Alzheimer's Disease
Conditions
Keywords
Alzheimer's Disease, Rosiglitazone
Brief summary
This is an open-label extension to study 49653/461, to assess the long-term safety of rosiglitazone (extended release tablets) in subjects with mild to moderate Alzheimer's Disease.
Interventions
Extended Release Tablets
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female subject who has successfully completed the 12 Month Visit of 49653/461 (12 months of treatment) without tolerability issues, where in the opinion of the subject and of the investigator, it will be beneficial to continue treatment with RSG XR. * Female subjects must be post-menopausal (i.e. \>6 months without menstrual period), surgically sterile, or if of child-bearing potential, using effective contraceptive measures (oral contraceptives, Norplant, Depo-Provera, an intra-uterine device (IUD) a diaphragm with spermicide or a condom with spermicide). Women of childbearing potential must use effective contraceptive measures throughout the study and for 30 days after discontinuing study medication. The subject and their caregiver must ensure that the subject will continuously use contraceptive measures throughout the duration of the study. * Subject is willing to participate in the extension study and has provided full written informed consent prior to the performance of any protocol-specified procedure; or if unable to provide informed consent due to cognitive status, full written informed consent on behalf of the subject has been provided by a legally acceptable representative\[1\].\[1\] Where this is in accordance with local laws, regulations and ethics committee policy. * Caregiver has provided full written informed consent on his or her own behalf prior to the performance of any protocol-specified procedure.
Exclusion criteria
* Subject had a serious adverse experience (SAE) or clinically significant laboratory abnormality during 49653/461, which in the opinion of the investigator could have been attributable to study medication, and which is ongoing at the end of 49653/461. * The subject is felt by the investigator to be unsuitable (on the basis of health, compliance, caregiver availability, or for any other reason) for inclusion in the study based on the entry criteria for the primary study, 49653/461 (exclusive of the age criteria which may not be applicable to some of the subjects). * The subject experienced a significant cardiovascular event during 49653/461 (e.g. intervention, percutaneous coronary intervention, vascular surgery, acute coronary syndrome \[non Q-wave myocardial infarction, Q-wave myocardial infarction, unstable angina\] or significant arrhythmia), unless a thorough cardiovascular evaluation has been performed which confirms that the subject does not have congestive heart failure, and is clinically stable. * Treatment with a cholinesterase inhibitor, selegiline, memantine or any other treatment for cognitive symptoms/AD is initiated at the end of 49653/461.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Adverse Events (AE's) | From start of study medication (Wk 0) to Wk 50 | An AE was defined as any untoward medical occurrence or clinical investigation in a participant, temporally associated with the use of a medicinal product, whether or not, considered related to the medicinal product. For marketed medicinal products, this also included failure to produce expected benefits (i.e. lack of efficacy), abuse or misuse. The number of participants with all AEs, drug related AEs, serious adverse events (SAEs), AE leading to permanent (prm) discontinuation (disc) of study drug or withdrawal were reported. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With SAEs | From start of study medication (Wk 0) to Wk 50 | An SAE, is any untoward medical occurrence, that at any dose may result in death, is life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability or incapacity, is congenital anomaly or birth defect, and medically important events. The number of participants with any SAE, were reported. |
| Number of Participants With AE of Peripheral Edema by Grade | Up to Wk 50 | Participants with AE of peripheral edema were evaluated. The test was performed by firmly pressing the thumb anterior to the participants ankle until further pressure produced no greater indentation. The depth of the pit was estimated and it was graded using below 5 point scale; where estimated depth of indentation corresponded to a particular grade (G). G 0 as depth of \<1 millimeter (mm); G1 as depth of 1-2 mm; G2 as depth of 3-5 mm; G3 as depth of 6-10 mm; and G4 as depth of \> 10 mm. The data for only the participants who had peripheral edema on more than one visit, then their most severe G were presented. |
| Mean Change From Baseline in Vital Signs- Systolic and Diastolic Blood Pressure | Baseline (Wk 0) to Wk 50 | Participants systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured in mm of mercury (mmHg). These were collected after the participant sat quietly for at least five minutes. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. |
