Not provided
| ID | Type | Description | Link |
|---|---|---|---|
| 2013-003176-12 | EudraCT Number |
Not provided
Not provided
The study was terminated early due to insufficient recruitment.
Not provided
Not provided
Not provided
Not provided
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Not provided
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The primary objective of the study is to evaluate the impact on quality of life of Lanreotide Autogel 120 mg in combination with standard care, in comparison to the standard care alone, in subjects affected by inoperable malignant bowel obstruction.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard care and Lanreotide Autogel | Experimental | Standard care according to site clinical practice and Lanreotide Autogel 120 mg by deep subcutaneous route, at the maximal scheduled standard dose of 120 mg/28 days, just for 1 administration. |
|
| Standard care | No Intervention | Standard care according to site clinical practice. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| lanreotide (Autogel formulation) | Drug | Lanreotide Autogel 120 mg by deep subcutaneous route, at the maximal scheduled standard dose of 120 mg/28 days, just for 1 administration. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Least Squares (LS) Mean Area Under Curve (AUC) of Edmonton Symptom Assessment System (ESAS) Total Scores Collected for the First 7 Days; Full Analysis Set (FAS) | Quality of Life was assessed using ESAS, evaluating 9 common symptoms in cancer patients: pain, activity, nausea, depression, anxiety, drowsiness, appetite, well-being and shortness of breath. Symptom severity is rated 0-10 on a numerical scale (0=symptom absent; 10=worst severity). ESAS total score is sum of the 9 items (min score=0, max score=90). Low scores indicate good quality of life; high scores indicate strong discomfort. Questionnaire assessments by the patient or by nurse/caregiver in case of patient's physical inability. AUC is area under the line which joins the points defined by plotting ESAS total score on vertical axis and time values on horizontal axis, computed using trapezoidal rule. Primary endpoint was analysed using the FAS. LS mean AUC of ESAS total scores during first 7 days is presented. | Baseline (Day 1, before randomisation), Days 2, 3, 4, 5, 6 and 7. |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Change From Baseline in ESAS Total Score; FAS | Quality of Life was assessed using ESAS, evaluating 9 common symptoms in cancer patients: pain, activity, nausea, depression, anxiety, drowsiness, appetite, well-being and shortness of breath. Symptom severity is rated 0-10 on a numerical scale (0=symptom absent; 10=worst severity). ESAS total score is sum of the 9 items (min score=0, max score=90). Low scores indicate good quality of life; high scores indicate strong discomfort. Questionnaire assessments by the patient or by nurse/caregiver in case of patient's physical inability. Secondary endpoints were analysed using the ITT population but to permit following the FAS which was used for primary endpoint analysis, ESAS total score results are reported for both the ITT and the FAS. Mean change from baseline of ESAS total score at Days 7, 14 and 28 is presented here for the FAS; a positive change indicates a worsening condition. |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
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| Name | Affiliation | Role |
|---|---|---|
| Ipsen Medical Director | Ipsen | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ospedale Sacro Cuore di Gesù, U.O.C. Oncologia Medica | Gallipoli | Lecce | 73014 | Italy | ||
| Ospedali riuniti Ancona- Dipartimento Medicina Interna - Clinica Oncologica |
Overall, 43 patients were enrolled and treated in this phase II study. Planned study period duration was 28 days.
Recruitment to this prospective, randomised, parallel arm, open-label study began on 14 Jan 2015. Patients with a documented diagnosis of inoperable malignant bowel obstruction who had a nasogastric tube (NGT) or presented with ≥ 3 vomiting episodes/day in the last consecutive 48 hours at time of enrolment were recruited to 14 centres in Italy.
