NAVIGATE-AD: A Study of LY3202626 on Disease Progression in Participants With Mild Alzheimer's Disease Dementia

Sponsor
Eli Lilly and Company (Industry)
Overall Status
Terminated
CT.gov ID
NCT02791191
Collaborator
(none)
316
76
3
24.5
4.2
0.2

Study Details

Study Description

Brief Summary

The main purpose of this study is to evaluate the safety and the effect on brain tau of the study drug LY3202626 in participants with mild Alzheimer's disease (AD) dementia.

Condition or Disease Intervention/Treatment Phase
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
316 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Care Provider, Investigator)
Primary Purpose:
Treatment
Official Title:
Effect of LY3202626 on Alzheimer's Disease Progression as Measured by Cerebral ¹⁸F-AV-1451 Tau-PET in Mild Alzheimer's Disease Dementia
Actual Study Start Date :
Jun 16, 2016
Actual Primary Completion Date :
Jul 2, 2018
Actual Study Completion Date :
Jul 2, 2018

Arms and Interventions

Arm Intervention/Treatment
Experimental: Dose 1 LY3202626

3 mg LY3202626 given orally once daily for 52 weeks.

Drug: LY3202626
Administered orally

Experimental: Dose 2 LY3202626

12 mg LY3202626 given orally once daily for 52 weeks.

Drug: LY3202626
Administered orally

Experimental: Placebo

Placebo given orally once daily for 52 weeks.

Drug: Placebo
Administered orally

Outcome Measures

Primary Outcome Measures

  1. Change From Baseline in ¹⁸F-AV-1451 Positron Emission Tomography (PET) Standard Uptake Value Ratio (SUVr) at 52 Weeks [Baseline, Week 52]

    The 18F-AV-1451 PET tracer assesses change from baseline in the pharmacodynamic effect of 3 mg and 12 mg doses of LY3202626 in participants with mild Alzheimer's disease (AD), compared with placebo at Week 52.The SUVr of ¹⁸F-AV-1451 was modeled using analysis of covariance (ANCOVA) to include the fixed, categorical effects of treatment dose, and the continuous, fixed covariate of baseline Tau PET SUVr and age at baseline.

Secondary Outcome Measures

  1. Percentage of Participants With Emergent Magnetic Resonance Imaging (MRI) Findings [Week 52]

    Percentage of participants with treatment-emergent MRI findings at Week 52 are summarized here. The mixed-effect model for repeated measures (MMRM) analysis was adjusted for fixed effects of treatment, visit (categorical covariate), treatment-by-visit interaction, baseline age, baseline score (continuous covariate) and baseline-by-visit interaction.

  2. Percentage of Participants With Amyloid-Related Imaging Abnormalities (ARIA) [Week 52]

    Percentage of participants with presence of amyloid-related imaging abnormalities-edema (ARIA-E, also known as vasogenic edema) and percentage of an increase in amyloid-related imaging abnormalities-hemorrhage (ARIA-H, also known as also known as microhemorrhage) at Week 52 are summarized here. The mixed-effect model for repeated measures (MMRM) analysis was adjusted for fixed effects of treatment, visit (categorical covariate), treatment-by-visit interaction, baseline age, baseline score (continuous covariate) and baseline-by-visit interaction.

  3. Percentage of Participants With Suicidal Ideation and Behaviors Assessed by the Columbia Suicide Severity Rating Scale (C-SSRS) Scores [Baseline through Week 52]

    The Columbia-Suicide Severity Rating Scale (C-SSRS) captures occurrence, severity, and frequency of suicide-related thoughts and behaviors. Suicidal ideation is defined as a "yes" answer to any 1 of 5 suicidal ideation questions, which includes a wish to be dead and 4 different categories of active suicidal ideation. Suicidal behavior is defined as a "yes" answer to any of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide. Suicidal ideation and behavior are defined as treatment-emergent (TE) if not present during the period up through randomization. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Event module.

  4. Pharmacokinetics (PK): Area Under the Plasma Concentration-Time Curve at Steady State (AUC [T,SS]) of LY3202626 [Week 2, 4, and 12: Predose and Postdose prior to departing; Week 8 and 16: Postdose after arriving and prior to departing; Week 24: Postdose after cognitive testing]

    PK: AUC [T,SS] of LY3202626

  5. Change From Baseline in Plasma Amyloid Beta Aβ₁-₄₀, ₁-₄₂, and 1-x Concentration [Baseline, Week 52]

    A mixed model repeated measures (MMRM) analysis will be used to evaluate the change from baseline to Week 52 in plasma Aβ₁-₄₀, Aβ₁-₄₂, and Aβ 1-x. The model for the fixed effects will include terms for the following independent effects: log transformed baseline plasma Aβ, treatment, visit, treatment-by-visit interaction.

  6. Change From Baseline on the 13-item Alzheimer's Disease Assessment Scale-Cognition (ADAS-Cog₁₃) [Baseline, Week 52]

    The ADAS is a rater administered instrument that was designed to assess the severity of the dysfunction in the cognitive and noncognitive behaviors characteristic of persons with AD. The cognitive subscale of the ADAS that was used as the primary efficacy measure consists of 13 items assessing areas of cognitive function most typically impaired in AD: orientation, verbal memory, language, praxis, delayed free recall, digit cancellation. The ADAS--Cog13 scale ranges from 0 to 85. Higher scores indicate greater disease severity. A mixed model repeated measures (MMRM) was used in analysis. The model included fixed, categorical effects of treatment, visit and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline, baseline-by-visit, and age at baseline.

  7. Change From Baseline on the Alzheimer's Disease Cooperative Study-Instrumental Activities of Daily Living Inventory (ADCS-iADL) [Baseline, Week 52]

    The ADCS-ADL is a 23-item inventory developed as a rater-administered questionnaire answered by the participant's caregiver. The ADCS-ADL measures both basic and instrumental activities (instrumental activity items 7-23) of daily living by participants. The range for the ADCS-iADL is 0-56 with higher scores reflecting better performance. ADCS-iADL was analyzed using mixed-model repeated measures (MMRM), Least Square (LS) Mean was controlled for treatment, visit, treatment-by-visit interaction, baseline age, baseline score and baseline-by-visit interaction.

  8. Change From Baseline on the Integrated Alzheimer's Disease Rating Scale (iADRS) [Baseline, Week 52]

    The iADRS comprises scores form the ADAS-Cog and the ADCS-iADL. The iADRS is calculated as a linear combination of the total scores of the ADAS-Cog13 9score range 0 to 85 with higher scores reflecting worse performance and the ADCS-iADL (score range 0-56 with higher scores reflecting better performance). The iADRS score ranges from 0 to 141 with lower scores indicating worse performance. iADRS was analyzed using mixed-model repeated measures (MMRM); Least Square (LS) Mean was controlled for treatment, visit, treatment-by-visit interaction, baseline age, baseline score and baseline-by-visit interaction.

Eligibility Criteria

Criteria

Ages Eligible for Study:
55 Years to 85 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Present with mild AD dementia based on the National Institute on Aging (NIA) and the Alzheimer's Association (AA) disease diagnostic criteria as determined by a qualified clinician approved by the Sponsor or designee.

