A Study to Evaluate the Efficacy and Safety of Alglucosidase Alfa Produced at the 4000 L Scale for Pompe Disease

Sponsor
Genzyme, a Sanofi Company (Industry)
Overall Status
Terminated
CT.gov ID
NCT01526785
Collaborator
(none)
113
51
1
33
2.2
0.1

Study Details

Study Description

Brief Summary

The objective of this study was to evaluate the efficacy and safety of treatment with 4000 litre (L) alglucosidase alfa (Lumizyme®) in Pompe participants.

Condition or Disease Intervention/Treatment Phase
  • Drug: Alglucosidase alfa
Phase 4

Study Design

Study Type:
Interventional
Actual Enrollment :
113 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 4 Open Label, Prospective Study in Patients With Pompe Disease to Evaluate The Efficacy and Safety of Alglucosidase Alfa Produced at the 4000L Scale
Study Start Date :
Mar 1, 2012
Actual Primary Completion Date :
Dec 1, 2014
Actual Study Completion Date :
Dec 1, 2014

Arms and Interventions

Arm Intervention/Treatment
Experimental: Alglucosidase alfa

Alglucosidase alfa (4000 L scale) intravenous (IV) infusion administered for 52 weeks as per physician's routine practice.

Drug: Alglucosidase alfa
4000 L alglucosidase alfa administered by IV infusion at the same dose and dose regimen used for the patient's routine treatment prior to the study for 52 weeks.
Other Names:
  • Lumizyme®
  • Outcome Measures

    Primary Outcome Measures

    1. Percentage of Participants Who Were Clinically Stable or Improved at Week 52 [Week 52]

      Clinical stability was defined as absence of death due to disease progression or new dependency on invasive ventilation and; decline in cardiac status, motor function, and pulmonary function from baseline.

    Secondary Outcome Measures

    1. Survival Rate at Week 52 [Week 52]

      Percentage of participants who were alive at Week 52, were reported. Survival rate was calculated by Kaplan-Meier estimate.

    2. Invasive Ventilator-Free Survival Rate at Week 52 [Week 52]

      Percentage of participants, who were invasive ventilator-free at week 52, are reported. Invasive ventilation was defined as mechanical ventilatory support applied with the use of an endotracheal tube or tracheostomy. Invasive ventilator-free survival rate was calculated by Kaplan-Meier estimate.

    3. Change From Baseline on Left Ventricular Mass Z-Score (LVM-Z) at Week 52 [Baseline, Week 52]

      Z-Scores indicate the number of standard deviations (SD) from the mean in a normal distribution. A negative change from baseline indicates an increase in LVM-Z score. The normal range is -2 to 2 and greater than 2 may indicate left ventricular hypertrophy.

    4. Change From Baseline on Gross Motor Function Measure-88 (GMFM-88) at Week 52 [Baseline, Week 52]

      GMFM-88 (88-item measure to detect gross motor function) consists of 5 components, each measured on a 4-point Likert scale.The score for each dimension was expressed as a percentage of the maximum score for that dimension.Total score ranges from 0% to 100%, where higher scores indicate better motor functions.

    5. Change From Baseline in Forced Vital Capacity (FVC) at Week 52- At Supine Position [Baseline, Week 52]

      Percent predicted FVC values are reported. FVC is the volume of air that can forcibly be blown out after full inspiration in the upright position, measured in litres. Predicted forced vital capacity is based on a formula using sex, age and height of a person, and is an estimate of healthy lung capacity. Percent of predicted FVC = (observed value)/(predicted value) * 100%.

    6. Change From Baseline in Forced Vital Capacity (FVC) at Week 52- At Sitting Position [Baseline, Week 52]

      Percent predicted FVC values are reported. FVC is the volume of air that can forcibly be blown out after full inspiration in the upright position, measured in litres. Predicted forced vital capacity is based on a formula using sex, age and height of a person, and is an estimate of healthy lung capacity. Percent of predicted FVC = (observed value)/(predicted value) * 100%.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    1 Year and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:

    A participant might meet all of the following criteria to be eligible for this study.

    1. The participant and/or their parent/legal guardian was willing and able to provide signed informed consent.

    2. The participant might be at least 1 year of age at the time of informed consent.

    3. The participant had a diagnosis of Pompe disease and might have received treatment with 160 L alglucosidase alfa prior to screening.

    4. The participant, if female and of childbearing potential, might have a negative pregnancy test (urine beta-human chorionic gonadotropin) at baseline. Note: all female participants of childbearing potential and sexually mature males might agree to use a medically accepted method of contraception throughout the study.

    Exclusion Criteria:

    A participant who met any of the following criteria were to be excluded from this study.

    1. The participant had within the past 3 months received or was currently receiving any investigational product other than 160 L alglucosidase alfa or was currently participating in another clinical treatment study.

    2. The participant, in the opinion of the Investigator, was clinically unstable and would not be expected to survive to completion of the 52-week treatment period.

    3. The participant and/or their parent/legal guardian, in the opinion of the Investigator, was unable to adhere to the requirements of the study.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Birmingham Alabama United States
    2 Phoenix Arizona United States
    3 Little Rock Arkansas United States
    4 Oakland California United States
    5 Orange California United States
    6 San Diego California United States
    7 San Jose California United States
    8 Stanford California United States
    9 Aurora Colorado United States
    10 Washington, DC District of Columbia United States
    11 Gainesville Florida United States
    12 Miami Florida United States
    13 Decatur Georgia United States
    14 Chicago Illinois United States
    15 Indianapolis Indiana United States
    16 Kansas City Kansas United States
    17 Louisville Kentucky United States
    18 Baton Rouge Louisiana United States
    19 Shreveport Louisiana United States
    20 Boston Massachusetts United States
    21 Detroit Michigan United States
    22 Grand Rapids Michigan United States
    23 Minneapolis Minnesota United States
    24 Jackson Mississippi United States
    25 Columbia Missouri United States
    26 Kansas City Missouri United States
    27 St. Louis Missouri United States
    28 Omaha Nebraska United States
    29 Las Vegas Nevada United States
    30 New Brunswick New Jersey United States
    31 Glens Falls New York United States
    32 New York New York United States
    33 Rochester New York United States
    34 Syracuse New York United States
    35 Valhalla New York United States
    36 Asheville North Carolina United States
    37 Durham North Carolina United States
    38 Cincinnati Ohio United States
    39 Cleveland Ohio United States
    40 Philadelphia Pennsylvania United States
    41 Pittsburgh Pennsylvania United States
    42 Providence Rhode Island United States
    43 Memphis Tennessee United States
    44 Nashville Tennessee United States
    45 Austin Texas United States
    46 Fort Worth Texas United States
    47 Salt Lake City Utah United States
    48 Norfolk Virginia United States
    49 Seattle Washington United States
    50 Morgantown West Virginia United States
    51 Miliwaukee Wisconsin United States

