Phase 2 Study of TD-9855 to Treat Fibromyalgia

Sponsor
Theravance Biopharma (Industry)
Overall Status
Completed
CT.gov ID
NCT01693692
Collaborator
(none)
392
34
3
17
11.5
0.7

Study Details

Study Description

Brief Summary

The purpose of this study study is to determine whether TD-9855 is effective in treating patients with fibromyalgia.

Condition or Disease Intervention/Treatment Phase
  • Drug: TD-9855 Group 1
  • Drug: TD-9855 Group 2
  • Drug: Placebo
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
392 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Phase 2 Multicenter, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Study of TD-9855 in Patients With Fibromyalgia (FM)
Actual Study Start Date :
Nov 1, 2012
Actual Primary Completion Date :
Jan 1, 2014
Actual Study Completion Date :
Apr 1, 2014

Arms and Interventions

Arm Intervention/Treatment
Experimental: TD-9855 Group 1

Group 1 to be dosed with TD-9855

Drug: TD-9855 Group 1

Experimental: TD-9855 Group 2

Group 2 to be dosed with TD-9855

Drug: TD-9855 Group 2

Placebo Comparator: Placebo

Group to be dosed with Placebo

Drug: Placebo

Outcome Measures

Primary Outcome Measures

  1. Percentage Change in Pain Score Based on the Mean of the Last 7 Daily Pain Numeric Rating Scale (NRS) Scores From the Daily Pain Diaries [Baseline and Week 6]

    Pain NRS score is based on an 11-point scale where 0 represents no pain and 10 represents the worst possible pain.

Secondary Outcome Measures

  1. Fibromyalgia Impact Questionnaire (FIQ) [Day 43 (End of study treatment)]

    FIQ score is based on the total score from 0 to 100 gained from 10 questions, where a lower total score represents less impact from fibromyalgia.

  2. Patient Global Impression of Change (PGIC) [Day 43 (End of study treatment)]

    PGIC score is based on a 7-category scale where a score of 1 indicates the participant's condition is very much improved, and a score of 7 indicates the participant's condition is very much worse.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 65 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • • American College of Rheumatology (ACR) Diagnostic Criteria for Fibromyalgia (FM)

  • Informed consent

  • 18 to 65 years of age

  • Discontinue therapy with adrenergic-acting drugs, and certain other medications

  • Only acetaminophen or NSAID as rescue pain medication

  • No narcotic pain meds or benzodiazepines

  • Only non-benzodiazepines as rescue hypnotics

Exclusion Criteria:
  • Any current psychiatric disorder, lifetime bipolar disorder, severe comorbid Axis II disorder, mental retardation, etc, as assessed by Mini International Neuropsychiatric Interview (MINI)

  • Major depression at screening by MINI when unable to be washed out of MDD meds (investigator or provider's judgment)

  • Risk of suicide (investigator opinion and/or C-SSRS)

  • Recent history of substance or alcohol abuse

  • BMI <18 or ≥45

  • Concurrent disease; pain for diagnosed illness other than FM; non-compliance; history of seizures; pheochromocytoma; glaucoma; CV disease; orthostatic hypotension or orthostatic tachycardia; untreated sleep apnea

  • Abnormal lab values (liver, kidney, thyroid, and others)

