SPRING-2: A Trial Comparing GSK1349572 50mg Once Daily to Raltegravir 400mg Twice Daily

Sponsor
ViiV Healthcare (Industry)
Overall Status
Completed
CT.gov ID
NCT01227824
Collaborator
Shionogi (Industry), GlaxoSmithKline (Industry)
828
101
2
74.3
8.2
0.1

Study Details

Study Description

Brief Summary

The purpose of this trial is to assess the non-inferior antiviral activity of GSK1349572 50 mg once daily versus RAL 400mg twice daily over 48 weeks; non-inferiority will also be tested at Week 96. Both GSK1349572 and RAL will be given in combination with fixed-dose dual NRTI therapy (ABC/3TC or TDF/FTC). This study will be conducted in HIV-1 infected ART-naïve adult subjects.

Condition or Disease Intervention/Treatment Phase
  • Drug: GSK1349572 (dolutegravir)
  • Drug: raltegravir
  • Other: GSK1349572 Placebo
  • Other: ABC/3TC
  • Other: TDF/FTC
  • Other: raltegravir Placebo
Phase 3

Detailed Description

ING113086 is a Phase 3 randomized, double-blind, double dummy, active-controlled, multicenter, study conducted in approximately 788 HIV-1 infected ART-naïve subjects. Subjects will be randomized 1:1 one of the following treatment arms:

  1. GSK1349572 50 mg once daily (approximately 394 subjects) + fixed-dose dual NRTI therapy (either ABC/3TC or TDF/FTC)

OR

  1. 400 mg RAL twice daily (approximately 394 subjects) + fixed-dose dual NRTI therapy (either ABC/3TC or TDF/FTC)

Analyses will be conducted at 48 weeks and 96 weeks. Subjects randomized to receive GSK1349572 and who successfully complete 96 weeks of treatment will continue to have access to GSK1349572 through the study until either it is locally available, as long as they continue to derive clinical benefit.

ViiV Healthcare is the new sponsor of this study, and GlaxoSmithKline is in the process of updating systems to reflect the change in sponsorship

Study Design

Study Type:
Interventional
Actual Enrollment :
828 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Randomized, Double Blind Study of the Safety and Efficacy of GSK1349572 50mg Once Daily to Raltegravir 400mg Twice Daily Both Administered With Fixed-dose Dual Nucleoside Reverse Transcriptase Inhibitor Therapy Over 96 Weeks in HIV-1 Infected Antiretroviral Therapy Naive Adult Subjects
Study Start Date :
Oct 19, 2010
Actual Primary Completion Date :
Feb 6, 2012
Actual Study Completion Date :
Dec 27, 2016

Arms and Interventions

Arm Intervention/Treatment
Experimental: GSK1349572 (N=~394)

GSK1349572 50mg once daily + raltegravir placebo twice daily + NRTI background therapy once daily

Drug: GSK1349572 (dolutegravir)
GSK1349572 50 mg taken once daily with or without food

Other: GSK1349572 Placebo
GSK1349572 placebo taken once daily

Other: ABC/3TC
Abacavir/Lamivudine background therapy once daily

Other: TDF/FTC
Tenofovir/emtricitabine background therapy once daily

Active Comparator: raltegravir (N=~394)

raltegravir 400mg twice daily + GSK1349572 placebo once daily + NRTI background therapy once daily

Drug: raltegravir
raltegravir 400mg taken twice daily

Other: ABC/3TC
Abacavir/Lamivudine background therapy once daily

Other: TDF/FTC
Tenofovir/emtricitabine background therapy once daily

Other: raltegravir Placebo
raltegravir placebo taken twice daily

Outcome Measures

Primary Outcome Measures

  1. Percentage of Participants With Human Immunodeficiency Virus-1 (HIV-1) Ribonucleic Acid (RNA) [HIV-1RNA] <50 Copies (c)/Milliliter (mL) Through Week 48 [Baseline up to Week 48]

    Percentage of participants with plasma Human Immunodeficiency Virus-1 (HIV-1) Ribonucleic Acid (RNA) with <50 c/mL was assessed using the Missing, Switch or Discontinuation = Failure (MSDF), as codified by the Food and Drug Administration (FDA) snapshot algorithm. The algorithm treats all participants without HIV-1 RNA data as non-responders, as well as participants who switch their concomitant Antiretroviral Therapy (ART) prior to Week 48 as follows: background ART substitutions not permitted per study; background ART substitutions permitted per study unless the decision to switch was documented as being before or at the first on-treatment visit where HIV-1 RNA was assessed. Otherwise, virologic success or failure will be determined by the last available HIV-1 RNA assessment while the subject was on-treatment. Intent-to-Treat Exposed (ITT-E) Population comprised all randomized participants who received at least one dose of study medication.

Secondary Outcome Measures

  1. Number of Participants With Detectable HIV-1 Virus That Has Genotypic or Phenotypic Evidence of INI Resistance. [Week 48 and Week 96]

    Number of participants with detectable virus that has genotypic or phenotypic evidence of Integrase Inhibitor (INI) resistance were assessed at Week 48 and Week 96. Integrase inhibitors are a class of antiretroviral drug designed to block the action of integrase, a viral enzyme that inserts the viral genome into the deoxyribonucleic acid (DNA) of the host cell.

  2. Number of Participants With Plasma HIV-1 RNA <50 c/mL [Week 96]

    The number of participants with plasma HIV-1 RNA level <50 c/mL was assessed at Week 96.

  3. Number of Participants With Plasma HIV-1 RNA <400 c/mL [Week 48 and Week 96]

    The number of participants with plasma HIV-1 RNA level <400 c/mL was assessed at Week 48 and Week 96.

  4. Change From Baseline in Plasma HIV-1 RNA Over Time [Baseline and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72, 84, 96]

    Change from Baseline in plasma HIV-1 RNA over time was assessed at Baseline and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72, 84, 96. Baseline was defined as the measurements performed on Day 1. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Only those participants with data available at the specified time points were analyzed (represented by n=x,x in the category titles).

  5. Absolute Values in Plasma HIV-1 RNA Over Time [Baseline and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72, 84, 96]

    Absolute values in plasma HIV-1 RNA over time was assessed at Baseline and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72, 84, 96. Only those participants with data available at the specified time points were analyzed (represented by n=x,x in the category titles).

  6. Change From Baseline in Cluster of Differentiation (CD)4+ Cell Counts Over Time [Baseline and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72, 84, 96]

    CD4 lymphocyte cells (also called T-cells or T-helper cells) are the primary targets of HIV. The CD4 count and the CD4 percentage mark the degree of immuno compromise. The CD4 count is used to stage the participants disease, determine the risk of opportunistic illnesses, assess prognosis, and guide decisions about when to start ART. Changes from Baseline in CD4+ cell counts over time was assessed at Baseline and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72, 84, 96. Baseline was defined as measurements performed on Day 1. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Only those participants with data available at the specified time points were analyzed (represented by n=x,x in the category titles).

  7. Absolute Values in CD4+ Cell Counts Over Time [Baseline and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72, 84, 96]

    CD4 lymphocyte cells (also called T-cells or T-helper cells) are the primary targets of HIV. The CD4 count and the CD4 percentage mark the degree of immuno compromise. The CD4 count is used to stage the patient's disease, determine the risk of opportunistic illnesses, assess prognosis, and guide decisions about when to start antiretroviral therapy absolute values in CD4+ cell counts over time was assessed at Baseline and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72, 84, 96. Only those participants with data available at the specified time points were analyzed (represented by n=x,x in the category titles).

  8. Number of Participants With the Indicated Post-Baseline HIV-associated Conditions and Progression, Excluding Recurrences [From Baseline until Week 96]

    Clinical disease progression (CDP) was assessed according to the Centers for Disease Control and Prevention (CDC) HIV-1 classification system. Category (CAT) A: one or more of the following conditions (CON), without any CON listed in Categories B and C: asymptomatic HIV infection, persistent generalized lymphadenopathy, acute (primary) HIV infection with accompanying illness or history of acute HIV infection. CAT B: symptomatic CON that are attributed to HIV infection or are indicative of a defect in cell-mediated immunity; or that are considered by physicians to have a clinical course or to require management that is complicated by HIV infection; and not included among CON listed in clinical CAT C. CAT C: the clinical CON listed in the AIDS surveillance case definition. Indicators of CDP were defined as: CDC CAT A at Baseline to a CDC CAT C event (EV); CDC CAT B at Baseline to a CDC CAT C EV; CDC CAT C at Baseline to a new CDC CAT C EV; or CDC CAT A, B, or C at Baseline to death.

  9. Number of Participants With the Indicated Grade 1 to 4 Clinical Chemistry and Hematology Toxicities/Laboratory Adverse Events (AEs) [From Baseline until Week 96]

    All Grade 1 to 4 post-Baseline-emergent chemistry toxicities included alanine aminotransferase (ALT), alkaline phosphatase (ALP), asparate aminotransferase (AST), carbon dioxide (CO2) content/bicarbonate, cholesterol, creatine kinase (CK), creatinine, hyperglycemia, hyperkalemia, hypernatremia, hypoglycemia, hypokalemia, hyponatremia, low density lipoprotein (LDL) cholesterol calculation, lipase, phosphorus inorganic, total bilirubin, and triglycerides. All Grade 1 to 4 post-Baseline-emergent hematology toxities included hemoglobin, platelet count, total neutrophils, and white blood cell count. The Division of AIDS (DAIDS) defined toxicity grades as follows: Grade 1, mild; Grade 2, moderate; Grade 3, severe; Grade 4, potentially life threatening; Grade 5, death. Safety Population: all participants who received at least one dose of investigational product

  10. Area Under the Plasma Concentration-time Curve From Time Zero to Time Tau [AUC(0-tau)] of DTG [Week 4, Week 24, and Week 48]

    AUC is defined as the area under the DTG concentration-time curve as a measure of drug exposure over time. AUC(0-tau) is defined as the area under the plasma concentration-time curve from time zero to time tau over a dosing interval at steady state, where tau is the length of the dosing interval of DTG. The predicted individual AUC(0-tau) were obtained from the final population PK model by an empirical Bayes estimation. Blood samples for PK assessments were collected at pre-dose (within 15 minutes prior to dose) at Week 4, Week 24, and Week 48 and 1 to 3 hours post-dose or 4 to 12 hours post-dose at Week 4 and Week 24. If 1 to 3 hours post-dose was completed at Week 4, then the 4 to12 hour post-dose must be obtained at Week 48, and vice versa. The Pharmacokinetic (PK) Concentration Population comprised of all participants who received DTG, had undergone PK sampling during the study, and provided evaluable DTG plasma concentration data.

  11. Maximum Plasma Concentration (Cmax) and Concentration at the End of a Dosing Interval (Ctau) of DTG [Week 4, Week 24, and Week 48]

    The maximum plasma concentration (Cmax) and concentration at the end of a dosing interval (Ctau) of DTG were assessed at Week 48. The predicted individual Cmax and Ctau were obtained from the final population PK model by simulation of the concentration-time profiles. Blood samples for PK assessments were collected at pre-dose (within 15 minutes prior to dose) at Week 4, Week 24, and Week 48 and 1 to 3 hours post-dose or 4 to 12 hours post-dose at Week 4 and Week 24. If 1 to 3 hour post-dose was completed at Week 4, then the 4 to12 hour post-dose must be obtained at Week 48, and vice versa.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Screening plasma HIV-1 RNA ≥1000 c/mL

  • Antiretroviral-naïve (≤ 10 days of prior therapy with any antiretroviral agent following a diagnosis of HIV-1 infection)

  • Ability to understand and sign a written informed consent form

  • Willingness to use approved methods of contraception to avoid pregnancy (women of child bearing potential only)

  • Age equal to or greater than 18 years

Exclusion Criteria:
  • Women who are pregnant or breastfeeding;

  • Active Center for Disease and Prevention Control (CDC) Category C disease

  • Moderate to severe hepatic impairment

  • Anticipated need for HCV therapy during the study

  • Allergy or intolerance to the study drugs or their components or drugs of their class

  • Malignancy within the past 5 years

  • Treatment with an HIV-1 immunotherapeutic vaccine within 90 days of Screening

  • Treatment with radiation therapy, cytotoxic chemotherapeutic agents or any immunomodulator within 28 days of Screening

  • Exposure to an agent with documented activity against HIV-1 in vitro or an experimental vaccine or drug within 28 days of first dose of study medication

  • Primary viral resistance in the Screening result

  • Verified Grade 4 laboratory abnormality

  • ALT >5 xULN

  • ALT ≥ 3xULN and bilirubin ≥ 1.5xULN (with >35% direct bilirubin);