  • Mini-Mental State Examination score of 20 to 26 inclusive at screening visit.

  • Has a florbetapir PET scan consistent with the presence of amyloid pathology at screening.

Exclusion Criteria:
  • Significant neurological disease affecting the central nervous system (CNS), other than AD, that may affect cognition or ability to complete the study, including but not limited to, other dementias, serious infection of the brain, Parkinson's disease, multiple concussions, or epilepsy or recurrent seizures (except febrile childhood seizures).

  • Ocular pathology that significantly limits ability to reliably evaluate vision or the retina.

  • Use of strong inducers of cytochrome P450 3A (CYP3A).

  • Sensitivity to florbetapir or ¹⁸F-AV-1451.

  • Contraindication to MRI or PET or poor venous access for blood draws.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Irvine Clinical Research Center Irvine California United States 92614
2 Sutter Medical Group Sacramento California United States 95816
3 Pacific Research Network Inc San Diego California United States 92103
4 Sharp Mesa Vista Hospital San Diego California United States 92123
5 Ray Dolby Brain Health Center/Sutter Health/CPMC San Francisco California United States 94114
6 Syrentis Clinical Research Santa Ana California United States 92705
7 North Bay Neuroscience Institute Sebastopol California United States 95472
8 New England Institute for Clinical Research Stamford Connecticut United States 06905
9 Christiana Care Health Service Wilmington Delaware United States 19801
10 Clinical Neuroscience Solutions Inc Jacksonville Florida United States 32256
11 Compass Research Melbourne Florida United States 32940
12 Florida International Research Center Miami Florida United States 33173
13 New Horizon Research Center Miami Florida United States 33175
14 The Neurology Research Group, LLC Miami Florida United States 33176
15 Suncoast Clinical Research New Port Richey Florida United States 34652
16 Renstar Medical Research Ocala Florida United States 34470
17 Sensible Healthcare Ocoee Florida United States 34761
18 Meridien Research Spring Hill Florida United States 34609
19 Axiom Research Tampa Florida United States 33609
20 United Osteoporosis Center Gainesville Georgia United States 30501
21 Fort Wayne Neurological Center Fort Wayne Indiana United States 46804
22 Indiana University School of Medicine Indianapolis Indiana United States 46202
23 Cotton O'Neil Clinic Topeka Kansas United States 66606
24 Heartland Research Associates Wichita Kansas United States 67205
25 Johns Hopkins University School of Medicine Baltimore Maryland United States 21224
26 Boston Center for Memory Newton Massachusetts United States 02459
27 Missouri Memory Center Bolivar Missouri United States 65613
28 Clinical Research Professionals Chesterfield Missouri United States 63005
29 Millenium Psychiatric Associates LLC Creve Coeur Missouri United States 63141
30 St Lukes Hospital Kansas City Missouri United States 64111
31 Washington University School of Medicine Saint Louis Missouri United States 63108
32 Las Vegas Medical Research Las Vegas Nevada United States 89113
33 Memory Enhancement Center of America, Inc. Eatontown New Jersey United States 07724
34 Pyramid Clinical Research Monroe New Jersey United States 08831
35 Advanced Memory Research Institute of New Jersey Toms River New Jersey United States 08755
36 Bio Behavioral Health Toms River New Jersey United States 08755
37 Albany Medical College Albany New York United States 12206
38 Dent Neurological Institute Amherst New York United States 14226
39 Valley Medical Primary Care Centerville Ohio United States 45459
40 University of Cincinnati Health Neurology Dayton Ohio United States 45417
41 Neurology Diagnostics, Inc. Dayton Ohio United States 45459
42 Insight Clinical Trials Shaker Heights Ohio United States 44122
43 Abington Neurological Associates Abington Pennsylvania United States 19090
44 Lehigh Center for Clinical Research Allentown Pennsylvania United States 18104
45 Clinical Trial Center, LLC, Psychiatry Jenkintown Pennsylvania United States 19046
46 Clinical Trials of South Carolina Charleston South Carolina United States 29406
47 Baylor AT&T Memory Center Dallas Texas United States 75231
48 Nantz National Alzheimer Center Houston Texas United States 77030
49 University of Texas Health Services Center - Houston Houston Texas United States 77054
50 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Box Hill Australia 3128
51 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Chermside Australia 4032
52 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Darlinghurst Australia 2010
53 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Erina Australia 2250
54 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Glen Iris Australia 3146
55 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Heidelberg Australia 3084
56 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Herston Australia 4029
57 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Nedlands Australia 6009
58 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Parkville Australia 3050
59 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. West Perth Australia 6005
60 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Gatineau Canada J8T 8J1
61 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Ottawa Canada KIN 5C8
62 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Verdun Canada H4H 1R3
63 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Akashi Japan 673-0891
64 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Hachioji Japan 193-0998
65 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Ikeda Japan 563-0058
66 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Kasukabe-shi Japan 344-0036
67 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Kyoto Japan 606-0851
68 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Nagoya Japan 451-8511
69 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Nerima-ku Japan 179-0072
70 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Osaka Japan 533-0004
71 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Osaka Japan 559-0004
72 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Setagaya-ku Japan 158-8531
73 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Takamatsu Japan 760-8557
74 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Tokyo Japan 156-0041
75 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Wako Japan 351-0111
76 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Yokosuka-shi Japan 238-0042

Sponsors and Collaborators

  • Eli Lilly and Company

Investigators

  • Study Director: Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Eli Lilly and Company

Study Documents (Full-Text)

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Eli Lilly and Company
ClinicalTrials.gov Identifier:
NCT02791191
Other Study ID Numbers:
  • 16223
  • I7X-MC-LLCF
First Posted:
Jun 6, 2016
Last Update Posted:
Apr 19, 2021
Last Verified:
Mar 1, 2021
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Keywords provided by Eli Lilly and Company
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title 3 mg LY3202626 12 mg LY3202626 Placebo
Arm/Group Description 3 mg LY3202626 administered orally once daily for 52 weeks. 12 mg LY3202626 administered orally once daily for 52 weeks. Placebo administered orally once daily for 52 weeks.
Period Title: Overall Study
STARTED 55 128 133
Received One Dose of Study Drug 55 127 133
COMPLETED 17 17 13
NOT COMPLETED 38 111 120

