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| ID | Type | Description | Link |
|---|---|---|---|
| 2020-001407-17 | EudraCT Number |
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This is a First In Human study designed to assess the safety, tolerability and pharmacokinetics of EIDD-2801 in healthy human volunteers.
This is a randomized, double-blind, placebo-controlled, First-in-Human study designed to evaluate the safety, tolerability, and pharmacokinetics of EIDD-2801 following oral administration to healthy volunteers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| EIDD-2801 | Experimental | EIDD-2801: Part 1: Participants were randomized to receive 50 to 1600 mg EIDD-2801 powder-in bottle (fasted); Part 2: Participants were randomized to receive two single 200 mg doses (fed or fasted); Part 3: Participants were randomized to receive twice daily doses of EIDD-2801 in an open-label manner. |
|
| Placebo | Placebo Comparator | Placebo: Part 1: Participants were randomized to receive placebo (fasted); Part 3: Participants were randomized to receive placebo (fasted). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| EIDD-2801 | Drug | Part 1: Participants will be randomized to receive a single oral dose of EIDD-2801 or Placebo. Part 2: Two single oral doses of EIDD-2801 will be administered to participants, in an open-label manner. Part 3: Participants will be randomized to receive twice daily dosing either EIDD-2801 or Placebo. |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Number of Participants With Treatment Emergent Adverse Events and Severity of Treatment Emergent Adverse Events | Number of participants with treatment emergent adverse events (TEAEs) and severity of TEAEs following a single dose of EIDD-2801 in Part 1 | From screening through study completion, up to 15 days |
| Part 3: Number of Participants With Treatment Emergent Adverse Events and Severity of Treatment Emergent Adverse Events | Number of participants with treatment emergent adverse events (TEAEs) and severity of TEAEs following multiple doses of EIDD-2801 in Part 3 | From screening through study completion, up to 20 days |
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Inclusion Criteria:
Exclusion Criteria:
Females who are pregnant, planning to become pregnant, or breastfeeding.
Has a clinically relevant acute or chronic medical condition or disease of the cardiovascular, gastrointestinal (GI), hepatic, renal, endocrine, pulmonary, neurologic, or dermatologic systems as determined by the principal investigator (PI) (or designee).
Has any current or historical disease or disorder of the hematological system or significant liver disease or family history of bleeding/platelet disorders.
Has a history of cancer (other than basal cell or squamous cell cancer of the skin), rheumatologic disease or blood dyscrasias.
Has a history of gastrointestinal (GI) surgery or other condition that may interfere with absorption of study drug, in the opinion of the principal investigator (PI) (or designee).
Has a history of febrile illness within the 14 days prior to the first dose of study drug.
Has a positive alcohol or drug screen at Screening or the Day -1 visit or has a history of alcohol or drug abuse within the past 5 years.
Currently uses tobacco, nicotine or tobacco products or e-cigarettes, or stopped using tobacco products within the past 3 months
Has a total white cell count or absolute lymphocyte count outside the normal range, or hemoglobin or platelet levels below the lower limit of normal, at Screening or Day -1.
Has values above the upper limit of normal for the following laboratory analytes: alanine aminotransferase/serum glutamic pyruvic transaminase (ALT/SGPT), alkaline phosphatase (serum), aspartate aminotransferase/serum glutamic oxaloacetic transaminase (AST/SGOT), at Screening or Day -1.
Positive test result for human immunodeficiency virus (HIV), hepatitis b virus (HBV), or hepatitis c virus (HCV).
Has an autoimmune disease, is immunosuppressed or is in any way immunocompromised.
Has any of the following:
Except as noted, has used prescription drugs (other than hormone replacement therapy) within 14 days prior to the first dose of study drug unless, in the opinion of the PI (or designee), the drug will not interfere with study assessments.
Has received an experimental agent (vaccine, drug, biologic, device, blood product or medication) within 3 months prior to the first dose of study drug and agrees not to receive another experimental agent during the duration of this trial.
