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The study is a phase 2/3, multicenter, double-blind, parallel assignment study. It involves 100 adult recipients of an intra-hepatic pancreatic Islet Auto-Transplantation (IAT).
The objective of this clinical trial is to assess whether reparixin leads to improved transplant outcome as measured by the proportion of insulin-independent patients following IAT. The safety of reparixin in the specific clinical setting will be also evaluated.
In contrast to allo-transplantation in type 1 diabetes patients, where immunological mechanisms involving allo- and auto-antibodies affect long-term graft function, outcome in IAT (Islet Auto-Transplantation) is independent from immunological processes and does not require immunosuppression management. On the other hand, early inflammatory events intrinsic to the intra-portal islet infusion have been demonstrated to impact islet engraftment. Among possible mechanisms, PMNs have been found to be the predominant cell types infiltrating the liver in a syngeneic model of islet transplantation in mice.
Data obtained in experimental models of islet transplantation in mice demonstrate a clear effect of reparixin in improving graft survival and function. Protection from the loss and/or deterioration of transplanted islets was evident regardless of the immunological mechanisms involved in islet damage, suggesting that the ability of reparixin to modulate early inflammatory responses readily impact graft outcome.
Thus, the use of reparixin may emerge as a potential useful medication in the control of non specific inflammatory events surrounding the early phases of IAT.
The goal of this study is to reach a total of 100 adult patients who are randomized and receive IAT after total or completion pancreatectomy. Patients will be randomly (1:1) assigned to receive either reparixin [continuous i.v. infusion for 7 days (168hrs)], or matched placebo (control group),starting approximately 12hrs before islet infusion. The two groups will be balanced within each centre. All patients who are randomized and receive the Investigational Product (either reparixin or placebo) will be included in the ITT analysis. Patients will be in the ITT analysis whether or not they receive IAT, because exclusions cannot be made for events occurring after randomization that could be influenced by the randomized assignment.
Recruitment will be competitive among the study sites, until the planned number of patients is enrolled. Competitive recruitment has been chosen to increase the speed of recruitment and to account for any difference in transplant rate among study sites. Each centre will enroll patients as rapidly as possible, up to a maximum of 40 patients (as per the randomization list). A maximum of 48 patients is allowed for the site of the Primary Investigator.
Each patient will be involved in the study for 7 day hospital stay during pancreatectomy followed by islet transplantation, for all required measurements up to hospital discharge and for 2 post-transplant visits scheduled @ day 75+14 and 365+14 after the transplant.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Reparixin | Experimental | Solution for intravenous (IV) infusion with active compound |
|
| Placebo | Placebo Comparator | Physiologic solution |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Reparixin | Drug | Solution for intravenous (IV) infusion; 2.772 mg/kg body weight/hour administered at 0.25 mL/kg/hour |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Patients Who Were Insulin Independent After Islet Autotransplantation (IAT) at Day 365±14 Days After Transplant. | Insulin-independence is defined as freedom from the need to take exogenous insulin for 14 or more consecutive days, with adequate glycemic control, as defined by:
| day 365±14 after the transplant |
| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Curve (AUC) for the Serum C-peptide Level at Day 75±14 After the Transplant | AUC for the serum C-peptide level is calculated during the first 4 hours of an MMTT, normalized by the number of Islet Equivalent (IEQ)/kg | day 75±14 after the transplant |
| Area Under the Curve (AUC) for the Serum C-peptide Level at Day 365±14 After the Transplant |
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Inclusion Criteria:
Exclusion Criteria:
Recipients of a previous IAT (if completion pancreatectomy).
Patients undergoing total pancreatectomy due to either pancreatic cancer or pancreatic benign diseases other than chronic pancreatitis, including insulinomas, etc.
Patients with inadequate renal reserve as per calculated creatinine clearance (CLcr) < 60 mL/min according to the Cockcroft-Gault formula (1976).
Patients with hepatic dysfunction as defined by increased ALT/AST > 3 x upper limit of normal (ULN) or increased total bilirubin above the upper limit at local laboratory). Patients with Gilbert's syndrome (elevated unconjugated bilirubin levels in the absence of any evidence of hepatic or biliary tract disease) are not excluded.
Patients with a preoperative International Normalized Ratio (INR) > 1.5 or any known coagulopathy.
Hypersensitivity to:
Concurrent sepsis (as per positive blood culture(s) and/or fever associated with other signs of systemic sepsis syndrome).
Treatment with systemic steroids in the 2 weeks prior to enrolment (except for the use of <5mg prednisone daily or equivalent dose of hydrocortisone, for physiological replacement only) or with any immune modulators in the 4 weeks prior to enrolment.
Patients with pre-existing diabetes or evidence of impaired β-cells function, based on pre-operative fasting blood glucose >115 mg/dL and/or a HbA1c > 6.5%, or requiring treatment with any anti-diabetic medication (e.g. insulin, metformin, etc) within the 2 weeks prior to enrolment.
Use of any investigational agent in the 4 weeks prior to enrolment, including any anti-cytokine/chemokine agents.
Pregnant or breast-feeding women; unwillingness to use effective contraceptive measures (females and males). (NB: pregnancy should be avoided in patients or partners during the first month after completing the treatment with the Investigational Product; no other specific warnings are described, considering the treatment course of the Investigational Product, its PK profile, and the lack of significant adverse effects on mating performance and fertility in animal studies).
Patients with past or current history of alcohol abuse based on clinical history and/or past treatment for alcohol addiction.
Patients with evidence of pre-operative portal hypertension as per clinical history and abdominal/liver imaging by ultrasound techniques.
Sites will comply with any additional or more restrictive exclusion criteria locally accepted, as per centre practice.