Baseline Characteristics

Arm/Group Title 3 mg LY3202626 12 mg LY3202626 Placebo Total
Arm/Group Description 3 mg LY3202626 administered orally once daily for 52 weeks. 12 mg LY3202626 administered orally once daily for 52 weeks. Placebo administered orally once daily for 52 weeks. Total of all reporting groups
Overall Participants 55 128 133 316
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
73.91
(6.72)
72.73
(7.15)
72.54
(7.80)
72.86
(7.36)
Sex: Female, Male (Count of Participants)
Female
29
52.7%
86
67.2%
77
57.9%
192
60.8%
Male
26
47.3%
42
32.8%
56
42.1%
124
39.2%
Ethnicity (NIH/OMB) (Count of Participants)
Hispanic or Latino
1
1.8%
5
3.9%
7
5.3%
13
4.1%
Not Hispanic or Latino
50
90.9%
108
84.4%
112
84.2%
270
85.4%
Unknown or Not Reported
4
7.3%
15
11.7%
14
10.5%
33
10.4%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
0
0%
0
0%
0
0%
0
0%
Asian
8
14.5%
18
14.1%
13
9.8%
39
12.3%
Native Hawaiian or Other Pacific Islander
1
1.8%
0
0%
1
0.8%
2
0.6%
Black or African American
1
1.8%
5
3.9%
4
3%
10
3.2%
White
45
81.8%
104
81.3%
113
85%
262
82.9%
More than one race
0
0%
1
0.8%
2
1.5%
3
0.9%
Unknown or Not Reported
0
0%
0
0%
0
0%
0
0%
Region of Enrollment (Count of Participants)
Canada
0
0%
1
0.8%
1
0.8%
2
0.6%
United States
43
78.2%
86
67.2%
105
78.9%
234
74.1%
Japan
7
12.7%
18
14.1%
12
9%
37
11.7%
Australia
5
9.1%
23
18%
15
11.3%
43
13.6%
Flortaucipir Standard Uptake Value Ratio (SUVr) (standard uptake value ratio (SUVr)) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [standard uptake value ratio (SUVr)]
1.32
(0.24)
1.36
(0.28)
1.42
(0.35)
1.38
(0.31)

Outcome Measures

1. Primary Outcome
Title Change From Baseline in ¹⁸F-AV-1451 Positron Emission Tomography (PET) Standard Uptake Value Ratio (SUVr) at 52 Weeks
Description The 18F-AV-1451 PET tracer assesses change from baseline in the pharmacodynamic effect of 3 mg and 12 mg doses of LY3202626 in participants with mild Alzheimer's disease (AD), compared with placebo at Week 52.The SUVr of ¹⁸F-AV-1451 was modeled using analysis of covariance (ANCOVA) to include the fixed, categorical effects of treatment dose, and the continuous, fixed covariate of baseline Tau PET SUVr and age at baseline.
Time Frame Baseline, Week 52

Outcome Measure Data

Analysis Population Description
All participants who received at least one dose of study drug, and have baseline and at least one post-baseline scan.
Arm/Group Title 3 mg LY3202626 12 mg LY3202626 Placebo
Arm/Group Description 3 mg LY3202626 administered orally once daily for 52 weeks. 12 mg LY3202626 administered orally once daily for 52 weeks. Placebo administered orally once daily for 52 weeks.
Measure Participants 15 15 11
Mean (Standard Deviation) [Standard Uptake Value Ratio (SUVr)]
0.02
(0.04)
0.03
(0.04)
0.01
(0.08)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection 3 mg LY3202626, Placebo
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.418
Comments
Method ANCOVA
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection 12 mg LY3202626, Placebo
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.231
Comments
Method ANCOVA
Comments
2. Secondary Outcome
Title Percentage of Participants With Emergent Magnetic Resonance Imaging (MRI) Findings
Description Percentage of participants with treatment-emergent MRI findings at Week 52 are summarized here. The mixed-effect model for repeated measures (MMRM) analysis was adjusted for fixed effects of treatment, visit (categorical covariate), treatment-by-visit interaction, baseline age, baseline score (continuous covariate) and baseline-by-visit interaction.
Time Frame Week 52

Outcome Measure Data

Analysis Population Description
All participants who received at least one dose of study drug.
Arm/Group Title 3 mg LY3202626 12 mg LY3202626 Placebo
Arm/Group Description 3 mg LY3202626 administered orally once daily for 52 weeks. 12 mg LY3202626 administered orally once daily for 52 weeks. Placebo administered orally once daily for 52 weeks.
Measure Participants 41 75 62
White Matter Disease
2.4
4.4%
1.3
1%
1.6
1.2%
Cortical Infarct
2.4
4.4%
0.0
0%
0.0
0%
Cortical Superficial Siderous
0.0
0%
1.3
1%
0.0
0%
Lacunar Infarct
0.0
0%
0.0
0%
1.6
1.2%
Other Infarct
0.0
0%
0.0
0%
1.6
1.2%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection 3 mg LY3202626, Placebo
Comments White Matter Disease
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 1.000
Comments
Method Fisher Exact
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection 12 mg LY3202626, Placebo
Comments White Matter Disease
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 1.000
Comments
Method Fisher Exact
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection 3 mg LY3202626, Placebo
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.404
Comments
Method Fisher Exact
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection 12 mg LY3202626, Placebo
Comments Cortical Superficial Siderous
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 1.000
Comments
Method Fisher Exact
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection 3 mg LY3202626, Placebo
Comments
Type of Statistical Test Superiority
Comments Lacunar Infarct
Statistical Test of Hypothesis p-Value 1.000
Comments
Method Fisher Exact
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection 12 mg LY3202626, Placebo
Comments Lacunar Infarct
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.457
Comments
Method Fisher Exact
Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection 3 mg LY3202626, Placebo
Comments Other Infarct
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 1.000
Comments
Method Fisher Exact
Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection 12 mg LY3202626, Placebo
Comments Other Infarct
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.457
Comments
Method Fisher Exact
Comments
3. Secondary Outcome
Title Percentage of Participants With Amyloid-Related Imaging Abnormalities (ARIA)
Description Percentage of participants with presence of amyloid-related imaging abnormalities-edema (ARIA-E, also known as vasogenic edema) and percentage of an increase in amyloid-related imaging abnormalities-hemorrhage (ARIA-H, also known as also known as microhemorrhage) at Week 52 are summarized here. The mixed-effect model for repeated measures (MMRM) analysis was adjusted for fixed effects of treatment, visit (categorical covariate), treatment-by-visit interaction, baseline age, baseline score (continuous covariate) and baseline-by-visit interaction.
Time Frame Week 52

Outcome Measure Data

Analysis Population Description
All participants who received at least one dose of study drug.
Arm/Group Title 3 mg LY3202626 12 mg LY3202626 Placebo
Arm/Group Description 3 mg LY3202626 administered orally once daily for 52 weeks. 12 mg LY3202626 administered orally once daily for 52 weeks. Placebo administered orally once daily for 52 weeks.
Measure Participants 41 75 62
Presence of Vasogenic Edema
0.0
0%
0.0
0%
1.6
1.2%
Increase in Microhemorrhages
4.7
8.5%
6.3
4.9%
7.5
5.6%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection 3 mg LY3202626, Placebo
Comments Vasogenic Edema
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 1.000
Comments
Method Fisher Exact
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection 12 mg LY3202626, Placebo
Comments Vasogenic Edema
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.457
Comments
Method Fisher Exact
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection 3 mg LY3202626, Placebo
Comments Increase in Microhemorrhage
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.703
Comments
Method Fisher Exact
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection 12 mg LY3202626, Placebo
Comments Increase in Microhemorrhage
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 1.000
Comments
Method Fisher Exact
Comments
4. Secondary Outcome
Title Percentage of Participants With Suicidal Ideation and Behaviors Assessed by the Columbia Suicide Severity Rating Scale (C-SSRS) Scores
Description The Columbia-Suicide Severity Rating Scale (C-SSRS) captures occurrence, severity, and frequency of suicide-related thoughts and behaviors. Suicidal ideation is defined as a "yes" answer to any 1 of 5 suicidal ideation questions, which includes a wish to be dead and 4 different categories of active suicidal ideation. Suicidal behavior is defined as a "yes" answer to any of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide. Suicidal ideation and behavior are defined as treatment-emergent (TE) if not present during the period up through randomization. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Event module.
Time Frame Baseline through Week 52

