FACE: Comparison Trial of Letrozole to Anastrozole in the Adjuvant Treatment of Postmenopausal Women With Hormone Receptor and Node Positive Breast Cancer

Sponsor
Novartis Pharmaceuticals (Industry)
Overall Status
Completed
CT.gov ID
NCT00248170
Collaborator
(none)
4,172
263
2
105
15.9
0.2

Study Details

Study Description

Brief Summary

Eligible patients will be post-menopausal hormone receptor- and lymph node-positive females who recently underwent primary surgery for breast cancer. Patients will be randomized to letrozole (2.5 mg per day for 5 years) vs anastrozole (1 mg per day for 5 years). Follow up will occur for 5 years after the completion of enrollment for survival and disease status updates.

Condition or Disease Intervention/Treatment Phase
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
4172 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Comparison Trial of Letrozole to Anastrozole in the Adjuvant Treatment of Postmenopausal Women With Hormone Receptor and Node Positive Breast Cancer
Study Start Date :
Dec 1, 2005
Actual Primary Completion Date :
Sep 1, 2014
Actual Study Completion Date :
Sep 1, 2014

Arms and Interventions

Arm Intervention/Treatment
Experimental: Letrozole

2.5 mg by mouth (p.o.) once daily

Drug: Letrozole
2.5 mg tablets

Active Comparator: Anastrozole

1 mg p.o. once daily

Drug: Anastrozole
1 mg tablets

Outcome Measures

Primary Outcome Measures

  1. Disease Free Survival [84 months]

    Disease-free survival was defined as the time from the date of randomization to the date of the first documentation of re-occurrence of invasive breast cancer in local, regional or distant sites, new invasive breast cancer in the contra-lateral breast, or death from any cause.

Secondary Outcome Measures

  1. Overall Survival [84 months]

    Overall survival was defined as the time from the date of randomization to the date of death from any cause.

  2. Time to Development of Distant Metastases [84 months]

    Time to development of distant metastases was defined as the time from date of randomization to the date of the first development of any recurrent or metastatic disease in sites other than the local mastectomy scar, the ipsilateral breast in case of breast conservation or the contra lateral breast.

  3. Time to Development of Contra Lateral Breast Cancer [84 months]

    Time to development of contra lateral breast cancer was defined as the time from the date of randomization to the date of the first development of any disease in the contra lateral breast.

  4. Distant Disease-free Survival [84 months]

    Distant disease-free survival was defined as the time from date of randomization to the date of the first development of any relapse at a distant site or death from any cause.

  5. Change From Baseline in Serum Lipid Profiles [baseline, 6, 12, 24, 36, 48 and 60 months]

    Total cholesterol was analyzed to assess the impact on serum lipids profiles. The adjusted means was calculated.

  6. Percentage of Participants Who Experienced Clinical Fracture Events [84 months]

    The incidence of clinical fractures was analyzed.

  7. Percentage of Participants Who Experienced Cardiovascular Events [84 months]

    The incidence of ischemic heart disease, cardiac failures, cerebrovascular accidents and thromboembolic events was analyzed.

Eligibility Criteria

Criteria

Ages Eligible for Study:
33 Years to 96 Years
Sexes Eligible for Study:
Female
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Recent primary surgery for breast cancer

  • Early stage breast cancer

  • Postmenopausal

  • Hormone receptor positive

  • Positive lymph node involvement

Exclusion Criteria:
  • Metastatic disease

  • Presence of contralateral breast cancer including DCIS

  • Progression

Other protocol-defined inclusion/exclusion criteria may apply.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Birmingham Hematology and Oncology Associates Birmingham Alabama United States 35205
2 Comprehensive Cancer Institute Huntsville Alabama United States 35801
3 Northern Arizona Hematology/Oncology Associates, P.C. Flagstaff Arizona United States 86001
4 Oncology & Hematology Associates, PC New London Connecticut United States 06320
5 Florida Cancer Specialists Fort Meyers Florida United States 33901
6 Sarah Cannon Research Institute Jacksonville Florida United States 32256
7 Cancer Centers of Florida PA Ocoee Florida United States 34761
8 Florida Cancer Institute Orlando Florida United States 32804
9 Gulfcoast Oncology Associates St. Petersburg Florida United States 33705
10 University Cancer & Blood Center, LLC Athens Georgia United States 30607
11 Central Indiana Cancer Centers Indianapolis Indiana United States 46227
12 Kansas City Cancer Center Overland Park Kansas United States 66210
13 Wichita Community Clinical Oncology Program Wichita Kansas United States 67214
14 Center for Cancer & Blood Disorders Bethesda Maryland United States 20817
15 St. Louis Cancer & Breast Institute St. Louis Missouri United States 63141
16 New York Oncology Hematology, P.C. NYOH Latham Troy New York United States 12180
17 Raleigh Hematology Oncology Associates Cary North Carolina United States 27511
18 Aultman Cancer Center Canton Ohio United States 44710
19 Sarah Cannon Oncology Hematology Care, Inc Cincinnati Ohio United States 45242
20 Oncology Associates of Oregon, PC Eugene Oregon United States 97401-8122
21 Medical Oncology Associates of Wyorning Valley, PC Kingston Pennsylvania United States 18704
22 Chattanooga Oncology and Hematology Assoicates, PC Chattanooga Tennessee United States 37404
23 Sarah Cannon Research Institute Nashville Tennessee United States 37203
24 Texas Oncology, P.A. Bedford Texas United States 76022
25 Center for Oncology Research and Treatment, PA Dallas Texas United States 75230
26 Texas Cancer Center ( Medical City Dallas Hospital) Dallas Texas United States 75230
27 Texas Oncology Presbyterian Hospital Dallas Texas United States 75246
28 Texas Oncology Sammons Cancer Center Dallas Texas United States 75246
29 Texas Oncology Texas Oncology PA Dallas Texas United States 75251
30 Texas Cancer Center Denton Denton Texas United States 76210
31 El Paso Cancer Treatment Ctr-East El Paso Texas United States 79915
32 Texas Oncology, P.A. Fort Worth Texas United States 76104
33 San Antonio Tumor and Blood Clinic Fredericksburg Texas United States 78624
34 MD Anderson Cancer Center/University of Texas Houston Texas United States 77030
35 Longview Cancer Center Longview Texas United States 75601
36 South Texas Cancer Center- McAllen McAllen Texas United States 78503
37 Allison Cancer Center Midland Texas United States 79701-5946
38 Texas Cancer Center- Sherman Sherman Texas United States 75090-0504
39 Tyler Cancer Center Tyler Texas United States 75702
40 Waco Cancer and Research Center Waco Texas United States 76712
41 Virginia Cancer Specialists, PC Fairfax Virginia United States 22031
42 Northwest Cancer Specialists, P.C. Vancover Washington United States 98664
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Sponsors and Collaborators

  • Novartis Pharmaceuticals

Investigators

  • Study Director: Novartis Pharmaceuticals, Novartis Pharmaceuticals

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Novartis Pharmaceuticals
ClinicalTrials.gov Identifier:
NCT00248170
Other Study ID Numbers:
  • CFEM345D2411
  • 2005-004263-35
  • EUDRACT number 2005-004263-35
First Posted:
Nov 3, 2005
Last Update Posted:
Apr 19, 2016
Last Verified:
Mar 1, 2016
Keywords provided by Novartis Pharmaceuticals
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details Participants, who had recently undergone surgery, were randomly assigned in 1:1 ratio to letrozole or anastrozole. Participants received daily treatment until disease recurrence/relapse or for a maximum of 5 years. Participants underwent post-treatment long term follow-up for disease-free survival and overall survival.
Pre-assignment Detail
Arm/Group Title Letrozole Anastrozole
Arm/Group Description 2.5 mg by mouth (p.o.) once daily 1 mg p.o. once daily
Period Title: Overall Study
STARTED 2078 2094
Intent-to-treat (ITT) 2061 2075
Safety Set 2049 2062
COMPLETED 1317 1286
NOT COMPLETED 761 808

Baseline Characteristics

Arm/Group Title Letrozole Anastrozole Total
Arm/Group Description 2.5 mg by mouth (p.o.) once daily 1 mg p.o. once daily Total of all reporting groups
Overall Participants 2061 2075 4136
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
63.2
(8.48)
63.1
(8.45)
63.2
(8.46)
Sex/Gender, Customized (Number) [Number]
Female
2061
100%
2075
100%
4136
100%