Contacts and Locations

Locations

Site City State Country Postal Code
1 Rheumatology Associates of North Alabama, PC Huntsville Alabama United States 35801
2 Dedicated Clinical Research Goodyear Arizona United States 85395
3 TriWest Research Associates, LLC El Cajon California United States 92020
4 Arroyo Medical Group, Inc. Pismo Beach California United States 93449
5 Diablo Clinical Research, Inc. Walnut Creek California United States 94598
6 Coastal Connecticut Research, LLC New London Connecticut United States 06320
7 Florida Clinical Research Center, LLC Bradenton Florida United States 34201
8 PAB Clinical Research Brandon Florida United States 33511
9 Meridien Research Lakeland Florida United States 33805
10 Renstar Medical Research Ocala Florida United States 34471
11 Compass Research, LLC Orlando Florida United States 32806
12 Clinical Investigation Specialists, Inc. Gurnee Illinois United States 60031
13 MediSphere Medical Research Center, LLC Evansville Indiana United States 47714
14 GTC Research Shawnee Mission Kansas United States 66218
15 Beacon Clinical Research Brockton Massachusetts United States 02301
16 Beacon Clinical Research New Bedford Massachusetts United States 02740
17 The Center for Pharmaceutical Research Kansas City Missouri United States 64114
18 Meridian Clinical Research Omaha Nebraska United States 68134
19 Advanced Biomedical Research of America Las Vegas Nevada United States 89123
20 Upstate Clinical Research Associates, LLC Williamsville New York United States 14221
21 Wake Research Associates Raleigh North Carolina United States 27612
22 The Center for Clinical Research Winston-Salem North Carolina United States 27103
23 Lillestol Research, LLC Fargo North Dakota United States 58103
24 University of Cincinnati Cincinnati Ohio United States 45219
25 Clinical Research Source, Inc. Perrysburg Ohio United States 43551
26 Tulsa Clinical Research, LLC Tulsa Oklahoma United States 74104
27 Sunstone Medical Research, LLC Medford Oregon United States 97504
28 Altoona Center for Clinical Research Duncansville Pennsylvania United States 16635
29 Omega Medical Research Warwick Rhode Island United States 02886
30 Coastal Carolina Research Center Mount Pleasant South Carolina United States 29464
31 Carolina Center for Rheumatology & Arthritis Care Rock Hill South Carolina United States 29732
32 Meridian Clinical Research Dakota Dunes South Dakota United States 57049
33 ClinSearch, LLC Chattanooga Tennessee United States 37421
34 Swedish Rheumatology Research Seattle Washington United States 98104

Sponsors and Collaborators

  • Theravance Biopharma

Investigators

  • Study Director: Medical Monitor, Theravance Biopharma

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Theravance Biopharma
ClinicalTrials.gov Identifier:
NCT01693692
Other Study ID Numbers:
  • 0092
First Posted:
Sep 26, 2012
Last Update Posted:
Mar 4, 2022
Last Verified:
Feb 1, 2022
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Theravance Biopharma
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details 392 participants were enrolled across 53 study sites in the United States.
Pre-assignment Detail 392 participants were enrolled, but 9 participants were not treated with the study drug.
Arm/Group Title Placebo TD-9855 Group 1 TD-9855 Group 2
Arm/Group Description Participants will be administered a placebo once daily for 6 weeks. Participants will be administered TD-9855 at an initial dose of 2.5 mg once daily for 1 week, before increasing the dose to 5 mg once daily for the following 5 weeks. Participants who are unable to tolerate the initial dose level will be discontinued from further dosing and will be considered to have withdrawn prematurely from the study. Participants will be administered TD-9855 at an initial dose of 10 mg once daily for 1 week, before increasing the dose to 20 mg once daily for the following 5 weeks. Participants who are unable to tolerate the initial dose level will be discontinued from further dosing and will be considered to have withdrawn prematurely from the study.
Period Title: Overall Study
STARTED 130 131 131
Received Study Drug 128 127 128
COMPLETED 100 97 95
NOT COMPLETED 30 34 36