Outcome Measure Data

Analysis Population Description
All participants who received at least one dose of study drug and had at least one post-baseline C-SSRS measure.
Arm/Group Title 3 mg LY3202626 12 mg LY3202626 Placebo
Arm/Group Description 3 mg LY3202626 administered orally once daily for 52 weeks. 12 mg LY3202626 administered orally once daily for 52 weeks. Placebo administered orally once daily for 52 weeks.
Measure Participants 55 127 133
TE Suicidal Ideation
7.27
13.2%
7.09
5.5%
3.76
2.8%
TE Suicidal Behavior
1.82
3.3%
0.79
0.6%
0.00
0%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection 3 mg LY3202626, Placebo
Comments Treatment Emergent Suicidal Ideation
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.452
Comments
Method Fisher Exact
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection 12 mg LY3202626, Placebo
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.279
Comments TE Suicidal Ideation
Method Fisher Exact
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection 3 mg LY3202626, Placebo
Comments Emergence of Suicidal Behavior
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.293
Comments
Method Fisher Exact
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection 12 mg LY3202626, Placebo
Comments Emergence of Suicidal Behavior
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.486
Comments
Method Fisher Exact
Comments
5. Secondary Outcome
Title Pharmacokinetics (PK): Area Under the Plasma Concentration-Time Curve at Steady State (AUC [T,SS]) of LY3202626
Description PK: AUC [T,SS] of LY3202626
Time Frame Week 2, 4, and 12: Predose and Postdose prior to departing; Week 8 and 16: Postdose after arriving and prior to departing; Week 24: Postdose after cognitive testing

Outcome Measure Data

Analysis Population Description
All participants who received at least one dose of study drug and have evaluable PK data.
Arm/Group Title 3 mg LY3202626 12 mg LY3202626
Arm/Group Description 3 mg LY3202626 administered orally once daily for 52 weeks. 12 mg LY3202626 administered orally once daily for 52 weeks.
Measure Participants 55 127
Geometric Mean (Geometric Coefficient of Variation) [nanogram*hour per milliliter (ng*h/mL)]
158
(55.1)
641
(58.0)
6. Secondary Outcome
Title Change From Baseline in Plasma Amyloid Beta Aβ₁-₄₀, ₁-₄₂, and 1-x Concentration
Description A mixed model repeated measures (MMRM) analysis will be used to evaluate the change from baseline to Week 52 in plasma Aβ₁-₄₀, Aβ₁-₄₂, and Aβ 1-x. The model for the fixed effects will include terms for the following independent effects: log transformed baseline plasma Aβ, treatment, visit, treatment-by-visit interaction.
Time Frame Baseline, Week 52

Outcome Measure Data

Analysis Population Description
All participants who received at least one dose of study drug, and have baseline and at least one post-baseline measure.
Arm/Group Title 3 mg LY3202626 12 mg LY3202626 Placebo
Arm/Group Description 3 mg LY3202626 administered orally once daily for 52 weeks. 12 mg LY3202626 administered orally once daily for 52 weeks. Placebo administered orally once daily for 52 weeks.
Measure Participants 55 127 133
Amyloid Beta
-258.7
(64)
-286.1
(85.9)
-12.0
(80.5)
Amyloid Beta 1-40
-157.3
(65.6)
-149.3
(38.0)
-17.0
(38.2)
Amyloid Beta 1-42
-46.3
(38.7)
-50.0
(34.1)
0.0
(5.8)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection 3 mg LY3202626, Placebo
Comments Amyloid Beta
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <.001
Comments
Method ANCOVA
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection 12 mg LY3202626, Placebo
Comments
Type of Statistical Test Superiority
Comments Amyloid Beta
Statistical Test of Hypothesis p-Value <.001
Comments
Method ANCOVA
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection 3 mg LY3202626, Placebo
Comments Amyloid Beta 1-40
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <.001
Comments
Method ANCOVA
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection 12 mg LY3202626, Placebo
Comments Amyloid Beta 1-40
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <.001
Comments
Method ANCOVA
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection 3 mg LY3202626, Placebo
Comments Amyloid Beta 1-42
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <.001
Comments
Method ANCOVA
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection 12 mg LY3202626, Placebo
Comments Amyloid Beta 1-42
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <.001
Comments
Method ANCOVA
Comments
7. Secondary Outcome
Title Change From Baseline on the 13-item Alzheimer's Disease Assessment Scale-Cognition (ADAS-Cog₁₃)
Description The ADAS is a rater administered instrument that was designed to assess the severity of the dysfunction in the cognitive and noncognitive behaviors characteristic of persons with AD. The cognitive subscale of the ADAS that was used as the primary efficacy measure consists of 13 items assessing areas of cognitive function most typically impaired in AD: orientation, verbal memory, language, praxis, delayed free recall, digit cancellation. The ADAS--Cog13 scale ranges from 0 to 85. Higher scores indicate greater disease severity. A mixed model repeated measures (MMRM) was used in analysis. The model included fixed, categorical effects of treatment, visit and treatment-by-visit interaction, as well as the continuous, fixed covariates of baseline, baseline-by-visit, and age at baseline.
Time Frame Baseline, Week 52

Outcome Measure Data

Analysis Population Description
All participants who received at least one dose of study drug, and have baseline and at least one post-baseline ADAS-Cog₁₃ measure.
Arm/Group Title 3 mg LY3202626 12 mg LY3202626 Placebo
Arm/Group Description 3 mg LY3202626 administered orally once daily for 52 weeks. 12 mg LY3202626 administered orally once daily for 52 weeks. Placebo administered orally once daily for 52 weeks.
Measure Participants 17 19 15
Least Squares Mean (Standard Error) [units on a scale]
3.05
(1.40)
1.88
(1.33)
2.97
(1.51)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection 3 mg LY3202626, Placebo
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.970
Comments
Method Mixed Model Repeated Measures
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection 12 mg LY3202626, Placebo
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.586
Comments
Method Mixed Model Repeated Meausres
Comments
8. Secondary Outcome
Title Change From Baseline on the Alzheimer's Disease Cooperative Study-Instrumental Activities of Daily Living Inventory (ADCS-iADL)
Description The ADCS-ADL is a 23-item inventory developed as a rater-administered questionnaire answered by the participant's caregiver. The ADCS-ADL measures both basic and instrumental activities (instrumental activity items 7-23) of daily living by participants. The range for the ADCS-iADL is 0-56 with higher scores reflecting better performance. ADCS-iADL was analyzed using mixed-model repeated measures (MMRM), Least Square (LS) Mean was controlled for treatment, visit, treatment-by-visit interaction, baseline age, baseline score and baseline-by-visit interaction.
Time Frame Baseline, Week 52

