A Study of Tadalafil for Duchenne Muscular Dystrophy | NCT01865084 | Trialant
NCT01865084
Sponsor
Eli Lilly and Company
Status
Terminated
Last Update Posted
Oct 9, 2019Actual
Enrollment
331Actual
Phase
Phase 3
Conditions
Muscular Dystrophy, Duchenne
Interventions
Tadalafil
Placebo
Countries
United States
Argentina
Belgium
Canada
France
Germany
Italy
Japan
Netherlands
Puerto Rico
Russia
South Korea
Spain
Taiwan
Turkey (Türkiye)
United Kingdom
Protocol Section
Identification Module
NCT ID
NCT01865084
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
15122
Secondary IDs
ID
Type
Description
Link
H6D-MC-LVJJ
Other Identifier
Eli Lilly and Company
Brief Title
A Study of Tadalafil for Duchenne Muscular Dystrophy
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Phase 3 Trial of Tadalafil for Duchenne Muscular Dystrophy
Acronym
Not provided
Organization
Eli Lilly and CompanyINDUSTRY
Status Module
Record Verification Date
Sep 2019
Overall Recruitment Status or Expanded Access Status
Terminated
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
The study is being terminated for lack of efficacy
Expanded Access Info
No
Start Date
Sep 2013
Primary Completion Date
Dec 2015Actual
Completion Date
Mar 2016Actual
First Submitted Date
May 24, 2013
First Submission Date that Met QC Criteria
May 24, 2013
First Posted Date
May 30, 2013Estimated
Results Waived
Not provided
Results First Submitted Date
Sep 30, 2016
Results First Submitted that Met QC Criteria
Jan 10, 2017
Results First Posted Date
Mar 1, 2017Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Not provided
Certification/Extension First Submitted that Passed QC Review
Not provided
Certification/Extension First Posted Date
Not provided
Last Update Submitted Date
Sep 25, 2019
Last Update Posted Date
Oct 9, 2019Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
Eli Lilly and CompanyINDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
Yes
Is FDA Regulated Drug
Not provided
Is FDA Regulated Device
Not provided
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
The main purpose of this study is to determine if tadalafil can slow the decline in walking ability of boys who have Duchenne muscular dystrophy (DMD). The study will also assess the safety of tadalafil and any side effects that might be associated with it in boys who have DMD. Participants will receive study treatment (tadalafil or placebo) for the first 48 weeks of the study, and can then continue into an open label extension (OLE) that consists of two periods during which all participants will receive tadalafil. In OLE period 1, all participants will receive tadalafil for 48 weeks. Participants completing OLE period 1 will continue into OLE period 2 and will receive tadalafil for at least another 48 weeks.
Detailed Description
Not provided
Conditions Module
Conditions
Muscular Dystrophy, Duchenne
Keywords
Not provided
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 3
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
331Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
Placebo
Experimental
Placebo taken orally once daily.
Drug: Placebo
0.3 mg/kg Tadalafil
Experimental
0.3 milligram per kilogram (mg/kg) tadalafil taken orally once daily.
Drug: Tadalafil
0.6 mg/kg Tadalafil
Experimental
0.6 mg/kg tadalafil taken orally once daily.
Drug: Tadalafil
Interventions
Name
Type
Description
Arm Group Labels
Other Names
Tadalafil
Drug
Administered orally
0.3 mg/kg Tadalafil
0.6 mg/kg Tadalafil
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Change From Baseline in Six Minute Walk Distance (6MWD) in Meters
6MWD measured the distance in meters a participant was able to walk in 6 minutes. The study used 6MWD procedure modified specifically for use in boys with Duchenne muscular dystrophy (DMD), including standardized verbal encouragement at specific intervals to maintain attention to the test, and use of a "safety chaser" to walk behind the participant during testing (McDonald et al., 2010a). The LS mean (LSM) change from baseline, standard error was derived using mixed model repeated measures (MMRM) methodology with factors for pooled country, treatment, visit, treatment-by-visit interaction and baseline 6MWD as a covariate.
Baseline, Week 48
Secondary Outcomes
Measure
Description
Time Frame
Change From Baseline in the North Star Ambulatory Assessment (NSAA) Global Score
The NSAA is a functional scale specifically designed for ambulant boys with DMD that can provide additional information on motor functions important in maintaining normal ambulation and other activities important to everyday life. The NSAA is a 17-item evaluation of standing, ability to transition from lying to sitting, sitting to standing, and other mobility assessments. Each of the 17 items is evaluated on an ordinal scale of 0, 1, or 2, with higher scores reflecting better performance on the assessment, for a total maximum score of 34. This score was transformed to a 0 to 100 scale for the key analysis (referred to as linearized), with higher transformed scores reflecting better performance.The LS mean (LSM) change from baseline standard error was derived using mixed model repeated measures methodology (MMRM) with factors for pooled country, treatment, visit, treatment-by-visit interaction and Day 1 value as baseline covariate.
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Ambulant males with Duchenne muscular dystrophy (DMD) confirmed by typical clinical presentation (onset of clinical signs or symptoms before 6 years of age supported by an elevated serum creatinine kinase level, and ongoing difficulty with walking) together with either a record of a genetic confirmation of the DMD diagnosis, or a record of muscle biopsy showing near-complete dystrophin deficiency (excluding revertant fibers)
Receiving systemic corticosteroids for a minimum of 6 months immediately prior to screening, with no significant change in total daily dosage or dosing regimen (except those adjusting for weight changes) for a minimum of 3 months immediately prior to screening and a reasonable expectation that total daily dosage and dosing regimen will not change significantly (except for adjustments for weight) for the duration of the study
Able to complete the six minute walk distance (6MWD) test with results within 20% of each other at a minimum of 2 pre-randomization assessments
Left ventricular ejection fraction (LVEF) ≥50% as determined by echocardiogram
Written informed consent from parents/legal guardian will be obtained prior to any study procedure being performed. In addition, the child may be required to give documented assent, if capable.