Baseline Characteristics

Arm/Group Title Placebo TD-9855 Group 1 TD-9855 Group 2 Total
Arm/Group Description Participants will be administered a placebo once daily for 6 weeks. Participants will be administered TD-9855 at an initial dose of 2.5 mg once daily for 1 week, before increasing the dose to 5 mg once daily for the following 5 weeks. Participants who are unable to tolerate the initial dose level will be discontinued from further dosing and will be considered to have withdrawn prematurely from the study. Participants will be administered TD-9855 at an initial dose of 10 mg once daily for 1 week, before increasing the dose to 20 mg once daily for the following 5 weeks. Participants who are unable to tolerate the initial dose level will be discontinued from further dosing and will be considered to have withdrawn prematurely from the study. Total of all reporting groups
Overall Participants 130 131 131 392
Age (years) [Mean (Full Range) ]
Mean (Full Range) [years]
45.8
48.0
43.2
45.7
Age, Customized (Count of Participants)
18 - 45 Years of Age
55
42.3%
51
38.9%
73
55.7%
179
45.7%
46 - 65 Years of Age
75
57.7%
80
61.1%
58
44.3%
213
54.3%
Sex: Female, Male (Count of Participants)
Female
123
94.6%
123
93.9%
123
93.9%
369
94.1%
Male
7
5.4%
8
6.1%
8
6.1%
23
5.9%
Ethnicity (NIH/OMB) (Count of Participants)
Hispanic or Latino
22
16.9%
16
12.2%
19
14.5%
57
14.5%
Not Hispanic or Latino
106
81.5%
115
87.8%
112
85.5%
333
84.9%
Unknown or Not Reported
2
1.5%
0
0%
0
0%
2
0.5%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
2
1.5%
0
0%
1
0.8%
3
0.8%
Asian
1
0.8%
0
0%
1
0.8%
2
0.5%
Native Hawaiian or Other Pacific Islander
1
0.8%
0
0%
0
0%
1
0.3%
Black or African American
13
10%
18
13.7%
20
15.3%
51
13%
White
110
84.6%
107
81.7%
107
81.7%
324
82.7%
More than one race
2
1.5%
6
4.6%
1
0.8%
9
2.3%
Unknown or Not Reported
1
0.8%
0
0%
1
0.8%
2
0.5%
Region of Enrollment (participants) [Number]
United States
130
100%
131
100%
131
100%
392
100%
Weight (kg) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [kg]
81.9
(17.64)
83.2
(17.68)
79.0
(17.27)
81.4
(17.57)
Height (cm) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [cm]
163.3
(6.85)
164.5
(7.65)
164.0
(8.49)
164.0
(7.69)
Body Mass Index (kg/m^2) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [kg/m^2]
30.7
(6.24)
30.7
(5.74)
29.3
(5.59)
30.2
(5.89)

Outcome Measures

1. Primary Outcome
Title Percentage Change in Pain Score Based on the Mean of the Last 7 Daily Pain Numeric Rating Scale (NRS) Scores From the Daily Pain Diaries
Description Pain NRS score is based on an 11-point scale where 0 represents no pain and 10 represents the worst possible pain.
Time Frame Baseline and Week 6

Outcome Measure Data

Analysis Population Description
Only participants with available data were used for this analysis.
Arm/Group Title Placebo TD-9855 Group 1 TD-9855 Group 2
Arm/Group Description Participants will be administered a placebo once daily for 6 weeks. Participants will be administered TD-9855 at an initial dose of 2.5 mg once daily for 1 week, before increasing the dose to 5 mg once daily for the following 5 weeks. Participants who are unable to tolerate the initial dose level will be discontinued from further dosing and will be considered to have withdrawn prematurely from the study. Participants will be administered TD-9855 at an initial dose of 10 mg once daily for 1 week, before increasing the dose to 20 mg once daily for the following 5 weeks. Participants who are unable to tolerate the initial dose level will be discontinued from further dosing and will be considered to have withdrawn prematurely from the study.
Measure Participants 126 122 125
Least Squares Mean (Standard Error) [percentage change]
-0.9
(0.17)
-1.2
(0.18)
-1.4
(0.17)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, TD-9855 Group 1
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.1683
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.24
Confidence Interval (1-Sided) 95%
to 0.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.25
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, TD-9855 Group 2
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0277
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.47
Confidence Interval (1-Sided) 95%
to -0.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.25
Estimation Comments
2. Secondary Outcome
Title Fibromyalgia Impact Questionnaire (FIQ)
Description FIQ score is based on the total score from 0 to 100 gained from 10 questions, where a lower total score represents less impact from fibromyalgia.
Time Frame Day 43 (End of study treatment)

