone: Body Mass Index (BMI) | Baseline mean body mass index (SD) in Kg/m^2 was recorded from the eCRF. | Participants in the Analysis Population (all CHC genotype-1 participants included in study meeting eligibility criteria and receiving boceprevir plus peginterferon and ribavirin (PR), telaprevir plus PR, or PR alone) with available demographic data (BMI). | Posted | Mean | Standard Deviation | Kg/m^2 | Before initiation of CHC treatment (Week 0 baseline) |
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| Primary | Baseline Disease Characteristics of Participants Initiating Boceprevir Plus PR Treatment, Telaprevir Plus PR Treatment, or PR Treatment Alone: Baseline Hepatitis C Virus (HCV) Genotype | Baseline HCV genotype was recorded from the eCRF and the number of participants who were 1a genotype, 1b genotype, or unknown/other was reported. | Participants in the Analysis Population (all CHC genotype-1 participants included in study meeting eligibility criteria and receiving boceprevir plus peginterferon and ribavirin (PR), telaprevir plus PR, or PR alone) with available demographic data (HCV genotype). | Posted | Number | participants | Before initiation of CHC treatment (Week 0 baseline) |
|
|
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| Primary | Baseline Disease Characteristics of Participants Initiating Boceprevir Plus PR Treatment, Telaprevir Plus PR Treatment, or PR Treatment Alone: Baseline Viral Load | Participant baseline HCV viral load was recorded from the eCRF and categorized as either "Low" (<800,000 IU/mL or <2,000,000 RNA copies/mL) or "High" (≥800,000 IU/mL or ≥2,000,000 RNA copies/mL). | Participants in the Analysis Population (all CHC genotype-1 participants included in study meeting eligibility criteria and receiving boceprevir plus peginterferon and ribavirin (PR), telaprevir plus PR, or PR alone) with available demographic data (viral load). | Posted | Number | participants | Before initiation of CHC treatment (Week 0 baseline) |
|
|
|
| Primary | Baseline Disease Characteristics of Participants Initiating Boceprevir Plus PR Treatment, Telaprevir Plus PR Treatment, or PR Treatment Alone: Baseline Grade for Child-Pugh Score | The Child-Pugh Score is used to determine the prognosis of chronic liver disease, in particular cirrhosis. It is classified into Classes A (best prognosis) to C (worst prognosis). Child-Pugh scores assessed within 3 months before CHC treatment regimen initiation were recorded from the eCRF, and the number of participants who were Grade A, Grade B, Grade C, not assessed, or unknown whether assessed were reported. | Participants in the Analysis Population (all CHC genotype-1 participants included in study meeting eligibility criteria and receiving boceprevir plus peginterferon and ribavirin (PR), telaprevir plus PR, or PR alone) with available demographic data (Child Pugh score). | Posted | Number | participants | Before initiation of CHC treatment (Week 0 baseline) |
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| Primary | Percentage of Anemia Episodes Managed by at Least One Clinical Intervention | Anemia (hemoglobin <10 g/dL) was considered a Health Outcome of Interest (HOI) for this study. Clinical interventions used to manage episodes of anemia in participants could include erythropoiesis stimulating agent (ESA), blood transfusion, drug dose reduction, other treatment, and CHC treatment regimen modifications (drug dose reduction, drug discontinuation, and drug interruption). For this analysis, participants were categorized by CHC treatment group of exposure, and could successively be assigned to different treatment groups of exposure depending on their treatment regimen (treatment groups were not mutually exclusive). The percentage of anemia episodes that were managed by at least one intervention is reported for each CHC treatment exposure group with 95% confidence intervals. | Participants in the Analysis Population (all CHC genotype-1 participants included on study meeting eligibility criteria and treated with boceprevir plus PR, telaprevir plus PR, or PR alone) who experienced at least one episode of anemia. Participants categorized by treatment group of exposure (further described in Arm Description). | Posted | Number | 95% Confidence Interval | percentage of episodes | Up to 48 weeks of a treatment regimen | anemia episodes total | Participants |