    Sponsors and Collaborators

    • Genzyme, a Sanofi Company

    Investigators

    • Study Director: Medical Monitor, Genzyme, a Sanofi Company

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Genzyme, a Sanofi Company
    ClinicalTrials.gov Identifier:
    NCT01526785
    Other Study ID Numbers:
    • AGLU09411
    • EFC12720
    First Posted:
    Feb 6, 2012
    Last Update Posted:
    Dec 8, 2015
    Last Verified:
    Nov 1, 2015
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail The study was conducted in the United States. A total of 113 participants were treated between 9 March 2012 and 4 June 2014.
    Arm/Group Title Alglucosidase Alfa
    Arm/Group Description Alglucosidase alfa (4000 litre [L] scale) intravenous (IV) infusion administered for 52 weeks as per physician's routine practice.
    Period Title: Overall Study
    STARTED 113
    COMPLETED 100
    NOT COMPLETED 13

    Baseline Characteristics

    Arm/Group Title Alglucosidase Alfa
    Arm/Group Description Alglucosidase alfa (4000 L scale) IV infusion administered for 52 weeks as per physician's routine practice.
    Overall Participants 113
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    4.8
    (3.73)
    Sex: Female, Male (Count of Participants)
    Female
    53
    46.9%
    Male
    60
    53.1%

    Outcome Measures

    1. Primary Outcome
    Title Percentage of Participants Who Were Clinically Stable or Improved at Week 52
    Description Clinical stability was defined as absence of death due to disease progression or new dependency on invasive ventilation and; decline in cardiac status, motor function, and pulmonary function from baseline.
    Time Frame Week 52

    Outcome Measure Data

    Analysis Population Description
    Full analysis population. Number of participants analyzed = participants with available data at Week 52 for this outcome.
    Arm/Group Title Alglucosidase Alfa
    Arm/Group Description Alglucosidase alfa (4000 L scale) IV infusion administered for 52 weeks as per physician's routine practice.
    Measure Participants 104
    Number (95% Confidence Interval) [percentage of participants]
    83.7
    74.1%
    2. Secondary Outcome
    Title Survival Rate at Week 52
    Description Percentage of participants who were alive at Week 52, were reported. Survival rate was calculated by Kaplan-Meier estimate.
    Time Frame Week 52

    Outcome Measure Data

    Analysis Population Description
    Full analysis population.
    Arm/Group Title Alglucosidase Alfa
    Arm/Group Description Alglucosidase alfa (4000 L scale) IV infusion administered for 52 weeks as per physician's routine practice.
    Measure Participants 113
    Number (95% Confidence Interval) [percentage of participants]
    98.1
    86.8%
    3. Secondary Outcome
    Title Invasive Ventilator-Free Survival Rate at Week 52
    Description Percentage of participants, who were invasive ventilator-free at week 52, are reported. Invasive ventilation was defined as mechanical ventilatory support applied with the use of an endotracheal tube or tracheostomy. Invasive ventilator-free survival rate was calculated by Kaplan-Meier estimate.
    Time Frame Week 52

    Outcome Measure Data

    Analysis Population Description
    Full analysis population. Number of participants analyzed = participants with available data at Week 52 for this outcome.
    Arm/Group Title Alglucosidase Alfa
    Arm/Group Description Alglucosidase alfa (4000 L scale) IV infusion administered for 52 weeks as per physician's routine practice.
    Measure Participants 81
    Number (95% Confidence Interval) [percentage of participants]
    92.4
    81.8%
    4. Secondary Outcome
    Title Change From Baseline on Left Ventricular Mass Z-Score (LVM-Z) at Week 52
    Description Z-Scores indicate the number of standard deviations (SD) from the mean in a normal distribution. A negative change from baseline indicates an increase in LVM-Z score. The normal range is -2 to 2 and greater than 2 may indicate left ventricular hypertrophy.
    Time Frame Baseline, Week 52

    Outcome Measure Data

    Analysis Population Description
    Full analysis population. Number of participants analyzed = participants with available data at Week 52 for this outcome.
    Arm/Group Title Alglucosidase Alfa
    Arm/Group Description Alglucosidase alfa (4000 L scale) IV infusion administered for 52 weeks as per physician's routine practice.
    Measure Participants 67
    Mean (Standard Deviation) [Z score]
    -0.5
    (1.71)
    5. Secondary Outcome
    Title Change From Baseline on Gross Motor Function Measure-88 (GMFM-88) at Week 52
    Description GMFM-88 (88-item measure to detect gross motor function) consists of 5 components, each measured on a 4-point Likert scale.The score for each dimension was expressed as a percentage of the maximum score for that dimension.Total score ranges from 0% to 100%, where higher scores indicate better motor functions.
    Time Frame Baseline, Week 52

    Outcome Measure Data

    Analysis Population Description
    Full analysis population. Number of participants analysed = participants with baseline and Week 52 GMFM-88 data.
    Arm/Group Title Alglucosidase Alfa
    Arm/Group Description Alglucosidase alfa (4000 L scale) IV infusion administered for 52 weeks as per physician's routine practice.
    Measure Participants 90
    Mean (Standard Deviation) [percentage of total score]
    3.7
    (17.46)
    6. Secondary Outcome
    Title Change From Baseline in Forced Vital Capacity (FVC) at Week 52- At Supine Position
    Description Percent predicted FVC values are reported. FVC is the volume of air that can forcibly be blown out after full inspiration in the upright position, measured in litres. Predicted forced vital capacity is based on a formula using sex, age and height of a person, and is an estimate of healthy lung capacity. Percent of predicted FVC = (observed value)/(predicted value) * 100%.
    Time Frame Baseline, Week 52

