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A Study of Administration of Peginterferon Alfa-2a [Pegasys] by Autoinjector Versus Pre-filled Syringe in Patients With Chronic Hepatitis C

Tolerability and User Handling Study of an Autoinjector to Administer 180 µg/0.5 mL Peginterferon Alfa-2a (Pegasys, PEG-IFN)

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01087944
Enrollment
60
Registered
2010-03-16
Start date
2010-03-31
Completion date
2010-06-30
Last updated
2016-02-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hepatitis C, Chronic

Brief summary

This randomized, cross-over, open label study will compare the tolerability and handling of application of peginterferon alfa-2a \[Pegasys\] by autoinjector versus pre-filled syringe in patients with chronic hepatitis C, either on treatment with peginterferon alfa-2a for at least 12 weeks or treatment-naïve for peginterferon alfa-2a. Patients will be randomized to self-injection of 180mcg peginterferon alfa-2a once a week using either an autoinjector or a prefilled syringe for 3 weeks, then switch to use the other method of injection for another 3 weeks. Anticipated time on study treatment is 6 weeks. Target sample size is \<100 patients.

Interventions

Participants received Peginterferon alfa-2a 180 microgram subcutaneously once a week by autoinjector for 3 weeks.

Participants received Peginterferon alfa-2a 180 microgram subcutaneously once a week by pre-filled syringe for 3 weeks.

Sponsors

Hoffmann-La Roche
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* adult patients, \>/=18 years of age * chronic hepatitis C * on treatment with peginterferon alfa-2a for \>/= 12 weeks at baseline, or treatment-naïve for peginterferon alfa-2a

Exclusion criteria

* history or evidence of decompensated liver disease * autoimmune hepatitis * hypersensitivity to peginterferon alfa-2a or any of its components * concomitant treatment that requires administration by self-injection, or prior use of an autoinjector

Design outcomes

Primary

MeasureTime frameDescription
Feasibility of Peginterferon Alfa-2a Administration by AutoinjectorWeek 1, Day 1 (Baseline), Week 2 (Day 8 ± 2 days), Week 3 (Day 15 ± 2 days), Week 4 (Day 22 ± 2 days), Week 5 (Day 29 ± 2 days), Week 6 (Day 36 ± 2 days)The feasibility of PEG-INF administration by AI was assessed by Injection Method Observational Survey questions, based on following pre-defined questions using a Yes or No response: 1) Did the participant exhibit any nervousness prior to the injection? 2) Did the participant exhibit any difficulty initiating the injection? 3) Did the participant appear confident performing the injection? 4) Did the participant follow the instructions for performing the injection without the need for additional instructions or guidance? 5) Did the participant experience any technical problems with the device or syringe during the injection? 6) Did the participant withdraw the device/syringe before the injection was complete? 7) Did the participant exhibit any visible pain or physical discomfort? 8) Did the participant appear to be satisfied using the device or syringe? 9) Did the participant exhibit any frustration using the syringe or device?