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| Name | Affiliation | Role |
|---|---|---|
| Jim Bush, MBChB, PhD | Covance Clinical Research Unit Limited | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Covance Leeds Clinical Research Unit | Leeds | United Kingdom |
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The same 10 participants started and completed the Part 200 mg EIDD-2801 (Fasted) and Part 200 mg EIDD-2801 (Fed) arms.
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| ID | Title | Description |
|---|---|---|
| FG000 | Part 1 - Placebo | Participants were randomized to receive a single oral dose of Placebo (fasted). |
| FG001 | Part 1 - 50 mg EIDD-2801 | Participants were randomized to receive 50 mg EIDD-2801 powder-in-bottle (fasted). |
| FG002 | Part 1 - 100 mg EIDD-2801 | Participants were randomized to receive 100 mg EIDD-2801 powder-in-bottle (fasted). |
| FG003 | Part 1 - 200 mg EIDD-2801 | Participants were randomized to receive 200 mg EIDD-2801 powder-in-bottle (fasted). |
| FG004 | Part 1 - 400 mg EIDD-2801 | Participants were randomized to receive 400 mg EIDD-2801 powder-in-bottle (fasted). |
| FG005 | Part 1 - 600 mg EIDD-2801 | Participants were randomized to receive 600 mg EIDD-2801 powder-in-bottle (fasted). |
| FG006 | Part 1 - 800 mg EIDD-2801 | Participants were randomized to receive 800 mg EIDD-2801 powder-in-bottle (fasted). |
| FG007 | Part 1 - 1200 mg EIDD-2801 | Participants were randomized to receive 1200 mg EIDD-2801 capsule (fasted). |
| FG008 | Part 1 - 1600 mg EIDD-2801 | Participants were randomized to receive 1600 mg EIDD-2801 capsule (fasted). |
| FG009 | Part 2 - 200 mg EIDD-2801 (Fasted/Fed) | Participants were randomized to receive two single 200 mg oral doses of EIDD-2801 in an open-label manner (fasted/fed). |
| FG010 | Part 3 - Placebo | Participants were randomized to receive a twice daily dosing of Placebo capsules (fasted). |
| FG011 | Part 3 - 50 mg EIDD-2801 | Participants were randomized to receive twice daily dosing of 50-mg EIDD-2801 capsules (fasted). |
| FG012 | Part 3 - 100 mg EIDD-2801 | Participants were randomized to receive twice daily dosing of 100-mg EIDD-2801 capsules (fasted). |
| FG013 | Part 3 - 200 mg EIDD-2801 | Participants were randomized to receive twice daily dosing of 200-mg EIDD-2801 capsules (fasted). |
| FG014 | Part 3 - 300 mg EIDD-2801 | Participants were randomized to receive twice daily dosing of 300-mg EIDD-2801 capsules (fasted). |
| FG015 | Part 3 - 400 mg EIDD-2801 | Participants were randomized to receive twice daily dosing of 400-mg EIDD-2801 capsules (fasted). |
| FG016 | Part 3 - 600 mg EIDD-2801 | Participants were randomized to receive twice daily dosing of 600-mg EIDD-2801 capsules (fasted). |
| FG017 | Part 3 - 800 mg EIDD-2801 | Participants were randomized to receive twice daily dosing of 800-mg EIDD-2801 capsules (fasted). |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
Safety population
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| ID | Title | Description |
|---|---|---|
| BG000 | Part 1 - Placebo | Participants were randomized to receive a single oral dose of Placebo (fasted). |
| BG001 | Part 1 - 50 mg EIDD-2801 | Participants were randomized to receive 50 mg EIDD-2801 powder-in-bottle (fasted). |
| 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 | Part 1: Number of Participants With Treatment Emergent Adverse Events and Severity of Treatment Emergent Adverse Events | Number of participants with treatment emergent adverse events (TEAEs) and severity of TEAEs following a single dose of EIDD-2801 in Part 1 | Safety population | Posted | Count of Participants | Participants | From screening through study completion, up to 15 days |
|
From the time of the first study drug administration until the completion of the End of Study visit (Part 1: approximately 15 days, Part 2: approximately 30 days, and Part 3: approximately 20 days)
Once each day while the participant was in the clinic and once during each out-patient visit, the principal investigator (or designee) inquired about the occurrence of adverse events.