    Outcome Measure Data

    Analysis Population Description
    Full analysis population. Number of participants analysed = participants with baseline and Week 52 FVC data.
    Arm/Group Title Alglucosidase Alfa
    Arm/Group Description Alglucosidase alfa (4000 L scale) IV infusion administered for 52 weeks as per physician's routine practice.
    Measure Participants 13
    Mean (Standard Deviation) [percent predicted FVC]
    3.2
    (11.07)
    7. Secondary Outcome
    Title Change From Baseline in Forced Vital Capacity (FVC) at Week 52- At Sitting Position
    Description Percent predicted FVC values are reported. FVC is the volume of air that can forcibly be blown out after full inspiration in the upright position, measured in litres. Predicted forced vital capacity is based on a formula using sex, age and height of a person, and is an estimate of healthy lung capacity. Percent of predicted FVC = (observed value)/(predicted value) * 100%.
    Time Frame Baseline, Week 52

    Outcome Measure Data

    Analysis Population Description
    Full analysis population. Number of participants analysed = participants with baseline and Week 52 FVC data.
    Arm/Group Title Alglucosidase Alfa
    Arm/Group Description Alglucosidase alfa (4000 L scale) IV infusion administered for 52 weeks as per physician's routine practice.
    Measure Participants 22
    Mean (Standard Deviation) [percent predicted FVC]
    2.3
    (11.8)