  • Estimated creatinine clearance <50 mL/min

  • Recent history (≤3 months) of upper or lower gastrointestinal bleed

Contacts and Locations

Locations

Site City State Country Postal Code
1 GSK Investigational Site Phoenix Arizona United States 85012
2 GSK Investigational Site Little Rock Arkansas United States 72207
3 GSK Investigational Site Long Beach California United States 90813
4 GSK Investigational Site Los Angeles California United States 90048
5 GSK Investigational Site Los Angeles California United States 90069
6 GSK Investigational Site Torrance California United States 90502
7 GSK Investigational Site Denver Colorado United States 80209
8 GSK Investigational Site Washington District of Columbia United States 20009
9 GSK Investigational Site Fort Lauderdale Florida United States 33316
10 GSK Investigational Site Fort Pierce Florida United States 34982
11 GSK Investigational Site Atlanta Georgia United States 30339
12 GSK Investigational Site Saint Louis Missouri United States 63108
13 GSK Investigational Site Hillsborough New Jersey United States 08844
14 GSK Investigational Site Charlotte North Carolina United States 28209
15 GSK Investigational Site Columbia South Carolina United States 29203
16 GSK Investigational Site Austin Texas United States 78705
17 GSK Investigational Site Dallas Texas United States 75246
18 GSK Investigational Site Houston Texas United States 77004
19 GSK Investigational Site Houston Texas United States 77098
20 GSK Investigational Site Seattle Washington United States 98104
21 GSK Investigational Site Darlinghurst New South Wales Australia 2010
22 GSK Investigational Site Surry Hills New South Wales Australia 2010
23 GSK Investigational Site Melbourne Victoria Australia 3004
24 GSK Investigational Site Vancouver British Columbia Canada V6Z 1Y6
25 GSK Investigational Site Hamilton Ontario Canada L8N 3Z5
26 GSK Investigational Site Ottawa Ontario Canada K1H 8L6
27 GSK Investigational Site Toronto Ontario Canada M4N 3M5
28 GSK Investigational Site Toronto Ontario Canada M4T 3A7
29 GSK Investigational Site Montreal Quebec Canada H2L 5B1
30 GSK Investigational Site Montreal Quebec Canada H2X 2P4
31 GSK Investigational Site Garches France 92380
32 GSK Investigational Site Le Kremlin Bicêtre cedex France 94275
33 GSK Investigational Site Levallois Perret France 92300
34 GSK Investigational Site Lyon Cedex 03 France 69437
35 GSK Investigational Site Marseille France 13003
36 GSK Investigational Site Nantes France 44093
37 GSK Investigational Site Paris Cedex 10 France 75475
38 GSK Investigational Site Paris Cedex 12 France 75571
39 GSK Investigational Site Paris Cedex 13 France 75651
40 GSK Investigational Site Paris Cedex 4 France 75181
41 GSK Investigational Site Paris France 75018
42 GSK Investigational Site Fuerth Bayern Germany 90762
43 GSK Investigational Site Muenchen Bayern Germany 80335
44 GSK Investigational Site Frankfurt Hessen Germany 60596
45 GSK Investigational Site Hannover Niedersachsen Germany 30625
46 GSK Investigational Site Bonn Nordrhein-Westfalen Germany 53127
47 GSK Investigational Site Dortmund Nordrhein-Westfalen Germany 44137
48 GSK Investigational Site Koeln Nordrhein-Westfalen Germany 50937
49 GSK Investigational Site Berlin Germany 13353
50 GSK Investigational Site Hamburg Germany 20146
51 GSK Investigational Site Hamburg Germany 20246
52 GSK Investigational Site Cona (Ferrara) Emilia-Romagna Italy 44124
53 GSK Investigational Site Roma Lazio Italy 00168
54 GSK Investigational Site Genova Liguria Italy 16128
55 GSK Investigational Site Brescia Lombardia Italy 25123
56 GSK Investigational Site Torino Piemonte Italy 10149
57 GSK Investigational Site Rovigo Veneto Italy 45100
58 GSK Investigational Site Krasnodar Russian Federation 350015
59 GSK Investigational Site Lipetsk Russian Federation 398043
60 GSK Investigational Site Moscow Russian Federation 105275
61 GSK Investigational Site N.Novgorod Russian Federation 603005
62 GSK Investigational Site Orel Russian Federation 302040
63 GSK Investigational Site Perm Russian Federation 614088
64 GSK Investigational Site Saratov Russian Federation 410009
65 GSK Investigational Site Smolensk Russian Federation 214006
66 GSK Investigational Site St. Petersburg Russian Federation 190103
67 GSK Investigational Site St. Petersburg Russian Federation 196645
68 GSK Investigational Site Volgograd Russian Federation 400040
69 GSK Investigational Site (Móstoles) Madrid Spain 28935
70 GSK Investigational Site Alcala de Henares Spain 28805
71 GSK Investigational Site Alicante Spain 03010
72 GSK Investigational Site Almería Spain 04009
73 GSK Investigational Site Badalona Spain 08916
74 GSK Investigational Site Barcelona Spain 08003
75 GSK Investigational Site Barcelona Spain 08025
76 GSK Investigational Site Barcelona Spain 08036
77 GSK Investigational Site Barcelona Spain 08907
78 GSK Investigational Site Cartagena (Murcia) Spain 30202
79 GSK Investigational Site Córdoba Spain 14004
80 GSK Investigational Site Granada Spain 18014
81 GSK Investigational Site Granada Spain
82 GSK Investigational Site La Coruña Spain 15006
83 GSK Investigational Site La Laguna (Santa Cruz De Tenerife) Spain 38320
84 GSK Investigational Site Madrid Spain 28006
85 GSK Investigational Site Madrid Spain 28029
86 GSK Investigational Site Madrid Spain 28034
87 GSK Investigational Site Madrid Spain 28040
88 GSK Investigational Site Madrid Spain 28041
89 GSK Investigational Site Madrid Spain 28046
90 GSK Investigational Site Malaga Spain 29010
91 GSK Investigational Site Mataró Spain 08304
92 GSK Investigational Site Murcia Spain
93 GSK Investigational Site San Sebastián Spain 20014
94 GSK Investigational Site Sevilla Spain 41071
95 GSK Investigational Site Valencia Spain 46010
96 GSK Investigational Site Vigo ( Pontevedra) Spain 36204
97 GSK Investigational Site Birmingham Warwickshire United Kingdom B29 6JD
98 GSK Investigational Site Brighton United Kingdom BN2 1ES
99 GSK Investigational Site Crumpsall, Manchester United Kingdom M8 5RB
100 GSK Investigational Site London United Kingdom E1 1BB
101 GSK Investigational Site London United Kingdom SW10 9TH

Sponsors and Collaborators

  • ViiV Healthcare
  • Shionogi
  • GlaxoSmithKline

Investigators

  • Study Director: GSK Clinical Trials, ViiV Healthcare

Study Documents (Full-Text)

None provided.

More Information

Publications

Responsible Party:
ViiV Healthcare
ClinicalTrials.gov Identifier:
NCT01227824
Other Study ID Numbers:
  • 113086
First Posted:
Oct 25, 2010
Last Update Posted:
Oct 9, 2018
Last Verified:
Oct 1, 2018

Study Results

Participant Flow

Recruitment Details This was a randomized, parallel group, non-inferiority study to demonstrate the antiviral activity of Dolutegravir. Participants were enrolled from 9 countries. Participants in Dolutegravir arm who completed 96 Weeks double-blind phase continued to receive Dolutegravir in open-label phase, until dolutegravir was locally available commercially.
Pre-assignment Detail Total 1035 participants were screened; 827 participants were randomized, and 822 participants entered the treatment period. Of the 5 participants who were randomized but not treated with investigational product, 4 withdrew consent and 1 was randomized in error. 338 participants were enrolled in open label phase to receive Dolutegravir.
Arm/Group Title DTG 50 mg Once a Day RTG 400 mg BID DTG 50 mg Once a Day (Open-label)
Arm/Group Description Participants received Dolutegravir (DTG) 50 milligrams (mg) once a day in combination with Nonnucleoside Reverse Transcriptase Inhibitor (NRTI) therapy, either with Abacavir (ABC)/Lamivudine (3TC) or Tenofovir (TDF)/Emtricitabine (FTC). Participants were given the opportunity to receive DTG 50 mg once a day during an Open-label Phase of the study. Participants received Raltegravir (RTG) 400 mg twice a day (BID) in combination with NRTI therapy, either with ABC/3TC or TDF/FTC. Participants who successfully completed 96 weeks of double blind phase continued to receive DTG 50 mg once a day during open label phase, until dolutegravir was locally available commercially. Participants received DTG 50 mg once a day in combination with NRTI therapy, with either ABC/3TC or TDF/FTC.
Period Title: Double-blind Phase: 96 Weeks Duration
STARTED 411 411 0
COMPLETED 304 332 0
NOT COMPLETED 107 79 0
Period Title: Double-blind Phase: 96 Weeks Duration
STARTED 0 0 338
COMPLETED 0 0 294
NOT COMPLETED 0 0 44

Baseline Characteristics

Arm/Group Title DTG 50 mg Once a Day RTG 400 mg BID Total
Arm/Group Description Participants received DTG 50 mg once a day in combination with NRTI therapy, either with ABC/3TC or TDF)/FTC. Participants were given the opportunity to receive DTG 50 mg once a day during an Open-label Phase of the study. Participants received RTG 400 mg BID in combination with NRTI therapy, either with ABC/3TC or TDF/FTC. Total of all reporting groups
Overall Participants 411 411 822
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
37.3
(9.19)
36.6
(10.02)
37.0
(9.61)
Sex: Female, Male (Count of Participants)
Female
63
15.3%
56
13.6%
119
14.5%
Male
348
84.7%
355
86.4%
703
85.5%
Race/Ethnicity, Customized (Count of Participants)
African American/African Heritage (Her)
49
11.9%
39
9.5%
88
10.7%
American Indian or Alaska Native
7
1.7%
9
2.2%
16
1.9%
Central/South Asian Her
2
0.5%
0
0%
2
0.2%
Japanese/East Asian Her/South East Asian Her
4
1%
10
2.4%
14
1.7%
Native Hawaiian or other Pacific Islander
2
0.5%
0
0%
2
0.2%
White
346
84.2%
352
85.6%
698
84.9%
African American/African Her and Asian and White
1
0.2%
0
0%
1
0.1%
Asian and White
0
0%
1
0.2%
1
0.1%

Outcome Measures

1. Primary Outcome
Title Percentage of Participants With Human Immunodeficiency Virus-1 (HIV-1) Ribonucleic Acid (RNA) [HIV-1RNA] <50 Copies (c)/Milliliter (mL) Through Week 48
Description Percentage of participants with plasma Human Immunodeficiency Virus-1 (HIV-1) Ribonucleic Acid (RNA) with <50 c/mL was assessed using the Missing, Switch or Discontinuation = Failure (MSDF), as codified by the Food and Drug Administration (FDA) snapshot algorithm. The algorithm treats all participants without HIV-1 RNA data as non-responders, as well as participants who switch their concomitant Antiretroviral Therapy (ART) prior to Week 48 as follows: background ART substitutions not permitted per study; background ART substitutions permitted per study unless the decision to switch was documented as being before or at the first on-treatment visit where HIV-1 RNA was assessed. Otherwise, virologic success or failure will be determined by the last available HIV-1 RNA assessment while the subject was on-treatment. Intent-to-Treat Exposed (ITT-E) Population comprised all randomized participants who received at least one dose of study medication.
Time Frame Baseline up to Week 48

Outcome Measure Data

Analysis Population Description
ITT-E Population.
Arm/Group Title DTG 50 mg Once a Day RTG 400 mg BID
Arm/Group Description Participants received DTG 50 mg once a day in combination with NRTI therapy, either with ABC/3TC or TDF/FTC. Participants were given the opportunity to receive DTG 50 mg once a day during an Open-label Phase of the study. Participants received RTG 400 mg BID in combination with NRTI therapy, either with ABC/3TC or TDF/FTC.
Measure Participants 411 411
Number [Percentage of participants]
88
21.4%
85
20.7%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection DTG 50 mg Once a Day, RTG 400 mg BID
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments Non-inferiority could be concluded if the lower bound of a two-sided 95% confidence interval for the difference (DTG - RAL) in percentages between the two treatment arms was > -10%.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Difference in percentage
Estimated Value 2.5
Confidence Interval (2-Sided) 95%
-2.2 to 7.1
Parameter Dispersion Type:
Value:
Estimation Comments Analysis was based on Cochran-Mantel Haenszel stratified analysis adjusted for the following Baseline stratification factors: baseline HIV-1 RNA and background dual NRTI.
2. Secondary Outcome
Title Number of Participants With Detectable HIV-1 Virus That Has Genotypic or Phenotypic Evidence of INI Resistance.
Description Number of participants with detectable virus that has genotypic or phenotypic evidence of Integrase Inhibitor (INI) resistance were assessed at Week 48 and Week 96. Integrase inhibitors are a class of antiretroviral drug designed to block the action of integrase, a viral enzyme that inserts the viral genome into the deoxyribonucleic acid (DNA) of the host cell.
Time Frame Week 48 and Week 96

