Safety and Efficacy of AIN457 in Noninfectious Uveitis
Study Details
Study Description
Brief Summary
This study was performed to evaluate the efficacy and safety of AIN457 for patients with active uveitis that requires systemic immunosuppression.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Cohort 1 Participants were administered with AIN457 (Sp2/0derived) 10 milligrams per kilogram (mg/kg) intravenous (i.v.) dose on Day 1 and Day 22. |
Drug: AIN457
AIN457 subcutaneous dose
Other Names:
|
Experimental: Cohort 2 Participants were administered with AIN457 (Sp2/0 or Chinese hamster ovary cell (CHO) derived) 10 mg/kg, (CHO derived) 3 mg/kg or (CHO derived) 1 mg/kg i.v. dose on Day 1 and if needed a second dose of AIN457 10 mg/kg i.v. dose either on Day 15 or Day 22. 3 participants from cohort 1 rolled on into this cohort. |
Drug: AIN457
AIN457 subcutaneous dose
Other Names:
|
Experimental: Cohort 3 Participants were administered with AIN457 10 mg/kg i.v. dose on Day 1 and Day 22. |
Drug: AIN 457
AIN457 low dose (i.v)
Other Names:
|
Experimental: Cohort 4 Extension period: Participants were administered with AIN457 10 mg/kg, i.v. (with or without a short course of corticosteroids) once a flare had occurred, or periodically at a frequency of not more than once per month at the discretion of the investigator. |
Drug: AIN 457
AIN457 low dose (i.v)
Other Names:
|
Experimental: Cohort 5 Participants were administered with AIN457 30 mg/kg single i.v. dose. A second dose was given when all 4 participants completed at least 29 days, and the 30 mg/kg dose was well tolerated by all. |
Drug: AIN457
AIN457 high dose (i.v)
Other Names:
|
Experimental: Cohort 6 Arm 1 Participants were administered with AIN457 300 mg subcutaneously (s.c.) and saline i.v. infusion every two weeks (Days 1, 15, 29, and 43). |
Drug: AIN457
AIN457 high dose (i.v)
Other Names:
|
Experimental: Cohort 6 Arm 2 Participants were administered with AIN457 10 mg/kg i.v. and s.c. saline injections every two weeks (Days 1, 15, 29, and 43). |
Drug: AIN 457
AIN457 low dose (i.v)
Other Names:
|
Experimental: Cohort 6 Arm 3 Participants were administered with AIN457 30 mg/kg i.v. and s.c. saline injections every 4 weeks (Days 1 and 29) and saline i.v. infusions and saline s.c. injections on Days 15 and 43 to maintain masking of treatment groups. |
Drug: AIN457
AIN457 high dose (i.v)
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs) and Who Died [Day 1 to Day 603]
AEs are defined as any unfavorable and unintended diagnosis, symptom, sign (including an abnormal laboratory finding), syndrome or disease which either occurs during study, having been absent at baseline, or, if present at baseline, appears to worsen. Serious adverse events are any untoward medical occurrences that result in death, are life threatening, require (or prolong) hospitalization, cause persistent or significant disability/incapacity, result in congenital anomalies or birth defects, or are other conditions which in judgment of investigators represent significant hazards.
Secondary Outcome Measures
- Number of Responders in Cohort 1, 2, 3 and 6 at Day 57 [Day 1 (Baseline), Day 57]
A "responder" was defined as a participant who fulfilled at least one of the 3 criteria compared to baseline: 1. Increase in visual acuity by at least 15 letters using Early Treatment Diabetic Retinopathy Study method, no increase in daily prednisone dose compared to week 1 and without worsening of uveitis. 2. Decrease in vitreous haze by 2 steps or more or for participants with anterior uveitis, resolution of the anterior chamber inflammation (i.e., no cells or only a rare cell in the anterior chamber (score 0 or trace (0.5+)), use measurement before dilation), no increase in daily prednisone dose compared to week 1 and without any worsening of uveitis.3 For those participant on a. >20 mg/day of prednisone during week 1: Reduction in daily prednisone dose to 10 mg/day or less. b. ≤20 mg/day of prednisone during week 1: Reduction in daily prednisone dose to 0 mg/day. c. topical corticosteroids during week 1: Reduction in daily topical corticosteroid dose to 0 during the last 2 weeks.
- Number of Complete Responders in Cohort 2, 3 and 6 at Day 57 [Day 1 (Baseline), Day 57]
A "complete responder" was defined as a participant who was able to stop all topical and systemic corticosteroids in both eyes and maintain remission of uveitis (=remains a responder as defined above) lasting at least 1 week (since stopping corticosteroids, if corticosteroids were given).
- Number of Participants With Reduction in Oral Prednisone or Topical Corticosteroid and Other Immunosuppressant Drugs [Baseline (Day 1) up to Month 8]
Participants intake of oral prednisone or topical corticosteroid and other immunosuppressant drugs was reduced if participant was on up to 1.5 mg/kg/day dose of prednisone during the week prior to Day 1 or whom the resumption of prednisone was not considered the appropriate systemic therapy by investigator or who have never been on systemic immunosuppressive therapy and whose uveitis was so severe that, in the clinician's judgment, prednisone at a dose of 1.0-1.5 mg/kg/day alone will be insufficient to control the uveitis or participant with HLA-B27-associated anterior uveitis who would ordinarily be started on systemic prednisone. The analysis was not conducted due to small sample size, insufficient number of participants and low initial doses; limited conclusions were drawn about dose response relationship leading to non summarization of results.
- Number of Participants Who Were Able to Induce a Remission in Uveitis [Day 1 to Day 85]
Participants with uveitis who were able to stop all topical and systemic topical corticosteroids in both eyes by Day 57 visit after the first course of one or two doses of AIN457 were to be categorized as nonresponders and were to be discontinued from the study at the Day 85 visit. The analysis was not conducted due to small sample size, insufficient number of participants and low initial doses; limited conclusions were drawn about dose response relationship leading to non summarization of results.