Outcome Measures

1. Primary Outcome
Title Disease Free Survival
Description Disease-free survival was defined as the time from the date of randomization to the date of the first documentation of re-occurrence of invasive breast cancer in local, regional or distant sites, new invasive breast cancer in the contra-lateral breast, or death from any cause.
Time Frame 84 months

Outcome Measure Data

Analysis Population Description
Intent-to-treat (ITT) - the ITT contained randomized participants who had no protocol deviations.
Arm/Group Title Letrozole Anastrozole
Arm/Group Description 2.5 mg by mouth (p.o.) once daily 1 mg p.o. once daily
Measure Participants 2061 2075
Median (95% Confidence Interval) [Months]
NA
NA
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Letrozole, Anastrozole
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3150
Comments
Method Log Rank
Comments
2. Secondary Outcome
Title Overall Survival
Description Overall survival was defined as the time from the date of randomization to the date of death from any cause.
Time Frame 84 months

Outcome Measure Data

Analysis Population Description
Intent-to-treat (ITT) - the ITT contained randomized participants who had no protocol deviations.
Arm/Group Title Letrozole Anastrozole
Arm/Group Description 2.5 mg by mouth (p.o.) once daily 1 mg p.o. once daily
Measure Participants 2061 2075
Median (95% Confidence Interval) [Months]
NA
NA
3. Secondary Outcome
Title Time to Development of Distant Metastases
Description Time to development of distant metastases was defined as the time from date of randomization to the date of the first development of any recurrent or metastatic disease in sites other than the local mastectomy scar, the ipsilateral breast in case of breast conservation or the contra lateral breast.
Time Frame 84 months

Outcome Measure Data

Analysis Population Description
Intent-to-treat (ITT) - the ITT contained randomized participants who had no protocol deviations.
Arm/Group Title Letrozole Anastrozole
Arm/Group Description 2.5 mg by mouth (p.o.) once daily 1 mg p.o. once daily
Measure Participants 2061 2075
Median (95% Confidence Interval) [Months]
NA
NA
4. Secondary Outcome
Title Time to Development of Contra Lateral Breast Cancer
Description Time to development of contra lateral breast cancer was defined as the time from the date of randomization to the date of the first development of any disease in the contra lateral breast.
Time Frame 84 months

Outcome Measure Data

Analysis Population Description
Intent-to-treat (ITT) - the ITT contained randomized participants who had no protocol deviations.
Arm/Group Title Letrozole Anastrozole
Arm/Group Description 2.5 mg by mouth (p.o.) once daily 1 mg p.o. once daily
Measure Participants 2061 2075
Median (95% Confidence Interval) [Months]
NA
NA
5. Secondary Outcome
Title Distant Disease-free Survival
Description Distant disease-free survival was defined as the time from date of randomization to the date of the first development of any relapse at a distant site or death from any cause.
Time Frame 84 months

Outcome Measure Data

Analysis Population Description
Intent-to-treat (ITT) - the ITT contained randomized participants who had no protocol deviations.
Arm/Group Title Letrozole Anastrozole
Arm/Group Description 2.5 mg by mouth (p.o.) once daily 1 mg p.o. once daily
Measure Participants 2061 2075
Median (95% Confidence Interval) [Months]
NA
NA
6. Secondary Outcome
Title Change From Baseline in Serum Lipid Profiles
Description Total cholesterol was analyzed to assess the impact on serum lipids profiles. The adjusted means was calculated.
Time Frame baseline, 6, 12, 24, 36, 48 and 60 months

Outcome Measure Data

Analysis Population Description
Safety Set: The safety set included randomized participants who received at least one of study medication and had at least one post baseline assessment.
Arm/Group Title Letrozole Anastrozole
Arm/Group Description 2.5 mg by mouth (p.o.) once daily 1 mg p.o. once daily
Measure Participants 2049 2062
6 months
5.643
5.553
12 months
5.569
5.511
24 months
5.508
5.436
36 months
5.429
5.427
48 months
5.395
5.366
60 months
5.375
5.368
7. Secondary Outcome
Title Percentage of Participants Who Experienced Clinical Fracture Events
Description The incidence of clinical fractures was analyzed.
Time Frame 84 months

Outcome Measure Data

Analysis Population Description
Safety Set: The safety set included randomized participants who received at least one of study medication and had at least one post baseline assessment.
Arm/Group Title Letrozole Anastrozole
Arm/Group Description 2.5 mg by mouth (p.o.) once daily 1 mg p.o. once daily
Measure Participants 2049 2062
Number [Percentage of participants]
9.3
0.5%
8.1
0.4%
8. Secondary Outcome
Title Percentage of Participants Who Experienced Cardiovascular Events
Description The incidence of ischemic heart disease, cardiac failures, cerebrovascular accidents and thromboembolic events was analyzed.
Time Frame 84 months

Outcome Measure Data

Analysis Population Description
Safety Set: The safety set included randomized participants who received at least one of study medication and had at least one post baseline assessment.
Arm/Group Title Letrozole Anastrozole
Arm/Group Description 2.5 mg by mouth (p.o.) once daily 1 mg p.o. once daily
Measure Participants 2049 2062
Ischemic heart disease
2.4
0.1%
1.5
0.1%
Cardiac failures
1.5
0.1%
0.7
0%
Cerebrovascular accidents
1.6
0.1%
1.5
0.1%
Thromboembolic events
1.2
0.1%
1.2
0.1%