Outcome Measure Data

Analysis Population Description
All participants who received at least one dose of study drug, and have baseline and at least one post-baseline ADCS-iADL measure.
Arm/Group Title 3 mg LY3202626 12 mg LY3202626 Placebo
Arm/Group Description 3 mg LY3202626 administered orally once daily for 52 weeks. 12 mg LY3202626 administered orally once daily for 52 weeks. Placebo administered orally once daily for 52 weeks.
Measure Participants 17 19 15
Least Squares Mean (Standard Error) [units on a scale]
-3.97
(1.34)
-4.63
(1.24)
-7.32
(1.38)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection 3 mg LY3202626, Placebo
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.088
Comments
Method ANCOVA
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection 12 mg LY3202626, Placebo
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.150
Comments
Method ANCOVA
Comments
9. Secondary Outcome
Title Change From Baseline on the Integrated Alzheimer's Disease Rating Scale (iADRS)
Description The iADRS comprises scores form the ADAS-Cog and the ADCS-iADL. The iADRS is calculated as a linear combination of the total scores of the ADAS-Cog13 9score range 0 to 85 with higher scores reflecting worse performance and the ADCS-iADL (score range 0-56 with higher scores reflecting better performance). The iADRS score ranges from 0 to 141 with lower scores indicating worse performance. iADRS was analyzed using mixed-model repeated measures (MMRM); Least Square (LS) Mean was controlled for treatment, visit, treatment-by-visit interaction, baseline age, baseline score and baseline-by-visit interaction.
Time Frame Baseline, Week 52

Outcome Measure Data

Analysis Population Description
All participants who received at least one dose of study drug, and have baseline and at least one post-baseline iADRS measure.
Arm/Group Title 3 mg LY3202626 12 mg LY3202626 Placebo
Arm/Group Description 3 mg LY3202626 administered orally once daily for 52 weeks. 12 mg LY3202626 administered orally once daily for 52 weeks. Placebo administered orally once daily for 52 weeks.
Measure Participants 16 19 15
Least Squares Mean (Standard Error) [units on a scale]
-6.01
(2.07)
-6.45
(1.90)
-10.32
(2.15)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection 3 mg LY3202626, Placebo
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.153
Comments
Method ANCOVA
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection 12 mg LY3202626, Placebo
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.176
Comments
Method ANCOVA
Comments