Outcome Measure Data

Analysis Population Description
ITT-E Population
Arm/Group Title DTG 50 mg Once a Day RTG 400 mg BID
Arm/Group Description Participants received DTG 50 mg once a day in combination with NRTI therapy, either with ABC/3TC or TDF/FTC. Participants were given the opportunity to receive DTG 50 mg once a day during an Open-label Phase of the study. Participants received RTG 400 mg BID in combination with NRTI therapy, either with ABC/3TC or TDF/FTC.
Measure Participants 411 411
Week 48, genotypic
0
0%
1
0.2%
Week 48, phenotypic
1
0.2%
2
0.5%
Week 96, genotypic
0
0%
1
0.2%
Week 96, phenotypic
1
0.2%
2
0.5%
3. Secondary Outcome
Title Number of Participants With Plasma HIV-1 RNA <50 c/mL
Description The number of participants with plasma HIV-1 RNA level <50 c/mL was assessed at Week 96.
Time Frame Week 96

Outcome Measure Data

Analysis Population Description
ITT-E Population
Arm/Group Title DTG 50 mg Once a Day RTG 400 mg BID
Arm/Group Description Participants received DTG 50 mg once a day in combination with NRTI therapy, either with ABC/3TC or TDF/FTC. Participants were given the opportunity to receive DTG 50 mg once a day during an Open-label Phase of the study. Participants received RTG 400 mg BID in combination with NRTI therapy, either with ABC/3TC or TDF/FTC.
Measure Participants 411 411
Number [Participants]
332
80.8%
314
76.4%
4. Secondary Outcome
Title Number of Participants With Plasma HIV-1 RNA <400 c/mL
Description The number of participants with plasma HIV-1 RNA level <400 c/mL was assessed at Week 48 and Week 96.
Time Frame Week 48 and Week 96

Outcome Measure Data

Analysis Population Description
ITT-E Population
Arm/Group Title DTG 50 mg Once a Day RTG 400 mg BID
Arm/Group Description Participants received DTG 50 mg once a day in combination with NRTI therapy, either with ABC/3TC or TDF/FTC. Participants were given the opportunity to receive DTG 50 mg once a day during an Open-label Phase of the study. Participants received RTG 400 mg BID in combination with NRTI therapy, either with ABC/3TC or TDF/FTC.
Measure Participants 411 411
Week 48
369
89.8%
356
86.6%
Week 96
338
82.2%
321
78.1%
5. Secondary Outcome
Title Change From Baseline in Plasma HIV-1 RNA Over Time
Description Change from Baseline in plasma HIV-1 RNA over time was assessed at Baseline and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72, 84, 96. Baseline was defined as the measurements performed on Day 1. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Only those participants with data available at the specified time points were analyzed (represented by n=x,x in the category titles).
Time Frame Baseline and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72, 84, 96

Outcome Measure Data

Analysis Population Description
ITT-E Population.
Arm/Group Title DTG 50 mg Once a Day RTG 400 mg BID
Arm/Group Description Participants received DTG 50 mg once a day in combination with NRTI therapy, either with ABC/3TC or TDF/FTC. Participants were given the opportunity to receive DTG 50 mg once a day during an Open-label Phase of the study. Participants received RTG 400 mg BID in combination with NRTI therapy, either with ABC/3TC or TDF/FTC.
Measure Participants 411 411
Baseline n=411, 411
4.538
(0.7258)
4.599
(0.7048)
Week 4, n=402, 406
-2.817
(0.6198)
-2.801
(0.6041)
Week 8, n=397, 402
-2.897
(0.6837)
-2.886
(0.6754)
Week 12, n=396, 395
-2.908
(0.6863)
-2.918
(0.6834)
Week 16, n=395, 388
-2.917
(0.6949)
-2.943
(0.6841)
Week 24, n=393, 390
-2.896
(0.7889)
-2.933
(0.7398)
Week 32, n=386, 377
-2.907
(0.7609)
-2.947
(0.7613)
Week 40, n=375, 358
-2.920
(0.7219)
-2.946
(0.6700)
Week 48, n=374, 358
-2.915
(0.7237)
-2.942
(0.6737)
Week 60, n=366, 355
-2.912
(0.7344)
-2.937
(0.6685)
Week 72, n=361, 350
-2.917
(0.7261)
-2.932
(0.6728)
Week 84, n=352, 338
-2.932
(0.7073)
-2.916
(0.6646)
Week 96, n=342, 329
-2.938
(0.7004)
-2.901
(0.7072)
6. Secondary Outcome
Title Absolute Values in Plasma HIV-1 RNA Over Time
Description Absolute values in plasma HIV-1 RNA over time was assessed at Baseline and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72, 84, 96. Only those participants with data available at the specified time points were analyzed (represented by n=x,x in the category titles).
Time Frame Baseline and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72, 84, 96

Outcome Measure Data

Analysis Population Description
ITT-E Population.
Arm/Group Title DTG 50 mg Once a Day RTG 400 mg BID
Arm/Group Description Participants received DTG 50 mg once a day in combination with NRTI therapy, either with ABC/3TC or TDF/FTC. Participants were given the opportunity to receive DTG 50 mg once a day during an Open-label Phase of the study. Participants received RTG 400 mg BID in combination with NRTI therapy, either with ABC/3TC or TDF/FTC.
Measure Participants 411 411
Baseline n=411, 411
4.538
(0.7258)
4.599
(0.7048)
Week 4, n=402, 406
1.718
(0.2593)
1.800
(0.4095)
Week 8, n=397, 402
1.646
(0.2006)
1.709
(0.3791)
Week 12, n=396, 395
1.626
(0.1323)
1.672
(0.3125)
Week 16, n=395, 388
1.620
(0.1252)
1.648
(0.2647)
Week 24, n=393, 390
1.643
(0.2950)
1.655
(0.3476)
Week 32, n=386, 377
1.620
(0.1917)
1.636
(0.2721)
Week 40, n=375, 358
1.603
(0.0821)
1.601
(0.0784)
Week 48, n=374, 358
1.606
(0.0866)
1.599
(0.0582)
Week 60, n=366, 355
1.605
(0.1134)
1.599
(0.0560)
Week 72, n=361, 350
1.601
(0.0803)
1.605
(0.0836)
Week 84, n=352, 338
1.607
(0.1337)
1.614
(0.1279)
Week 96, n=342, 329
1.599
(0.830)
1.630
(0.2515)
7. Secondary Outcome
Title Change From Baseline in Cluster of Differentiation (CD)4+ Cell Counts Over Time
Description CD4 lymphocyte cells (also called T-cells or T-helper cells) are the primary targets of HIV. The CD4 count and the CD4 percentage mark the degree of immuno compromise. The CD4 count is used to stage the participants disease, determine the risk of opportunistic illnesses, assess prognosis, and guide decisions about when to start ART. Changes from Baseline in CD4+ cell counts over time was assessed at Baseline and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72, 84, 96. Baseline was defined as measurements performed on Day 1. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Only those participants with data available at the specified time points were analyzed (represented by n=x,x in the category titles).
Time Frame Baseline and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72, 84, 96

Outcome Measure Data

Analysis Population Description
ITT-E Population.
Arm/Group Title DTG 50 mg Once a Day RTG 400 mg BID
Arm/Group Description Participants received DTG 50 mg once a day in combination with NRTI therapy, either with ABC/3TC or TDF/FTC. Participants were given the opportunity to receive DTG 50 mg once a day during an Open-label Phase of the study. Participants received RTG 400 mg BID in combination with NRTI therapy, either with ABC/3TC or TDF/FTC.
Measure Participants 411 411
Baseline n=411, 411
379.2
(178.32)
374.3
(163.37)
Week 4, n=398, 403
93.3
(116.27)
97.2
(129.35)
Week 8, n=398, 402
121.6
(127.97)
126.6
(134.59)
Week 12, n=392, 397
130.7
(131.49)
145.1
(144.08)
Week 16, n=394, 392
155.1
(137.23)
173.0
(159.10)
Week 24, n=392, 389
199.3
(161.23)
204.2
(162.28)
Week 32, n=384, 375
223.4
(165.30)
241.3
(167.64)
Week 40, n=371, 357
224.1
(173.59)
239.8
(173.33)
Week 48, n=374, 357
238.9
(171.81)
257.5
(178.69)
Week 60, n=367, 355
247.8
(184.11)
264.2
(188.63)
Week 72, n=360, 350
247.8
(168.37)
278.6
(182.76)
Week 84, n=351, 338
281.3
(175.07)
292.9
(199.42)
Week 96, n=343, 328
292.2
(195.70)
286.2
(192.45)
8. Secondary Outcome
Title Absolute Values in CD4+ Cell Counts Over Time
Description CD4 lymphocyte cells (also called T-cells or T-helper cells) are the primary targets of HIV. The CD4 count and the CD4 percentage mark the degree of immuno compromise. The CD4 count is used to stage the patient's disease, determine the risk of opportunistic illnesses, assess prognosis, and guide decisions about when to start antiretroviral therapy absolute values in CD4+ cell counts over time was assessed at Baseline and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72, 84, 96. Only those participants with data available at the specified time points were analyzed (represented by n=x,x in the category titles).
Time Frame Baseline and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72, 84, 96

Outcome Measure Data

Analysis Population Description
ITT-E Population.
Arm/Group Title DTG 50 mg Once a Day RTG 400 mg BID
Arm/Group Description Participants received DTG 50 mg once a day in combination with NRTI therapy, either with ABC/3TC or TDF/FTC. Participants were given the opportunity to receive DTG 50 mg once a day during an Open-label Phase of the study. Participants received RTG 400 mg BID in combination with NRTI therapy, either with ABC/3TC or TDF/FTC.
Measure Participants 411 411
Baseline n=411, 411
379.2
(172.32)
374.3
(163.37)
Week 4, n=398, 403
474.2
(199.06)
471.8
(191.02)
Week 8, n=398, 402
502.3
(205.15)
502.4
(187.99)
Week 12, n=392, 397
513.3
(218.75)
518.3
(195.59)
Week 16, n=394, 392
536.4
(219.47)
550.1
(221.77)
Week 24, n=392, 389
582.0
(232.93)
580.8
(218.76)
Week 32, n=384, 375
606.5
(242.95)
618.7
(237.56)
Week 40, n=371, 357
609.1
(239.11)
623.1
(234.82)
Week 48, n=374, 357
623.8
(247.82)
641.2
(241.75)
Week 60, n=367, 355
635.6
(241.27)
648.5
(238.99)
Week 72, n=360, 350
635.2
(237.78)
664.0
(239.86)
Week 84, n=351, 338
668.0
(246.50)
677.5
(249.64)
Week 96, n=343, 328
679.8
(257.89)
672.4
(237.54)
9. Secondary Outcome
Title Number of Participants With the Indicated Post-Baseline HIV-associated Conditions and Progression, Excluding Recurrences
Description Clinical disease progression (CDP) was assessed according to the Centers for Disease Control and Prevention (CDC) HIV-1 classification system. Category (CAT) A: one or more of the following conditions (CON), without any CON listed in Categories B and C: asymptomatic HIV infection, persistent generalized lymphadenopathy, acute (primary) HIV infection with accompanying illness or history of acute HIV infection. CAT B: symptomatic CON that are attributed to HIV infection or are indicative of a defect in cell-mediated immunity; or that are considered by physicians to have a clinical course or to require management that is complicated by HIV infection; and not included among CON listed in clinical CAT C. CAT C: the clinical CON listed in the AIDS surveillance case definition. Indicators of CDP were defined as: CDC CAT A at Baseline to a CDC CAT C event (EV); CDC CAT B at Baseline to a CDC CAT C EV; CDC CAT C at Baseline to a new CDC CAT C EV; or CDC CAT A, B, or C at Baseline to death.
Time Frame From Baseline until Week 96

