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Study to evaluate the safety and tolerability of intravenous (IV) administration of SBC-103 in participants with mucopolysaccharidosis III, type B (MPS IIIB, Sanfilippo B) with evaluable signs or symptoms of developmental delay.
This study was designed as a 3-part study to evaluate the safety and tolerability of IV administration of SBC-103. Participants enrolled in Part A (0.3, 1.0, or 3.0 milligrams [mg] per kilogram [kg] of SBC-103 administered every other week [QOW] for 24 consecutive weeks). Participants who completed Part A were eligible for Part B (an increase to 1.0 or 3.0 mg/kg QOW). Participants who completed Part B were eligible for Part C (5.0 and/or 10.0 mg/kg to continue through Week156; no participants received both 5.0 and 10.0 mg/kg). Due to the early termination of the SBC-103 development program, including this study, all participants withdrew from Part C at the sponsor's decision. As a result of the early termination of this program, this report provides only safety data.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SBC-103 | Experimental | Part A (Initial therapy): Participants received SBC-103, 0.3, 1.0, or 3.0 mg/kg QOW for 24 weeks, followed by a ≥ 4-week treatment break. Participants enrolled in the lowest dosage first. Part B: Participants were escalated to the next highest dose that was considered safe (1.0 or 3.0 mg/kg QOW) for ≥ 8 weeks. Participants who received doses of 0.3 mg/kg in Part A were considered for a second dose escalation to 3.0 mg/kg at any time during Part B provided that they tolerated at least 2 doses of 1.0 mg/kg in Part B. Participants who received and tolerated at least 4 doses of SBC-103 QOW at 3.0 mg/kg were considered for participation in Part C. Part C: Participants received SBC-103 5.0 or 10.0 mg/kg administered IV QOW. Dosing in Part C began at the 5.0 mg/kg dose level. The decision to begin dosing the first participant at 10.0 mg/kg was based on the review of safety data at 5.0 mg/kg. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SBC-103 | Drug |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Number Of Participants Who Experienced Severe Treatment-emergent Adverse Events (TEAEs) | TEAEs were defined as any adverse event (AE) that occurred after administration of the first dose of study drug on Day 1 (Part A). A severe AE was defined as an AE that was incapacitating and required medical intervention. TEAEs were summarized cumulatively over the entire study and separately for Part C, data for all severe TEAEs throughout the entire study is presented. A summary of serious and all other non-serious AEs regardless of causality is located in the Reported Adverse Events module. | Baseline to Week 142 |
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Key Inclusion Criteria:
Key Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Minneapolis | Minnesota | 55414 | United States | |||
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Diagnosis of mucopolysaccharidosis III, type B (MPS IIIB), determined by either documented deficiency in Alpha-N-acetylglucosaminidase (NAGLU) enzyme activity ≤10% of the mean value in normal individuals at Screening OR documented functionally-relevant mutations in both alleles of the NAGLU gene based on historical or Screening laboratory results.
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| ID | Title | Description |
|---|---|---|
| FG000 | SBC-103 | Part A (Initial therapy): Participants received SBC-103, 0.3, 1.0, or 3.0 milligrams (mg) per kilogram (kg) every other week (QOW) for 24 weeks, followed by a ≥ 4-week treatment break. Participants enrolled in the lowest dosage first. Part B: Participants were escalated to the next highest dose that was considered safe (1.0 or 3.0 mg/kg QOW) for ≥ 8 weeks. Participants who received doses of 0.3 mg/kg in Part A were considered for a second dose escalation to 3.0 mg/kg at any time during Part B provided that they tolerated at least 2 doses of 1.0 mg/kg in Part B. Participants who received and tolerated at least 4 doses of SBC-103 QOW at 3.0 mg/kg were considered for participation in Part C. Part C: Participants received SBC-103 5.0 or 10.0 mg/kg administered intravenous (IV) QOW. Dosing in Part C began at the 5.0 mg/kg dose level. The decision to begin dosing the first participant at 10.0 mg/kg was based on the review of safety data at 5.0 mg/kg. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Part A |
| ||||||||||||||||
| Part B |
| ||||||||||||||||
| Part C |
|
Safety Population: all participants for whom informed consent had been obtained, who had a confirmed diagnosis of MPS IIIB, and who had received any amount of SBC-103.