Exclusion Criteria:
Symptomatic cardiomyopathy or heart failure
Change in prophylactic treatment for heart failure within 3 months prior to start of study treatment
Cardiac rhythm disorder
History of participation in gene or cell-based therapy , or antisense oligonucleotide or stop codon read-through therapy
Unable to take orally administered tablets
Use of any pharmacologic treatment, other than corticosteroids, that might have an effect on muscle strength within 3 months prior to the start of study treatment (for example, growth hormone, anabolic steroids including testosterone)
New or changed treatment with herbal or dietary supplements being taken with an expectation of an effect on muscle strength or function during 1 month prior to first dose of study drug
Surgery that might have an effect on muscle strength or function within 3 months before study entry or planned surgery at any time during the study
Evidence of a lower limb injury that may affect performance on the 6MWD
Severe behavioral problems, including severe autism or attention deficit disorders, that may interfere with completion of the 6MWD
Any contraindication to tadalafil (use of any form of organic nitrate, either regularly and/or intermittently, or known serious hypersensitivity to tadalafil)
History of significant renal insufficiency or clinical evidence of cirrhosis
Have known allergy to any of the excipients in tadalafil tablets, notably lactose
Current Phosphodiesterase Type 5 (PDE5) inhibitor therapy or treatment within the past 6 months
Accepts Healthy Volunteers
No
Sex
Male
Sex/Gender Based
Not provided
Sex/Gender Description
Not provided
Minimum Age
7 Years
Maximum Age
14 Years
Standard Ages
Child
Study Population
Not provided
Sampling Method
Not provided
Contacts/Locations Module
Central Contacts
Not provided
Overall Officials
Name
Affiliation
Role
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
McDonald CM, Henricson EK, Han JJ, Abresch RT, Nicorici A, Elfring GL, Atkinson L, Reha A, Hirawat S, Miller LL. The 6-minute walk test as a new outcome measure in Duchenne muscular dystrophy. Muscle Nerve. 2010 Apr;41(4):500-10. doi: 10.1002/mus.21544.
Cox D, Byrne B, Hammers DW, Landry J, Sweeney HL. Effect of Tadalafil on cardiac function and left ventricular dimensions in Duchenne muscular dystrophy: safety and cardiac MRI substudy results from a randomized, placebo-controlled trial. BMC Cardiovasc Disord. 2025 Apr 11;25(1):276. doi: 10.1186/s12872-025-04727-3.
See Also Links
Not provided
Available IPD Information
Not provided
IPD Sharing Statement Module
Plan to Share IPD
Yes
Description
Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
Types
Study Protocol
Statistical Analysis Plan (SAP)
Clinical Study Report (CSR)
Time Frame
Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.
Access Criteria
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
Change From Baseline in Timed Function Tests in Seconds
Timed function tests included time it took to rise from floor, walk 10 meters, ascend 4 stairs, and descend 4 stairs.The lower the time in seconds taken, the better the performance. The LS mean change from baseline, standard error, was derived using mixed model repeated measures methodology (MMRM) with factors for pooled country, treatment, visit, treatment-by-visit interaction and Day 1 value as baseline covariate.
Baseline, Week 48
Time to Persistent 10% Worsening in 6MWD
Time on study until the 6MWD becomes 10% less than the baseline 6MWD and continues at that level or lower until the end of study.
Baseline through Week 48
Time to Persistent 10% Worsening in Timed Function Tests (TFT)
Time on study until the TFT becomes 10% worse than the baseline TFT and continues at that level or lower until the end of study. The time to persistent 10% worsening is the observed time after baseline until the first observed timepoint where their time used for the TFTs is >110% of the baseline time and all the time values observed afterward are also >110% of baseline. If the participant discontinues prior to experiencing persistent worsening, this outcome for the participant is censored at the date of discontinuation of the double-blind period.
Only participants with complete evaluable data were analyzed. Complete evaluable data was defined as having baseline measurement, complete dates at evaluable visits and a post-baseline measurement at each evaluable visit.
Baseline through Week 48
Change From Baseline in Pediatric Outcomes Data Collection Instrument (PODCI) Scores
PODCI includes a Global Functioning Scale and 5 core scales:Upper Extremity and Physical Function,Transfer/Basic Mobility, Sports/Physical Functioning, Pain/Comfort,and Happiness.The Global Functioning Scale is the mean of the mean scores from 4 of the 5 core scales (all except the happiness core scale).The following PODCI scores were prespecified in the protocol for analysis: Global Functioning, Upper Extremity and Physical Function,Transfer/Basic Mobility, and Sports/Physical Functioning. The Global Functioning Scale and each of the core scales were standardized so that a score of "0" represents a poor outcome/worse health, while "100" is the best possible outcome/best health (i.e., complete range of each score is 0 to 100, with higher scores representing better functioning). The LS mean (LSM) change from baseline,standard error was derived using MMRM with factors for pooled country, treatment, visit, treatment-by-visit interaction and baseline PODC scale as covariate.
Baseline, Week 48
Pharmacokinetics (PK): Apparent Clearance (CL/F) of Tadalafil
The data reported are population estimate and inter-patient variability.