Secondary

MeasureTime frameDescription
Number of Participants With Marked Laboratory Abnormalities in HematocritWeek 1, Day 1 (Baseline), Week 4 (Day 22 ± 2 days), and Week 6 (Day 36 ± 2 days)A marked abnormality was defined as a test result which was outside of the marked abnormality range, and which represented a clinically relevant change from baseline of at least the designated amount. The marked reference range for hematocrit was 0.31-0.56 fraction. The clinical relevant change (decrease/ increase) for hematocrit was (15%, 15%).
Number of Participants With Marked Laboratory Abnormalities in Platelet, White Blood Cell (WBC), Basophil, Eosinophil, Lymphocyte, Monocyte and NeutrophilWeek 1, Day 1 (Baseline), Week 4 (Day 22 ± 2 days), and Week 6 (Day 36 ± 2 days)A marked abnormality was defined as a test result which was outside of the marked abnormality range, and which represented a clinically relevant change from baseline of at least the designated amount. The marked reference range for Platelets was 100-550 (10\*9/L), for WBC was 3.0-18.0 (10\*9/L), for Basophils was 0.00-0.40 (10\*9/L), for Eosinophil was 0.00-0.90 (10\*9/L), for Lymphocytes was 0.70-7.60 (10\*9/L), Monocyte was 0.00-1.70 (10\*9/L), and Neutrophil 1.50-9.25 (10\*9/L). The clinical relevant change (decrease/increase) for platelet was (30%, 50%), WBC was (30%, 30%), Basophil was (n.d, 100%), Eosinophil was (n.d, 100%), Lymphocyte was (30%, 30%), Monocyte was (n.d, 100%) and Neutrophil was (20%, 20%) respectively.
Number of Participants With Marked Laboratory Abnormalities in Right Blood Cell (RBC)Week 1, Day 1 (Baseline), Week 4 (Day 22 ± 2 days), and Week 6 (Day 36 ± 2 days)A marked abnormality was defined as a test result which was outside of the marked abnormality range, and which represented a clinically relevant change from baseline of at least the designated amount. The marked reference range for RBC was 3.80-6.10 (10\*12/L). The clinical relevant change (decrease/ increase) for RBC was (15%, 15%).
Number of Participants With Marked Laboratory Abnormalities in Prothrombin Time (PT) International Normalized Ratio (INR)Week 1, Day 1 (Baseline), Week 4 (Day 22 ± 2 days), and Week 6 (Day 36 ± 2 days)A marked abnormality was defined as a test result which was outside of the marked abnormality range, and which represented a clinically relevant change from baseline of at least the designated amount. The marked reference range for PT-INR was n.d.-2.00. The clinical relevant change (decrease/ increase) for PT-INR was (n.d, 30%).
Number of Participants With Marked Laboratory Abnormalities in Serum Glutamic Oxaloacetic Transaminase (SGOT), Serum Glutamic-Pyruvic Transaminase (SGPT), and Alkaline PhosphataseWeek 1, Day 1 (Baseline), Week 4 (Day 22 ± 2 days), and Week 6 (Day 36 ± 2 days)A marked abnormality was defined as a test result which was outside of the marked abnormality range, and which represented a clinically relevant change from baseline of at least the designated amount. The marked reference range for SGOT was 0-80 (Units Per Litre \[U/L\]), SGPT was 0-110 U/L, and alkaline phosphatase was 0-220 U/L. The clinical relevant change (decrease/ increase) for SGOT was (n.d, 50%), SGPT was (n.d, 50%), and ALP was (n.d, 50%) respectively.
Number of Participants With Marked Laboratory Abnormalities in Hemoglobin, Albumin and Total ProteinWeek 1, Day 1 (Baseline), Week 4 (Day 22 ± 2 days), and Week 6 (Day 36 ± 2 days)A marked abnormality was defined as a test result which was outside of the marked abnormality range, and which represented a clinically relevant change from baseline of at least the designated amount. The marked reference range for hemoglobin was 110-200 (gram per liter \[g/L\]), albumin was 30.0-n.d g/L, and total protein was 55-87 g/L. The clinical relevant change (decrease/ increase) for hemoglobin was (15%, 15%), albumin was (20%, n.d) and total protein was (20%, 20%) respectively.
Number of Participants With Marked Laboratory Abnormalities in CreatinineWeek 1, Day 1 (Baseline), Week 4 (Day 22 ± 2 days), and Week 6 (Day 36 ± 2 days)A marked abnormality was defined as a test result which was outside of the marked abnormality range, and which represented a clinically relevant change from baseline of at least the designated amount. The marked reference range for Creatinine was 0- 154 (micromoles/liter \[umol/L\]). The clinical relevant change (decrease/ increase) for Creatinine was (n.d, 50%).
Number of Participants With Abnormalities in Pulse Rate, Temperature, and Blood PressureWeek 1, Day 1 (Baseline), Week 2 (Day 8 ± 2 days), Week 3 (Day 15 ± 2 days), Week 4 (Day 22 ± 2 days), Week 5 (Day 29 ± 2 days), Week 6 (Day 36 ± 2 days)The pulse rate, temperature and blood pressure was assessed during a physical examination. Pulse rate was assessed in beats per minute (bpm), temperature was assessed in degree Celsius (°С), and blood pressure was assessed in millimeters of mercury (mmHg). Vital signs were taken while the participant was supine.
Number of Participants With Abnormalities in ElectrocardiogramsWeek 1, Day 1 (Baseline), Week 4 (Day 22 ± 2 days), and Week 6 (Day 36 ± 2 days)A 12-lead ECG was recorded after the participant had been in a semi-supine position for at least 10 minutes. Any clinically significant abnormalities noted on an ECG after the first dose of study drug were captured as AEs
Number of Participants With Adverse Events (AE)Upto Day 36An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Number of Participants With Marked Laboratory Abnormalities in Blood Urea Nitrogen (BUN), Chloride, Potassium, Sodium, Calcium, GlucoseWeek 1, Day 1 (Baseline), Week 4 (Day 22 ± 2 days), and Week 6 (Day 36 ± 2 days)A marked abnormality was defined as a test result which was outside of the marked abnormality range, and which represented a clinically relevant change from baseline of at least the designated amount. The marked reference range for BUN was 0.0-14.3 (millimoles per Liter \[mmol/L\]), Chloride was 95-115 (mmol/L), Potassium was 2.9-5.8 (mmol/L), Sodium was 130-150 (mmol/L), Calcium was 2.00-2.90 (mmol/L), and Glucose was 2.80-11.10 (mmol/L). The clinical relevant change (decrease/ increase) for BUN was (n.d, 50%), Chloride was (7%, 7%), Potassium was (20%, 20%), Sodium was (7%, 7%), Calcium was (10%, 10%), and Glucose was (75%, 75%) respectively.