Outcome Measure Data

Analysis Population Description
ITT-E Population
Arm/Group Title DTG 50 mg Once a Day RTG 400 mg BID
Arm/Group Description Participants received DTG 50 mg once a day in combination with NRTI therapy, either with ABC/3TC or TDF/FTC. Participants were given the opportunity to receive DTG 50 mg once a day during an Open-label Phase of the study. Participants received RTG 400 mg BID in combination with NRTI therapy, either with ABC/3TC or TDF/FTC.
Measure Participants 411 411
Any category condition
10
2.4%
8
1.9%
Any Category B condition
3
0.7%
3
0.7%
Any Category C condition
6
1.5%
4
1%
Any death
1
0.2%
1
0.2%
Progression from CAT A to CAT C
4
1%
2
0.5%
Progression from CAT B to CAT C
3
0.7%
1
0.2%
Progression from CAT C to new CAT C
0
0%
1
0.2%
Progression from CAT A, B, or C to death
1
0.2%
1
0.2%
10. Secondary Outcome
Title Number of Participants With the Indicated Grade 1 to 4 Clinical Chemistry and Hematology Toxicities/Laboratory Adverse Events (AEs)
Description All Grade 1 to 4 post-Baseline-emergent chemistry toxicities included alanine aminotransferase (ALT), alkaline phosphatase (ALP), asparate aminotransferase (AST), carbon dioxide (CO2) content/bicarbonate, cholesterol, creatine kinase (CK), creatinine, hyperglycemia, hyperkalemia, hypernatremia, hypoglycemia, hypokalemia, hyponatremia, low density lipoprotein (LDL) cholesterol calculation, lipase, phosphorus inorganic, total bilirubin, and triglycerides. All Grade 1 to 4 post-Baseline-emergent hematology toxities included hemoglobin, platelet count, total neutrophils, and white blood cell count. The Division of AIDS (DAIDS) defined toxicity grades as follows: Grade 1, mild; Grade 2, moderate; Grade 3, severe; Grade 4, potentially life threatening; Grade 5, death. Safety Population: all participants who received at least one dose of investigational product
Time Frame From Baseline until Week 96

Outcome Measure Data

Analysis Population Description
Safety Population.
Arm/Group Title DTG 50 mg Once a Day RTG 400 mg BID
Arm/Group Description Participants received DTG 50 mg once a day in combination with NRTI therapy, either with ABC/3TC or TDF/FTC. Participants were given the opportunity to receive DTG 50 mg once a day during an Open-label Phase of the study. Participants received RTG 400 mg BID in combination with NRTI therapy, either with ABC/3TC or TDF/FTC.
Measure Participants 411 411
ALT
57
13.9%
70
17%
ALP
7
1.7%
15
3.6%
AST
67
16.3%
75
18.2%
CO2 content/bicarbonate
58
14.1%
67
16.3%
Cholesterol
90
21.9%
73
17.8%
CK
61
14.8%
47
11.4%
Creatinine
11
2.7%
7
1.7%
Hyperglycaemia
70
17%
87
21.2%
Hyperkalemia
7
1.7%
4
1%
Hypernatremia
4
1%
6
1.5%
Hypoglycaemia
17
4.1%
27
6.6%
Hypokalemia
10
2.4%
15
3.6%
Hyponatremia
34
8.3%
48
11.7%
LDL cholesterol calculation
74
18%
49
11.9%
Lipase
55
13.4%
62
15.1%
Phosphorus, inorganic
65
15.8%
71
17.3%
Total bilirubin
27
6.6%
24
5.8%
Triglycerides
7
1.7%
8
1.9%
Hemoglobin
10
2.4%
5
1.2%
Platelet count
19
4.6%
19
4.6%
Total neutrophils
54
13.1%
48
11.7%
White Blood Cell count
19
4.6%
7
1.7%
11. Secondary Outcome
Title Area Under the Plasma Concentration-time Curve From Time Zero to Time Tau [AUC(0-tau)] of DTG
Description AUC is defined as the area under the DTG concentration-time curve as a measure of drug exposure over time. AUC(0-tau) is defined as the area under the plasma concentration-time curve from time zero to time tau over a dosing interval at steady state, where tau is the length of the dosing interval of DTG. The predicted individual AUC(0-tau) were obtained from the final population PK model by an empirical Bayes estimation. Blood samples for PK assessments were collected at pre-dose (within 15 minutes prior to dose) at Week 4, Week 24, and Week 48 and 1 to 3 hours post-dose or 4 to 12 hours post-dose at Week 4 and Week 24. If 1 to 3 hours post-dose was completed at Week 4, then the 4 to12 hour post-dose must be obtained at Week 48, and vice versa. The Pharmacokinetic (PK) Concentration Population comprised of all participants who received DTG, had undergone PK sampling during the study, and provided evaluable DTG plasma concentration data.
Time Frame Week 4, Week 24, and Week 48

Outcome Measure Data

Analysis Population Description
PK Concentration Population
Arm/Group Title DTG 50 mg Once a Day RTG 400 mg BID
Arm/Group Description Participants received DTG 50 mg once a day in combination with NRTI therapy, either with ABC/3TC or TDF/FTC. Participants were given the opportunity to receive DTG 50 mg once a day during an Open-label Phase of the study. Participants received RTG 400 mg BID in combination with NRTI therapy, either with ABC/3TC or TDF/FTC.
Measure Participants 403 0
Geometric Mean (Geometric Coefficient of Variation) [Micrograms*hour per milliliter(µg*hr/mL)]
53.6
(26.8)
12. Secondary Outcome
Title Maximum Plasma Concentration (Cmax) and Concentration at the End of a Dosing Interval (Ctau) of DTG
Description The maximum plasma concentration (Cmax) and concentration at the end of a dosing interval (Ctau) of DTG were assessed at Week 48. The predicted individual Cmax and Ctau were obtained from the final population PK model by simulation of the concentration-time profiles. Blood samples for PK assessments were collected at pre-dose (within 15 minutes prior to dose) at Week 4, Week 24, and Week 48 and 1 to 3 hours post-dose or 4 to 12 hours post-dose at Week 4 and Week 24. If 1 to 3 hour post-dose was completed at Week 4, then the 4 to12 hour post-dose must be obtained at Week 48, and vice versa.
Time Frame Week 4, Week 24, and Week 48

Outcome Measure Data

Analysis Population Description
PK Concentration Population.
Arm/Group Title DTG 50 mg Once a Day RTG 400 mg BID
Arm/Group Description Participants received DTG 50 mg once a day in combination with NRTI therapy, either with ABC/3TC or TDF/FTC. Participants were given the opportunity to receive DTG 50 mg once a day during an Open-label Phase of the study. Participants received RTG 400 mg BID in combination with NRTI therapy, either with ABC/3TC or TDF/FTC.
Measure Participants 403 0
Cmax
3.69
(19.6)
Ctau
1.10
(46.5)