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| Name | Affiliation | Role |
|---|---|---|
| Melena Bellin, MD | Schulze Diabetes Institute; University of Minnesota Amplatz Children's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California. Department of Surgery, Division of Transplantation | San Francisco | California | 94143 | United States | ||
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| ID | Title | Description |
|---|---|---|
| FG000 | Reparixin | Solution for intravenous (IV) infusion with active compound Reparixin: Solution for intravenous (IV) infusion; 2.772 mg/kg body weight/hour administered at 0.25 mL/kg/hour |
| FG001 | Placebo | Physiologic solution Placebo: Physiologic solution administered at 0.25 mL/kg/hour |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Two patients initially randomised to Reparixin received no treatment, hence were not included in the in the population analysed for demographics
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| ID | Title | Description |
|---|---|---|
| BG000 | Reparixin | Solution for intravenous (IV) infusion with active compound Reparixin: Solution for intravenous (IV) infusion; 2.772 mg/kg body weight/hour administered at 0.25 mL/kg/hour |
| BG001 | Placebo |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| 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 Patients Who Were Insulin Independent After Islet Autotransplantation (IAT) at Day 365±14 Days After Transplant. | Insulin-independence is defined as freedom from the need to take exogenous insulin for 14 or more consecutive days, with adequate glycemic control, as defined by:
| ITT Population consists of all patients who were randomized and received the Investigational Product (either reparixin or placebo). Summarization and analysis of this population is based on randomized treatment, regardless of treatment actually received. Eligible patients are included in this population whether or not they receive IAT. | Posted | Number | Percentage of participants | day 365±14 after the transplant |
|
From Day -1 to hospital discharge for all adverse events, and from then to day 365 post-transplantation only for serious adverse events.
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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 | Reparixin | Solution for intravenous (IV) infusion with active compound Reparixin: Solution for intravenous (IV) infusion; 2.772 mg/kg body weight/hour administered at 0.25 mL/kg/hour |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal pain | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Procedural pain | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Mauro P. Ferrari, Pharm D | Dompé | +3902583831 | info@dompe.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jul 18, 2016 | Sep 13, 2023 | Prot_003.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Dec 14, 2017 | Jul 18, 2019 | SAP_000.pdf |
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| ID | Term |
|---|---|
| C490707 | reparixin |
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| Placebo | Drug | Physiologic solution administered at 0.25 mL/kg/hour |
|
AUC for the serum C-peptide level is calculated during the first 4 hours of a mixed meal tolerance test (MMTT), normalized by the number of Islet Equivalent (IEQ)/kg |
| day 365±14 after the transplant |
| Average Daily Insulin Requirements at Day 75±14 After the Transplant | Daily insulin is reported as IU/kg and intake averaged over the previous week. | day 75±14 after the transplant |
| Average Daily Insulin Requirements at Day 365±14 After the Transplant | Daily insulin is reported as IU/kg and intake averaged over the previous week. | day 365±14 after the transplant |
| Time Course From Basal to 240 Min of Glucose Derived From the Mixed Meal Tolerance Test (MMTT) at Day 75±14 After the Transplant | Data of this outcome are reported as "model estimates over all timepoints". This parameter was assessed at the following timepoints on the following numbers of patients for Reparixin and placebo, respectively:
| day 75±14 after the transplant |
| Time Course From Basal to 240 Min of Glucose Derived From the Mixed Meal Tolerance Test (MMTT) at Day 365±14 After the Transplant | Data are reported as "model estimates over all timepoints" This parameters was assessed at the following timepoints on the following numbers of patients for Reparixin and placebo, respectively:
| day 365±14 after the transplant |
| Time Course From Basal to 240 Min of C-peptide Derived From the Mixed Meal Tolerance Test (MMTT) at Day 75±14 After the Transplant | Data are reported as "model estimates over all timepoints". This parameters was assessed at the following timepoints on the following numbers of patients for Reparixin and placebo, respectively:
| day 75±14 after the transplant |
| Time Course From Basal to 240 Min of C-peptide Derived From the Mixed Meal Tolerance Test (MMTT) at Day 365±14 After the Transplant | Data are reported as "model estimates over all timepoints". This parameters was assessed at the following timepoints on the following numbers of patients for Reparixin and placebo, respectively:
| day 365±14 after the transplant |
| Time Course From Basal to 240 Min of Insulin Derived From the Mixed Meal Tolerance Test (MMTT) at Day 75±14 After the Transplant | Data are reported as "model estimates over all timepoints". This parameter was assessed at the following timepoints on the following numbers of patients for Reparixin and placebo, respectively:
| day 75±14 after the transplant |
| Time Course From Basal to 240 Min of Insulin Derived From the Mixed Meal Tolerance Test (MMTT) at Day 365±14 After the Transplant | Data are reported as "model estimates over all timepoints". This parameter was assessed at the following timepoints on the following numbers of patients for Reparixin and placebo, respectively:
| day 365±14 after the transplant |
| β-cell Function at Day 75±14 After the Transplant | This variable is assessed by β-score (assessment of β-cell function after islet transplantation). The total score is calculated on a 0-8 scoring system (higher is a better outcome) that gives 0-2 points each for:
| day 75±14 after the transplant |
| β-cell Function at Day 365±14 After the Transplant | This variable is assessed by β-score (assessment of β-cell function after islet transplantation). The total score is calculated on a 0-8 scoring system (higher is a better outcome) that gives 0-2 points each for glucose, HbA1c, stimulated C-peptide and insulin requirement subscales. The higher the total score the better the outcome.