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | Standard Care | Patients received standard care only according to site clinical practice. |
| FG001 | Standard Care + Lanreotide Autogel | Patients received standard care according to site clinical practice and a single administration of Lanreotide Autogel 120 milligrams (mg) by deep subcutaneous injection on Day 1. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Baseline analysis was performed on the intention to treat (ITT) population which included all randomised patients.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Standard Care | Patients received standard care only according to site clinical practice. |
| BG001 | Standard Care + Lanreotide Autogel | Patients received standard care according to site clinical practice and a single administration of Lanreotide Autogel 120 mg by deep subcutaneous injection on Day 1. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Least Squares (LS) Mean Area Under Curve (AUC) of Edmonton Symptom Assessment System (ESAS) Total Scores Collected for the First 7 Days; Full Analysis Set (FAS) | Quality of Life was assessed using ESAS, evaluating 9 common symptoms in cancer patients: pain, activity, nausea, depression, anxiety, drowsiness, appetite, well-being and shortness of breath. Symptom severity is rated 0-10 on a numerical scale (0=symptom absent; 10=worst severity). ESAS total score is sum of the 9 items (min score=0, max score=90). Low scores indicate good quality of life; high scores indicate strong discomfort. Questionnaire assessments by the patient or by nurse/caregiver in case of patient's physical inability. AUC is area under the line which joins the points defined by plotting ESAS total score on vertical axis and time values on horizontal axis, computed using trapezoidal rule. Primary endpoint was analysed using the FAS. LS mean AUC of ESAS total scores during first 7 days is presented. | The FAS included all randomised patients who received study therapy, fulfilled the ESAS questionnaire at baseline and had ≥ 5 post-treatment assessments during the first 7 days of the study. | Posted | Least Squares Mean | Standard Error | Scores on a scale x time (day) | Baseline (Day 1, before randomisation), Days 2, 3, 4, 5, 6 and 7. |
From baseline (Day 1) until end of study (Day 28).
Treatment emergent adverse events are reported for the safety population which included all patients who received at least one dose of study therapy.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Standard Care | Patients received standard care only according to site clinical practice. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA16.1 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Pyrexia | General disorders | MedDRA16.1 | Systematic Assessment |
The study was terminated early due to insufficient recruitment. As a consequence, the results of the analyses should be interpreted cautiously and no conclusions should be made.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Medical Director | Ipsen SpA | see email | clinical.trials@ipsen.com |
Not provided
| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| SAP | No | Yes | No | Statistical Analysis Plan | Oct 10, 2018 | Mar 27, 2019 | SAP_000.pdf |
| Prot | Yes | No | No | Study Protocol | May 13, 2014 | Aug 19, 2019 | Prot_001.pdf |
Not provided
| ID | Term |
|---|---|
| D007415 | Intestinal Obstruction |
| ID | Term |
|---|---|
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C060347 | lanreotide |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Baseline (Day 1, before randomisation) and Days 7, 14 and 28. |
| Mean Change From Baseline in ESAS Total Score; ITT Population | Quality of Life was assessed using ESAS, evaluating 9 common symptoms in cancer patients: pain, activity, nausea, depression, anxiety, drowsiness, appetite, well-being and shortness of breath. Symptom severity is rated 0-10 on a numerical scale (0=symptom absent; 10=worst severity). ESAS total score is sum of the 9 items (min score=0, max score=90). Low scores indicate good quality of life; high scores indicate strong discomfort. Questionnaire assessments by the patient or by nurse/caregiver in case of patient's physical inability. Secondary endpoints were analysed using the ITT population but to permit following the FAS which was used for primary endpoint analysis, ESAS total score results are reported for both the ITT and the FAS. Mean change from baseline of ESAS total score at Days 7, 14 and 28 is presented here for the ITT population; a positive change indicates a worsening condition. | Baseline (Day 1, before randomisation) and Days 7, 14 and 28. |