Countries

United States

Participant flow

Recruitment details

A total of 60 participant's data were included from USA (10 centers). The inclusion period was between 11th March 2010 and 28th May 2010.

Pre-assignment details

This was a two-arm, randomized, crossover study in adult participants with hepatitis C infection. Participants were randomly assigned to one of two groups, in which they received injections by either pre-filled syringe (PFS) or autoinjector (AI) for the first 3 weeks and then switched to the other injection method for an additional 3 weeks.

Participants by arm

ArmCount
Overall
Participants received PEG-IFN alfa-2a 180 mcg SC once a week either AI or PFS for the first 3 weeks and then switched to the other method of injection for an additional 3 weeks. Participants also received ribavirin according to standard of care per the investigator's judgment.
60
Total60

Withdrawals & dropouts

PeriodReasonFG000FG001
Period 1 (Week 1-3)Adverse Event10
Period 2 (Week 4-6)Adverse Event02

Baseline characteristics

CharacteristicOverall
Age, Continuous49.5 Years
STANDARD_DEVIATION 10.6
Sex: Female, Male
Female
29 Participants
Sex: Female, Male
Male
31 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
21 / 6032 / 59
serious
Total, serious adverse events
2 / 600 / 59

Outcome results

Primary

Feasibility of Peginterferon Alfa-2a Administration by Autoinjector

The feasibility of PEG-INF administration by AI was assessed by Injection Method Observational Survey questions, based on following pre-defined questions using a Yes or No response: 1) Did the participant exhibit any nervousness prior to the injection? 2) Did the participant exhibit any difficulty initiating the injection? 3) Did the participant appear confident performing the injection? 4) Did the participant follow the instructions for performing the injection without the need for additional instructions or guidance? 5) Did the participant experience any technical problems with the device or syringe during the injection? 6) Did the participant withdraw the device/syringe before the injection was complete? 7) Did the participant exhibit any visible pain or physical discomfort? 8) Did the participant appear to be satisfied using the device or syringe? 9) Did the participant exhibit any frustration using the syringe or device?