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| ID | Title | Description |
|---|---|---|
| BG000 | SBC-103 | Part A (Initial therapy): Participants received SBC-103, 0.3, 1.0, or 3.0 mg/kg QOW for 24 weeks, followed by a ≥ 4-week treatment break. Participants enrolled in the lowest dosage first. Part B: Participants were escalated to the next highest dose that was considered safe (1.0 or 3.0 mg/kg QOW) for ≥ 8 weeks. Participants who received doses of 0.3 mg/kg in Part A were considered for a second dose escalation to 3.0 mg/kg at any time during Part B provided that they tolerated at least 2 doses of 1.0 mg/kg in Part B. Participants who received and tolerated at least 4 doses of SBC-103 QOW at 3.0 mg/kg were considered for participation in Part C. Part C: Participants received SBC-103 5.0 or 10.0 mg/kg administered IV QOW. Dosing in Part C began at the 5.0 mg/kg dose level. The decision to begin dosing the first participant at 10.0 mg/kg was based on the review of safety data at 5.0 mg/kg. |
| 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 | Number Of Participants Who Experienced Severe Treatment-emergent Adverse Events (TEAEs) | TEAEs were defined as any adverse event (AE) that occurred after administration of the first dose of study drug on Day 1 (Part A). A severe AE was defined as an AE that was incapacitating and required medical intervention. TEAEs were summarized cumulatively over the entire study and separately for Part C, data for all severe TEAEs throughout the entire study is presented. A summary of serious and all other non-serious AEs regardless of causality is located in the Reported Adverse Events module. | Safety Population: all participants for whom informed consent had been obtained, who had a confirmed diagnosis of MPS IIIB, and who had received any amount of SBC-103. | Posted | Count of Participants | Participants | No | Baseline to Week 142 |
|
Day 1 postdose up to Week 142
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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 | SBC-103 | Part A (Initial therapy): Participants received SBC-103, 0.3, 1.0, or 3.0 mg/kg QOW for 24 weeks, followed by a ≥ 4-week treatment break. Participants enrolled in the lowest dosage first. Part B: Participants were escalated to the next highest dose that was considered safe (1.0 or 3.0 mg/kg QOW) for ≥ 8 weeks. Participants who received doses of 0.3 mg/kg in Part A were considered for a second dose escalation to 3.0 mg/kg at any time during Part B provided that they tolerated at least 2 doses of 1.0 mg/kg in Part B. Participants who received and tolerated at least 4 doses of SBC-103 QOW at 3.0 mg/kg were considered for participation in Part C. Part C: Participants received SBC-103 5.0 or 10.0 mg/kg administered IV QOW. Dosing in Part C began at the 5.0 mg/kg dose level. The decision to begin dosing the first participant at 10.0 mg/kg was based on the review of safety data at 5.0 mg/kg. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Bacteraemia | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Pyrexia | General disorders | MedDRA (19.0) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Alexion Pharmaceuticals, Inc. | Alexion Pharmaceuticals, Inc. | 475-230-2596 | clinicaltrials@alexion.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 | Jan 21, 2016 | Jun 12, 2018 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Sep 1, 2017 | Jun 12, 2018 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D009084 | Mucopolysaccharidosis III |
| D009083 | Mucopolysaccharidoses |
| D008661 | Metabolism, Inborn Errors |
| D008659 | Metabolic Diseases |
| D030342 | Genetic Diseases, Inborn |
| D002239 | Carbohydrate Metabolism, Inborn Errors |
| D003240 | Connective Tissue Diseases |
| D016464 | Lysosomal Storage Diseases |
| D017520 | Mucinoses |
| D010335 | Pathologic Processes |
| ID | Term |
|---|---|
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D017437 | Skin and Connective Tissue Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Pittsburgh |
| Pennsylvania |
| 15224 |
| United States |
| Barcelona | 08950 | Spain |
| Birmingham | B4 6NH | United Kingdom |
| NOT COMPLETED |
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| NOT COMPLETED |
|
|
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Overall Age at Diagnosis | There were 5 participants in the 5.0 mg/kg group and 6 participants in the 10.0 mg/kg group. | Median | Full Range | Months |
|
|
|
| 0 |
| 11 |
| 3 |
| 11 |
| 11 |
| 11 |
| Pneumonia | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Staphylococcal bacteraemia | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Urticaria | Skin and subcutaneous tissue disorders | MedDRA (19.0) | Systematic Assessment |
|
| Swelling face | Skin and subcutaneous tissue disorders | MedDRA (19.0) | Systematic Assessment |
|
| Flushing | Vascular disorders | MedDRA (19.0) | Systematic Assessment |
|
| Cyanosis | Cardiac disorders | MedDRA (19.0) | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA (19.0) | Systematic Assessment |
|
| Blood pressure increased | Investigations | MedDRA (19.0) | Systematic Assessment |
|
| Hypoxia | Respiratory, thoracic and mediastinal disorders | MedDRA (19.0) | Systematic Assessment |