Adverse Events

Time Frame Serious adverse events (SAEs) and non-serious AEs were collected from the start of study medication to the end of the study (up to a median of 1267 days).
Adverse Event Reporting Description AEs and non-serious AEs were collected in members of the Safety Population, comprised of all participants who received at least one dose of investigational product.
Arm/Group Title DTG 50 mg Once a Day RTG 400mg BID DTG 50 mg Once a Day (Open-label)
Arm/Group Description Participants received DTG 50 mg once a day in combination with NRTI therapy, either with ABC/3TC or TDF/FTC. Participants were given the opportunity to receive DTG 50 mg once a day during an Open-label Phase of the study. Participants received RTG 400 mg BID in combination with NRTI therapy, either with ABC/3TC or TDF/FTC. Participants who successfully completed 96 weeks of double blind phase continued to receive DTG 50 mg once a day during open label phase, until DTG was locally available commercially. Participants received DTG 50 mg once a day in combination with NRTI therapy, with either ABC/3TC or TDF/FTC.
All Cause Mortality
DTG 50 mg Once a Day RTG 400mg BID DTG 50 mg Once a Day (Open-label)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 1/411 (0.2%) 1/411 (0.2%) 0/338 (0%)
Serious Adverse Events
DTG 50 mg Once a Day RTG 400mg BID DTG 50 mg Once a Day (Open-label)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 41/411 (10%) 45/411 (10.9%) 21/338 (6.2%)
Blood and lymphatic system disorders
Anaemia 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Lymphadenopathy 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Cardiac disorders
Arrhythmia 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Ear and labyrinth disorders
Vertigo 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Gastrointestinal disorders
Anal fissure 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Anal fistula 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Abdominal pain lower 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Anal inflammation 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Diarrhoea 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Inguinal hernia 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Irritable bowel syndrome 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Pancreatic pseudocyst 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Peptic ulcer 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Proctitis ulcerative 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
General disorders
Chest pain 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Polyserositis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Pyrexia 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Hepatobiliary disorders
Hepatitis 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Cholecystitis 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Hepatotoxicity 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Portal vein thrombosis 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Immune system disorders
Drug hypersensitivity 3/411 (0.7%) 3 0/411 (0%) 0 1/338 (0.3%) 1
Hypersensitivity 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Immune reconstitution inflammatory syndrome 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Infections and infestations
Appendicitis 2/411 (0.5%) 2 5/411 (1.2%) 5 1/338 (0.3%) 1
Pneumonia 0/411 (0%) 0 2/411 (0.5%) 2 1/338 (0.3%) 1
Anal abscess 0/411 (0%) 0 1/411 (0.2%) 1 1/338 (0.3%) 1
Arthritis bacterial 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Cellulitis 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Gastroenteritis 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Peritonsillar abscess 1/411 (0.2%) 1 0/411 (0%) 0 1/338 (0.3%) 1
Pneumonia bacterial 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Subcutaneous abscess 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Syphilis 0/411 (0%) 0 0/411 (0%) 0 2/338 (0.6%) 2
Abscess 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Acute hepatitis C 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Atypical mycobacterial infection 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Bacteraemia 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Corneal abscess 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Encephalitis viral 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Gastroenteritis bacterial 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Gastrointestinal infection 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Influenza 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Lung infection 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Lymphadenitis viral 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Meningitis tuberculous 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Neurosyphilis 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Osteomyelitis chronic 1/411 (0.2%) 2 0/411 (0%) 0 0/338 (0%) 0
Pneumocystis jirovecii pneumonia 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Pneumonia cytomegaloviral 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Rhinitis 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Secondary syphilis 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Sepsis 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Staphylococcal infection 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Urinary tract infection 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Viral infection 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Injury, poisoning and procedural complications
Laceration 0/411 (0%) 0 2/411 (0.5%) 2 0/338 (0%) 0
Rib fracture 1/411 (0.2%) 1 0/411 (0%) 0 1/338 (0.3%) 1
Alcohol poisoning 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Intentional overdose 0/411 (0%) 0 1/411 (0.2%) 2 0/338 (0%) 0
Lower limb fracture 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Multiple fractures 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Penis injury 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Post procedural haemorrhage 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Tibia fracture 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Toxicity to various agents 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Upper limb fracture 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Investigations
Blood creatine phosphokinase increased 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Metabolism and nutrition disorders
Diabetes mellitus inadequate control 1/411 (0.2%) 1 0/411 (0%) 0 1/338 (0.3%) 1
Musculoskeletal and connective tissue disorders
Arthritis 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Back pain 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Costochondritis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Osteoarthritis 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm malignant 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Anogenital warts 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Breast cancer 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Malignant melanoma 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Metastatic malignant melanoma 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Papilloma 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Transitional cell carcinoma 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Nervous system disorders
Seizure 0/411 (0%) 0 2/411 (0.5%) 2 0/338 (0%) 0
Aphasia 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Cerebrovascular accident 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Cognitive disorder 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Sciatica 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Status epilepticus 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Psychiatric disorders
Suicide attempt 2/411 (0.5%) 2 3/411 (0.7%) 4 1/338 (0.3%) 1
Suicidal ideation 0/411 (0%) 0 2/411 (0.5%) 2 0/338 (0%) 0
Completed suicide 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Depression 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Renal and urinary disorders
Nephrolithiasis 1/411 (0.2%) 1 0/411 (0%) 0 1/338 (0.3%) 2
Renal colic 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Renal impairment 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Reproductive system and breast disorders
Cervical dysplasia 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Erectile dysfunction 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Menorrhagia 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Pneumonia aspiration 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Pneumothorax 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Social circumstances
Homicide 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Surgical and medical procedures
Keratoplasty 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Vascular disorders
Thrombosis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Other (Not Including Serious) Adverse Events
DTG 50 mg Once a Day RTG 400mg BID DTG 50 mg Once a Day (Open-label)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 353/411 (85.9%) 344/411 (83.7%) 256/338 (75.7%)
Blood and lymphatic system disorders
Lymphadenopathy 9/411 (2.2%) 13 4/411 (1%) 4 3/338 (0.9%) 4
Anaemia 0/411 (0%) 0 4/411 (1%) 4 0/338 (0%) 0
Iron deficiency anaemia 1/411 (0.2%) 1 2/411 (0.5%) 2 1/338 (0.3%) 1
Neutropenia 1/411 (0.2%) 2 2/411 (0.5%) 2 0/338 (0%) 0
Lymphadenitis 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Eosinophilia 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Granulocytopenia 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Leukopenia 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Polycythaemia 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Red blood cell abnormality 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Thrombocytopenia 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Thymus disorder 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Cardiac disorders
Angina pectoris 1/411 (0.2%) 1 4/411 (1%) 4 1/338 (0.3%) 1
Palpitations 1/411 (0.2%) 1 2/411 (0.5%) 2 1/338 (0.3%) 1
Tachycardia 1/411 (0.2%) 1 0/411 (0%) 0 1/338 (0.3%) 1
Cardiomyopathy 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Myocarditis 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Ventricular hypokinesia 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Congenital, familial and genetic disorders
Hereditary non-polyposis colorectal cancer syndrome 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Ichthyosis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Kidney duplex 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Odontogenic cyst 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Ear and labyrinth disorders
Vertigo 6/411 (1.5%) 6 5/411 (1.2%) 5 1/338 (0.3%) 1
Tinnitus 5/411 (1.2%) 5 4/411 (1%) 5 0/338 (0%) 0
Ear pain 1/411 (0.2%) 1 0/411 (0%) 0 2/338 (0.6%) 2
Hypoacusis 2/411 (0.5%) 2 0/411 (0%) 0 1/338 (0.3%) 1
Deafness 0/411 (0%) 0 2/411 (0.5%) 2 0/338 (0%) 0
Ear disorder 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Eustachian tube obstruction 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Excessive cerumen production 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
External ear inflammation 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
External ear pain 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Middle ear effusion 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Tympanic membrane disorder 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Endocrine disorders
Hypothyroidism 1/411 (0.2%) 1 1/411 (0.2%) 1 1/338 (0.3%) 1
Goitre 1/411 (0.2%) 1 0/411 (0%) 0 1/338 (0.3%) 1
Androgen deficiency 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Basedow's disease 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Hyperthyroidism 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Hypogonadism 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Thyroid mass 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Eye disorders
Vision blurred 2/411 (0.5%) 2 5/411 (1.2%) 5 0/338 (0%) 0
Conjunctivitis allergic 1/411 (0.2%) 1 2/411 (0.5%) 2 1/338 (0.3%) 1
Ocular hyperaemia 3/411 (0.7%) 3 0/411 (0%) 0 0/338 (0%) 0
Visual acuity reduced 1/411 (0.2%) 1 1/411 (0.2%) 1 1/338 (0.3%) 1
Chalazion 0/411 (0%) 0 0/411 (0%) 0 2/338 (0.6%) 2
Conjunctival haemorrhage 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Conjunctival hyperaemia 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Dry eye 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Eye pruritus 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Blepharitis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Cataract 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Corneal erosion 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Diplopia 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Eye inflammation 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Eye pain 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Eyelids pruritus 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Hypermetropia 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Keratitis 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Ocular discomfort 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Photophobia 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Retinal haemorrhage 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Retinal tear 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Scleritis 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Gastrointestinal disorders
Diarrhoea 58/411 (14.1%) 72 54/411 (13.1%) 65 21/338 (6.2%) 25
Nausea 60/411 (14.6%) 70 55/411 (13.4%) 66 3/338 (0.9%) 3
Abdominal pain 18/411 (4.4%) 21 16/411 (3.9%) 20 7/338 (2.1%) 7
Vomiting 16/411 (3.9%) 21 18/411 (4.4%) 19 5/338 (1.5%) 7
Constipation 15/411 (3.6%) 16 14/411 (3.4%) 17 1/338 (0.3%) 1
Abdominal pain upper 12/411 (2.9%) 13 12/411 (2.9%) 14 5/338 (1.5%) 5
Haemorrhoids 15/411 (3.6%) 15 9/411 (2.2%) 9 5/338 (1.5%) 6
Flatulence 12/411 (2.9%) 12 11/411 (2.7%) 11 1/338 (0.3%) 1
Dyspepsia 6/411 (1.5%) 6 11/411 (2.7%) 11 2/338 (0.6%) 3
Toothache 9/411 (2.2%) 10 3/411 (0.7%) 3 6/338 (1.8%) 6
Gastrooesophageal reflux disease 4/411 (1%) 4 12/411 (2.9%) 12 1/338 (0.3%) 1
Abdominal distension 6/411 (1.5%) 6 6/411 (1.5%) 7 4/338 (1.2%) 5
Proctitis 5/411 (1.2%) 5 5/411 (1.2%) 6 4/338 (1.2%) 4
Anogenital dysplasia 3/411 (0.7%) 3 4/411 (1%) 4 5/338 (1.5%) 5
Abdominal discomfort 10/411 (2.4%) 11 1/411 (0.2%) 1 0/338 (0%) 0
Anal fissure 3/411 (0.7%) 3 6/411 (1.5%) 6 2/338 (0.6%) 2
Gastritis 4/411 (1%) 4 1/411 (0.2%) 1 5/338 (1.5%) 5
Aphthous ulcer 3/411 (0.7%) 3 4/411 (1%) 6 2/338 (0.6%) 2
Odynophagia 3/411 (0.7%) 3 4/411 (1%) 4 1/338 (0.3%) 1
Rectal haemorrhage 2/411 (0.5%) 2 3/411 (0.7%) 3 2/338 (0.6%) 2
Dental caries 3/411 (0.7%) 3 3/411 (0.7%) 3 0/338 (0%) 0
Abdominal pain lower 1/411 (0.2%) 1 3/411 (0.7%) 3 1/338 (0.3%) 1
Enteritis 1/411 (0.2%) 1 2/411 (0.5%) 2 2/338 (0.6%) 2
Inguinal hernia 2/411 (0.5%) 2 2/411 (0.5%) 2 1/338 (0.3%) 1
Anal fistula 2/411 (0.5%) 2 1/411 (0.2%) 1 1/338 (0.3%) 1
Colitis 2/411 (0.5%) 2 0/411 (0%) 0 2/338 (0.6%) 2
Gastrointestinal disorder 1/411 (0.2%) 1 3/411 (0.7%) 3 0/338 (0%) 0
Hiatus hernia 0/411 (0%) 0 3/411 (0.7%) 3 1/338 (0.3%) 1
Proctalgia 2/411 (0.5%) 3 2/411 (0.5%) 2 0/338 (0%) 0
Anal haemorrhage 2/411 (0.5%) 2 1/411 (0.2%) 1 0/338 (0%) 0
Anal pruritus 3/411 (0.7%) 3 0/411 (0%) 0 0/338 (0%) 0
Dry mouth 1/411 (0.2%) 1 1/411 (0.2%) 1 1/338 (0.3%) 1
Mouth ulceration 2/411 (0.5%) 2 1/411 (0.2%) 1 0/338 (0%) 0
Oesophagitis 1/411 (0.2%) 1 2/411 (0.5%) 2 0/338 (0%) 0
