DEVOTE: A Trial Comparing Cardiovascular Safety of Insulin Degludec Versus Insulin Glargine in Subjects With Type 2 Diabetes at High Risk of Cardiovascular Events

Sponsor
Novo Nordisk A/S (Industry)
Overall Status
Completed
CT.gov ID
NCT01959529
Collaborator
(none)
7,637
446
2
35.6
17.1
0.5

Study Details

Study Description

Brief Summary

This trial is conducted globally. The aim of this trial is to compare cardiovascular safety of insulin degludec versus insulin glargine in subjects with type 2 diabetes at high risk of cardiovascular events.

Condition or Disease Intervention/Treatment Phase
  • Drug: insulin degludec
  • Drug: insulin glargine
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
7637 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
A Trial Comparing Cardiovascular Safety of Insulin Degludec Versus Insulin Glargine in Subjects With Type 2 Diabetes at High Risk of Cardiovascular Events
Actual Study Start Date :
Oct 29, 2013
Actual Primary Completion Date :
Oct 16, 2016
Actual Study Completion Date :
Oct 16, 2016

Arms and Interventions

Arm Intervention/Treatment
Experimental: Insulin degludec (IDeg)

All subjects will continue their current antidiabetic therapy except for the basal insulin component (if any) that will be replaced by the investigational product.

Drug: insulin degludec
Injected once daily subcutaneously (s.c., under the skin)

Active Comparator: Insulin glargine (IGlar)

All subjects will continue their current antidiabetic therapy except for the basal insulin component (if any) that will be replaced by the investigational product.

Drug: insulin glargine
Injected once daily subcutaneously (s.c., under the skin)

Outcome Measures

Primary Outcome Measures

  1. Time From Randomisation to First Occurrence of a Major Adverse Cardiovascular Event (MACE): Cardiovascular Death, Non-fatal Myocardial Infarction, or Non-fatal Stroke [From randomisation to individual end of trial date (maximum patient year observation: 2.75 years)]

    Time from randomisation to first occurrence of an event adjudication committee (EAC)-confirmed 3-component major adverse cardiovascular event (MACE): cardiovascular death, non-fatal myocardial infarction, or nonfatal stroke. Events with EAC-confirmed onset date between randomisation and individual end of trial were included in the analyses. The number of subjects experiencing first EAC-confirmed MACEs, date between randomisation to the end of trial, both days included were presented. The trial was event driven and planned to last up to a maximum of 60.5 months. The actual trial duration (time from first subject first visit to last subject last visit) was 35.6 months. The maximum trial duration for a single subject was 33.1 months.

Secondary Outcome Measures

  1. Number of EAC-confirmed Severe Hypoglycaemic Episodes [From randomisation to individual end of trial (maximum patient year observation: 2.75 years)]

    Number of severe hypoglycaemic episodes from week 0 to the last assessment (up to 35.6 months). The episode of severe hypoglycaemia is an episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions. The trial was event driven and planned to last up to a maximum of 60.5 months. The actual trial duration (time from first subject first visit to last subject last visit) was 35.6 months. The maximum trial duration for a single subject was 33.1 months.

  2. Occurrence of at Least One EAC Confirmed Severe Hypoglycaemic Episode Within a Subject (Yes/no) [From randomisation to individual end of trial date (maximum patient year observation: 2.75 years)]

    Occurrence of at least one EAC-confirmed severe hypoglycaemic episode within a subject from week 0 to the last assessment (up to 35.6 months). The episode of severe hypoglycaemia is an episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions.

  3. Change in Glycosylated Haemoglobin (HbA1c) [Randomisation to 24 months]

    Mean change in HbA1c from week 0 to month 24.

Eligibility Criteria

Criteria

Ages Eligible for Study:
50 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No

Inclusion Criteria: - Type 2 diabetes - Age above or equal to 50 years with predefined previous cardiovascular disease(s) or renal disease or age above or equal to 60 years with predefined cardiovascular risk factors - HbA1c (glycosylated haemoglobin) above or equal to 7.0% or HbA1c below 7.0% and current insulin treatment corresponding to above or equal to 20 U of basal insulin per day - One or more oral or injectable antidiabetic agent(s) Exclusion Criteria: - An acute coronary or cerebrovascular event in the previous 60 days - Planned coronary, carotid or peripheral artery revascularisation - Chronic heart failure NYHA (New York Heart Association) class IV - Current or past (within the last 5 years) malignant neoplasms (except basal cell and squamous cell skin carcinoma)

Contacts and Locations

Locations

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387 Novo Nordisk Investigational Site Baia Mare Maramures Romania 430222
388 Novo Nordisk Investigational Site Targu Mures Mures Romania 540142
389 Novo Nordisk Investigational Site Ploiesti Prahova Romania 100163
390 Novo Nordisk Investigational Site Ekaterinburg Russian Federation 620102
391 Novo Nordisk Investigational Site Kemerovo Russian Federation 650002
392 Novo Nordisk Investigational Site Kirov Russian Federation 610014
393 Novo Nordisk Investigational Site Krasnodar Russian Federation 350012
394 Novo Nordisk Investigational Site Krasnodar Russian Federation 350086
395 Novo Nordisk Investigational Site Moscow Russian Federation 111539
396 Novo Nordisk Investigational Site Moscow Russian Federation 123423
397 Novo Nordisk Investigational Site Nizhny Novgorod Russian Federation 603018
398 Novo Nordisk Investigational Site Rostov-on-Don Russian Federation 344068
399 Novo Nordisk Investigational Site Saint-Petersburg Russian Federation 191119
400 Novo Nordisk Investigational Site Saint-Petersburg Russian Federation 194356
401 Novo Nordisk Investigational Site Saint-Petersburg Russian Federation 195213
402 Novo Nordisk Investigational Site Saratov Russian Federation 410031
403 Novo Nordisk Investigational Site Saratov Russian Federation 410053
404 Novo Nordisk Investigational Site St. Petersburg Russian Federation 194354
405 Novo Nordisk Investigational Site St. Petersburg Russian Federation 196084
406 Novo Nordisk Investigational Site Syktyvkar Russian Federation 167981
407 Novo Nordisk Investigational Site Tumen Russian Federation 625023
408 Novo Nordisk Investigational Site Tver Russian Federation 170036
409 Novo Nordisk Investigational Site Ulianovsk Russian Federation 432063
410 Novo Nordisk Investigational Site Volgograd Russian Federation 400131
411 Novo Nordisk Investigational Site Yaroslavl Russian Federation 150010
412 Novo Nordisk Investigational Site Port Elizabeth Eastern Cape South Africa 6014
413 Novo Nordisk Investigational Site Port Elizabeth Eastern Cape South Africa 6045
414 Novo Nordisk Investigational Site Johannesburg Gauteng South Africa 1818
415 Novo Nordisk Investigational Site Johannesburg Gauteng South Africa 2193
416 Novo Nordisk Investigational Site Johannesburg Gauteng South Africa 2198
417 Novo Nordisk Investigational Site Pretoria Gauteng South Africa 0001
418 Novo Nordisk Investigational Site Durban KwaZulu-Natal South Africa 4001
419 Novo Nordisk Investigational Site Durban KwaZulu-Natal South Africa 4092
420 Novo Nordisk Investigational Site Umkomaas KwaZulu-Natal South Africa 4170
421 Novo Nordisk Investigational Site Middleburg Mpumalanga South Africa 1055
422 Novo Nordisk Investigational Site Brits North West South Africa 0250
423 Novo Nordisk Investigational Site Cape Town Western Cape South Africa 7130
424 Novo Nordisk Investigational Site Cape Town Western Cape South Africa 7460
425 Novo Nordisk Investigational Site Cape Town Western Cape South Africa 7500
426 Novo Nordisk Investigational Site Cape Town Western Cape South Africa 7700
427 Novo Nordisk Investigational Site Granada Spain 18003
428 Novo Nordisk Investigational Site Granada Spain 18012
429 Novo Nordisk Investigational Site Madrid Spain 28046
430 Novo Nordisk Investigational Site Málaga Spain 29006
431 Novo Nordisk Investigational Site Sevilla Spain 41009
432 Novo Nordisk Investigational Site Valencia Spain 46014
433 Novo Nordisk Investigational Site Valencia Spain 46015
434 Novo Nordisk Investigational Site Bangkoknoi, Bangkok Thailand 10700
435 Novo Nordisk Investigational Site Bangkok Thailand 10330
436 Novo Nordisk Investigational Site Bangkok Thailand 10400
437 Novo Nordisk Investigational Site Chiang Mai Thailand 50200
438 Novo Nordisk Investigational Site Nakhon Ratchasima Thailand 30000
439 Novo Nordisk Investigational Site Bristol United Kingdom BS10 5NB
440 Novo Nordisk Investigational Site Dundee United Kingdom DD1 9SY
441 Novo Nordisk Investigational Site Edinburgh United Kingdom EH4 2XU
442 Novo Nordisk Investigational Site Guildford United Kingdom GU2 7XX
443 Novo Nordisk Investigational Site Norwich United Kingdom NR4 7TJ
444 Novo Nordisk Investigational Site Nuneaton United Kingdom CV10 7DJ
445 Novo Nordisk Investigational Site Stevenage United Kingdom SG1 4AB
446 Novo Nordisk Investigational Site Wolverhampton United Kingdom WV10 0QP

Sponsors and Collaborators

  • Novo Nordisk A/S

Investigators

  • Study Director: Global Clinical Registry (GCR, 1452), Novo Nordisk A/S

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

Responsible Party:
Novo Nordisk A/S
ClinicalTrials.gov Identifier:
NCT01959529
Other Study ID Numbers:
  • EX1250-4080
  • 2013-002371-17
  • U1111-1141-7614
  • JapicCTI-142464
First Posted:
Oct 10, 2013
Last Update Posted:
Jul 24, 2019
Last Verified:
Jul 1, 2019

Study Results

Participant Flow

Recruitment Details The trial was conducted at 438 sites in 20 countries as follows: Algeria: 6; Argentina: 4; Brazil: 10; Canada: 6; Croatia: 5; Greece: 6; India: 26; Italy: 10; Japan: 8; Republic of Korea: 4; Malaysia: 8; Mexico: 7; Poland: 8; Romania: 4; Russian Federation: 20; South Africa: 15; Spain: 6; Thailand: 6; United Kingdom: 8; United States: 271.
Pre-assignment Detail
Arm/Group Title Insulin Degludec Insulin Glargine
Arm/Group Description Subjects received insulin degludec (IDeg) 100 units/mL once daily (OD) subcutaneously (S.C.; under the skin) in the thigh, upper arm, or the abdominal wall between dinner and bedtime. Subjects continued their pre-trial medication except for the basal insulin, which was replaced by investigational medicinal product (IMP; IDeg). The pre-trial bolus insulin was allowed and could be replaced with insulin aspart (IAsp) at the discretion of the investigator. For subjects previously receiving premixed/biphasic insulin the basal component was calculated and switched to IDeg OD, and the bolus insulin component to bolus insulin. For subjects previously receiving premixed/biphasic insulin twice daily (BID), the total basal component was calculated, reduced by 20- 30% and switched to IDeg OD, and the bolus component was calculated and switched to IAsp. The trial was event driven for with a realised observation period up to 33 months. Subjects received insulin glargine (IGlar) 100 units/mL OD subcutaneously (S.C.; under the skin) in the thigh, upper arm, or the abdominal wall between dinner and bedtime. Subjects continued their pretrial medication except for the basal insulin, which was replaced by investigational medicinal product (IMP; IGlar). The pre-trial bolus insulin was allowed and could be replaced with IAsp at the discretion of the investigator. For subjects previously receiving premixed/biphasic insulin the basal component was calculated and switched to IGlar OD, and the bolus insulin component to bolus insulin. For subjects previously receiving premixed/biphasic insulin BID, the total basal component was calculated, reduced by 20- 30% and switched to IGlar OD, and the bolus component was calculated and switched to IAsp. The trial was event driven with a realised observation period up to 33 months.
Period Title: Overall Study
STARTED 3818 3819
Exposed 3809 3806
COMPLETED 3742 3747
NOT COMPLETED 76 72

Baseline Characteristics

Arm/Group Title Insulin Degludec Insulin Glargine Total
Arm/Group Description Subjects received IDeg 100 units/mL OD S.C. (under the skin) in the thigh, upper arm, or the abdominal wall between dinner and bedtime. Subjects continued their pre-trial medication except for the basal insulin, which was replaced by investigational medicinal product (IMP; IDeg). The pre-trial bolus insulin was allowed and could be replaced with IAsp at the discretion of the investigator. For subjects previously receiving premixed/biphasic insulin the basal component was calculated and switched to IDeg OD, and the bolus insulin component to bolus insulin. For subjects previously receiving premixed/biphasic insulin BID, the total basal component was calculated, reduced by 20- 30% and switched to IDeg OD, and the bolus component was calculated and switched to IAsp. The trial was event driven for with a realised observation period up to 33 months. Subjects received IGlar 100 units/mL OD subcutaneously (S.C.; under the skin) in the thigh, upper arm, or the abdominal wall between dinner and bedtime. Subjects continued their pretrial medication except for the basal insulin, which was replaced by investigational medicinal product (IMP; IGlar). The pre-trial bolus insulin was allowed and could be replaced with IAsp at the discretion of the investigator. For subjects previously receiving premixed/biphasic insulin the basal component was calculated and switched to IGlar OD, and the bolus insulin component to bolus insulin. For subjects previously receiving premixed/biphasic insulin BID, the total basal component was calculated, reduced by 20- 30% and switched to IGlar OD, and the bolus component was calculated and switched to IAsp. The trial was event driven with a realised observation period up to 33 months. Total of all reporting groups
Overall Participants 3818 3819 7637
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
64.9
(7.3)
65.0
(7.5)
65.0
(7.4)
Sex: Female, Male (Count of Participants)
Female
1422
37.2%
1437
37.6%
2859
37.4%
Male
2396
62.8%
2382
62.4%
4778
62.6%
HbA1c (percentage of HbA1c) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [percentage of HbA1c]
8.44
(1.63)
8.41
(1.67)
8.43
(1.65)

Outcome Measures

1. Primary Outcome
Title Time From Randomisation to First Occurrence of a Major Adverse Cardiovascular Event (MACE): Cardiovascular Death, Non-fatal Myocardial Infarction, or Non-fatal Stroke
Description Time from randomisation to first occurrence of an event adjudication committee (EAC)-confirmed 3-component major adverse cardiovascular event (MACE): cardiovascular death, non-fatal myocardial infarction, or nonfatal stroke. Events with EAC-confirmed onset date between randomisation and individual end of trial were included in the analyses. The number of subjects experiencing first EAC-confirmed MACEs, date between randomisation to the end of trial, both days included were presented. The trial was event driven and planned to last up to a maximum of 60.5 months. The actual trial duration (time from first subject first visit to last subject last visit) was 35.6 months. The maximum trial duration for a single subject was 33.1 months.
Time Frame From randomisation to individual end of trial date (maximum patient year observation: 2.75 years)