    Adverse Events

    Time Frame All Adverse Events (AE) were collected from signature of the informed consent form up to the final visit (Week 52) regardless of seriousness or relationship to investigational product.
    Adverse Event Reporting Description Reported adverse events are treatment-emergent adverse events that is AEs that developed/worsened during the 'on treatment period' (from the first infusion of study drug up to 30 days after last infusion of study drug). Analysis was performed on safety population which included all treated participants.
    Arm/Group Title Alglucosidase Alfa
    Arm/Group Description Alglucosidase alfa (4000 L scale) IV infusion administered for 52 weeks as per participant's routine practice.
    All Cause Mortality
    Alglucosidase Alfa
    Affected / at Risk (%) # Events
    Total / (NaN)
    Serious Adverse Events
    Alglucosidase Alfa
    Affected / at Risk (%) # Events
    Total 73/113 (64.6%)
    Cardiac disorders
    Bradycardia 2/113 (1.8%)
    Cardiac arrest 1/113 (0.9%)
    Cardiac failure congestive 1/113 (0.9%)
    Cardio-respiratory arrest 3/113 (2.7%)
    Cardiopulmonary failure 1/113 (0.9%)
    Cyanosis 1/113 (0.9%)
    Left ventricular hypertrophy 2/113 (1.8%)
    Mitral valve incompetence 1/113 (0.9%)
    Pulseless electrical activity 1/113 (0.9%)
    Sinus tachycardia 1/113 (0.9%)
    Supraventricular tachycardia 4/113 (3.5%)
    Tachycardia 1/113 (0.9%)
    Ear and labyrinth disorders
    Motion sickness 1/113 (0.9%)
    Eye disorders
    Eyelid ptosis 1/113 (0.9%)
    Gastrointestinal disorders
    Abdominal pain 2/113 (1.8%)
    Constipation 2/113 (1.8%)
    Dental caries 1/113 (0.9%)
    Diarrhoea 1/113 (0.9%)
    Dysphagia 1/113 (0.9%)
    Gastrointestinal disorder 1/113 (0.9%)
    Gastrooesophageal reflux disease 1/113 (0.9%)
    Intussusception 1/113 (0.9%)
    Nausea 1/113 (0.9%)
    Vomiting 2/113 (1.8%)
    General disorders
    Chest pain 2/113 (1.8%)
    Chills 2/113 (1.8%)
    Device breakage 1/113 (0.9%)
    Device malfunction 1/113 (0.9%)
    Hypothermia 1/113 (0.9%)
    Oedema peripheral 1/113 (0.9%)
    Pyrexia 10/113 (8.8%)
    Hepatobiliary disorders
    Cholecystitis acute 1/113 (0.9%)
    Infections and infestations
    Adenovirus infection 1/113 (0.9%)
    Bacteraemia 2/113 (1.8%)
    Bacterial tracheitis 2/113 (1.8%)
    Bronchiolitis 2/113 (1.8%)
    Cellulitis 1/113 (0.9%)
    Device related infection 6/113 (5.3%)
    Gastroenteritis 1/113 (0.9%)
    Gastroenteritis viral 3/113 (2.7%)
    Haemophilus bacteraemia 1/113 (0.9%)
    Influenza 2/113 (1.8%)
    Klebsiella bacteraemia 1/113 (0.9%)
    Lobar pneumonia 1/113 (0.9%)
    Lung infection 1/113 (0.9%)
    Metapneumovirus infection 3/113 (2.7%)
    Otitis media acute 1/113 (0.9%)
    Parainfluenzae virus infection 1/113 (0.9%)
    Periumbilical abscess 1/113 (0.9%)
    Pneumonia 25/113 (22.1%)
    Pneumonia parainfluenzae viral 1/113 (0.9%)
    Pneumonia pseudomonal 1/113 (0.9%)
    Pneumonia respiratory syncytial viral 2/113 (1.8%)
    Pneumonia viral 3/113 (2.7%)
    Respiratory syncytial virus bronchiolitis 1/113 (0.9%)
    Respiratory syncytial virus infection 1/113 (0.9%)
    Respiratory tract infection 4/113 (3.5%)
    Respiratory tract infection viral 1/113 (0.9%)
    Rhinovirus infection 3/113 (2.7%)
    Sepsis 2/113 (1.8%)
    Staphylococcal infection 1/113 (0.9%)
    Tracheitis 5/113 (4.4%)
    Tracheostomy infection 1/113 (0.9%)
    Upper respiratory tract infection 2/113 (1.8%)
    Urinary tract infection 3/113 (2.7%)
    Urinary tract infection bacterial 1/113 (0.9%)
    Urinary tract infection staphylococcal 1/113 (0.9%)
    Urosepsis 1/113 (0.9%)
    Viral infection 2/113 (1.8%)
    Injury, poisoning and procedural complications
    Feeding tube complication 1/113 (0.9%)
    Femur fracture 1/113 (0.9%)
    Foreign body 1/113 (0.9%)
    Foreign body aspiration 1/113 (0.9%)
    Tracheal obstruction 1/113 (0.9%)
    Traumatic haemothorax 1/113 (0.9%)
    Investigations
    Alanine aminotransferase increased 1/113 (0.9%)
    Aspartate aminotransferase increased 1/113 (0.9%)
    Blood albumin decreased 1/113 (0.9%)
    Gamma-glutamyltransferase increased 1/113 (0.9%)
    Oxygen saturation decreased 3/113 (2.7%)
    Metabolism and nutrition disorders
    Dehydration 3/113 (2.7%)
    Failure to thrive 1/113 (0.9%)
    Fluid overload 1/113 (0.9%)
    Hypoglycaemia 1/113 (0.9%)
    Musculoskeletal and connective tissue disorders
    Muscle contracture 1/113 (0.9%)
    Muscular weakness 2/113 (1.8%)
    Nervous system disorders
    Brain injury 1/113 (0.9%)
    Cerebral ischaemia 1/113 (0.9%)
    Convulsion 2/113 (1.8%)
    Gross motor delay 1/113 (0.9%)
    Loss of consciousness 1/113 (0.9%)
    Presyncope 1/113 (0.9%)
    Tremor 1/113 (0.9%)
    Psychiatric disorders
    Mental status changes 1/113 (0.9%)
    Self-injurious ideation 1/113 (0.9%)
    Renal and urinary disorders
    Urinary retention 3/113 (2.7%)
    Respiratory, thoracic and mediastinal disorders
    Acute respiratory distress syndrome 2/113 (1.8%)
    Acute respiratory failure 2/113 (1.8%)
    Apnoea 1/113 (0.9%)
    Aspiration 1/113 (0.9%)
    Atelectasis 3/113 (2.7%)
    Bronchial secretion retention 1/113 (0.9%)
    Bronchiectasis 2/113 (1.8%)
    Chronic respiratory failure 1/113 (0.9%)
    Cough 2/113 (1.8%)
    Dyspnoea 5/113 (4.4%)
    Hypoxia 3/113 (2.7%)
    Pneumonia aspiration 4/113 (3.5%)