Open-ended questions may have been used to obtain this information.
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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 | Part 1 - Placebo | Participants were randomized to receive a single oral dose of Placebo (fasted). |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Lymphadenopathy | Blood and lymphatic system disorders | MedDRA (23.0) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Wendy Painter | Ridgeback Biotherapeutics | 786-687-2495 | EIDD2801@ridgebackbio.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 | Jun 17, 2020 | Jun 14, 2021 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jun 30, 2020 | Jun 9, 2021 | SAP_001.pdf |
| ID | Term |
|---|---|
| D018352 | Coronavirus Infections |
| ID | Term |
|---|---|
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
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| ID | Term |
|---|---|
| C000656703 | molnupiravir |
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|
|
| Placebo | Drug | Part 1: Participants will be randomized to receive a single oral dose of EIDD-2801 or Placebo. Part 3: Participants will be randomized to receive twice daily dosing either EIDD-2801 or Placebo. |
|
| BG002 | Part 1 - 100 mg EIDD-2801 | Participants were randomized to receive 100 mg EIDD-2801 powder-in-bottle (fasted). |
| BG003 | Part 1 - 200 mg EIDD-2801 | Participants were randomized to receive 200 mg EIDD-2801 powder-in-bottle (fasted). |
| BG004 | Part 1 - 400 mg EIDD-2801 | Participants were randomized to receive 400 mg EIDD-2801 powder-in-bottle (fasted). |
| BG005 | Part 1 - 600 mg EIDD-2801 | Participants were randomized to receive 600 mg EIDD-2801 powder-in-bottle (fasted). |
| BG006 | Part 1 - 800 mg EIDD-2801 | Participants were randomized to receive 800 mg EIDD-2801 powder-in-bottle (fasted). |
| BG007 | Part 1 - 1200 mg EIDD-2801 | Participants were randomized to receive 1200 mg EIDD-2801 capsule (fasted). |
| BG008 | Part 1 - 1600 mg EIDD-2801 | Participants were randomized to receive 1600 mg EIDD-2801 capsule (fasted). |
| BG009 | Part 2 - 200 mg EIDD-2801 (Fasted/Fed) | Participants were randomized to receive two single 200 mg oral doses of EIDD-2801 in an open-label manner (fasted/fed). |
| BG010 | Part 3 - Placebo | Participants were randomized to receive two daily dosing of Placebo capsules (fasted). |
| BG011 | Part 3 - 50 mg EIDD-2801 | Participants were randomized to receive two daily dosing of 50 mg EIDD-2801 capsules (fasted). |
| BG012 | Part 3 - 100 mg EIDD-2801 | Participants were randomized to receive two daily dosing of 100 mg EIDD-2801 capsules (fasted). |
| BG013 | Part 3 - 200 mg EIDD-2801 | Participants were randomized to receive two daily dosing of 200 mg EIDD-2801 capsules (fasted). |
| BG014 | Part 3 - 300 mg EIDD-2801 | Participants were randomized to receive two daily dosing of 300 mg EIDD-2801 capsules (fasted). |
| BG015 | Part 3 - 400 mg EIDD-2801 | Participants were randomized to receive two daily dosing of 400 mg EIDD-2801 capsules (fasted). |
| BG016 | Part 3 - 600 mg EIDD-2801 | Participants were randomized to receive two daily dosing of 600 mg EIDD-2801 capsules (fasted). |
| BG017 | Part 3 - 800 mg EIDD-2801 | Participants were randomized to receive two daily dosing of 800 mg EIDD-2801 capsules (fasted). |
| BG018 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Body mass index | Mean | Standard Deviation | kg/m^2 |
|
| OG002 | Part 1 - 100 mg EIDD-2801 | Participants were randomized to receive 100 mg EIDD-2801 powder-in-bottle (fasted). |
| OG003 | Part 1 - 200 mg EIDD-2801 | Participants were randomized to receive 200 mg EIDD-2801 powder-in-bottle (fasted). |