Time frame: Week 1, Day 1 (Baseline), Week 2 (Day 8 ± 2 days), Week 3 (Day 15 ± 2 days), Week 4 (Day 22 ± 2 days), Week 5 (Day 29 ± 2 days), Week 6 (Day 36 ± 2 days)

Population: The intent-to-treat (ITT) population included all participants who received at least one injection

ArmMeasureGroupValue (NUMBER)
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Nervousness, No56 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Technical problems, No53 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Confidence, Yes58 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Technical problems, Yes3 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Nervousness, Yes0 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Technical problems, No54 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Confidence, No2 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Withdrawal before completion, Yes4 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Difficulty initiating, Yes7 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Withdrawal before completion, No56 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Confidence, Yes58 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Withdrawal before completion, Yes1 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Withdrawal before completion, No57 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Technical problems, No53 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Withdrawal before completion, Yes0 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Confidence, No0 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Withdrawal before completion, No57 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Difficulty initiating, No53 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Pain/Discomfort, Yes0 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Confidence, Yes57 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Pain/Discomfort, No60 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Nervousness, No58 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Pain/Discomfort, Yes0 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Confidence, No0 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Pain/Discomfort, No58 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Difficulty initiating, Yes0 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Pain/Discomfort, Yes0 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Following instruction, Yes58 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Pain/Discomfort, No57 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Nervousness, No49 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Satisfaction, Yes60 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Following instruction, No2 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Satisfaction, No0 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Difficulty initiating, No58 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Satisfaction, Yes58 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Following instruction, Yes53 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Satisfaction, No0 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Nervousness, Yes1 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Satisfaction, Yes57 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Following instruction, No5 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Satisfaction, No0 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Difficulty initiating, Yes0 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Frustration, Yes1 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Following instruction, Yes55 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Frustration, No59 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Nervousness, Yes11 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Frustration, Yes0 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Following instruction, No2 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Frustration, No58 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Difficulty initiating, No57 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Frustration, Yes0 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Technical problems, Yes7 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Frustration, No57 participants
AutoinjectorFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Technical problems, Yes5 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Frustration, No57 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Withdrawal before completion, Yes0 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Technical problems, Yes2 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Technical problems, No57 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Nervousness, Yes14 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Nervousness, No45 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Nervousness, Yes3 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Nervousness, No56 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Nervousness, Yes2 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Nervousness, No57 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Difficulty initiating, Yes10 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Difficulty initiating, No49 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Difficulty initiating, Yes2 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Difficulty initiating, No57 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Difficulty initiating, Yes2 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Difficulty initiating, No57 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Confidence, Yes46 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Confidence, No13 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Confidence, Yes57 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Confidence, No2 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Confidence, Yes58 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Confidence, No1 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Following instruction, Yes54 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Following instruction, No5 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Following instruction, Yes53 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Following instruction, No6 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Following instruction, Yes56 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Following instruction, No3 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Technical problems, Yes1 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Technical problems, No58 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Technical problems, Yes3 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Technical problems, No56 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Withdrawal before completion, Yes0 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Withdrawal before completion, No59 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Withdrawal before completion, No59 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Withdrawal before completion, Yes1 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Withdrawal before completion, No58 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Pain/Discomfort, Yes2 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Pain/Discomfort, No57 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Pain/Discomfort, Yes1 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Pain/Discomfort, No58 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Pain/Discomfort, Yes2 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Pain/Discomfort, No57 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Satisfaction, Yes51 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Satisfaction, No8 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Satisfaction, Yes55 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Satisfaction, No4 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Satisfaction, Yes56 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Satisfaction, No3 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Frustration, Yes2 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 1, Frustration, No57 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Frustration, Yes2 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 2, Frustration, No57 participants
Pre-filled SyringeFeasibility of Peginterferon Alfa-2a Administration by AutoinjectorInjection 3, Frustration, Yes2 participants
Secondary

Number of Participants With Abnormalities in Electrocardiograms

A 12-lead ECG was recorded after the participant had been in a semi-supine position for at least 10 minutes. Any clinically significant abnormalities noted on an ECG after the first dose of study drug were captured as AEs

Time frame: Week 1, Day 1 (Baseline), Week 4 (Day 22 ± 2 days), and Week 6 (Day 36 ± 2 days)

Population: The ITT population included all participants who received at least one injection

ArmMeasureValue (NUMBER)
AutoinjectorNumber of Participants With Abnormalities in Electrocardiograms2 participants
Pre-filled SyringeNumber of Participants With Abnormalities in Electrocardiograms2 participants
Secondary

Number of Participants With Abnormalities in Pulse Rate, Temperature, and Blood Pressure

The pulse rate, temperature and blood pressure was assessed during a physical examination. Pulse rate was assessed in beats per minute (bpm), temperature was assessed in degree Celsius (°С), and blood pressure was assessed in millimeters of mercury (mmHg). Vital signs were taken while the participant was supine.