Adverse Events

Time Frame
Adverse Event Reporting Description
Arm/Group Title Letrozole Anastrozole
Arm/Group Description Letrozole Anastrozole
All Cause Mortality
Letrozole Anastrozole
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN)
Serious Adverse Events
Letrozole Anastrozole
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 486/2049 (23.7%) 520/2062 (25.2%)
Blood and lymphatic system disorders
Anaemia 4/2049 (0.2%) 3/2062 (0.1%)
Autoimmune haemolytic anaemia 0/2049 (0%) 1/2062 (0%)
Haemorrhagic anaemia 1/2049 (0%) 0/2062 (0%)
Lymphadenopathy 0/2049 (0%) 2/2062 (0.1%)
Pancytopenia 0/2049 (0%) 1/2062 (0%)
Cardiac disorders
Acute coronary syndrome 1/2049 (0%) 1/2062 (0%)
Acute myocardial infarction 3/2049 (0.1%) 4/2062 (0.2%)
Adams-Stokes syndrome 1/2049 (0%) 0/2062 (0%)
Angina pectoris 8/2049 (0.4%) 8/2062 (0.4%)
Angina unstable 1/2049 (0%) 2/2062 (0.1%)
Arrhythmia 2/2049 (0.1%) 2/2062 (0.1%)
Atrial fibrillation 19/2049 (0.9%) 15/2062 (0.7%)
Atrioventricular block complete 1/2049 (0%) 0/2062 (0%)
Bradycardia 2/2049 (0.1%) 1/2062 (0%)
Bundle branch block 1/2049 (0%) 0/2062 (0%)
Cardiac arrest 2/2049 (0.1%) 4/2062 (0.2%)
Cardiac disorder 1/2049 (0%) 1/2062 (0%)
Cardiac failure 9/2049 (0.4%) 3/2062 (0.1%)
Cardiac failure acute 1/2049 (0%) 0/2062 (0%)
Cardiac failure chronic 3/2049 (0.1%) 0/2062 (0%)
Cardiac failure congestive 9/2049 (0.4%) 4/2062 (0.2%)
Cardiac fibrillation 0/2049 (0%) 2/2062 (0.1%)
Cardiac tamponade 1/2049 (0%) 0/2062 (0%)
Cardiac valve disease 0/2049 (0%) 1/2062 (0%)
Cardio-respiratory arrest 1/2049 (0%) 2/2062 (0.1%)
Cardiomyopathy 2/2049 (0.1%) 1/2062 (0%)
Cardiovascular insufficiency 1/2049 (0%) 0/2062 (0%)
Conduction disorder 0/2049 (0%) 1/2062 (0%)
Congestive cardiomyopathy 0/2049 (0%) 1/2062 (0%)
Cor pulmonale 1/2049 (0%) 0/2062 (0%)
Coronary artery disease 7/2049 (0.3%) 2/2062 (0.1%)
Coronary artery stenosis 2/2049 (0.1%) 0/2062 (0%)
Gastrocardiac syndrome 1/2049 (0%) 0/2062 (0%)
Ischaemic cardiomyopathy 1/2049 (0%) 0/2062 (0%)
Left ventricular dysfunction 1/2049 (0%) 1/2062 (0%)
Left ventricular failure 0/2049 (0%) 1/2062 (0%)
Mitral valve disease 1/2049 (0%) 0/2062 (0%)
Mitral valve incompetence 1/2049 (0%) 0/2062 (0%)
Myocardial infarction 5/2049 (0.2%) 4/2062 (0.2%)
Myocardial ischaemia 2/2049 (0.1%) 2/2062 (0.1%)
Palpitations 1/2049 (0%) 1/2062 (0%)
Restrictive cardiomyopathy 1/2049 (0%) 0/2062 (0%)
Sick sinus syndrome 0/2049 (0%) 1/2062 (0%)
Stress cardiomyopathy 2/2049 (0.1%) 0/2062 (0%)
Supraventricular tachycardia 2/2049 (0.1%) 0/2062 (0%)
Tachyarrhythmia 1/2049 (0%) 0/2062 (0%)
Tachycardia 3/2049 (0.1%) 0/2062 (0%)
Tricuspid valve incompetence 1/2049 (0%) 1/2062 (0%)
Ventricular extrasystoles 1/2049 (0%) 0/2062 (0%)
Ventricular fibrillation 0/2049 (0%) 2/2062 (0.1%)
Ventricular tachycardia 0/2049 (0%) 1/2062 (0%)
Congenital, familial and genetic disorders
Atrial septal defect 0/2049 (0%) 1/2062 (0%)
Syndactyly 0/2049 (0%) 1/2062 (0%)
Vitello-intestinal duct remnant 0/2049 (0%) 1/2062 (0%)
Ear and labyrinth disorders
Hearing impaired 0/2049 (0%) 1/2062 (0%)
Inner ear disorder 1/2049 (0%) 0/2062 (0%)
Tinnitus 1/2049 (0%) 0/2062 (0%)
Tympanic membrane perforation 0/2049 (0%) 1/2062 (0%)
Vertigo 8/2049 (0.4%) 1/2062 (0%)
Vertigo positional 0/2049 (0%) 2/2062 (0.1%)
Endocrine disorders
Autoimmune thyroiditis 2/2049 (0.1%) 0/2062 (0%)
Goitre 4/2049 (0.2%) 2/2062 (0.1%)
Hyperparathyroidism 0/2049 (0%) 3/2062 (0.1%)
Hypothyroidism 1/2049 (0%) 0/2062 (0%)
Toxic nodular goitre 1/2049 (0%) 1/2062 (0%)
Eye disorders
Cataract 9/2049 (0.4%) 2/2062 (0.1%)
Dacryostenosis acquired 1/2049 (0%) 0/2062 (0%)
Diplopia 0/2049 (0%) 1/2062 (0%)
Glaucoma 1/2049 (0%) 1/2062 (0%)
Lens dislocation 1/2049 (0%) 0/2062 (0%)
Macular hole 2/2049 (0.1%) 1/2062 (0%)
Open angle glaucoma 1/2049 (0%) 0/2062 (0%)
Retinal detachment 2/2049 (0.1%) 0/2062 (0%)
Retinal vein thrombosis 1/2049 (0%) 0/2062 (0%)
Vision blurred 1/2049 (0%) 0/2062 (0%)
Gastrointestinal disorders
Abdominal adhesions 0/2049 (0%) 2/2062 (0.1%)
Abdominal distension 1/2049 (0%) 1/2062 (0%)
Abdominal hernia 1/2049 (0%) 1/2062 (0%)
Abdominal pain 9/2049 (0.4%) 5/2062 (0.2%)
Abdominal pain lower 1/2049 (0%) 3/2062 (0.1%)
Abdominal pain upper 6/2049 (0.3%) 7/2062 (0.3%)
Abdominal wall haematoma 0/2049 (0%) 1/2062 (0%)
Anal sphincter atony 1/2049 (0%) 0/2062 (0%)
Ascites 0/2049 (0%) 1/2062 (0%)
Colitis 1/2049 (0%) 1/2062 (0%)
Colitis ischaemic 1/2049 (0%) 2/2062 (0.1%)
Colitis microscopic 1/2049 (0%) 0/2062 (0%)
Colitis ulcerative 1/2049 (0%) 0/2062 (0%)
Constipation 0/2049 (0%) 3/2062 (0.1%)
Crohn's disease 0/2049 (0%) 1/2062 (0%)
Diarrhoea 8/2049 (0.4%) 5/2062 (0.2%)
Diverticulum 0/2049 (0%) 1/2062 (0%)
Diverticulum intestinal 2/2049 (0.1%) 1/2062 (0%)
Duodenal ulcer 1/2049 (0%) 1/2062 (0%)
Duodenal ulcer haemorrhage 0/2049 (0%) 1/2062 (0%)
Dyspepsia 0/2049 (0%) 1/2062 (0%)
Dysphagia 0/2049 (0%) 1/2062 (0%)
Enterocutaneous fistula 0/2049 (0%) 1/2062 (0%)
Enterovesical fistula 0/2049 (0%) 2/2062 (0.1%)
Faecal incontinence 0/2049 (0%) 1/2062 (0%)
Faeces discoloured 0/2049 (0%) 1/2062 (0%)
Femoral hernia 0/2049 (0%) 1/2062 (0%)
Gastric haemorrhage 1/2049 (0%) 0/2062 (0%)
Gastric polyps 1/2049 (0%) 0/2062 (0%)
Gastric ulcer 0/2049 (0%) 2/2062 (0.1%)
Gastric ulcer haemorrhage 0/2049 (0%) 1/2062 (0%)
Gastric ulcer perforation 1/2049 (0%) 0/2062 (0%)
Gastritis 3/2049 (0.1%) 5/2062 (0.2%)