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| Primary | Percentage of Anemia Episodes Managed by Each Clinical Intervention Out of All Managed Anemia Episodes | Clinical interventions used to manage episodes of anemia in participants could include erythropoiesis stimulating agent (ESA), blood transfusion (BT), other treatment (OT), and CHC treatment regimen modifications including drug dose reduction (DDR), drug discontinuation (DD), and drug interruption (DI). Interventions could be used in combination (e.g. ESA plus blood transfusion) and more than one treatment modification could have been performed. For this analysis, participants were categorized by CHC treatment group of exposure, and could successively be assigned to different treatment groups of exposure depending on their treatment regimen (treatment groups were not mutually exclusive). For each CHC treatment exposure group, the percentage of anemia episodes managed by a particular intervention are reported out of the total number of managed anemia episodes with data available for that intervention (i.e. anemia episodes with missing data for an intervention were excluded). | Participants in the Analysis Population (all CHC genotype-1 participants included on study meeting eligibility criteria and treated with boceprevir plus PR, telaprevir plus PR, or PR alone) who experienced at least one episode of anemia. Participants categorized by treatment group of exposure (further described in Arm Description). | Posted | Number | percentage of episodes | Up to 48 weeks of a treatment regimen | managed anemia episodes total | Participants |
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| Primary | Percentage of Grade 3/4 Neutropenia Episodes Managed by at Least One Clinical Intervention | Grade 3/4 neutropenia (Grade 3: neutrophil count 0.5 - <0.75 × 10^9/L, Grade 4: <0.5 × 10^9/L) was considered a HOI for this study. Clinical interventions used to manage episodes of grade 3/4 neutropenia in participants could include Granulocyte colony-stimulating factor (G-CSF) use and CHC treatment regimen modifications (drug dose reduction, drug discontinuation, and drug interruption). For this analysis, participants were categorized by CHC treatment group of exposure, and could successively be assigned to different treatment groups of exposure depending on their treatment regimen (treatment groups were not mutually exclusive). The percentage of grade 3/4 neutropenia episodes that were managed by at least one intervention is reported for each CHC treatment exposure group with 95% confidence intervals. | Participants in the Analysis Population (all CHC genotype-1 participants included on study meeting eligibility criteria and treated with boceprevir plus PR, telaprevir plus PR, or PR alone) who experienced at least one episode of grade 3/4 neutropenia. Participants categorized by treatment group of exposure (further described in Arm Description). | Posted | Number | 95% Confidence Interval | percentage of episodes | Up to 48 weeks of a treatment regimen | Gr 3/4 neutropenia episodes total | Participants |
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| Primary | Percentage of Grade 3/4 Neutropenia Episodes Managed by Each Clinical Intervention Out of All Managed Episodes | Clinical interventions used to manage episodes of grade 3/4 neutropenia in participants could include Granulocyte colony-stimulating factor (G-CSF) use, other treatment (OT), and CHC treatment regimen modifications including drug dose reduction (DDR), drug discontinuation (DD), and drug interruption (DI). More than one treatment modification could have been performed. For this analysis, participants were categorized by CHC treatment group of exposure, and could successively be assigned to different treatment groups of exposure depending on their treatment regimen (treatment groups were not mutually exclusive). For each CHC treatment exposure group, the percentage of grade 3/4 neutropenia episodes managed by a particular intervention are reported out of the total number of managed grade 3/4 neutropenia episodes with data available for that intervention (i.e. grade 3/4 neutropenia episodes with missing data for an intervention were excluded). | Participants in the Analysis Population (all CHC genotype-1 participants included on study meeting eligibility criteria and treated with boceprevir plus PR, telaprevir plus PR, or PR alone) who experienced at least one episode of grade 3/4 neutropenia. Participants categorized by treatment group of exposure (further described in Arm Description). | Posted | Number | percentage of episodes | Up to 48 weeks of a treatment regimen | managed neutropenia episodes total | Participants |