| Mean Change From Baseline in Single ESAS Items Symptom Scores; ITT Population | Quality of Life was assessed using ESAS, evaluating 9 common symptoms in cancer patients: pain, activity, nausea, depression, anxiety, drowsiness, appetite, well-being and shortness of breath. Symptom severity is rated 0-10 on a numerical scale (0=symptom absent; 10=worst severity). Low scores indicate good quality of life; high scores indicate strong discomfort. Questionnaire assessments by the patient or by nurse/caregiver in case of patient's physical inability. Mean change from baseline of each individual ESAS item score at Days 7, 14 and 28 is presented; a positive change indicates a worsening condition. | Baseline (Day 1, before randomisation) and Days 7, 14 and 28. |
| Mean Change From Baseline in Performing General Activity (Karnofsky Performance Status [KPS]); ITT Population | The KPS allows patients to be classified as to their functional impairment and was used to assess general activity. KPS scores range from 0 (dead) to 100 (normal/no disease) and are classified as 0-40 = unable to care for self; 50-70 = unable to work; 80-100 = able to work. The lower the KPS score, the worse the survival for most serious illnesses. Scores were recorded on the patient's medical file at each study visit (Days 1, 7, 14 and 28). Mean change from baseline of KPS score at Days 7, 14 and 28 is presented for the ITT population (all randomised patients); a negative change indicates a worsening condition. | Baseline (Day 1, before randomisation) and Days 7, 14 and 28. |
| Mean Change From Baseline in Daily Intensity of Abdominal Pain Score (Visual Analogue Scale [VAS]); ITT Population | Abdominal pain was assessed using the VAS numeric pain distress scale which is a 100-millimetre (10-centimetre) scoring scale on which patients mark their perceived level of pain. Scores range from 0 to 100 where 0=no pain and 100=unbearable pain. Higher scores indicate a worse outcome. Scores were recorded on the Patient Diary daily until the end of study (Day 28), by the patient or filled in by the nurse/caregiver in case of patient's physical inability. Mean change from baseline of VAS for abdominal pain at Days 7, 14 and 28 is presented for the ITT population; a positive change indicates a worsening condition. | Baseline (Day 1, before randomisation) and Days 7, 14 and 28. |
| Number of Patients Experiencing ≤ 2 Vomiting Episodes/Day During at Least 3 Consecutive Days, in Patients Without NGT | Vomiting episodes and NGT presence were recorded on the Patient Diary daily until the end of study (Day 28), by the patient or filled in by the nurse/caregiver in case of patient's physical inability. Number of patients experiencing ≤ 2 vomiting episodes/day during at least 3 consecutive days, in patients without NGT, is presented. | From Baseline (Day 1, before randomisation) to Days 7, 14 and 28. |
| Mean Daily NGT Secretion Volume, in Patients With a NGT | NGT presence and related secretion volume were recorded on the Patient Diary daily until the end of study (Day 28), by the patient or filled in by the nurse/caregiver in case of patient's physical inability. Mean daily secretion volumes, in patients with NGT, is presented. | Baseline (Day 1, before randomisation) and Days 7, 14 and 28. |
| Mean Change From Baseline in Number of Daily Vomiting Episodes; ITT Population | Vomiting episodes were recorded on the Patient Diary daily until the end of study (Day 28), by the patient or filled in by the nurse/caregiver in case of patient's physical inability. Mean change from baseline in number of daily vomiting episodes is presented for the ITT population. | Baseline (Day 1, before randomisation) and Days 7, 14 and 28. |
| Assessment of Passage of Stools; ITT Population | Passage of stools assessments (Yes/No) were recorded on the Patient Diary daily until the end of study (Day 28), by the patient or filled in by the nurse/caregiver in case of patient's physical inability. | From Baseline (Day 1, before randomisation) to Day 28. |
| Ancona |
| 60020 |
| Italy |
| Centro di Riferimento Oncologico - di Aviano, Dip. di Oncologia Chirurgica- S.O.C. di Chirurgia Oncologica Generale | Aviano | 33081 | Italy |
| Istituto Tumori "Giovanni Paolo II"- Istituto di Ricovero e Cura a Carattere Scientifico, U.O.C. DI ONCOLOGIA MEDICA | Bari | 70124 | Italy |
| Ospedale Sacro Cuore di Gesù - Fatebenefratelli | Benevento | 82100 | Italy |
| Hospice Convento delle Oblate | Florence | 50139 | Italy |
| Azienda Sanitaria Locale n ° 5 "Spezzino" Ospedale Felettino - Oncologia Via del Forno 4 | La Spezia | 19124 | Italy |
| I.R.C.C.S. Istituto Scientifico Romagnolo per lo Studio e la cura dei Tumori (I.R.S.T.) srl | Meldola | 47014 | Italy |
| Ospedale San Raffaele IRCCS, Ginecologia oncologica | Milan | 20100 | Italy |
| Fondazione IRCCS Istituto Nazionale dei Tumori - Struttura Complessa di Cure Palliative, Terapia del Dolore e Riabilitazione | Milan | 20133 | Italy |
| Azienda Ospedaliero - Polo Universitario "Luigi Sacco" | Milan | 20157 | Italy |
| A.R.N.A.S. P.O. Civico Benfratelli - Oncologia Medica | Palermo | 90127 | Italy |
| Azienda Ospedaliera Regionale San Carlo- Oncologia Medica | Potenza | 85100 | Italy |