    Pneumothorax 1/113 (0.9%)
    Pulmonary granuloma 1/113 (0.9%)
    Respiratory disorder 1/113 (0.9%)
    Respiratory distress 16/113 (14.2%)
    Respiratory failure 7/113 (6.2%)
    Respiratory tract congestion 1/113 (0.9%)
    Rhonchi 1/113 (0.9%)
    Skin and subcutaneous tissue disorders
    Hyperhidrosis 1/113 (0.9%)
    Purpura 1/113 (0.9%)
    Rash 1/113 (0.9%)
    Surgical and medical procedures
    Central venous catheterisation 1/113 (0.9%)
    Therapeutic procedure 1/113 (0.9%)
    Vascular disorders
    Hypotension 1/113 (0.9%)
    Jugular vein thrombosis 1/113 (0.9%)
    Other (Not Including Serious) Adverse Events
    Alglucosidase Alfa
    Affected / at Risk (%) # Events
    Total 113/113 (100%)
    Blood and lymphatic system disorders
    Anaemia 7/113 (6.2%)
    Coagulopathy 1/113 (0.9%)
    Eosinophilia 6/113 (5.3%)
    Iron deficiency anaemia 2/113 (1.8%)
    Lymphadenitis 1/113 (0.9%)
    Lymphadenopathy 1/113 (0.9%)
    Neutropenia 1/113 (0.9%)
    Cardiac disorders
    Arrhythmia 3/113 (2.7%)
    Bradycardia 2/113 (1.8%)
    Bundle branch block right 1/113 (0.9%)
    Cardiac failure 2/113 (1.8%)
    Cardiomyopathy 1/113 (0.9%)
    Defect conduction intraventricular 4/113 (3.5%)
    Diastolic dysfunction 1/113 (0.9%)
    Heart valve incompetence 1/113 (0.9%)
    Left ventricular dysfunction 1/113 (0.9%)
    Pericardial effusion 5/113 (4.4%)
    Right atrial dilatation 1/113 (0.9%)
    Right ventricular hypertrophy 1/113 (0.9%)
    Sinus bradycardia 1/113 (0.9%)
    Sinus tachycardia 2/113 (1.8%)
    Supraventricular tachycardia 3/113 (2.7%)
    Tachycardia 13/113 (11.5%)
    Tricuspid valve incompetence 1/113 (0.9%)
    Wolff-Parkinson-White syndrome 2/113 (1.8%)
    Congenital, familial and genetic disorders
    Cryptorchism 1/113 (0.9%)
    Ear and labyrinth disorders
    Cerumen impaction 3/113 (2.7%)
    Conductive deafness 1/113 (0.9%)
    Deafness 1/113 (0.9%)
    Deafness neurosensory 1/113 (0.9%)
    Deafness unilateral 1/113 (0.9%)
    Ear pain 5/113 (4.4%)
    Eustachian tube dysfunction 5/113 (4.4%)
    Middle ear effusion 5/113 (4.4%)
    Mixed deafness 1/113 (0.9%)
    Otorrhoea 3/113 (2.7%)
    Tympanic membrane disorder 1/113 (0.9%)
    Tympanic membrane perforation 1/113 (0.9%)
    Endocrine disorders
    Precocious puberty 2/113 (1.8%)
    Eye disorders
    Astigmatism 2/113 (1.8%)
    Blepharitis 1/113 (0.9%)
    Chalazion 1/113 (0.9%)
    Conjunctival hyperaemia 1/113 (0.9%)
    Dry eye 4/113 (3.5%)
    Eye discharge 1/113 (0.9%)
    Eye irritation 1/113 (0.9%)
    Eye pruritus 1/113 (0.9%)
    Eye swelling 1/113 (0.9%)
    Eyelid oedema 1/113 (0.9%)
    Eyelid ptosis 4/113 (3.5%)
    Hypermetropia 1/113 (0.9%)
    Lid sulcus deepened 1/113 (0.9%)
    Myopia 2/113 (1.8%)
    Ocular hyperaemia 1/113 (0.9%)
    Photophobia 1/113 (0.9%)
    Strabismus 1/113 (0.9%)
    Vision blurred 1/113 (0.9%)
    Gastrointestinal disorders
    Abdominal discomfort 3/113 (2.7%)
    Abdominal distension 1/113 (0.9%)
    Abdominal pain 10/113 (8.8%)
    Abdominal pain upper 11/113 (9.7%)
    Abnormal faeces 1/113 (0.9%)
    Anal fissure 1/113 (0.9%)
    Aphthous stomatitis 1/113 (0.9%)
    Constipation 20/113 (17.7%)
    Dental caries 3/113 (2.7%)
    Dental discomfort 1/113 (0.9%)
    Diarrhoea 55/113 (48.7%)
    Dysphagia 2/113 (1.8%)
    Faecal incontinence 1/113 (0.9%)
    Faeces discoloured 2/113 (1.8%)
    Flatulence 1/113 (0.9%)
    Frequent bowel movements 1/113 (0.9%)
    Gastric ulcer 1/113 (0.9%)
    Gastritis 2/113 (1.8%)
    Gastrointestinal disorder 4/113 (3.5%)
    Gastrooesophageal reflux disease 4/113 (3.5%)
    Gingival bleeding 1/113 (0.9%)
    Haematochezia 2/113 (1.8%)
    Haemorrhoids 1/113 (0.9%)
    Ileus 1/113 (0.9%)
    Infrequent bowel movements 1/113 (0.9%)
    Lip blister 1/113 (0.9%)
    Lip ulceration 1/113 (0.9%)
    Mouth ulceration 1/113 (0.9%)
    Nausea 12/113 (10.6%)
    Oral disorder 1/113 (0.9%)
    Rectal fissure 1/113 (0.9%)
    Regurgitation 1/113 (0.9%)
    Retained deciduous tooth 1/113 (0.9%)
    Retching 1/113 (0.9%)
    Salivary hypersecretion 2/113 (1.8%)
    Sensitivity of teeth 1/113 (0.9%)
    Teething 4/113 (3.5%)
    Tongue spasm 1/113 (0.9%)
    Tooth deposit 1/113 (0.9%)
    Tooth impacted 1/113 (0.9%)
    Toothache 2/113 (1.8%)
    Vomiting 42/113 (37.2%)
    General disorders
    Abasia 1/113 (0.9%)
    Asthenia 4/113 (3.5%)
    Catheter site erythema 1/113 (0.9%)
    Catheter site extravasation 4/113 (3.5%)
    Catheter site haemorrhage 1/113 (0.9%)
    Catheter site inflammation 1/113 (0.9%)
    Catheter site oedema 1/113 (0.9%)
    Catheter site pain 3/113 (2.7%)
    Catheter site rash 1/113 (0.9%)
    Catheter site related reaction 1/113 (0.9%)
    Catheter site swelling 1/113 (0.9%)
    Chest discomfort 3/113 (2.7%)
    Chest pain 6/113 (5.3%)
    Chills 2/113 (1.8%)
    Crepitations 1/113 (0.9%)
    Device breakage 1/113 (0.9%)
    Device dislocation 4/113 (3.5%)
    Device issue 1/113 (0.9%)
    Device malfunction 9/113 (8%)
    Device occlusion 13/113 (11.5%)
    Discomfort 2/113 (1.8%)
    Disease progression 1/113 (0.9%)
    Energy increased 1/113 (0.9%)
    Extravasation 2/113 (1.8%)
    Fatigue 4/113 (3.5%)
    Feeling hot 1/113 (0.9%)
    Gait disturbance 1/113 (0.9%)
    Granuloma 2/113 (1.8%)
    Gravitational oedema 1/113 (0.9%)
    Influenza like illness 1/113 (0.9%)
    Infusion site extravasation 1/113 (0.9%)