| Mean Change From Baseline in Vital Signs-heart Rate (HR) | Baseline (Wk 0) to Wk 50 | The HR for the participant's, were collected after the participant sat quietly for at least five minutes. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. The HR was measured in beats per minute (bpm). |
| Mean Change From Baseline in Mini Mental State Examination (MMSE) Total Score | From baseline to Wk 48 | The MMSE, is a score scale which consists of 11 tests of orientation (to time and place), memory (recent and immediate), concentration, language and praxis. The scoring ranged from 0 to 30, with lower scores indicative of greater cognitive impairment (more severe disease) and higher scores indicative less cognitive impairment (less severe disease). The total score was calculated by summing the scores from each of the tests. The investigator questioned the participants individually with set of questions and scored the participant, based on his performance. The baseline was defined as Wk 0. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. |
| Mean Change From Baseline in Vital Signs- Weight | Baseline (Wk 0) to Wk 50 | The weight for the participant, was measured without wearing shoes and with light clothing. There was no particular RR, reported for weight; however, the increase from baseline was reported to be \>=7 % and the decrease also reported as \>=7 %. The values as of potential clinical concern were 'both' outside of RR, or met a change from baseline criterion. |
| Number of Participants With Clinical Chemistry Parameters of Clinical Concern | Up to Wk 50 | The data for participants for clinical parameters, with values only of potential clinical concern (PCI) were reported for creatine, creatinine kinase(CK), urea and glucose. Creatinine(unit: micromoles per litre) : low concern and high concern values were considered as 22 absolute value (AB) (\<50% lower limit of RR ) and 155 (AB) (\>125% upper limit of RR) respectively. CK (unit: international unit per litre ): low concern value and high concern values was none and 1.25 respectively. Glucose (unit: millimole per litre): low concern and high concern values were considered as 3.6 (AB) and 7.8 (AB) respectively. |
| Number of Participants With Clinical Chemistry Parameters of Clinical Concern-lipids | Up to Wk 50 | Participant data for clinical concern lipid parameters for Total cholesterol, high density lipoprotein, low density lipoprotein, triglycerides was to be collected. However this data was not collected. |
| Number of Participant's With Hematology Parameters of Clinical Concern | Up to Wk 50 | Participant data for clinical concern hematology parameters, were reported for hematocrit (Hct) (unit:1): low concern (LC) and high concern (HC) values as 0.8 and 1.2 respectively, hemoglobin (Hb) (unit: gram per deciliter): LC and HC values as value for female (F) 10 (AB) , value for male (M) 11; and value for F 16.5 (AB), value for M 18 respectively; lymphocytes absolute(LA) (unit: giga cells per litre \[GI/L\]) : LC and HC value as 0.75 and 1.5 respectively; monocytes absolute (MA) (unit: GI/L) LC and HC value as 0.75 and 2 respectively, platelet count (PC) (unit: x103/mm3): LC and HC value as 100 (AB) and 500(AB) respectively, red blood cell count (RBC) (unit: x106 micro litre): LC and HC value as 0.8 and 1.2 respectively, segmented neutrophils absolute (SNA) (unit: GI/L) LC and HC value as 0.75 and 1.3 respectively, total neutrophils absolute (TNA) (unit : GI/L) LC and HC value as 0.75 and 1.5 respectively; White blood cell (WBC) (unit: GI/L) LC and HC value as 3 and 15. |
| Number of Participants With Vital Signs of Clinical Concern. | Up to Wk 50 | The data for number of participants with vital sign data, outside the range of potential clinical concern for SBP, DBP, HR and body weight were reported. The values as of potential clinical concern were 'both' outside of reference range or met a change from baseline criterion. The RR, for SBP was 90-140 mmHg for which the increase from baseline was reported to be \>= 40 mmHg and decrease from baseline reported as \>=30 mmHg; the RR for DBP was 50-90 mmHg for which the increase from baseline was reported to be \>= 30 mmHg and decrease from baseline reported as \>=20 mmHg; and the RR, for HR was 50-100 bpm for which the increase from baseline was reported to be \>= 30 bpm and the decrease from baseline reported as \>=30 bpm. The data of number of participants with \> clinical concern range (CCR) or \< CCR were reported. |
Countries
Canada, United States
Participant flow
Recruitment details
The study was conducted from 20 June 2006 to 03 February 2009, at seven centers in Canada and United States. This was an extension study, with a total of 33 participants with mild to moderate Alzheimer's disease, recruited in the study, who had completed 12-months of treatment in 49653/461 study.