Adverse Events

Time Frame Up to 56 Weeks
Adverse Event Reporting Description All randomized participants.
Arm/Group Title 3 mg LY3202626 12 mg LY3202626 Placebo
Arm/Group Description 3 mg LY3202626 administered orally once daily for 52 weeks. 12 mg LY3202626 administered orally once daily for 52 weeks Placebo administered orally once daily for 52 weeks.
All Cause Mortality
3 mg LY3202626 12 mg LY3202626 Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/55 (0%) 0/127 (0%) 0/133 (0%)
Serious Adverse Events
3 mg LY3202626 12 mg LY3202626 Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 10/55 (18.2%) 8/127 (6.3%) 10/133 (7.5%)
Blood and lymphatic system disorders
Haemorrhagic anaemia 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Cardiac disorders
Angina pectoris 1/55 (1.8%) 1 0/127 (0%) 0 1/133 (0.8%) 1
Cardiac failure congestive 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Coronary artery disease 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Gastrointestinal disorders
Duodenal ulcer 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Gastrointestinal haemorrhage 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Small intestinal obstruction 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
General disorders
Chest discomfort 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Gait disturbance 0/55 (0%) 0 2/127 (1.6%) 2 0/133 (0%) 0
Pyrexia 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Infections and infestations
Cystitis 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Influenza 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Pneumonia 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Pyuria 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Injury, poisoning and procedural complications
Accidental overdose 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Ankle fracture 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Confusion postoperative 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Fall 1/55 (1.8%) 1 1/127 (0.8%) 1 1/133 (0.8%) 1
Hip fracture 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Spinal compression fracture 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Metabolism and nutrition disorders
Dehydration 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Diabetes mellitus inadequate control 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Hypocalcaemia 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Lactic acidosis 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Musculoskeletal and connective tissue disorders
Spinal column stenosis 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Nervous system disorders
Metabolic encephalopathy 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Syncope 0/55 (0%) 0 1/127 (0.8%) 1 1/133 (0.8%) 1
Transient global amnesia 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Product Issues
Device breakage 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Psychiatric disorders
Aggression 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Suicidal ideation 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Suicide attempt 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Renal and urinary disorders
Urinary retention 1/55 (1.8%) 3 0/127 (0%) 0 0/133 (0%) 0
Other (Not Including Serious) Adverse Events
3 mg LY3202626 12 mg LY3202626 Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 46/55 (83.6%) 97/127 (76.4%) 91/133 (68.4%)
Blood and lymphatic system disorders
Anaemia 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Thrombocytopenia 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Cardiac disorders
Angina pectoris 0/55 (0%) 0 1/127 (0.8%) 1 1/133 (0.8%) 1
Arrhythmia 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Atrial fibrillation 3/55 (5.5%) 3 2/127 (1.6%) 2 1/133 (0.8%) 1
Atrioventricular block first degree 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Bradycardia 1/55 (1.8%) 1 2/127 (1.6%) 2 0/133 (0%) 0
Cardiac failure congestive 1/55 (1.8%) 1 1/127 (0.8%) 1 0/133 (0%) 0
Coronary artery disease 1/55 (1.8%) 1 0/127 (0%) 0 1/133 (0.8%) 1
Left ventricular failure 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Tachyarrhythmia 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Ear and labyrinth disorders
Cerumen impaction 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Otorrhoea 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Tinnitus 0/55 (0%) 0 0/127 (0%) 0 3/133 (2.3%) 3
Vertigo 0/55 (0%) 0 1/127 (0.8%) 1 1/133 (0.8%) 1
Endocrine disorders
Goitre 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Hyperparathyroidism secondary 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Hypothyroidism 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Eye disorders
Cataract 3/55 (5.5%) 3 1/127 (0.8%) 1 1/133 (0.8%) 2
Cataract nuclear 0/55 (0%) 0 1/127 (0.8%) 1 1/133 (0.8%) 1
Conjunctival haemorrhage 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Corneal oedema 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Diplopia 1/55 (1.8%) 1 0/127 (0%) 0 1/133 (0.8%) 1
Dyschromatopsia 1/55 (1.8%) 1 1/127 (0.8%) 1 1/133 (0.8%) 1
Erythropsia 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Eye pain 0/55 (0%) 0 2/127 (1.6%) 2 0/133 (0%) 0
Eye swelling 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Eyelid cyst 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Eyelid oedema 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Glaucoma 1/55 (1.8%) 1 1/127 (0.8%) 1 0/133 (0%) 0
Lacrimation increased 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Lenticular opacities 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Macular degeneration 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Macular fibrosis 1/55 (1.8%) 1 0/127 (0%) 0 1/133 (0.8%) 1
Macular oedema 0/55 (0%) 0 1/127 (0.8%) 1 1/133 (0.8%) 1
Normal tension glaucoma 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Ocular hyperaemia 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Optic disc disorder 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Optic disc haemorrhage 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Photopsia 0/55 (0%) 0 1/127 (0.8%) 1 1/133 (0.8%) 1
Posterior capsule opacification 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Retinal drusen 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Retinal haemorrhage 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Visual acuity reduced 0/55 (0%) 0 0/127 (0%) 0 2/133 (1.5%) 2
Visual impairment 0/55 (0%) 0 2/127 (1.6%) 2 0/133 (0%) 0
Vitreous detachment 0/55 (0%) 0 2/127 (1.6%) 2 1/133 (0.8%) 1
Gastrointestinal disorders
Abdominal discomfort 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Abdominal distension 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Abdominal hernia 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Abdominal pain 0/55 (0%) 0 2/127 (1.6%) 2 0/133 (0%) 0
Abdominal pain upper 1/55 (1.8%) 1 1/127 (0.8%) 1 0/133 (0%) 0
Abdominal tenderness 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Aphthous ulcer 2/55 (3.6%) 2 0/127 (0%) 0 0/133 (0%) 0
Barrett's oesophagus 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Constipation 2/55 (3.6%) 2 5/127 (3.9%) 5 1/133 (0.8%) 2
Dental caries 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Diarrhoea 2/55 (3.6%) 2 6/127 (4.7%) 7 6/133 (4.5%) 7
Dry mouth 0/55 (0%) 0 2/127 (1.6%) 2 0/133 (0%) 0
Dyspepsia 0/55 (0%) 0 2/127 (1.6%) 2 1/133 (0.8%) 1
Dysphagia 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Faeces discoloured 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Flatulence 2/55 (3.6%) 2 0/127 (0%) 0 0/133 (0%) 0
Functional gastrointestinal disorder 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Gastric ulcer haemorrhage 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Gastrooesophageal reflux disease 0/55 (0%) 0 2/127 (1.6%) 2 2/133 (1.5%) 2
Haemorrhoids 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Hiatus hernia 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Hyperchlorhydria 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Large intestinal obstruction 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Nausea 1/55 (1.8%) 1 2/127 (1.6%) 2 4/133 (3%) 4
Oral disorder 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Toothache 0/55 (0%) 0 3/127 (2.4%) 3 0/133 (0%) 0
Vomiting 1/55 (1.8%) 1 0/127 (0%) 0 2/133 (1.5%) 2
General disorders
Asthenia 1/55 (1.8%) 1 1/127 (0.8%) 1 0/133 (0%) 0
Chest discomfort 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Chest pain 0/55 (0%) 0 0/127 (0%) 0 2/133 (1.5%) 2
Chills 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Crying 2/55 (3.6%) 2 1/127 (0.8%) 1 0/133 (0%) 0
Fatigue 0/55 (0%) 0 5/127 (3.9%) 5 7/133 (5.3%) 7
Feeling abnormal 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Feeling cold 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Feeling jittery 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Gait disturbance 0/55 (0%) 0 2/127 (1.6%) 2 2/133 (1.5%) 2
Influenza like illness 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Injection site rash 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Malaise 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Non-cardiac chest pain 0/55 (0%) 0 6/127 (4.7%) 7 1/133 (0.8%) 1
Oedema 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Oedema peripheral 1/55 (1.8%) 1 4/127 (3.1%) 5 2/133 (1.5%) 2
Pain 0/55 (0%) 0 2/127 (1.6%) 3 0/133 (0%) 0
Peripheral swelling 0/55 (0%) 0 2/127 (1.6%) 2 0/133 (0%) 0
Pyrexia 0/55 (0%) 0 3/127 (2.4%) 3 0/133 (0%) 0
Unevaluable event 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Vessel puncture site haematoma 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Hepatobiliary disorders
Cholecystitis chronic 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Cholelithiasis 1/55 (1.8%) 1 0/127 (0%) 0 1/133 (0.8%) 1