    Infusion site swelling 2/113 (1.8%)
    Injection site extravasation 1/113 (0.9%)
    Injection site swelling 1/113 (0.9%)
    Malaise 2/113 (1.8%)
    Oedema 3/113 (2.7%)
    Oedema peripheral 2/113 (1.8%)
    Pain 3/113 (2.7%)
    Peripheral swelling 4/113 (3.5%)
    Pyrexia 61/113 (54%)
    Secretion discharge 6/113 (5.3%)
    Thirst 1/113 (0.9%)
    Thrombosis in device 1/113 (0.9%)
    Hepatobiliary disorders
    Cholelithiasis 1/113 (0.9%)
    Hepatic fibrosis 1/113 (0.9%)
    Immune system disorders
    Drug hypersensitivity 2/113 (1.8%)
    Food allergy 1/113 (0.9%)
    Hypersensitivity 5/113 (4.4%)
    Multiple allergies 1/113 (0.9%)
    Seasonal allergy 2/113 (1.8%)
    Infections and infestations
    Abscess limb 1/113 (0.9%)
    Acarodermatitis 1/113 (0.9%)
    Adenovirus infection 1/113 (0.9%)
    Atypical pneumonia 1/113 (0.9%)
    Bacterial tracheitis 5/113 (4.4%)
    Beta haemolytic streptococcal infection 1/113 (0.9%)
    Body tinea 3/113 (2.7%)
    Bronchiolitis 2/113 (1.8%)
    Bronchitis 8/113 (7.1%)
    Candida infection 1/113 (0.9%)
    Cellulitis 1/113 (0.9%)
    Chronic sinusitis 1/113 (0.9%)
    Clostridium difficile colitis 2/113 (1.8%)
    Conjunctivitis 7/113 (6.2%)
    Croup infectious 2/113 (1.8%)
    Device related infection 1/113 (0.9%)
    Ear infection 12/113 (10.6%)
    Ear lobe infection 1/113 (0.9%)
    Enterovirus infection 1/113 (0.9%)
    Erythema infectiosum 1/113 (0.9%)
    Escherichia urinary tract infection 1/113 (0.9%)
    Eye infection 2/113 (1.8%)
    Folliculitis 1/113 (0.9%)
    Fungal infection 2/113 (1.8%)
    Fungal skin infection 1/113 (0.9%)
    Furuncle 1/113 (0.9%)
    Gastroenteritis 11/113 (9.7%)
    Gastroenteritis norovirus 1/113 (0.9%)
    Gastroenteritis viral 4/113 (3.5%)
    Gastrointestinal infection 1/113 (0.9%)
    Gingival abscess 1/113 (0.9%)
    Gingivitis 1/113 (0.9%)
    Haemophilus infection 1/113 (0.9%)
    Hand-foot-and-mouth disease 1/113 (0.9%)
    Herpes zoster 1/113 (0.9%)
    Hordeolum 3/113 (2.7%)
    Impetigo 1/113 (0.9%)
    Infection 1/113 (0.9%)
    Influenza 8/113 (7.1%)
    Labyrinthitis 1/113 (0.9%)
    Lice infestation 1/113 (0.9%)
    Lip infection 1/113 (0.9%)
    Lobar pneumonia 1/113 (0.9%)
    Nail infection 1/113 (0.9%)
    Nasopharyngitis 12/113 (10.6%)
    Oral candidiasis 3/113 (2.7%)
    Oral herpes 1/113 (0.9%)
    Otitis externa 2/113 (1.8%)
    Otitis externa fungal 1/113 (0.9%)
    Otitis media 23/113 (20.4%)
    Otitis media acute 6/113 (5.3%)
    Otitis media chronic 3/113 (2.7%)
    Pharyngitis 7/113 (6.2%)
    Pharyngitis streptococcal 13/113 (11.5%)
    Pneumonia 17/113 (15%)
    Pneumonia viral 1/113 (0.9%)
    Pseudomonas infection 4/113 (3.5%)
    Rash pustular 1/113 (0.9%)
    Respiratory syncytial virus infection 3/113 (2.7%)
    Respiratory tract infection 5/113 (4.4%)
    Rhinitis 6/113 (5.3%)
    Rhinovirus infection 3/113 (2.7%)
    Rotavirus infection 1/113 (0.9%)
    Sinusitis 5/113 (4.4%)
    Skin infection 1/113 (0.9%)
    Staphylococcal infection 3/113 (2.7%)
    Stoma site infection 2/113 (1.8%)
    Streptococcal infection 2/113 (1.8%)
    Streptococcal urinary tract infection 1/113 (0.9%)
    Subcutaneous abscess 1/113 (0.9%)
    Tinea infection 2/113 (1.8%)
    Tonsillitis 2/113 (1.8%)
    Tooth abscess 2/113 (1.8%)
    Tooth infection 1/113 (0.9%)
    Tracheitis 7/113 (6.2%)
    Tracheobronchitis 1/113 (0.9%)
    Tracheostomy infection 3/113 (2.7%)
    Upper respiratory tract infection 49/113 (43.4%)
    Upper respiratory tract infection bacterial 1/113 (0.9%)
    Urinary tract infection 19/113 (16.8%)
    Viral infection 15/113 (13.3%)
    Viral rash 2/113 (1.8%)
    Viral upper respiratory tract infection 5/113 (4.4%)
    Vulvovaginal mycotic infection 1/113 (0.9%)
    Injury, poisoning and procedural complications
    Agitation postoperative 1/113 (0.9%)
    Animal bite 1/113 (0.9%)
    Animal scratch 1/113 (0.9%)
    Ankle fracture 1/113 (0.9%)
    Arthropod bite 7/113 (6.2%)
    Arthropod sting 1/113 (0.9%)
    Concussion 1/113 (0.9%)
    Contusion 6/113 (5.3%)
    Exposure to communicable disease 1/113 (0.9%)
    Eye contusion 1/113 (0.9%)
    Eye injury 1/113 (0.9%)
    Face injury 1/113 (0.9%)
    Fall 11/113 (9.7%)
    Feeding tube complication 2/113 (1.8%)
    Femur fracture 2/113 (1.8%)
    Foreign body 1/113 (0.9%)
    Gastrointestinal anastomotic leak 1/113 (0.9%)
    Gastrointestinal stoma complication 1/113 (0.9%)
    Hand fracture 1/113 (0.9%)
    Head injury 3/113 (2.7%)
    Humerus fracture 1/113 (0.9%)
    Joint dislocation 2/113 (1.8%)
    Laceration 6/113 (5.3%)
    Laryngeal injury 1/113 (0.9%)
    Ligament sprain 5/113 (4.4%)
    Limb injury 2/113 (1.8%)
    Lower limb fracture 1/113 (0.9%)
    Overdose 1/113 (0.9%)
    Periorbital haemorrhage 1/113 (0.9%)
    Post procedural haemorrhage 2/113 (1.8%)
    Postoperative fever 1/113 (0.9%)
    Postoperative respiratory distress 1/113 (0.9%)
    Procedural nausea 1/113 (0.9%)
    Procedural pain 8/113 (7.1%)
    Procedural vomiting 1/113 (0.9%)
    Scratch 2/113 (1.8%)
    Skin abrasion 9/113 (8%)
    Skin wound 1/113 (0.9%)
    Soft tissue injury 1/113 (0.9%)
    Splinter 1/113 (0.9%)
    Stoma site erythema 2/113 (1.8%)
    Stoma site haemorrhage 2/113 (1.8%)
    Stoma site irritation 3/113 (2.7%)
    Stoma site rash 1/113 (0.9%)
    Stoma site reaction 1/113 (0.9%)
    Sunburn 1/113 (0.9%)
    Thermal burn 2/113 (1.8%)