- Number of Participants With Remission in Uveitis [Baseline (Day 1) up to Month 8]
Participants with uveitis who were able to stop all topical and systemic topical corticosteroids in both eyes after the first course of one or two doses by Day 57 visit . The analysis was not conducted due to small sample size, insufficient number of participants and low initial doses; limited conclusions were drawn about dose response relationship leading to non summarization of results.
- Number of Participants Who Were Able to Re-induce a Remission if a Flare-up Occurs [Day 1 to Day 57]
A flare was defined as an increase of inflammation in either eye so that the anterior chamber cell score or the vitreous haze score become 1+ or greater. Vitreous haze was evaluated with an indirect ophthalmoscope and a hand-held 20-diopter lens. Haze is defined as a reduction in the clarity of fundus details seen through the vitreous, the degree of haze was quantified using standard National Eye Institute (NEI) photographs. The standard photographs provide a grading scale with photographs of fundi with vitreous haze grades "0" (zero), "trace" (which counts as 0.5+), 1+, 2+, 3+, and 4+. If the amount of vitreous haze appears to fall between two integer grades, the value would be recorded as halfway between the grades. The analysis was not conducted due to small sample size, insufficient number of participants and low initial doses; limited conclusions were drawn about dose response relationship leading to non summarization of results.
Eligibility Criteria
Criteria
Inclusion criteria:
-
Active uveitis (i.e., uveitis that is not in remission).
-
Intermediate uveitis, posterior uveitis, or panuveitis must be sufficiently severe that systemic immunosuppression is indicated.
Exclusion criteria:
-
Active infection.
-
Weight must not be greater that 120kg.
Other protocol-defined inclusion/exclusion criteria may apply
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Novartis Investigative Site | Beverly Hills | California | United States | 90211 |
2 | Novartis Investigative Site | Los Angeles | California | United States | 90033 |
3 | Novartis Investigative Site | Sacramento | California | United States | 95819 |
4 | Novartis Investigative Site | Denver | Colorado | United States | 80210 |
5 | Novartis Investigative Site | Golden | Colorado | United States | 80401 |
6 | Novartis Investigative Site | Littleton | Colorado | United States | 80120 |
7 | Novartis Investigative Site | Atlanta | Georgia | United States | 30322 |
8 | Novartis Investigative Site | Baltimore | Maryland | United States | 21201 |
9 | Novartis Investigative Site | Baltimore | Maryland | United States | 21287 |
10 | Novartis Investigative Site | Cambridge | Massachusetts | United States | 02142 |
11 | Novartis Investigative Site | Kansas City | Missouri | United States | 64111 |
12 | Novartis Investigative Site | Teaneck | New Jersey | United States | 07666 |
13 | Novartis Investigative Site | New York | New York | United States | 10022 |
14 | Novartis Investigative Site | Slingerlands | New York | United States | 12159 |
15 | Novartis Investigative Site | Durham | North Carolina | United States | 27710 |
16 | Novartis Investigative Site | Cleveland | Ohio | United States | 44195 |
17 | Novartis Investigative Site | Spartanburg | South Carolina | United States | 29306 |
18 | Novartis Investigative Site | Arlington | Texas | United States | 76012 |
19 | Novartis Investigative Site | Austin | Texas | United States | 78793 |
20 | Novartis Investigative Site | Houston | Texas | United States | 77030 |
21 | Novartis Investigative Site | Berlin | Germany | 13353 | |
22 | Novartis Investigative Site | Heidelberg | Germany | 691120 | |
23 | Novartis Investigative Site | Tübingen | Germany | 72076 |
Sponsors and Collaborators
- Novartis Pharmaceuticals
Investigators
- Study Director: Novartis Pharmaceuticals, Novartis Pharmaceuticals
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CAIN457A2208
- 2011-001243-67
Study Results
Participant Flow
Recruitment Details | This is a multi-center study which comprised of 6 cohorts. This study was a proof of concept study. |
---|---|
Pre-assignment Detail |
Arm/Group Title | Cohort 1 | Cohort 2 | Cohort 3 | Cohort 4 | Cohort 5 | Cohort 6 Arm 1 | Cohort 6 Arm 2 | Cohort 6 Arm 3 |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants were administered with AIN457 (Sp2/0-derived) 10 milligrams per kilogram (mg/kg) intravenous (i.v.) dose on Day 1 and Day 22. | Participants were administered with AIN457 (Sp2/0 or Chinese hamster ovary cell (CHO) derived) 10 mg/kg, (CHO-derived) 3 mg/kg or (CHO derived) 1 mg/kg i.v. dose on Day 1 and if needed a second dose of AIN457 10 mg/kg i.v. dose either on Day 15 or Day 22. 3 participants from cohort 1 rolled on into this cohort. | Participants were administered with AIN457 10 mg/kg i.v. dose on Day 1 and Day 22. | Participants who experienced a remission of their uveitis within 8 weeks after receiving their final dose of AIN457 while enrolled in Cohorts 1, 2, 3, 5 or 6 were administered with AIN457 10 mg/kg, i.v. infusion (with or without a short course of corticosteroids) once a flare had occurred, or periodically at a frequency of not more than once per month at the discretion of the investigator. | Participants were administered with AIN457 30 mg/kg single i.v. dose. A second dose was given when all 4 participants completed at least 29 days, and the 30 mg/kg dose was well tolerated by all. | Participants were administered with AIN457 300 mg subcutaneously (s.c.) and saline i.v. infusion every two weeks (Days 1, 15, 29, and 43). | Participants were administered with AIN457 10 mg/kg i.v. and s.c. saline injections every two weeks (Days 1, 15, 29, and 43). | Participants were administered with AIN457 30 mg/kg i.v. and s.c. saline injections every 4 weeks (Days 1 and 29) and saline i.v. infusions and saline s.c. injections on Days 15 and 43 to maintain masking of treatment groups. |
Period Title: Treatment Period 1 | ||||||||
STARTED | 16 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
COMPLETED | 10 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