| day 365±14 after the transplant |
| Proportion of Patients With an HbA1c <6.5% at Day 365±14 After the Transplant | Percentage of patients with a glycated haemoglobin (HbA1c) <6.5% at day 365±14 after the transplant. | day 365±14 after the transplant |
| Cumulative Number of Severe Hypoglycemic Events From Day 75±14 to Day 365±14 After the Transplant | A severe hypoglycemic event is defined as an event with one of the following symptoms: "memory loss, confusion, uncontrollable behavior, irrational behavior, unusual difficulty in awakening, suspected seizure, seizure, loss of consciousness, or visual symptoms", in which the subject was unable to treat him/herself and which was associated with either a blood glucose level <54mg/dL or prompt recovery after oral carbohydrate, i.v. glucose, or glucagon administration. | from day 75±14 to day 365±14 after the transplant |
| Proportion of Patients With an HbA1c <6.5% at Day 365±14 After the Transplant AND Free of Severe Hypoglycemic Events From Day 75±14 to Day 365±14 After the Transplant Inclusive | Percentage of patients with an HbA1c <6.5% at day 365±14 after the transplant AND free of severe hypoglycemic events from day 75±14 to day 365±14 after the transplant inclusive.A severe hypoglycemic event is defined as an event with one of the following symptoms: "memory loss, confusion, uncontrollable behavior, irrational behavior, unusual difficulty in awakening, suspected seizure, seizure, loss of consciousness, or visual symptoms", in which the subject was unable to treat him/herself and which was associated with either a blood glucose level <54mg/dL or prompt recovery after oral carbohydrate, i.v. glucose, or glucagon administration. | from day 75±14 to day 365±14 after the transplant |
| Incidence and Severity of Adverse Events and Serious Adverse Events Throughout the Study | The percentages of patients with any treatment emergent adverse events (TEAE, serious and non serious) and with serious TEAE by severity are presented. Patients with multiple events within a particular system organ class or preferred term were counted only under the category of their most severe event within that system organ class or preferred term. A serious AE was defined as any untoward medical occurrence that at any dose:
| up to day 365±14 after the transplant |
| Proportion of Patients Falling Into One of the Following Malnutrition Risk Levels (Poor Prognosis, Significant Risk, Increased Risk, Normal) According to Pre-albumin Level at Day 75±14 After the Transplant | Malnutrition risk levels are defined as:
| day 75±14 after the transplant |
| Proportion of Patients Falling Into One of the Following Malnutrition Risk Levels (Poor Prognosis, Significant Risk, Increased Risk, Normal) According to Pre-albumin Level at Day 365±14 After the Transplant | Malnutrition risk levels are defined as:
| day 365±14 after the transplant |
| Proportion of Patients by Steatorrhea Severity at Day 75±14 After the Transplant | Levels of steatorrhea severity (evaluated in the 4 weeks prior to day 75±14 and 365±14), are defined as:
| day 75±14 after the transplant |
| Proportion of Patients by Steatorrhea Severity at Day 365±14 After the Transplant | Levels of steatorrhea severity (evaluated in the 4 weeks prior to day 75±14 and 365±14), are defined as:
| day 365±14 after the transplant |
| Cumulative Number of Episodes of Documented Asymptomatic Hypoglycemia From Day 75±14 to Day 365±14 After the Transplant | The following definition applies: - Asymptomatic hypoglycemia = An event not accompanied by typical symptoms of hypoglycemia but with a measured plasma glucose concentration <70mg/dL. | from day 75±14 to day 365±14 after the transplant |
| Cumulative Number of Episodes of Documented Symptomatic Hypoglycemia From Day 75±14 to Day 365±14 After the Transplant | The following definition applies: - Documented symptomatic hypoglycemia = An event during which typical symptoms of hypoglycemia are accompanied by a measured plasma glucose concentration <70mg/dL. | from day 75±14 to day 365±14 after the transplant |
| Cumulative Number of Diabetic Ketoacidosis-related Events | A diabetic ketoacidosis event is defined as the presence of:
| from day 75±14 to day 365±14 after the transplant |
| Peak C-peptide at Day 75 After the Transplant | Peak C-peptide (C-P) is a known predictor of Type 1 Diabetes. | Day 75±14 after the transplant |
| Peak C-peptide at Day 365 After the Transplant | Peak C-peptide (C-P) is a known predictor of Type 1 Diabetes. | Day 365±14 after the transplant |
| Time-to-peak C-peptide at Day 75 After the Transplant | The time-to-peak value in minutes was computed as the time of the peak value (HH:MM on a 24-hour clock) minus the end time of the mixed meal (HH:MM on a 24-hour clock) as recorded on the mixed meal tolerance test Case Report Form. | day 75±14 and day 365±14 after the transplant |
| Time-to-peak C-peptide at Day 365 After the Transplant | The time to peak value in minutes will be computed as the time of the peak value (HH:MM on a 24-hour clock) minus the end time of the mixed meal (HH:MM on a 24-hour clock) as recorded on the mixed meal tolerance test CRF. | Day 365±14 after the transplant |
| Change From Baseline in Post-transplant Alanine Aminotransferase (ALT) | Data are reported as "model estimates over all timepoints". This safety parameter was assessed at the following timepoints on the following numbers of patients for Reparixin and placebo, respectively:
| Baseline, Days 2, 3, 7, 75 ±14 after the transplant |
| Change From Baseline in Post-transplant Aspartate Aminotransferase (AST) | Data are reported as "model estimates over all timepoints". This safety parameter was assessed at the following timepoints on the following numbers of patients for Reparixin and placebo, respectively:
| Baseline, Days 2, 3, 7, 75±14 after the transplant |
| Number of Treatment Emergent Adverse Events Related to Investigational Product | Treatment emergent adverse events - possibly, probably and highly probably - related to investigational product are called "Adverse reactions" (ADR). An adverse reaction is defined as any untoward medical occurrence in a patient or clinical investigation patient, which has a causal relationship with the administered medicinal product. | Throughout the study From Day -1 to hospital discharge |
| Number of Serious Treatment Emergent Adverse Events Related to Investigational Product | Serious Treatment emergent adverse events - possibly, probably and highly probably - related to investigational product are called serious "Adverse reactions". A serious adverse reaction is defined as any untoward medical occurrence with a causal relationship with the administered medicinal product, that at any dose:
| Throughout the study From Day -1 to hospital discharge for all adverse events, and from then to day 365 post-transplantation only for serious adverse events |
| The University of Chicago Medical Center |
| Chicago |
| Illinois |
| 60637 |
| United States |
| Schulze Diabetes Institute University of Minnesota Medical School | Minneapolis | Minnesota | 55455 | United States |
| Dartmouth-Hitchcock Medical Center | Lebanon | New Hampshire | 03756 | United States |
| The University of Cincinnati Medical Center | Cincinnati | Ohio | 45219 | United States |
| Thomas E. Starzl Transplantation Institute University of Pittsburgh Medical Center | Pittsburgh | Pennsylvania | 15213 | United States |
| Medical University of South Carolina | Charleston | South Carolina | 29425 | United States |
| Baylor University Medical Center | Dallas | Texas | 75246 | United States |
| University of Alberta, Clinical Islet Transplant Program | Edmonton | Alberta | T6G 2C8 | Canada |
| Did Not Have Transplant |
|
| Research visit not done, data recorded |
|
| Subject excluded after randomization |
|
| Patient didn't proceed to pancreatectomy |
|
| Subject Unable To Comply With Final Day |
|
Physiologic solution
Placebo: Physiologic solution administered at 0.25 mL/kg/hour
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| OG000 | Reparixin | Solution for intravenous (IV) infusion with active compound Reparixin: Solution for intravenous (IV) infusion; 2.772 mg/kg body weight/hour administered at 0.25 mL/kg/hour |
| OG001 | Placebo | Physiologic solution Placebo: Physiologic solution administered at 0.25 mL/kg/hour |
|
|
|