Time frame: Week 1, Day 1 (Baseline), Week 2 (Day 8 ± 2 days), Week 3 (Day 15 ± 2 days), Week 4 (Day 22 ± 2 days), Week 5 (Day 29 ± 2 days), Week 6 (Day 36 ± 2 days)

Population: The ITT population included all participants who received at least one injection

ArmMeasureGroupValue (NUMBER)
AutoinjectorNumber of Participants With Abnormalities in Pulse Rate, Temperature, and Blood PressureHigh Pulse Rate3 participants
AutoinjectorNumber of Participants With Abnormalities in Pulse Rate, Temperature, and Blood PressureLow Pulse Rate0 participants
AutoinjectorNumber of Participants With Abnormalities in Pulse Rate, Temperature, and Blood PressureHigh Systolic Blood Pressure7 participants
AutoinjectorNumber of Participants With Abnormalities in Pulse Rate, Temperature, and Blood PressureLow Systolic Blood Pressure0 participants
AutoinjectorNumber of Participants With Abnormalities in Pulse Rate, Temperature, and Blood PressureHigh Diastolic Blood Pressure9 participants
AutoinjectorNumber of Participants With Abnormalities in Pulse Rate, Temperature, and Blood PressureLow Diastolic Blood Pressure0 participants
AutoinjectorNumber of Participants With Abnormalities in Pulse Rate, Temperature, and Blood PressureHigh Temperature0 participants
AutoinjectorNumber of Participants With Abnormalities in Pulse Rate, Temperature, and Blood PressureLow Temperature0 participants
Pre-filled SyringeNumber of Participants With Abnormalities in Pulse Rate, Temperature, and Blood PressureLow Temperature0 participants
Pre-filled SyringeNumber of Participants With Abnormalities in Pulse Rate, Temperature, and Blood PressureHigh Pulse Rate4 participants
Pre-filled SyringeNumber of Participants With Abnormalities in Pulse Rate, Temperature, and Blood PressureHigh Diastolic Blood Pressure5 participants
Pre-filled SyringeNumber of Participants With Abnormalities in Pulse Rate, Temperature, and Blood PressureLow Pulse Rate0 participants
Pre-filled SyringeNumber of Participants With Abnormalities in Pulse Rate, Temperature, and Blood PressureHigh Temperature0 participants
Pre-filled SyringeNumber of Participants With Abnormalities in Pulse Rate, Temperature, and Blood PressureHigh Systolic Blood Pressure10 participants
Pre-filled SyringeNumber of Participants With Abnormalities in Pulse Rate, Temperature, and Blood PressureLow Diastolic Blood Pressure0 participants
Pre-filled SyringeNumber of Participants With Abnormalities in Pulse Rate, Temperature, and Blood PressureLow Systolic Blood Pressure0 participants
Secondary

Number of Participants With Adverse Events (AE)

An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

Time frame: Upto Day 36

Population: The ITT population included all participants who received at least one injection

ArmMeasureValue (NUMBER)
AutoinjectorNumber of Participants With Adverse Events (AE)34 participants
Pre-filled SyringeNumber of Participants With Adverse Events (AE)38 participants
Secondary

Number of Participants With Marked Laboratory Abnormalities in Blood Urea Nitrogen (BUN), Chloride, Potassium, Sodium, Calcium, Glucose

A marked abnormality was defined as a test result which was outside of the marked abnormality range, and which represented a clinically relevant change from baseline of at least the designated amount. The marked reference range for BUN was 0.0-14.3 (millimoles per Liter \[mmol/L\]), Chloride was 95-115 (mmol/L), Potassium was 2.9-5.8 (mmol/L), Sodium was 130-150 (mmol/L), Calcium was 2.00-2.90 (mmol/L), and Glucose was 2.80-11.10 (mmol/L). The clinical relevant change (decrease/ increase) for BUN was (n.d, 50%), Chloride was (7%, 7%), Potassium was (20%, 20%), Sodium was (7%, 7%), Calcium was (10%, 10%), and Glucose was (75%, 75%) respectively.