Participants by arm
| Arm | Count |
|---|---|
| RSG XR, 8 mg The study duration was of 50-Wk, which comprised of a 48-Wk open-label treatment phase and a 2-Wk follow-up phase. During the treatment phase (48-Wk) the eligible participants received RSG XR, 4 mg tablets od, orally in the morning for the first 4 Wks, which was followed by 8 mg od, orally in the morning for further 44 Wks of treatment. | 33 |
| Total | 33 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Adverse Event | 3 |
| Overall Study | Disease progression | 1 |
| Overall Study | Lack of Efficacy | 2 |
| Overall Study | Protocol Violation | 1 |
| Overall Study | Withdrawal by Subject | 4 |
| Overall Study | Withdrew by physician | 1 |
Baseline characteristics
| Characteristic | RSG XR, 8 mg |
|---|---|
| Age, Continuous | 71.9 Years STANDARD_DEVIATION 9.75 |
| Race/Ethnicity, Customized African American/African Heritage | 1 participants |
| Race/Ethnicity, Customized Mixed Race | 1 participants |
| Race/Ethnicity, Customized White - White/Caucasian/European Heritage | 31 participants |
| Sex: Female, Male Female | 15 Participants |
| Sex: Female, Male Male | 18 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 33 |
| other Total, other adverse events | 10 / 33 |
| serious Total, serious adverse events | 2 / 33 |
Outcome results
Number of Participants With Adverse Events (AE's)
An AE was defined as any untoward medical occurrence or clinical investigation in a participant, temporally associated with the use of a medicinal product, whether or not, considered related to the medicinal product. For marketed medicinal products, this also included failure to produce expected benefits (i.e. lack of efficacy), abuse or misuse. The number of participants with all AEs, drug related AEs, serious adverse events (SAEs), AE leading to permanent (prm) discontinuation (disc) of study drug or withdrawal were reported.
Time frame: From start of study medication (Wk 0) to Wk 50
Population: All subject population, is defined as all the participants who received at least one dose of study drug.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| RSG XR, 8 mg | Number of Participants With Adverse Events (AE's) | All AEs | 25 participants |
| RSG XR, 8 mg | Number of Participants With Adverse Events (AE's) | SAEs | 2 participants |
| RSG XR, 8 mg | Number of Participants With Adverse Events (AE's) | Drug related AEs | 8 participants |
| RSG XR, 8 mg | Number of Participants With Adverse Events (AE's) | AE leading to prm disc of study drug or withdrawal | 3 participants |
Mean Change From Baseline in Mini Mental State Examination (MMSE) Total Score
The MMSE, is a score scale which consists of 11 tests of orientation (to time and place), memory (recent and immediate), concentration, language and praxis. The scoring ranged from 0 to 30, with lower scores indicative of greater cognitive impairment (more severe disease) and higher scores indicative less cognitive impairment (less severe disease). The total score was calculated by summing the scores from each of the tests. The investigator questioned the participants individually with set of questions and scored the participant, based on his performance. The baseline was defined as Wk 0. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values.
Time frame: From baseline to Wk 48
Population: Intent to treat (ITT). The ITT population consisted of all participants in the safety population who also had at least one post-dose efficacy assessment within this study.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| RSG XR, 8 mg | Mean Change From Baseline in Mini Mental State Examination (MMSE) Total Score | -4.5 score on scale | Standard Deviation 4.07 |
Mean Change From Baseline in Vital Signs-heart Rate (HR)
The HR for the participant's, were collected after the participant sat quietly for at least five minutes. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. The HR was measured in beats per minute (bpm).