Abdominal tenderness 0/411 (0%) 0 2/411 (0.5%) 2 0/338 (0%) 0
Abnormal faeces 0/411 (0%) 0 2/411 (0.5%) 2 0/338 (0%) 0
Anal ulcer 1/411 (0.2%) 2 1/411 (0.2%) 1 0/338 (0%) 0
Anorectal discomfort 1/411 (0.2%) 1 0/411 (0%) 0 1/338 (0.3%) 1
Cheilitis 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Dysphagia 0/411 (0%) 0 1/411 (0.2%) 1 1/338 (0.3%) 1
Food poisoning 0/411 (0%) 0 0/411 (0%) 0 2/338 (0.6%) 2
Gastrointestinal pain 0/411 (0%) 0 2/411 (0.5%) 2 0/338 (0%) 0
Haematochezia 1/411 (0.2%) 1 0/411 (0%) 0 1/338 (0.3%) 1
Haemorrhoidal haemorrhage 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Oesophageal spasm 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Oral disorder 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Abdominal rigidity 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Anal skin tags 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Anal spasm 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Anorectal disorder 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Chronic gastritis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Diverticulum 0/411 (0%) 0 1/411 (0.2%) 3 0/338 (0%) 0
Epigastric discomfort 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Erosive duodenitis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Faeces pale 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Gastric ulcer 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Gastrointestinal haemorrhage 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Gingival hypertrophy 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Gingival pain 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Gingival swelling 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Haemorrhoids thrombosed 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Hyperchlorhydria 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Irritable bowel syndrome 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Large intestine polyp 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Lip haematoma 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Lip swelling 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Loose tooth 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Mouth cyst 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Oesophageal pain 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Oral pain 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Palatal disorder 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Palatal ulcer 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Pancreatitis acute 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 2
Paraesthesia oral 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Periodontal disease 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Rectal discharge 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Rectal fissure 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Saliva altered 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Salivary hypersecretion 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Stomatitis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Tongue disorder 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Tooth disorder 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Tooth impacted 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Ulcerative gastritis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
General disorders
Fatigue 22/411 (5.4%) 26 24/411 (5.8%) 27 7/338 (2.1%) 7
Pyrexia 23/411 (5.6%) 30 24/411 (5.8%) 26 6/338 (1.8%) 7
Asthenia 14/411 (3.4%) 16 18/411 (4.4%) 19 7/338 (2.1%) 7
Influenza like illness 13/411 (3.2%) 15 9/411 (2.2%) 11 7/338 (2.1%) 8
Chest pain 5/411 (1.2%) 5 2/411 (0.5%) 2 3/338 (0.9%) 3
Feeling abnormal 2/411 (0.5%) 3 2/411 (0.5%) 2 0/338 (0%) 0
Malaise 3/411 (0.7%) 3 1/411 (0.2%) 1 0/338 (0%) 0
Local swelling 3/411 (0.7%) 3 0/411 (0%) 0 0/338 (0%) 0
Oedema peripheral 2/411 (0.5%) 2 1/411 (0.2%) 1 0/338 (0%) 0
Pain 0/411 (0%) 0 3/411 (0.7%) 3 0/338 (0%) 0
Peripheral swelling 0/411 (0%) 0 2/411 (0.5%) 2 1/338 (0.3%) 1
Chest discomfort 1/411 (0.2%) 1 1/411 (0.2%) 3 0/338 (0%) 0
Cyst 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Granuloma 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Ill-defined disorder 0/411 (0%) 0 0/411 (0%) 0 2/338 (0.6%) 2
Inflammation 0/411 (0%) 0 0/411 (0%) 0 2/338 (0.6%) 2
Mucosal dryness 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Nodule 0/411 (0%) 0 0/411 (0%) 0 2/338 (0.6%) 2
Suprapubic pain 1/411 (0.2%) 1 0/411 (0%) 0 1/338 (0.3%) 1
Axillary pain 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Chills 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Discomfort 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Facial pain 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Feeling cold 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Mucosal inflammation 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Non-cardiac chest pain 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Oedema mucosal 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Polyp 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Swelling 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Hepatobiliary disorders
Hepatic steatosis 2/411 (0.5%) 2 3/411 (0.7%) 3 1/338 (0.3%) 1
Cholelithiasis 1/411 (0.2%) 1 0/411 (0%) 0 1/338 (0.3%) 1
Hepatitis toxic 0/411 (0%) 0 2/411 (0.5%) 3 0/338 (0%) 0
Biliary colic 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Cholecystitis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Drug-induced liver injury 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Gallbladder polyp 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Hepatic cyst 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Hepatic lesion 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Hepatitis 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Hepatocellular injury 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Hepatomegaly 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Immune system disorders
Seasonal allergy 8/411 (1.9%) 8 7/411 (1.7%) 7 5/338 (1.5%) 7
Food allergy 0/411 (0%) 0 3/411 (0.7%) 3 1/338 (0.3%) 1
Drug hypersensitivity 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Immune reconstitution inflammatory syndrome 0/411 (0%) 0 2/411 (0.5%) 2 0/338 (0%) 0
Hypersensitivity 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Jarisch-Herxheimer reaction 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Infections and infestations
Viral upper respiratory tract infection 54/411 (13.1%) 73 54/411 (13.1%) 77 24/338 (7.1%) 27
Upper respiratory tract infection 34/411 (8.3%) 43 31/411 (7.5%) 38 27/338 (8%) 36
Syphilis 24/411 (5.8%) 25 28/411 (6.8%) 30 24/338 (7.1%) 30
Bronchitis 24/411 (5.8%) 33 22/411 (5.4%) 25 15/338 (4.4%) 16
Sinusitis 25/411 (6.1%) 36 16/411 (3.9%) 18 12/338 (3.6%) 19
Gastroenteritis 18/411 (4.4%) 21 18/411 (4.4%) 23 10/338 (3%) 11
Pharyngitis 23/411 (5.6%) 31 14/411 (3.4%) 16 9/338 (2.7%) 9
Influenza 16/411 (3.9%) 17 22/411 (5.4%) 23 7/338 (2.1%) 7
Respiratory tract infection 19/411 (4.6%) 19 12/411 (2.9%) 14 5/338 (1.5%) 9
Rhinitis 13/411 (3.2%) 20 13/411 (3.2%) 15 7/338 (2.1%) 8
Oral herpes 8/411 (1.9%) 9 13/411 (3.2%) 17 7/338 (2.1%) 8
Conjunctivitis 8/411 (1.9%) 8 11/411 (2.7%) 11 8/338 (2.4%) 9
Urinary tract infection 12/411 (2.9%) 14 7/411 (1.7%) 8 4/338 (1.2%) 4
Respiratory tract infection viral 11/411 (2.7%) 13 7/411 (1.7%) 8 4/338 (1.2%) 6
Urethritis 9/411 (2.2%) 10 8/411 (1.9%) 10 5/338 (1.5%) 6
Chlamydial infection 5/411 (1.2%) 6 9/411 (2.2%) 13 7/338 (2.1%) 8
Gonorrhoea 7/411 (1.7%) 8 6/411 (1.5%) 7 8/338 (2.4%) 9
Herpes zoster 9/411 (2.2%) 9 9/411 (2.2%) 9 2/338 (0.6%) 2
Gingivitis 8/411 (1.9%) 8 11/411 (2.7%) 11 0/338 (0%) 0
Tonsillitis 10/411 (2.4%) 10 4/411 (1%) 4 5/338 (1.5%) 8
Folliculitis 6/411 (1.5%) 7 8/411 (1.9%) 9 4/338 (1.2%) 4
Ear infection 7/411 (1.7%) 7 7/411 (1.7%) 11 2/338 (0.6%) 2
Genital herpes 5/411 (1.2%) 6 4/411 (1%) 5 5/338 (1.5%) 6
Pneumonia 8/411 (1.9%) 8 4/411 (1%) 4 2/338 (0.6%) 2
Tooth infection 7/411 (1.7%) 8 4/411 (1%) 4 3/338 (0.9%) 3
Nasopharyngitis 6/411 (1.5%) 7 4/411 (1%) 4 3/338 (0.9%) 3
Secondary syphilis 4/411 (1%) 4 4/411 (1%) 5 5/338 (1.5%) 5
Cellulitis 5/411 (1.2%) 5 4/411 (1%) 5 2/338 (0.6%) 2
Herpes simplex 1/411 (0.2%) 1 7/411 (1.7%) 8 3/338 (0.9%) 5
Herpes virus infection 3/411 (0.7%) 3 5/411 (1.2%) 8 3/338 (0.9%) 5
Onychomycosis 4/411 (1%) 5 4/411 (1%) 4 3/338 (0.9%) 3
Fungal skin infection 5/411 (1.2%) 5 5/411 (1.2%) 5 0/338 (0%) 0
Urethritis gonococcal 2/411 (0.5%) 2 5/411 (1.2%) 5 3/338 (0.9%) 3
Viral infection 6/411 (1.5%) 6 4/411 (1%) 4 0/338 (0%) 0
Furuncle 3/411 (0.7%) 3 4/411 (1%) 5 2/338 (0.6%) 2
Otitis externa 1/411 (0.2%) 1 5/411 (1.2%) 7 3/338 (0.9%) 3
Tooth abscess 4/411 (1%) 4 3/411 (0.7%) 3 2/338 (0.6%) 3
Tinea infection 5/411 (1.2%) 5 3/411 (0.7%) 3 0/338 (0%) 0
Anal chlamydia infection 3/411 (0.7%) 3 1/411 (0.2%) 1 3/338 (0.9%) 3
Lymphogranuloma venereum 0/411 (0%) 0 5/411 (1.2%) 5 2/338 (0.6%) 2
Otitis media 4/411 (1%) 4 2/411 (0.5%) 4 1/338 (0.3%) 1
Skin infection 2/411 (0.5%) 2 2/411 (0.5%) 2 3/338 (0.9%) 3
Tinea versicolour 3/411 (0.7%) 3 2/411 (0.5%) 2 2/338 (0.6%) 2
Acarodermatitis 1/411 (0.2%) 1 5/411 (1.2%) 5 0/338 (0%) 0
Laryngitis 2/411 (0.5%) 2 3/411 (0.7%) 3 1/338 (0.3%) 1
Anal abscess 2/411 (0.5%) 2 2/411 (0.5%) 3 1/338 (0.3%) 1
Erysipelas 2/411 (0.5%) 2 2/411 (0.5%) 2 1/338 (0.3%) 1
Genital infection fungal 1/411 (0.2%) 1 0/411 (0%) 0 4/338 (1.2%) 5
Infection 3/411 (0.7%) 3 2/411 (0.5%) 2 0/338 (0%) 0
Labyrinthitis 2/411 (0.5%) 2 2/411 (0.5%) 2 1/338 (0.3%) 1
Proctitis gonococcal 1/411 (0.2%) 1 2/411 (0.5%) 2 2/338 (0.6%) 2
Subcutaneous abscess 3/411 (0.7%) 3 1/411 (0.2%) 1 1/338 (0.3%) 1
Tinea cruris 1/411 (0.2%) 1 2/411 (0.5%) 2 2/338 (0.6%) 2
Fungal infection 1/411 (0.2%) 1 3/411 (0.7%) 3 0/338 (0%) 0
Lower respiratory tract infection 2/411 (0.5%) 2 0/411 (0%) 0 2/338 (0.6%) 4
Orchitis 1/411 (0.2%) 1 2/411 (0.5%) 2 1/338 (0.3%) 1
Pharyngitis streptococcal 1/411 (0.2%) 1 2/411 (0.5%) 2 1/338 (0.3%) 1
Rash pustular 0/411 (0%) 0 2/411 (0.5%) 2 2/338 (0.6%) 2
Staphylococcal infection 2/411 (0.5%) 2 2/411 (0.5%) 2 0/338 (0%) 0
Tinea pedis 2/411 (0.5%) 2 1/411 (0.2%) 1 1/338 (0.3%) 1
Abscess 2/411 (0.5%) 4 1/411 (0.2%) 1 0/338 (0%) 0
Acute hepatitis C 1/411 (0.2%) 1 1/411 (0.2%) 1 1/338 (0.3%) 1
Acute sinusitis 2/411 (0.5%) 2 1/411 (0.2%) 1 0/338 (0%) 0
Balanitis candida 1/411 (0.2%) 1 1/411 (0.2%) 1 1/338 (0.3%) 1
Cystitis 3/411 (0.7%) 3 0/411 (0%) 0 0/338 (0%) 0
Epididymitis 1/411 (0.2%) 1 2/411 (0.5%) 2 0/338 (0%) 0
Gastroenteritis viral 1/411 (0.2%) 1 2/411 (0.5%) 2 0/338 (0%) 0
Gastrointestinal infection 1/411 (0.2%) 1 2/411 (0.5%) 2 0/338 (0%) 0
Giardiasis 1/411 (0.2%) 1 1/411 (0.2%) 1 1/338 (0.3%) 1
Helicobacter infection 1/411 (0.2%) 1 2/411 (0.5%) 2 0/338 (0%) 0
Hordeolum 1/411 (0.2%) 1 2/411 (0.5%) 4 0/338 (0%) 0
Localised infection 0/411 (0%) 0 2/411 (0.5%) 2 1/338 (0.3%) 1
Lung infection 2/411 (0.5%) 3 0/411 (0%) 0 1/338 (0.3%) 1
Oral candidiasis 1/411 (0.2%) 1 1/411 (0.2%) 1 1/338 (0.3%) 1
Parotitis 2/411 (0.5%) 2 0/411 (0%) 0 1/338 (0.3%) 1
Pharyngotonsillitis 1/411 (0.2%) 1 0/411 (0%) 0 2/338 (0.6%) 2
Pilonidal cyst 2/411 (0.5%) 2 0/411 (0%) 0 1/338 (0.3%) 1
Primary syphilis 0/411 (0%) 0 1/411 (0.2%) 1 2/338 (0.6%) 2
Tracheitis 1/411 (0.2%) 1 1/411 (0.2%) 1 1/338 (0.3%) 1
Angular cheilitis 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Beta haemolytic streptococcal infection 0/411 (0%) 0 0/411 (0%) 0 2/338 (0.6%) 2
Cervicitis 0/411 (0%) 0 0/411 (0%) 0 2/338 (0.6%) 2
Chronic sinusitis 1/411 (0.2%) 1 1/411 (0.2%) 2 0/338 (0%) 0
Dermatophytosis 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Eye infection 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Gastroenteritis shigella 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Genital herpes simplex 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Genital infection bacterial 0/411 (0%) 0 0/411 (0%) 0 2/338 (0.6%) 2
Helicobacter gastritis 1/411 (0.2%) 1 0/411 (0%) 0 1/338 (0.3%) 1
Hepatitis A 1/411 (0.2%) 1 0/411 (0%) 0 1/338 (0.3%) 1
Hepatitis C 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Infected bite 0/411 (0%) 0 2/411 (0.5%) 3 0/338 (0%) 0
Infection parasitic 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Molluscum contagiosum 0/411 (0%) 0 2/411 (0.5%) 2 0/338 (0%) 0
Oral infection 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Parasitic gastroenteritis 1/411 (0.2%) 1 0/411 (0%) 0 1/338 (0.3%) 1
Paronychia 2/411 (0.5%) 3 0/411 (0%) 0 0/338 (0%) 0
Proctitis chlamydial 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Vulvovaginal mycotic infection 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Abscess oral 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Amoebiasis 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Asymptomatic bacteriuria 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Bacterial disease carrier 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Bacterial infection 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Bacterial vaginosis 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Bacteriuria 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Body tinea 0/411 (0%) 0 1/411 (0.2%) 2 0/338 (0%) 0
Campylobacter gastroenteritis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Campylobacter infection 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Carbuncle 1/411 (0.2%) 2 0/411 (0%) 0 0/338 (0%) 0
Cervicitis human papilloma virus 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Chronic hepatitis C 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Chronic tonsillitis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Clostridium difficile colitis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Conjunctivitis viral 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Dysentery 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Ear infection fungal 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Enterobiasis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Enterovirus infection 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Gastroenteritis clostridial 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Gastrointestinal viral infection 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Genitourinary chlamydia infection 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Genitourinary tract infection 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Groin abscess 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Hepatitis E 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Hepatitis viral 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Impetigo 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Infected cyst 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Latent syphilis 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Latent tuberculosis 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Lung abscess 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Nail infection 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Ophthalmic herpes simplex 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Oral viral infection 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Oropharyngeal gonococcal infection 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Papilloma viral infection 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Pericoronitis 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Periorbital cellulitis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Peritonsillar abscess 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Pharyngitis bacterial 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Pneumonia cytomegaloviral 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Post procedural infection 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Proctitis bacterial 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Pulpitis dental 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Pyelonephritis chronic 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Pyuria 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Scrotal abscess 0/411 (0%) 0 1/411 (0.2%) 2 0/338 (0%) 0