Outcome Measure Data

Analysis Population Description
Only participants with available data were used for this analysis.
Arm/Group Title Placebo TD-9855 Group 1 TD-9855 Group 2
Arm/Group Description Participants will be administered a placebo once daily for 6 weeks. Participants will be administered TD-9855 at an initial dose of 2.5 mg once daily for 1 week, before increasing the dose to 5 mg once daily for the following 5 weeks. Participants who are unable to tolerate the initial dose level will be discontinued from further dosing and will be considered to have withdrawn prematurely from the study. Participants will be administered TD-9855 at an initial dose of 10 mg once daily for 1 week, before increasing the dose to 20 mg once daily for the following 5 weeks. Participants who are unable to tolerate the initial dose level will be discontinued from further dosing and will be considered to have withdrawn prematurely from the study.
Measure Participants 126 122 125
Least Squares Mean (Standard Deviation) [score on a scale]
44.0
(1.75)
42.4
(1.75)
38.2
(1.75)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, TD-9855 Group 1
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.2637
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -1.57
Confidence Interval (1-Sided) 95%
to 2.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 2.48
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, TD-9855 Group 2
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0097
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -5.80
Confidence Interval (1-Sided) 95%
to -1.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 2.47
Estimation Comments
3. Secondary Outcome
Title Patient Global Impression of Change (PGIC)
Description PGIC score is based on a 7-category scale where a score of 1 indicates the participant's condition is very much improved, and a score of 7 indicates the participant's condition is very much worse.
Time Frame Day 43 (End of study treatment)

Outcome Measure Data

Analysis Population Description
Only participants with available data were used for this analysis.
Arm/Group Title Placebo TD-9855 Group 1 TD-9855 Group 2
Arm/Group Description Participants will be administered a placebo once daily for 6 weeks. Participants will be administered TD-9855 at an initial dose of 2.5 mg once daily for 1 week, before increasing the dose to 5 mg once daily for the following 5 weeks. Participants who are unable to tolerate the initial dose level will be discontinued from further dosing and will be considered to have withdrawn prematurely from the study. Participants will be administered TD-9855 at an initial dose of 10 mg once daily for 1 week, before increasing the dose to 20 mg once daily for the following 5 weeks. Participants who are unable to tolerate the initial dose level will be discontinued from further dosing and will be considered to have withdrawn prematurely from the study.
Measure Participants 126 122 125
Least Squares Mean (Standard Error) [score on a scale]
3.2
(0.11)
2.9
(0.11)
2.8
(0.11)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, TD-9855 Group 1
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0639
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.24
Confidence Interval (1-Sided) 95%
to 0.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.16
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, TD-9855 Group 2
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.0070
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.39
Confidence Interval (1-Sided) 95%
to -0.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.16
Estimation Comments