Time frame: Baseline (Wk 0) to Wk 50
Population: All subject population. 'n' is participants available at the particular time of assessment which were included in analysis.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs-heart Rate (HR) | HR, Wk 2 | 1.8 bpm | Standard Deviation 5.7 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs-heart Rate (HR) | HR, Wk 4 | 1.2 bpm | Standard Deviation 10.2 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs-heart Rate (HR) | HR, Wk 8 | 1.0 bpm | Standard Deviation 12.72 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs-heart Rate (HR) | HR, Wk 16 | 0.3 bpm | Standard Deviation 12.53 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs-heart Rate (HR) | HR, Wk 24 | 1.5 bpm | Standard Deviation 13.24 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs-heart Rate (HR) | HR, Wk 32 | -0.2 bpm | Standard Deviation 12.34 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs-heart Rate (HR) | HR, Wk 40 | 1.9 bpm | Standard Deviation 15.29 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs-heart Rate (HR) | HR, Wk 48 | 0.1 bpm | Standard Deviation 7.57 |
Mean Change From Baseline in Vital Signs- Systolic and Diastolic Blood Pressure
Participants systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured in mm of mercury (mmHg). These were collected after the participant sat quietly for at least five minutes. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values.
Time frame: Baseline (Wk 0) to Wk 50
Population: All subject population. 'n' is participants available at the particular time of assessment which were included in analysis.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs- Systolic and Diastolic Blood Pressure | SBP, Wk 40 | 1.6 mmHg | Standard Deviation 13.96 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs- Systolic and Diastolic Blood Pressure | DBP, Wk 2 | -1.1 mmHg | Standard Deviation 8.31 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs- Systolic and Diastolic Blood Pressure | SBP, Wk 2 | 1.7 mmHg | Standard Deviation 14.56 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs- Systolic and Diastolic Blood Pressure | DBP, Wk 4 | -1.8 mmHg | Standard Deviation 9.25 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs- Systolic and Diastolic Blood Pressure | SBP, Wk 4 | -1.3 mmHg | Standard Deviation 12.91 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs- Systolic and Diastolic Blood Pressure | DBP, Wk 8 | 0.3 mmHg | Standard Deviation 8.19 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs- Systolic and Diastolic Blood Pressure | SBP, Wk 8 | 3.2 mmHg | Standard Deviation 12.96 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs- Systolic and Diastolic Blood Pressure | DBP, Wk 16 | -2.0 mmHg | Standard Deviation 9.69 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs- Systolic and Diastolic Blood Pressure | SBP, Wk 16 | -1.4 mmHg | Standard Deviation 13.94 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs- Systolic and Diastolic Blood Pressure | DBP, Wk 24 | -2.6 mmHg | Standard Deviation 10.22 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs- Systolic and Diastolic Blood Pressure | SBP, Wk 24 | 3.2 mmHg | Standard Deviation 17.96 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs- Systolic and Diastolic Blood Pressure | DBP, Wk 32 | -0.9 mmHg | Standard Deviation 7.96 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs- Systolic and Diastolic Blood Pressure | SBP, Wk 32 | 4.7 mmHg | Standard Deviation 12.59 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs- Systolic and Diastolic Blood Pressure | DBP, Wk 40 | -2.7 mmHg | Standard Deviation 10.1 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs- Systolic and Diastolic Blood Pressure | DBP, Wk 48 | -3.7 mmHg | Standard Deviation 10.13 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs- Systolic and Diastolic Blood Pressure | SBP, Wk 48 | 1.0 mmHg | Standard Deviation 13.72 |
Mean Change From Baseline in Vital Signs- Weight
The weight for the participant, was measured without wearing shoes and with light clothing. There was no particular RR, reported for weight; however, the increase from baseline was reported to be \>=7 % and the decrease also reported as \>=7 %. The values as of potential clinical concern were 'both' outside of RR, or met a change from baseline criterion.