Weeks 4, 12, 24 and 36: -1 Hour up to 24 Hours Postdose
Sacramento
California
95817
United States
Children's Hospital
Aurora
Colorado
80045
United States
University of Florida Health Science Center
Gainesville
Florida
32610
United States
NW Florida Clinical Research Group
Gulf Breeze
Florida
32561
United States
Nemours Children's Hospital
Orlando
Florida
32827
United States
Ann and Robert Lurie Children's Hospital of Chicago
Chicago
Illinois
60611
United States
University of Iowa
Iowa City
Iowa
52242
United States
University of Kansas Medical Center
Kansas City
Kansas
66160
United States
Washington University Medical Center
St Louis
Missouri
63110
United States
Carolinas Healthcare System
Charlotte
North Carolina
28203
United States
Duke University Medical Center
Durham
North Carolina
27705
United States
Childrens Hospital Medical Center
Cincinnati
Ohio
45229
United States
Oregon Health and Science University
Portland
Oregon
97239
United States
Pennsylvania State University College of Medicine
Hershey
Pennsylvania
17033
United States
Childrens Hospital of Philadelphia
Philadelphia
Pennsylvania
19104
United States
Childrens Hospital of Pittsburgh
Pittsburgh
Pennsylvania
15224
United States
Vanderbilt University Medical Center
Nashville
Tennessee
37232
United States
Children's Medical Center Dallas
Dallas
Texas
75207
United States
Univ of Texas Health Science Center at San Antonio
San Antonio
Texas
78229
United States
University of Utah School of Medicine
Salt Lake City
Utah
84132
United States
Children of the King's Daughters
Norfolk
Virginia
23510
United States
Seattle Children's Hospital Research Foundation
Seattle
Washington
98105
United States
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Caba
C1204AAD
Argentina
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Ghent
9000
Belgium
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Leuven
3000
Belgium
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Liège
4000
Belgium
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Calgary
Alberta
T3B 6A8
Canada
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Vancouver
British Columbia
V6H 3V4
Canada
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Winnipeg
Manitoba
R3A 1R9
Canada
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Halifax
Nova Scotia
B3K 6R8
Canada
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London
Ontario
N6C 2V5
Canada
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Ottawa
Ontario
K1H 8L1
Canada
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Angers
49933
France
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Nantes
44093
France
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Dresden
01307
Germany
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Essen
45122
Germany
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Freiburg im Breisgau
79106
Germany
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Göttingen
37075
Germany
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Munich
80337
Germany
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Genova
16147
Italy
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Milan
20122
Italy
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Padova
35128
Italy
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Rome
00165
Italy
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Aichi
467-8602
Japan
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Nagano
390-8621
Japan
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Saitama
349-0196
Japan
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Tokyo
187-8551
Japan
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Leiden
2300 RC
Netherlands
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Nijmegen
6500 HB
Netherlands
University of Puerto Rico, Medical Sciences Campus
San Juan
000935
Puerto Rico
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Moscow
125412
Russia
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Seoul
110-744
South Korea
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Barcelona
08025
Spain
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Donostia / San Sebastian
20014
Spain
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Madrid
28046
Spain
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Valencia
46026
Spain
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Kaohsiung City
807
Taiwan
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Taipei
100
Taiwan
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Adana
01330
Turkey (Türkiye)
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Ankara
06100
Turkey (Türkiye)
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Victor RG, Sweeney HL, Finkel R, McDonald CM, Byrne B, Eagle M, Goemans N, Vandenborne K, Dubrovsky AL, Topaloglu H, Miceli MC, Furlong P, Landry J, Elashoff R, Cox D; Tadalafil DMD Study Group. A phase 3 randomized placebo-controlled trial of tadalafil for Duchenne muscular dystrophy. Neurology. 2017 Oct 24;89(17):1811-1820. doi: 10.1212/WNL.0000000000004570. Epub 2017 Sep 29.
FG002
0.6 mg/kg Tadalafil
0.6 mg/kg tadalafil taken orally once daily.
FG000116 subjects
FG001102 subjects
FG002113 subjects
Received at Least One Dose of Study Drug
FG000116 subjects
FG001102 subjects
FG002112 subjects
COMPLETED
FG000111 subjects
FG00198 subjectsOne participant stopped therapy during the DB period but remained in the study for follow-up.
FG002107 subjects
NOT COMPLETED
FG0005 subjects
FG0014 subjects
FG0026 subjects
Type
Comment
Reasons
Adverse Event
FG0002 subjects
FG0012 subjects
FG0021 subjects
Protocol Violation
FG0000 subjects
FG0010 subjects
FG0021 subjects
Withdrawal by Parent/Guardian
FG0002 subjects
FG0012 subjects
FG0024 subjects
Withdrawal by Subject
FG0001 subjects
FG0010 subjects
FG0020 subjects
Open Label Extension (OLE) Period
Type
Comment
Milestone Data
STARTED
FG0000 subjectsParticipants who were on Placebo during the double blind period were assigned tadalafil during OLE.
FG001150 subjectsParticipants who were on Placebo during the double blind period were assigned tadalafil during OLE.
FG002165 subjectsParticipants who were on Placebo during the double blind period were assigned tadalafil during OLE.
COMPLETED
FG0000 subjects
FG001139 subjects
FG002158 subjects
NOT COMPLETED
FG0000 subjects
FG00111 subjects
FG0027 subjects
Type
Comment
Reasons
Adverse Event
FG0000 subjects
FG0010 subjects
FG0021 subjects
Lack of Efficacy
FG000
All participants who were randomized to study drug.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Placebo
Placebo taken orally once daily.
BG001
0.3 mg/kg Tadalafil
0.3 milligram per kilogram (mg/kg) tadalafil taken orally once daily.