Adverse Events

Time Frame Day 1 up to Day 63
Adverse Event Reporting Description Only data from participants who received study drug or placebo is included here.
Arm/Group Title Placebo TD-9855 Group 1 TD-9855 Group 2
Arm/Group Description Participants will be administered a placebo once daily for 6 weeks. Participants will be administered TD-9855 at an initial dose of 2.5 mg once daily for 1 week, before increasing the dose to 5 mg once daily for the following 5 weeks. Participants who are unable to tolerate the initial dose level will be discontinued from further dosing and will be considered to have withdrawn prematurely from the study. Participants will be administered TD-9855 at an initial dose of 10 mg once daily for 1 week, before increasing the dose to 20 mg once daily for the following 5 weeks. Participants who are unable to tolerate the initial dose level will be discontinued from further dosing and will be considered to have withdrawn prematurely from the study.
All Cause Mortality
Placebo TD-9855 Group 1 TD-9855 Group 2
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/128 (0%) 0/127 (0%) 0/128 (0%)
Serious Adverse Events
Placebo TD-9855 Group 1 TD-9855 Group 2
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/128 (0%) 1/127 (0.8%) 1/128 (0.8%)
Cardiac disorders
Supraventricular tachycardia 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Nervous system disorders
Transient neurological symptoms of unknown etiology 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Other (Not Including Serious) Adverse Events
Placebo TD-9855 Group 1 TD-9855 Group 2
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 71/128 (55.5%) 78/127 (61.4%) 90/128 (70.3%)
Blood and lymphatic system disorders
Leukocytosis 0/128 (0%) 1/127 (0.8%) 1/128 (0.8%)
Anaemia 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Lymphadenopathy 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Macrocytosis 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Cardiac disorders
Tachycardia 0/128 (0%) 2/127 (1.6%) 7/128 (5.5%)
Palpitations 1/128 (0.8%) 2/127 (1.6%) 4/128 (3.1%)
Postural orthostatic tachycardia syndrome 0/128 (0%) 0/127 (0%) 2/128 (1.6%)
Atrioventricular block first degree 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Ear and labyrinth disorders
Vertigo 2/128 (1.6%) 2/127 (1.6%) 0/128 (0%)
Ear pain 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Motion sickness 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Tinnitus 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Endocrine disorders
Hypothyroidism 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Eye disorders
Vision blurred 0/128 (0%) 4/127 (3.1%) 1/128 (0.8%)
Dry eye 1/128 (0.8%) 1/127 (0.8%) 0/128 (0%)
Blindness transient 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Cataract 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Conjunctivitis 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Visual impairment 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Gastrointestinal disorders
Nausea 9/128 (7%) 11/127 (8.7%) 10/128 (7.8%)
Constipation 1/128 (0.8%) 6/127 (4.7%) 12/128 (9.4%)
Diarrhoea 6/128 (4.7%) 5/127 (3.9%) 3/128 (2.3%)
Vomiting 4/128 (3.1%) 3/127 (2.4%) 4/128 (3.1%)
Dry mouth 2/128 (1.6%) 2/127 (1.6%) 5/128 (3.9%)
Abdominal pain 0/128 (0%) 2/127 (1.6%) 1/128 (0.8%)
Dyspepsia 0/128 (0%) 1/127 (0.8%) 2/128 (1.6%)
Abdominal pain upper 1/128 (0.8%) 1/127 (0.8%) 0/128 (0%)
Abdominal distension 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Abdominal pain lower 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Abdominal tenderness 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Dental discomfort 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Dysphagia 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Gastroesophageal reflux disease 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Gingival swelling 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Infrequent bowel movements 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Lip dry 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Lip pain 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Rectal haemorrhage 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
General disorders
Insomnia 4/128 (3.1%) 7/127 (5.5%) 11/128 (8.6%)
Fatigue 4/128 (3.1%) 6/127 (4.7%) 9/128 (7%)
Decreased appetite 1/128 (0.8%) 4/127 (3.1%) 7/128 (5.5%)
Alanine aminotransferase increased 1/128 (0.8%) 7/127 (5.5%) 0/128 (0%)
Irritability 1/128 (0.8%) 2/127 (1.6%) 1/128 (0.8%)
Oedema peripheral 2/128 (1.6%) 1/127 (0.8%) 0/128 (0%)
Pyrexia 0/128 (0%) 2/127 (1.6%) 1/128 (0.8%)
Non-cardiac chest pain 0/128 (0%) 2/127 (1.6%) 0/128 (0%)
Pain 1/128 (0.8%) 1/127 (0.8%) 0/128 (0%)
Asthenia 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Chills 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Sluggishness 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Tenderness 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Xerosis 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Hepatobiliary disorders
Hepatic steatosis 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Hyperbilirubinaemia 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Immune system disorders