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| Primary | Percentage of Grade 3/4 Thrombocytopenia Episodes Managed by at Least One Clinical Intervention | Grade 3/4 thrombocytopenia (Grade 3: platelet count 25 - <50 × 10^9/L, Grade 4: <25 × 10^9/L) was considered a HOI for this study. Clinical interventions used to manage episodes of grade 3/4 thrombocytopenia in participants could include thrombopoietin, platelet transfusion, other treatment, and CHC treatment regimen modifications (drug dose reduction, drug discontinuation, and drug interruption). For this analysis, participants were categorized by CHC treatment group of exposure, and could successively be assigned to different treatment groups of exposure depending on their treatment regimen (treatment groups were not mutually exclusive). The percentage of grade 3/4 thrombocytopenia episodes that were managed by at least one intervention is reported for each CHC treatment exposure group with 95% confidence intervals. | Participants in Analysis Population (all CHC genotype-1 participants included on study meeting eligibility criteria and treated with boceprevir plus PR, telaprevir plus PR, or PR alone) who experienced at least one episode of grade 3/4 thrombocytopenia. Participants categorized by treatment group of exposure (further described in Arm Description). | Posted | Number | 95% Confidence Interval | percentage of episodes | Up to 48 weeks of a treatment regimen | Gr 3/4 thrombocytopenia episodes total | Participants |
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| Primary | Percentage of Grade 3/4 Thrombocytopenia Episodes Managed by Each Clinical Intervention Out of All Managed Episodes | Clinical interventions used to manage episodes of grade 3/4 thrombocytopenia in participants could include thrombopoietin (TPO), platelet transfusion (PT), other treatment (OT) , and CHC treatment regimen modifications including drug dose reduction (DDR), drug discontinuation (DD), and drug interruption (DI). For this analysis, participants were categorized by CHC treatment group of exposure, and could successively be assigned to different treatment groups of exposure depending on their treatment regimen (treatment groups were not mutually exclusive). For each CHC treatment exposure group, the percentage of grade 3/4 thrombocytopenia episodes managed by a particular intervention are reported out of the total number of managed grade 3/4 thrombocytopenia episodes with data available for that intervention (i.e. grade 3/4 thrombocytopenia episodes with missing data for an intervention were excluded). | Participants in Analysis Population (all CHC genotype-1 participants included on study meeting eligibility criteria and treated with boceprevir plus PR, telaprevir plus PR, or PR alone) who experienced at least one episode of grade 3/4 thrombocytopenia. Participants categorized by treatment group of exposure (further described in Arm Description). | Posted | Number | percentage of episodes | Up to 48 weeks of a treatment regimen | managed thrombocytopenia episodes total | Participants |
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| Primary | Percentage of Serious Rash Episodes Managed by at Least One Clinical Intervention | Serious rash was considered a HOI for this study and included rash > 50% of body surface area, rash associated with significant systemic symptoms, or rash resulting in hospitalization or urgent care visit. Clinical interventions used to manage episodes of serious rash in participants could include topical corticosteroid use, intravenous (IV) and/or oral corticosteroids, emollients/moisturizers, antihistamines, other treatment, and CHC treatment regimen modifications (drug dose reduction, drug discontinuation, and drug interruption). For this analysis, participants were categorized by CHC treatment group of exposure, and could successively be assigned to different treatment groups of exposure depending on their treatment regimen (treatment groups were not mutually exclusive). The percentage of serious rash episodes that were managed by at least one intervention is reported for each CHC treatment exposure group with 95% confidence intervals. | Participants in the Analysis Population (all CHC genotype-1 participants included on study meeting eligibility criteria and treated with boceprevir plus PR, telaprevir plus PR, or PR alone) who experienced at least one episode of serious rash. Participants categorized by treatment group of exposure (further described in Arm Description). | Posted | Number | 95% Confidence Interval | percentage of episodes | Up to 48 weeks of a treatment regimen | serious rash episodes total | Participants |
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| Primary | Percentage of Serious Rash Episodes Managed by Each Clinical Intervention Out of All Managed Episodes | Clinical interventions used to manage episodes of serious rash in participants could include topical corticosteroid (TC), intravenous (IV) and/or oral (PO) corticosteroids (IV/PO CS), emollients/moisturizers (E/M), antihistamines (AH), other treatment (OT), and CHC treatment regimen modifications including drug dose reduction (DDR), drug discontinuation (DD), and drug interruption (DI). For this analysis, participants were categorized by CHC treatment group of exposure, and could successively be assigned to different treatment groups of exposure depending on their