Time frame: Week 1, Day 1 (Baseline), Week 4 (Day 22 ± 2 days), and Week 6 (Day 36 ± 2 days)

Population: The ITT population included all participants who received at least one injection

ArmMeasureGroupValue (NUMBER)
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Blood Urea Nitrogen (BUN), Chloride, Potassium, Sodium, Calcium, GlucoseHigh Potassium (n=58, 58)0 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Blood Urea Nitrogen (BUN), Chloride, Potassium, Sodium, Calcium, GlucoseLow Sodium (n=58, 58)0 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Blood Urea Nitrogen (BUN), Chloride, Potassium, Sodium, Calcium, GlucoseLow Chloride (n=58, 58)0 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Blood Urea Nitrogen (BUN), Chloride, Potassium, Sodium, Calcium, GlucoseHigh Calcium (n=58, 58)0 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Blood Urea Nitrogen (BUN), Chloride, Potassium, Sodium, Calcium, GlucoseLow Potassium (n=58, 58)0 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Blood Urea Nitrogen (BUN), Chloride, Potassium, Sodium, Calcium, GlucoseLow Calcium (n=58, 58)2 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Blood Urea Nitrogen (BUN), Chloride, Potassium, Sodium, Calcium, GlucoseHigh Chloride (n=58, 58)0 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Blood Urea Nitrogen (BUN), Chloride, Potassium, Sodium, Calcium, GlucoseHigh Glucose (n=58, 58)0 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Blood Urea Nitrogen (BUN), Chloride, Potassium, Sodium, Calcium, GlucoseHigh Sodium (n=58, 58)0 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Blood Urea Nitrogen (BUN), Chloride, Potassium, Sodium, Calcium, GlucoseLow Glucose (n=58, 58)0 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Blood Urea Nitrogen (BUN), Chloride, Potassium, Sodium, Calcium, GlucoseHigh BUN (n=57, 57)0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Blood Urea Nitrogen (BUN), Chloride, Potassium, Sodium, Calcium, GlucoseLow Glucose (n=58, 58)0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Blood Urea Nitrogen (BUN), Chloride, Potassium, Sodium, Calcium, GlucoseHigh BUN (n=57, 57)0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Blood Urea Nitrogen (BUN), Chloride, Potassium, Sodium, Calcium, GlucoseHigh Chloride (n=58, 58)0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Blood Urea Nitrogen (BUN), Chloride, Potassium, Sodium, Calcium, GlucoseLow Chloride (n=58, 58)0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Blood Urea Nitrogen (BUN), Chloride, Potassium, Sodium, Calcium, GlucoseHigh Potassium (n=58, 58)0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Blood Urea Nitrogen (BUN), Chloride, Potassium, Sodium, Calcium, GlucoseLow Potassium (n=58, 58)0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Blood Urea Nitrogen (BUN), Chloride, Potassium, Sodium, Calcium, GlucoseHigh Sodium (n=58, 58)0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Blood Urea Nitrogen (BUN), Chloride, Potassium, Sodium, Calcium, GlucoseLow Sodium (n=58, 58)0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Blood Urea Nitrogen (BUN), Chloride, Potassium, Sodium, Calcium, GlucoseHigh Calcium (n=58, 58)0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Blood Urea Nitrogen (BUN), Chloride, Potassium, Sodium, Calcium, GlucoseLow Calcium (n=58, 58)2 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Blood Urea Nitrogen (BUN), Chloride, Potassium, Sodium, Calcium, GlucoseHigh Glucose (n=58, 58)0 participants
Secondary

Number of Participants With Marked Laboratory Abnormalities in Creatinine

A marked abnormality was defined as a test result which was outside of the marked abnormality range, and which represented a clinically relevant change from baseline of at least the designated amount. The marked reference range for Creatinine was 0- 154 (micromoles/liter \[umol/L\]). The clinical relevant change (decrease/ increase) for Creatinine was (n.d, 50%).