Sexually transmitted disease 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Sialoadenitis 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Sinobronchitis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Sycosis barbae 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Tonsillitis bacterial 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Tonsillitis streptococcal 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Urethritis chlamydial 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Urinary tract infection bacterial 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Vaginitis gardnerella 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Viral pharyngitis 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Vulvovaginal candidiasis 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Yersinia infection 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Injury, poisoning and procedural complications
Ligament sprain 6/411 (1.5%) 6 5/411 (1.2%) 5 6/338 (1.8%) 8
Muscle strain 7/411 (1.7%) 7 3/411 (0.7%) 3 3/338 (0.9%) 3
Limb injury 2/411 (0.5%) 2 5/411 (1.2%) 5 3/338 (0.9%) 3
Contusion 4/411 (1%) 4 2/411 (0.5%) 2 1/338 (0.3%) 2
Epicondylitis 4/411 (1%) 4 0/411 (0%) 0 3/338 (0.9%) 3
Laceration 4/411 (1%) 4 2/411 (0.5%) 2 0/338 (0%) 0
Arthropod bite 2/411 (0.5%) 2 2/411 (0.5%) 2 1/338 (0.3%) 1
Fall 1/411 (0.2%) 1 2/411 (0.5%) 2 2/338 (0.6%) 2
Rib fracture 2/411 (0.5%) 2 2/411 (0.5%) 3 1/338 (0.3%) 1
Skin abrasion 1/411 (0.2%) 1 3/411 (0.7%) 4 1/338 (0.3%) 1
Bone contusion 3/411 (0.7%) 3 1/411 (0.2%) 1 0/338 (0%) 0
Foot fracture 3/411 (0.7%) 3 1/411 (0.2%) 1 0/338 (0%) 0
Meniscus injury 2/411 (0.5%) 2 0/411 (0%) 0 1/338 (0.3%) 1
Back injury 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Concussion 0/411 (0%) 0 1/411 (0.2%) 1 1/338 (0.3%) 1
Exposure to communicable disease 1/411 (0.2%) 1 1/411 (0.2%) 2 0/338 (0%) 0
Hand fracture 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Injury 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Ligament rupture 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Post-traumatic neck syndrome 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Procedural pain 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Road traffic accident 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Scar 1/411 (0.2%) 1 0/411 (0%) 0 1/338 (0.3%) 1
Tendon rupture 0/411 (0%) 0 1/411 (0.2%) 1 1/338 (0.3%) 1
Thermal burn 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Upper limb fracture 0/411 (0%) 0 2/411 (0.5%) 2 0/338 (0%) 0
Accident 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Animal bite 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Ankle fracture 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Arthropod sting 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Bone fissure 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Burns second degree 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Cartilage injury 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Ear injury 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Excoriation 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Eye contusion 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Eye injury 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Fracture 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Head injury 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Human bite 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Joint dislocation 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Joint injury 1/411 (0.2%) 2 0/411 (0%) 0 0/338 (0%) 0
Lower limb fracture 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Neck injury 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Patella fracture 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Penis injury 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Poisoning 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Post lumbar puncture syndrome 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Post procedural discomfort 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Post-traumatic pain 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Scratch 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Subdural haematoma 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Tendon injury 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Traumatic haematoma 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Ulnar nerve injury 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Wound 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Investigations
Alanine aminotransferase increased 6/411 (1.5%) 8 4/411 (1%) 10 1/338 (0.3%) 1
Aspartate aminotransferase increased 3/411 (0.7%) 3 4/411 (1%) 9 2/338 (0.6%) 2
Weight increased 4/411 (1%) 4 5/411 (1.2%) 5 0/338 (0%) 0
Weight decreased 3/411 (0.7%) 4 3/411 (0.7%) 3 1/338 (0.3%) 1
Blood pressure increased 3/411 (0.7%) 3 3/411 (0.7%) 3 0/338 (0%) 0
Blood creatine phosphokinase increased 0/411 (0%) 0 2/411 (0.5%) 2 3/338 (0.9%) 3
Lipase increased 1/411 (0.2%) 1 3/411 (0.7%) 3 1/338 (0.3%) 1
Transaminases increased 1/411 (0.2%) 1 2/411 (0.5%) 2 1/338 (0.3%) 1
Blood creatinine increased 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Blood glucose increased 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Urinary sediment present 0/411 (0%) 0 2/411 (0.5%) 2 0/338 (0%) 0
Blood alkaline phosphatase increased 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Blood bilirubin increased 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Blood cholesterol increased 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Blood glucose decreased 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Blood phosphorus decreased 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Blood testosterone decreased 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Blood thyroid stimulating hormone increased 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Heart sounds abnormal 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Human papilloma virus test positive 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Liver function test increased 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Oestradiol increased 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Parasite stool test positive 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Protein urine present 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
QRS axis abnormal 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Shigella test positive 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Streptococcus test positive 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Urine analysis abnormal 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Vitamin D decreased 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Metabolism and nutrition disorders
Vitamin D deficiency 7/411 (1.7%) 7 6/411 (1.5%) 6 7/338 (2.1%) 7
Decreased appetite 6/411 (1.5%) 6 8/411 (1.9%) 9 1/338 (0.3%) 1
Hyperglycaemia 0/411 (0%) 0 0/411 (0%) 0 4/338 (1.2%) 4
Hypophosphataemia 1/411 (0.2%) 1 0/411 (0%) 0 3/338 (0.9%) 5
Gout 1/411 (0.2%) 1 1/411 (0.2%) 1 1/338 (0.3%) 1
Hypercholesterolaemia 2/411 (0.5%) 2 0/411 (0%) 0 1/338 (0.3%) 1
Hyperlipidaemia 2/411 (0.5%) 2 1/411 (0.2%) 1 0/338 (0%) 0
Iron deficiency 1/411 (0.2%) 1 1/411 (0.2%) 1 1/338 (0.3%) 1
Dyslipidaemia 0/411 (0%) 0 1/411 (0.2%) 1 1/338 (0.3%) 1
Increased appetite 0/411 (0%) 0 2/411 (0.5%) 2 0/338 (0%) 0
Alcohol intolerance 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Body fat disorder 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Dehydration 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Diabetes mellitus 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Diabetes mellitus inadequate control 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Folate deficiency 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Food intolerance 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Hyperlipasaemia 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Hypertriglyceridaemia 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Hypovitaminosis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Lactase deficiency 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Obesity 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Polydipsia 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Type 2 diabetes mellitus 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Vitamin B12 deficiency 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Musculoskeletal and connective tissue disorders
Back pain 24/411 (5.8%) 27 26/411 (6.3%) 29 10/338 (3%) 15
Arthralgia 11/411 (2.7%) 13 14/411 (3.4%) 17 7/338 (2.1%) 8
Tendonitis 7/411 (1.7%) 7 9/411 (2.2%) 9 5/338 (1.5%) 5
Myalgia 10/411 (2.4%) 10 7/411 (1.7%) 7 3/338 (0.9%) 3
Pain in extremity 7/411 (1.7%) 7 10/411 (2.4%) 11 1/338 (0.3%) 1
Musculoskeletal pain 5/411 (1.2%) 5 7/411 (1.7%) 7 2/338 (0.6%) 2
Osteopenia 2/411 (0.5%) 2 7/411 (1.7%) 7 5/338 (1.5%) 5
Neck pain 4/411 (1%) 4 5/411 (1.2%) 8 2/338 (0.6%) 2
Muscle spasms 3/411 (0.7%) 3 4/411 (1%) 4 2/338 (0.6%) 2
Musculoskeletal chest pain 5/411 (1.2%) 6 3/411 (0.7%) 3 1/338 (0.3%) 1
Bursitis 3/411 (0.7%) 3 2/411 (0.5%) 2 2/338 (0.6%) 2
Osteoarthritis 3/411 (0.7%) 3 1/411 (0.2%) 1 2/338 (0.6%) 3
Osteoporosis 1/411 (0.2%) 1 2/411 (0.5%) 2 3/338 (0.9%) 3
Flank pain 1/411 (0.2%) 2 3/411 (0.7%) 5 1/338 (0.3%) 1
Spinal osteoarthritis 2/411 (0.5%) 2 1/411 (0.2%) 1 1/338 (0.3%) 1
Intervertebral disc protrusion 1/411 (0.2%) 1 0/411 (0%) 0 2/338 (0.6%) 2
Joint swelling 1/411 (0.2%) 1 2/411 (0.5%) 2 0/338 (0%) 0
Muscle contracture 2/411 (0.5%) 2 0/411 (0%) 0 1/338 (0.3%) 1
Plantar fasciitis 0/411 (0%) 0 1/411 (0.2%) 1 2/338 (0.6%) 2
Synovial cyst 1/411 (0.2%) 1 0/411 (0%) 0 2/338 (0.6%) 2
Intervertebral disc disorder 0/411 (0%) 0 1/411 (0.2%) 1 1/338 (0.3%) 1
Limb discomfort 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Musculoskeletal discomfort 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Musculoskeletal stiffness 0/411 (0%) 0 2/411 (0.5%) 2 0/338 (0%) 0
Rotator cuff syndrome 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Spinal pain 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Arthritis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Bone erosion 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Bone pain 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Chondritis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Costochondritis 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Dupuytren's contracture 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Enthesopathy 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Fasciitis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Fistula 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Foot deformity 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Gouty arthritis 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Groin pain 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Intervertebral disc degeneration 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Jaw disorder 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Joint stiffness 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Muscle fatigue 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Muscle tightness 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Muscle twitching 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Myosclerosis 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Myositis 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Osteochondrosis 0/411 (0%) 0 1/411 (0.2%) 3 0/338 (0%) 0
Osteonecrosis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Periarthritis 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Plantar fascial fibromatosis 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Psoriatic arthropathy 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Scoliosis 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Torticollis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Anogenital warts 16/411 (3.9%) 17 22/411 (5.4%) 24 8/338 (2.4%) 9
Skin papilloma 9/411 (2.2%) 10 8/411 (1.9%) 10 2/338 (0.6%) 2
Fibroma 1/411 (0.2%) 1 2/411 (0.5%) 2 1/338 (0.3%) 1
Lipoma 1/411 (0.2%) 1 2/411 (0.5%) 2 1/338 (0.3%) 1
Acrochordon 1/411 (0.2%) 2 1/411 (0.2%) 1 1/338 (0.3%) 2
Kaposi's sarcoma 2/411 (0.5%) 2 1/411 (0.2%) 1 0/338 (0%) 0
Melanocytic naevus 1/411 (0.2%) 1 0/411 (0%) 0 2/338 (0.6%) 2
Basal cell carcinoma 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Oral papilloma 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Seborrhoeic keratosis 1/411 (0.2%) 1 0/411 (0%) 0 1/338 (0.3%) 1
Anal neoplasm 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Cervix carcinoma 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Dysplastic naevus 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Eye haemangioma 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Fibroadenoma of breast 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Fibrous histiocytoma 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Haemangioma of liver 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Haemangioma of spleen 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Keratoacanthoma 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Papilloma 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Penile wart 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Schwannoma 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Uterine leiomyoma 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Nervous system disorders
Headache 56/411 (13.6%) 63 55/411 (13.4%) 70 9/338 (2.7%) 9
Dizziness 24/411 (5.8%) 25 24/411 (5.8%) 24 0/338 (0%) 0
Sciatica 4/411 (1%) 4 7/411 (1.7%) 9 4/338 (1.2%) 4
Migraine 4/411 (1%) 5 5/411 (1.2%) 10 1/338 (0.3%) 1
Lethargy 3/411 (0.7%) 3 6/411 (1.5%) 7 0/338 (0%) 0
Hypoaesthesia 4/411 (1%) 5 2/411 (0.5%) 2 2/338 (0.6%) 2
Paraesthesia 1/411 (0.2%) 1 5/411 (1.2%) 6 0/338 (0%) 0
Somnolence 4/411 (1%) 4 2/411 (0.5%) 2 0/338 (0%) 0
Disturbance in attention 1/411 (0.2%) 1 4/411 (1%) 5 0/338 (0%) 0
Dysgeusia 1/411 (0.2%) 1 4/411 (1%) 4 0/338 (0%) 0
Facial paralysis 2/411 (0.5%) 2 2/411 (0.5%) 2 1/338 (0.3%) 1
Amnesia 3/411 (0.7%) 3 1/411 (0.2%) 1 0/338 (0%) 0
Cervicobrachial syndrome 1/411 (0.2%) 2 1/411 (0.2%) 1 2/338 (0.6%) 2
Memory impairment 0/411 (0%) 0 1/411 (0.2%) 1 2/338 (0.6%) 2
Syncope 1/411 (0.2%) 1 2/411 (0.5%) 2 0/338 (0%) 0
Balance disorder 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Burning sensation 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Cognitive disorder 1/411 (0.2%) 1 0/411 (0%) 0 1/338 (0.3%) 1
Dysaesthesia 0/411 (0%) 0 1/411 (0.2%) 2 1/338 (0.3%) 1
Neuralgia 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Neuropathy peripheral 0/411 (0%) 0 2/411 (0.5%) 2 0/338 (0%) 0
Poor quality sleep 0/411 (0%) 0 2/411 (0.5%) 2 0/338 (0%) 0