Immune system disorders
Allergy to animal 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Hypersensitivity 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Mite allergy 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Mycotic allergy 1/55 (1.8%) 2 0/127 (0%) 0 0/133 (0%) 0
Seasonal allergy 0/55 (0%) 0 2/127 (1.6%) 2 0/133 (0%) 0
Infections and infestations
Acute sinusitis 0/55 (0%) 0 1/127 (0.8%) 1 1/133 (0.8%) 1
Bronchitis 2/55 (3.6%) 2 1/127 (0.8%) 1 3/133 (2.3%) 3
Cellulitis 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Clostridium difficile infection 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Conjunctivitis 0/55 (0%) 0 1/127 (0.8%) 1 1/133 (0.8%) 1
Dermatitis infected 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Diverticulitis 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
External ear cellulitis 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Folliculitis 2/55 (3.6%) 2 1/127 (0.8%) 1 0/133 (0%) 0
Fungal skin infection 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Gastroenteritis 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Hepatitis e 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Herpes zoster 1/55 (1.8%) 1 1/127 (0.8%) 1 1/133 (0.8%) 1
Hordeolum 2/55 (3.6%) 2 0/127 (0%) 0 2/133 (1.5%) 2
Influenza 2/55 (3.6%) 2 4/127 (3.1%) 4 3/133 (2.3%) 3
Laryngitis 0/55 (0%) 0 1/127 (0.8%) 1 1/133 (0.8%) 1
Localised infection 0/55 (0%) 0 1/127 (0.8%) 1 1/133 (0.8%) 1
Lower respiratory tract infection 0/55 (0%) 0 1/127 (0.8%) 3 0/133 (0%) 0
Nail bed infection bacterial 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Nasopharyngitis 7/55 (12.7%) 7 14/127 (11%) 16 7/133 (5.3%) 7
Onychomycosis 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Oral herpes 0/55 (0%) 0 1/127 (0.8%) 1 1/133 (0.8%) 1
Otitis externa 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Otitis media 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Pharyngitis 0/55 (0%) 0 2/127 (1.6%) 2 0/133 (0%) 0
Rhinitis 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Sinusitis 1/55 (1.8%) 1 1/127 (0.8%) 1 1/133 (0.8%) 1
Tinea versicolour 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Tooth infection 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Upper respiratory tract infection 5/55 (9.1%) 5 6/127 (4.7%) 6 7/133 (5.3%) 8
Urinary tract infection 3/55 (5.5%) 5 7/127 (5.5%) 8 3/133 (2.3%) 3
Viral infection 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Viral upper respiratory tract infection 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Vulvovaginal candidiasis 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Injury, poisoning and procedural complications
Arthropod bite 1/55 (1.8%) 1 0/127 (0%) 0 1/133 (0.8%) 1
Back injury 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Compression fracture 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Contusion 1/55 (1.8%) 1 11/127 (8.7%) 12 4/133 (3%) 4
Eye contusion 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Fall 1/55 (1.8%) 2 8/127 (6.3%) 12 8/133 (6%) 9
Fracture displacement 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Incision site pain 1/55 (1.8%) 2 0/127 (0%) 0 0/133 (0%) 0
Joint dislocation 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Joint injury 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Laceration 0/55 (0%) 0 4/127 (3.1%) 4 2/133 (1.5%) 2
Ligament sprain 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Limb injury 0/55 (0%) 0 2/127 (1.6%) 2 0/133 (0%) 0
Lower limb fracture 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Meniscus injury 0/55 (0%) 0 1/127 (0.8%) 1 1/133 (0.8%) 1
Muscle rupture 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Overdose 1/55 (1.8%) 2 0/127 (0%) 0 0/133 (0%) 0
Post procedural haematuria 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Post procedural swelling 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Rib fracture 0/55 (0%) 0 0/127 (0%) 0 3/133 (2.3%) 3
Skin abrasion 3/55 (5.5%) 3 1/127 (0.8%) 1 2/133 (1.5%) 2
Spinal compression fracture 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Synovial rupture 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Upper limb fracture 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Wrist fracture 1/55 (1.8%) 1 1/127 (0.8%) 1 0/133 (0%) 0
Investigations
Alanine aminotransferase increased 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Aspartate aminotransferase increased 1/55 (1.8%) 1 1/127 (0.8%) 1 0/133 (0%) 0
Biopsy skin 1/55 (1.8%) 1 1/127 (0.8%) 1 1/133 (0.8%) 1
Blood alkaline phosphatase increased 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Blood cholesterol increased 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Blood creatine phosphokinase increased 0/55 (0%) 0 2/127 (1.6%) 2 1/133 (0.8%) 1
Blood creatinine increased 0/55 (0%) 0 0/127 (0%) 0 2/133 (1.5%) 2
Blood pressure increased 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Cardiac murmur 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Colonoscopy 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Cystoscopy 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Electrocardiogram qt prolonged 1/55 (1.8%) 1 3/127 (2.4%) 3 1/133 (0.8%) 1
Fibrin d dimer increased 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Haemoglobin decreased 2/55 (3.6%) 2 1/127 (0.8%) 1 0/133 (0%) 0
Hepatic enzyme increased 0/55 (0%) 0 0/127 (0%) 0 2/133 (1.5%) 2
Low density lipoprotein increased 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Mammogram abnormal 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Oxygen saturation decreased 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Staphylococcus test positive 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Transaminases increased 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Tri-iodothyronine decreased 1/55 (1.8%) 1 2/127 (1.6%) 2 1/133 (0.8%) 1
Weight decreased 2/55 (3.6%) 2 1/127 (0.8%) 1 3/133 (2.3%) 3
Metabolism and nutrition disorders
Decreased appetite 0/55 (0%) 0 3/127 (2.4%) 3 1/133 (0.8%) 1
Dehydration 2/55 (3.6%) 2 2/127 (1.6%) 2 1/133 (0.8%) 1
Diabetes mellitus 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Dyslipidaemia 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Gout 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Hypercalcaemia 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Hypercholesterolaemia 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Hyperglycaemia 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Hyperlipidaemia 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Hypoglycaemia 0/55 (0%) 0 1/127 (0.8%) 1 1/133 (0.8%) 1
Hypokalaemia 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Vitamin d deficiency 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Musculoskeletal and connective tissue disorders
Arthralgia 2/55 (3.6%) 2 4/127 (3.1%) 4 8/133 (6%) 8
Arthritis 0/55 (0%) 0 2/127 (1.6%) 2 0/133 (0%) 0
Back pain 1/55 (1.8%) 1 2/127 (1.6%) 2 1/133 (0.8%) 1
Bursitis 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Exostosis 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Foot deformity 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Intervertebral disc degeneration 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Intervertebral disc protrusion 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Joint space narrowing 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Joint swelling 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Mobility decreased 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Muscle spasms 4/55 (7.3%) 4 0/127 (0%) 0 1/133 (0.8%) 1
Musculoskeletal pain 0/55 (0%) 0 2/127 (1.6%) 2 0/133 (0%) 0
Myalgia 0/55 (0%) 0 1/127 (0.8%) 1 1/133 (0.8%) 1
Neck pain 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Osteoarthritis 1/55 (1.8%) 1 2/127 (1.6%) 2 1/133 (0.8%) 1
Osteopenia 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Osteoporosis 1/55 (1.8%) 1 0/127 (0%) 0 1/133 (0.8%) 1
Pain in extremity 0/55 (0%) 0 1/127 (0.8%) 1 3/133 (2.3%) 3
Periarthritis 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Rheumatoid arthritis 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Rotator cuff syndrome 1/55 (1.8%) 1 1/127 (0.8%) 1 1/133 (0.8%) 1
Scoliosis 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Spinal osteoarthritis 0/55 (0%) 0 1/127 (0.8%) 1 1/133 (0.8%) 1
Synovial cyst 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Tendonitis 0/55 (0%) 0 2/127 (1.6%) 2 0/133 (0%) 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Acrochordon 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Basal cell carcinoma 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Bowen's disease 0/55 (0%) 0 1/127 (0.8%) 1 1/133 (0.8%) 1
Breast cancer 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Dysplastic naevus 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Seborrhoeic keratosis 1/55 (1.8%) 1 1/127 (0.8%) 1 0/133 (0%) 0
Skin papilloma 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Squamous cell carcinoma 1/55 (1.8%) 1 0/127 (0%) 0 4/133 (3%) 4
Nervous system disorders
Amyloid related imaging abnormality-microhaemorrhages and haemosiderin deposits 0/55 (0%) 0 0/127 (0%) 0 2/133 (1.5%) 2
Amyloid related imaging abnormality-oedema/effusion 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Aphasia 0/55 (0%) 0 3/127 (2.4%) 3 0/133 (0%) 0
Ataxia 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Balance disorder 0/55 (0%) 0 1/127 (0.8%) 1 1/133 (0.8%) 1
Carpal tunnel syndrome 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Cerebellar infarction 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Cerebellar microhaemorrhage 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Cerebellar syndrome 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Cerebral microhaemorrhage 1/55 (1.8%) 1 0/127 (0%) 0 2/133 (1.5%) 2