treatment regimen (treatment groups were not mutually exclusive). For each CHC treatment exposure group, the percentage of serious rash episodes managed by a particular intervention are reported out of the total number of managed serious rash episodes with data available for that intervention (i.e. serious rash episodes with missing data for an intervention were excluded). | Participants in the Analysis Population (all CHC genotype-1 participants included on study meeting eligibility criteria and treated with boceprevir plus PR, telaprevir plus PR, or PR alone) who experienced at least one episode of serious rash. Participants categorized by treatment group of exposure (further described in Arm Description). | Posted | Number | percentage of episodes | Up to 48 weeks of a treatment regimen | managed serious rash episodes total | Participants |
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|
| Secondary | Incidence of Anemia, Grade 3/4 Neutropenia, Grade 3/4 Thrombocytopenia, and Serious Skin Rash | The incidence (events per 1000 participant-days) of the protocol-defined HOIs (anemia, grade 3/4 neutropenia, grade 3/4 thrombocytopenia, and serious skin rash) was calculated over the 48-week period following the start of CHC treatment exposure. All protocol-defined HOIs were taken into account (serious and non-serious HOIs). For this analysis, participants were categorized by CHC treatment group of exposure, and could successively be assigned to different treatment groups of exposure depending on their treatment regimen (treatment groups were not mutually exclusive). The incidence per 1000 participant-days of anemia, grade 3/4 neutropenia, grade 3/4 thrombocytopenia, and serious skin rash were reported by CHC treatment group of exposure with 95% confidence intervals. | Participants in Analysis Population (CHC genotype-1 participants meeting eligibility criteria and treated with boceprevir+PR, telaprevir+PR, or PR alone) with available data who did not already experience HOI during 3 months preceding CHC treatment regimen. Participants categorized by treatment group of exposure further described in Arm Description | Posted | Number | 95% Confidence Interval | events per 1000 participant-days | Up to 48 weeks of treatment |
|
|
|
| 58 |
| 298 |
| 178 |
| 298 |
| EG001 | Telaprevir + PR | CHC genotype-1 participants included in study and prescribed telaprevir plus PR as routine clinical management. | 50 | 307 | 173 | 307 |
| EG002 | PR Alone | CHC genotype-1 participants included in study and prescribed PR alone as routine clinical management | 8 | 74 | 25 | 74 |
| Anaemia | Blood and lymphatic system disorders | MedDRA 15.0 | Systematic Assessment |
|
| Febrile neutropenia | Blood and lymphatic system disorders | MedDRA 15.0 | Systematic Assessment |
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| Lymphadenopathy | Blood and lymphatic system disorders | MedDRA 15.0 | Systematic Assessment |
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| Neutropenia | Blood and lymphatic system disorders | MedDRA 15.0 | Systematic Assessment |
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| Pancytopenia | Blood and lymphatic system disorders | MedDRA 15.0 | Systematic Assessment |
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| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA 15.0 | Systematic Assessment |
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| Cardiac failure congestive | Cardiac disorders | MedDRA 15.0 | Systematic Assessment |
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| Long QT syndrome | Cardiac disorders | MedDRA 15.0 | Systematic Assessment |
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| Myocardial ischaemia | Cardiac disorders | MedDRA 15.0 | Systematic Assessment |
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| Vertigo | Ear and labyrinth disorders | MedDRA 15.0 | Systematic Assessment |
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| Hyperthyroidism | Endocrine disorders | MedDRA 15.0 | Systematic Assessment |
|
| Hypothyroidism | Endocrine disorders | MedDRA 15.0 | Systematic Assessment |
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| Retinal vein occlusion | Eye disorders | MedDRA 15.0 | Systematic Assessment |
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| Abdominal pain | Gastrointestinal disorders | MedDRA 15.0 | Systematic Assessment |
|
| Abdominal pain lower | Gastrointestinal disorders | MedDRA 15.0 | Systematic Assessment |
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| Abdominal pain upper | Gastrointestinal disorders | MedDRA 15.0 | Systematic Assessment |
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| Anal fissure | Gastrointestinal disorders | MedDRA 15.0 | Systematic Assessment |