BG002
0.6 mg/kg Tadalafil
0.6 mg/kg tadalafil taken orally once daily.
BG003
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG000116
BG001102
BG002113
BG003331
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Continuous
Mean
Standard Deviation
years
Title
Denominators
Categories
Title
Measurements
BG0009.4± 1.76
BG0019.9± 2.26
BG0029.5± 1.71
BG003
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG0000
BG0010
BG002
Race (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
American Indian or Alaska Native
BG0000
BG0010
BG002
Region of Enrollment
Count of Participants
Participants
Title
Denominators
Categories
Argentina
Title
Measurements
BG0007
BG0014
BG002
Type
Title
Description
Population Description
Reporting Status
Anticipated Posting Date
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Time Frame
Units Analyzed
Denominator Units Selected
Arm/Group Information
Denominators
Classes
Analyses
Primary
Change From Baseline in Six Minute Walk Distance (6MWD) in Meters
6MWD measured the distance in meters a participant was able to walk in 6 minutes. The study used 6MWD procedure modified specifically for use in boys with Duchenne muscular dystrophy (DMD), including standardized verbal encouragement at specific intervals to maintain attention to the test, and use of a "safety chaser" to walk behind the participant during testing (McDonald et al., 2010a). The LS mean (LSM) change from baseline, standard error was derived using mixed model repeated measures (MMRM) methodology with factors for pooled country, treatment, visit, treatment-by-visit interaction and baseline 6MWD as a covariate.
All randomized participants who received at least one dose of study drug who had a baseline and at least one post-baseline measurement.
Posted
Least Squares Mean
Standard Error
Meters
Baseline, Week 48
ID
Title
Description
OG000
Placebo
Placebo taken orally once daily.
OG001
0.3 mg/kg Tadalafil
0.3 mg/kg tadalafil taken orally once daily.
OG002
0.6 mg/kg Tadalafil
0.6 mg/kg taken tadalafil orally once daily.
Units
Counts
Participants
OG000113
OG001101
OG002111
Title
Denominators
Categories
Title
Measurements
OG000-50.99± 9.316
OG001-64.71± 9.809
OG002-59.08± 9.397
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Mixed Models Analysis
0.307
The p-value is based on the treatment difference LS Mean changes from baseline between tadalafil and placebo.
Superiority or Other (legacy)
OG000
OG002
Mixed Models Analysis
Secondary
Change From Baseline in the North Star Ambulatory Assessment (NSAA) Global Score
The NSAA is a functional scale specifically designed for ambulant boys with DMD that can provide additional information on motor functions important in maintaining normal ambulation and other activities important to everyday life. The NSAA is a 17-item evaluation of standing, ability to transition from lying to sitting, sitting to standing, and other mobility assessments. Each of the 17 items is evaluated on an ordinal scale of 0, 1, or 2, with higher scores reflecting better performance on the assessment, for a total maximum score of 34. This score was transformed to a 0 to 100 scale for the key analysis (referred to as linearized), with higher transformed scores reflecting better performance.The LS mean (LSM) change from baseline standard error was derived using mixed model repeated measures methodology (MMRM) with factors for pooled country, treatment, visit, treatment-by-visit interaction and Day 1 value as baseline covariate.
All randomized participants who received at least one dose of study drug who had a baseline and at least one post-baseline measurement.
Posted
Least Squares Mean
Standard Error
Units on a scale
Baseline, Week 48
ID
Title
Description
OG000
Placebo
Placebo taken orally once daily.
OG001
0.3 mg/kg Tadalafil
0.3 mg/kg tadalafil taken orally once daily.
Secondary
Change From Baseline in Timed Function Tests in Seconds
Timed function tests included time it took to rise from floor, walk 10 meters, ascend 4 stairs, and descend 4 stairs.The lower the time in seconds taken, the better the performance. The LS mean change from baseline, standard error, was derived using mixed model repeated measures methodology (MMRM) with factors for pooled country, treatment, visit, treatment-by-visit interaction and Day 1 value as baseline covariate.
All randomized participants who received at least one dose of study drug who had a baseline and at least one post-baseline measurement.
Posted
Least Squares Mean
Standard Error
Seconds
Baseline, Week 48
ID
Title
Description
OG000
Placebo
Placebo taken orally once daily.
OG001
0.3 mg/kg Tadalafil
0.3 mg/kg tadalafil taken orally once daily.
OG002
0.6 mg/kg Tadalafil
0.6 mg/kg tadalafil taken orally once daily.
Units
Counts
Secondary
Time to Persistent 10% Worsening in 6MWD
Time on study until the 6MWD becomes 10% less than the baseline 6MWD and continues at that level or lower until the end of study.
All randomized participants who received at least one dose of study drug who had complete evaluable data. Complete evaluable data was defined as having baseline measurement, complete dates at evaluable visits and a post-baseline measurement at each evaluable visit. Censored participants: placebo=71, 0.3 mg/kg=63, 0.6 mg/kg=61.
Posted
Median
95% Confidence Interval
Days
Baseline through Week 48
ID
Title
Description
OG000
Placebo
Placebo taken orally once daily.
OG001
0.3 mg/kg Tadalafil
0.3 mg/kg tadalafil taken orally once daily.
OG002
0.6 mg/kg Tadalafil
0.6 mg/kg tadalafil taken orally once daily.