Outcome Measure Data

Analysis Population Description
The analysis was based on the FAS, which included all randomised subjects.
Arm/Group Title Insulin Degludec Insulin Glargine
Arm/Group Description Subjects received IDeg 100 units/mL OD S.C. (under the skin) in the thigh, upper arm, or the abdominal wall between dinner and bedtime. Subjects continued their pre-trial medication except for the basal insulin, which was replaced by investigational medicinal product (IMP; IDeg). The pre-trial bolus insulin was allowed and could be replaced with IAsp at the discretion of the investigator. For subjects previously receiving premixed/biphasic insulin the basal component was calculated and switched to IDeg OD, and the bolus insulin component to bolus insulin. For subjects previously receiving premixed/biphasic insulin BID, the total basal component was calculated, reduced by 20- 30% and switched to IDeg OD, and the bolus component was calculated and switched to IAsp. The trial was event driven for with a realised observation period up to 33 months. Subjects received IGlar 100 units/mL OD subcutaneously (S.C.; under the skin) in the thigh, upper arm, or the abdominal wall between dinner and bedtime. Subjects continued their pretrial medication except for the basal insulin, which was replaced by investigational medicinal product (IMP; IGlar). The pre-trial bolus insulin was allowed and could be replaced with IAsp at the discretion of the investigator. For subjects previously receiving premixed/biphasic insulin the basal component was calculated and switched to IGlar OD, and the bolus insulin component to bolus insulin. For subjects previously receiving premixed/biphasic insulin BID, the total basal component was calculated, reduced by 20- 30% and switched to IGlar OD, and the bolus component was calculated and switched to IAsp. The trial was event driven with a realised observation period up to 33 months.
Measure Participants 3818 3819
First EAC-confirmed MACE
325
8.5%
356
9.3%
Myocardial infarction (non-fatal)
143
3.7%
163
4.3%
Stroke (non-fatal)
68
1.8%
74
1.9%
Cardiovascular death
114
3%
119
3.1%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Insulin Degludec, Insulin Glargine
Comments The hazard ratio (HR) (IDeg vs IGlar) was based on Cox regression with investigational medicinal product as only factor for primary analysis.
Type of Statistical Test Non-Inferiority
Comments Non-inferiority of IDeg to IGlar was considered confirmed if the upper limit of the two-sided 95% confidence interval for the HR was below 1.3 or equivalent if the p-value for the one-sided test of null hypothesis (H0): HR≥1.3 against the alternative hypothesis (Ha): HR<1.3 was less than 2.5%.
Statistical Test of Hypothesis p-Value <0.001
Comments p value : Refers to one-sided test of HR >= 1.3 (against Ha: HR<1.3).
Method Regression, Cox
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.908
Confidence Interval (2-Sided) 95%
0.781 to 1.055
Parameter Dispersion Type:
Value:
Estimation Comments
2. Secondary Outcome
Title Number of EAC-confirmed Severe Hypoglycaemic Episodes
Description Number of severe hypoglycaemic episodes from week 0 to the last assessment (up to 35.6 months). The episode of severe hypoglycaemia is an episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions. The trial was event driven and planned to last up to a maximum of 60.5 months. The actual trial duration (time from first subject first visit to last subject last visit) was 35.6 months. The maximum trial duration for a single subject was 33.1 months.
Time Frame From randomisation to individual end of trial (maximum patient year observation: 2.75 years)

Outcome Measure Data

Analysis Population Description
The analysis was based on the FAS, which included all randomised subjects.
Arm/Group Title Insulin Degludec Insulin Glargine
Arm/Group Description Subjects received IDeg 100 units/mL OD S.C. (under the skin) in the thigh, upper arm, or the abdominal wall between dinner and bedtime. Subjects continued their pre-trial medication except for the basal insulin, which was replaced by investigational medicinal product (IMP; IDeg). The pre-trial bolus insulin was allowed and could be replaced with IAsp at the discretion of the investigator. For subjects previously receiving premixed/biphasic insulin the basal component was calculated and switched to IDeg OD, and the bolus insulin component to bolus insulin. For subjects previously receiving premixed/biphasic insulin BID, the total basal component was calculated, reduced by 20- 30% and switched to IDeg OD, and the bolus component was calculated and switched to IAsp. The trial was event driven for with a realised observation period up to 33 months. Subjects received IGlar 100 units/mL OD subcutaneously (S.C.; under the skin) in the thigh, upper arm, or the abdominal wall between dinner and bedtime. Subjects continued their pretrial medication except for the basal insulin, which was replaced by investigational medicinal product (IMP; IGlar). The pre-trial bolus insulin was allowed and could be replaced with IAsp at the discretion of the investigator. For subjects previously receiving premixed/biphasic insulin the basal component was calculated and switched to IGlar OD, and the bolus insulin component to bolus insulin. For subjects previously receiving premixed/biphasic insulin BID, the total basal component was calculated, reduced by 20- 30% and switched to IGlar OD, and the bolus component was calculated and switched to IAsp. The trial was event driven with a realised observation period up to 33 months.
Measure Participants 3818 3819
Number [Number of severe episodes]
280
472
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Insulin Degludec, Insulin Glargine
Comments Superiority was considered confirmed if the upper limit of the two-sided 95% confidence interval for the rate ratio (RR) was below 1.0 or equivalent if the p-value for the one-sided test of H0: RR ≥1.0 against Ha: RR <1.0, was less than 2.5%
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments p-value : Refers to one-sided test of RR >= 1.0 (against Ha: RR<1.0)
Method Negative binomial regression
Comments The model included treatment (IDeg vs IGlar) as a fixed factor and was fitted using the FAS.
Method of Estimation Estimation Parameter Rate ratio
Estimated Value 0.601
Confidence Interval (2-Sided) 95%
0.476 to 0.759
Parameter Dispersion Type:
Value:
Estimation Comments
3. Secondary Outcome
Title Occurrence of at Least One EAC Confirmed Severe Hypoglycaemic Episode Within a Subject (Yes/no)
Description Occurrence of at least one EAC-confirmed severe hypoglycaemic episode within a subject from week 0 to the last assessment (up to 35.6 months). The episode of severe hypoglycaemia is an episode requiring assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions.
Time Frame From randomisation to individual end of trial date (maximum patient year observation: 2.75 years)

Outcome Measure Data

Analysis Population Description
The analysis was based on the FAS, which included all randomised subjects.
Arm/Group Title Insulin Degludec Insulin Glargine
Arm/Group Description Subjects received IDeg 100 units/mL OD S.C. (under the skin) in the thigh, upper arm, or the abdominal wall between dinner and bedtime. Subjects continued their pre-trial medication except for the basal insulin, which was replaced by investigational medicinal product (IMP; IDeg). The pre-trial bolus insulin was allowed and could be replaced with IAsp at the discretion of the investigator. For subjects previously receiving premixed/biphasic insulin the basal component was calculated and switched to IDeg OD, and the bolus insulin component to bolus insulin. For subjects previously receiving premixed/biphasic insulin BID, the total basal component was calculated, reduced by 20- 30% and switched to IDeg OD, and the bolus component was calculated and switched to IAsp. The trial was event driven for with a realised observation period up to 33 months. Subjects received IGlar 100 units/mL OD subcutaneously (S.C.; under the skin) in the thigh, upper arm, or the abdominal wall between dinner and bedtime. Subjects continued their pretrial medication except for the basal insulin, which was replaced by investigational medicinal product (IMP; IGlar). The pre-trial bolus insulin was allowed and could be replaced with IAsp at the discretion of the investigator. For subjects previously receiving premixed/biphasic insulin the basal component was calculated and switched to IGlar OD, and the bolus insulin component to bolus insulin. For subjects previously receiving premixed/biphasic insulin BID, the total basal component was calculated, reduced by 20- 30% and switched to IGlar OD, and the bolus component was calculated and switched to IAsp. The trial was event driven with a realised observation period up to 33 months.
Measure Participants 3818 3819
Count of Participants [Participants]
187
4.9%
252
6.6%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Insulin Degludec, Insulin Glargine
Comments Superiority of IDeg to IGlar was considered confirmed if the upper limit of the two-sided 95% confidence interval for the odds ratio (OR) was below 1.0 or equivalent if the p-value for the one-sided test of H0: OR ≥1.0 against Ha: OR<1.0, was less than 2.5%.
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments p-value: Refers to one-sided test of OR >= 1.0 (against Ha: OR<1.0)
Method Regression, Logistic
Comments The model was logistic regression with log-link function.The model included treatment (IDeg vs IGlar) as a fixed factor and was fitted using the FAS
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 0.729
Confidence Interval (2-Sided) 95%
0.600 to 0.866
Parameter Dispersion Type:
Value:
Estimation Comments
4. Secondary Outcome
Title Change in Glycosylated Haemoglobin (HbA1c)
Description Mean change in HbA1c from week 0 to month 24.
Time Frame Randomisation to 24 months

Outcome Measure Data

Analysis Population Description
The analysis was based on the FAS. The number of subjects analysed are the number of subjects with the available data after 24 months.
Arm/Group Title Insulin Degludec Insulin Glargine
Arm/Group Description Subjects received IDeg 100 units/mL OD S.C. (under the skin) in the thigh, upper arm, or the abdominal wall between dinner and bedtime. Subjects continued their pre-trial medication except for the basal insulin, which was replaced by investigational medicinal product (IMP; IDeg). The pre-trial bolus insulin was allowed and could be replaced with IAsp at the discretion of the investigator. For subjects previously receiving premixed/biphasic insulin the basal component was calculated and switched to IDeg OD, and the bolus insulin component to bolus insulin. For subjects previously receiving premixed/biphasic insulin BID, the total basal component was calculated, reduced by 20- 30% and switched to IDeg OD, and the bolus component was calculated and switched to IAsp. The trial was event driven for with a realised observation period up to 33 months. Subjects received IGlar 100 units/mL OD subcutaneously (S.C.; under the skin) in the thigh, upper arm, or the abdominal wall between dinner and bedtime. Subjects continued their pretrial medication except for the basal insulin, which was replaced by investigational medicinal product (IMP; IGlar). The pre-trial bolus insulin was allowed and could be replaced with IAsp at the discretion of the investigator. For subjects previously receiving premixed/biphasic insulin the basal component was calculated and switched to IGlar OD, and the bolus insulin component to bolus insulin. For subjects previously receiving premixed/biphasic insulin BID, the total basal component was calculated, reduced by 20- 30% and switched to IGlar OD, and the bolus component was calculated and switched to IAsp. The trial was event driven with a realised observation period up to 33 months.
Measure Participants 2431 2404
Mean (Standard Deviation) [percentage of HbA1c]
-0.86
(1.51)
-0.84
(1.57)