| Secondary | Area Under the Curve (AUC) for the Serum C-peptide Level at Day 75±14 After the Transplant | AUC for the serum C-peptide level is calculated during the first 4 hours of an MMTT, normalized by the number of Islet Equivalent (IEQ)/kg | ITT Population consists of all patients who were randomized and received the Investigational Product (either reparixin or placebo). Summarization and analysis of this population is based on randomized treatment, regardless of treatment actually received. Eligible patients are included in this population whether or not they receive IAT. | Posted | Mean | Standard Deviation | (ng/mL)/(IEQ/kg)*1000 | day 75±14 after the transplant |
|
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|
|
| Secondary | Area Under the Curve (AUC) for the Serum C-peptide Level at Day 365±14 After the Transplant | AUC for the serum C-peptide level is calculated during the first 4 hours of a mixed meal tolerance test (MMTT), normalized by the number of Islet Equivalent (IEQ)/kg | ITT Population consists of all patients who were randomized and received the Investigational Product (either reparixin or placebo). Summarization and analysis of this population is based on randomized treatment, regardless of treatment actually received. Eligible patients are included in this population whether or not they receive IAT | Posted | Mean | Standard Deviation | (ng/mL)/(IEQ/kg)*1000 | day 365±14 after the transplant |
|
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| Secondary | Average Daily Insulin Requirements at Day 75±14 After the Transplant | Daily insulin is reported as IU/kg and intake averaged over the previous week. | ITT Population consists of all patients who were randomized and received the Investigational Product (either reparixin or placebo). Summarization and analysis of this population is based on randomized treatment, regardless of treatment actually received. Eligible patients are included in this population whether or not they receive IAT. | Posted | Mean | Standard Deviation | IU/kg/day | day 75±14 after the transplant |
|
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|
|
| Secondary | Average Daily Insulin Requirements at Day 365±14 After the Transplant | Daily insulin is reported as IU/kg and intake averaged over the previous week. | ITT Population consists of all patients who were randomized and received the Investigational Product (either reparixin or placebo). Summarization and analysis of this population is based on randomized treatment, regardless of treatment actually received. Eligible patients are included in this population whether or not they receive IAT. | Posted | Mean | Standard Deviation | IU/kg/day | day 365±14 after the transplant |
|
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|
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| Secondary | Time Course From Basal to 240 Min of Glucose Derived From the Mixed Meal Tolerance Test (MMTT) at Day 75±14 After the Transplant | Data of this outcome are reported as "model estimates over all timepoints". This parameter was assessed at the following timepoints on the following numbers of patients for Reparixin and placebo, respectively:
| ITT Population consists of all patients who were randomized and received the Investigational Product (either reparixin or placebo). Summarization and analysis of this population is based on randomized treatment, regardless of treatment actually received. Eligible patients are included in this population whether or not they receive IAT | Posted | Least Squares Mean | Standard Error | mg/dL | day 75±14 after the transplant |
|
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|
| Secondary | Time Course From Basal to 240 Min of Glucose Derived From the Mixed Meal Tolerance Test (MMTT) at Day 365±14 After the Transplant | Data are reported as "model estimates over all timepoints" This parameters was assessed at the following timepoints on the following numbers of patients for Reparixin and placebo, respectively:
| ITT Population consists of all patients who were randomized and received the Investigational Product (either reparixin or placebo). Summarization and analysis of this population is based on randomized treatment, regardless of treatment actually received. | Posted | Least Squares Mean | Standard Error | mg/dL | day 365±14 after the transplant |
|
|
|
|
| Secondary | Time Course From Basal to 240 Min of C-peptide Derived From the Mixed Meal Tolerance Test (MMTT) at Day 75±14 After the Transplant | Data are reported as "model estimates over all timepoints". This parameters was assessed at the following timepoints on the following numbers of patients for Reparixin and placebo, respectively:
| ITT Population consists of all patients who were randomized and received the Investigational Product (either reparixin or placebo). Summarization and analysis of this population is based on randomized treatment, regardless of treatment actually received. | Posted | Least Squares Mean | Standard Error | ng/mL | day 75±14 after the transplant |
|
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|
|
| Secondary | Time Course From Basal to 240 Min of C-peptide Derived From the Mixed Meal Tolerance Test (MMTT) at Day 365±14 After the Transplant | Data are reported as "model estimates over all timepoints". This parameters was assessed at the following timepoints on the following numbers of patients for Reparixin and placebo, respectively:
| ITT Population consists of all patients who were randomized and received the Investigational Product (either reparixin or placebo). Summarization and analysis of this population is based on randomized treatment, regardless of treatment actually received. | Posted | Least Squares Mean | Standard Error | ng/mL | day 365±14 after the transplant |
|
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|
|
| Secondary | Time Course From Basal to 240 Min of Insulin Derived From the Mixed Meal Tolerance Test (MMTT) at Day 75±14 After the Transplant | Data are reported as "model estimates over all timepoints". This parameter was assessed at the following timepoints on the following numbers of patients for Reparixin and placebo, respectively:
| ITT Population consists of all patients who were randomized and received the Investigational Product (either reparixin or placebo). Summarization and analysis of this population is based on randomized treatment, regardless of treatment actually received. | Posted | Least Squares Mean | Standard Error | UIU/mL | day 75±14 after the transplant |
|
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| Secondary | Time Course From Basal to 240 Min of Insulin Derived From the Mixed Meal Tolerance Test (MMTT) at Day 365±14 After the Transplant | Data are reported as "model estimates over all timepoints". This parameter was assessed at the following timepoints on the following numbers of patients for Reparixin and placebo, respectively:
| ITT Population consists of all patients who were randomized and received the Investigational Product (either reparixin or placebo). Summarization and analysis of this population is based on randomized treatment, regardless of treatment actually received. | Posted | Least Squares Mean | Standard Error | UIU/mL | day 365±14 after the transplant |
|
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| Secondary | β-cell Function at Day 75±14 After the Transplant | This variable is assessed by β-score (assessment of β-cell function after islet transplantation). The total score is calculated on a 0-8 scoring system (higher is a better outcome) that gives 0-2 points each for:
| ITT Population consists of all patients who were randomized and received the Investigational Product (either reparixin or placebo). Summarization and analysis of this population is based on randomized treatment, regardless of treatment actually received. Eligible patients are included in this population whether or not they receive IAT. | Posted | Mean | Standard Deviation | score on a scale | day 75±14 after the transplant |
|
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| Secondary | β-cell Function at Day 365±14 After the Transplant | This variable is assessed by β-score (assessment of β-cell function after islet transplantation). The total score is calculated on a 0-8 scoring system (higher is a better outcome) that gives 0-2 points each for glucose, HbA1c, stimulated C-peptide and insulin requirement subscales. The higher the total score the better the outcome.