| Disease Progression |
|
| BG002 | Total Title |
| Years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| ID | Title | Description |
|---|---|---|
| OG000 | Standard Care | Patients received standard care only according to site clinical practice. |
| OG001 | Standard Care + Lanreotide Autogel | Patients received standard care according to site clinical practice and a single administration of Lanreotide Autogel 120 mg by deep subcutaneous injection on Day 1. |
|
|
|
| Secondary | Mean Change From Baseline in ESAS Total Score; FAS | Quality of Life was assessed using ESAS, evaluating 9 common symptoms in cancer patients: pain, activity, nausea, depression, anxiety, drowsiness, appetite, well-being and shortness of breath. Symptom severity is rated 0-10 on a numerical scale (0=symptom absent; 10=worst severity). ESAS total score is sum of the 9 items (min score=0, max score=90). Low scores indicate good quality of life; high scores indicate strong discomfort. Questionnaire assessments by the patient or by nurse/caregiver in case of patient's physical inability. Secondary endpoints were analysed using the ITT population but to permit following the FAS which was used for primary endpoint analysis, ESAS total score results are reported for both the ITT and the FAS. Mean change from baseline of ESAS total score at Days 7, 14 and 28 is presented here for the FAS; a positive change indicates a worsening condition. | The FAS included all randomised patients who received study therapy, fulfilled the ESAS questionnaire at baseline and had ≥ 5 post-treatment assessments during the first 7 days of the study. Only patients with data available for analysis at each time point are presented. | Posted | Mean | Standard Deviation | Scores on a scale | Baseline (Day 1, before randomisation) and Days 7, 14 and 28. |
|
|
|
| Secondary | Mean Change From Baseline in ESAS Total Score; ITT Population | Quality of Life was assessed using ESAS, evaluating 9 common symptoms in cancer patients: pain, activity, nausea, depression, anxiety, drowsiness, appetite, well-being and shortness of breath. Symptom severity is rated 0-10 on a numerical scale (0=symptom absent; 10=worst severity). ESAS total score is sum of the 9 items (min score=0, max score=90). Low scores indicate good quality of life; high scores indicate strong discomfort. Questionnaire assessments by the patient or by nurse/caregiver in case of patient's physical inability. Secondary endpoints were analysed using the ITT population but to permit following the FAS which was used for primary endpoint analysis, ESAS total score results are reported for both the ITT and the FAS. Mean change from baseline of ESAS total score at Days 7, 14 and 28 is presented here for the ITT population; a positive change indicates a worsening condition. | The ITT population included all randomised patients. Only patients with data available for analysis at each time point are presented. | Posted | Mean | Standard Deviation | Scores on a scale | Baseline (Day 1, before randomisation) and Days 7, 14 and 28. |
|
|
|
| Secondary | Mean Change From Baseline in Single ESAS Items Symptom Scores; ITT Population | Quality of Life was assessed using ESAS, evaluating 9 common symptoms in cancer patients: pain, activity, nausea, depression, anxiety, drowsiness, appetite, well-being and shortness of breath. Symptom severity is rated 0-10 on a numerical scale (0=symptom absent; 10=worst severity). Low scores indicate good quality of life; high scores indicate strong discomfort. Questionnaire assessments by the patient or by nurse/caregiver in case of patient's physical inability. Mean change from baseline of each individual ESAS item score at Days 7, 14 and 28 is presented; a positive change indicates a worsening condition. | The ITT population included all randomised patients. Only patients with data available for analysis at each time point are presented. | Posted | Mean | Standard Deviation | Scores on a scale | Baseline (Day 1, before randomisation) and Days 7, 14 and 28. |
|
|
|
| Secondary | Mean Change From Baseline in Performing General Activity (Karnofsky Performance Status [KPS]); ITT Population | The KPS allows patients to be classified as to their functional impairment and was used to assess general activity. KPS scores range from 0 (dead) to 100 (normal/no disease) and are classified as 0-40 = unable to care for self; 50-70 = unable to work; 80-100 = able to work. The lower the KPS score, the worse the survival for most serious illnesses. Scores were recorded on the patient's medical file at each study visit (Days 1, 7, 14 and 28). Mean change from baseline of KPS score at Days 7, 14 and 28 is presented for the ITT population (all randomised patients); a negative change indicates a worsening condition. | The ITT population included all randomised patients. Only patients with data available for analysis at each time point are presented. | Posted | Mean | Standard Deviation | Scores on a scale | Baseline (Day 1, before randomisation) and Days 7, 14 and 28. |