NOT COMPLETED | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Period Title: Treatment Period 1 | ||||||||
STARTED | 0 | 14 | 5 | 0 | 4 | 12 | 13 | 12 |
COMPLETED | 0 | 2 | 2 | 0 | 4 | 10 | 13 | 10 |
NOT COMPLETED | 0 | 12 | 3 | 0 | 0 | 2 | 0 | 2 |
Period Title: Treatment Period 1 | ||||||||
STARTED | 0 | 0 | 0 | 28 | 0 | 0 | 0 | 0 |
COMPLETED | 0 | 0 | 0 | 21 | 0 | 0 | 0 | 0 |
NOT COMPLETED | 0 | 0 | 0 | 7 | 0 | 0 | 0 | 0 |
Baseline Characteristics
Arm/Group Title | Cohort 1 | Cohort 2 | Cohort 3 | Cohort 5 | Cohort 6 Arm 1 | Cohort 6 Arm 2 | Cohort 6 Arm 3 | Total |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants were administered with AIN457 (Sp2/0-derived) 10 mg/kg i.v. dose on Day 1 and Day 22. | Participants were administered with AIN457 (Sp2/0 or CHO derived) 10 mg/kg, (CHO-derived) 3 mg/kg or (CHO derived) 1 mg/kg i.v. dose on Day 1 and if needed second dose of AIN457 10 mg/kg i.v. dose either on Day 15 or Day 22. 3 participants from cohort 1 rolled on into this cohort. | Participants were administered with AIN457 10 mg/kg i.v. dose on Day 1 and Day 22. | Participants were administered with AIN457 30 mg/kg single i.v. dose. A second dose was given when all 4 participants completed at least 29 days, and the 30 mg/kg dose was well tolerated by all. | Participants were administered with AIN457 300 mg s.c. and saline i.v. infusion every two weeks (Days 1, 15, 29, and 43). | Participants were administered with AIN457 10 mg/kg i.v. and s.c. saline injections every two weeks (Days 1, 15, 29, and 43). | Participants were administered with AIN457 30 mg/kg i.v. and s.c. saline injections every 4 weeks (Days 1 and 29) and saline i.v. infusions and saline s.c. injections on Days 15 and 43 to maintain masking of treatment groups. | Total of all reporting groups |
Overall Participants | 16 | 14 | 5 | 4 | 12 | 13 | 12 | 76 |
Age (Count of Participants) | ||||||||
<=18 years |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
1
7.7%
|
0
0%
|
1
1.3%
|
Between 18 and 65 years |
15
93.8%
|
13
92.9%
|
5
100%
|
4
100%
|
12
100%
|
11
84.6%
|
12
100%
|
72
94.7%
|
>=65 years |
1
6.3%
|
1
7.1%
|
0
0%
|
0
0%
|
0
0%
|
1
7.7%
|
0
0%
|
3
3.9%
|
Sex: Female, Male (Count of Participants) | ||||||||
Female |
12
75%
|
10
71.4%
|
3
60%
|
3
75%
|
8
66.7%
|
9
69.2%
|
9
75%
|
54
71.1%
|
Male |
4
25%
|
4
28.6%
|
2
40%
|
1
25%
|
4
33.3%
|
4
30.8%
|
3
25%
|
22
28.9%
|
Race (NIH/OMB) (Count of Participants) | ||||||||
American Indian or Alaska Native |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Asian |
1
6.3%
|
0
0%
|
0
0%
|
1
25%
|
0
0%
|
0
0%
|
0
0%
|
2
2.6%
|
Native Hawaiian or Other Pacific Islander |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Black or African American |
3
18.8%
|
3
21.4%
|
0
0%
|
0
0%
|
2
16.7%
|
2
15.4%
|
3
25%
|
13
17.1%
|
White |
7
43.8%
|
10
71.4%
|
4
80%
|
1
25%
|
9
75%
|
9
69.2%
|
8
66.7%
|
48
63.2%
|
More than one race |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Unknown or Not Reported |
5
31.3%
|
1
7.1%
|
1
20%
|
2
50%
|
1
8.3%
|
2
15.4%
|
1
8.3%
|
13
17.1%
|
Outcome Measures
Title | Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs) and Who Died |
---|---|
Description | AEs are defined as any unfavorable and unintended diagnosis, symptom, sign (including an abnormal laboratory finding), syndrome or disease which either occurs during study, having been absent at baseline, or, if present at baseline, appears to worsen. Serious adverse events are any untoward medical occurrences that result in death, are life threatening, require (or prolong) hospitalization, cause persistent or significant disability/incapacity, result in congenital anomalies or birth defects, or are other conditions which in judgment of investigators represent significant hazards. |
Time Frame | Day 1 to Day 603 |
Outcome Measure Data
Analysis Population Description |
---|
Safety Analysis Set (SAS) consisted of all participants who received at least one dose of study drug and had at least one post-baseline safety assessment. All safety evaluations were carried out on the safety analysis set. |
Arm/Group Title | Cohort 1 | Cohort 2 | Cohort 3 | Cohort 4 | Cohort 5 | Cohort 6 Arm 1 | Cohort 6 Arm 2 | Cohort 6 Arm 3 |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants were administered with AIN457 (Sp2/0-derived) 10 mg/kg i.v. dose on Day 1 and Day 22. | Participants were administered with AIN457 (Sp2/0 or CHO derived) 10 mg/kg, (CHO-derived) 3 mg/kg or (CHO derived) 1 mg/kg i.v. dose on Day 1 and if needed second dose of AIN457 10 mg/kg i.v. dose either on Day 15 or Day 22. 3 participants from cohort 1 rolled on into this cohort. | Participants were administered with AIN457 10 mg/kg i.v. dose on Day 1 and Day 22. | Participants were administered with AIN457 10 mg/kg, i.v. (with or without a short course of corticosteroids) once a flare had occurred, or periodically at a frequency of not more than once per month at the discretion of the investigator. | Participants were administered with AIN457 30 mg/kg single i.v. dose. A second dose was given when all 4 participants completed at least 29 days, and the 30 mg/kg dose was well tolerated by all. | Participants were administered with AIN457 300 mg s.c. and saline i.v. infusion every two weeks (Days 1, 15, 29, and 43). | Participants were administered with AIN457 10 mg/kg i.v. and s.c. saline injections every two weeks (Days 1, 15, 29, and 43). | Participants were administered with AIN457 30 mg/kg i.v. and s.c. saline injections every 4 weeks (Days 1 and 29) and saline i.v. infusions and saline s.c. injections on Days 15 and 43 to maintain masking of treatment groups. |
Measure Participants | 16 | 17 | 5 | 28 | 4 | 12 | 13 | 12 |
SAEs |
0
0%
|
0
0%
|
1
20%
|
1
25%
|
0
0%
|
1
7.7%
|
0
0%
|
0
0%
|
Deaths |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
AEs |
15
93.8%
|
12
85.7%
|
5
100%
|
23
575%
|
3
25%
|
10
76.9%
|
10
83.3%
|
12
15.8%
|
Title | Number of Responders in Cohort 1, 2, 3 and 6 at Day 57 |
---|---|