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| Ascites | Gastrointestinal disorders | MedDRA 15.0 | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA 15.0 | Systematic Assessment |
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| Dyspepsia | Gastrointestinal disorders | MedDRA 15.0 | Systematic Assessment |
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| Gastritis | Gastrointestinal disorders | MedDRA 15.0 | Systematic Assessment |
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| Haemorrhoids | Gastrointestinal disorders | MedDRA 15.0 | Systematic Assessment |
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| Inguinal hernia | Gastrointestinal disorders | MedDRA 15.0 | Systematic Assessment |
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| Intestinal obstruction | Gastrointestinal disorders | MedDRA 15.0 | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA 15.0 | Systematic Assessment |
|
| Oesophageal varices haemorrhage | Gastrointestinal disorders | MedDRA 15.0 | Systematic Assessment |
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| Pancreatitis | Gastrointestinal disorders | MedDRA 15.0 | Systematic Assessment |
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| Pancreatitis acute | Gastrointestinal disorders | MedDRA 15.0 | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | MedDRA 15.0 | Systematic Assessment |
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| Asthenia | General disorders | MedDRA 15.0 | Systematic Assessment |
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| Hyperthermia | General disorders | MedDRA 15.0 | Systematic Assessment |
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| Multi-organ failure | General disorders | MedDRA 15.0 | Systematic Assessment |
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| Oral administration complication | General disorders | MedDRA 15.0 | Systematic Assessment |
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| Pain | General disorders | MedDRA 15.0 | Systematic Assessment |
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| Pyrexia | General disorders | MedDRA 15.0 | Systematic Assessment |
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| Swelling | General disorders | MedDRA 15.0 | Systematic Assessment |
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| Cholecystitis acute | Hepatobiliary disorders | MedDRA 15.0 | Systematic Assessment |
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| Hepatic encephalopathy | Hepatobiliary disorders | MedDRA 15.0 | Systematic Assessment |
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| Hepatic lesion | Hepatobiliary disorders | MedDRA 15.0 | Systematic Assessment |
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| Appendicitis | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Bacterial infection | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Campylobacter gastroenteritis | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Cellulitis | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Clostridial infection | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Clostridium colitis | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Erysipelas | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Fungal infection | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Gastroenteritis | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Lung infection | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Muscle abscess | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Peritonitis bacterial | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Pneumonia | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Respiratory tract infection | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Sepsis | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Septic shock | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Sinusitis | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Skin infection | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Subcutaneous abscess | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Urinary tract infection | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Urosepsis | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Animal bite | Injury, poisoning and procedural complications | MedDRA 15.0 | Systematic Assessment |
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| Contusion | Injury, poisoning and procedural complications | MedDRA 15.0 | Systematic Assessment |
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| Overdose | Injury, poisoning and procedural complications | MedDRA 15.0 | Systematic Assessment |
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| Post procedural haemorrhage | Injury, poisoning and procedural complications | MedDRA 15.0 | Systematic Assessment |
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| Postoperative abscess | Injury, poisoning and procedural complications | MedDRA 15.0 | Systematic Assessment |