|
| Catheter site erythema | General disorders | MedDRA (19.0) | Systematic Assessment |
|
| Catheter site rash | General disorders | MedDRA (19.0) | Systematic Assessment |
|
| Catheter site swelling | General disorders | MedDRA (19.0) | Systematic Assessment |
|
| Influenza like illness | General disorders | MedDRA (19.0) | Systematic Assessment |
|
| Local swelling | General disorders | MedDRA (19.0) | Systematic Assessment |
|
| Pain | General disorders | MedDRA (19.0) | Systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Lower respiratory tract infection | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Rhinitis | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Gastroenteritis viral | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Ear infection | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Fungal skin infection | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Hordeolum | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Pharyngitis streptococcal | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Candida nappy rash | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Conjunctivitis | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Eye infection | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Eye infection bacterial | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Folliculitis | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Fungal infection | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Influenza | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Localised infection | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Oral candidiasis | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Oral herpes | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Otitis externa | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Otitis media | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Paronychia | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Respiratory tract infection viral | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Rotavirus infection | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Tonsillitis | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Viral infection | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA (19.0) | Systematic Assessment |
|
| Dermatitis diaper | Skin and subcutaneous tissue disorders | MedDRA (19.0) | Systematic Assessment |
|
| Erythema | Skin and subcutaneous tissue disorders | MedDRA (19.0) | Systematic Assessment |
|
| Rash erythematous | Skin and subcutaneous tissue disorders | MedDRA (19.0) | Systematic Assessment |
|
| Dermatitis allergic | Skin and subcutaneous tissue disorders | MedDRA (19.0) | Systematic Assessment |
|
| Dermatitis contact | Skin and subcutaneous tissue disorders | MedDRA (19.0) | Systematic Assessment |
|
| Dry skin | Skin and subcutaneous tissue disorders | MedDRA (19.0) | Systematic Assessment |
|
| Eczema | Skin and subcutaneous tissue disorders | MedDRA (19.0) | Systematic Assessment |
|
| Miliaria | Skin and subcutaneous tissue disorders | MedDRA (19.0) | Systematic Assessment |
|
| Papule | Skin and subcutaneous tissue disorders | MedDRA (19.0) | Systematic Assessment |
|
| Seborrhoeic dermatitis | Skin and subcutaneous tissue disorders | MedDRA (19.0) | Systematic Assessment |
|
| Skin discolouration | Skin and subcutaneous tissue disorders | MedDRA (19.0) | Systematic Assessment |
|
| Skin plaque | Skin and subcutaneous tissue disorders | MedDRA (19.0) | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA (19.0) | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA (19.0) | Systematic Assessment |
|
| Salivary hypersecretion | Gastrointestinal disorders | MedDRA (19.0) | Systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA (19.0) | Systematic Assessment |
|
| Breath odour | Gastrointestinal disorders | MedDRA (19.0) | Systematic Assessment |
|
| Eructation | Gastrointestinal disorders | MedDRA (19.0) | Systematic Assessment |
|
| Lip swelling | Gastrointestinal disorders | MedDRA (19.0) | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA (19.0) | Systematic Assessment |
|
| Pancreatic enlargement | Gastrointestinal disorders | MedDRA (19.0) | Systematic Assessment |
|
| Swollen tongue | Gastrointestinal disorders | MedDRA (19.0) | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (19.0) | Systematic Assessment |
|
| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA (19.0) | Systematic Assessment |
|
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA (19.0) | Systematic Assessment |
|
| Wheezing | Respiratory, thoracic and mediastinal disorders | MedDRA (19.0) | Systematic Assessment |
|
| Nasal obstruction | Respiratory, thoracic and mediastinal disorders | MedDRA (19.0) | Systematic Assessment |
|
| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA (19.0) | Systematic Assessment |
|
| Bronchial secretion retention | Respiratory, thoracic and mediastinal disorders | MedDRA (19.0) | Systematic Assessment |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA (19.0) | Systematic Assessment |
|
| Head injury | Injury, poisoning and procedural complications | MedDRA (19.0) | Systematic Assessment |
|
| Fall | Injury, poisoning and procedural complications | MedDRA (19.0) | Systematic Assessment |