Time frame: Week 1, Day 1 (Baseline), Week 4 (Day 22 ± 2 days), and Week 6 (Day 36 ± 2 days)

Population: The ITT population included all participants who received at least one injection

ArmMeasureValue (NUMBER)
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Creatinine0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Creatinine0 participants
Secondary

Number of Participants With Marked Laboratory Abnormalities in Hematocrit

A marked abnormality was defined as a test result which was outside of the marked abnormality range, and which represented a clinically relevant change from baseline of at least the designated amount. The marked reference range for hematocrit was 0.31-0.56 fraction. The clinical relevant change (decrease/ increase) for hematocrit was (15%, 15%).

Time frame: Week 1, Day 1 (Baseline), Week 4 (Day 22 ± 2 days), and Week 6 (Day 36 ± 2 days)

Population: The ITT population included all participants who received at least one injection

ArmMeasureGroupValue (NUMBER)
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in HematocritHigh Hematocrit (n=58, 58)1 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in HematocritLow Hematocrit (n=58, 58)3 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in HematocritHigh Hematocrit (n=58, 58)0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in HematocritLow Hematocrit (n=58, 58)1 participants
Secondary

Number of Participants With Marked Laboratory Abnormalities in Hemoglobin, Albumin and Total Protein

A marked abnormality was defined as a test result which was outside of the marked abnormality range, and which represented a clinically relevant change from baseline of at least the designated amount. The marked reference range for hemoglobin was 110-200 (gram per liter \[g/L\]), albumin was 30.0-n.d g/L, and total protein was 55-87 g/L. The clinical relevant change (decrease/ increase) for hemoglobin was (15%, 15%), albumin was (20%, n.d) and total protein was (20%, 20%) respectively.

Time frame: Week 1, Day 1 (Baseline), Week 4 (Day 22 ± 2 days), and Week 6 (Day 36 ± 2 days)

Population: The ITT population included all participants who received at least one injection

ArmMeasureGroupValue (NUMBER)
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Hemoglobin, Albumin and Total ProteinLow Hemoglobin (n=58, 58)3 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Hemoglobin, Albumin and Total ProteinLow Total Protein (n=58, 58)0 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Hemoglobin, Albumin and Total ProteinHigh Total Protein (n=58, 58)0 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Hemoglobin, Albumin and Total ProteinLow Albumin (n=58, 58)0 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Hemoglobin, Albumin and Total ProteinHigh Hemoglobin (n=58, 58)1 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Hemoglobin, Albumin and Total ProteinLow Albumin (n=58, 58)0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Hemoglobin, Albumin and Total ProteinHigh Hemoglobin (n=58, 58)0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Hemoglobin, Albumin and Total ProteinLow Hemoglobin (n=58, 58)3 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Hemoglobin, Albumin and Total ProteinHigh Total Protein (n=58, 58)0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Hemoglobin, Albumin and Total ProteinLow Total Protein (n=58, 58)0 participants
Secondary

Number of Participants With Marked Laboratory Abnormalities in Platelet, White Blood Cell (WBC), Basophil, Eosinophil, Lymphocyte, Monocyte and Neutrophil

A marked abnormality was defined as a test result which was outside of the marked abnormality range, and which represented a clinically relevant change from baseline of at least the designated amount. The marked reference range for Platelets was 100-550 (10\*9/L), for WBC was 3.0-18.0 (10\*9/L), for Basophils was 0.00-0.40 (10\*9/L), for Eosinophil was 0.00-0.90 (10\*9/L), for Lymphocytes was 0.70-7.60 (10\*9/L), Monocyte was 0.00-1.70 (10\*9/L), and Neutrophil 1.50-9.25 (10\*9/L). The clinical relevant change (decrease/increase) for platelet was (30%, 50%), WBC was (30%, 30%), Basophil was (n.d, 100%), Eosinophil was (n.d, 100%), Lymphocyte was (30%, 30%), Monocyte was (n.d, 100%) and Neutrophil was (20%, 20%) respectively.