Adverse Events

Time Frame The adverse events were considered from the randomisation visit (week 0) to the follow up visit (end of treatment plus at least 30 days). The trial was event driven and planned to last up to a maximum of 60.5 months. The maximum trial duration for a single subject was 33.1 months.
Adverse Event Reporting Description Safety was summarised using the FAS, which included all randomised subjects.
Arm/Group Title Insulin Degludec Insulin Glargine
Arm/Group Description Subjects received IDeg 100 units/mL OD S.C. (under the skin) in the thigh, upper arm, or the abdominal wall between dinner and bedtime. Subjects continued their pre-trial medication except for the basal insulin, which was replaced by investigational medicinal product (IMP; IDeg). The pre-trial bolus insulin was allowed and could be replaced with IAsp at the discretion of the investigator. For subjects previously receiving premixed/biphasic insulin the basal component was calculated and switched to IDeg OD, and the bolus insulin component to bolus insulin. For subjects previously receiving premixed/biphasic insulin BID, the total basal component was calculated, reduced by 20- 30% and switched to IDeg OD, and the bolus component was calculated and switched to IAsp. The trial was event driven for with a realised observation period up to 33 months. Subjects received IGlar 100 units/mL OD subcutaneously (S.C.; under the skin) in the thigh, upper arm, or the abdominal wall between dinner and bedtime. Subjects continued their pretrial medication except for the basal insulin, which was replaced by investigational medicinal product (IMP; IGlar). The pre-trial bolus insulin was allowed and could be replaced with IAsp at the discretion of the investigator. For subjects previously receiving premixed/biphasic insulin the basal component was calculated and switched to IGlar OD, and the bolus insulin component to bolus insulin. For subjects previously receiving premixed/biphasic insulin BID, the total basal component was calculated, reduced by 20- 30% and switched to IGlar OD, and the bolus component was calculated and switched to IAsp. The trial was event driven with a realised observation period up to 33 months.
All Cause Mortality
Insulin Degludec Insulin Glargine
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN)
Serious Adverse Events
Insulin Degludec Insulin Glargine
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 1473/3818 (38.6%) 1517/3819 (39.7%)
Blood and lymphatic system disorders
Anaemia 11/3818 (0.3%) 12 34/3819 (0.9%) 40
Autoimmune haemolytic anaemia 0/3818 (0%) 0 1/3819 (0%) 1
Coagulopathy 1/3818 (0%) 1 1/3819 (0%) 1
Coombs negative haemolytic anaemia 0/3818 (0%) 0 1/3819 (0%) 1
Evans syndrome 0/3818 (0%) 0 1/3819 (0%) 1
Haemolytic anaemia 0/3818 (0%) 0 1/3819 (0%) 2
Haemorrhagic anaemia 7/3818 (0.2%) 7 9/3819 (0.2%) 9
Hypochromic anaemia 0/3818 (0%) 0 1/3819 (0%) 1
Iron deficiency anaemia 3/3818 (0.1%) 3 4/3819 (0.1%) 4
Leukocytosis 3/3818 (0.1%) 4 2/3819 (0.1%) 2
Nephrogenic anaemia 1/3818 (0%) 1 0/3819 (0%) 0
Neutropenia 1/3818 (0%) 1 3/3819 (0.1%) 3
Normochromic normocytic anaemia 1/3818 (0%) 1 2/3819 (0.1%) 2
Pancytopenia 0/3818 (0%) 0 1/3819 (0%) 1
Thrombocytopenia 1/3818 (0%) 1 0/3819 (0%) 0
Cardiac disorders
Acute coronary syndrome 11/3818 (0.3%) 12 8/3819 (0.2%) 8
Acute left ventricular failure 7/3818 (0.2%) 7 6/3819 (0.2%) 6
Acute myocardial infarction 98/3818 (2.6%) 111 115/3819 (3%) 123
Angina pectoris 36/3818 (0.9%) 37 48/3819 (1.3%) 53
Angina unstable 87/3818 (2.3%) 94 79/3819 (2.1%) 93
Aortic valve disease 3/3818 (0.1%) 3 0/3819 (0%) 0
Aortic valve stenosis 7/3818 (0.2%) 8 5/3819 (0.1%) 5
Arrhythmia 1/3818 (0%) 1 5/3819 (0.1%) 5
Arteriosclerosis coronary artery 4/3818 (0.1%) 4 7/3819 (0.2%) 7
Arteriospasm coronary 1/3818 (0%) 1 0/3819 (0%) 0
Atrial fibrillation 47/3818 (1.2%) 55 56/3819 (1.5%) 75
Atrial flutter 11/3818 (0.3%) 11 6/3819 (0.2%) 6
Atrial tachycardia 1/3818 (0%) 1 3/3819 (0.1%) 3
Atrioventricular block 0/3818 (0%) 0 3/3819 (0.1%) 3
Atrioventricular block complete 6/3818 (0.2%) 6 3/3819 (0.1%) 3
Atrioventricular block first degree 2/3818 (0.1%) 2 0/3819 (0%) 0
Atrioventricular block second degree 2/3818 (0.1%) 2 1/3819 (0%) 1
Atrioventricular dissociation 0/3818 (0%) 0 2/3819 (0.1%) 2
Bradycardia 8/3818 (0.2%) 9 9/3819 (0.2%) 9
Bundle branch block left 2/3818 (0.1%) 2 0/3819 (0%) 0
Bundle branch block right 0/3818 (0%) 0 1/3819 (0%) 1
Cardiac arrest 26/3818 (0.7%) 26 20/3819 (0.5%) 21
Cardiac discomfort 0/3818 (0%) 0 1/3819 (0%) 1
Cardiac disorder 0/3818 (0%) 0 1/3819 (0%) 1
Cardiac failure 24/3818 (0.6%) 26 30/3819 (0.8%) 33
Cardiac failure acute 7/3818 (0.2%) 7 8/3819 (0.2%) 8
Cardiac failure chronic 8/3818 (0.2%) 12 10/3819 (0.3%) 11
Cardiac failure congestive 134/3818 (3.5%) 177 143/3819 (3.7%) 206
Cardiac hypertrophy 0/3818 (0%) 0 1/3819 (0%) 1
Cardiac ventricular thrombosis 1/3818 (0%) 1 1/3819 (0%) 1
Cardio-respiratory arrest 12/3818 (0.3%) 12 9/3819 (0.2%) 9
Cardiogenic shock 1/3818 (0%) 1 1/3819 (0%) 1
Cardiomegaly 2/3818 (0.1%) 2 2/3819 (0.1%) 2
Cardiomyopathy 4/3818 (0.1%) 4 7/3819 (0.2%) 7
Cardiopulmonary failure 1/3818 (0%) 1 2/3819 (0.1%) 2
Cardiorenal syndrome 1/3818 (0%) 1 0/3819 (0%) 0
Cardiovascular disorder 0/3818 (0%) 0 1/3819 (0%) 1
Chordae tendinae rupture 0/3818 (0%) 0 1/3819 (0%) 1
Chronic left ventricular failure 0/3818 (0%) 0 1/3819 (0%) 1
Congestive cardiomyopathy 3/3818 (0.1%) 3 0/3819 (0%) 0
Cor pulmonale 1/3818 (0%) 1 2/3819 (0.1%) 2
Cor pulmonale acute 1/3818 (0%) 1 0/3819 (0%) 0
Coronary artery disease 80/3818 (2.1%) 85 89/3819 (2.3%) 91
Coronary artery dissection 1/3818 (0%) 1 0/3819 (0%) 0
Coronary artery embolism 0/3818 (0%) 0 1/3819 (0%) 1
Coronary artery insufficiency 1/3818 (0%) 1 1/3819 (0%) 1
Coronary artery occlusion 12/3818 (0.3%) 12 5/3819 (0.1%) 6
Coronary artery stenosis 12/3818 (0.3%) 12 5/3819 (0.1%) 5
Coronary ostial stenosis 1/3818 (0%) 1 0/3819 (0%) 0
Diastolic dysfunction 1/3818 (0%) 1 0/3819 (0%) 0
Heart valve incompetence 0/3818 (0%) 0 1/3819 (0%) 1
Hypertensive cardiomyopathy 0/3818 (0%) 0 1/3819 (0%) 1
Hypertensive heart disease 1/3818 (0%) 1 4/3819 (0.1%) 4
Intracardiac thrombus 1/3818 (0%) 1 0/3819 (0%) 0
Ischaemic cardiomyopathy 3/3818 (0.1%) 3 7/3819 (0.2%) 7
Left ventricular dysfunction 1/3818 (0%) 1 3/3819 (0.1%) 3
Left ventricular failure 6/3818 (0.2%) 7 3/3819 (0.1%) 3
Left ventricular hypertrophy 1/3818 (0%) 1 0/3819 (0%) 0
Long QT syndrome 0/3818 (0%) 0 1/3819 (0%) 1
Mitral valve incompetence 2/3818 (0.1%) 2 2/3819 (0.1%) 2
Myocardial infarction 48/3818 (1.3%) 51 66/3819 (1.7%) 68
Myocardial ischaemia 7/3818 (0.2%) 7 9/3819 (0.2%) 9
Nodal arrhythmia 1/3818 (0%) 1 1/3819 (0%) 1
Palpitations 1/3818 (0%) 1 1/3819 (0%) 1
Pericardial effusion 1/3818 (0%) 1 2/3819 (0.1%) 2
Pericarditis 1/3818 (0%) 1 1/3819 (0%) 1
Prinzmetal angina 0/3818 (0%) 0 1/3819 (0%) 1
Pulseless electrical activity 1/3818 (0%) 1 0/3819 (0%) 0
Restrictive cardiomyopathy 0/3818 (0%) 0 1/3819 (0%) 1
Right ventricular failure 2/3818 (0.1%) 2 2/3819 (0.1%) 2
Silent myocardial infarction 4/3818 (0.1%) 4 2/3819 (0.1%) 2
Sinus arrest 0/3818 (0%) 0 1/3819 (0%) 1
Sinus bradycardia 1/3818 (0%) 1 3/3819 (0.1%) 3
Sinus node dysfunction 6/3818 (0.2%) 6 5/3819 (0.1%) 5
Sinus tachycardia 1/3818 (0%) 1 0/3819 (0%) 0
Stress cardiomyopathy 1/3818 (0%) 1 0/3819 (0%) 0
Supraventricular tachycardia 4/3818 (0.1%) 4 4/3819 (0.1%) 4
Systolic dysfunction 1/3818 (0%) 1 0/3819 (0%) 0
Tachyarrhythmia 0/3818 (0%) 0 1/3819 (0%) 1
Tachycardia 1/3818 (0%) 1 5/3819 (0.1%) 5
Tricuspid valve incompetence 1/3818 (0%) 1 1/3819 (0%) 1
Trifascicular block 0/3818 (0%) 0 2/3819 (0.1%) 2
Ventricular arrhythmia 1/3818 (0%) 1 0/3819 (0%) 0
Ventricular extrasystoles 0/3818 (0%) 0 2/3819 (0.1%) 2
Ventricular fibrillation 6/3818 (0.2%) 7 5/3819 (0.1%) 5
Ventricular hypokinesia 1/3818 (0%) 1 1/3819 (0%) 1
Ventricular tachycardia 8/3818 (0.2%) 9 12/3819 (0.3%) 16
Congenital, familial and genetic disorders
Congenital ureterocele 1/3818 (0%) 1 0/3819 (0%) 0
Factor V deficiency 0/3818 (0%) 0 1/3819 (0%) 1
Gastrointestinal arteriovenous malformation 0/3818 (0%) 0 1/3819 (0%) 1
Haemorrhagic arteriovenous malformation 0/3818 (0%) 0 2/3819 (0.1%) 2
Hypertrophic cardiomyopathy 0/3818 (0%) 0 1/3819 (0%) 1
Osteogenesis imperfecta 0/3818 (0%) 0 1/3819 (0%) 1
Phimosis 0/3818 (0%) 0 2/3819 (0.1%) 2
Ear and labyrinth disorders
Deafness neurosensory 1/3818 (0%) 1 0/3819 (0%) 0
Inner ear disorder 0/3818 (0%) 0 1/3819 (0%) 1
Meniere's disease 1/3818 (0%) 1 0/3819 (0%) 0
Sudden hearing loss 1/3818 (0%) 1 0/3819 (0%) 0
Vertigo 5/3818 (0.1%) 5 3/3819 (0.1%) 3
Vertigo positional 1/3818 (0%) 1 3/3819 (0.1%) 3
Vestibular disorder 0/3818 (0%) 0 1/3819 (0%) 1
Endocrine disorders
Adrenal insufficiency 1/3818 (0%) 1 0/3819 (0%) 0
Goitre 1/3818 (0%) 1 1/3819 (0%) 1
Hypothyroidism 2/3818 (0.1%) 2 0/3819 (0%) 0
Thyroid mass 2/3818 (0.1%) 2 0/3819 (0%) 0
Toxic goitre 0/3818 (0%) 0 1/3819 (0%) 1
Toxic nodular goitre 0/3818 (0%) 0 1/3819 (0%) 1
Eye disorders
Blindness 0/3818 (0%) 0 2/3819 (0.1%) 2
Cataract 9/3818 (0.2%) 13 3/3819 (0.1%) 4
Cataract diabetic 1/3818 (0%) 1 0/3819 (0%) 0
Diabetic retinopathy 4/3818 (0.1%) 4 1/3819 (0%) 1
Glaucoma 1/3818 (0%) 1 1/3819 (0%) 1
Macular fibrosis 1/3818 (0%) 1 2/3819 (0.1%) 2
Neurotrophic keratopathy 0/3818 (0%) 0 1/3819 (0%) 1
Optic ischaemic neuropathy 1/3818 (0%) 1 0/3819 (0%) 0
Pterygium 0/3818 (0%) 0 1/3819 (0%) 1
Retinal artery occlusion 1/3818 (0%) 1 0/3819 (0%) 0
Retinal detachment 1/3818 (0%) 1 1/3819 (0%) 1
Retinal vein occlusion 1/3818 (0%) 1 0/3819 (0%) 0
Retinopathy 0/3818 (0%) 0 1/3819 (0%) 1
Retinopathy proliferative 1/3818 (0%) 1 0/3819 (0%) 0
Visual impairment 0/3818 (0%) 0 1/3819 (0%) 1
Vitreous haemorrhage 0/3818 (0%) 0 2/3819 (0.1%) 2
Gastrointestinal disorders
Abdominal discomfort 0/3818 (0%) 0 1/3819 (0%) 1