    Tibia fracture 1/113 (0.9%)
    Tooth avulsion 1/113 (0.9%)
    Tooth fracture 1/113 (0.9%)
    Tooth injury 1/113 (0.9%)
    Tracheostomy malfunction 2/113 (1.8%)
    Vaccination complication 2/113 (1.8%)
    Wound 1/113 (0.9%)
    Wound dehiscence 1/113 (0.9%)
    Investigations
    Alanine aminotransferase abnormal 1/113 (0.9%)
    Alanine aminotransferase increased 3/113 (2.7%)
    Aspartate aminotransferase abnormal 1/113 (0.9%)
    Aspartate aminotransferase increased 4/113 (3.5%)
    Atrial pressure increased 1/113 (0.9%)
    Blood alkaline phosphatase increased 1/113 (0.9%)
    Blood creatine phosphokinase MB increased 7/113 (6.2%)
    Blood creatine phosphokinase abnormal 1/113 (0.9%)
    Blood creatine phosphokinase increased 7/113 (6.2%)
    Blood culture positive 1/113 (0.9%)
    Blood lactate dehydrogenase abnormal 1/113 (0.9%)
    Blood lactate dehydrogenase increased 2/113 (1.8%)
    Blood potassium decreased 2/113 (1.8%)
    Blood pressure decreased 2/113 (1.8%)
    Blood pressure increased 7/113 (6.2%)
    Blood pressure systolic increased 1/113 (0.9%)
    Blood uric acid decreased 1/113 (0.9%)
    Blood uric acid increased 1/113 (0.9%)
    Blood zinc decreased 1/113 (0.9%)
    Body temperature increased 5/113 (4.4%)
    Brain natriuretic peptide increased 5/113 (4.4%)
    Breath sounds abnormal 2/113 (1.8%)
    Creatine urine increased 1/113 (0.9%)
    Creatinine urine increased 1/113 (0.9%)
    Electrocardiogram PR shortened 1/113 (0.9%)
    Electrocardiogram QT prolonged 1/113 (0.9%)
    Electrocardiogram ST segment elevation 1/113 (0.9%)
    Electrocardiogram abnormal 2/113 (1.8%)
    Eosinophil count increased 1/113 (0.9%)
    Gamma-glutamyltransferase increased 1/113 (0.9%)
    Haematocrit decreased 1/113 (0.9%)
    Haemoglobin decreased 3/113 (2.7%)
    Heart rate increased 5/113 (4.4%)
    Liver function test abnormal 1/113 (0.9%)
    Neutrophil count abnormal 1/113 (0.9%)
    Neutrophil count increased 1/113 (0.9%)
    Neutrophil percentage increased 1/113 (0.9%)
    Occult blood positive 1/113 (0.9%)
    Oxygen saturation decreased 4/113 (3.5%)
    Platelet count increased 2/113 (1.8%)
    Protein urine 1/113 (0.9%)
    Protein urine present 1/113 (0.9%)
    Pulmonary function test decreased 2/113 (1.8%)
    Pulse pressure abnormal 1/113 (0.9%)
    Respiratory rate increased 1/113 (0.9%)
    Serum ferritin decreased 1/113 (0.9%)
    Specific gravity urine 1/113 (0.9%)
    Sputum culture positive 1/113 (0.9%)
    Staphylococcus test positive 1/113 (0.9%)
    Tuberculin test positive 1/113 (0.9%)
    Urine ketone body present 1/113 (0.9%)
    Urine output decreased 2/113 (1.8%)
    Weight decreased 2/113 (1.8%)
    Weight increased 3/113 (2.7%)
    White blood cell count abnormal 1/113 (0.9%)
    White blood cell count increased 1/113 (0.9%)
    Metabolism and nutrition disorders
    Abnormal weight gain 1/113 (0.9%)
    Decreased appetite 4/113 (3.5%)
    Dehydration 5/113 (4.4%)
    Electrolyte imbalance 1/113 (0.9%)
    Failure to thrive 1/113 (0.9%)
    Hypoalbuminaemia 1/113 (0.9%)
    Hypochloraemia 1/113 (0.9%)
    Hypoglycaemia 3/113 (2.7%)
    Hypokalaemia 2/113 (1.8%)
    Iron deficiency 1/113 (0.9%)
    Vitamin D deficiency 4/113 (3.5%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 5/113 (4.4%)
    Arthropathy 1/113 (0.9%)
    Axillary mass 1/113 (0.9%)
    Back pain 2/113 (1.8%)
    Deformity thorax 1/113 (0.9%)
    Foot deformity 2/113 (1.8%)
    Fracture pain 1/113 (0.9%)
    Hip deformity 1/113 (0.9%)
    Joint contracture 2/113 (1.8%)
    Joint stiffness 1/113 (0.9%)
    Joint swelling 3/113 (2.7%)
    Kyphosis 2/113 (1.8%)
    Limb discomfort 2/113 (1.8%)
    Muscle contracture 1/113 (0.9%)
    Muscle spasms 3/113 (2.7%)
    Muscle tightness 2/113 (1.8%)
    Muscular weakness 12/113 (10.6%)
    Musculoskeletal chest pain 2/113 (1.8%)
    Musculoskeletal pain 4/113 (3.5%)
    Musculoskeletal stiffness 1/113 (0.9%)
    Myalgia 1/113 (0.9%)
    Myopathy 2/113 (1.8%)
    Neck pain 3/113 (2.7%)
    Osteopenia 4/113 (3.5%)
    Pain in extremity 16/113 (14.2%)
    Pain in jaw 1/113 (0.9%)
    Scoliosis 6/113 (5.3%)
    Tendinous contracture 2/113 (1.8%)
    Tendon discomfort 3/113 (2.7%)
    Tendon disorder 1/113 (0.9%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Cholesteatoma 1/113 (0.9%)
    Nervous system disorders
    Allodynia 1/113 (0.9%)
    Areflexia 2/113 (1.8%)
    Burning sensation 1/113 (0.9%)
    Clumsiness 1/113 (0.9%)
    Convulsion 2/113 (1.8%)
    Dizziness 3/113 (2.7%)
    Facial paresis 1/113 (0.9%)
    Formication 1/113 (0.9%)
    Gross motor delay 2/113 (1.8%)
    Headache 14/113 (12.4%)
    Hypoaesthesia 1/113 (0.9%)
    Hyporeflexia 2/113 (1.8%)
    Hypotonia 2/113 (1.8%)
    Lethargy 4/113 (3.5%)
    Motor developmental delay 1/113 (0.9%)
    Motor dysfunction 2/113 (1.8%)
    Muscle contractions involuntary 1/113 (0.9%)
    Nystagmus 1/113 (0.9%)
    Paraesthesia 1/113 (0.9%)
    Paralysis flaccid 1/113 (0.9%)
    Poor quality sleep 1/113 (0.9%)
    Presyncope 1/113 (0.9%)
    Psychomotor hyperactivity 1/113 (0.9%)
    Somnolence 1/113 (0.9%)
    Speech disorder 1/113 (0.9%)
    Tremor 2/113 (1.8%)
    Psychiatric disorders
    Aggression 1/113 (0.9%)
    Agitation 4/113 (3.5%)
    Anxiety 5/113 (4.4%)
    Attention deficit/hyperactivity disorder 2/113 (1.8%)
    Bruxism 1/113 (0.9%)
    Insomnia 3/113 (2.7%)