Description | A "responder" was defined as a participant who fulfilled at least one of the 3 criteria compared to baseline: 1. Increase in visual acuity by at least 15 letters using Early Treatment Diabetic Retinopathy Study method, no increase in daily prednisone dose compared to week 1 and without worsening of uveitis. 2. Decrease in vitreous haze by 2 steps or more or for participants with anterior uveitis, resolution of the anterior chamber inflammation (i.e., no cells or only a rare cell in the anterior chamber (score 0 or trace (0.5+)), use measurement before dilation), no increase in daily prednisone dose compared to week 1 and without any worsening of uveitis.3 For those participant on a. >20 mg/day of prednisone during week 1: Reduction in daily prednisone dose to 10 mg/day or less. b. ≤20 mg/day of prednisone during week 1: Reduction in daily prednisone dose to 0 mg/day. c. topical corticosteroids during week 1: Reduction in daily topical corticosteroid dose to 0 during the last 2 weeks. |
Time Frame | Day 1 (Baseline), Day 57 |
Outcome Measure Data
Analysis Population Description |
---|
The Per Protocol Analysis Set (PPAS) consisted of all participants who received study drug, completed the treatment phase of the trial without clinically significant protocol deviations and have at least one post-baseline assessment for one of the outcomes that define participants who respond. |
Arm/Group Title | Cohort 1 | Cohort 2 | Cohort 3 | Cohort 6 Arm 1 | Cohort 6 Arm 2 | Cohort 6 Arm 3 |
---|---|---|---|---|---|---|
Arm/Group Description | Participants were administered with AIN457 (Sp2/0-derived) 10 mg/kg i.v. dose on Day 1 and Day 22. | Participants were administered with AIN457 (Sp2/0 or CHO derived) 10 mg/kg, (CHO-derived) 3 mg/kg or (CHO derived) 1 mg/kg i.v. dose on Day 1 and if needed second dose of AIN457 10 mg/kg i.v. dose either on Day 15 or Day 22. 3 participants from cohort 1 rolled on into this cohort. | Participants were administered with AIN457 10 mg/kg i.v. dose on Day 1 and Day 22. | Participants were administered with AIN457 300 mg s.c. and saline i.v. infusion every two weeks (Days 1, 15, 29, and 43). | Participants were administered with AIN457 10 mg/kg i.v. and s.c. saline injections every two weeks (Days 1, 15, 29, and 43). | Participants were administered with AIN457 30 mg/kg i.v. and s.c. saline injections every 4 weeks (Days 1 and 29) and saline i.v. infusions and saline s.c. injections on Days 15 and 43 to maintain masking of treatment groups. |
Measure Participants | 15 | 14 | 5 | 12 | 13 | 11 |
Intermediate uveitis |
0
0%
|
1
7.1%
|
0
0%
|
1
25%
|
1
8.3%
|
3
23.1%
|
Pars planitis |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Posterior uveitis |
3
18.8%
|
0
0%
|
0
0%
|
1
25%
|
2
16.7%
|
0
0%
|
Panuveitis |
5
31.3%
|
4
28.6%
|
0
0%
|
2
50%
|
5
41.7%
|
5
38.5%
|
Anterior uveitis |
3
18.8%
|
1
7.1%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Birdshot |
0
0%
|
0
0%
|
2
40%
|
0
0%
|
0
0%
|
0
0%
|
Sympathetic ophthalmia |
0
0%
|
0
0%
|
1
20%
|
0
0%
|
0
0%
|
0
0%
|
Multi-focal choroiditis |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Title | Number of Complete Responders in Cohort 2, 3 and 6 at Day 57 |
---|---|
Description | A "complete responder" was defined as a participant who was able to stop all topical and systemic corticosteroids in both eyes and maintain remission of uveitis (=remains a responder as defined above) lasting at least 1 week (since stopping corticosteroids, if corticosteroids were given). |
Time Frame | Day 1 (Baseline), Day 57 |
Outcome Measure Data
Analysis Population Description |
---|
PPAS consisted of all participants who received study drug, completed the treatment phase of the trial without clinically significant protocol deviations and have at least one post-baseline assessment for one of the outcomes that define participants who respond. |
Arm/Group Title | Cohort 2 | Cohort 3 | Cohort 6 Arm 1 | Cohort 6 Arm 2 | Cohort 6 Arm 3 |
---|---|---|---|---|---|
Arm/Group Description | Participants were administered with AIN457 (Sp2/0 or CHO derived) 10 mg/kg, (CHO-derived) 3 mg/kg or (CHO derived) 1 mg/kg i.v. dose on Day 1 and if needed second dose of AIN457 10 mg/kg i.v. dose either on Day 15 or Day 22. 3 participants from cohort 1 rolled on into this cohort. | Participants were administered with AIN457 10 mg/kg i.v. dose on Day 1 and Day 22. | Participants were administered with AIN457 300 mg s.c. and saline i.v. infusion every two weeks (Days 1, 15, 29, and 43). | Participants were administered with AIN457 10 mg/kg i.v. and s.c. saline injections every two weeks (Days 1, 15, 29, and 43). | Participants were administered with AIN457 30 mg/kg i.v. and s.c. saline injections every 4 weeks (Days 1 and 29) and saline i.v. infusions and saline s.c. injections on Days 15 and 43 to maintain masking of treatment groups. |
Measure Participants | 14 | 5 | 12 | 13 | 11 |
Intermediate uveitis |
0
0%
|
0
0%
|
0
0%
|
1
25%
|
1
8.3%
|
Panuveitis |
1
6.3%
|
0
0%
|
1
20%
|
2
50%
|
2
16.7%
|
Pars planitis |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Anterior uveitis |
1
6.3%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Birdshot |
0
0%
|
2
14.3%
|
0
0%
|
0
0%
|
0
0%
|
Sympathetic ophthalmia |
0
0%
|
1
7.1%
|
0
0%
|
0
0%
|
0
0%
|
Multi-focal choroiditis |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Posterior uveitis |
0
0%
|
0
0%
|
1
20%
|
2
50%
|
0
0%
|
Title | Number of Participants With Reduction in Oral Prednisone or Topical Corticosteroid and Other Immunosuppressant Drugs |
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Description | Participants intake of oral prednisone or topical corticosteroid and other immunosuppressant drugs was reduced if participant was on up to 1.5 mg/kg/day dose of prednisone during the week prior to Day 1 or whom the resumption of prednisone was not considered the appropriate systemic therapy by investigator or who have never been on systemic immunosuppressive therapy and whose uveitis was so severe that, in the clinician's judgment, prednisone at a dose of 1.0-1.5 mg/kg/day alone will be insufficient to control the uveitis or participant with HLA-B27-associated anterior uveitis who would ordinarily be started on systemic prednisone. The analysis was not conducted due to small sample size, insufficient number of participants and low initial doses; limited conclusions were drawn about dose response relationship leading to non summarization of results. |
Time Frame | Baseline (Day 1) up to Month 8 |