Abdominal hernia 1/3818 (0%) 1 1/3819 (0%) 1
Abdominal hernia obstructive 0/3818 (0%) 0 2/3819 (0.1%) 2
Abdominal mass 1/3818 (0%) 1 0/3819 (0%) 0
Abdominal pain 10/3818 (0.3%) 10 10/3819 (0.3%) 10
Abdominal pain upper 3/3818 (0.1%) 3 1/3819 (0%) 1
Abdominal wall haematoma 1/3818 (0%) 1 0/3819 (0%) 0
Acid peptic disease 0/3818 (0%) 0 1/3819 (0%) 1
Acute abdomen 0/3818 (0%) 0 1/3819 (0%) 1
Alcoholic pancreatitis 1/3818 (0%) 1 0/3819 (0%) 0
Appendix disorder 0/3818 (0%) 0 1/3819 (0%) 1
Ascites 0/3818 (0%) 0 1/3819 (0%) 1
Barrett's oesophagus 1/3818 (0%) 1 1/3819 (0%) 1
Chronic gastritis 1/3818 (0%) 1 2/3819 (0.1%) 2
Colitis 6/3818 (0.2%) 6 6/3819 (0.2%) 6
Colitis ischaemic 3/3818 (0.1%) 6 2/3819 (0.1%) 2
Constipation 4/3818 (0.1%) 4 0/3819 (0%) 0
Crohn's disease 1/3818 (0%) 1 2/3819 (0.1%) 2
Diabetic gastroparesis 1/3818 (0%) 1 2/3819 (0.1%) 2
Diarrhoea 11/3818 (0.3%) 14 3/3819 (0.1%) 3
Diverticular perforation 1/3818 (0%) 1 0/3819 (0%) 0
Diverticulum 5/3818 (0.1%) 5 0/3819 (0%) 0
Diverticulum intestinal 2/3818 (0.1%) 2 0/3819 (0%) 0
Diverticulum intestinal haemorrhagic 0/3818 (0%) 0 1/3819 (0%) 1
Duodenal stenosis 0/3818 (0%) 0 1/3819 (0%) 1
Duodenal ulcer 1/3818 (0%) 1 1/3819 (0%) 1
Duodenal ulcer haemorrhage 0/3818 (0%) 0 1/3819 (0%) 1
Duodenal vascular ectasia 1/3818 (0%) 1 0/3819 (0%) 0
Duodenitis 1/3818 (0%) 1 0/3819 (0%) 0
Dysphagia 0/3818 (0%) 0 3/3819 (0.1%) 3
Enteritis 1/3818 (0%) 1 0/3819 (0%) 0
Enterocele 1/3818 (0%) 1 0/3819 (0%) 0
Epigastric discomfort 1/3818 (0%) 1 0/3819 (0%) 0
Erosive duodenitis 0/3818 (0%) 0 1/3819 (0%) 1
Gastric antral vascular ectasia 0/3818 (0%) 0 1/3819 (0%) 1
Gastric perforation 1/3818 (0%) 1 1/3819 (0%) 1
Gastric ulcer 2/3818 (0.1%) 2 3/3819 (0.1%) 3
Gastric ulcer haemorrhage 1/3818 (0%) 2 0/3819 (0%) 0
Gastric ulcer perforation 0/3818 (0%) 0 1/3819 (0%) 2
Gastritis 8/3818 (0.2%) 8 6/3819 (0.2%) 7
Gastritis erosive 2/3818 (0.1%) 2 0/3819 (0%) 0
Gastroduodenitis haemorrhagic 1/3818 (0%) 1 0/3819 (0%) 0
Gastrointestinal angiodysplasia 1/3818 (0%) 1 0/3819 (0%) 0
Gastrointestinal haemorrhage 10/3818 (0.3%) 10 15/3819 (0.4%) 16
Gastrointestinal polyp haemorrhage 1/3818 (0%) 1 1/3819 (0%) 1
Gastrointestinal ulcer haemorrhage 0/3818 (0%) 0 2/3819 (0.1%) 2
Gastrooesophageal reflux disease 6/3818 (0.2%) 7 9/3819 (0.2%) 10
Haematochezia 1/3818 (0%) 2 4/3819 (0.1%) 4
Haemorrhoidal haemorrhage 0/3818 (0%) 0 1/3819 (0%) 1
Haemorrhoids 4/3818 (0.1%) 4 1/3819 (0%) 1
Hiatus hernia 0/3818 (0%) 0 2/3819 (0.1%) 2
Ileus 2/3818 (0.1%) 2 0/3819 (0%) 0
Ileus paralytic 0/3818 (0%) 0 1/3819 (0%) 1
Impaired gastric emptying 4/3818 (0.1%) 5 7/3819 (0.2%) 9
Inguinal hernia 3/3818 (0.1%) 3 4/3819 (0.1%) 4
Intestinal ischaemia 2/3818 (0.1%) 2 1/3819 (0%) 1
Intestinal obstruction 4/3818 (0.1%) 4 2/3819 (0.1%) 2
Intestinal perforation 0/3818 (0%) 0 2/3819 (0.1%) 2
Intra-abdominal haematoma 1/3818 (0%) 1 0/3819 (0%) 0
Irritable bowel syndrome 0/3818 (0%) 0 1/3819 (0%) 1
Large intestinal haemorrhage 0/3818 (0%) 0 1/3819 (0%) 1
Large intestinal ulcer haemorrhage 0/3818 (0%) 0 1/3819 (0%) 1
Large intestine polyp 4/3818 (0.1%) 4 3/3819 (0.1%) 3
Lower gastrointestinal haemorrhage 3/3818 (0.1%) 3 3/3819 (0.1%) 3
Mallory-Weiss syndrome 0/3818 (0%) 0 1/3819 (0%) 1
Mesenteric haematoma 1/3818 (0%) 1 0/3819 (0%) 0
Nausea 2/3818 (0.1%) 2 2/3819 (0.1%) 2
Neutropenic colitis 0/3818 (0%) 0 1/3819 (0%) 1
Oesophageal rupture 0/3818 (0%) 0 1/3819 (0%) 1
Oesophageal ulcer haemorrhage 1/3818 (0%) 1 1/3819 (0%) 1
Oesophageal varices haemorrhage 0/3818 (0%) 0 1/3819 (0%) 1
Oesophagitis 2/3818 (0.1%) 2 2/3819 (0.1%) 2
Pancreatic mass 1/3818 (0%) 1 0/3819 (0%) 0
Pancreatitis 7/3818 (0.2%) 8 5/3819 (0.1%) 5
Pancreatitis acute 6/3818 (0.2%) 7 11/3819 (0.3%) 16
Pancreatitis chronic 1/3818 (0%) 1 2/3819 (0.1%) 2
Peptic ulcer 2/3818 (0.1%) 2 1/3819 (0%) 2
Peptic ulcer perforation 1/3818 (0%) 1 0/3819 (0%) 0
Periodontal disease 1/3818 (0%) 1 0/3819 (0%) 0
Pneumatosis intestinalis 0/3818 (0%) 0 1/3819 (0%) 1
Rectal haemorrhage 1/3818 (0%) 1 3/3819 (0.1%) 3
Rectal ulcer haemorrhage 1/3818 (0%) 1 0/3819 (0%) 0
Salivary gland calculus 1/3818 (0%) 1 0/3819 (0%) 0
Salivary gland mass 1/3818 (0%) 1 0/3819 (0%) 0
Small intestinal obstruction 9/3818 (0.2%) 10 6/3819 (0.2%) 6
Spigelian hernia 1/3818 (0%) 1 0/3819 (0%) 0
Umbilical hernia 1/3818 (0%) 1 2/3819 (0.1%) 2
Upper gastrointestinal haemorrhage 0/3818 (0%) 0 8/3819 (0.2%) 8
Varices oesophageal 0/3818 (0%) 0 1/3819 (0%) 1
Vomiting 5/3818 (0.1%) 5 7/3819 (0.2%) 7
General disorders
Asthenia 3/3818 (0.1%) 3 5/3819 (0.1%) 5
Cardiac complication associated with device 1/3818 (0%) 1 0/3819 (0%) 0
Cardiac death 1/3818 (0%) 1 2/3819 (0.1%) 2
Catheter site haematoma 0/3818 (0%) 0 1/3819 (0%) 1
Chest discomfort 2/3818 (0.1%) 2 5/3819 (0.1%) 5
Chest pain 16/3818 (0.4%) 16 21/3819 (0.5%) 22
Complication associated with device 1/3818 (0%) 1 0/3819 (0%) 0
Cyst 1/3818 (0%) 1 1/3819 (0%) 1
Death 27/3818 (0.7%) 27 21/3819 (0.5%) 21
Fatigue 1/3818 (0%) 1 1/3819 (0%) 1
Foreign body reaction 1/3818 (0%) 1 0/3819 (0%) 0
Gait disturbance 1/3818 (0%) 1 1/3819 (0%) 1
Generalised oedema 4/3818 (0.1%) 4 3/3819 (0.1%) 3
Impaired healing 1/3818 (0%) 1 2/3819 (0.1%) 2
Local swelling 1/3818 (0%) 1 0/3819 (0%) 0
Medical device site haemorrhage 0/3818 (0%) 0 1/3819 (0%) 1
Multiple organ dysfunction syndrome 1/3818 (0%) 1 2/3819 (0.1%) 2
Non-cardiac chest pain 47/3818 (1.2%) 48 54/3819 (1.4%) 63
Oedema 0/3818 (0%) 0 3/3819 (0.1%) 4
Oedema due to cardiac disease 1/3818 (0%) 1 0/3819 (0%) 0
Oedema peripheral 4/3818 (0.1%) 4 4/3819 (0.1%) 4
Pain 2/3818 (0.1%) 2 0/3819 (0%) 0
Peripheral swelling 1/3818 (0%) 1 2/3819 (0.1%) 2
Polyp 1/3818 (0%) 1 0/3819 (0%) 0
Pyrexia 1/3818 (0%) 1 1/3819 (0%) 1
Sudden cardiac death 1/3818 (0%) 1 3/3819 (0.1%) 3
Sudden death 1/3818 (0%) 1 8/3819 (0.2%) 8
Surgical failure 1/3818 (0%) 1 0/3819 (0%) 0
Systemic inflammatory response syndrome 2/3818 (0.1%) 2 3/3819 (0.1%) 3
Vascular stent restenosis 3/3818 (0.1%) 3 2/3819 (0.1%) 3
Vascular stent stenosis 1/3818 (0%) 1 0/3819 (0%) 0
Vascular stent thrombosis 1/3818 (0%) 1 0/3819 (0%) 0
Hepatobiliary disorders
Acute hepatic failure 1/3818 (0%) 1 1/3819 (0%) 1
Alcoholic liver disease 1/3818 (0%) 1 0/3819 (0%) 0
Bile duct obstruction 0/3818 (0%) 0 2/3819 (0.1%) 2
Bile duct stone 1/3818 (0%) 1 1/3819 (0%) 1
Biliary dyskinesia 0/3818 (0%) 0 1/3819 (0%) 1
Cholangitis 1/3818 (0%) 1 2/3819 (0.1%) 2
Cholecystitis 8/3818 (0.2%) 8 4/3819 (0.1%) 4
Cholecystitis acute 6/3818 (0.2%) 6 4/3819 (0.1%) 4
Cholecystitis chronic 3/3818 (0.1%) 3 5/3819 (0.1%) 5
Cholelithiasis 8/3818 (0.2%) 8 8/3819 (0.2%) 8
Chronic hepatic failure 0/3818 (0%) 0 1/3819 (0%) 1
Dilatation intrahepatic duct acquired 0/3818 (0%) 0 1/3819 (0%) 1
Hepatic cirrhosis 3/3818 (0.1%) 3 1/3819 (0%) 1
Hepatic failure 1/3818 (0%) 1 0/3819 (0%) 0
Hepatic lesion 0/3818 (0%) 0 1/3819 (0%) 1
Hepatitis chronic active 1/3818 (0%) 1 0/3819 (0%) 0
Hepatorenal failure 0/3818 (0%) 0 1/3819 (0%) 1
Hepatorenal syndrome 0/3818 (0%) 0 1/3819 (0%) 1
Ischaemic hepatitis 0/3818 (0%) 0 1/3819 (0%) 1
Jaundice 0/3818 (0%) 0 1/3819 (0%) 1
Jaundice cholestatic 1/3818 (0%) 1 0/3819 (0%) 0
Liver disorder 1/3818 (0%) 1 1/3819 (0%) 1
Non-alcoholic steatohepatitis 0/3818 (0%) 0 1/3819 (0%) 1
Portal vein thrombosis 1/3818 (0%) 1 0/3819 (0%) 0
Sphincter of Oddi dysfunction 1/3818 (0%) 1 0/3819 (0%) 0
Steatohepatitis 1/3818 (0%) 1 0/3819 (0%) 0
Immune system disorders
Anaphylactic reaction 0/3818 (0%) 0 1/3819 (0%) 1
Anaphylactic shock 1/3818 (0%) 1 0/3819 (0%) 0
Drug hypersensitivity 1/3818 (0%) 1 2/3819 (0.1%) 2
Renal transplant failure 1/3818 (0%) 1 0/3819 (0%) 0
Infections and infestations
Abdominal abscess 0/3818 (0%) 0 1/3819 (0%) 1
Abdominal sepsis 1/3818 (0%) 1 0/3819 (0%) 0
Abdominal wall abscess 2/3818 (0.1%) 2 1/3819 (0%) 1
Abdominal wall infection 1/3818 (0%) 1 0/3819 (0%) 0
Abscess limb 0/3818 (0%) 0 5/3819 (0.1%) 5
Abscess rupture 0/3818 (0%) 0 1/3819 (0%) 1
Abscess soft tissue 0/3818 (0%) 0 1/3819 (0%) 1
Acute endocarditis 1/3818 (0%) 1 0/3819 (0%) 0
Appendicitis 4/3818 (0.1%) 4 6/3819 (0.2%) 6
Arteriosclerotic gangrene 0/3818 (0%) 0 1/3819 (0%) 1
Arthritis bacterial 4/3818 (0.1%) 4 3/3819 (0.1%) 3
Bacteraemia 0/3818 (0%) 0 1/3819 (0%) 1
Bacterial infection 1/3818 (0%) 1 0/3819 (0%) 0
Bacterial pyelonephritis 1/3818 (0%) 1 0/3819 (0%) 0
Bacterial sepsis 0/3818 (0%) 0 1/3819 (0%) 1
Beta haemolytic streptococcal infection 1/3818 (0%) 1 2/3819 (0.1%) 2
Bronchitis 16/3818 (0.4%) 17 21/3819 (0.5%) 21
Bronchitis bacterial 1/3818 (0%) 1 1/3819 (0%) 1
Bronchitis viral 2/3818 (0.1%) 2 2/3819 (0.1%) 2
Catheter site infection 1/3818 (0%) 1 0/3819 (0%) 0
Cellulitis 52/3818 (1.4%) 64 61/3819 (1.6%) 72
Cellulitis orbital 0/3818 (0%) 0 1/3819 (0%) 1
Cellulitis staphylococcal 1/3818 (0%) 1 2/3819 (0.1%) 2
Cellulitis streptococcal 1/3818 (0%) 1 0/3819 (0%) 0
Chest wall abscess 1/3818 (0%) 1 0/3819 (0%) 0
Cholecystitis infective 1/3818 (0%) 1 1/3819 (0%) 1
Clostridium difficile colitis 8/3818 (0.2%) 8 4/3819 (0.1%) 4
Clostridium difficile infection 0/3818 (0%) 0 1/3819 (0%) 1
Colonic abscess 0/3818 (0%) 0 1/3819 (0%) 1
Conjunctivitis 1/3818 (0%) 1 0/3819 (0%) 0
Cystitis 1/3818 (0%) 1 3/3819 (0.1%) 3
Dengue fever 3/3818 (0.1%) 3 0/3819 (0%) 0
Dermatitis infected 1/3818 (0%) 1 0/3819 (0%) 0
Device related infection 3/3818 (0.1%) 3 1/3819 (0%) 1
Diabetic foot infection 4/3818 (0.1%) 4 8/3819 (0.2%) 8
Diabetic gangrene 0/3818 (0%) 0 2/3819 (0.1%) 2
Disseminated cryptococcosis 1/3818 (0%) 1 0/3819 (0%) 0
Diverticulitis 11/3818 (0.3%) 13 14/3819 (0.4%) 14
Dysentery 1/3818 (0%) 1 0/3819 (0%) 0
Eczema infected 0/3818 (0%) 0 2/3819 (0.1%) 2
Empyema 1/3818 (0%) 1 0/3819 (0%) 0
Endocarditis 0/3818 (0%) 0 1/3819 (0%) 1
Epiglottitis 1/3818 (0%) 1 0/3819 (0%) 0
Erysipelas 0/3818 (0%) 0 1/3819 (0%) 1
Escherichia sepsis 2/3818 (0.1%) 2 2/3819 (0.1%) 2
Escherichia urinary tract infection 1/3818 (0%) 1 0/3819 (0%) 0