Gastritis erosive 2/2049 (0.1%) 0/2062 (0%)
Gastrointestinal disorder 1/2049 (0%) 1/2062 (0%)
Gastrointestinal haemorrhage 0/2049 (0%) 3/2062 (0.1%)
Gastrooesophageal reflux disease 0/2049 (0%) 1/2062 (0%)
Haematemesis 0/2049 (0%) 3/2062 (0.1%)
Haematochezia 1/2049 (0%) 1/2062 (0%)
Haemorrhoids 1/2049 (0%) 1/2062 (0%)
Hiatus hernia 2/2049 (0.1%) 0/2062 (0%)
Ileus 3/2049 (0.1%) 3/2062 (0.1%)
Ileus paralytic 1/2049 (0%) 0/2062 (0%)
Inflammatory bowel disease 1/2049 (0%) 1/2062 (0%)
Inguinal hernia 2/2049 (0.1%) 2/2062 (0.1%)
Intestinal dilatation 0/2049 (0%) 1/2062 (0%)
Intestinal obstruction 3/2049 (0.1%) 2/2062 (0.1%)
Intestinal perforation 1/2049 (0%) 0/2062 (0%)
Intestinal polyp 0/2049 (0%) 1/2062 (0%)
Large intestine polyp 7/2049 (0.3%) 2/2062 (0.1%)
Melaena 1/2049 (0%) 0/2062 (0%)
Mouth cyst 1/2049 (0%) 0/2062 (0%)
Nausea 11/2049 (0.5%) 6/2062 (0.3%)
Oesophagitis 2/2049 (0.1%) 1/2062 (0%)
Pancreatitis 2/2049 (0.1%) 2/2062 (0.1%)
Pancreatitis acute 0/2049 (0%) 1/2062 (0%)
Rectal haemorrhage 2/2049 (0.1%) 5/2062 (0.2%)
Small intestinal obstruction 2/2049 (0.1%) 3/2062 (0.1%)
Spigelian hernia 1/2049 (0%) 0/2062 (0%)
Stomatitis 2/2049 (0.1%) 0/2062 (0%)
Subileus 0/2049 (0%) 2/2062 (0.1%)
Tooth loss 0/2049 (0%) 1/2062 (0%)
Umbilical hernia 2/2049 (0.1%) 1/2062 (0%)
Volvulus 0/2049 (0%) 1/2062 (0%)
Vomiting 11/2049 (0.5%) 6/2062 (0.3%)
General disorders
Asthenia 0/2049 (0%) 6/2062 (0.3%)
Cardiac death 2/2049 (0.1%) 0/2062 (0%)
Chest discomfort 0/2049 (0%) 1/2062 (0%)
Chest pain 2/2049 (0.1%) 1/2062 (0%)
Death 2/2049 (0.1%) 2/2062 (0.1%)
Device damage 1/2049 (0%) 0/2062 (0%)
Device dislocation 0/2049 (0%) 2/2062 (0.1%)
Device malfunction 0/2049 (0%) 1/2062 (0%)
Disease progression 2/2049 (0.1%) 2/2062 (0.1%)
Disease recurrence 0/2049 (0%) 1/2062 (0%)
Drowning 0/2049 (0%) 1/2062 (0%)
Fat necrosis 0/2049 (0%) 2/2062 (0.1%)
Fatigue 1/2049 (0%) 2/2062 (0.1%)
Gait disturbance 0/2049 (0%) 2/2062 (0.1%)
General physical health deterioration 4/2049 (0.2%) 3/2062 (0.1%)
Impaired healing 1/2049 (0%) 1/2062 (0%)
Implant site extravasation 1/2049 (0%) 0/2062 (0%)
Injection site phlebitis 0/2049 (0%) 1/2062 (0%)
Malaise 2/2049 (0.1%) 3/2062 (0.1%)
Multi-organ failure 1/2049 (0%) 1/2062 (0%)
Non-cardiac chest pain 3/2049 (0.1%) 2/2062 (0.1%)
Oedema peripheral 0/2049 (0%) 1/2062 (0%)
Pain 0/2049 (0%) 2/2062 (0.1%)
Patient-device incompatibility 0/2049 (0%) 1/2062 (0%)
Pyrexia 2/2049 (0.1%) 8/2062 (0.4%)
Sudden death 0/2049 (0%) 1/2062 (0%)
Thrombosis in device 1/2049 (0%) 0/2062 (0%)
Hepatobiliary disorders
Biliary colic 0/2049 (0%) 1/2062 (0%)
Cholecystitis 7/2049 (0.3%) 5/2062 (0.2%)
Cholecystitis acute 2/2049 (0.1%) 0/2062 (0%)
Cholecystitis chronic 0/2049 (0%) 1/2062 (0%)
Cholelithiasis 8/2049 (0.4%) 11/2062 (0.5%)
Cholestasis 0/2049 (0%) 1/2062 (0%)
Gallbladder perforation 0/2049 (0%) 1/2062 (0%)
Gallbladder polyp 1/2049 (0%) 0/2062 (0%)
Hepatic cirrhosis 1/2049 (0%) 1/2062 (0%)
Hepatic function abnormal 0/2049 (0%) 1/2062 (0%)
Hepatic steatosis 2/2049 (0.1%) 0/2062 (0%)
Liver disorder 0/2049 (0%) 1/2062 (0%)
Immune system disorders
Anaphylactic shock 1/2049 (0%) 0/2062 (0%)
Drug hypersensitivity 2/2049 (0.1%) 1/2062 (0%)
Hypersensitivity 1/2049 (0%) 0/2062 (0%)
Sarcoidosis 1/2049 (0%) 0/2062 (0%)
Infections and infestations
Abdominal abscess 1/2049 (0%) 0/2062 (0%)
Abscess 0/2049 (0%) 1/2062 (0%)
Abscess limb 1/2049 (0%) 0/2062 (0%)
Abscess neck 1/2049 (0%) 0/2062 (0%)
Abscess soft tissue 0/2049 (0%) 1/2062 (0%)
Anal abscess 1/2049 (0%) 0/2062 (0%)
Appendicitis 1/2049 (0%) 5/2062 (0.2%)
Appendicitis perforated 1/2049 (0%) 0/2062 (0%)
Arthritis bacterial 2/2049 (0.1%) 0/2062 (0%)
Arthritis infective 0/2049 (0%) 2/2062 (0.1%)
Breast abscess 1/2049 (0%) 1/2062 (0%)
Breast cellulitis 6/2049 (0.3%) 4/2062 (0.2%)
Bronchitis 3/2049 (0.1%) 4/2062 (0.2%)
Bronchopneumonia 1/2049 (0%) 2/2062 (0.1%)
Cellulitis 8/2049 (0.4%) 9/2062 (0.4%)
Clostridium difficile colitis 3/2049 (0.1%) 3/2062 (0.1%)
Cystitis 2/2049 (0.1%) 3/2062 (0.1%)
Device related infection 2/2049 (0.1%) 1/2062 (0%)
Diverticulitis 1/2049 (0%) 7/2062 (0.3%)
Encephalitis 0/2049 (0%) 1/2062 (0%)
Endocarditis 0/2049 (0%) 1/2062 (0%)
Erysipelas 5/2049 (0.2%) 8/2062 (0.4%)
Escherichia sepsis 1/2049 (0%) 0/2062 (0%)
Gallbladder empyema 0/2049 (0%) 1/2062 (0%)
Gangrene 1/2049 (0%) 0/2062 (0%)
Gastroenteritis 7/2049 (0.3%) 2/2062 (0.1%)
Gastroenteritis Escherichia coli 1/2049 (0%) 0/2062 (0%)
Gastroenteritis norovirus 1/2049 (0%) 1/2062 (0%)
Helicobacter infection 1/2049 (0%) 0/2062 (0%)
Herpes zoster 0/2049 (0%) 2/2062 (0.1%)
Incision site abscess 0/2049 (0%) 1/2062 (0%)
Infected skin ulcer 1/2049 (0%) 0/2062 (0%)
Infection 1/2049 (0%) 3/2062 (0.1%)
Influenza 2/2049 (0.1%) 0/2062 (0%)
Laryngitis 0/2049 (0%) 1/2062 (0%)
Lobar pneumonia 0/2049 (0%) 1/2062 (0%)
Localised infection 2/2049 (0.1%) 1/2062 (0%)
Lower respiratory tract infection 2/2049 (0.1%) 4/2062 (0.2%)
Lymphangitis 1/2049 (0%) 0/2062 (0%)
Mastitis 2/2049 (0.1%) 5/2062 (0.2%)
Meningitis 0/2049 (0%) 1/2062 (0%)
Nosocomial infection 0/2049 (0%) 1/2062 (0%)
Oral candidiasis 0/2049 (0%) 1/2062 (0%)
Osteomyelitis 0/2049 (0%) 1/2062 (0%)
Otitis media 1/2049 (0%) 0/2062 (0%)
Periorbital cellulitis 1/2049 (0%) 0/2062 (0%)
Peritonitis 2/2049 (0.1%) 2/2062 (0.1%)
Pharyngeal abscess 1/2049 (0%) 0/2062 (0%)
Pilonidal cyst 1/2049 (0%) 0/2062 (0%)