Units
Counts
Participants
Secondary
Time to Persistent 10% Worsening in Timed Function Tests (TFT)
Time on study until the TFT becomes 10% worse than the baseline TFT and continues at that level or lower until the end of study. The time to persistent 10% worsening is the observed time after baseline until the first observed timepoint where their time used for the TFTs is >110% of the baseline time and all the time values observed afterward are also >110% of baseline. If the participant discontinues prior to experiencing persistent worsening, this outcome for the participant is censored at the date of discontinuation of the double-blind period.
Only participants with complete evaluable data were analyzed. Complete evaluable data was defined as having baseline measurement, complete dates at evaluable visits and a post-baseline measurement at each evaluable visit.
All randomized participants who received at least 1 dose of study drug who had complete evaluable data.Censored participants:Rise from Floor;placebo(pl)=40,0.3 mg/kg=39,0.6 mg/kg=43;Stair Climb;pl=55,0.3 mg/kg=45,0.6 mg/kg=52;10 Meter Walk/Run pl=61,0.3 mg/kg=65,0.6 mg/kg=58,Stair Descend;pl=63,0.3 mg/kg=60,0.6 mg/kg=59.
Posted
Median
95% Confidence Interval
Days
Baseline through Week 48
ID
Title
Description
OG000
Placebo
Placebo taken orally once daily.
OG001
0.3 mg/kg Tadalafil
0.3 mg/kg tadalafil taken orally once daily.
Secondary
Change From Baseline in Pediatric Outcomes Data Collection Instrument (PODCI) Scores
PODCI includes a Global Functioning Scale and 5 core scales:Upper Extremity and Physical Function,Transfer/Basic Mobility, Sports/Physical Functioning, Pain/Comfort,and Happiness.The Global Functioning Scale is the mean of the mean scores from 4 of the 5 core scales (all except the happiness core scale).The following PODCI scores were prespecified in the protocol for analysis: Global Functioning, Upper Extremity and Physical Function,Transfer/Basic Mobility, and Sports/Physical Functioning. The Global Functioning Scale and each of the core scales were standardized so that a score of "0" represents a poor outcome/worse health, while "100" is the best possible outcome/best health (i.e., complete range of each score is 0 to 100, with higher scores representing better functioning). The LS mean (LSM) change from baseline,standard error was derived using MMRM with factors for pooled country, treatment, visit, treatment-by-visit interaction and baseline PODC scale as covariate.
All randomized participants who received at least one dose of study drug who had a baseline and at least one post-baseline measurement. The reason the number of participants analyzed is significantly less than the total number of randomized participants is because PODCI was administered only in English.
Posted
Least Squares Mean
Standard Error
Units on a scale
Baseline, Week 48
ID
Title
Description
OG000
Placebo
Placebo taken orally once daily.
OG001
0.3 mg/kg Tadalafil
Secondary
Pharmacokinetics (PK): Apparent Clearance (CL/F) of Tadalafil
The data reported are population estimate and inter-patient variability.
All randomized participants who received at least one dose of study drug and had evaluable PK data.
Posted
Geometric Mean
Geometric Coefficient of Variation
Liter per hour (L/hr)
Weeks 4, 12, 24 and 36: -1 Hour up to 24 Hours Postdose
ID
Title
Description
OG000
0.3 mg/kg Tadalafil and 0.6 mg/kg Tadalafil
0.3 mg/kg tadalafil taken orally once daily.
0.6 mg/kg tadalafil taken orally once daily.
Units
Counts
Participants
OG000
Time Frame
Not provided
Description
All randomized participants who received at least one dose of study drug for Placebo - DB, 0.3 mg/kg Tadalafil -DB and 0.6 mg/kg Tadalafil - DB arms during the DB period.
All randomized participants who received at least one dose of study drug for 0.3 mg/kg Tadalafil - OLE and 0.6 mg/kg Tadalafil - OLE arms during the OLE period.
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Placebo - DB
Placebo taken orally once daily.
5
116
83
116
EG001
0.3 mg/kg Tadalafil -DB
0.3 milligram per kilogram (mg/kg) tadalafil taken orally once daily.
4
102
82
102
EG002
0.6 mg/kg Tadalafil - DB
0.6 mg/kg tadalafil taken orally once daily.
6
112
92
112
EG003
0.3 mg/kg Tadalafil - OLE
0.3 mg/kg tadalafil taken orally once daily.
6
150
68
150
EG004
0.6 mg/kg Tadalafil - OLE
0.6 mg/kg tadalafil taken orally once daily.