Outcome Measure Data
Analysis Population Description |
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PPAS consisted of all participants who received study drug, completed the treatment phase of the trial without clinically significant protocol deviations and have at least one post-baseline assessment for one of the outcomes that define participants who respond. |
Arm/Group Title | Complete Study |
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Arm/Group Description | All participants who received study drug, completed the treatment phase of the trial without clinically significant protocol deviations and have non-missing values at both Day 1 and Day 57 for at least one of the outcomes that define participants who respond. |
Measure Participants | 0 |
Title | Number of Participants Who Were Able to Induce a Remission in Uveitis |
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Description | Participants with uveitis who were able to stop all topical and systemic topical corticosteroids in both eyes by Day 57 visit after the first course of one or two doses of AIN457 were to be categorized as nonresponders and were to be discontinued from the study at the Day 85 visit. The analysis was not conducted due to small sample size, insufficient number of participants and low initial doses; limited conclusions were drawn about dose response relationship leading to non summarization of results. |
Time Frame | Day 1 to Day 85 |
Outcome Measure Data
Analysis Population Description |
---|
PPAS consisted of all participants who received study drug, completed the treatment phase of the trial without clinically significant protocol deviations and have at least one post-baseline assessment for one of the outcomes that define participants who respond. |
Arm/Group Title | Complete Study |
---|---|
Arm/Group Description | All participants who received study drug, completed the treatment phase of the trial without clinically significant protocol deviations and have non-missing values at both Day 1 and Day 57 for at least one of the outcomes that define participants who respond. |
Measure Participants | 0 |
Title | Number of Participants With Remission in Uveitis |
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Description | Participants with uveitis who were able to stop all topical and systemic topical corticosteroids in both eyes after the first course of one or two doses by Day 57 visit . The analysis was not conducted due to small sample size, insufficient number of participants and low initial doses; limited conclusions were drawn about dose response relationship leading to non summarization of results. |
Time Frame | Baseline (Day 1) up to Month 8 |
Outcome Measure Data
Analysis Population Description |
---|
PPAS consisted of all participants who received study drug, completed the treatment phase of the trial without clinically significant protocol deviations and have at least one post-baseline assessment for one of the outcomes that define participants who respond. |
Arm/Group Title | Complete Study |
---|---|
Arm/Group Description | All participants who received study drug, completed the treatment phase of the trial without clinically significant protocol deviations and have non-missing values at both Day 1 and Day 57 for at least one of the outcomes that define participants who respond. |
Measure Participants | 0 |
Title | Number of Participants Who Were Able to Re-induce a Remission if a Flare-up Occurs |
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Description | A flare was defined as an increase of inflammation in either eye so that the anterior chamber cell score or the vitreous haze score become 1+ or greater. Vitreous haze was evaluated with an indirect ophthalmoscope and a hand-held 20-diopter lens. Haze is defined as a reduction in the clarity of fundus details seen through the vitreous, the degree of haze was quantified using standard National Eye Institute (NEI) photographs. The standard photographs provide a grading scale with photographs of fundi with vitreous haze grades "0" (zero), "trace" (which counts as 0.5+), 1+, 2+, 3+, and 4+. If the amount of vitreous haze appears to fall between two integer grades, the value would be recorded as halfway between the grades. The analysis was not conducted due to small sample size, insufficient number of participants and low initial doses; limited conclusions were drawn about dose response relationship leading to non summarization of results. |
Time Frame | Day 1 to Day 57 |
Outcome Measure Data
Analysis Population Description |
---|
PPAS consisted of all participants who received study drug, completed the treatment phase of the trial without clinically significant protocol deviations and have at least one post-baseline assessment for one of the outcomes that define participants who respond. |
Arm/Group Title | Complete Study |
---|---|
Arm/Group Description | All participants who received study drug, completed the treatment phase of the trial without clinically significant protocol deviations and have non-missing values at both Day 1 and Day 57 for at least one of the outcomes that define participants who respond. |
Measure Participants | 0 |
Adverse Events
Time Frame | Day 1 to Day 603 (End of study) | |||||||||||||||
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Adverse Event Reporting Description | AEs are defined as any unfavorable and unintended diagnosis, symptom, sign (including an abnormal laboratory finding), syndrome or disease which either occurs during study, having been absent at baseline, or, if present at baseline, appears to worsen. Serious adverse events are any untoward medical occurrences that result in death, are life threatening, require (or prolong) hospitalization, cause persistent or significant disability/incapacity, result in congenital anomalies or birth defects. | |||||||||||||||
Arm/Group Title | Cohort 1 | Cohort 2 | Cohort 3 | Cohort 5 | Cohort 6 - Arm 1 | Cohort 6 - Arm 2 | Cohort 6 - Arm 3 | Cohort 4 (Extension) | ||||||||