Pneumonia 16/2049 (0.8%) 29/2062 (1.4%)
Pneumonia klebsiella 0/2049 (0%) 1/2062 (0%)
Pneumonia legionella 0/2049 (0%) 1/2062 (0%)
Post procedural cellulitis 1/2049 (0%) 0/2062 (0%)
Post procedural pneumonia 1/2049 (0%) 0/2062 (0%)
Postoperative wound infection 2/2049 (0.1%) 2/2062 (0.1%)
Pseudomembranous colitis 1/2049 (0%) 1/2062 (0%)
Pseudomonas bronchitis 0/2049 (0%) 1/2062 (0%)
Pyelonephritis 1/2049 (0%) 2/2062 (0.1%)
Pyelonephritis acute 1/2049 (0%) 0/2062 (0%)
Pyometra 1/2049 (0%) 0/2062 (0%)
Respiratory tract infection 3/2049 (0.1%) 3/2062 (0.1%)
Sepsis 3/2049 (0.1%) 8/2062 (0.4%)
Septic shock 0/2049 (0%) 1/2062 (0%)
Skin infection 1/2049 (0%) 3/2062 (0.1%)
Soft tissue infection 0/2049 (0%) 1/2062 (0%)
Staphylococcal infection 1/2049 (0%) 0/2062 (0%)
Staphylococcal sepsis 0/2049 (0%) 1/2062 (0%)
Upper respiratory tract infection 0/2049 (0%) 1/2062 (0%)
Urinary tract infection 7/2049 (0.3%) 8/2062 (0.4%)
Urosepsis 3/2049 (0.1%) 3/2062 (0.1%)
Vaginal infection 1/2049 (0%) 0/2062 (0%)
Vestibular neuronitis 0/2049 (0%) 1/2062 (0%)
Viral diarrhoea 1/2049 (0%) 0/2062 (0%)
Viral infection 1/2049 (0%) 0/2062 (0%)
Vulvitis 0/2049 (0%) 1/2062 (0%)
Wound infection 3/2049 (0.1%) 1/2062 (0%)
Injury, poisoning and procedural complications
Acetabulum fracture 0/2049 (0%) 1/2062 (0%)
Alcohol poisoning 0/2049 (0%) 1/2062 (0%)
Ankle fracture 14/2049 (0.7%) 10/2062 (0.5%)
Arthropod bite 0/2049 (0%) 1/2062 (0%)
Brain contusion 0/2049 (0%) 1/2062 (0%)
Cervical vertebral fracture 0/2049 (0%) 1/2062 (0%)
Clavicle fracture 0/2049 (0%) 2/2062 (0.1%)
Compression fracture 0/2049 (0%) 1/2062 (0%)
Concussion 2/2049 (0.1%) 1/2062 (0%)
Contusion 1/2049 (0%) 0/2062 (0%)
Dislocation of vertebra 1/2049 (0%) 0/2062 (0%)
Excoriation 0/2049 (0%) 1/2062 (0%)
Face injury 0/2049 (0%) 1/2062 (0%)
Facial bones fracture 1/2049 (0%) 2/2062 (0.1%)
Fall 17/2049 (0.8%) 13/2062 (0.6%)
Femoral neck fracture 3/2049 (0.1%) 3/2062 (0.1%)
Femur fracture 8/2049 (0.4%) 2/2062 (0.1%)
Fibula fracture 0/2049 (0%) 1/2062 (0%)
Foot fracture 3/2049 (0.1%) 2/2062 (0.1%)
Forearm fracture 0/2049 (0%) 1/2062 (0%)
Hand fracture 1/2049 (0%) 0/2062 (0%)
Head injury 1/2049 (0%) 1/2062 (0%)
Hip fracture 5/2049 (0.2%) 4/2062 (0.2%)
Humerus fracture 9/2049 (0.4%) 6/2062 (0.3%)
Incisional hernia 0/2049 (0%) 2/2062 (0.1%)
Joint dislocation 2/2049 (0.1%) 1/2062 (0%)
Joint injury 1/2049 (0%) 1/2062 (0%)
Laceration 1/2049 (0%) 2/2062 (0.1%)
Ligament rupture 1/2049 (0%) 0/2062 (0%)
Ligament sprain 0/2049 (0%) 1/2062 (0%)
Lower limb fracture 3/2049 (0.1%) 2/2062 (0.1%)
Lumbar vertebral fracture 4/2049 (0.2%) 4/2062 (0.2%)
Meniscus injury 2/2049 (0.1%) 4/2062 (0.2%)
Multiple fractures 3/2049 (0.1%) 3/2062 (0.1%)
Muscle rupture 0/2049 (0%) 1/2062 (0%)
Muscle strain 0/2049 (0%) 1/2062 (0%)
Overdose 1/2049 (0%) 3/2062 (0.1%)
Patella fracture 1/2049 (0%) 1/2062 (0%)
Pelvic fracture 3/2049 (0.1%) 0/2062 (0%)
Pneumothorax traumatic 1/2049 (0%) 0/2062 (0%)
Post procedural complication 1/2049 (0%) 0/2062 (0%)
Post procedural haemorrhage 0/2049 (0%) 2/2062 (0.1%)
Post procedural hypothyroidism 1/2049 (0%) 0/2062 (0%)
Postoperative hernia 1/2049 (0%) 0/2062 (0%)
Postoperative wound complication 0/2049 (0%) 1/2062 (0%)
Procedural pain 2/2049 (0.1%) 0/2062 (0%)
Pubis fracture 0/2049 (0%) 2/2062 (0.1%)
Pulmonary contusion 0/2049 (0%) 1/2062 (0%)
Radiation pericarditis 1/2049 (0%) 0/2062 (0%)
Radiation pneumonitis 0/2049 (0%) 2/2062 (0.1%)
Radiation skin injury 0/2049 (0%) 2/2062 (0.1%)
Radius fracture 2/2049 (0.1%) 7/2062 (0.3%)
Rib fracture 3/2049 (0.1%) 1/2062 (0%)
Road traffic accident 0/2049 (0%) 1/2062 (0%)
Seroma 0/2049 (0%) 4/2062 (0.2%)
Skull fracture 1/2049 (0%) 1/2062 (0%)
Soft tissue injury 0/2049 (0%) 1/2062 (0%)
Spinal compression fracture 6/2049 (0.3%) 2/2062 (0.1%)
Spinal fracture 1/2049 (0%) 1/2062 (0%)
Splenic rupture 0/2049 (0%) 1/2062 (0%)
Sternal fracture 1/2049 (0%) 0/2062 (0%)
Subdural haematoma 3/2049 (0.1%) 2/2062 (0.1%)
Subdural haemorrhage 1/2049 (0%) 0/2062 (0%)
Tendon rupture 0/2049 (0%) 1/2062 (0%)
Thermal burn 1/2049 (0%) 0/2062 (0%)
Thoracic vertebral fracture 0/2049 (0%) 1/2062 (0%)
Tibia fracture 2/2049 (0.1%) 1/2062 (0%)
Toxicity to various agents 3/2049 (0.1%) 0/2062 (0%)
Tracheal injury 1/2049 (0%) 0/2062 (0%)
Ulna fracture 1/2049 (0%) 1/2062 (0%)
Upper limb fracture 3/2049 (0.1%) 5/2062 (0.2%)
Vascular pseudoaneurysm 0/2049 (0%) 2/2062 (0.1%)
Wrist fracture 6/2049 (0.3%) 3/2062 (0.1%)
Investigations
Amylase increased 0/2049 (0%) 1/2062 (0%)
Aspiration pleural cavity 1/2049 (0%) 0/2062 (0%)
Biopsy breast 0/2049 (0%) 2/2062 (0.1%)
Biopsy lymph gland 1/2049 (0%) 0/2062 (0%)
Bone density decreased 1/2049 (0%) 0/2062 (0%)
Carbohydrate antigen 15-3 increased 0/2049 (0%) 1/2062 (0%)
Clostridium test positive 1/2049 (0%) 0/2062 (0%)
Fibrin D dimer increased 1/2049 (0%) 0/2062 (0%)
Haemoglobin decreased 0/2049 (0%) 1/2062 (0%)
International normalised ratio increased 2/2049 (0.1%) 1/2062 (0%)
Lipase increased 0/2049 (0%) 1/2062 (0%)
Mammogram abnormal 1/2049 (0%) 0/2062 (0%)
Mediastinal biopsy 0/2049 (0%) 1/2062 (0%)
Weight decreased 2/2049 (0.1%) 0/2062 (0%)
Weight increased 1/2049 (0%) 0/2062 (0%)
Metabolism and nutrition disorders
Decreased appetite 0/2049 (0%) 1/2062 (0%)
Dehydration 7/2049 (0.3%) 1/2062 (0%)
Diabetes mellitus 2/2049 (0.1%) 0/2062 (0%)
Fluid overload 0/2049 (0%) 1/2062 (0%)