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| Skull fracture | Injury, poisoning and procedural complications | MedDRA 15.0 | Systematic Assessment |
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| Thermal burn | Injury, poisoning and procedural complications | MedDRA 15.0 | Systematic Assessment |
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| Glucose tolerance impaired | Metabolism and nutrition disorders | MedDRA 15.0 | Systematic Assessment |
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| Hyponatraemia | Metabolism and nutrition disorders | MedDRA 15.0 | Systematic Assessment |
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| Osteitis | Musculoskeletal and connective tissue disorders | MedDRA 15.0 | Systematic Assessment |
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| Hepatic neoplasm malignant | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 15.0 | Systematic Assessment |
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| Amyotrophic lateral sclerosis | Nervous system disorders | MedDRA 15.0 | Systematic Assessment |
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| Convulsion | Nervous system disorders | MedDRA 15.0 | Systematic Assessment |
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| Epilepsy | Nervous system disorders | MedDRA 15.0 | Systematic Assessment |
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| Neuropathy peripheral | Nervous system disorders | MedDRA 15.0 | Systematic Assessment |
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| Subarachnoid haemorrhage | Nervous system disorders | MedDRA 15.0 | Systematic Assessment |
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| Alcohol abuse | Psychiatric disorders | MedDRA 15.0 | Systematic Assessment |
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| Depression | Psychiatric disorders | MedDRA 15.0 | Systematic Assessment |
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| Hallucination | Psychiatric disorders | MedDRA 15.0 | Systematic Assessment |
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| Mania | Psychiatric disorders | MedDRA 15.0 | Systematic Assessment |
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| Psychotic disorder | Psychiatric disorders | MedDRA 15.0 | Systematic Assessment |
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| Haematuria | Renal and urinary disorders | MedDRA 15.0 | Systematic Assessment |
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| Nephrolithiasis | Renal and urinary disorders | MedDRA 15.0 | Systematic Assessment |
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| Renal failure | Renal and urinary disorders | MedDRA 15.0 | Systematic Assessment |
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| Renal failure acute | Renal and urinary disorders | MedDRA 15.0 | Systematic Assessment |
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| Renal impairment | Renal and urinary disorders | MedDRA 15.0 | Systematic Assessment |
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| Urethral stenosis | Renal and urinary disorders | MedDRA 15.0 | Systematic Assessment |
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| Chronic obstructive pulmonary disease | Respiratory, thoracic and mediastinal disorders | MedDRA 15.0 | Systematic Assessment |
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| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 15.0 | Systematic Assessment |
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| Hepatopulmonary syndrome | Respiratory, thoracic and mediastinal disorders | MedDRA 15.0 | Systematic Assessment |
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| Nasal obstruction | Respiratory, thoracic and mediastinal disorders | MedDRA 15.0 | Systematic Assessment |
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| Respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA 15.0 | Systematic Assessment |
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| Drug rash with eosinophilia and systemic symptoms | Skin and subcutaneous tissue disorders | MedDRA 15.0 | Systematic Assessment |
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| Erythema | Skin and subcutaneous tissue disorders | MedDRA 15.0 | Systematic Assessment |
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| Rash | Skin and subcutaneous tissue disorders | MedDRA 15.0 | Systematic Assessment |
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| Toxic skin eruption | Skin and subcutaneous tissue disorders | MedDRA 15.0 | Systematic Assessment |
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| Appendicectomy | Surgical and medical procedures | MedDRA 15.0 | Systematic Assessment |