    Irritability 1/113 (0.9%)
    Mental disorder 1/113 (0.9%)
    Mood swings 1/113 (0.9%)
    Oppositional defiant disorder 1/113 (0.9%)
    Sleep disorder 2/113 (1.8%)
    Renal and urinary disorders
    Dysuria 2/113 (1.8%)
    Haematuria 1/113 (0.9%)
    Incontinence 1/113 (0.9%)
    Nephrolithiasis 1/113 (0.9%)
    Pollakiuria 2/113 (1.8%)
    Proteinuria 1/113 (0.9%)
    Urinary hesitation 1/113 (0.9%)
    Urinary incontinence 4/113 (3.5%)
    Urinary retention 1/113 (0.9%)
    Reproductive system and breast disorders
    Genital discomfort 2/113 (1.8%)
    Vaginal prolapse 1/113 (0.9%)
    Vulvovaginal disorder 1/113 (0.9%)
    Vulvovaginal erythema 2/113 (1.8%)
    Vulvovaginal pruritus 1/113 (0.9%)
    Respiratory, thoracic and mediastinal disorders
    Adenoidal hypertrophy 1/113 (0.9%)
    Aspiration 2/113 (1.8%)
    Atelectasis 5/113 (4.4%)
    Bronchial hyperreactivity 3/113 (2.7%)
    Bronchial secretion retention 3/113 (2.7%)
    Bronchial wall thickening 1/113 (0.9%)
    Bronchomalacia 1/113 (0.9%)
    Bronchospasm 1/113 (0.9%)
    Choking 3/113 (2.7%)
    Cough 36/113 (31.9%)
    Dysphonia 1/113 (0.9%)
    Dyspnoea 6/113 (5.3%)
    Epistaxis 5/113 (4.4%)
    Haemoptysis 3/113 (2.7%)
    Hypercapnia 1/113 (0.9%)
    Hypoventilation 2/113 (1.8%)
    Hypoxia 1/113 (0.9%)
    Increased bronchial secretion 5/113 (4.4%)
    Increased upper airway secretion 7/113 (6.2%)
    Increased viscosity of bronchial secretion 3/113 (2.7%)
    Nasal congestion 16/113 (14.2%)
    Nasal discharge discolouration 1/113 (0.9%)
    Nasal dryness 1/113 (0.9%)
    Oropharyngeal pain 13/113 (11.5%)
    Pleural effusion 1/113 (0.9%)
    Pneumonia aspiration 3/113 (2.7%)
    Productive cough 2/113 (1.8%)
    Pulmonary artery dilatation 1/113 (0.9%)
    Pulmonary congestion 1/113 (0.9%)
    Pulmonary hypertension 1/113 (0.9%)
    Respiratory disorder 1/113 (0.9%)
    Respiratory distress 8/113 (7.1%)
    Respiratory failure 1/113 (0.9%)
    Respiratory muscle weakness 3/113 (2.7%)
    Respiratory tract congestion 7/113 (6.2%)
    Respiratory tract haemorrhage 2/113 (1.8%)
    Rhinitis allergic 2/113 (1.8%)
    Rhinorrhoea 24/113 (21.2%)
    Rhonchi 2/113 (1.8%)
    Sinus congestion 2/113 (1.8%)
    Sleep apnoea syndrome 4/113 (3.5%)
    Sneezing 2/113 (1.8%)
    Snoring 1/113 (0.9%)
    Sputum discoloured 1/113 (0.9%)
    Sputum increased 1/113 (0.9%)
    Tachypnoea 1/113 (0.9%)
    Throat irritation 3/113 (2.7%)
    Throat tightness 1/113 (0.9%)
    Tonsillar hypertrophy 2/113 (1.8%)
    Tracheal ulcer 1/113 (0.9%)
    Upper respiratory tract congestion 8/113 (7.1%)
    Upper-airway cough syndrome 1/113 (0.9%)
    Use of accessory respiratory muscles 1/113 (0.9%)
    Wheezing 5/113 (4.4%)
    Skin and subcutaneous tissue disorders
    Acne 3/113 (2.7%)
    Alopecia 2/113 (1.8%)
    Blister 1/113 (0.9%)
    Cold sweat 1/113 (0.9%)
    Decubitus ulcer 3/113 (2.7%)
    Dermatitis 3/113 (2.7%)
    Dermatitis allergic 1/113 (0.9%)
    Dermatitis contact 2/113 (1.8%)
    Dermatitis diaper 4/113 (3.5%)
    Dry skin 2/113 (1.8%)
    Ecchymosis 1/113 (0.9%)
    Eczema 2/113 (1.8%)
    Erythema 5/113 (4.4%)
    Excessive granulation tissue 4/113 (3.5%)
    Granuloma skin 1/113 (0.9%)
    Hyperhidrosis 1/113 (0.9%)
    Hyperkeratosis 1/113 (0.9%)
    Ingrowing nail 1/113 (0.9%)
    Ingrown hair 1/113 (0.9%)
    Macule 2/113 (1.8%)
    Mechanical urticaria 1/113 (0.9%)
    Papule 1/113 (0.9%)
    Petechiae 1/113 (0.9%)
    Photosensitivity reaction 1/113 (0.9%)
    Pruritus 5/113 (4.4%)
    Pruritus generalised 1/113 (0.9%)
    Rash 31/113 (27.4%)
    Rash erythematous 2/113 (1.8%)
    Rash macular 1/113 (0.9%)
    Rash pruritic 1/113 (0.9%)
    Red man syndrome 1/113 (0.9%)
    Seborrhoeic dermatitis 1/113 (0.9%)
    Skin disorder 2/113 (1.8%)
    Skin exfoliation 2/113 (1.8%)
    Skin hyperpigmentation 1/113 (0.9%)
    Skin irritation 4/113 (3.5%)
    Skin lesion 2/113 (1.8%)
    Skin ulcer 2/113 (1.8%)
    Swelling face 1/113 (0.9%)
    Urticaria 9/113 (8%)
    Surgical and medical procedures
    Central venous catheterisation 1/113 (0.9%)
    Ear tube removal 1/113 (0.9%)
    Gastrostomy tube removal 1/113 (0.9%)
    Vascular disorders
    Aortic dilatation 1/113 (0.9%)
    Flushing 7/113 (6.2%)
    Haematoma 2/113 (1.8%)
    Hypertension 5/113 (4.4%)
    Hypotension 2/113 (1.8%)
    Pallor 1/113 (0.9%)
    Peripheral coldness 1/113 (0.9%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

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

    If no publication has occurred within 12 months of the completion of the study, the Investigator shall have the right to publish/present independently the results of the study. The Investigator shall provide the Sponsor with a copy of any such presentation/publication for comment at least 30 days before any presentation/submission for publication. If requested by the Sponsor, any presentation/submission shall be delayed up to 90 days, to allow the Sponsor to preserve its proprietary rights.

    Results Point of Contact

    Name/Title Trial Transparency Team
    Organization Sanofi
    Phone
    Email Contact-US@sanofi.com
    Responsible Party:
    Genzyme, a Sanofi Company
    ClinicalTrials.gov Identifier:
    NCT01526785
    Other Study ID Numbers:
    • AGLU09411
    • EFC12720
    First Posted:
    Feb 6, 2012
    Last Update Posted:
    Dec 8, 2015
    Last Verified:
    Nov 1, 2015