Hypercalcaemia 4/2049 (0.2%) 2/2062 (0.1%)
Hyperglycaemia 2/2049 (0.1%) 0/2062 (0%)
Hypokalaemia 0/2049 (0%) 1/2062 (0%)
Hyponatraemia 4/2049 (0.2%) 0/2062 (0%)
Hypophagia 0/2049 (0%) 1/2062 (0%)
Hypovolaemia 1/2049 (0%) 1/2062 (0%)
Obesity 1/2049 (0%) 0/2062 (0%)
Type 2 diabetes mellitus 0/2049 (0%) 1/2062 (0%)
Musculoskeletal and connective tissue disorders
Arthralgia 9/2049 (0.4%) 6/2062 (0.3%)
Arthritis 0/2049 (0%) 9/2062 (0.4%)
Back pain 6/2049 (0.3%) 10/2062 (0.5%)
Bone pain 0/2049 (0%) 2/2062 (0.1%)
Compartment syndrome 0/2049 (0%) 1/2062 (0%)
Costochondritis 1/2049 (0%) 1/2062 (0%)
Foot deformity 1/2049 (0%) 2/2062 (0.1%)
Intervertebral disc protrusion 1/2049 (0%) 6/2062 (0.3%)
Joint instability 1/2049 (0%) 0/2062 (0%)
Joint stiffness 1/2049 (0%) 0/2062 (0%)
Kyphosis 1/2049 (0%) 0/2062 (0%)
Loose body in joint 1/2049 (0%) 0/2062 (0%)
Lumbar spinal stenosis 1/2049 (0%) 1/2062 (0%)
Muscle atrophy 1/2049 (0%) 0/2062 (0%)
Muscle spasms 1/2049 (0%) 0/2062 (0%)
Muscular weakness 1/2049 (0%) 1/2062 (0%)
Musculoskeletal chest pain 3/2049 (0.1%) 4/2062 (0.2%)
Musculoskeletal pain 2/2049 (0.1%) 3/2062 (0.1%)
Musculoskeletal stiffness 0/2049 (0%) 1/2062 (0%)
Myalgia 1/2049 (0%) 1/2062 (0%)
Myopathy 0/2049 (0%) 1/2062 (0%)
Osteoarthritis 21/2049 (1%) 15/2062 (0.7%)
Osteonecrosis 0/2049 (0%) 1/2062 (0%)
Osteopenia 1/2049 (0%) 1/2062 (0%)
Osteoporosis 3/2049 (0.1%) 1/2062 (0%)
Pain in extremity 2/2049 (0.1%) 0/2062 (0%)
Polyarthritis 1/2049 (0%) 0/2062 (0%)
Pseudarthrosis 1/2049 (0%) 0/2062 (0%)
Rheumatoid arthritis 1/2049 (0%) 0/2062 (0%)
Rotator cuff syndrome 2/2049 (0.1%) 2/2062 (0.1%)
Spinal column stenosis 4/2049 (0.2%) 1/2062 (0%)
Spinal osteoarthritis 0/2049 (0%) 2/2062 (0.1%)
Spinal pain 2/2049 (0.1%) 0/2062 (0%)
Spondylolisthesis 2/2049 (0.1%) 0/2062 (0%)
Synovial cyst 0/2049 (0%) 1/2062 (0%)
Synovitis 1/2049 (0%) 0/2062 (0%)
Tenosynovitis 0/2049 (0%) 1/2062 (0%)
Trigger finger 2/2049 (0.1%) 1/2062 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Adenocarcinoma of colon 2/2049 (0.1%) 1/2062 (0%)
Adenocarcinoma of the cervix 0/2049 (0%) 1/2062 (0%)
Angiomyolipoma 1/2049 (0%) 0/2062 (0%)
B-cell lymphoma 1/2049 (0%) 0/2062 (0%)
Basal cell carcinoma 0/2049 (0%) 1/2062 (0%)
Benign laryngeal neoplasm 0/2049 (0%) 1/2062 (0%)
Benign lymph node neoplasm 0/2049 (0%) 1/2062 (0%)
Benign neoplasm 1/2049 (0%) 0/2062 (0%)
Benign neoplasm of thyroid gland 0/2049 (0%) 3/2062 (0.1%)
Benign salivary gland neoplasm 1/2049 (0%) 0/2062 (0%)
Bladder cancer 1/2049 (0%) 0/2062 (0%)
Bone cancer 0/2049 (0%) 1/2062 (0%)
Brain neoplasm 0/2049 (0%) 1/2062 (0%)
Breast cancer 1/2049 (0%) 1/2062 (0%)
Colon cancer 1/2049 (0%) 1/2062 (0%)
Colon neoplasm 0/2049 (0%) 1/2062 (0%)
Diffuse large B-cell lymphoma 0/2049 (0%) 1/2062 (0%)
Fibroma 1/2049 (0%) 1/2062 (0%)
Fibromatosis 0/2049 (0%) 1/2062 (0%)
Gallbladder cancer 1/2049 (0%) 0/2062 (0%)
Gastric cancer 2/2049 (0.1%) 0/2062 (0%)
Gastrointestinal carcinoma 0/2049 (0%) 1/2062 (0%)
Gastrointestinal tract adenoma 1/2049 (0%) 0/2062 (0%)
Glioblastoma multiforme 1/2049 (0%) 0/2062 (0%)
Haemangioma 1/2049 (0%) 0/2062 (0%)
Hepatic cancer 0/2049 (0%) 1/2062 (0%)
Lip and/or oral cavity cancer 0/2049 (0%) 1/2062 (0%)
Lip neoplasm benign 1/2049 (0%) 0/2062 (0%)
Lung neoplasm malignant 1/2049 (0%) 1/2062 (0%)
Lymphangiosis carcinomatosa 0/2049 (0%) 1/2062 (0%)
Malignant melanoma in situ 1/2049 (0%) 0/2062 (0%)
Malignant neoplasm progression 1/2049 (0%) 1/2062 (0%)
Malignant peritoneal neoplasm 0/2049 (0%) 1/2062 (0%)
Malignant pleural effusion 0/2049 (0%) 1/2062 (0%)
Meningioma 1/2049 (0%) 1/2062 (0%)
Metastases to abdominal cavity 0/2049 (0%) 1/2062 (0%)
Metastases to bone 1/2049 (0%) 1/2062 (0%)
Metastases to central nervous system 1/2049 (0%) 0/2062 (0%)
Metastases to liver 1/2049 (0%) 0/2062 (0%)
Metastases to peritoneum 1/2049 (0%) 0/2062 (0%)
Metastatic pain 0/2049 (0%) 1/2062 (0%)
Neurilemmoma benign 1/2049 (0%) 0/2062 (0%)
Non-small cell lung cancer 0/2049 (0%) 1/2062 (0%)
Ovarian cancer 0/2049 (0%) 1/2062 (0%)
Ovarian cancer stage III 2/2049 (0.1%) 0/2062 (0%)
Ovarian fibroma 0/2049 (0%) 1/2062 (0%)
Ovarian neoplasm 1/2049 (0%) 0/2062 (0%)
Pancreatic carcinoma 0/2049 (0%) 2/2062 (0.1%)
Pituitary tumour benign 1/2049 (0%) 2/2062 (0.1%)
Pleomorphic adenoma 0/2049 (0%) 1/2062 (0%)
Rectal adenoma 0/2049 (0%) 1/2062 (0%)
Rectosigmoid cancer 0/2049 (0%) 1/2062 (0%)
Retro-orbital neoplasm 0/2049 (0%) 1/2062 (0%)
Salivary gland neoplasm 0/2049 (0%) 1/2062 (0%)
Schwannoma 0/2049 (0%) 1/2062 (0%)
Seborrhoeic keratosis 0/2049 (0%) 1/2062 (0%)
Signet-ring cell carcinoma 0/2049 (0%) 1/2062 (0%)
Squamous cell carcinoma 0/2049 (0%) 1/2062 (0%)
Squamous cell carcinoma of skin 1/2049 (0%) 4/2062 (0.2%)
Superficial spreading melanoma stage unspecified 0/2049 (0%) 1/2062 (0%)
Thyroid adenoma 2/2049 (0.1%) 0/2062 (0%)
Thyroid neoplasm 0/2049 (0%) 1/2062 (0%)
Uterine leiomyoma 3/2049 (0.1%) 1/2062 (0%)
Waldenstrom's macroglobulinaemia 1/2049 (0%) 0/2062 (0%)
Nervous system disorders
Amnesia 1/2049 (0%) 1/2062 (0%)
Ataxia 1/2049 (0%) 0/2062 (0%)
Balance disorder 1/2049 (0%) 0/2062 (0%)
Carotid artery stenosis 1/2049 (0%) 0/2062 (0%)
Carpal tunnel syndrome 2/2049 (0.1%) 6/2062 (0.3%)
Cerebral amyloid angiopathy 1/2049 (0%) 0/2062 (0%)
Cerebral haemorrhage 0/2049 (0%) 1/2062 (0%)
Cerebral infarction 1/2049 (0%) 6/2062 (0.3%)
Cerebral ischaemia 2/2049 (0.1%) 0/2062 (0%)