| ITT Population consists of all patients who were randomized and received the Investigational Product (either reparixin or placebo). Summarization and analysis of this population is based on randomized treatment, regardless of treatment actually received. Eligible patients are included in this population whether or not they receive IAT. | Posted | Median | Standard Deviation | score on a scale | day 365±14 after the transplant |
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| Secondary | Proportion of Patients With an HbA1c <6.5% at Day 365±14 After the Transplant | Percentage of patients with a glycated haemoglobin (HbA1c) <6.5% at day 365±14 after the transplant. | ITT Population consists of all patients who were randomized and received the Investigational Product (either reparixin or placebo). Summarization and analysis of this population is based on randomized treatment, regardless of treatment actually received. Eligible patients are included in this population whether or not they receive IAT | Posted | Number | 95% Confidence Interval | percentage of participants | day 365±14 after the transplant |
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| Secondary | Cumulative Number of Severe Hypoglycemic Events From Day 75±14 to Day 365±14 After the Transplant | A severe hypoglycemic event is defined as an event with one of the following symptoms: "memory loss, confusion, uncontrollable behavior, irrational behavior, unusual difficulty in awakening, suspected seizure, seizure, loss of consciousness, or visual symptoms", in which the subject was unable to treat him/herself and which was associated with either a blood glucose level <54mg/dL or prompt recovery after oral carbohydrate, i.v. glucose, or glucagon administration. | ITT Population consists of all patients who were randomized and received the Investigational Product (either reparixin or placebo). Summarization and analysis of this population is based on randomized treatment, regardless of treatment actually received. Eligible patients are included in this population whether or not they receive IAT. | Posted | Mean | Standard Deviation | number of events | from day 75±14 to day 365±14 after the transplant |
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|
|
| Secondary | Proportion of Patients With an HbA1c <6.5% at Day 365±14 After the Transplant AND Free of Severe Hypoglycemic Events From Day 75±14 to Day 365±14 After the Transplant Inclusive | Percentage of patients with an HbA1c <6.5% at day 365±14 after the transplant AND free of severe hypoglycemic events from day 75±14 to day 365±14 after the transplant inclusive.A severe hypoglycemic event is defined as an event with one of the following symptoms: "memory loss, confusion, uncontrollable behavior, irrational behavior, unusual difficulty in awakening, suspected seizure, seizure, loss of consciousness, or visual symptoms", in which the subject was unable to treat him/herself and which was associated with either a blood glucose level <54mg/dL or prompt recovery after oral carbohydrate, i.v. glucose, or glucagon administration. | ITT Population consists of all patients who were randomized and received the Investigational Product (either reparixin or placebo). Summarization and analysis of this population is based on randomized treatment, regardless of treatment actually received. Eligible patients are included in this population whether or not they receive IAT. | Posted | Number | 95% Confidence Interval | percentage of participants | from day 75±14 to day 365±14 after the transplant |
|
|
|
|
| Secondary | Incidence and Severity of Adverse Events and Serious Adverse Events Throughout the Study | The percentages of patients with any treatment emergent adverse events (TEAE, serious and non serious) and with serious TEAE by severity are presented. Patients with multiple events within a particular system organ class or preferred term were counted only under the category of their most severe event within that system organ class or preferred term. A serious AE was defined as any untoward medical occurrence that at any dose:
| ITT Population consists of all patients who were randomized and received the Investigational Product (either reparixin or placebo). Summarization and analysis of this population is based on randomized treatment, regardless of treatment actually received. Eligible patients are included in this population whether or not they receive IAT. | Posted | Number | percentage of patients | up to day 365±14 after the transplant |
|
|
|
| Secondary | Proportion of Patients Falling Into One of the Following Malnutrition Risk Levels (Poor Prognosis, Significant Risk, Increased Risk, Normal) According to Pre-albumin Level at Day 75±14 After the Transplant | Malnutrition risk levels are defined as:
| Safety Population consists of all randomized patients. Summarization and analysis of this population was based on treatment actually received. Patients randomized but not treated were analyzed in the total summary statistics only. | Posted | Number | 95% Confidence Interval | percentage of patients | day 75±14 after the transplant |
|
|
|
| Secondary | Proportion of Patients Falling Into One of the Following Malnutrition Risk Levels (Poor Prognosis, Significant Risk, Increased Risk, Normal) According to Pre-albumin Level at Day 365±14 After the Transplant | Malnutrition risk levels are defined as:
| Safety Population consists of all randomized patients. Summarization and analysis of this population was based on treatment actually received. Patients randomized but not treated were analyzed in the total summary statistics only. | Posted | Number | 95% Confidence Interval | percentage of participants | day 365±14 after the transplant |
|
|
|
| Secondary | Proportion of Patients by Steatorrhea Severity at Day 75±14 After the Transplant | Levels of steatorrhea severity (evaluated in the 4 weeks prior to day 75±14 and 365±14), are defined as:
| Safety Population consists of all randomized patients. Summarization and analysis of this population was based on treatment actually received. Patients randomized but not treated were analyzed in the total summary statistics only. | Posted | Number | 95% Confidence Interval | percentage of participants | day 75±14 after the transplant |
|
|
|
| Secondary | Proportion of Patients by Steatorrhea Severity at Day 365±14 After the Transplant | Levels of steatorrhea severity (evaluated in the 4 weeks prior to day 75±14 and 365±14), are defined as:
| Safety Population consists of all randomized patients. Summarization and analysis of this population was based on treatment actually received. Patients randomized but not treated were analyzed in the total summary statistics only. | Posted | Number | 95% Confidence Interval | percentage of participants | day 365±14 after the transplant |
|
|
|
| Secondary | Cumulative Number of Episodes of Documented Asymptomatic Hypoglycemia From Day 75±14 to Day 365±14 After the Transplant | The following definition applies: - Asymptomatic hypoglycemia = An event not accompanied by typical symptoms of hypoglycemia but with a measured plasma glucose concentration <70mg/dL. | Safety Population consists of all randomized patients. Summarization and analysis of this population was based on treatment actually received. Patients randomized but not treated were analyzed in the total summary statistics only. | Posted | Mean | Standard Deviation | number of episodes | from day 75±14 to day 365±14 after the transplant |
|
|
|
|
| Secondary | Cumulative Number of Episodes of Documented Symptomatic Hypoglycemia From Day 75±14 to Day 365±14 After the Transplant | The following definition applies: - Documented symptomatic hypoglycemia = An event during which typical symptoms of hypoglycemia are accompanied by a measured plasma glucose concentration <70mg/dL. | Safety Population consists of all randomized patients. Summarization and analysis of this population was based on treatment actually received. Patients randomized but not treated were analyzed in the total summary statistics only. | Posted | Mean | Standard Deviation | number of episodes | from day 75±14 to day 365±14 after the transplant |
|
|
|
|