External ear cellulitis 1/3818 (0%) 1 0/3819 (0%) 0
Extradural abscess 0/3818 (0%) 0 2/3819 (0.1%) 2
Gangrene 5/3818 (0.1%) 5 13/3819 (0.3%) 16
Gas gangrene 1/3818 (0%) 2 0/3819 (0%) 0
Gastroenteritis 13/3818 (0.3%) 13 12/3819 (0.3%) 12
Gastroenteritis Escherichia coli 0/3818 (0%) 0 1/3819 (0%) 1
Gastroenteritis viral 2/3818 (0.1%) 2 7/3819 (0.2%) 7
Graft infection 0/3818 (0%) 0 1/3819 (0%) 1
Groin abscess 1/3818 (0%) 1 0/3819 (0%) 0
H1N1 influenza 0/3818 (0%) 0 1/3819 (0%) 1
Helicobacter gastritis 1/3818 (0%) 1 0/3819 (0%) 0
Herpes zoster 3/3818 (0.1%) 3 0/3819 (0%) 0
Incision site infection 1/3818 (0%) 1 1/3819 (0%) 1
Infected bite 0/3818 (0%) 0 1/3819 (0%) 1
Infected dermal cyst 1/3818 (0%) 1 0/3819 (0%) 0
Infected seroma 0/3818 (0%) 0 1/3819 (0%) 1
Infected skin ulcer 3/3818 (0.1%) 3 2/3819 (0.1%) 2
Infectious colitis 0/3818 (0%) 0 2/3819 (0.1%) 2
Influenza 5/3818 (0.1%) 5 3/3819 (0.1%) 3
Infusion site infection 0/3818 (0%) 0 1/3819 (0%) 2
Intervertebral discitis 0/3818 (0%) 0 1/3819 (0%) 1
Joint abscess 1/3818 (0%) 1 0/3819 (0%) 0
Klebsiella sepsis 0/3818 (0%) 0 1/3819 (0%) 1
Labyrinthitis 2/3818 (0.1%) 2 0/3819 (0%) 0
Liver abscess 0/3818 (0%) 0 1/3819 (0%) 1
Localised infection 4/3818 (0.1%) 4 3/3819 (0.1%) 3
Lower respiratory tract infection 2/3818 (0.1%) 2 3/3819 (0.1%) 3
Lyme disease 0/3818 (0%) 0 1/3819 (0%) 1
Meningitis aseptic 1/3818 (0%) 1 0/3819 (0%) 0
Meningitis viral 1/3818 (0%) 1 0/3819 (0%) 0
Mucormycosis 1/3818 (0%) 1 0/3819 (0%) 0
Necrotising fasciitis 1/3818 (0%) 1 0/3819 (0%) 0
Oesophageal candidiasis 0/3818 (0%) 0 3/3819 (0.1%) 3
Oral candidiasis 0/3818 (0%) 0 1/3819 (0%) 1
Orchitis 0/3818 (0%) 0 2/3819 (0.1%) 2
Osteomyelitis 20/3818 (0.5%) 26 22/3819 (0.6%) 23
Osteomyelitis acute 1/3818 (0%) 1 1/3819 (0%) 1
Osteomyelitis chronic 3/3818 (0.1%) 3 4/3819 (0.1%) 4
Otitis externa 1/3818 (0%) 1 1/3819 (0%) 2
Otitis media chronic 1/3818 (0%) 1 0/3819 (0%) 0
Paraspinal abscess 1/3818 (0%) 1 0/3819 (0%) 0
Paronychia 1/3818 (0%) 1 1/3819 (0%) 1
Perineal abscess 1/3818 (0%) 1 0/3819 (0%) 0
Perirectal abscess 0/3818 (0%) 0 2/3819 (0.1%) 2
Peritoneal abscess 0/3818 (0%) 0 1/3819 (0%) 1
Peritonitis 2/3818 (0.1%) 2 0/3819 (0%) 0
Peritonitis bacterial 0/3818 (0%) 0 1/3819 (0%) 1
Pharyngitis 0/3818 (0%) 0 1/3819 (0%) 1
Pilonidal cyst 0/3818 (0%) 0 1/3819 (0%) 1
Pneumonia 90/3818 (2.4%) 99 90/3819 (2.4%) 102
Pneumonia bacterial 2/3818 (0.1%) 2 4/3819 (0.1%) 4
Pneumonia influenzal 0/3818 (0%) 0 2/3819 (0.1%) 2
Pneumonia klebsiella 0/3818 (0%) 0 2/3819 (0.1%) 2
Pneumonia mycoplasmal 1/3818 (0%) 1 0/3819 (0%) 0
Pneumonia pneumococcal 0/3818 (0%) 0 1/3819 (0%) 1
Pneumonia pseudomonal 1/3818 (0%) 1 2/3819 (0.1%) 2
Pneumonia staphylococcal 1/3818 (0%) 1 2/3819 (0.1%) 2
Pneumonia streptococcal 2/3818 (0.1%) 2 0/3819 (0%) 0
Pneumonia viral 0/3818 (0%) 0 1/3819 (0%) 1
Post procedural cellulitis 1/3818 (0%) 1 0/3819 (0%) 0
Post procedural infection 8/3818 (0.2%) 8 2/3819 (0.1%) 2
Post procedural sepsis 0/3818 (0%) 0 1/3819 (0%) 1
Postoperative abscess 3/3818 (0.1%) 3 0/3819 (0%) 0
Postoperative wound infection 11/3818 (0.3%) 12 2/3819 (0.1%) 2
Prostate infection 0/3818 (0%) 0 1/3819 (0%) 1
Prostatitis Escherichia coli 0/3818 (0%) 0 1/3819 (0%) 1
Pseudomonal bacteraemia 0/3818 (0%) 0 1/3819 (0%) 1
Pulmonary sepsis 2/3818 (0.1%) 2 4/3819 (0.1%) 4
Pyelonephritis 2/3818 (0.1%) 2 11/3819 (0.3%) 11
Pyelonephritis acute 4/3818 (0.1%) 4 1/3819 (0%) 1
Pyuria 0/3818 (0%) 0 1/3819 (0%) 1
Rectal abscess 1/3818 (0%) 1 1/3819 (0%) 1
Renal abscess 0/3818 (0%) 0 1/3819 (0%) 1
Respiratory syncytial virus bronchitis 0/3818 (0%) 0 1/3819 (0%) 1
Respiratory tract infection 2/3818 (0.1%) 2 1/3819 (0%) 1
Respiratory tract infection viral 0/3818 (0%) 0 1/3819 (0%) 1
Salpingitis 1/3818 (0%) 1 0/3819 (0%) 0
Sepsis 36/3818 (0.9%) 37 31/3819 (0.8%) 31
Sepsis pasteurella 1/3818 (0%) 1 0/3819 (0%) 0
Sepsis syndrome 1/3818 (0%) 1 0/3819 (0%) 0
Septic arthritis staphylococcal 1/3818 (0%) 1 1/3819 (0%) 1
Septic embolus 0/3818 (0%) 0 1/3819 (0%) 1
Septic shock 11/3818 (0.3%) 11 12/3819 (0.3%) 13
Sialoadenitis 1/3818 (0%) 1 0/3819 (0%) 0
Sinusitis 2/3818 (0.1%) 2 2/3819 (0.1%) 2
Soft tissue infection 2/3818 (0.1%) 2 0/3819 (0%) 0
Staphylococcal abscess 0/3818 (0%) 0 2/3819 (0.1%) 2
Staphylococcal bacteraemia 0/3818 (0%) 0 2/3819 (0.1%) 2
Staphylococcal infection 3/3818 (0.1%) 3 5/3819 (0.1%) 6
Staphylococcal sepsis 2/3818 (0.1%) 2 5/3819 (0.1%) 5
Streptococcal bacteraemia 0/3818 (0%) 0 3/3819 (0.1%) 3
Streptococcal sepsis 3/3818 (0.1%) 3 0/3819 (0%) 0
Subcutaneous abscess 1/3818 (0%) 1 3/3819 (0.1%) 3
Subdiaphragmatic abscess 1/3818 (0%) 1 0/3819 (0%) 0
Tooth abscess 0/3818 (0%) 0 1/3819 (0%) 1
Tracheobronchitis 0/3818 (0%) 0 2/3819 (0.1%) 2
Tuberculosis 0/3818 (0%) 0 1/3819 (0%) 1
Upper respiratory tract infection 5/3818 (0.1%) 5 5/3819 (0.1%) 5
Urinary tract infection 34/3818 (0.9%) 37 30/3819 (0.8%) 37
Urinary tract infection bacterial 0/3818 (0%) 0 2/3819 (0.1%) 3
Urosepsis 10/3818 (0.3%) 11 9/3819 (0.2%) 9
Viraemia 1/3818 (0%) 1 0/3819 (0%) 0
Viral infection 1/3818 (0%) 1 3/3819 (0.1%) 3
Viral pericarditis 1/3818 (0%) 1 0/3819 (0%) 0
Vulval abscess 1/3818 (0%) 1 1/3819 (0%) 1
Wound infection 2/3818 (0.1%) 2 4/3819 (0.1%) 4
Injury, poisoning and procedural complications
Accident at work 0/3818 (0%) 0 2/3819 (0.1%) 2
Accidental overdose 2/3818 (0.1%) 2 3/3819 (0.1%) 3
Alcohol poisoning 2/3818 (0.1%) 2 0/3819 (0%) 0
Anaemia postoperative 1/3818 (0%) 1 0/3819 (0%) 0
Anaesthetic complication 1/3818 (0%) 1 0/3819 (0%) 0
Anaesthetic complication pulmonary 0/3818 (0%) 0 1/3819 (0%) 1
Anastomotic ulcer 0/3818 (0%) 0 1/3819 (0%) 1
Animal bite 0/3818 (0%) 0 1/3819 (0%) 1
Ankle fracture 2/3818 (0.1%) 2 5/3819 (0.1%) 5
Brachial plexus injury 0/3818 (0%) 0 1/3819 (0%) 1
Burns third degree 0/3818 (0%) 0 1/3819 (0%) 1
Cardiac valve replacement complication 1/3818 (0%) 1 0/3819 (0%) 0
Cervical vertebral fracture 0/3818 (0%) 0 1/3819 (0%) 1
Clavicle fracture 1/3818 (0%) 1 0/3819 (0%) 0
Concussion 1/3818 (0%) 1 0/3819 (0%) 0
Contusion 1/3818 (0%) 2 0/3819 (0%) 0
Coronary artery restenosis 2/3818 (0.1%) 2 1/3819 (0%) 1
Coronary vascular graft occlusion 2/3818 (0.1%) 2 1/3819 (0%) 1
Craniocerebral injury 1/3818 (0%) 1 1/3819 (0%) 1
Drug administration error 1/3818 (0%) 1 0/3819 (0%) 0
Extra dose administered 0/3818 (0%) 0 1/3819 (0%) 1
Eye injury 0/3818 (0%) 0 1/3819 (0%) 1
Facial bones fracture 0/3818 (0%) 0 2/3819 (0.1%) 2
Fall 54/3818 (1.4%) 57 55/3819 (1.4%) 59
Femoral neck fracture 0/3818 (0%) 0 2/3819 (0.1%) 2
Femur fracture 3/3818 (0.1%) 3 5/3819 (0.1%) 5
Fibula fracture 0/3818 (0%) 0 1/3819 (0%) 1
Foot fracture 2/3818 (0.1%) 2 4/3819 (0.1%) 4
Fracture 1/3818 (0%) 1 0/3819 (0%) 0
Gastrointestinal anastomotic leak 0/3818 (0%) 0 1/3819 (0%) 1
Gastrointestinal injury 1/3818 (0%) 1 0/3819 (0%) 0
Gastrointestinal stoma complication 1/3818 (0%) 1 0/3819 (0%) 0
Gastrostomy tube site complication 1/3818 (0%) 1 0/3819 (0%) 0
Hand fracture 1/3818 (0%) 1 0/3819 (0%) 0
Hip fracture 1/3818 (0%) 1 3/3819 (0.1%) 3
Humerus fracture 1/3818 (0%) 1 2/3819 (0.1%) 2
Ilium fracture 1/3818 (0%) 1 0/3819 (0%) 0
Incarcerated incisional hernia 0/3818 (0%) 0 1/3819 (0%) 1
Incision site haemorrhage 1/3818 (0%) 1 0/3819 (0%) 0
Incisional hernia 1/3818 (0%) 1 0/3819 (0%) 0
Injury 0/3818 (0%) 0 1/3819 (0%) 1
Intentional overdose 0/3818 (0%) 0 1/3819 (0%) 1
Joint dislocation 2/3818 (0.1%) 2 2/3819 (0.1%) 2
Laceration 3/3818 (0.1%) 3 4/3819 (0.1%) 4
Ligament rupture 1/3818 (0%) 1 0/3819 (0%) 0
Limb injury 0/3818 (0%) 0 1/3819 (0%) 1
Lower limb fracture 2/3818 (0.1%) 2 0/3819 (0%) 0
Meniscus injury 1/3818 (0%) 1 2/3819 (0.1%) 2
Multiple fractures 1/3818 (0%) 1 0/3819 (0%) 0
Multiple injuries 0/3818 (0%) 0 1/3819 (0%) 1
Muscle strain 1/3818 (0%) 1 1/3819 (0%) 1
Overdose 1/3818 (0%) 1 2/3819 (0.1%) 2
Pelvic fracture 0/3818 (0%) 0 3/3819 (0.1%) 3
Pneumothorax traumatic 1/3818 (0%) 1 0/3819 (0%) 0
Post concussion syndrome 1/3818 (0%) 1 0/3819 (0%) 0
Post procedural complication 1/3818 (0%) 1 2/3819 (0.1%) 2
Post procedural haematoma 2/3818 (0.1%) 2 0/3819 (0%) 0
Post procedural haemorrhage 5/3818 (0.1%) 5 2/3819 (0.1%) 2
Post procedural myocardial infarction 2/3818 (0.1%) 2 0/3819 (0%) 0
Postoperative fever 1/3818 (0%) 1 0/3819 (0%) 0
Postoperative ileus 1/3818 (0%) 1 0/3819 (0%) 0
Postoperative respiratory failure 2/3818 (0.1%) 2 1/3819 (0%) 1
Postoperative thoracic procedure complication 0/3818 (0%) 0 1/3819 (0%) 1
Postoperative wound complication 0/3818 (0%) 0 1/3819 (0%) 1
Procedural complication 0/3818 (0%) 0 1/3819 (0%) 1
Procedural haemorrhage 0/3818 (0%) 0 1/3819 (0%) 1
Procedural hypotension 1/3818 (0%) 1 0/3819 (0%) 0
Procedural intestinal perforation 1/3818 (0%) 1 0/3819 (0%) 0
Pulmonary contusion 0/3818 (0%) 0 1/3819 (0%) 1
Radius fracture 2/3818 (0.1%) 2 0/3819 (0%) 0
Rib fracture 4/3818 (0.1%) 4 2/3819 (0.1%) 2
Road traffic accident 20/3818 (0.5%) 21 18/3819 (0.5%) 18
Seroma 0/3818 (0%) 0 1/3819 (0%) 1
Spinal compression fracture 1/3818 (0%) 1 1/3819 (0%) 1
Spinal fracture 0/3818 (0%) 0 1/3819 (0%) 1
Stab wound 1/3818 (0%) 1 0/3819 (0%) 0
Stoma site reaction 1/3818 (0%) 1 0/3819 (0%) 0
Stress fracture 1/3818 (0%) 1 0/3819 (0%) 0
Subdural haematoma 5/3818 (0.1%) 5 4/3819 (0.1%) 4
Subdural haemorrhage 0/3818 (0%) 0 1/3819 (0%) 1
Tendon rupture 1/3818 (0%) 1 1/3819 (0%) 1
Thermal burn 2/3818 (0.1%) 2 0/3819 (0%) 0
Thoracic vertebral fracture 1/3818 (0%) 1 0/3819 (0%) 0
Tibia fracture 0/3818 (0%) 0 2/3819 (0.1%) 2
Toxicity to various agents 1/3818 (0%) 1 1/3819 (0%) 1
Transfusion-related acute lung injury 0/3818 (0%) 0 1/3819 (0%) 1
Traumatic haematoma 0/3818 (0%) 0 1/3819 (0%) 1
Upper limb fracture 0/3818 (0%) 0 2/3819 (0.1%) 2
Ureteric injury 1/3818 (0%) 1 0/3819 (0%) 0
Vascular procedure complication 0/3818 (0%) 0 1/3819 (0%) 1
Vascular pseudoaneurysm 1/3818 (0%) 1 0/3819 (0%) 0