Drug hypersensitivity 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Hypersensitivity 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Seasonal allergy 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Infections and infestations
Urinary tract infection 2/128 (1.6%) 9/127 (7.1%) 5/128 (3.9%)
Nasopharyngitis 1/128 (0.8%) 1/127 (0.8%) 8/128 (6.3%)
Upper respiratory tract infection 4/128 (3.1%) 3/127 (2.4%) 4/128 (3.1%)
Gastroenteritis viral 2/128 (1.6%) 0/127 (0%) 2/128 (1.6%)
Gastroenteritis 0/128 (0%) 1/127 (0.8%) 2/128 (1.6%)
Sinusitis 1/128 (0.8%) 1/127 (0.8%) 1/128 (0.8%)
Lower respiratory tract infection 1/128 (0.8%) 0/127 (0%) 1/128 (0.8%)
Vaginal infection 0/128 (0%) 0/127 (0%) 2/128 (1.6%)
Acute sinusitis 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Bacteriuria 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Bronchitis 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Ear infection 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Fungal infection 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Gingival infection 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Hordeolum 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Influenza 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Laryngitis 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Oral herpes 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Periumbilical abscess 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Pharyngitis 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Pneumonia 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Rhinitis 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Tooth abscess 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Tooth infection 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Injury, poisoning and procedural complications
Muscle strain 0/128 (0%) 1/127 (0.8%) 2/128 (1.6%)
Contusion 1/128 (0.8%) 0/127 (0%) 1/128 (0.8%)
Ligament sprain 0/128 (0%) 0/127 (0%) 2/128 (1.6%)
Animal bite 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Excoriation 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Joint injury 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Limb injury 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Post-traumatic pain 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Procedural dizziness 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Procedural pain 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Wound 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Investigations
Blood pressure increased 2/128 (1.6%) 2/127 (1.6%) 2/128 (1.6%)
Aspartate aminotransferase increased 1/128 (0.8%) 4/127 (3.1%) 0/128 (0%)
Gamma-glutamyltransferase increase 0/128 (0%) 3/127 (2.4%) 1/128 (0.8%)
Heart rate increased 0/128 (0%) 1/127 (0.8%) 1/128 (0.8%)
Urinary sediment present 0/128 (0%) 0/127 (0%) 2/128 (1.6%)
Weight decreased 0/128 (0%) 2/127 (1.6%) 0/128 (0%)
Weight increased 0/128 (0%) 1/127 (0.8%) 1/128 (0.8%)
Blood alkaline phosphatase increased 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Blood creatine increased 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Blood pressure decreased 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Blood thyroid stimulating hormone increased 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Cardiac murmur 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Heart sounds abnormal 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Hepatic enzyme increased 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Metabolism and nutrition disorders
Dehydration 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Gout 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Hyperkalaemia 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Hypoglycaemia 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Hypovitaminosis 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Increased appetite 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Salt craving 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Type 2 diabetes mellitus 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Musculoskeletal and connective tissue disorders
Back pain 3/128 (2.3%) 4/127 (3.1%) 3/128 (2.3%)
Arthralgia 4/128 (3.1%) 1/127 (0.8%) 1/128 (0.8%)
Pain in extremity 2/128 (1.6%) 3/127 (2.4%) 0/128 (0%)
Neck pain 2/128 (1.6%) 2/127 (1.6%) 0/128 (0%)
Joint swelling 1/128 (0.8%) 1/127 (0.8%) 0/128 (0%)
Limb discomfort 0/128 (0%) 2/127 (1.6%) 0/128 (0%)
Muscle spasms 2/128 (1.6%) 0/127 (0%) 0/128 (0%)
Muscle twitching 1/128 (0.8%) 1/127 (0.8%) 0/128 (0%)
Muscular weakness 0/128 (0%) 1/127 (0.8%) 1/128 (0.8%)
Bursitis 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Coccydynia 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Invertebral disc protrusion 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Musculoskeletal chest pain 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Musculoskeletal pain 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Musculoskeletal stiffness 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Myalgia 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Osteoarthritis 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Synovial cyst 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Tendonitis 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Nervous system disorders