| Secondary | Cumulative Number of Diabetic Ketoacidosis-related Events | A diabetic ketoacidosis event is defined as the presence of:
| Safety Population consists of all randomized patients. Summarization and analysis of this population was based on treatment actually received. Patients randomized but not treated were analyzed in the total summary statistics only. | Posted | Mean | Standard Deviation | number of events | from day 75±14 to day 365±14 after the transplant |
|
|
|
|
| Secondary | Peak C-peptide at Day 75 After the Transplant | Peak C-peptide (C-P) is a known predictor of Type 1 Diabetes. | ITT population: ITT Population consists of all patients who were randomized and received the Investigational Product (either reparixin or placebo). Summarization and analysis of this population is based on randomized treatment, regardless of treatment actually received. | Posted | Mean | Standard Deviation | ng/mL | Day 75±14 after the transplant |
|
|
|
| Secondary | Peak C-peptide at Day 365 After the Transplant | Peak C-peptide (C-P) is a known predictor of Type 1 Diabetes. | ITT Population: ITT Population consists of all patients who were randomized and received the Investigational Product (either reparixin or placebo). Summarization and analysis of this population is based on randomized treatment, regardless of treatment actually received. | Posted | Mean | Standard Deviation | ng/mL | Day 365±14 after the transplant |
|
|
|
| Secondary | Time-to-peak C-peptide at Day 75 After the Transplant | The time-to-peak value in minutes was computed as the time of the peak value (HH:MM on a 24-hour clock) minus the end time of the mixed meal (HH:MM on a 24-hour clock) as recorded on the mixed meal tolerance test Case Report Form. | ITT Population: ITT Population consists of all patients who were randomized and received the Investigational Product (either reparixin or placebo). Summarization and analysis of this population is based on randomized treatment, regardless of treatment actually received. | Posted | Mean | Standard Deviation | minutes | day 75±14 and day 365±14 after the transplant |
|
|
|
| Secondary | Time-to-peak C-peptide at Day 365 After the Transplant | The time to peak value in minutes will be computed as the time of the peak value (HH:MM on a 24-hour clock) minus the end time of the mixed meal (HH:MM on a 24-hour clock) as recorded on the mixed meal tolerance test CRF. | ITT Population: ITT Population consists of all patients who were randomized and received the Investigational Product (either reparixin or placebo). Summarization and analysis of this population is based on randomized treatment, regardless of treatment actually received. | Posted | Mean | Standard Deviation | minutes | Day 365±14 after the transplant |
|
|
|
| Secondary | Change From Baseline in Post-transplant Alanine Aminotransferase (ALT) | Data are reported as "model estimates over all timepoints". This safety parameter was assessed at the following timepoints on the following numbers of patients for Reparixin and placebo, respectively:
| Safety Population: Safety Population consists of all randomized patients. Summarization and analysis of this population was based on treatment actually received. Patients randomized but not treated. | Posted | Least Squares Mean | Standard Error | U/L | Baseline, Days 2, 3, 7, 75 ±14 after the transplant |
|
|
|
|
| Secondary | Change From Baseline in Post-transplant Aspartate Aminotransferase (AST) | Data are reported as "model estimates over all timepoints". This safety parameter was assessed at the following timepoints on the following numbers of patients for Reparixin and placebo, respectively:
| Safety population: Safety Population consists of all randomized patients. Summarization and analysis of this population was based on treatment actually received. Patients randomized but not treated. | Posted | Least Squares Mean | Standard Error | U/L | Baseline, Days 2, 3, 7, 75±14 after the transplant |
|
|
|
|
| Secondary | Number of Treatment Emergent Adverse Events Related to Investigational Product | Treatment emergent adverse events - possibly, probably and highly probably - related to investigational product are called "Adverse reactions" (ADR). An adverse reaction is defined as any untoward medical occurrence in a patient or clinical investigation patient, which has a causal relationship with the administered medicinal product. | Safety Population:Safety Population consists of all randomized patients. Summarization and analysis of this population was based on treatment actually received. Patients randomized but not treated were analyzed in the total summary statistics only. | Posted | Number | Number of events | Throughout the study From Day -1 to hospital discharge |
|
|
|
| Secondary | Number of Serious Treatment Emergent Adverse Events Related to Investigational Product | Serious Treatment emergent adverse events - possibly, probably and highly probably - related to investigational product are called serious "Adverse reactions". A serious adverse reaction is defined as any untoward medical occurrence with a causal relationship with the administered medicinal product, that at any dose:
| Safety population: Safety Population consists of all randomized patients. Summarization and analysis of this population were based on treatment received. Patients randomized but not treated were analyzed in the total summary statistics only. | Posted | Number | Number of events | Throughout the study From Day -1 to hospital discharge for all adverse events, and from then to day 365 post-transplantation only for serious adverse events |
|
|
|
| 0 |
| 50 |
| 29 |
| 50 |
| 46 |
| 50 |
| EG001 | Placebo | Physiologic solution Placebo: Physiologic solution administered at 0.25 mL/kg/hour | 0 | 52 | 30 | 52 | 48 | 52 |
| Vomiting | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| small intestinal obstruction | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| abdominal hernia | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Colitis | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Intra-abdominal fluid collection | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Abdominal pain lower | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Ascites | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Enteritis | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Faecaloma | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Gastritis | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Gastrointestinal Haemorrage | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Gastrintestinal necrosis | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| impaired gastric empting | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| intestinal ischeamia | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| omental infarction | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Upper gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Urinary tract infections | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Clostridium difficile infection | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Clostridium difficile colitis | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Postoperative wound infection | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Sepsis | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Gastrenteritis viral | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Bacterial infection | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Biliary tract infection | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Cellulitis | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Gastroenteritis | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| gastrointestinal infection | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Influenza | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Joint abscess | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| postoperative abscess | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Urosepsis | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Viral infection | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Wound infection | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Anastomotic ulcer | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