Arm/Group Description | Participants were administered with AIN457 (Sp2/0-derived) 10 mg/kg i.v. dose on Day 1 and Day 22. | Participants were administered with AIN457 (Sp2/0 or CHO derived) 10 mg/kg, (CHO-derived) 3 mg/kg or (CHO derived) 1 mg/kg i.v. dose on Day 1 and if needed second dose of AIN457 10 mg/kg i.v. dose either on Day 15 or Day 22. | Participants were administered with AIN457 10 mg/kg i.v. dose on Day 1 and Day 22. | Participants were administered with AIN457 30 mg/kg single i.v. dose. A second dose was given when all 4 participants completed at least 29 days, and the 30 mg/kg dose was well tolerated by all. | Participants were administered with AIN457 300 mg s.c.and saline i.v. infusion every two weeks (Days 1, 15, 29, and 43). | Participants were administered with AIN457 10 mg/kg i.v. and s.c. saline injections every two weeks (Days 1, 15, 29, and 43). | Participants were administered with AIN457 30 mg/kg i.v. and s.c. saline injections every 4 weeks (Days 1 and 29) and saline i.v. infusions and saline s.c. injections on Days 15 and 43 to maintain masking of treatment groups. | Participants were administered with AIN457 10 mg/kg, i.v. (with or without a short course of corticosteroids) once a flare had occurred, or periodically at a frequency of not more than once per month at the discretion of the investigator. | ||||||||
All Cause Mortality |
||||||||||||||||
Cohort 1 | Cohort 2 | Cohort 3 | Cohort 5 | Cohort 6 - Arm 1 | Cohort 6 - Arm 2 | Cohort 6 - Arm 3 | Cohort 4 (Extension) | |||||||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Serious Adverse Events |
||||||||||||||||
Cohort 1 | Cohort 2 | Cohort 3 | Cohort 5 | Cohort 6 - Arm 1 | Cohort 6 - Arm 2 | Cohort 6 - Arm 3 | Cohort 4 (Extension) | |||||||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 0/16 (0%) | 0/17 (0%) | 1/5 (20%) | 0/4 (0%) | 1/12 (8.3%) | 0/13 (0%) | 0/12 (0%) | 1/28 (3.6%) | ||||||||
Infections and infestations | ||||||||||||||||
Pyelonephritis | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 1/12 (8.3%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Urinary tract infection | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 1/12 (8.3%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Injury, poisoning and procedural complications | ||||||||||||||||
Tibia fracture | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 1/28 (3.6%) | ||||||||
Metabolism and nutrition disorders | ||||||||||||||||
Hypokalaemia | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 1/12 (8.3%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Neoplasms benign, malignant and unspecified (incl cysts and polyps) | ||||||||||||||||
Uterine cancer | 0/16 (0%) | 0/17 (0%) | 1/5 (20%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Other (Not Including Serious) Adverse Events |
||||||||||||||||
Cohort 1 | Cohort 2 | Cohort 3 | Cohort 5 | Cohort 6 - Arm 1 | Cohort 6 - Arm 2 | Cohort 6 - Arm 3 | Cohort 4 (Extension) | |||||||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 15/16 (93.8%) | 12/17 (70.6%) | 5/5 (100%) | 3/4 (75%) | 9/12 (75%) | 10/13 (76.9%) | 12/12 (100%) | 20/28 (71.4%) | ||||||||
Cardiac disorders | ||||||||||||||||
Palpitations | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Ear and labyrinth disorders | ||||||||||||||||
Ear pain | 0/16 (0%) | 0/17 (0%) | 1/5 (20%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Endocrine disorders | ||||||||||||||||
Hypothyroidism | 0/16 (0%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Eye disorders | ||||||||||||||||
Abnormal sensation in eye | 0/16 (0%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 1/28 (3.6%) | ||||||||
Anterior chamber flare | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 1/12 (8.3%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Cataract | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 2/28 (7.1%) | ||||||||
Chalazion | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 1/12 (8.3%) | 0/28 (0%) | ||||||||
Colour blindness acquired | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Conjunctival hyperaemia | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Conjunctivitis allergic | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 3/28 (10.7%) | ||||||||
Corneal disorder | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Dry eye | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 2/13 (15.4%) | 0/12 (0%) | 2/28 (7.1%) | ||||||||
Eye irritation | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 2/28 (7.1%) | ||||||||
Eye pain | 3/16 (18.8%) | 2/17 (11.8%) | 1/5 (20%) | 0/4 (0%) | 1/12 (8.3%) | 1/13 (7.7%) | 1/12 (8.3%) | 3/28 (10.7%) | ||||||||
Eye pruritus | 1/16 (6.3%) | 0/17 (0%) | 1/5 (20%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 1/12 (8.3%) | 0/28 (0%) | ||||||||
Eye swelling | 0/16 (0%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Eyelid oedema | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 1/12 (8.3%) | 2/28 (7.1%) | ||||||||
Foreign body sensation in eyes | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Iridocyclitis | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 2/12 (16.7%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Iris adhesions | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Iris bombe | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Keratoconjunctivitis sicca | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Lacrimation increased | 0/16 (0%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Macular fibrosis | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 1/28 (3.6%) | ||||||||
Macular oedema | 1/16 (6.3%) | 2/17 (11.8%) | 0/5 (0%) | 1/4 (25%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 1/28 (3.6%) | ||||||||
Ocular hyperaemia | 2/16 (12.5%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 1/12 (8.3%) | 0/13 (0%) | 0/12 (0%) | 3/28 (10.7%) | ||||||||
Papilloedema | 0/16 (0%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Photophobia | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 2/28 (7.1%) | ||||||||
Photopsia | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 1/28 (3.6%) | ||||||||
Pupillary reflex impaired | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Retinal detachment | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Retinal tear | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Scleritis | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Uveitis | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 2/12 (16.7%) | 0/13 (0%) | 0/12 (0%) | 1/28 (3.6%) | ||||||||