9
165
84
165
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Myocarditis
Cardiac disorders
MedDRA 18.1
Non-systematic Assessment
EG0000 events0 affected116 at risk
EG0011 events1 affected102 at risk
EG0020 events0 affected112 at risk
EG0030 events0 affected150 at risk
EG0040 events0 affected165 at risk
Vomiting
Gastrointestinal disorders
MedDRA 18.1
Non-systematic Assessment
EG0000 events0 affected116 at risk
EG0010 events0 affected102 at risk
EG0020 events0 affected112 at risk
EG003
Abasia
General disorders
MedDRA 18.1
Non-systematic Assessment
EG0001 events1 affected116 at risk
EG0010 events0 affected102 at risk
EG0020 events0 affected112 at risk
EG003
Appendicitis
Infections and infestations
MedDRA 18.1
Non-systematic Assessment
EG0000 events0 affected116 at risk
EG0010 events0 affected102 at risk
EG0020 events0 affected112 at risk
EG003
Bronchitis
Infections and infestations
MedDRA 18.1
Non-systematic Assessment
EG0001 events1 affected116 at risk
EG0010 events0 affected102 at risk
EG0020 events0 affected112 at risk
EG003
Gastroenteritis
Infections and infestations
MedDRA 18.1
Non-systematic Assessment
EG0000 events0 affected116 at risk
EG0010 events0 affected102 at risk
EG0020 events0 affected112 at risk
EG003
Gastroenteritis viral
Infections and infestations
MedDRA 18.1
Non-systematic Assessment
EG0000 events0 affected116 at risk
EG0010 events0 affected102 at risk
EG0020 events0 affected112 at risk
EG003
Gastrointestinal infection
Infections and infestations
MedDRA 18.1
Non-systematic Assessment
EG0000 events0 affected116 at risk
EG0011 events1 affected102 at risk
EG0020 events0 affected112 at risk
EG003
Influenza
Infections and infestations
MedDRA 18.1
Non-systematic Assessment
EG0000 events0 affected116 at risk
EG0010 events0 affected102 at risk
EG0020 events0 affected112 at risk
EG003
Pharyngotonsillitis
Infections and infestations
MedDRA 18.1
Non-systematic Assessment
EG0000 events0 affected116 at risk
EG0010 events0 affected102 at risk
EG0021 events1 affected112 at risk
EG003
Pneumonia
Infections and infestations
MedDRA 18.1
Non-systematic Assessment
EG0000 events0 affected116 at risk
EG0011 events1 affected102 at risk
EG0020 events0 affected112 at risk
EG003
Pneumonia adenoviral
Infections and infestations
MedDRA 18.1
Non-systematic Assessment
EG0000 events0 affected116 at risk
EG0010 events0 affected102 at risk
EG0021 events1 affected112 at risk
EG003
Varicella
Infections and infestations
MedDRA 18.1
Non-systematic Assessment
EG0000 events0 affected116 at risk
EG0010 events0 affected102 at risk
EG0021 events1 affected112 at risk
EG003
Ankle fracture
Injury, poisoning and procedural complications
MedDRA 18.1
Non-systematic Assessment
EG0000 events0 affected116 at risk
EG0010 events0 affected102 at risk
EG0020 events0 affected112 at risk
EG003
Fall
Injury, poisoning and procedural complications
MedDRA 18.1
Non-systematic Assessment
EG0001 events1 affected116 at risk
EG0010 events0 affected102 at risk
EG0022 events2 affected112 at risk
EG003
Femoral neck fracture
Injury, poisoning and procedural complications
MedDRA 18.1
Non-systematic Assessment
EG0001 events1 affected116 at risk
EG0010 events0 affected102 at risk
EG0020 events0 affected112 at risk
EG003
Femur fracture
Injury, poisoning and procedural complications
MedDRA 18.1
Non-systematic Assessment
EG0000 events0 affected116 at risk
EG0010 events0 affected102 at risk
EG0022 events2 affected112 at risk
EG003
Lower limb fracture
Injury, poisoning and procedural complications
MedDRA 18.1
Non-systematic Assessment
EG0001 events1 affected116 at risk
EG0010 events0 affected102 at risk
EG0020 events0 affected112 at risk
EG003
Spinal fracture
Injury, poisoning and procedural complications
MedDRA 18.1
Non-systematic Assessment
EG0000 events0 affected116 at risk
EG0010 events0 affected102 at risk
EG0020 events0 affected112 at risk
EG003
Decreased appetite
Metabolism and nutrition disorders
MedDRA 18.1
Non-systematic Assessment
EG0000 events0 affected116 at risk
EG0010 events0 affected102 at risk
EG0020 events0 affected112 at risk
EG003
Muscle contracture
Musculoskeletal and connective tissue disorders
MedDRA 18.1
Non-systematic Assessment
EG0000 events0 affected116 at risk
EG0011 events1 affected102 at risk
EG0020 events0 affected112 at risk
EG003
Tendinous contracture
Musculoskeletal and connective tissue disorders
MedDRA 18.1
Non-systematic Assessment
EG0001 events1 affected116 at risk
EG0010 events0 affected102 at risk
EG0021 events1 affected112 at risk
EG003
Tendon disorder
Musculoskeletal and connective tissue disorders
MedDRA 18.1
Non-systematic Assessment
EG0000 events0 affected116 at risk
EG0010 events0 affected102 at risk
EG0020 events0 affected112 at risk
EG003
Extrapyramidal disorder
Nervous system disorders
MedDRA 18.1
Non-systematic Assessment
EG0000 events0 affected116 at risk
EG0010 events0 affected102 at risk
EG0020 events0 affected112 at risk
EG003
Self injurious behaviour
Psychiatric disorders
MedDRA 18.1
Non-systematic Assessment
EG0000 events0 affected116 at risk
EG0010 events0 affected102 at risk
EG0020 events0 affected112 at risk
EG003
Suicidal ideation
Psychiatric disorders