Agnosia 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Anosmia 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Apraxia 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Brain injury 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Cerebral haemorrhage 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Cervical radiculopathy 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Circadian rhythm sleep disorder 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Cluster headache 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Dizziness postural 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Dystonia 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Hyperaesthesia 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Morton's neuralgia 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Nerve compression 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Peripheral sensory neuropathy 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Peroneal nerve palsy 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Post herpetic neuralgia 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Presyncope 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Sensory disturbance 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Trigeminal neuralgia 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Vascular headache 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Psychiatric disorders
Insomnia 28/411 (6.8%) 28 19/411 (4.6%) 20 6/338 (1.8%) 6
Depression 26/411 (6.3%) 26 18/411 (4.4%) 18 8/338 (2.4%) 8
Anxiety 19/411 (4.6%) 19 22/411 (5.4%) 24 6/338 (1.8%) 7
Abnormal dreams 13/411 (3.2%) 14 8/411 (1.9%) 9 1/338 (0.3%) 1
Sleep disorder 7/411 (1.7%) 7 8/411 (1.9%) 8 1/338 (0.3%) 1
Libido decreased 3/411 (0.7%) 3 10/411 (2.4%) 10 1/338 (0.3%) 1
Stress 4/411 (1%) 4 4/411 (1%) 4 2/338 (0.6%) 2
Nightmare 6/411 (1.5%) 6 2/411 (0.5%) 2 0/338 (0%) 0
Depressed mood 4/411 (1%) 4 1/411 (0.2%) 1 1/338 (0.3%) 1
Panic attack 2/411 (0.5%) 2 2/411 (0.5%) 2 1/338 (0.3%) 1
Acute stress disorder 0/411 (0%) 0 2/411 (0.5%) 2 2/338 (0.6%) 2
Drug use disorder 1/411 (0.2%) 1 1/411 (0.2%) 1 2/338 (0.6%) 2
Burnout syndrome 1/411 (0.2%) 1 2/411 (0.5%) 2 0/338 (0%) 0
Disorientation 0/411 (0%) 0 3/411 (0.7%) 4 0/338 (0%) 0
Euphoric mood 1/411 (0.2%) 1 2/411 (0.5%) 2 0/338 (0%) 0
Irritability 1/411 (0.2%) 1 2/411 (0.5%) 2 0/338 (0%) 0
Suicidal ideation 2/411 (0.5%) 2 1/411 (0.2%) 1 0/338 (0%) 0
Agitation 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Emotional disorder 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Adjustment disorder 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Adjustment disorder with depressed mood 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Aggression 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Agoraphobia 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Alcohol withdrawal syndrome 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Alcoholic psychosis 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Anxiety disorder 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Apathy 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Attention deficit/hyperactivity disorder 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Confusional state 1/411 (0.2%) 2 0/411 (0%) 0 0/338 (0%) 0
Hallucination 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Major depression 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Mental disorder 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Mental fatigue 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Middle insomnia 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Mood swings 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Nervousness 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Panic reaction 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Persistent depressive disorder 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Phobia of flying 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Sleep-related eating disorder 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Somnambulism 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Substance-induced psychotic disorder 0/411 (0%) 0 1/411 (0.2%) 2 0/338 (0%) 0
Terminal insomnia 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Thinking abnormal 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Withdrawal syndrome 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Renal and urinary disorders
Dysuria 4/411 (1%) 5 4/411 (1%) 5 0/338 (0%) 0
Urethral discharge 1/411 (0.2%) 1 3/411 (0.7%) 3 2/338 (0.6%) 2
Haematuria 2/411 (0.5%) 2 2/411 (0.5%) 2 0/338 (0%) 0
Micturition urgency 2/411 (0.5%) 2 1/411 (0.2%) 1 1/338 (0.3%) 1
Nephrolithiasis 1/411 (0.2%) 1 1/411 (0.2%) 1 2/338 (0.6%) 2
Leukocyturia 1/411 (0.2%) 1 2/411 (0.5%) 2 0/338 (0%) 0
Urethral pain 2/411 (0.5%) 2 0/411 (0%) 0 1/338 (0.3%) 1
Chronic kidney disease 1/411 (0.2%) 1 0/411 (0%) 0 1/338 (0.3%) 1
Pollakiuria 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Polyuria 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Proteinuria 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Renal colic 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Glycosuria 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Microalbuminuria 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Renal impairment 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Tubulointerstitial nephritis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Urethral haemorrhage 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Urethral stenosis 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Urinary hesitation 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Urinary retention 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Urinary tract disorder 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Urine flow decreased 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Reproductive system and breast disorders
Erectile dysfunction 5/411 (1.2%) 5 6/411 (1.5%) 6 3/338 (0.9%) 3
Benign prostatic hyperplasia 2/411 (0.5%) 2 1/411 (0.2%) 1 2/338 (0.6%) 2
Cervical dysplasia 2/411 (0.5%) 2 0/411 (0%) 0 2/338 (0.6%) 2
Prostatitis 1/411 (0.2%) 1 2/411 (0.5%) 2 0/338 (0%) 0
Gynaecomastia 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Menorrhagia 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Sexual dysfunction 0/411 (0%) 0 2/411 (0.5%) 2 0/338 (0%) 0
Testicular pain 1/411 (0.2%) 1 0/411 (0%) 0 1/338 (0.3%) 1
Vaginal discharge 0/411 (0%) 0 1/411 (0.2%) 1 1/338 (0.3%) 1
Balanoposthitis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Breast mass 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Breast pain 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Breast tenderness 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Endometriosis 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Epididymal tenderness 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Genital lesion 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Genital rash 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Hypospermia 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Menstruation irregular 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Ovarian cyst 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Pelvic discomfort 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Penile discharge 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Prostatomegaly 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Scrotal swelling 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Testicular oedema 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Testicular swelling 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Testis discomfort 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Varicocele 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Vulval ulceration 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Respiratory, thoracic and mediastinal disorders
Cough 23/411 (5.6%) 27 22/411 (5.4%) 24 9/338 (2.7%) 9
Oropharyngeal pain 19/411 (4.6%) 22 16/411 (3.9%) 19 6/338 (1.8%) 7
Asthma 8/411 (1.9%) 10 4/411 (1%) 4 1/338 (0.3%) 1
Rhinitis allergic 2/411 (0.5%) 2 11/411 (2.7%) 13 0/338 (0%) 0
Nasal congestion 3/411 (0.7%) 3 5/411 (1.2%) 5 2/338 (0.6%) 2
Rhinorrhoea 2/411 (0.5%) 2 4/411 (1%) 4 2/338 (0.6%) 2
Sinus congestion 3/411 (0.7%) 3 3/411 (0.7%) 3 1/338 (0.3%) 1
Epistaxis 2/411 (0.5%) 2 2/411 (0.5%) 2 2/338 (0.6%) 2
Catarrh 0/411 (0%) 0 2/411 (0.5%) 2 1/338 (0.3%) 1
Allergic sinusitis 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Chronic obstructive pulmonary disease 0/411 (0%) 0 1/411 (0.2%) 2 1/338 (0.3%) 1
Dysphonia 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Lung disorder 1/411 (0.2%) 2 0/411 (0%) 0 1/338 (0.3%) 1
Productive cough 0/411 (0%) 0 1/411 (0.2%) 1 1/338 (0.3%) 1
Respiratory disorder 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Respiratory tract congestion 1/411 (0.2%) 1 0/411 (0%) 0 1/338 (0.3%) 1
Tonsillar hypertrophy 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Atelectasis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Dry throat 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Emphysema 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Laryngospasm 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Nasal dryness 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Nasal obstruction 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Nocturnal dyspnoea 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Pneumothorax 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Sleep apnoea syndrome 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Upper respiratory tract congestion 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Upper-airway cough syndrome 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Wheezing 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Skin and subcutaneous tissue disorders
Rash 18/411 (4.4%) 22 19/411 (4.6%) 23 1/338 (0.3%) 1
Pruritus 17/411 (4.1%) 18 10/411 (2.4%) 10 5/338 (1.5%) 5
Acne 9/411 (2.2%) 9 8/411 (1.9%) 9 2/338 (0.6%) 2
Eczema 7/411 (1.7%) 9 7/411 (1.7%) 10 1/338 (0.3%) 1
Night sweats 5/411 (1.2%) 5 8/411 (1.9%) 8 2/338 (0.6%) 2
Alopecia 5/411 (1.2%) 5 4/411 (1%) 4 4/338 (1.2%) 4
Seborrhoeic dermatitis 3/411 (0.7%) 3 8/411 (1.9%) 9 1/338 (0.3%) 1
Dry skin 5/411 (1.2%) 5 5/411 (1.2%) 5 1/338 (0.3%) 1
Dermatitis 3/411 (0.7%) 3 3/411 (0.7%) 3 2/338 (0.6%) 2
Dermatitis contact 4/411 (1%) 4 3/411 (0.7%) 3 1/338 (0.3%) 1
Skin lesion 2/411 (0.5%) 2 4/411 (1%) 5 1/338 (0.3%) 1
Hyperhidrosis 3/411 (0.7%) 3 3/411 (0.7%) 3 0/338 (0%) 0
Urticaria 3/411 (0.7%) 3 2/411 (0.5%) 2 1/338 (0.3%) 1
Intertrigo 4/411 (1%) 4 0/411 (0%) 0 0/338 (0%) 0
Photosensitivity reaction 2/411 (0.5%) 2 1/411 (0.2%) 1 1/338 (0.3%) 1
Rosacea 1/411 (0.2%) 1 3/411 (0.7%) 3 0/338 (0%) 0
Dermatitis acneiform 2/411 (0.5%) 2 0/411 (0%) 0 1/338 (0.3%) 1
Erythema 1/411 (0.2%) 1 2/411 (0.5%) 2 0/338 (0%) 0
Psoriasis 2/411 (0.5%) 2 1/411 (0.2%) 1 0/338 (0%) 0
Rash papular 2/411 (0.5%) 3 1/411 (0.2%) 1 0/338 (0%) 0
Actinic keratosis 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Dermatitis allergic 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Drug eruption 0/411 (0%) 0 1/411 (0.2%) 1 1/338 (0.3%) 1
Dyshidrotic eczema 0/411 (0%) 0 1/411 (0.2%) 1 1/338 (0.3%) 1
Eczema nummular 0/411 (0%) 0 1/411 (0.2%) 1 1/338 (0.3%) 1
Facial wasting 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Macule 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Neurodermatitis 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Pityriasis rosea 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Rash macular 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Rash pruritic 1/411 (0.2%) 1 1/411 (0.2%) 2 0/338 (0%) 0
Skin fissures 1/411 (0.2%) 1 0/411 (0%) 0 1/338 (0.3%) 1
Acne conglobata 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Acne cystic 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Alopecia areata 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Angioedema 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Cutaneous lupus erythematosus 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Dermal cyst 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Dermatosis 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Eczema asteatotic 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Hidradenitis 1/411 (0.2%) 2 0/411 (0%) 0 0/338 (0%) 0
Hyperkeratosis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Lentigo 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Lipoatrophy 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Mechanical urticaria 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Nail discolouration 1/411 (0.2%) 2 0/411 (0%) 0 0/338 (0%) 0
Nail ridging 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Pain of skin 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Papule 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Penile ulceration 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Pityriasis 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Post inflammatory pigmentation change 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Pruritus generalised 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Rash erythematous 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Rash generalised 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Rash maculo-papular 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Scab 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Skin burning sensation 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Skin exfoliation 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Skin hyperpigmentation 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Skin irritation 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Skin mass 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Skin plaque 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Skin ulcer 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Spider naevus 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Swelling face 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Telangiectasia 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Toxic skin eruption 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Vitiligo 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Xeroderma 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Social circumstances
Stress at work 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Surgical and medical procedures
Tooth extraction 0/411 (0%) 0 0/411 (0%) 0 2/338 (0.6%) 2
Inguinal hernia repair 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Nasal septal operation 1/411 (0.2%) 1 0/411 (0%) 0 0/338 (0%) 0
Papilloma excision 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Tonsillectomy 0/411 (0%) 0 0/411 (0%) 0 1/338 (0.3%) 1
Vascular disorders
Hypertension 7/411 (1.7%) 7 12/411 (2.9%) 12 5/338 (1.5%) 6
Varicose vein 1/411 (0.2%) 1 1/411 (0.2%) 1 2/338 (0.6%) 2
Flushing 2/411 (0.5%) 2 0/411 (0%) 0 0/338 (0%) 0
Haematoma 0/411 (0%) 0 1/411 (0.2%) 1 1/338 (0.3%) 1
Hot flush 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Thrombophlebitis 1/411 (0.2%) 1 1/411 (0.2%) 1 0/338 (0%) 0
Circulatory collapse 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Deep vein thrombosis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0
Phlebitis 0/411 (0%) 0 1/411 (0.2%) 1 0/338 (0%) 0

Limitations/Caveats

[Not Specified]

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Certain Agreements

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

GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.

Results Point of Contact

Name/Title GSK Response Center
Organization GlaxoSmithKline
Phone 866-435-7343
Email
Responsible Party:
ViiV Healthcare
ClinicalTrials.gov Identifier:
NCT01227824
Other Study ID Numbers:
  • 113086
First Posted:
Oct 25, 2010
Last Update Posted:
Oct 9, 2018
Last Verified:
Oct 1, 2018