Vision blurred | 3/16 (18.8%) | 1/17 (5.9%) | 1/5 (20%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 3/12 (25%) | 1/28 (3.6%) | ||||||||
Visual acuity reduced | 2/16 (12.5%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 1/28 (3.6%) | ||||||||
Vitreous detachment | 0/16 (0%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 1/28 (3.6%) | ||||||||
Vitreous floaters | 1/16 (6.3%) | 1/17 (5.9%) | 2/5 (40%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 1/12 (8.3%) | 4/28 (14.3%) | ||||||||
Vitreous haemorrhage | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 1/12 (8.3%) | 0/28 (0%) | ||||||||
Gastrointestinal disorders | ||||||||||||||||
Abdominal distension | 1/16 (6.3%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Abdominal pain | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 1/4 (25%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Abdominal pain lower | 0/16 (0%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Abdominal pain upper | 3/16 (18.8%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Constipation | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Diarrhoea | 0/16 (0%) | 2/17 (11.8%) | 0/5 (0%) | 0/4 (0%) | 1/12 (8.3%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Inguinal hernia | 0/16 (0%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Mouth ulceration | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Nausea | 1/16 (6.3%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 1/12 (8.3%) | 0/28 (0%) | ||||||||
Tooth disorder | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Vomiting | 2/16 (12.5%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
General disorders | ||||||||||||||||
Fatigue | 2/16 (12.5%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 1/12 (8.3%) | 2/13 (15.4%) | 2/12 (16.7%) | 1/28 (3.6%) | ||||||||
Infusion site extravasation | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 1/12 (8.3%) | 0/28 (0%) | ||||||||
Irritability | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 1/28 (3.6%) | ||||||||
Oedema peripheral | 0/16 (0%) | 0/17 (0%) | 2/5 (40%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Pain | 0/16 (0%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 1/12 (8.3%) | 1/28 (3.6%) | ||||||||
Pyrexia | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 1/12 (8.3%) | 0/28 (0%) | ||||||||
Hepatobiliary disorders | ||||||||||||||||
Non-alcoholic steatohepatitis | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Immune system disorders | ||||||||||||||||
Seasonal allergy | 2/16 (12.5%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 2/28 (7.1%) | ||||||||
Infections and infestations | ||||||||||||||||
Cellulitis | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 1/12 (8.3%) | 0/28 (0%) | ||||||||
Ear infection | 0/16 (0%) | 0/17 (0%) | 1/5 (20%) | 1/4 (25%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 1/28 (3.6%) | ||||||||
Gastroenteritis | 0/16 (0%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Herpes zoster | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 2/28 (7.1%) | ||||||||
Hordeolum | 0/16 (0%) | 0/17 (0%) | 1/5 (20%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Lice infestation | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Nasopharyngitis | 1/16 (6.3%) | 1/17 (5.9%) | 1/5 (20%) | 0/4 (0%) | 1/12 (8.3%) | 1/13 (7.7%) | 3/12 (25%) | 6/28 (21.4%) | ||||||||
Oral herpes | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Pharyngitis streptococcal | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 1/12 (8.3%) | 0/28 (0%) | ||||||||
Respiratory tract infection | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 1/12 (8.3%) | 0/28 (0%) | ||||||||
Sinusitis | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Upper respiratory tract infection | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 2/28 (7.1%) | ||||||||
Urinary tract infection | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 2/12 (16.7%) | 1/28 (3.6%) | ||||||||
Vaginitis bacterial | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Viral upper respiratory tract infection | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Vulvovaginal mycotic infection | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 1/12 (8.3%) | 0/28 (0%) | ||||||||
Injury, poisoning and procedural complications | ||||||||||||||||
Back injury | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Joint injury | 0/16 (0%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Laceration | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 2/28 (7.1%) | ||||||||
Muscle strain | 0/16 (0%) | 0/17 (0%) | 1/5 (20%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Post procedural complication | 0/16 (0%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Radius fracture | 0/16 (0%) | 0/17 (0%) | 1/5 (20%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Investigations | ||||||||||||||||
Alanine aminotransferase increased | 0/16 (0%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Aspartate aminotransferase increased | 0/16 (0%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Blood bilirubin increased | 0/16 (0%) | 0/17 (0%) | 1/5 (20%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Blood creatine phosphokinase increased | 0/16 (0%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Blood lactate dehydrogenase increased | 0/16 (0%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Blood pressure increased | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 1/12 (8.3%) | 0/28 (0%) | ||||||||
Blood triglycerides increased | 2/16 (12.5%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Blood urine present | 0/16 (0%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Intraocular pressure increased | 5/16 (31.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 2/28 (7.1%) | ||||||||
Lipase increased | 0/16 (0%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Lymphocyte count decreased | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 1/12 (8.3%) | 0/28 (0%) | ||||||||
Lymphocyte percentage decreased | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 1/12 (8.3%) | 0/28 (0%) | ||||||||