Cerebrovascular accident 8/2049 (0.4%) 5/2062 (0.2%)
Cervicobrachial syndrome 1/2049 (0%) 0/2062 (0%)
Convulsion 0/2049 (0%) 3/2062 (0.1%)
Dementia 1/2049 (0%) 1/2062 (0%)
Dementia Alzheimer's type 2/2049 (0.1%) 0/2062 (0%)
Dizziness 3/2049 (0.1%) 6/2062 (0.3%)
Dysarthria 1/2049 (0%) 2/2062 (0.1%)
Encephalopathy 1/2049 (0%) 1/2062 (0%)
Epilepsy 0/2049 (0%) 1/2062 (0%)
Facial paresis 1/2049 (0%) 0/2062 (0%)
Haemorrhage intracranial 2/2049 (0.1%) 0/2062 (0%)
Headache 3/2049 (0.1%) 4/2062 (0.2%)
Hepatic encephalopathy 1/2049 (0%) 0/2062 (0%)
Horner's syndrome 1/2049 (0%) 0/2062 (0%)
Hypoaesthesia 1/2049 (0%) 1/2062 (0%)
Hypogeusia 1/2049 (0%) 0/2062 (0%)
Intracranial aneurysm 1/2049 (0%) 2/2062 (0.1%)
Ischaemic stroke 1/2049 (0%) 0/2062 (0%)
Lumbar radiculopathy 1/2049 (0%) 0/2062 (0%)
Monoplegia 1/2049 (0%) 0/2062 (0%)
Multiple sclerosis 1/2049 (0%) 0/2062 (0%)
Multiple sclerosis relapse 1/2049 (0%) 0/2062 (0%)
Myasthenia gravis 1/2049 (0%) 0/2062 (0%)
Optic neuritis 1/2049 (0%) 0/2062 (0%)
Parkinsonism 0/2049 (0%) 1/2062 (0%)
Partial seizures 1/2049 (0%) 0/2062 (0%)
Petit mal epilepsy 1/2049 (0%) 0/2062 (0%)
Presyncope 2/2049 (0.1%) 0/2062 (0%)
Sciatica 1/2049 (0%) 2/2062 (0.1%)
Sensory loss 0/2049 (0%) 1/2062 (0%)
Speech disorder 0/2049 (0%) 1/2062 (0%)
Spinal claudication 1/2049 (0%) 0/2062 (0%)
Spinal epidural haemorrhage 1/2049 (0%) 0/2062 (0%)
Subarachnoid haemorrhage 3/2049 (0.1%) 4/2062 (0.2%)
Syncope 13/2049 (0.6%) 4/2062 (0.2%)
Tardive dyskinesia 0/2049 (0%) 1/2062 (0%)
Transient global amnesia 1/2049 (0%) 1/2062 (0%)
Transient ischaemic attack 8/2049 (0.4%) 5/2062 (0.2%)
Tremor 1/2049 (0%) 0/2062 (0%)
Trigeminal neuralgia 0/2049 (0%) 1/2062 (0%)
VIIth nerve paralysis 0/2049 (0%) 2/2062 (0.1%)
Vertebrobasilar insufficiency 0/2049 (0%) 1/2062 (0%)
Psychiatric disorders
Abnormal behaviour 0/2049 (0%) 1/2062 (0%)
Agitation 0/2049 (0%) 1/2062 (0%)
Anxiety 0/2049 (0%) 1/2062 (0%)
Completed suicide 0/2049 (0%) 1/2062 (0%)
Confusional state 2/2049 (0.1%) 8/2062 (0.4%)
Delirium 1/2049 (0%) 0/2062 (0%)
Depressed mood 0/2049 (0%) 3/2062 (0.1%)
Depression 9/2049 (0.4%) 11/2062 (0.5%)
Drug dependence 1/2049 (0%) 0/2062 (0%)
Intentional self-injury 0/2049 (0%) 1/2062 (0%)
Major depression 1/2049 (0%) 1/2062 (0%)
Mental disorder 2/2049 (0.1%) 0/2062 (0%)
Mental status changes 3/2049 (0.1%) 2/2062 (0.1%)
Mood disorder due to a general medical condition 0/2049 (0%) 1/2062 (0%)
Mood swings 1/2049 (0%) 0/2062 (0%)
Somatisation disorder 0/2049 (0%) 1/2062 (0%)
Suicide attempt 1/2049 (0%) 1/2062 (0%)
Renal and urinary disorders
Calculus bladder 1/2049 (0%) 0/2062 (0%)
Calculus ureteric 0/2049 (0%) 1/2062 (0%)
Calculus urinary 1/2049 (0%) 1/2062 (0%)
Haematuria 0/2049 (0%) 3/2062 (0.1%)
Hydronephrosis 1/2049 (0%) 1/2062 (0%)
Hypertonic bladder 0/2049 (0%) 1/2062 (0%)
Nephrolithiasis 2/2049 (0.1%) 2/2062 (0.1%)
Nephrotic syndrome 0/2049 (0%) 1/2062 (0%)
Polyuria 0/2049 (0%) 1/2062 (0%)
Renal colic 2/2049 (0.1%) 1/2062 (0%)
Renal failure 1/2049 (0%) 7/2062 (0.3%)
Renal failure acute 6/2049 (0.3%) 2/2062 (0.1%)
Renal failure chronic 0/2049 (0%) 1/2062 (0%)
Renal impairment 1/2049 (0%) 0/2062 (0%)
Stress urinary incontinence 1/2049 (0%) 0/2062 (0%)
Urethral caruncle 0/2049 (0%) 1/2062 (0%)
Urethral obstruction 1/2049 (0%) 0/2062 (0%)
Urinary incontinence 0/2049 (0%) 4/2062 (0.2%)
Urinary tract obstruction 0/2049 (0%) 1/2062 (0%)
Reproductive system and breast disorders
Adnexa uteri mass 0/2049 (0%) 1/2062 (0%)
Anisomastia 0/2049 (0%) 1/2062 (0%)
Breast calcifications 1/2049 (0%) 0/2062 (0%)
Breast fibrosis 0/2049 (0%) 2/2062 (0.1%)
Breast haematoma 1/2049 (0%) 1/2062 (0%)
Breast inflammation 0/2049 (0%) 2/2062 (0.1%)
Breast mass 1/2049 (0%) 2/2062 (0.1%)
Breast oedema 1/2049 (0%) 0/2062 (0%)
Colpocele 0/2049 (0%) 1/2062 (0%)
Cystocele 1/2049 (0%) 1/2062 (0%)
Endometrial hyperplasia 1/2049 (0%) 0/2062 (0%)
Female genital tract fistula 1/2049 (0%) 1/2062 (0%)
Genital prolapse 1/2049 (0%) 0/2062 (0%)
Metrorrhagia 1/2049 (0%) 0/2062 (0%)
Nipple disorder 0/2049 (0%) 1/2062 (0%)
Nipple exudate bloody 0/2049 (0%) 1/2062 (0%)
Ovarian cyst 5/2049 (0.2%) 3/2062 (0.1%)
Pelvic prolapse 1/2049 (0%) 0/2062 (0%)
Perineal pain 1/2049 (0%) 0/2062 (0%)
Rectocele 0/2049 (0%) 2/2062 (0.1%)
Uterine fistula 0/2049 (0%) 1/2062 (0%)
Uterine polyp 2/2049 (0.1%) 1/2062 (0%)
Uterine prolapse 2/2049 (0.1%) 1/2062 (0%)
Vaginal haemorrhage 0/2049 (0%) 2/2062 (0.1%)
Vaginal inflammation 1/2049 (0%) 0/2062 (0%)
Vaginal prolapse 1/2049 (0%) 0/2062 (0%)
Respiratory, thoracic and mediastinal disorders
Acute pulmonary oedema 1/2049 (0%) 0/2062 (0%)
Acute respiratory failure 0/2049 (0%) 2/2062 (0.1%)
Aspiration 1/2049 (0%) 0/2062 (0%)
Asthma 1/2049 (0%) 3/2062 (0.1%)
Bronchial hyperreactivity 0/2049 (0%) 1/2062 (0%)
Bronchospasm 1/2049 (0%) 0/2062 (0%)
Choking 1/2049 (0%) 0/2062 (0%)
Chronic obstructive pulmonary disease 6/2049 (0.3%) 9/2062 (0.4%)
Dyspnoea 10/2049 (0.5%) 7/2062 (0.3%)
Dyspnoea exertional 1/2049 (0%) 0/2062 (0%)
Emphysema 1/2049 (0%) 1/2062 (0%)
Epistaxis 1/2049 (0%) 0/2062 (0%)
Haemoptysis 1/2049 (0%) 2/2062 (0.1%)
Hypercapnia 0/2049 (0%) 1/2062 (0%)
Hypoxia 2/2049 (0.1%) 1/2062 (0%)
Idiopathic pulmonary fibrosis 0/2049 (0%) 2/2062 (0.1%)
Pleural effusion 5/2049 (0.2%) 3/2062 (0.1%)
Pleuritic pain 0/2049 (0%) 1/2062 (0%)
Pneumonia aspiration 2/2049 (0.1%) 0/2062 (0%)