Wound 0/3818 (0%) 0 2/3819 (0.1%) 2
Wrist fracture 0/3818 (0%) 0 2/3819 (0.1%) 2
Wrong drug administered 1/3818 (0%) 1 0/3819 (0%) 0
Investigations
Arteriogram coronary 2/3818 (0.1%) 2 2/3819 (0.1%) 2
Biopsy lung 0/3818 (0%) 0 1/3819 (0%) 1
Blood creatine phosphokinase increased 1/3818 (0%) 1 1/3819 (0%) 1
Blood creatinine increased 1/3818 (0%) 1 0/3819 (0%) 0
Blood glucose decreased 0/3818 (0%) 0 1/3819 (0%) 1
Blood glucose increased 1/3818 (0%) 1 2/3819 (0.1%) 2
Blood magnesium decreased 1/3818 (0%) 1 0/3819 (0%) 0
Blood potassium decreased 2/3818 (0.1%) 2 1/3819 (0%) 1
Blood potassium increased 0/3818 (0%) 0 1/3819 (0%) 1
Blood pressure increased 1/3818 (0%) 1 0/3819 (0%) 0
Cardiac monitoring 0/3818 (0%) 0 1/3819 (0%) 1
Catheterisation cardiac 1/3818 (0%) 1 0/3819 (0%) 0
Coagulation time prolonged 1/3818 (0%) 1 0/3819 (0%) 0
Ejection fraction decreased 1/3818 (0%) 1 0/3819 (0%) 0
Electrocardiogram ST segment abnormal 0/3818 (0%) 0 1/3819 (0%) 1
Electrocardiogram ST segment elevation 1/3818 (0%) 1 0/3819 (0%) 0
Electrocardiogram ST-T change 0/3818 (0%) 0 1/3819 (0%) 1
Hepatic enzyme increased 0/3818 (0%) 0 1/3819 (0%) 1
International normalised ratio increased 0/3818 (0%) 0 2/3819 (0.1%) 2
Medical observation 1/3818 (0%) 1 0/3819 (0%) 0
Troponin increased 1/3818 (0%) 1 2/3819 (0.1%) 2
Weight decreased 1/3818 (0%) 1 0/3819 (0%) 0
Metabolism and nutrition disorders
Decreased appetite 1/3818 (0%) 1 1/3819 (0%) 1
Dehydration 23/3818 (0.6%) 23 16/3819 (0.4%) 16
Diabetes mellitus 1/3818 (0%) 1 4/3819 (0.1%) 4
Diabetes mellitus inadequate control 5/3818 (0.1%) 5 4/3819 (0.1%) 4
Diabetic complication 0/3818 (0%) 0 1/3819 (0%) 1
Diabetic ketoacidosis 5/3818 (0.1%) 5 14/3819 (0.4%) 14
Diabetic metabolic decompensation 2/3818 (0.1%) 2 2/3819 (0.1%) 2
Electrolyte imbalance 2/3818 (0.1%) 2 1/3819 (0%) 1
Failure to thrive 1/3818 (0%) 1 0/3819 (0%) 0
Fluid overload 4/3818 (0.1%) 5 2/3819 (0.1%) 5
Gout 4/3818 (0.1%) 4 7/3819 (0.2%) 7
Hyperammonaemia 1/3818 (0%) 2 0/3819 (0%) 0
Hyperglycaemia 11/3818 (0.3%) 12 16/3819 (0.4%) 16
Hyperkalaemia 18/3818 (0.5%) 21 22/3819 (0.6%) 24
Hypernatraemia 0/3818 (0%) 0 1/3819 (0%) 1
Hypoglycaemia 64/3818 (1.7%) 77 49/3819 (1.3%) 66
Hypokalaemia 3/3818 (0.1%) 3 5/3819 (0.1%) 5
Hypomagnesaemia 1/3818 (0%) 1 0/3819 (0%) 0
Hyponatraemia 8/3818 (0.2%) 8 7/3819 (0.2%) 7
Hypovolaemia 2/3818 (0.1%) 2 2/3819 (0.1%) 3
Lactic acidosis 1/3818 (0%) 1 2/3819 (0.1%) 2
Metabolic acidosis 3/3818 (0.1%) 3 1/3819 (0%) 1
Obesity 3/3818 (0.1%) 3 1/3819 (0%) 1
Pseudohyponatraemia 0/3818 (0%) 0 1/3819 (0%) 1
Type 2 diabetes mellitus 1/3818 (0%) 1 1/3819 (0%) 1
Musculoskeletal and connective tissue disorders
Ankle deformity 0/3818 (0%) 0 1/3819 (0%) 1
Arthralgia 5/3818 (0.1%) 6 8/3819 (0.2%) 9
Arthritis 3/3818 (0.1%) 3 7/3819 (0.2%) 8
Arthropathy 2/3818 (0.1%) 2 0/3819 (0%) 0
Back disorder 0/3818 (0%) 0 1/3819 (0%) 1
Back pain 7/3818 (0.2%) 7 12/3819 (0.3%) 12
Bursitis 0/3818 (0%) 0 3/3819 (0.1%) 3
Cervical spinal stenosis 5/3818 (0.1%) 5 3/3819 (0.1%) 3
Chondrocalcinosis pyrophosphate 0/3818 (0%) 0 2/3819 (0.1%) 2
Costochondritis 2/3818 (0.1%) 2 0/3819 (0%) 0
Dactylitis 1/3818 (0%) 1 0/3819 (0%) 0
Enthesopathy 1/3818 (0%) 1 0/3819 (0%) 0
Exostosis 1/3818 (0%) 1 0/3819 (0%) 0
Flank pain 1/3818 (0%) 1 2/3819 (0.1%) 2
Foot deformity 1/3818 (0%) 1 0/3819 (0%) 0
Gouty arthritis 2/3818 (0.1%) 2 2/3819 (0.1%) 2
Haemarthrosis 0/3818 (0%) 0 1/3819 (0%) 1
Intervertebral disc degeneration 4/3818 (0.1%) 4 4/3819 (0.1%) 4
Intervertebral disc disorder 1/3818 (0%) 1 1/3819 (0%) 1
Intervertebral disc protrusion 9/3818 (0.2%) 9 3/3819 (0.1%) 3
Joint effusion 0/3818 (0%) 0 1/3819 (0%) 1
Lumbar spinal stenosis 12/3818 (0.3%) 13 7/3819 (0.2%) 7
Muscle spasms 1/3818 (0%) 1 2/3819 (0.1%) 2
Muscular weakness 4/3818 (0.1%) 4 4/3819 (0.1%) 4
Musculoskeletal chest pain 3/3818 (0.1%) 3 6/3819 (0.2%) 6
Musculoskeletal pain 3/3818 (0.1%) 3 3/3819 (0.1%) 3
Myopathy 0/3818 (0%) 0 1/3819 (0%) 1
Neck pain 2/3818 (0.1%) 2 1/3819 (0%) 1
Osteitis 1/3818 (0%) 1 0/3819 (0%) 0
Osteoarthritis 32/3818 (0.8%) 35 30/3819 (0.8%) 31
Osteonecrosis 0/3818 (0%) 0 1/3819 (0%) 1
Osteopenia 1/3818 (0%) 1 0/3819 (0%) 0
Osteoporosis 1/3818 (0%) 2 0/3819 (0%) 0
Pain in extremity 3/3818 (0.1%) 3 3/3819 (0.1%) 3
Polyarthritis 2/3818 (0.1%) 2 0/3819 (0%) 0
Polymyalgia rheumatica 0/3818 (0%) 0 1/3819 (0%) 1
Pseudarthrosis 0/3818 (0%) 0 1/3819 (0%) 1
Rhabdomyolysis 4/3818 (0.1%) 4 4/3819 (0.1%) 4
Rotator cuff syndrome 2/3818 (0.1%) 2 2/3819 (0.1%) 3
Soft tissue necrosis 0/3818 (0%) 0 1/3819 (0%) 1
Spinal column stenosis 4/3818 (0.1%) 4 4/3819 (0.1%) 4
Spinal osteoarthritis 3/3818 (0.1%) 3 2/3819 (0.1%) 2
Spondylitis 0/3818 (0%) 0 1/3819 (0%) 1
Spondylolisthesis 2/3818 (0.1%) 2 2/3819 (0.1%) 2
Synovial cyst 0/3818 (0%) 0 1/3819 (0%) 1
Tendon disorder 1/3818 (0%) 1 0/3819 (0%) 0
Tendonitis 1/3818 (0%) 1 1/3819 (0%) 1
Vertebral foraminal stenosis 1/3818 (0%) 1 1/3819 (0%) 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Acute leukaemia 1/3818 (0%) 1 0/3819 (0%) 0
Acute lymphocytic leukaemia 1/3818 (0%) 1 0/3819 (0%) 0
Acute myeloid leukaemia 0/3818 (0%) 0 1/3819 (0%) 1
Adenocarcinoma 0/3818 (0%) 0 1/3819 (0%) 1
Adenocarcinoma gastric 2/3818 (0.1%) 2 1/3819 (0%) 1
Adenocarcinoma of colon 2/3818 (0.1%) 2 5/3819 (0.1%) 5
Adenocarcinoma pancreas 0/3818 (0%) 0 1/3819 (0%) 1
Adrenal adenoma 0/3818 (0%) 0 1/3819 (0%) 1
Adrenal neoplasm 0/3818 (0%) 0 1/3819 (0%) 1
Adult T-cell lymphoma/leukaemia 1/3818 (0%) 1 0/3819 (0%) 0
B-cell lymphoma 2/3818 (0.1%) 2 0/3819 (0%) 0
B-cell lymphoma stage III 0/3818 (0%) 0 1/3819 (0%) 1
Basal cell carcinoma 2/3818 (0.1%) 2 2/3819 (0.1%) 2
Benign neoplasm of bladder 0/3818 (0%) 0 1/3819 (0%) 1
Benign neoplasm of thyroid gland 1/3818 (0%) 1 0/3819 (0%) 0
Benign ovarian tumour 0/3818 (0%) 0 1/3819 (0%) 1
Bile duct adenocarcinoma 1/3818 (0%) 1 0/3819 (0%) 0
Bladder cancer 1/3818 (0%) 1 3/3819 (0.1%) 3
Bladder cancer recurrent 1/3818 (0%) 1 0/3819 (0%) 0
Bladder cancer stage 0, with cancer in situ 1/3818 (0%) 1 0/3819 (0%) 0
Bladder transitional cell carcinoma 1/3818 (0%) 1 1/3819 (0%) 1
Bladder transitional cell carcinoma recurrent 2/3818 (0.1%) 2 0/3819 (0%) 0
Bladder transitional cell carcinoma stage I 1/3818 (0%) 1 0/3819 (0%) 0
Bone cancer 0/3818 (0%) 0 1/3819 (0%) 1
Bowen's disease 0/3818 (0%) 0 1/3819 (0%) 1
Brain neoplasm 1/3818 (0%) 1 0/3819 (0%) 0
Breast cancer 1/3818 (0%) 1 1/3819 (0%) 1
Breast cancer metastatic 1/3818 (0%) 1 1/3819 (0%) 1
Breast cancer stage I 0/3818 (0%) 0 2/3819 (0.1%) 2
Breast cancer stage II 1/3818 (0%) 1 0/3819 (0%) 0
Breast cancer stage IV 1/3818 (0%) 1 0/3819 (0%) 0
Cardiac valve fibroelastoma 0/3818 (0%) 0 1/3819 (0%) 1
Cholangiocarcinoma 0/3818 (0%) 0 1/3819 (0%) 1
Choroid melanoma 1/3818 (0%) 1 0/3819 (0%) 0
Chronic myeloid leukaemia 0/3818 (0%) 0 1/3819 (0%) 1
Colon adenoma 3/3818 (0.1%) 3 2/3819 (0.1%) 2
Colon cancer 2/3818 (0.1%) 2 1/3819 (0%) 1
Colon cancer metastatic 2/3818 (0.1%) 2 1/3819 (0%) 1
Colon cancer stage III 0/3818 (0%) 0 1/3819 (0%) 1
Colorectal cancer metastatic 0/3818 (0%) 0 1/3819 (0%) 1
Diffuse large B-cell lymphoma recurrent 0/3818 (0%) 0 1/3819 (0%) 1
Endometrial adenocarcinoma 3/3818 (0.1%) 3 3/3819 (0.1%) 3
Fibroma 0/3818 (0%) 0 1/3819 (0%) 1
Gallbladder adenocarcinoma 0/3818 (0%) 0 1/3819 (0%) 1
Gallbladder cancer metastatic 0/3818 (0%) 0 1/3819 (0%) 1
Gastrointestinal cancer metastatic 0/3818 (0%) 0 1/3819 (0%) 1
Gastrointestinal tract adenoma 1/3818 (0%) 1 0/3819 (0%) 0
Hepatic cancer 0/3818 (0%) 0 2/3819 (0.1%) 2
Hepatic cancer metastatic 0/3818 (0%) 0 2/3819 (0.1%) 2
Hepatic neoplasm 1/3818 (0%) 1 0/3819 (0%) 0
Hepatocellular carcinoma 3/3818 (0.1%) 3 4/3819 (0.1%) 4
Intraductal proliferative breast lesion 3/3818 (0.1%) 3 2/3819 (0.1%) 2
Invasive ductal breast carcinoma 2/3818 (0.1%) 2 5/3819 (0.1%) 5
Leiomyoma 0/3818 (0%) 0 1/3819 (0%) 1
Leukaemia 0/3818 (0%) 0 1/3819 (0%) 1
Lipoma 1/3818 (0%) 1 1/3819 (0%) 1
Lung adenocarcinoma 0/3818 (0%) 0 1/3819 (0%) 1
Lung adenocarcinoma metastatic 1/3818 (0%) 1 2/3819 (0.1%) 2
Lung adenocarcinoma stage II 1/3818 (0%) 1 1/3819 (0%) 1
Lung adenocarcinoma stage IV 0/3818 (0%) 0 1/3819 (0%) 1
Lung cancer metastatic 0/3818 (0%) 0 1/3819 (0%) 1
Lung neoplasm malignant 2/3818 (0.1%) 2 0/3819 (0%) 0
Lymphoma 1/3818 (0%) 1 1/3819 (0%) 1
Malignant melanoma 1/3818 (0%) 1 0/3819 (0%) 0
Malignant melanoma in situ 1/3818 (0%) 1 0/3819 (0%) 0
Malignant peritoneal neoplasm 1/3818 (0%) 1 0/3819 (0%) 0
Meningioma benign 3/3818 (0.1%) 3 0/3819 (0%) 0
Mesothelioma malignant 1/3818 (0%) 1 0/3819 (0%) 0
Metastases to bone 0/3818 (0%) 0 1/3819 (0%) 1
Metastases to central nervous system 0/3818 (0%) 0 1/3819 (0%) 1
Metastases to liver 1/3818 (0%) 1 2/3819 (0.1%) 2
Metastases to lung 0/3818 (0%) 0 1/3819 (0%) 1
Metastases to lymph nodes 0/3818 (0%) 0 1/3819 (0%) 1
Metastatic neoplasm 0/3818 (0%) 0 1/3819 (0%) 1
Metastatic renal cell carcinoma 3/3818 (0.1%) 3 0/3819 (0%) 0
Metastatic squamous cell carcinoma 0/3818 (0%) 0 1/3819 (0%) 1
Mucinous endometrial carcinoma 0/3818 (0%) 0 1/3819 (0%) 1
Myelodysplastic syndrome 0/3818 (0%) 0 1/3819 (0%) 1
Neuroendocrine carcinoma metastatic 1/3818 (0%) 1 0/3819 (0%) 0
Non-small cell lung cancer 1/3818 (0%) 1 1/3819 (0%) 1
Non-small cell lung cancer metastatic 0/3818 (0%) 0 1/3819 (0%) 1
Non-small cell lung cancer stage I 0/3818 (0%) 0 1/3819 (0%) 1
Oesophageal adenocarcinoma 0/3818 (0%) 0 2/3819 (0.1%) 2
Oesophageal carcinoma 2/3818 (0.1%) 2 0/3819 (0%) 0
Ovarian cancer recurrent 1/3818 (0%) 1 0/3819 (0%) 0
Ovarian cancer stage IV 1/3818 (0%) 1 0/3819 (0%) 0
Pancreatic carcinoma 3/3818 (0.1%) 3 1/3819 (0%) 1
Pancreatic carcinoma metastatic 3/3818 (0.1%) 3 0/3819 (0%) 0
Pancreatic carcinoma stage IV 1/3818 (0%) 1 0/3819 (0%) 0
Papillary cystadenoma lymphomatosum 1/3818 (0%) 1 1/3819 (0%) 1
Papillary thyroid cancer 1/3818 (0%) 1 1/3819 (0%) 1