|
| Infusion related reaction | Injury, poisoning and procedural complications | MedDRA (19.0) | Systematic Assessment |
|
| Anaesthetic complication neurological | Injury, poisoning and procedural complications | MedDRA (19.0) | Systematic Assessment |
|
| Contusion | Injury, poisoning and procedural complications | MedDRA (19.0) | Systematic Assessment |
|
| Eye contusion | Injury, poisoning and procedural complications | MedDRA (19.0) | Systematic Assessment |
|
| Eyelid injury | Injury, poisoning and procedural complications | MedDRA (19.0) | Systematic Assessment |
|
| Foreign body | Injury, poisoning and procedural complications | MedDRA (19.0) | Systematic Assessment |
|
| Lip injury | Injury, poisoning and procedural complications | MedDRA (19.0) | Systematic Assessment |
|
| Mouth injury | Injury, poisoning and procedural complications | MedDRA (19.0) | Systematic Assessment |
|
| Cardiac murmur | Investigations | MedDRA (19.0) | Systematic Assessment |
|
| Body temperature increased | Investigations | MedDRA (19.0) | Systematic Assessment |
|
| CSF protein increased | Investigations | MedDRA (19.0) | Systematic Assessment |
|
| Electrocardiogram Q wave abnormal | Investigations | MedDRA (19.0) | Systematic Assessment |
|
| Liver palpable | Investigations | MedDRA (19.0) | Systematic Assessment |
|
| Mean platelet volume increased | Investigations | MedDRA (19.0) | Systematic Assessment |
|
| Oxygen saturation decreased | Investigations | MedDRA (19.0) | Systematic Assessment |
|
| Serum ferritin decreased | Investigations | MedDRA (19.0) | Systematic Assessment |
|
| Deafness | Ear and labyrinth disorders | MedDRA (19.0) | Systematic Assessment |
|
| Ear pain | Ear and labyrinth disorders | MedDRA (19.0) | Systematic Assessment |
|
| Deafness bilateral | Ear and labyrinth disorders | MedDRA (19.0) | Systematic Assessment |
|
| Hypoacusis | Ear and labyrinth disorders | MedDRA (19.0) | Systematic Assessment |
|
| Middle ear effusion | Ear and labyrinth disorders | MedDRA (19.0) | Systematic Assessment |
|
| Flushing | Vascular disorders | MedDRA (19.0) | Systematic Assessment |
|
| Hyperaemia | Vascular disorders | MedDRA (19.0) | Systematic Assessment |
|
| Hypertension | Vascular disorders | MedDRA (19.0) | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (19.0) | Systematic Assessment |
|
| Hyperreflexia | Nervous system disorders | MedDRA (19.0) | Systematic Assessment |
|
| Hypertonia | Nervous system disorders | MedDRA (19.0) | Systematic Assessment |
|
| Lethargy | Nervous system disorders | MedDRA (19.0) | Systematic Assessment |
|
| Psychomotor hyperactivity | Nervous system disorders | MedDRA (19.0) | Systematic Assessment |
|
| Seizure | Nervous system disorders | MedDRA (19.0) | Systematic Assessment |
|
| Speech disorder | Nervous system disorders | MedDRA (19.0) | Systematic Assessment |
|
| Syncope | Nervous system disorders | MedDRA (19.0) | Systematic Assessment |
|
| Anaemia | Blood and lymphatic system disorders | MedDRA (19.0) | Systematic Assessment |
|
| Lymphadenopathy | Blood and lymphatic system disorders | MedDRA (19.0) | Systematic Assessment |
|
| Left ventricular hypertrophy | Cardiac disorders | MedDRA (19.0) | Systematic Assessment |
|
| Sinus bradycardia | Cardiac disorders | MedDRA (19.0) | Systematic Assessment |
|
| Tachycardia | Cardiac disorders | MedDRA (19.0) | Systematic Assessment |
|
| Mydriasis | Eye disorders | MedDRA (19.0) | Systematic Assessment |
|
| Eye swelling | Eye disorders | MedDRA (19.0) | Systematic Assessment |
|
| Ocular hyperaemia | Eye disorders | MedDRA (19.0) | Systematic Assessment |
|
| Coccydynia | Musculoskeletal and connective tissue disorders | MedDRA (19.0) | Systematic Assessment |
|
| Muscle mass | Musculoskeletal and connective tissue disorders | MedDRA (19.0) | Systematic Assessment |
|
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA (19.0) | Systematic Assessment |
|
| Scoliosis | Musculoskeletal and connective tissue disorders | MedDRA (19.0) | Systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA (19.0) | Systematic Assessment |
|
| Iron deficiency | Metabolism and nutrition disorders | MedDRA (19.0) | Systematic Assessment |
|
| Proteinuria | Renal and urinary disorders | MedDRA (19.0) | Systematic Assessment |
|
| Dysmorphism | Congenital, familial and genetic disorders | MedDRA (19.0) | Systematic Assessment |
|
| Precocious puberty | Endocrine disorders | MedDRA (19.0) | Systematic Assessment |
|
| Device occlusion | Product Issues | MedDRA (19.0) | Systematic Assessment |
|
| Periorbital haemorrhage | Injury, poisoning and procedural complications | MedDRA (19.0) | Systematic Assessment |
|
| Swelling face | Skin and subcutaneous tissue disorders | MedDRA (19.0) | Systematic Assessment |
|
| Hypervigilance | Psychiatric disorders | MedDRA (19.0) | Systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA (19.0) | Systematic Assessment |
|
| Aggression | Psychiatric disorders | MedDRA (19.0) | Systematic Assessment |
|
| Agitation | Psychiatric disorders | MedDRA (19.0) | Systematic Assessment |
|
| Anxiety | Psychiatric disorders | MedDRA (19.0) | Systematic Assessment |
|
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