|
|
|
| Secondary | Mean Change From Baseline in Daily Intensity of Abdominal Pain Score (Visual Analogue Scale [VAS]); ITT Population | Abdominal pain was assessed using the VAS numeric pain distress scale which is a 100-millimetre (10-centimetre) scoring scale on which patients mark their perceived level of pain. Scores range from 0 to 100 where 0=no pain and 100=unbearable pain. Higher scores indicate a worse outcome. Scores were recorded on the Patient Diary daily until the end of study (Day 28), by the patient or filled in by the nurse/caregiver in case of patient's physical inability. Mean change from baseline of VAS for abdominal pain at Days 7, 14 and 28 is presented for the ITT population; a positive change indicates a worsening condition. | The ITT population included all randomised patients. Only patients with data available for analysis at each time point are presented. | Posted | Mean | Standard Deviation | Scores on a scale | Baseline (Day 1, before randomisation) and Days 7, 14 and 28. |
|
|
|
| Secondary | Number of Patients Experiencing ≤ 2 Vomiting Episodes/Day During at Least 3 Consecutive Days, in Patients Without NGT | Vomiting episodes and NGT presence were recorded on the Patient Diary daily until the end of study (Day 28), by the patient or filled in by the nurse/caregiver in case of patient's physical inability. Number of patients experiencing ≤ 2 vomiting episodes/day during at least 3 consecutive days, in patients without NGT, is presented. | Patients without NGT were defined as patients without the insertion of NGT for the whole study period. Only patients in the ITT population without NGT and with data available for analysis at each time point are presented. | Posted | Count of Participants | Participants | No | From Baseline (Day 1, before randomisation) to Days 7, 14 and 28. |
|
|
|
| Secondary | Mean Daily NGT Secretion Volume, in Patients With a NGT | NGT presence and related secretion volume were recorded on the Patient Diary daily until the end of study (Day 28), by the patient or filled in by the nurse/caregiver in case of patient's physical inability. Mean daily secretion volumes, in patients with NGT, is presented. | Only patients with NGT and with data available for analysis at each time point are presented. | Posted | Mean | Standard Deviation | millilitres | Baseline (Day 1, before randomisation) and Days 7, 14 and 28. |
|
|
|
| Secondary | Mean Change From Baseline in Number of Daily Vomiting Episodes; ITT Population | Vomiting episodes were recorded on the Patient Diary daily until the end of study (Day 28), by the patient or filled in by the nurse/caregiver in case of patient's physical inability. Mean change from baseline in number of daily vomiting episodes is presented for the ITT population. | The ITT population included all randomised patients. Only patients with data available at each time point are presented. | Posted | Mean | Standard Deviation | Episodes (daily) | Baseline (Day 1, before randomisation) and Days 7, 14 and 28. |
|
|
|
| Secondary | Assessment of Passage of Stools; ITT Population | Passage of stools assessments (Yes/No) were recorded on the Patient Diary daily until the end of study (Day 28), by the patient or filled in by the nurse/caregiver in case of patient's physical inability. | The ITT population included all randomised patients. Only patients with data available for analysis at each time point are presented. | Posted | Count of Participants | Participants | No | From Baseline (Day 1, before randomisation) to Day 28. |
|
|
|
| 2 |
| 21 |
| 2 |
| 21 |
| 5 |
| 21 |
| EG001 | Standard Care + Lanreotide Autogel | Patients received standard care according to site clinical practice and a single administration of Lanreotide Autogel 120 mg by deep subcutaneous injection on Day 1. | 2 | 22 | 2 | 22 | 5 | 22 |
| Cardiac failure | Cardiac disorders | MedDRA16.1 | Systematic Assessment |
|
| Myocardial infarction | Cardiac disorders | MedDRA16.1 | Systematic Assessment |
|
| Pharyngitis | Infections and infestations | MedDRA16.1 | Systematic Assessment |
|
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA16.1 | Systematic Assessment |
|
| Hypotension | Vascular disorders | MedDRA16.1 | Systematic Assessment |
|
Results are owned by the Sponsor and data communication collected in a center by the investigator is allowed only after publication of aggregate results of the study by the Sponsor. If an investigator intends to communicate data, the Sponsor must be informed and should review the manuscript/publication before its submission. The investigator should accept any Sponsor comments provided they are not in contrast to the reliability of data, with rights, with the safety and well-being of patients.
| Change at Day 14 |
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| Change at Day 28 |