MedDRA 18.1
Non-systematic Assessment
EG0000 events0 affected116 at risk
EG0010 events0 affected102 at risk
EG0020 events0 affected112 at risk
EG003
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Abdominal pain
Gastrointestinal disorders
MedDRA 18.1
Non-systematic Assessment
EG0007 events6 affected116 at risk
EG0014 events4 affected102 at risk
EG0029 events9 affected112 at risk
EG0032 events2 affected150 at risk
EG0043 events3 affected165 at risk
Abdominal pain upper
Gastrointestinal disorders
MedDRA 18.1
Non-systematic Assessment
EG0007 events7 affected116 at risk
EG0016 events5 affected102 at risk
EG0028 events8 affected112 at risk
EG003
Diarrhoea
Gastrointestinal disorders
MedDRA 18.1
Non-systematic Assessment
EG00010 events10 affected116 at risk
EG0019 events6 affected102 at risk
EG00219 events10 affected112 at risk
EG003
Nausea
Gastrointestinal disorders
MedDRA 18.1
Non-systematic Assessment
EG0002 events2 affected116 at risk
EG0018 events7 affected102 at risk
EG0023 events3 affected112 at risk
EG003
Vomiting
Gastrointestinal disorders
MedDRA 18.1
Non-systematic Assessment
EG00020 events14 affected116 at risk
EG0016 events6 affected102 at risk
EG00225 events17 affected112 at risk
EG003
Abasia
General disorders
MedDRA 18.1
Non-systematic Assessment
EG0006 events6 affected116 at risk
EG00114 events14 affected102 at risk
EG0029 events9 affected112 at risk
EG003
Pyrexia
General disorders
MedDRA 18.1
Non-systematic Assessment
EG0004 events4 affected116 at risk
EG00111 events11 affected102 at risk
EG00210 events9 affected112 at risk
EG003
Gastroenteritis
Infections and infestations
MedDRA 18.1
Non-systematic Assessment
EG0006 events6 affected116 at risk
EG0014 events4 affected102 at risk
EG0023 events3 affected112 at risk
EG003
Influenza
Infections and infestations
MedDRA 18.1
Non-systematic Assessment
EG0009 events9 affected116 at risk
EG0019 events8 affected102 at risk
EG0025 events5 affected112 at risk
EG003
Nasopharyngitis
Infections and infestations
MedDRA 18.1
Non-systematic Assessment
EG00026 events16 affected116 at risk
EG00110 events8 affected102 at risk
EG00224 events18 affected112 at risk
EG003
Sinusitis
Infections and infestations
MedDRA 18.1
Non-systematic Assessment
EG00011 events6 affected116 at risk
EG0015 events4 affected102 at risk
EG0023 events3 affected112 at risk
EG003
Upper respiratory tract infection
Infections and infestations
MedDRA 18.1
Non-systematic Assessment
EG00018 events10 affected116 at risk
EG00121 events10 affected102 at risk
EG00216 events12 affected112 at risk
EG003
Fall
Injury, poisoning and procedural complications
MedDRA 18.1
Non-systematic Assessment
EG00041 events24 affected116 at risk
EG00130 events18 affected102 at risk
EG00241 events22 affected112 at risk
EG003
Back pain
Musculoskeletal and connective tissue disorders
MedDRA 18.1
Non-systematic Assessment
EG00015 events9 affected116 at risk
EG00112 events11 affected102 at risk
EG0027 events7 affected112 at risk
EG003
Muscle spasms
Musculoskeletal and connective tissue disorders
MedDRA 18.1
Non-systematic Assessment
EG0009 events7 affected116 at risk
EG0013 events3 affected102 at risk
EG0024 events3 affected112 at risk
EG003
Pain in extremity
Musculoskeletal and connective tissue disorders
MedDRA 18.1
Non-systematic Assessment
EG00014 events8 affected116 at risk
EG0016 events6 affected102 at risk
EG00211 events10 affected112 at risk
EG003
Headache
Nervous system disorders
MedDRA 18.1
Non-systematic Assessment
EG00092 events36 affected116 at risk
EG00157 events40 affected102 at risk
EG00268 events43 affected112 at risk
EG003
Erection increased
Reproductive system and breast disorders
MedDRA 18.1
Non-systematic Assessment
EG0003 events3 affected116 at risk
EG00111 events10 affected102 at risk
EG00218 events17 affected112 at risk
EG003
Spontaneous penile erection
Reproductive system and breast disorders
MedDRA 18.1
Non-systematic Assessment
EG0006 events4 affected116 at risk
EG00113 events13 affected102 at risk
EG00214 events13 affected112 at risk
EG003
Cough
Respiratory, thoracic and mediastinal disorders
MedDRA 18.1
Non-systematic Assessment
EG00011 events10 affected116 at risk
EG0014 events4 affected102 at risk
EG0025 events5 affected112 at risk
EG003
Epistaxis
Respiratory, thoracic and mediastinal disorders
MedDRA 18.1
Non-systematic Assessment
EG00011 events5 affected116 at risk
EG00115 events10 affected102 at risk
EG0028 events6 affected112 at risk
EG003
Rash
Skin and subcutaneous tissue disorders
MedDRA 18.1
Non-systematic Assessment
EG0007 events7 affected116 at risk
EG0013 events3 affected102 at risk
EG0025 events5 affected112 at risk
EG003
Flushing
Vascular disorders
MedDRA 18.1
Non-systematic Assessment
EG0003 events3 affected116 at risk
EG0018 events8 affected102 at risk
EG0029 events8 affected112 at risk
EG003
The Sponsor concluded that the efficacy results do not provide sufficient justification for continuance of the open-label extension (OLE) period of the study, where all participants were receiving daily treatment with tadalafil.
Certain Agreements
Are all PI(s) employees of the sponsor?
No
Restriction Type
GT60
Results Disclosure Restriction on PI(s)?