Parathyroid tumour benign 1/3818 (0%) 1 1/3819 (0%) 1
Penile squamous cell carcinoma 0/3818 (0%) 0 1/3819 (0%) 1
Phaeochromocytoma 1/3818 (0%) 1 0/3819 (0%) 0
Pituitary tumour benign 1/3818 (0%) 1 0/3819 (0%) 0
Plasma cell myeloma 3/3818 (0.1%) 3 0/3819 (0%) 0
Prostate cancer 11/3818 (0.3%) 11 5/3819 (0.1%) 5
Prostate cancer metastatic 0/3818 (0%) 0 2/3819 (0.1%) 2
Prostate cancer stage I 0/3818 (0%) 0 3/3819 (0.1%) 3
Prostate cancer stage II 1/3818 (0%) 1 0/3819 (0%) 0
Rectal adenocarcinoma 2/3818 (0.1%) 2 0/3819 (0%) 0
Rectal adenoma 1/3818 (0%) 1 0/3819 (0%) 0
Rectal cancer 0/3818 (0%) 0 2/3819 (0.1%) 2
Rectal cancer metastatic 1/3818 (0%) 1 0/3819 (0%) 0
Renal cancer 2/3818 (0.1%) 2 0/3819 (0%) 0
Renal cancer metastatic 1/3818 (0%) 1 1/3819 (0%) 1
Renal cell carcinoma 1/3818 (0%) 1 3/3819 (0.1%) 3
Salivary gland cancer 0/3818 (0%) 0 1/3819 (0%) 1
Small cell lung cancer 2/3818 (0.1%) 2 1/3819 (0%) 1
Small cell lung cancer extensive stage 0/3818 (0%) 0 1/3819 (0%) 1
Small cell lung cancer metastatic 3/3818 (0.1%) 3 0/3819 (0%) 0
Soft tissue sarcoma 0/3818 (0%) 0 1/3819 (0%) 1
Squamous cell carcinoma 1/3818 (0%) 1 2/3819 (0.1%) 2
Squamous cell carcinoma of lung 2/3818 (0.1%) 2 1/3819 (0%) 1
Squamous cell carcinoma of skin 0/3818 (0%) 0 1/3819 (0%) 1
Squamous cell carcinoma of the tongue 0/3818 (0%) 0 1/3819 (0%) 1
Testicular seminoma (pure) stage I 0/3818 (0%) 0 1/3819 (0%) 1
Testis cancer 0/3818 (0%) 0 1/3819 (0%) 1
Thyroid cancer 1/3818 (0%) 1 0/3819 (0%) 0
Tonsil cancer 1/3818 (0%) 1 0/3819 (0%) 0
Transitional cell carcinoma 0/3818 (0%) 0 1/3819 (0%) 1
Tumour of ampulla of Vater 0/3818 (0%) 0 1/3819 (0%) 1
Ureteric cancer 0/3818 (0%) 0 1/3819 (0%) 1
Uterine cancer 2/3818 (0.1%) 2 1/3819 (0%) 1
Nervous system disorders
Altered state of consciousness 1/3818 (0%) 1 0/3819 (0%) 0
Aphasia 1/3818 (0%) 1 1/3819 (0%) 1
Ataxia 1/3818 (0%) 1 0/3819 (0%) 0
Balance disorder 0/3818 (0%) 0 1/3819 (0%) 1
Brain injury 3/3818 (0.1%) 3 0/3819 (0%) 0
Brain stem haemorrhage 0/3818 (0%) 0 2/3819 (0.1%) 2
Brain stem infarction 2/3818 (0.1%) 2 4/3819 (0.1%) 4
Brain stem stroke 0/3818 (0%) 0 1/3819 (0%) 1
Carotid artery disease 2/3818 (0.1%) 2 2/3819 (0.1%) 2
Carotid artery occlusion 0/3818 (0%) 0 3/3819 (0.1%) 3
Carotid artery stenosis 15/3818 (0.4%) 15 14/3819 (0.4%) 15
Cerebellar infarction 1/3818 (0%) 1 3/3819 (0.1%) 3
Cerebral arteriosclerosis 1/3818 (0%) 1 0/3819 (0%) 0
Cerebral haemorrhage 3/3818 (0.1%) 3 4/3819 (0.1%) 4
Cerebral infarction 5/3818 (0.1%) 5 4/3819 (0.1%) 5
Cerebral ischaemia 1/3818 (0%) 1 0/3819 (0%) 0
Cerebral small vessel ischaemic disease 1/3818 (0%) 1 0/3819 (0%) 0
Cerebrovascular accident 11/3818 (0.3%) 11 22/3819 (0.6%) 23
Cervical myelopathy 2/3818 (0.1%) 2 1/3819 (0%) 1
Cranial nerve paralysis 0/3818 (0%) 0 1/3819 (0%) 1
Dementia 2/3818 (0.1%) 2 1/3819 (0%) 1
Dementia Alzheimer's type 0/3818 (0%) 0 2/3819 (0.1%) 2
Diabetic mononeuropathy 0/3818 (0%) 0 1/3819 (0%) 1
Diabetic neuropathy 2/3818 (0.1%) 2 0/3819 (0%) 0
Dizziness 7/3818 (0.2%) 7 4/3819 (0.1%) 4
Dysarthria 1/3818 (0%) 1 1/3819 (0%) 1
Embolic cerebral infarction 0/3818 (0%) 0 1/3819 (0%) 1
Embolic stroke 4/3818 (0.1%) 4 2/3819 (0.1%) 2
Encephalopathy 6/3818 (0.2%) 6 4/3819 (0.1%) 4
Epidural lipomatosis 0/3818 (0%) 0 1/3819 (0%) 1
Essential tremor 0/3818 (0%) 0 1/3819 (0%) 1
Facial paralysis 1/3818 (0%) 1 1/3819 (0%) 1
Generalised tonic-clonic seizure 0/3818 (0%) 0 2/3819 (0.1%) 2
Guillain-Barre syndrome 1/3818 (0%) 1 1/3819 (0%) 1
Haemorrhage intracranial 1/3818 (0%) 1 3/3819 (0.1%) 3
Haemorrhagic cerebral infarction 1/3818 (0%) 1 0/3819 (0%) 0
Haemorrhagic stroke 3/3818 (0.1%) 3 4/3819 (0.1%) 4
Haemorrhagic transformation stroke 0/3818 (0%) 0 1/3819 (0%) 1
Headache 4/3818 (0.1%) 4 6/3819 (0.2%) 6
Hemiparesis 3/3818 (0.1%) 3 2/3819 (0.1%) 2
Hemiplegic migraine 1/3818 (0%) 1 0/3819 (0%) 0
Hepatic encephalopathy 2/3818 (0.1%) 2 3/3819 (0.1%) 3
Hydrocephalus 1/3818 (0%) 2 1/3819 (0%) 1
Hyperglycaemic seizure 0/3818 (0%) 0 1/3819 (0%) 1
Hypertensive encephalopathy 0/3818 (0%) 0 1/3819 (0%) 1
Hypoaesthesia 0/3818 (0%) 0 1/3819 (0%) 1
Hypoglycaemic coma 1/3818 (0%) 1 1/3819 (0%) 2
Hypoglycaemic seizure 3/3818 (0.1%) 5 0/3819 (0%) 0
Hypoglycaemic unconsciousness 27/3818 (0.7%) 29 29/3819 (0.8%) 33
Hypoxic-ischaemic encephalopathy 1/3818 (0%) 1 1/3819 (0%) 1
IIIrd nerve paralysis 0/3818 (0%) 0 1/3819 (0%) 1
Intensive care unit acquired weakness 0/3818 (0%) 0 1/3819 (0%) 1
Intracranial aneurysm 1/3818 (0%) 1 0/3819 (0%) 0
Intracranial pressure increased 0/3818 (0%) 0 1/3819 (0%) 1
Ischaemic cerebral infarction 1/3818 (0%) 1 1/3819 (0%) 1
Ischaemic stroke 43/3818 (1.1%) 44 45/3819 (1.2%) 50
Lacunar infarction 5/3818 (0.1%) 5 2/3819 (0.1%) 2
Lacunar stroke 1/3818 (0%) 1 0/3819 (0%) 0
Lethargy 0/3818 (0%) 0 1/3819 (0%) 1
Loss of consciousness 4/3818 (0.1%) 4 4/3819 (0.1%) 4
Lumbar radiculopathy 2/3818 (0.1%) 2 2/3819 (0.1%) 2
Memory impairment 1/3818 (0%) 1 0/3819 (0%) 0
Metabolic encephalopathy 7/3818 (0.2%) 7 9/3819 (0.2%) 10
Migraine 3/3818 (0.1%) 3 0/3819 (0%) 0
Migraine-triggered seizure 0/3818 (0%) 0 1/3819 (0%) 1
Mononeuropathy multiplex 0/3818 (0%) 0 1/3819 (0%) 1
Motor neurone disease 1/3818 (0%) 1 0/3819 (0%) 0
Multiple sclerosis relapse 0/3818 (0%) 0 1/3819 (0%) 2
Myasthenia gravis 0/3818 (0%) 0 1/3819 (0%) 1
Nerve root compression 1/3818 (0%) 1 0/3819 (0%) 0
Neuropathy peripheral 1/3818 (0%) 1 0/3819 (0%) 0
Normal pressure hydrocephalus 2/3818 (0.1%) 2 0/3819 (0%) 0
Paraesthesia 0/3818 (0%) 0 1/3819 (0%) 1
Parkinson's disease 1/3818 (0%) 1 4/3819 (0.1%) 4
Peripheral sensory neuropathy 1/3818 (0%) 1 0/3819 (0%) 0
Post-injection delirium sedation syndrome 1/3818 (0%) 1 0/3819 (0%) 0
Presyncope 3/3818 (0.1%) 3 12/3819 (0.3%) 12
Radicular pain 0/3818 (0%) 0 1/3819 (0%) 1
Radiculopathy 0/3818 (0%) 0 2/3819 (0.1%) 2
Reversible ischaemic neurological deficit 1/3818 (0%) 1 0/3819 (0%) 0
Sciatica 0/3818 (0%) 0 2/3819 (0.1%) 2
Seizure 6/3818 (0.2%) 8 6/3819 (0.2%) 6
Senile dementia 0/3818 (0%) 0 1/3819 (0%) 1
Spinal cord compression 0/3818 (0%) 0 2/3819 (0.1%) 2
Spondylitic myelopathy 0/3818 (0%) 0 1/3819 (0%) 1
Status epilepticus 1/3818 (0%) 1 0/3819 (0%) 0
Subarachnoid haemorrhage 2/3818 (0.1%) 2 2/3819 (0.1%) 2
Syncope 25/3818 (0.7%) 27 24/3819 (0.6%) 29
Thalamic infarction 1/3818 (0%) 1 3/3819 (0.1%) 3
Thalamus haemorrhage 1/3818 (0%) 1 1/3819 (0%) 1
Thrombotic stroke 1/3818 (0%) 1 0/3819 (0%) 0
Toxic encephalopathy 1/3818 (0%) 1 2/3819 (0.1%) 2
Transient global amnesia 0/3818 (0%) 0 1/3819 (0%) 1
Transient ischaemic attack 28/3818 (0.7%) 29 42/3819 (1.1%) 44
Tremor 0/3818 (0%) 0 1/3819 (0%) 1
Ulnar nerve palsy 1/3818 (0%) 1 0/3819 (0%) 0
VIth nerve paralysis 1/3818 (0%) 1 0/3819 (0%) 0
Vascular dementia 1/3818 (0%) 1 2/3819 (0.1%) 2
Vascular headache 0/3818 (0%) 0 1/3819 (0%) 1
Vertebrobasilar insufficiency 0/3818 (0%) 0 1/3819 (0%) 1
Visual field defect 0/3818 (0%) 0 1/3819 (0%) 1
Product Issues
Device dislocation 1/3818 (0%) 1 2/3819 (0.1%) 2
Device failure 1/3818 (0%) 1 0/3819 (0%) 0
Device fastener issue 1/3818 (0%) 1 0/3819 (0%) 0
Device inappropriate shock delivery 0/3818 (0%) 0 1/3819 (0%) 1
Device lead damage 0/3818 (0%) 0 1/3819 (0%) 1
Device loosening 0/3818 (0%) 0 1/3819 (0%) 1
Device malfunction 1/3818 (0%) 1 2/3819 (0.1%) 3
Lead dislodgement 1/3818 (0%) 2 1/3819 (0%) 1
Psychiatric disorders
Acute stress disorder 1/3818 (0%) 1 0/3819 (0%) 0
Affective disorder 1/3818 (0%) 1 1/3819 (0%) 1
Aggression 1/3818 (0%) 1 0/3819 (0%) 0
Agitation 1/3818 (0%) 1 0/3819 (0%) 0
Alcohol withdrawal syndrome 1/3818 (0%) 1 2/3819 (0.1%) 2
Anxiety 1/3818 (0%) 1 2/3819 (0.1%) 2
Bipolar disorder 3/3818 (0.1%) 3 3/3819 (0.1%) 3
Completed suicide 0/3818 (0%) 0 2/3819 (0.1%) 2
Confusional state 3/3818 (0.1%) 3 4/3819 (0.1%) 4
Delirium 2/3818 (0.1%) 2 5/3819 (0.1%) 5
Depression 5/3818 (0.1%) 5 4/3819 (0.1%) 4
Depression suicidal 1/3818 (0%) 1 1/3819 (0%) 1
Hallucination, visual 1/3818 (0%) 1 0/3819 (0%) 0
Intentional self-injury 1/3818 (0%) 1 0/3819 (0%) 0
Major depression 2/3818 (0.1%) 2 2/3819 (0.1%) 2
Mental status changes 7/3818 (0.2%) 7 8/3819 (0.2%) 8
Paranoia 1/3818 (0%) 1 0/3819 (0%) 0
Personality change due to a general medical condition 1/3818 (0%) 1 0/3819 (0%) 0
Post stroke depression 0/3818 (0%) 0 1/3819 (0%) 1
Post-traumatic stress disorder 0/3818 (0%) 0 1/3819 (0%) 1
Psychotic disorder 0/3818 (0%) 0 1/3819 (0%) 1
Schizoaffective disorder 0/3818 (0%) 0 1/3819 (0%) 1
Schizoaffective disorder bipolar type 0/3818 (0%) 0 1/3819 (0%) 2
Schizophrenia 3/3818 (0.1%) 3 0/3819 (0%) 0
Suicidal ideation 5/3818 (0.1%) 6 3/3819 (0.1%) 3
Suicide attempt 0/3818 (0%) 0 3/3819 (0.1%) 3
Renal and urinary disorders
Acute kidney injury 70/3818 (1.8%) 79 95/3819 (2.5%) 110
Acute prerenal failure 2/3818 (0.1%) 2 2/3819 (0.1%) 2
Anuria 0/3818 (0%) 0 2/3819 (0.1%) 2
Azotaemia 2/3818 (0.1%) 2 1/3819 (0%) 1
Bladder neck obstruction 0/3818 (0%) 0 1/3819 (0%) 1
Bladder outlet obstruction 1/3818 (0%) 1 0/3819 (0%) 0
Calculus bladder 1/3818 (0%) 1 0/3819 (0%) 0
Calculus urinary 0/3818 (0%) 0 1/3819 (0%) 1
Chronic kidney disease 16/3818 (0.4%) 18 26/3819 (0.7%) 30
Cystitis noninfective 1/3818 (0%) 1 0/3819 (0%) 0
Diabetic nephropathy 1/3818 (0%) 1 3/3819 (0.1%) 3
End stage renal disease 12/3818 (0.3%) 12 9/3819 (0.2%) 9
Glomerulonephritis rapidly progressive 1/3818 (0%) 1 0/3819 (0%) 0
Haematuria 2/3818 (0.1%) 2 3/3819 (0.1%) 3
Hydronephrosis 2/3818 (0.1%) 2 3/3819 (0.1%) 3
Nephrolithiasis 11/3818 (0.3%) 11 9/3819 (0.2%) 9
Nephropathy 0/3818 (0%) 0 1/3819 (0%) 1
Nephropathy toxic 0/3818 (0%) 0 1/3819 (0%) 1
Nephrosclerosis 1/3818 (0%) 1 0/3819 (0%) 0
Nephrotic syndrome 1/3818 (0%) 1 2/3819 (0.1%) 2
Renal artery stenosis 0/3818 (0%) 0 1/3819 (0%) 1
Renal colic 0/3818 (0%) 0 1/3819 (0%) 1
Renal failure 14/3818 (0.4%) 14 17/3819 (0.4%) 17
Renal impairment 3/3818 (0.1%) 3 4/3819 (0.1%) 4
Renal mass 1/3818 (0%) 1 0/3819 (0%) 0