|
| Accidental overdose | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
|
| Incisional hernia | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
|
| Arterial injury | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
|
| Gastroparesis postoperative | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
|
| Post procedural haemorrhage | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
|
| Post operative hernia | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
|
| Seroma | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
|
| Vascular graft stenosis | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
|
| Wound complication | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
|
| Dehydration | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Malnutrition | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hypoglycaemia | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Diabetes mellitus inadequate control | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Failure to thrive | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hypercalaemia | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hernia | General disorders | MedDRA 20.1 | Systematic Assessment |
|
| Malaise | General disorders | MedDRA 20.1 | Systematic Assessment |
|
| Oedema peripheral | General disorders | MedDRA 20.1 | Systematic Assessment |
|
| Peripheral swelling | General disorders | MedDRA 20.1 | Systematic Assessment |
|
| Vascular stent occlusion | General disorders | MedDRA 20.1 | Systematic Assessment |
|
| Acute respiratory distress syndrome | Respiratory, thoracic and mediastinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Atelectasis | Respiratory, thoracic and mediastinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Pleuritic pain | Respiratory, thoracic and mediastinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Depressed levele of consciousness | Nervous system disorders | MedDRA 20.1 | Systematic Assessment |
|
| Migrane | Nervous system disorders | MedDRA 20.1 | Systematic Assessment |
|
| Lethargy | Nervous system disorders | MedDRA 20.1 | Systematic Assessment |
|
| Syncope | Nervous system disorders | MedDRA 20.1 | Systematic Assessment |
|
| Transaminases increased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Hepatic enzyme increased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Leucocytosis | Blood and lymphatic system disorders | MedDRA 20.1 | Systematic Assessment |
|
| Mental status changes | Psychiatric disorders | MedDRA 20.1 | Systematic Assessment |
|
| Confusion of state | Psychiatric disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hepatic function abnormal | Hepatobiliary disorders | MedDRA 20.1 | Systematic Assessment |
|
| Portal vein thrombosis | Hepatobiliary disorders | MedDRA 20.1 | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 20.1 | Systematic Assessment |
|
| Osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hypotension | Vascular disorders | MedDRA 20.1 | Systematic Assessment |
|
| Eye pain | Eye disorders | MedDRA 20.1 | Systematic Assessment |
|
| Visual impairment | Eye disorders | MedDRA 20.1 | Systematic Assessment |
|
| Sinus tachycardia | Cardiac disorders | MedDRA 20.1 | Systematic Assessment |
|
| Thyroid cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 20.1 | Systematic Assessment |
|
| Acute kidney injury | Renal and urinary disorders | MedDRA 20.1 | Systematic Assessment |
|
| Incision site pain | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
|
| Procedural nausea | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
|
| Accidental overdose | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
|
| Seroma | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
|
| Anaemia postoperative | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
|
| Procedural hypotension | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
|
| Procedural vomiting | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
|
| Wound secretion | Injury, poisoning and procedural complications | MedDRA 20.1 | Systematic Assessment |
|
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hypomagnesaemia | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hypoglycaemia | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hypophosphataemia | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hypoalbuminaemia | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hypernatraemia | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hypocalcaemia | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hypoinsulinaemia | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Malnutrition | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Fluid retention | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hypermagnesaemia | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hypervolaemia | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hypovolaemia | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Vitamin C deficiency | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Calcium deficiency | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hypercalaemia | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Vitamin A deficiency | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Fluid overload | Metabolism and nutrition disorders | MedDRA 20.1 | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Gastrooesophageal reflux disease | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Abdominal distension | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Abdominal pain upper | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Ascites | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Dyspepsia | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Flatulence | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Ileus | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Intra-abdominal haemorrhage | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Abdominal rigidity | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Bile acid malabsorption | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Gastrointestinal pain | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hypoaesthesia oral | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Jejunal ulcer | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| mesenteric artery trhombosis | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Peptic ulcer | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Pneumatosis intestinalis | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Stomatitis | Gastrointestinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Anaemia | Blood and lymphatic system disorders | MedDRA 20.1 | Systematic Assessment |
|
| Leukocytosis | Blood and lymphatic system disorders | MedDRA 20.1 | Systematic Assessment |
|
| Thrombocytosis | Blood and lymphatic system disorders | MedDRA 20.1 | Systematic Assessment |
|
| Iron deficiency anaemia | Blood and lymphatic system disorders | MedDRA 20.1 | Systematic Assessment |
|
| Coagulopathy | Blood and lymphatic system disorders | MedDRA 20.1 | Systematic Assessment |
|
| Haemorragic anaemia | Blood and lymphatic system disorders | MedDRA 20.1 | Systematic Assessment |
|
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA 20.1 | Systematic Assessment |
|
| Urinary tract infection | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Penumonia | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Clostridium difficile infection | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Clostridium difficile colitis | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Infection | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Abdominal infection | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Cellulitis | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Candida infection | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Escherichia urinary tract infection | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Fungal infection | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Gastroenteritis clostridial | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Genital herpes | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Respiratory moniliasis | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Urinary tract infection fungal | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Vaginal infection | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Wound infection fungal | Infections and infestations | MedDRA 20.1 | Systematic Assessment |