Pneumothorax 3/2049 (0.1%) 3/2062 (0.1%)
Productive cough 1/2049 (0%) 0/2062 (0%)
Pulmonary embolism 6/2049 (0.3%) 12/2062 (0.6%)
Pulmonary fibrosis 1/2049 (0%) 1/2062 (0%)
Pulmonary hypertension 2/2049 (0.1%) 0/2062 (0%)
Pulmonary oedema 2/2049 (0.1%) 0/2062 (0%)
Respiratory distress 1/2049 (0%) 0/2062 (0%)
Respiratory failure 3/2049 (0.1%) 3/2062 (0.1%)
Sinus congestion 1/2049 (0%) 0/2062 (0%)
Sleep apnoea syndrome 0/2049 (0%) 1/2062 (0%)
Skin and subcutaneous tissue disorders
Alopecia 1/2049 (0%) 0/2062 (0%)
Dermal cyst 0/2049 (0%) 1/2062 (0%)
Erythema multiforme 2/2049 (0.1%) 0/2062 (0%)
Erythrodermic psoriasis 0/2049 (0%) 1/2062 (0%)
Hypertrophic scar 0/2049 (0%) 1/2062 (0%)
Keloid scar 0/2049 (0%) 1/2062 (0%)
Pruritus 1/2049 (0%) 0/2062 (0%)
Rash maculo-papular 1/2049 (0%) 0/2062 (0%)
Skin lesion 0/2049 (0%) 1/2062 (0%)
Skin necrosis 1/2049 (0%) 0/2062 (0%)
Urticaria 0/2049 (0%) 1/2062 (0%)
Urticaria chronic 0/2049 (0%) 1/2062 (0%)
Surgical and medical procedures
Breast lump removal 1/2049 (0%) 0/2062 (0%)
Breast operation 1/2049 (0%) 0/2062 (0%)
Breast prosthesis implantation 5/2049 (0.2%) 10/2062 (0.5%)
Breast prosthesis removal 1/2049 (0%) 1/2062 (0%)
Breast reconstruction 24/2049 (1.2%) 16/2062 (0.8%)
Central venous catheter removal 0/2049 (0%) 1/2062 (0%)
Knee arthroplasty 1/2049 (0%) 0/2062 (0%)
Mammoplasty 6/2049 (0.3%) 3/2062 (0.1%)
Mastectomy 5/2049 (0.2%) 6/2062 (0.3%)
Mechanical ventilation 0/2049 (0%) 1/2062 (0%)
Medical device removal 1/2049 (0%) 0/2062 (0%)
Meniscus removal 1/2049 (0%) 0/2062 (0%)
Modified radical mastectomy 1/2049 (0%) 0/2062 (0%)
Removal of internal fixation 1/2049 (0%) 0/2062 (0%)
Scar excision 0/2049 (0%) 2/2062 (0.1%)
Spinal laminectomy 0/2049 (0%) 1/2062 (0%)
Wound treatment 1/2049 (0%) 0/2062 (0%)
Vascular disorders
Aortic aneurysm 2/2049 (0.1%) 1/2062 (0%)
Aortic aneurysm rupture 1/2049 (0%) 0/2062 (0%)
Aortic dissection 2/2049 (0.1%) 1/2062 (0%)
Aortic stenosis 2/2049 (0.1%) 1/2062 (0%)
Aortic thrombosis 1/2049 (0%) 0/2062 (0%)
Arterial disorder 1/2049 (0%) 0/2062 (0%)
Arterial occlusive disease 1/2049 (0%) 0/2062 (0%)
Arteriosclerosis 0/2049 (0%) 1/2062 (0%)
Capillary fragility 1/2049 (0%) 0/2062 (0%)
Circulatory collapse 3/2049 (0.1%) 4/2062 (0.2%)
Deep vein thrombosis 2/2049 (0.1%) 8/2062 (0.4%)
Embolism 0/2049 (0%) 1/2062 (0%)
Extremity necrosis 1/2049 (0%) 0/2062 (0%)
Femoral artery occlusion 1/2049 (0%) 0/2062 (0%)
Haematoma 2/2049 (0.1%) 2/2062 (0.1%)
Haemorrhage 1/2049 (0%) 0/2062 (0%)
Hypertension 7/2049 (0.3%) 4/2062 (0.2%)
Hypertensive crisis 4/2049 (0.2%) 0/2062 (0%)
Hypotension 3/2049 (0.1%) 1/2062 (0%)
Hypovolaemic shock 0/2049 (0%) 1/2062 (0%)
Iliac artery occlusion 1/2049 (0%) 1/2062 (0%)
Intra-abdominal haematoma 0/2049 (0%) 1/2062 (0%)
Lymphocele 0/2049 (0%) 1/2062 (0%)
Lymphoedema 2/2049 (0.1%) 3/2062 (0.1%)
Orthostatic hypotension 0/2049 (0%) 2/2062 (0.1%)
Peripheral arterial occlusive disease 0/2049 (0%) 1/2062 (0%)
Peripheral artery stenosis 0/2049 (0%) 1/2062 (0%)
Peripheral ischaemia 1/2049 (0%) 1/2062 (0%)
Peripheral vascular disorder 1/2049 (0%) 0/2062 (0%)
Peripheral venous disease 0/2049 (0%) 1/2062 (0%)
Temporal arteritis 0/2049 (0%) 1/2062 (0%)
Thromboangiitis obliterans 1/2049 (0%) 0/2062 (0%)
Thrombosis 1/2049 (0%) 0/2062 (0%)
Varicose vein 0/2049 (0%) 2/2062 (0.1%)
Vena cava thrombosis 1/2049 (0%) 0/2062 (0%)
Venous thrombosis limb 1/2049 (0%) 0/2062 (0%)
Other (Not Including Serious) Adverse Events
Letrozole Anastrozole
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 1747/2049 (85.3%) 1762/2062 (85.5%)
Gastrointestinal disorders
Nausea 127/2049 (6.2%) 148/2062 (7.2%)
General disorders
Fatigue 345/2049 (16.8%) 341/2062 (16.5%)
Oedema peripheral 100/2049 (4.9%) 104/2062 (5%)
Injury, poisoning and procedural complications
Radiation skin injury 120/2049 (5.9%) 88/2062 (4.3%)
Metabolism and nutrition disorders
Hypercholesterolaemia 155/2049 (7.6%) 151/2062 (7.3%)
Musculoskeletal and connective tissue disorders
Arthralgia 983/2049 (48%) 983/2062 (47.7%)
Back pain 207/2049 (10.1%) 187/2062 (9.1%)
Bone pain 138/2049 (6.7%) 120/2062 (5.8%)
Musculoskeletal pain 122/2049 (6%) 144/2062 (7%)
Myalgia 232/2049 (11.3%) 211/2062 (10.2%)
Osteopenia 202/2049 (9.9%) 172/2062 (8.3%)
Osteoporosis 221/2049 (10.8%) 224/2062 (10.9%)
Pain in extremity 167/2049 (8.2%) 174/2062 (8.4%)
Nervous system disorders
Dizziness 92/2049 (4.5%) 107/2062 (5.2%)
Headache 127/2049 (6.2%) 164/2062 (8%)
Psychiatric disorders
Depression 141/2049 (6.9%) 129/2062 (6.3%)
Insomnia 160/2049 (7.8%) 149/2062 (7.2%)
Respiratory, thoracic and mediastinal disorders
Cough 106/2049 (5.2%) 120/2062 (5.8%)
Dyspnoea 111/2049 (5.4%) 92/2062 (4.5%)
Skin and subcutaneous tissue disorders
Alopecia 126/2049 (6.1%) 134/2062 (6.5%)
Vascular disorders
Hot flush 666/2049 (32.5%) 666/2062 (32.3%)
Hypertension 152/2049 (7.4%) 145/2062 (7%)
Lymphoedema 158/2049 (7.7%) 177/2062 (8.6%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial or disclosure of trial results in their entirety.

Results Point of Contact

Name/Title Study Director
Organization Novartis
Phone 862-778-8300
Email
Responsible Party:
Novartis Pharmaceuticals
ClinicalTrials.gov Identifier:
NCT00248170
Other Study ID Numbers:
  • CFEM345D2411
  • 2005-004263-35
  • EUDRACT number 2005-004263-35
First Posted:
Nov 3, 2005
Last Update Posted:
Apr 19, 2016
Last Verified:
Mar 1, 2016