Renal tubular necrosis 0/3818 (0%) 0 1/3819 (0%) 1
Stag horn calculus 2/3818 (0.1%) 2 0/3819 (0%) 0
Stress urinary incontinence 2/3818 (0.1%) 2 0/3819 (0%) 0
Tubulointerstitial nephritis 0/3818 (0%) 0 1/3819 (0%) 1
Ureterolithiasis 3/3818 (0.1%) 3 5/3819 (0.1%) 5
Urethral stenosis 1/3818 (0%) 1 0/3819 (0%) 0
Urinary hesitation 1/3818 (0%) 1 0/3819 (0%) 0
Urinary retention 9/3818 (0.2%) 9 2/3819 (0.1%) 2
Reproductive system and breast disorders
Balanoposthitis 1/3818 (0%) 1 1/3819 (0%) 1
Benign prostatic hyperplasia 9/3818 (0.2%) 9 7/3819 (0.2%) 7
Breast enlargement 1/3818 (0%) 1 0/3819 (0%) 0
Cervical cyst 1/3818 (0%) 1 0/3819 (0%) 0
Cervical dysplasia 0/3818 (0%) 0 2/3819 (0.1%) 2
Cervix haemorrhage uterine 1/3818 (0%) 1 0/3819 (0%) 0
Cystocele 2/3818 (0.1%) 2 0/3819 (0%) 0
Endometrial hyperplasia 3/3818 (0.1%) 3 0/3819 (0%) 0
Ovarian cyst 1/3818 (0%) 1 0/3819 (0%) 0
Prostatitis 1/3818 (0%) 1 1/3819 (0%) 1
Prostatomegaly 0/3818 (0%) 0 1/3819 (0%) 1
Rectocele 1/3818 (0%) 1 0/3819 (0%) 0
Uterine mass 1/3818 (0%) 1 0/3819 (0%) 0
Uterine prolapse 0/3818 (0%) 0 1/3819 (0%) 1
Vaginal haemorrhage 0/3818 (0%) 0 1/3819 (0%) 1
Respiratory, thoracic and mediastinal disorders
Acquired diaphragmatic eventration 0/3818 (0%) 0 1/3819 (0%) 1
Acute pulmonary oedema 6/3818 (0.2%) 9 6/3819 (0.2%) 6
Acute respiratory distress syndrome 3/3818 (0.1%) 3 0/3819 (0%) 0
Acute respiratory failure 24/3818 (0.6%) 26 31/3819 (0.8%) 35
Asthma 6/3818 (0.2%) 7 8/3819 (0.2%) 8
Asthma-chronic obstructive pulmonary disease overlap syndrome 1/3818 (0%) 1 0/3819 (0%) 0
Atelectasis 1/3818 (0%) 1 4/3819 (0.1%) 4
Bronchial hyperreactivity 0/3818 (0%) 0 1/3819 (0%) 1
Chronic obstructive pulmonary disease 42/3818 (1.1%) 54 56/3819 (1.5%) 70
Chronic respiratory failure 2/3818 (0.1%) 2 0/3819 (0%) 0
Cough 2/3818 (0.1%) 2 1/3819 (0%) 1
Dyspnoea 11/3818 (0.3%) 11 17/3819 (0.4%) 19
Dyspnoea exertional 4/3818 (0.1%) 4 1/3819 (0%) 1
Dyspnoea paroxysmal nocturnal 0/3818 (0%) 0 1/3819 (0%) 1
Epistaxis 1/3818 (0%) 1 3/3819 (0.1%) 4
Haemothorax 1/3818 (0%) 1 0/3819 (0%) 0
Hypoxia 3/3818 (0.1%) 3 8/3819 (0.2%) 8
Idiopathic pulmonary fibrosis 1/3818 (0%) 1 0/3819 (0%) 0
Interstitial lung disease 1/3818 (0%) 1 3/3819 (0.1%) 3
Laryngeal stenosis 1/3818 (0%) 1 0/3819 (0%) 0
Nasal polyps 1/3818 (0%) 1 1/3819 (0%) 1
Nasal septum deviation 1/3818 (0%) 1 1/3819 (0%) 1
Non-cardiogenic pulmonary oedema 1/3818 (0%) 1 0/3819 (0%) 0
Obstructive airways disorder 1/3818 (0%) 1 0/3819 (0%) 0
Pharyngeal oedema 2/3818 (0.1%) 2 0/3819 (0%) 0
Pickwickian syndrome 0/3818 (0%) 0 1/3819 (0%) 1
Pleural effusion 1/3818 (0%) 1 6/3819 (0.2%) 6
Pleurisy 0/3818 (0%) 0 3/3819 (0.1%) 3
Pleuritic pain 0/3818 (0%) 0 1/3819 (0%) 1
Pneumonia aspiration 1/3818 (0%) 1 3/3819 (0.1%) 3
Pneumonitis 0/3818 (0%) 0 1/3819 (0%) 1
Pneumothorax 3/3818 (0.1%) 3 1/3819 (0%) 1
Pneumothorax spontaneous 0/3818 (0%) 0 1/3819 (0%) 1
Pulmonary congestion 1/3818 (0%) 1 1/3819 (0%) 1
Pulmonary embolism 15/3818 (0.4%) 15 10/3819 (0.3%) 10
Pulmonary fibrosis 1/3818 (0%) 1 1/3819 (0%) 1
Pulmonary hypertension 6/3818 (0.2%) 6 5/3819 (0.1%) 5
Pulmonary mass 1/3818 (0%) 1 2/3819 (0.1%) 2
Pulmonary oedema 6/3818 (0.2%) 6 9/3819 (0.2%) 9
Pulmonary sarcoidosis 0/3818 (0%) 0 1/3819 (0%) 1
Pulmonary veno-occlusive disease 0/3818 (0%) 0 1/3819 (0%) 1
Respiratory distress 2/3818 (0.1%) 2 2/3819 (0.1%) 2
Respiratory failure 22/3818 (0.6%) 23 18/3819 (0.5%) 19
Respiratory tract inflammation 0/3818 (0%) 0 1/3819 (0%) 1
Sleep apnoea syndrome 0/3818 (0%) 0 7/3819 (0.2%) 7
Upper respiratory tract inflammation 0/3818 (0%) 0 1/3819 (0%) 1
Skin and subcutaneous tissue disorders
Angioedema 3/3818 (0.1%) 4 8/3819 (0.2%) 9
Decubitus ulcer 1/3818 (0%) 1 2/3819 (0.1%) 2
Dermal cyst 1/3818 (0%) 1 0/3819 (0%) 0
Dermatitis 1/3818 (0%) 1 0/3819 (0%) 0
Diabetic foot 10/3818 (0.3%) 10 11/3819 (0.3%) 11
Diabetic neuropathic ulcer 0/3818 (0%) 0 1/3819 (0%) 1
Eczema 1/3818 (0%) 1 0/3819 (0%) 0
Hidradenitis 1/3818 (0%) 1 0/3819 (0%) 0
Hyperhidrosis 1/3818 (0%) 1 0/3819 (0%) 0
Hypersensitivity vasculitis 1/3818 (0%) 1 0/3819 (0%) 0
Neuropathic ulcer 2/3818 (0.1%) 2 1/3819 (0%) 1
Pemphigoid 0/3818 (0%) 0 1/3819 (0%) 1
Rash 1/3818 (0%) 1 0/3819 (0%) 0
Skin necrosis 0/3818 (0%) 0 1/3819 (0%) 1
Skin ulcer 13/3818 (0.3%) 13 6/3819 (0.2%) 6
Skin ulcer haemorrhage 0/3818 (0%) 0 1/3819 (0%) 1
Stasis dermatitis 2/3818 (0.1%) 2 0/3819 (0%) 0
Urticaria 1/3818 (0%) 1 0/3819 (0%) 0
Social circumstances
Social stay hospitalisation 1/3818 (0%) 1 0/3819 (0%) 0
Surgical and medical procedures
Abdominal hernia repair 0/3818 (0%) 0 1/3819 (0%) 1
Abdominal panniculectomy 1/3818 (0%) 1 0/3819 (0%) 0
Amputation 0/3818 (0%) 0 1/3819 (0%) 1
Angioplasty 2/3818 (0.1%) 2 0/3819 (0%) 0
Aortic aneurysm repair 0/3818 (0%) 0 1/3819 (0%) 1
Aortic stent insertion 1/3818 (0%) 1 0/3819 (0%) 0
Aortic valve replacement 1/3818 (0%) 1 0/3819 (0%) 0
Arteriovenous fistula operation 0/3818 (0%) 0 1/3819 (0%) 1
Cardiac ablation 1/3818 (0%) 1 2/3819 (0.1%) 2
Cardiac pacemaker battery replacement 0/3818 (0%) 0 1/3819 (0%) 1
Cardiac pacemaker insertion 1/3818 (0%) 1 1/3819 (0%) 1
Cardiac pacemaker replacement 0/3818 (0%) 0 4/3819 (0.1%) 4
Cataract operation 1/3818 (0%) 1 1/3819 (0%) 1
Colectomy 1/3818 (0%) 1 0/3819 (0%) 0
Colostomy closure 1/3818 (0%) 1 0/3819 (0%) 0
Coronary arterial stent insertion 0/3818 (0%) 0 1/3819 (0%) 1
Coronary artery bypass 1/3818 (0%) 1 2/3819 (0.1%) 2
Duodenal switch 1/3818 (0%) 1 0/3819 (0%) 0
Gastrectomy 4/3818 (0.1%) 4 3/3819 (0.1%) 3
Gastric bypass 3/3818 (0.1%) 3 4/3819 (0.1%) 4
Hernia repair 1/3818 (0%) 1 0/3819 (0%) 0
Hip arthroplasty 2/3818 (0.1%) 2 0/3819 (0%) 0
Hysterectomy 1/3818 (0%) 1 0/3819 (0%) 0
Implantable defibrillator insertion 2/3818 (0.1%) 2 1/3819 (0%) 1
Implantable defibrillator replacement 0/3818 (0%) 0 1/3819 (0%) 1
Inguinal hernia repair 2/3818 (0.1%) 2 1/3819 (0%) 1
Intervertebral disc operation 1/3818 (0%) 1 0/3819 (0%) 0
Intra-ocular injection 1/3818 (0%) 1 0/3819 (0%) 0
Jejunostomy 0/3818 (0%) 0 1/3819 (0%) 1
Joint arthroplasty 1/3818 (0%) 1 0/3819 (0%) 0
Knee arthroplasty 4/3818 (0.1%) 5 7/3819 (0.2%) 8
Knee operation 1/3818 (0%) 1 0/3819 (0%) 0
Leg amputation 0/3818 (0%) 0 1/3819 (0%) 1
Metabolic surgery 0/3818 (0%) 0 1/3819 (0%) 1
Oesophagectomy 0/3818 (0%) 0 1/3819 (0%) 1
Rotator cuff repair 0/3818 (0%) 0 1/3819 (0%) 1
Roux loop conversion 0/3818 (0%) 0 1/3819 (0%) 1
Spinal decompression 0/3818 (0%) 0 1/3819 (0%) 1
Spinal fusion surgery 1/3818 (0%) 1 0/3819 (0%) 0
Spinal laminectomy 2/3818 (0.1%) 2 0/3819 (0%) 0
Thyroidectomy 0/3818 (0%) 0 1/3819 (0%) 1
Transurethral prostatectomy 0/3818 (0%) 0 1/3819 (0%) 1
Umbilical hernia repair 1/3818 (0%) 1 0/3819 (0%) 0
Vascular disorders
Accelerated hypertension 4/3818 (0.1%) 4 7/3819 (0.2%) 7
Aneurysm 0/3818 (0%) 0 1/3819 (0%) 1
Angiopathy 0/3818 (0%) 0 1/3819 (0%) 1
Aortic aneurysm 3/3818 (0.1%) 3 3/3819 (0.1%) 3
Aortic stenosis 3/3818 (0.1%) 3 3/3819 (0.1%) 3
Arterial haemorrhage 0/3818 (0%) 0 2/3819 (0.1%) 2
Arteriosclerosis 3/3818 (0.1%) 3 2/3819 (0.1%) 2
Blood pressure inadequately controlled 1/3818 (0%) 1 0/3819 (0%) 0
Deep vein thrombosis 13/3818 (0.3%) 13 10/3819 (0.3%) 10
Dry gangrene 2/3818 (0.1%) 2 1/3819 (0%) 1
Embolism 1/3818 (0%) 1 0/3819 (0%) 0
Embolism arterial 0/3818 (0%) 0 2/3819 (0.1%) 2
Embolism venous 1/3818 (0%) 1 1/3819 (0%) 1
Essential hypertension 1/3818 (0%) 1 0/3819 (0%) 0
Extremity necrosis 1/3818 (0%) 1 3/3819 (0.1%) 3
Hypertension 17/3818 (0.4%) 19 23/3819 (0.6%) 24
Hypertensive crisis 8/3818 (0.2%) 8 8/3819 (0.2%) 8
Hypertensive emergency 3/3818 (0.1%) 3 3/3819 (0.1%) 3
Hypotension 14/3818 (0.4%) 14 14/3819 (0.4%) 15
Hypovolaemic shock 0/3818 (0%) 0 2/3819 (0.1%) 2
Intermittent claudication 2/3818 (0.1%) 2 6/3819 (0.2%) 6
Ischaemic limb pain 0/3818 (0%) 0 1/3819 (0%) 1
Leriche syndrome 0/3818 (0%) 0 1/3819 (0%) 1
Lymphocele 0/3818 (0%) 0 1/3819 (0%) 1
Malignant hypertension 3/3818 (0.1%) 3 5/3819 (0.1%) 5
Microangiopathy 1/3818 (0%) 1 0/3819 (0%) 0
Obstructive shock 1/3818 (0%) 1 0/3819 (0%) 0
Orthostatic hypotension 6/3818 (0.2%) 6 8/3819 (0.2%) 8
Peripheral arterial occlusive disease 13/3818 (0.3%) 13 12/3819 (0.3%) 12
Peripheral artery aneurysm 1/3818 (0%) 1 1/3819 (0%) 1
Peripheral artery occlusion 4/3818 (0.1%) 4 4/3819 (0.1%) 5
Peripheral artery stenosis 2/3818 (0.1%) 3 4/3819 (0.1%) 4
Peripheral artery thrombosis 1/3818 (0%) 1 0/3819 (0%) 0
Peripheral embolism 0/3818 (0%) 0 1/3819 (0%) 1
Peripheral ischaemia 3/3818 (0.1%) 3 7/3819 (0.2%) 7
Peripheral vascular disorder 11/3818 (0.3%) 12 14/3819 (0.4%) 17
Peripheral venous disease 0/3818 (0%) 0 2/3819 (0.1%) 2
Phlebitis 0/3818 (0%) 0 1/3819 (0%) 1
Reperfusion injury 0/3818 (0%) 0 1/3819 (0%) 1
Shock haemorrhagic 0/3818 (0%) 0 2/3819 (0.1%) 2
Subclavian steal syndrome 1/3818 (0%) 1 0/3819 (0%) 0
Superior vena cava stenosis 0/3818 (0%) 0 1/3819 (0%) 1
Temporal arteritis 1/3818 (0%) 1 0/3819 (0%) 0
Thrombosis 4/3818 (0.1%) 4 2/3819 (0.1%) 4
Vascular insufficiency 0/3818 (0%) 0 1/3819 (0%) 3
Other (Not Including Serious) Adverse Events
Insulin Degludec Insulin Glargine
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/3818 (0%) 0/3819 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

"At the end of the trial, one or more scientific publications may be prepared collaboratively by the investigator(s) and Novo Nordisk. Novo Nordisk reserves the right to postpone publication and/or communication for up to 60 days to protect intellectual property"

Results Point of Contact

Name/Title Global Clinical Registry (GCR, 1452)
Organization Novo Nordisk A/S
Phone
Email clinicaltrials@novonordisk.com
Responsible Party:
Novo Nordisk A/S
ClinicalTrials.gov Identifier:
NCT01959529
Other Study ID Numbers:
  • EX1250-4080
  • 2013-002371-17
  • U1111-1141-7614
  • JapicCTI-142464
First Posted:
Oct 10, 2013
Last Update Posted:
Jul 24, 2019
Last Verified:
Jul 1, 2019