Headache 10/128 (7.8%) 10/127 (7.9%) 17/128 (13.3%)
Dizziness 5/128 (3.9%) 7/127 (5.5%) 13/128 (10.2%)
Disturbance in attention 0/128 (0%) 5/127 (3.9%) 0/128 (0%)
Migraine 1/128 (0.8%) 2/127 (1.6%) 2/128 (1.6%)
Sinus headache 2/128 (1.6%) 3/127 (2.4%) 0/128 (0%)
Somnolence 3/128 (2.3%) 1/127 (0.8%) 1/128 (0.8%)
Tremor 0/128 (0%) 1/127 (0.8%) 2/128 (1.6%)
Dysgeusia 0/128 (0%) 2/127 (1.6%) 0/128 (0%)
Hypoaesthesia 1/128 (0.8%) 1/127 (0.8%) 0/128 (0%)
Memory impairment 0/128 (0%) 1/127 (0.8%) 1/128 (0.8%)
Sciatica 1/128 (0.8%) 0/127 (0%) 1/128 (0.8%)
Sedation 1/128 (0.8%) 0/127 (0%) 1/128 (0.8%)
Dysaesthesia 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Hyporeflexia 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Loss of consciousness 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Neurological symptom 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Paraesthesia 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Restless legs syndrome 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Syncope 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Tension headache 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Psychiatric disorders
Anxiety 2/128 (1.6%) 3/127 (2.4%) 3/128 (2.3%)
Abnormal dreams 0/128 (0%) 2/127 (1.6%) 0/128 (0%)
Affect lability 2/128 (1.6%) 0/127 (0%) 0/128 (0%)
Sleep disorder 0/128 (0%) 0/127 (0%) 2/128 (1.6%)
Depressed mood 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Depression 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Euphoric mood 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Hallucination 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Hostility 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Illusion 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Libido decreased 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Suicidal ideation 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Thinking abnormal 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Renal and urinary disorders
Haematuria 0/128 (0%) 3/127 (2.4%) 0/128 (0%)
Micturition urgency 0/128 (0%) 0/127 (0%) 2/128 (1.6%)
Nephrolithiasis 1/128 (0.8%) 0/127 (0%) 1/128 (0.8%)
Cystitis interstitial 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Dysuria 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Nocturia 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Pollakiuria 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Proteinuria 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Stress urinary incontinence 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Urine flow decreased 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Reproductive system and breast disorders
Amenorrhoea 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Dysmenorrhoea 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Hypomenorrhoea 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Menstrual disorder 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Menstruation delayed 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Testicular pain 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Vaginal discharge 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Vaginal haemorrhage 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Respiratory, thoracic and mediastinal disorders
Cough 2/128 (1.6%) 0/127 (0%) 1/128 (0.8%)
Dyspnoea 1/128 (0.8%) 1/127 (0.8%) 0/128 (0%)
Oropharyngeal pain 1/128 (0.8%) 1/127 (0.8%) 0/128 (0%)
Asthma 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Choking 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Epistaxis 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Nasal congestion 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Oropharyngeal discomfort 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Rhinorrhoea 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Wheezing 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Skin and subcutaneous tissue disorders
Dermatitis contact 0/128 (0%) 3/127 (2.4%) 1/128 (0.8%)
Hyperhidrosis 0/128 (0%) 1/127 (0.8%) 3/128 (2.3%)
Rash 0/128 (0%) 1/127 (0.8%) 3/128 (2.3%)
Pruritus 0/128 (0%) 1/127 (0.8%) 2/128 (1.6%)
Urticaria 1/128 (0.8%) 2/127 (1.6%) 0/128 (0%)
Night sweats 0/128 (0%) 2/127 (1.6%) 0/128 (0%)
Acne 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Dermal cyst 1/128 (0.8%) 0/127 (0%) 0/128 (0%)
Ecchymosis 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Photosensitivity reaction 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Rash erythematous 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Skin hypopigmentation 0/128 (0%) 0/127 (0%) 1/128 (0.8%)
Swelling face 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Vascular disorders
Hot flush 0/128 (0%) 2/127 (1.6%) 4/128 (3.1%)
Orthostatic hypotension 0/128 (0%) 1/127 (0.8%) 3/128 (2.3%)
Flushing 0/128 (0%) 1/127 (0.8%) 0/128 (0%)
Hypotension 0/128 (0%) 1/127 (0.8%) 0/128 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

Results Point of Contact

Name/Title Medical Monitor
Organization Theravance Biopharma
Phone 1-855-633-8479
Email medinfo@theravance.com
Responsible Party:
Theravance Biopharma
ClinicalTrials.gov Identifier:
NCT01693692
Other Study ID Numbers:
  • 0092
First Posted:
Sep 26, 2012
Last Update Posted:
Mar 4, 2022
Last Verified:
Feb 1, 2022