Corticobasal degeneration 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Dementia alzheimer's type 1/55 (1.8%) 1 0/127 (0%) 0 1/133 (0.8%) 1
Dizziness 2/55 (3.6%) 2 3/127 (2.4%) 3 4/133 (3%) 4
Dizziness postural 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Dysgeusia 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Essential tremor 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Extrapyramidal disorder 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Head discomfort 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Headache 5/55 (9.1%) 5 4/127 (3.1%) 4 2/133 (1.5%) 2
Hypersomnia 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Hypogeusia 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Lethargy 0/55 (0%) 0 2/127 (1.6%) 2 0/133 (0%) 0
Loss of consciousness 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Memory impairment 0/55 (0%) 0 2/127 (1.6%) 2 0/133 (0%) 0
Migraine 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Nervous system disorder 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Paraesthesia 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Poor quality sleep 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Presyncope 0/55 (0%) 0 2/127 (1.6%) 2 2/133 (1.5%) 2
Somnolence 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Superficial siderosis of central nervous system 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Syncope 1/55 (1.8%) 1 0/127 (0%) 0 2/133 (1.5%) 2
Thalamic infarction 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Tremor 0/55 (0%) 0 3/127 (2.4%) 3 0/133 (0%) 0
Vertebral artery stenosis 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Psychiatric disorders
Abnormal dreams 0/55 (0%) 0 3/127 (2.4%) 4 2/133 (1.5%) 2
Affect lability 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Agitation 1/55 (1.8%) 2 1/127 (0.8%) 1 3/133 (2.3%) 3
Anxiety 3/55 (5.5%) 3 4/127 (3.1%) 4 0/133 (0%) 0
Confusional state 3/55 (5.5%) 4 3/127 (2.4%) 3 1/133 (0.8%) 1
Delusion 0/55 (0%) 0 1/127 (0.8%) 1 1/133 (0.8%) 1
Depressed mood 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Depression 2/55 (3.6%) 2 3/127 (2.4%) 3 3/133 (2.3%) 4
Disorientation 1/55 (1.8%) 1 1/127 (0.8%) 2 0/133 (0%) 0
Emotional distress 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Generalised anxiety disorder 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Hallucination 1/55 (1.8%) 1 6/127 (4.7%) 6 2/133 (1.5%) 2
Hallucination, auditory 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Hallucination, visual 0/55 (0%) 0 4/127 (3.1%) 4 0/133 (0%) 0
Hypnopompic hallucination 1/55 (1.8%) 1 1/127 (0.8%) 1 0/133 (0%) 0
Insomnia 3/55 (5.5%) 3 0/127 (0%) 0 1/133 (0.8%) 1
Mania 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Mental status changes 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Mood altered 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Mood swings 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Nightmare 1/55 (1.8%) 1 4/127 (3.1%) 5 0/133 (0%) 0
Psychotic disorder 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Sleep disorder 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Suicidal ideation 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Tension 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Renal and urinary disorders
Acute kidney injury 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Dysuria 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Haematuria 1/55 (1.8%) 1 1/127 (0.8%) 1 0/133 (0%) 0
Hypertonic bladder 1/55 (1.8%) 1 1/127 (0.8%) 1 0/133 (0%) 0
Lower urinary tract symptoms 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Nephrolithiasis 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Pollakiuria 0/55 (0%) 0 3/127 (2.4%) 3 1/133 (0.8%) 1
Renal cyst 1/55 (1.8%) 1 0/127 (0%) 0 1/133 (0.8%) 1
Renal mass 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Reproductive system and breast disorders
Benign prostatic hyperplasia 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Breast cyst 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Breast mass 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Breast pain 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Genital rash 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Respiratory, thoracic and mediastinal disorders
Asthma 1/55 (1.8%) 1 1/127 (0.8%) 1 0/133 (0%) 0
Atelectasis 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Cough 6/55 (10.9%) 6 5/127 (3.9%) 5 2/133 (1.5%) 3
Dyspnoea 2/55 (3.6%) 2 2/127 (1.6%) 2 0/133 (0%) 0
Dyspnoea exertional 0/55 (0%) 0 1/127 (0.8%) 1 1/133 (0.8%) 2
Lower respiratory tract congestion 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Nasal congestion 1/55 (1.8%) 1 1/127 (0.8%) 1 1/133 (0.8%) 1
Oropharyngeal pain 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Pleuritic pain 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Pneumothorax 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Rhinitis allergic 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Rhinorrhoea 0/55 (0%) 0 3/127 (2.4%) 3 0/133 (0%) 0
Skin and subcutaneous tissue disorders
Actinic keratosis 0/55 (0%) 0 3/127 (2.4%) 3 3/133 (2.3%) 4
Dermatitis 0/55 (0%) 0 1/127 (0.8%) 2 1/133 (0.8%) 1
Dermatitis atopic 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Dermatitis contact 5/55 (9.1%) 5 1/127 (0.8%) 1 1/133 (0.8%) 1
Dry skin 1/55 (1.8%) 1 2/127 (1.6%) 2 0/133 (0%) 0
Eczema 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Eczema asteatotic 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Erythema 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Hair colour changes 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Hyperhidrosis 0/55 (0%) 0 0/127 (0%) 0 2/133 (1.5%) 2
Idiopathic guttate hypomelanosis 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Ingrowing nail 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Leukoderma 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Nail disorder 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Night sweats 0/55 (0%) 0 2/127 (1.6%) 2 1/133 (0.8%) 1
Pruritus 0/55 (0%) 0 1/127 (0.8%) 2 1/133 (0.8%) 3
Psoriasis 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Rash 1/55 (1.8%) 1 1/127 (0.8%) 1 2/133 (1.5%) 2
Rash macular 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Rash papular 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Seborrhoeic dermatitis 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Skin hypopigmentation 2/55 (3.6%) 2 0/127 (0%) 0 1/133 (0.8%) 1
Skin irritation 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Skin lesion 0/55 (0%) 0 1/127 (0.8%) 1 1/133 (0.8%) 1
Solar lentigo 0/55 (0%) 0 1/127 (0.8%) 1 1/133 (0.8%) 3
Splinter haemorrhages 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Telangiectasia 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Social circumstances
Orthosis user 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Walking aid user 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Surgical and medical procedures
Blepharectomy 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Bursa removal 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Cataract operation 0/55 (0%) 0 1/127 (0.8%) 1 2/133 (1.5%) 3
Catheter placement 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Chest tube insertion 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Cochlea implant 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Coronary artery bypass 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Dental implantation 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Endodontic procedure 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Internal fixation of fracture 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Intraocular lens implant 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Knee arthroplasty 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Lens capsulotomy 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Medical device removal 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Micrographic skin surgery 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Nasal operation 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Open reduction of fracture 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Papilloma excision 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Skin neoplasm excision 1/55 (1.8%) 1 2/127 (1.6%) 2 0/133 (0%) 0
Spinal fusion surgery 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Tooth extraction 0/55 (0%) 0 2/127 (1.6%) 2 1/133 (0.8%) 1
Transurethral prostatectomy 1/55 (1.8%) 1 0/127 (0%) 0 1/133 (0.8%) 1
Vertebroplasty 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Vascular disorders
Aortic disorder 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Arteriosclerosis 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Flushing 1/55 (1.8%) 1 0/127 (0%) 0 0/133 (0%) 0
Haematoma 0/55 (0%) 0 0/127 (0%) 0 2/133 (1.5%) 2
Hot flush 0/55 (0%) 0 0/127 (0%) 0 1/133 (0.8%) 1
Hypertension 1/55 (1.8%) 1 0/127 (0%) 0 1/133 (0.8%) 1
Hypotension 0/55 (0%) 0 2/127 (1.6%) 2 0/133 (0%) 0
Orthostatic hypertension 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0
Orthostatic hypotension 1/55 (1.8%) 1 5/127 (3.9%) 5 1/133 (0.8%) 1
Supine hypertension 0/55 (0%) 0 1/127 (0.8%) 1 0/133 (0%) 0

Limitations/Caveats

Study was terminated due to low likelihood of identifying a statistically significant treatment effect.

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

Results Point of Contact

Name/Title Chief Medical Officer
Organization Eli Lilly and Company
Phone 800-545-5079
Email Clinicaltrials.gov@lilly.com
Responsible Party:
Eli Lilly and Company
ClinicalTrials.gov Identifier:
NCT02791191
Other Study ID Numbers:
  • 16223
  • I7X-MC-LLCF
First Posted:
Jun 6, 2016
Last Update Posted:
Apr 19, 2021
Last Verified:
Mar 1, 2021