Time frame: Baseline (Wk 0) to Wk 50
Population: All subject population. 'n' is participants available at the particular time of assessment which were included in analysis.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs- Weight | Weight, Wk 2 | -0.4 kilograms | Standard Deviation 1.42 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs- Weight | Weight, Wk 4 | -0.0 kilograms | Standard Deviation 1.93 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs- Weight | Weight, Wk 8 | 0.3 kilograms | Standard Deviation 2.12 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs- Weight | Weight, Wk 16 | 0.2 kilograms | Standard Deviation 3.18 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs- Weight | Weight, Wk 24 | 0.3 kilograms | Standard Deviation 3.21 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs- Weight | Weight, Wk 32 | 0.3 kilograms | Standard Deviation 3.97 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs- Weight | Weight, Wk 40 | 0.4 kilograms | Standard Deviation 3.25 |
| RSG XR, 8 mg | Mean Change From Baseline in Vital Signs- Weight | Weight, Wk 48 | 0.0 kilograms | Standard Deviation 2.91 |
Number of Participants With AE of Peripheral Edema by Grade
Participants with AE of peripheral edema were evaluated. The test was performed by firmly pressing the thumb anterior to the participants ankle until further pressure produced no greater indentation. The depth of the pit was estimated and it was graded using below 5 point scale; where estimated depth of indentation corresponded to a particular grade (G). G 0 as depth of \<1 millimeter (mm); G1 as depth of 1-2 mm; G2 as depth of 3-5 mm; G3 as depth of 6-10 mm; and G4 as depth of \> 10 mm. The data for only the participants who had peripheral edema on more than one visit, then their most severe G were presented.
Time frame: Up to Wk 50
Population: All subject population
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| RSG XR, 8 mg | Number of Participants With AE of Peripheral Edema by Grade | Participants with G0 peripheral edema | 28 participants |
| RSG XR, 8 mg | Number of Participants With AE of Peripheral Edema by Grade | Participants with G1 peripheral edema | 3 participants |
| RSG XR, 8 mg | Number of Participants With AE of Peripheral Edema by Grade | Participants with G2 peripheral edema | 2 participants |
Number of Participants With Clinical Chemistry Parameters of Clinical Concern
The data for participants for clinical parameters, with values only of potential clinical concern (PCI) were reported for creatine, creatinine kinase(CK), urea and glucose. Creatinine(unit: micromoles per litre) : low concern and high concern values were considered as 22 absolute value (AB) (\<50% lower limit of RR ) and 155 (AB) (\>125% upper limit of RR) respectively. CK (unit: international unit per litre ): low concern value and high concern values was none and 1.25 respectively. Glucose (unit: millimole per litre): low concern and high concern values were considered as 3.6 (AB) and 7.8 (AB) respectively.
Time frame: Up to Wk 50
Population: All subjects population. 'n' is participants available at the particular time of assessment which were included in analysis.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | CK, Wk 8, normal | 0 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | CK, Wk 8, high | 1 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | CK, Wk 16, normal | 0 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | CK, Wk 16, high | 1 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | CK, Wk 24, normal | 0 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | CK, Wk 24, high | 1 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | CK, Wk 32, normal | 0 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | CK, Wk 32, high | 1 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | CK, Wk 40, normal | 0 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | CK, Wk 40, high | 2 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | Creatinine, Wk 8, normal | 0 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | Creatinine, Wk 8, high | 1 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | Creatinine, Wk 8, low | 0 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | Creatinine, Wk 16, normal | 0 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | Creatinine, Wk 16, high | 2 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | Creatinine, Wk 16, low | 0 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | Creatinine, Wk 24, normal | 0 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | Creatinine,Wk 24, high | 1 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | Creatinine, Wk 24, low | 0 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | Creatinine, Wk 32, normal | 0 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | Creatinine,Wk 32, high | 1 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | Creatinine, Wk 32, low | 0 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | Glucose, Wk 0, normal | 0 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | Glucose, Wk 0, high | 1 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | Glucose, Wk 0, low | 0 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | Urea, Wk 0, normal | 0 participants |
| RSG XR, 8 mg | Number of Participants With Clinical Chemistry Parameters of Clinical Concern | Urea, Wk 0, high | 1 participants |
Number of Participants With Clinical Chemistry Parameters of Clinical Concern-lipids
Participant data for clinical concern lipid parameters for Total cholesterol, high density lipoprotein, low density lipoprotein, triglycerides was to be collected. However this data was not collected.
Time frame: Up to Wk 50
Population: All subject population. The data for 'The number of participants with clinical chemistry parameters of clinical concern- Lipids' was not collected.