Neutrophil percentage increased | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 1/12 (8.3%) | 0/28 (0%) | ||||||||
Protein urine | 1/16 (6.3%) | 0/17 (0%) | 1/5 (20%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Weight decreased | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 2/28 (7.1%) | ||||||||
Metabolism and nutrition disorders | ||||||||||||||||
Gout | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Increased appetite | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Musculoskeletal and connective tissue disorders | ||||||||||||||||
Arthralgia | 2/16 (12.5%) | 1/17 (5.9%) | 1/5 (20%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Back pain | 2/16 (12.5%) | 1/17 (5.9%) | 1/5 (20%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Exostosis | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 1/12 (8.3%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Flank pain | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 1/28 (3.6%) | ||||||||
Joint swelling | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Limb discomfort | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Muscle spasms | 2/16 (12.5%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Musculoskeletal pain | 0/16 (0%) | 0/17 (0%) | 1/5 (20%) | 0/4 (0%) | 1/12 (8.3%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Musculoskeletal stiffness | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Myalgia | 1/16 (6.3%) | 0/17 (0%) | 1/5 (20%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 1/28 (3.6%) | ||||||||
Pain in extremity | 0/16 (0%) | 0/17 (0%) | 1/5 (20%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 1/12 (8.3%) | 0/28 (0%) | ||||||||
Spondylitis | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Neoplasms benign, malignant and unspecified (incl cysts and polyps) | ||||||||||||||||
Fibroadenoma of breast | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Nervous system disorders | ||||||||||||||||
Aphonia | 0/16 (0%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Dizziness | 3/16 (18.8%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Headache | 10/16 (62.5%) | 4/17 (23.5%) | 3/5 (60%) | 2/4 (50%) | 5/12 (41.7%) | 3/13 (23.1%) | 4/12 (33.3%) | 1/28 (3.6%) | ||||||||
Hyperaesthesia | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 1/28 (3.6%) | ||||||||
Migraine | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Paraesthesia | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 2/28 (7.1%) | ||||||||
Presyncope | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Sinus headache | 2/16 (12.5%) | 0/17 (0%) | 1/5 (20%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Somnolence | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Syncope | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Tension headache | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 1/12 (8.3%) | 1/28 (3.6%) | ||||||||
Psychiatric disorders | ||||||||||||||||
Anxiety | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 1/12 (8.3%) | 2/13 (15.4%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Anxiety disorder | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 1/12 (8.3%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Depression | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Insomnia | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 1/4 (25%) | 0/12 (0%) | 0/13 (0%) | 1/12 (8.3%) | 0/28 (0%) | ||||||||
Nervousness | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 1/28 (3.6%) | ||||||||
Renal and urinary disorders | ||||||||||||||||
Nephrolithiasis | 1/16 (6.3%) | 0/17 (0%) | 1/5 (20%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 1/28 (3.6%) | ||||||||
Reproductive system and breast disorders | ||||||||||||||||
Uterine haemorrhage | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Uterine spasm | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Respiratory, thoracic and mediastinal disorders | ||||||||||||||||
Cough | 0/16 (0%) | 2/17 (11.8%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Nasal congestion | 0/16 (0%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Oropharyngeal pain | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 1/28 (3.6%) | ||||||||
Rhinorrhoea | 0/16 (0%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Sinus congestion | 0/16 (0%) | 0/17 (0%) | 1/5 (20%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Vocal cord disorder | 0/16 (0%) | 0/17 (0%) | 1/5 (20%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Skin and subcutaneous tissue disorders | ||||||||||||||||
Acne | 0/16 (0%) | 0/17 (0%) | 1/5 (20%) | 0/4 (0%) | 1/12 (8.3%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Alopecia | 0/16 (0%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 1/28 (3.6%) | ||||||||
Dermatitis acneiform | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Dermatitis contact | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 1/4 (25%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Eczema | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Madarosis | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Pruritus | 0/16 (0%) | 1/17 (5.9%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 1/12 (8.3%) | 2/28 (7.1%) | ||||||||
Pruritus generalised | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 2/12 (16.7%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Psoriasis | 0/16 (0%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 2/28 (7.1%) | ||||||||
Rash | 1/16 (6.3%) | 2/17 (11.8%) | 1/5 (20%) | 0/4 (0%) | 0/12 (0%) | 1/13 (7.7%) | 1/12 (8.3%) | 1/28 (3.6%) | ||||||||
Rash pruritic | 0/16 (0%) | 0/17 (0%) | 1/5 (20%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Skin odour abnormal | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) | ||||||||
Vascular disorders | ||||||||||||||||
Hot flush | 1/16 (6.3%) | 0/17 (0%) | 0/5 (0%) | 0/4 (0%) | 0/12 (0%) | 0/13 (0%) | 0/12 (0%) | 0/28 (0%) |
Limitations/Caveats
More Information
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (ie, data from all sites) in the clinical trial.
Results Point of Contact
Name/Title | Study Director |
---|---|
Organization | Novartis Pharmaceuticals |
Phone | 862-778-8300 |
- CAIN457A2208
- 2011-001243-67