Yes
Other Details
Not provided
Point of Contact
Title
Organization
Phone
Extension
Email
Chief Medical Officer
Eli Lilly and Company
800-545-5979
ID
Term
D020388
Muscular Dystrophy, Duchenne
Ancestor Terms
ID
Term
D009136
Muscular Dystrophies
D020966
Muscular Disorders, Atrophic
D009135
Muscular Diseases
D009140
Musculoskeletal Diseases
D009468
Neuromuscular Diseases
D009422
Nervous System Diseases
D040181
Genetic Diseases, X-Linked
D030342
Genetic Diseases, Inborn
D009358
Congenital, Hereditary, and Neonatal Diseases and Abnormalities
Browse Leaves
Not provided
Browse Branches
Not provided
ID
Term
D000068581
Tadalafil
Ancestor Terms
ID
Term
D002243
Carbolines
D011725
Pyridines
D006573
Heterocyclic Compounds, 1-Ring
D006571
Heterocyclic Compounds
D026121
Indole Alkaloids
D007211
Indoles
D006574
Heterocyclic Compounds, 2-Ring
D000072471
Heterocyclic Compounds, Fused-Ring
D006575
Heterocyclic Compounds, 3-Ring
Browse Leaves
Not provided
Browse Branches
Not provided
0 subjects
FG0010 subjects
FG0022 subjects
Lost to Follow-up
FG0000 subjects
FG0011 subjects
FG0020 subjects
Withdrawal by Parent/Guardian
FG0000 subjects
FG0018 subjects
FG0022 subjects
Withdrawal by Subject
FG0000 subjects
FG0012 subjects
FG0022 subjects
9.6
± 1.92
0
BG0030
Male
BG000116
BG001102
BG002113
BG003331
2
BG0032
Asian
BG00015
BG00116
BG00220
BG00351
Native Hawaiian or Other Pacific Islander
BG0003
BG0011
BG0023
BG0037
Black or African American
BG0000
BG0010
BG0021
BG0031
White
BG00096
BG00182
BG00284
BG003262
More than one race
BG0002
BG0013
BG0022
BG0037
Unknown or Not Reported
BG0000
BG0010
BG0021
BG0031
6
BG00317
Russian Federation
Title
Measurements
BG0004
BG0014
BG0024
BG00312
United States
Title
Measurements
BG00039
BG00134
BG00234
BG003107
Japan
Title
Measurements
BG0006
BG0015
BG0026
BG00317
Spain
Title
Measurements
BG0009
BG0017
BG00212
BG00328
Canada
Title
Measurements
BG0008
BG0017
BG0028
BG00323
Netherlands
Title
Measurements
BG0002
BG0011
BG0023
BG0036
Turkey
Title
Measurements
BG0005
BG0017
BG0028
BG00320
Belgium
Title
Measurements
BG0008
BG0015
BG0024
BG00317
Taiwan
Title
Measurements
BG0006
BG0014
BG0028
BG00318
Korea, Republic of
Title
Measurements
BG0003
BG0014
BG0025
BG00312
Italy
Title
Measurements
BG0008
BG0018
BG0028
BG00324
France
Title
Measurements
BG0003
BG0012
BG0022
BG0037
Germany
Title
Measurements
BG0008
BG00110
BG0025
BG00323
0.538
The p-value is based on the treatment difference LS Mean changes from baseline between tadalafil and placebo.
Superiority or Other (legacy)
OG002
0.6 mg/kg Tadalafil
0.6 mg/kg tadalafil taken orally once daily.
Units
Counts
Participants
OG000116
OG001102
OG002112
Title
Denominators
Categories
Title
Measurements
OG000-8.80± 1.104
OG001-9.31± 1.181
OG002-8.96± 1.115
Participants
OG000116
OG00196
OG002110
Title
Denominators
Categories
Rise from the Floor(n=92,75,89)
Title
Measurements
OG0004.16± 1.120
OG0013.60± 1.223
OG0024.81± 1.156
10 Meter Walk/Run(n=105,90,100)
Title
Measurements
OG0001.11± 0.204
OG0010.95± 0.226
OG0021.12± 0.217
Stair Climb (n=116,96,110)
Title
Measurements
OG0003.96± 1.041
OG0014.10± 1.154
OG0025.82± 1.072
Stair Descend(n=115,95,110)
Title
Measurements
OG0003.19± 0.827
OG0012.07± 0.915
OG0023.27± 0.853
OG000115
OG001101
OG002111
Title
Denominators
Categories
Title
Measurements
OG000NA(NA to NA)These statistics were not estimable due to large number of participants who were censored.
OG001NA(NA to NA)These statistics were not estimable due to large number of participants who were censored.
OG002NA(NA to NA)These statistics were not estimable due to large number of participants who were censored.
OG002
0.6 mg/kg Tadalafil
0.6 mg/kg tadalafil taken orally once daily.
Units
Counts
Participants
OG000116
OG001102
OG002113
Title
Denominators
Categories
Rise from the Floor (n=81,67,77)
Title
Measurements
OG000253.0(170.0 to NA)These statistics were not estimable due to large number of participants who were censored.
OG001NA(NA to NA)These statistics were not estimable due to large number of participants who were censored.
OG002NA(NA to NA)These statistics were not estimable due to large number of participants who were censored.
Stair Climb (n=112,91,107)
Title
Measurements
OG000255.0(252.0 to NA)These statistics were not estimable due to large number of participants who were censored.
OG001259.0(176.0 to NA)These statistics were not estimable due to large number of participants who were censored.
OG002253.0(185.0 to NA)These statistics were not estimable due to large number of participants who were censored.
10 Meter Walk/Run (n=98,83,91)
Title
Measurements
OG000NA(NA to NA)These statistics were not estimable due to large number of participants who were censored.
OG001NA(NA to NA)These statistics were not estimable due to large number of participants who were censored.
OG002NA(NA to NA)These statistics were not estimable due to large number of participants who were censored.
Stair Descend (n=110,91,108)
Title
Measurements
OG000NA(NA to NA)These statistics were not estimable due to large number of participants who were censored.
OG001NA(NA to NA)These statistics were not estimable due to large number of participants who were censored.
OG002NA(NA to NA)These statistics were not estimable due to large number of participants who were censored.