Number of Participant's With Hematology Parameters of Clinical Concern
Participant data for clinical concern hematology parameters, were reported for hematocrit (Hct) (unit:1): low concern (LC) and high concern (HC) values as 0.8 and 1.2 respectively, hemoglobin (Hb) (unit: gram per deciliter): LC and HC values as value for female (F) 10 (AB) , value for male (M) 11; and value for F 16.5 (AB), value for M 18 respectively; lymphocytes absolute(LA) (unit: giga cells per litre \[GI/L\]) : LC and HC value as 0.75 and 1.5 respectively; monocytes absolute (MA) (unit: GI/L) LC and HC value as 0.75 and 2 respectively, platelet count (PC) (unit: x103/mm3): LC and HC value as 100 (AB) and 500(AB) respectively, red blood cell count (RBC) (unit: x106 micro litre): LC and HC value as 0.8 and 1.2 respectively, segmented neutrophils absolute (SNA) (unit: GI/L) LC and HC value as 0.75 and 1.3 respectively, total neutrophils absolute (TNA) (unit : GI/L) LC and HC value as 0.75 and 1.5 respectively; White blood cell (WBC) (unit: GI/L) LC and HC value as 3 and 15.
Time frame: Up to Wk 50
Population: All subjects population. 'n' is participants available at the particular time of assessment which were included in analysis.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | Hct, Wk 32, normal | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | Hct, Wk 32, high | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | Hct, Wk 32, low | 1 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | Hb, Wk 8, normal | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | Hb, Wk 8, high | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | Hb, Wk 8, low | 1 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | Hb, Wk 24, normal | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | Hb, Wk 24, high | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | Hb, Wk 24, low | 1 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | Hb, Wk 32, normal | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | Hb, Wk 32, high | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | Hb, Wk 32, low | 1 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | Hb, Wk 40, normal | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | Hb, Wk 40, high | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | Hb, Wk 40, low | 1 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | Hb,Wk 48, normal | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | Hb, Wk 48, high | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | Hb,Wk 48, low | 1 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | LA, Wk 8, normal | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | LA, Wk 8, high | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | LA, Wk 8, low | 1 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | LA, Wk 24, normal | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | LA, Wk 24, high | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | LA, Wk 24, low | 1 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | MA, Wk 0, normal, | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | MA, Wk 0, high | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | MA, Wk 0, low | 1 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | MA, Wk 24, normal | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | MA, Wk 24, high | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | MA, Wk 24, low | 2 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | MA, Wk 40, normal | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | MA, Wk 40, high | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | MA, Wk 40, low | 2 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | PC, Wk 8, normal | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | PC, Wk 8, high | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | PC, Wk 8, low | 2 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | PC, Wk 32, normal | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | PC, Wk 32, high | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | PC, Wk 32, low | 1 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | PC, Wk 40, normal | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | PC, Wk 40, high | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | PC, Wk 40, low | 1 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | PC, Wk 48, normal | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | PC, Wk 48, high | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | PC, Wk 48, low | 1 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | RBC, Wk 32, normal | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | RBC, Wk 32, high | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | RBC, Wk 32, low | 1 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | SNP, Wk 8, normal | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | SNP, Wk 8, high | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | SNP, Wk 8, low | 1 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | SNP, Wk 24, normal | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | SNP, Wk 24, high | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | SNP, Wk 24, low | 1 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | TNA, Wk 8, normal | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | TNA, Wk 8, high | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | TNA, Wk 8, low | 1 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | TNA, Wk 24, normal | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | TNA, Wk 24, high | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | TNA, Wk 24, low | 1 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | WBC, Wk 8, normal | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | WBC, Wk 8, high | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | WBC, Wk 8, low | 2 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | WBC, Wk 16, normal | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | WBC, Wk 16, high | 0 participant |
| RSG XR, 8 mg | Number of Participant's With Hematology Parameters of Clinical Concern | WBC, Wk 16, low | 2 participant |
Number of Participants With SAEs
An SAE, is any untoward medical occurrence, that at any dose may result in death, is life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability or incapacity, is congenital anomaly or birth defect, and medically important events. The number of participants with any SAE, were reported.