| OG004 | Part 1 - 400 mg EIDD-2801 | Participants were randomized to receive 400 mg EIDD-2801 powder-in-bottle (fasted). |
| OG005 | Part 1 - 600 mg EIDD-2801 | Participants were randomized to receive 600 mg EIDD-2801 powder-in-bottle (fasted). |
| OG006 | Part 1 - 800 mg EIDD-2801 | Participants were randomized to receive 800 mg EIDD-2801 powder-in-bottle (fasted). |
| OG007 | Part 1 - 1200 mg EIDD-2801 | Participants were randomized to receive 1200 mg EIDD-2801 capsule (fasted). |
| OG008 | Part 1 - 1600 mg EIDD-2801 | Participants were randomized to receive 1600 mg EIDD-2801 capsule (fasted). |
|
|
| Primary | Part 3: Number of Participants With Treatment Emergent Adverse Events and Severity of Treatment Emergent Adverse Events | Number of participants with treatment emergent adverse events (TEAEs) and severity of TEAEs following multiple doses of EIDD-2801 in Part 3 | Safety population | Posted | Count of Participants | Participants | From screening through study completion, up to 20 days |
|
|
|
| 0 |
| 16 |
| 0 |
| 16 |
| 7 |
| 16 |
| EG001 | Part 1 - 50 mg EIDD-2801 | Participants were randomized to receive 50 mg EIDD-2801 powder-in-bottle (fasted). | 0 | 6 | 0 | 6 | 2 | 6 |
| EG002 | Part 1 - 100 mg EIDD-2801 | Participants were randomized to receive 100 mg EIDD-2801 powder-in-bottle (fasted). | 0 | 6 | 0 | 6 | 0 | 6 |
| EG003 | Part 1 - 200 mg EIDD-2801 | Participants were randomized to receive 200 mg EIDD-2801 powder-in-bottle (fasted). | 0 | 6 | 0 | 6 | 3 | 6 |
| EG004 | Part 1 - 400 mg EIDD-2801 | Participants were randomized to receive 400 mg EIDD-2801 powder-in-bottle (fasted). | 0 | 6 | 0 | 6 | 3 | 6 |
| EG005 | Part 1 - 600 mg EIDD-2801 | Participants were randomized to receive 600 mg EIDD-2801 powder-in-bottle (fasted). | 0 | 6 | 0 | 6 | 4 | 6 |
| EG006 | Part 1 - 800 mg EIDD-2801 | Participants were randomized to receive 800 mg EIDD-2801 powder-in-bottle (fasted). | 0 | 6 | 0 | 6 | 2 | 6 |
| EG007 | Part 1 - 1200 mg EIDD-2801 | Participants were randomized to receive 1200 mg EIDD-2801 capsule (fasted). | 0 | 6 | 0 | 6 | 1 | 6 |
| EG008 | Part 1 - 1600 mg EIDD-2801 | Participants were randomized to receive 1600 mg EIDD-2801 capsule (fasted). | 0 | 6 | 0 | 6 | 2 | 6 |
| EG009 | Part 2 - 200 mg EIDD-2801 (Fasted) | Participants were randomized to receive two single 200 mg oral doses of EIDD-2801 in an open-label manner (fasted). | 0 | 10 | 0 | 10 | 2 | 10 |
| EG010 | Part 2 - 200 mg EIDD-2801 (Fed) | Participants were randomized to receive two single 200 mg oral doses of EIDD-2801 in an open-label manner (fed). | 0 | 10 | 0 | 10 | 1 | 10 |
| EG011 | Part 3 - Placebo | Participants were randomized to receive twice daily dosing of Placebo capsules (fasted). | 0 | 14 | 0 | 14 | 7 | 14 |
| EG012 | Part 3 - 50 mg EIDD-2801 | Participants were randomized to receive twice daily dosing of 50-mg EIDD-2801 capsules (fasted). | 0 | 6 | 0 | 6 | 2 | 6 |
| EG013 | Part 3 - 100 mg EIDD-2801 | Participants were randomized to receive twice daily dosing of 100-mg EIDD-2801 capsules (fasted). | 0 | 6 | 0 | 6 | 3 | 6 |
| EG014 | Part 3 - 200 mg EIDD-2801 | Participants were randomized to receive twice daily dosing of 200-mg EIDD-2801 capsules (fasted). | 0 | 6 | 0 | 6 | 3 | 6 |
| EG015 | Part 3 - 300 mg EIDD-2801 | Participants were randomized to receive twice daily dosing of 300-mg EIDD-2801 capsules (fasted). | 0 | 6 | 0 | 6 | 2 | 6 |
| EG016 | Part 3 - 400 mg EIDD-2801 | Participants were randomized to receive twice daily dosing of 400-mg EIDD-2801 capsules (fasted). | 0 | 6 | 0 | 6 | 3 | 6 |
| EG017 | Part 3 - 600 mg EIDD-2801 | Participants were randomized to receive twice daily dosing of 600-mg EIDD-2801 capsules (fasted). | 0 | 6 | 0 | 6 | 2 | 6 |
| EG018 | Part 3 - 800 mg EIDD-2801 | Participants were randomized to receive twice daily dosing of 800-mg EIDD-2801 capsules (fasted). | 0 | 6 | 0 | 6 | 3 | 6 |