|
| Transaminases increased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Haematocrit decreased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Haemoglobin decreased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Oxygen saturation decreased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Urin output decreased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Bacterial test positive | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Blood bilirubin increased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Blood potassium decreased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Platelet count decreased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Platelet count increased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| White blood cell count increased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Mean arterial pressure decreased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Protein total decreased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Blood creatinin decreased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Activated partial thromboplastin time prolonged | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Blood albumin decreased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Blood alkalyne phosphatase increased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Blood glucose decreased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Blood magnesium decreased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Blood phosphorus decreased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Blood zinc decreased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| C-reactive protein increased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Catheter culture positive | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Electrocardiogram QT prolonged | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Fibrin degradation products increased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| International normalized ratio increased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Portal vein pressure increased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Weight decreased | Investigations | MedDRA 20.1 | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA 20.1 | Systematic Assessment |
|
| Oedema peripheral | General disorders | MedDRA 20.1 | Systematic Assessment |
|
| Pain | General disorders | MedDRA 20.1 | Systematic Assessment |
|
| Non-cardiac chest pain | General disorders | MedDRA 20.1 | Systematic Assessment |
|
| Asthenia | General disorders | MedDRA 20.1 | Systematic Assessment |
|
| Breackthrough pain | General disorders | MedDRA 20.1 | Systematic Assessment |
|
| Chills | General disorders | MedDRA 20.1 | Systematic Assessment |
|
| Generalized oedema | General disorders | MedDRA 20.1 | Systematic Assessment |
|
| Secretion discharge | General disorders | MedDRA 20.1 | Systematic Assessment |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Pulmonary oedema | Respiratory, thoracic and mediastinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Atelectasis | Respiratory, thoracic and mediastinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Apnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Dysphonia | Respiratory, thoracic and mediastinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Pulmonary thrombosis | Respiratory, thoracic and mediastinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Respiratory depression | Respiratory, thoracic and mediastinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Respiratory distress | Respiratory, thoracic and mediastinal disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hypotension | Vascular disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hypertension | Vascular disorders | MedDRA 20.1 | Systematic Assessment |
|
| Anxiety | Psychiatric disorders | MedDRA 20.1 | Systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA 20.1 | Systematic Assessment |
|
| Confusional state | Psychiatric disorders | MedDRA 20.1 | Systematic Assessment |
|
| Delirium | Psychiatric disorders | MedDRA 20.1 | Systematic Assessment |
|
| Depression | Psychiatric disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hallucination | Psychiatric disorders | MedDRA 20.1 | Systematic Assessment |
|
| Mental disorder | Psychiatric disorders | MedDRA 20.1 | Systematic Assessment |
|
| Suicidal ideation | Psychiatric disorders | MedDRA 20.1 | Systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hyperhidrosis | Skin and subcutaneous tissue disorders | MedDRA 20.1 | Systematic Assessment |
|
| Rush | Skin and subcutaneous tissue disorders | MedDRA 20.1 | Systematic Assessment |
|
| Urticaria | Skin and subcutaneous tissue disorders | MedDRA 20.1 | Systematic Assessment |
|
| Thachycardia | Cardiac disorders | MedDRA 20.1 | Systematic Assessment |
|
| Sinus tachycardia | Cardiac disorders | MedDRA 20.1 | Systematic Assessment |
|
| Angina pectoris | Cardiac disorders | MedDRA 20.1 | Systematic Assessment |
|
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA 20.1 | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 20.1 | Systematic Assessment |
|
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA 20.1 | Systematic Assessment |
|
| Arthritis | Musculoskeletal and connective tissue disorders | MedDRA 20.1 | Systematic Assessment |
|
| Bursitis | Musculoskeletal and connective tissue disorders | MedDRA 20.1 | Systematic Assessment |
|
| Intervertebral disk degeneration | Musculoskeletal and connective tissue disorders | MedDRA 20.1 | Systematic Assessment |
|
| Muscular wickness | Musculoskeletal and connective tissue disorders | MedDRA 20.1 | Systematic Assessment |
|
| Musculoskeletal chest pain | Musculoskeletal and connective tissue disorders | MedDRA 20.1 | Systematic Assessment |
|
| Myofascial pain syndrome | Musculoskeletal and connective tissue disorders | MedDRA 20.1 | Systematic Assessment |
|
| ìHeadache | Nervous system disorders | MedDRA 20.1 | Systematic Assessment |
|
| Balance disorder | Nervous system disorders | MedDRA 20.1 | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hypoaesthesia | Nervous system disorders | MedDRA 20.1 | Systematic Assessment |
|
| Neuropathy peripheral | Nervous system disorders | MedDRA 20.1 | Systematic Assessment |
|
| Paraesthesia | Nervous system disorders | MedDRA 20.1 | Systematic Assessment |
|
| Somnolence | Nervous system disorders | MedDRA 20.1 | Systematic Assessment |
|
| Stupor | Nervous system disorders | MedDRA 20.1 | Systematic Assessment |
|
| Unresponsive to stimuli | Nervous system disorders | MedDRA 20.1 | Systematic Assessment |
|
| Acute kidney injury | Renal and urinary disorders | MedDRA 20.1 | Systematic Assessment |
|
| Dyisuria | Renal and urinary disorders | MedDRA 20.1 | Systematic Assessment |
|
| Urinary retention | Renal and urinary disorders | MedDRA 20.1 | Systematic Assessment |
|
| Bladder pain | Renal and urinary disorders | MedDRA 20.1 | Systematic Assessment |
|
| Bladder spasm | Renal and urinary disorders | MedDRA 20.1 | Systematic Assessment |
|
| Haematuria | Renal and urinary disorders | MedDRA 20.1 | Systematic Assessment |
|
| Portal vein thrombosis | Hepatobiliary disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hepatitis | Hepatobiliary disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hyperbilirubinaemia | Hepatobiliary disorders | MedDRA 20.1 | Systematic Assessment |
|
| Hypothyroidism | Endocrine disorders | MedDRA 20.1 | Systematic Assessment |
|
Not provided
Not provided
| TEAE - Severe events |
|
| serious TEAE- Mild events |
|
| serious TEAE- Moderate events |
|
| serious TEAE- Severe events |
|
| increased risk |
|
| normal |
|
| Increased risk |
|
| Normal |
|
| steatorrhea daily |
|
| stool incontinence |
|
| steatorrhea daily |
|
| stool incontinence |
|
| highly probably related |
|
| highly probably related |
|