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| Change at Day 14 |
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| Change at Day 28 |
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| Change at Day 14: Pain |
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| Change at Day 28: Pain |
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| Change at Day 7: Activity |
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| Change at Day 14: Activity |
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| Change at Day 28: Activity |
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| Change at Day 7: Nausea |
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| Change at Day 14: Nausea |
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| Change at Day 28: Nausea |
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| Change at Day 7: Depression |
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| Change at Day 14 Depression |
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| Change at Day 28: Depression |
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| Change at Day 7: Anxiety |
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| Change at Day 14: Anxiety |
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| Change at Day 28: Anxiety |
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| Change at Day 7: Drowsiness |
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| Change at Day 14: Drowsiness |
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| Change at Day 28: Drowsiness |
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| Change at Day 7: Appetite |
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| Change at Day 14: Appetite |
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| Change at Day 28: Appetite |
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| Change at Day 7: Well-being |
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| Change at Day 14: Well-being |
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| Change at Day 28: Well-being |
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| Change at Day 7: Shortness of breath |
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| Change at Day 14: Shortness of breath |
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| Change at Day 28: Shortness of breath |
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| Change at Day 14 |
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| Change at Day 28 |
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| Change at Day 14 |
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| Change at Day 28 |
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| From Day 1 to Day 14 |
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| From Day 1 to Day 28 |
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| Day 7 |
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| Day 14 |
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| Day 28 |
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| Change at Day 14 |
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| Change at Day 28 |
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| No |
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| Day 2 |
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| Day 3 |
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| Day 4 |
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| Day 5 |
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| Day 6 |
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| Day 7 |
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| Day 8 |
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| Day 9 |
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| Day 10 |
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| Day 11 |
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| Day 12 |
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| Day 13 |
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| Day 14 |
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| Day 15 |
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| Day 16 |
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| Day 17 |
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| Day 18 |
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| Day 19 |
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| Day 20 |
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| Day 21 |
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| Day 22 |
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| Day 23 |
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| Day 24 |
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| Day 25 |
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| Day 26 |
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| Day 27 |
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| Day 28 |
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