| Ear pain | Ear and labyrinth disorders | MedDRA (23.0) | Systematic Assessment |
|
| Tinnitus | Ear and labyrinth disorders | MedDRA (23.0) | Systematic Assessment |
|
| Abnormal sensation in eye | Eye disorders | MedDRA (23.0) | Systematic Assessment |
|
| Eye irritation | Eye disorders | MedDRA (23.0) | Systematic Assessment |
|
| Ocular hyperaemia | Eye disorders | MedDRA (23.0) | Systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Abdominal pain upper | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Gastrointestinal sounds abnormal | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Mouth ulceration | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Catheter site dryness | General disorders | MedDRA (23.0) | Systematic Assessment |
|
| Catheter site pain | General disorders | MedDRA (23.0) | Systematic Assessment |
|
| Catheter site rash | General disorders | MedDRA (23.0) | Systematic Assessment |
|
| Feeling hot | General disorders | MedDRA (23.0) | Systematic Assessment |
|
| Influenza like illness | General disorders | MedDRA (23.0) | Systematic Assessment |
|
| Medical device site erythema | General disorders | MedDRA (23.0) | Systematic Assessment |
|
| Medical device site reaction | General disorders | MedDRA (23.0) | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA (23.0) | Systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA (23.0) | Systematic Assessment |
|
| Arthropod bite | Injury, poisoning and procedural complications | MedDRA (23.0) | Systematic Assessment |
|
| Wound | Injury, poisoning and procedural complications | MedDRA (23.0) | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (23.0) | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (23.0) | Systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA (23.0) | Systematic Assessment |
|
| Ageusia | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
|
| Dizziness postural | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
|
| Hypersomnia | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
|
| Hypoaesthesia | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
|
| Paraesthesia | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
|
| Parosmia | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
|
| Poor quality sleep | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
|
| Presyncope | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
|
| Somnolence | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
|
| Taste disorder | Nervous system disorders | MedDRA (23.0) | Systematic Assessment |
|
| Abnormal dreams | Psychiatric disorders | MedDRA (23.0) | Systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA (23.0) | Systematic Assessment |
|
| Chromaturia | Renal and urinary disorders | MedDRA (23.0) | Systematic Assessment |
|
| Pollakiuria | Renal and urinary disorders | MedDRA (23.0) | Systematic Assessment |
|
| Vaginal haemorrhage | Reproductive system and breast disorders | MedDRA (23.0) | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA (23.0) | Systematic Assessment |
|
| Acne | Skin and subcutaneous tissue disorders | MedDRA (23.0) | Systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA (23.0) | Systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA (23.0) | Systematic Assessment |
|
| Scab | Skin and subcutaneous tissue disorders | MedDRA (23.0) | Systematic Assessment |
|
| Hot flush | Vascular disorders | MedDRA (23.0) | Systematic Assessment |
|
PI is required to obtain written consent from the Sponsor before anything relating to the study can be published.
| D007239 |
| Infections |
| Mild (Grade 1) |
|
| Moderate (Grade 2) |
|
| Severe (Grade 3) |
|