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| Detoxification | Surgical and medical procedures | MedDRA 15.0 | Systematic Assessment |
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| Hospitalisation | Surgical and medical procedures | MedDRA 15.0 | Systematic Assessment |
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| Incisional hernia repair | Surgical and medical procedures | MedDRA 15.0 | Systematic Assessment |
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| Liver transplant | Surgical and medical procedures | MedDRA 15.0 | Systematic Assessment |
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| Oesophageal variceal ligation | Surgical and medical procedures | MedDRA 15.0 | Systematic Assessment |
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| Renal lithiasis prophylaxis | Surgical and medical procedures | MedDRA 15.0 | Systematic Assessment |
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| Therapeutic embolisation | Surgical and medical procedures | MedDRA 15.0 | Systematic Assessment |
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| Arteriovenous fistula thrombosis | Vascular disorders | MedDRA 15.0 | Systematic Assessment |
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| Deep vein thrombosis | Vascular disorders | MedDRA 15.0 | Systematic Assessment |
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| Phlebitis | Vascular disorders | MedDRA 15.0 | Systematic Assessment |
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| Pulmonary embolism | Vascular disorders | MedDRA 15.0 | Systematic Assessment |
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| Thrombosis | Vascular disorders | MedDRA 15.0 | Systematic Assessment |
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| Neutropenia | Blood and lymphatic system disorders | MedDRA 15.0 | Systematic Assessment |
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| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA 15.0 | Systematic Assessment |
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| Rash | Skin and subcutaneous tissue disorders | MedDRA 15.0 | Systematic Assessment |
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The Sponsor must have the opportunity to review all proposed abstracts, manuscripts or presentations regarding this study 60 days prior to submission for publication/presentation. Any information identified by the Sponsor as confidential must be deleted prior to submission. Sponsor review can be expedited to meet publication timelines.
| D006525 |
| Hepatitis, Viral, Human |
| D014777 | Virus Diseases |
| D018178 | Flaviviridae Infections |
| D012327 | RNA Virus Infections |
| D006521 | Hepatitis, Chronic |
| D006505 | Hepatitis |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
|
| Unknown/Other |
|
|
| Unavailable |
|
|
| Grade C |
|
| Not Assessed |
|
| Unknown whether assessed |
|
| anemia episodes total |
|
| % Episodes with no intervention implemented |
|
| managed anemia episodes total |
|
| BT (managed episodes=21, 125, 115, 3) |
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| OT (managed episodes=22, 127, 115, 3) |
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| DDR (managed episodes=19, 111, 91, 3) |
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| DD (managed episodes=19, 111, 91, 3) |
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| DI (managed episodes=19, 111, 91, 3) |
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| Gr 3/4 neutropenia episodes total |
|
| % Episodes with no intervention implemented |
|
| managed neutropenia episodes total |
|
| OT (managed episodes=10, 39, 11, 0) |
|
| DDR (managed episodes=8, 24, 5, 0) |
|
| DD (managed episodes=8, 24, 5, 0) |
|
| DI (managed episodes=8, 24, 5, 0) |
|
| Gr 3/4 thrombocytopenia episodes total |
|
| % Episodes with no intervention implemented |
|
| managed thrombocytopenia episodes total |
|
| PT (managed episodes=10, 19, 18, 0) |
|
| OT (managed episodes=9, 17, 18, 0) |
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| DDR (managed episodes=11, 10, 15, 0) |
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| DD (managed episodes=11, 10, 15, 0) |
|
| DI (managed episodes=11, 10, 15, 0) |
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| Episodes with no intervention implemented |
|
| IV/PO CS (managed episodes =1, 7, 26) |
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| E/M (managed episodes =1, 7, 26) |
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| AH (managed episodes =1, 7, 26) |
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| OT (managed episodes =1, 7, 26) |
|
| DDR (managed episodes =1, 3, 17) |
|
| DD (managed episodes =1, 3, 17) |
|
| DI (managed episodes =1, 3, 17) |
|
| Grade 3/4 Neutropenia (n=394, 297, 307, 5) |
|
| Grade 3/4 Thrombocytopenia (n=390, 295, 304, 6) |
|
| Serious Rash (n=394, 298, 307, 6) |
|