Time frame: From start of study medication (Wk 0) to Wk 50
Population: All subject population
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| RSG XR, 8 mg | Number of Participants With SAEs | 2 participants |
Number of Participants With Vital Signs of Clinical Concern.
The data for number of participants with vital sign data, outside the range of potential clinical concern for SBP, DBP, HR and body weight were reported. The values as of potential clinical concern were 'both' outside of reference range or met a change from baseline criterion. The RR, for SBP was 90-140 mmHg for which the increase from baseline was reported to be \>= 40 mmHg and decrease from baseline reported as \>=30 mmHg; the RR for DBP was 50-90 mmHg for which the increase from baseline was reported to be \>= 30 mmHg and decrease from baseline reported as \>=20 mmHg; and the RR, for HR was 50-100 bpm for which the increase from baseline was reported to be \>= 30 bpm and the decrease from baseline reported as \>=30 bpm. The data of number of participants with \> clinical concern range (CCR) or \< CCR were reported.
Time frame: Up to Wk 50
Population: All subject population. 'n' is participants available at the particular time of assessment which were included in analysis.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| RSG XR, 8 mg | Number of Participants With Vital Signs of Clinical Concern. | DBP <CCR, Wk 48 | 1 participants |
| RSG XR, 8 mg | Number of Participants With Vital Signs of Clinical Concern. | DBP >CCR, Wk 0 | 1 participants |
| RSG XR, 8 mg | Number of Participants With Vital Signs of Clinical Concern. | DBP <CCR, Wk 4 | 1 participants |
| RSG XR, 8 mg | Number of Participants With Vital Signs of Clinical Concern. | DBP >CCR, Wk 24 | 1 participants |
| RSG XR, 8 mg | Number of Participants With Vital Signs of Clinical Concern. | SBP >CCR, Wk 0 | 4 participants |
| RSG XR, 8 mg | Number of Participants With Vital Signs of Clinical Concern. | SBP <CCR, Wk 0 | 1 participants |
| RSG XR, 8 mg | Number of Participants With Vital Signs of Clinical Concern. | SBP >CCR, Wk 2 | 5 participants |
| RSG XR, 8 mg | Number of Participants With Vital Signs of Clinical Concern. | SBP >CCR, Wk 4 | 4 participants |
| RSG XR, 8 mg | Number of Participants With Vital Signs of Clinical Concern. | SBP <CCR, Wk 4 | 1 participants |
| RSG XR, 8 mg | Number of Participants With Vital Signs of Clinical Concern. | SBP >CCR, Wk 8 | 5 participants |
| RSG XR, 8 mg | Number of Participants With Vital Signs of Clinical Concern. | SBP >CCR, Wk 16 | 1 participants |
| RSG XR, 8 mg | Number of Participants With Vital Signs of Clinical Concern. | SBP >CCR, Wk 24 | 3 participants |
| RSG XR, 8 mg | Number of Participants With Vital Signs of Clinical Concern. | SBP >CCR, Wk 32 | 5 participants |
| RSG XR, 8 mg | Number of Participants With Vital Signs of Clinical Concern. | SBP >CCR, Wk 40 | 7 participants |
| RSG XR, 8 mg | Number of Participants With Vital Signs of Clinical Concern. | SBP >CCR, Wk 48 | 1 participants |
| RSG XR, 8 mg | Number of Participants With Vital Signs of Clinical Concern. | HR >CCR, Wk 0 | 1 participants |
| RSG XR, 8 mg | Number of Participants With Vital Signs of Clinical Concern. | HR <CCR, Wk 4 | 1 participants |
| RSG XR, 8 mg | Number of Participants With Vital Signs of Clinical Concern. | HR <CCR, Wk 8 | 1 participants |
| RSG XR, 8 mg | Number of Participants With Vital Signs of Clinical Concern. | HR <CCR, Wk 16 | 1 participants |
| RSG XR, 8 mg | Number of Participants With Vital Signs of Clinical Concern. | HR >CCR, Wk 40 | 1 participants |
| RSG XR, 8 mg | Number of Participants With Vital Signs of Clinical Concern. | HR <CCR, Wk 40 | 1 participants |