Time frame: Week 1, Day 1 (Baseline), Week 4 (Day 22 ± 2 days), and Week 6 (Day 36 ± 2 days)

Population: The ITT population included all participants who received at least one injection

ArmMeasureGroupValue (NUMBER)
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Platelet, White Blood Cell (WBC), Basophil, Eosinophil, Lymphocyte, Monocyte and NeutrophilLow White Blood Cells (n=58, 57)11 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Platelet, White Blood Cell (WBC), Basophil, Eosinophil, Lymphocyte, Monocyte and NeutrophilHigh Lymphocyte (n=58, 58)0 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Platelet, White Blood Cell (WBC), Basophil, Eosinophil, Lymphocyte, Monocyte and NeutrophilHigh White Blood Cells (n=58, 57)0 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Platelet, White Blood Cell (WBC), Basophil, Eosinophil, Lymphocyte, Monocyte and NeutrophilLow Lymphocyte (n=58, 58)5 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Platelet, White Blood Cell (WBC), Basophil, Eosinophil, Lymphocyte, Monocyte and NeutrophilHigh Basophil (n=58, 58)0 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Platelet, White Blood Cell (WBC), Basophil, Eosinophil, Lymphocyte, Monocyte and NeutrophilHigh Monocyte (n=58, 58)0 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Platelet, White Blood Cell (WBC), Basophil, Eosinophil, Lymphocyte, Monocyte and NeutrophilLow Platelets (n=57, 58)5 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Platelet, White Blood Cell (WBC), Basophil, Eosinophil, Lymphocyte, Monocyte and NeutrophilHigh Neutrophil (n=58, 58)0 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Platelet, White Blood Cell (WBC), Basophil, Eosinophil, Lymphocyte, Monocyte and NeutrophilHigh Eosinophil (n=58, 58)0 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Platelet, White Blood Cell (WBC), Basophil, Eosinophil, Lymphocyte, Monocyte and NeutrophilLow Neutrophil (n=58, 58)20 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Platelet, White Blood Cell (WBC), Basophil, Eosinophil, Lymphocyte, Monocyte and NeutrophilHigh Platelets (n=57, 58)0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Platelet, White Blood Cell (WBC), Basophil, Eosinophil, Lymphocyte, Monocyte and NeutrophilLow Neutrophil (n=58, 58)19 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Platelet, White Blood Cell (WBC), Basophil, Eosinophil, Lymphocyte, Monocyte and NeutrophilHigh Platelets (n=57, 58)0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Platelet, White Blood Cell (WBC), Basophil, Eosinophil, Lymphocyte, Monocyte and NeutrophilLow Platelets (n=57, 58)3 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Platelet, White Blood Cell (WBC), Basophil, Eosinophil, Lymphocyte, Monocyte and NeutrophilHigh White Blood Cells (n=58, 57)0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Platelet, White Blood Cell (WBC), Basophil, Eosinophil, Lymphocyte, Monocyte and NeutrophilLow White Blood Cells (n=58, 57)9 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Platelet, White Blood Cell (WBC), Basophil, Eosinophil, Lymphocyte, Monocyte and NeutrophilHigh Basophil (n=58, 58)0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Platelet, White Blood Cell (WBC), Basophil, Eosinophil, Lymphocyte, Monocyte and NeutrophilHigh Eosinophil (n=58, 58)0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Platelet, White Blood Cell (WBC), Basophil, Eosinophil, Lymphocyte, Monocyte and NeutrophilHigh Lymphocyte (n=58, 58)0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Platelet, White Blood Cell (WBC), Basophil, Eosinophil, Lymphocyte, Monocyte and NeutrophilLow Lymphocyte (n=58, 58)1 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Platelet, White Blood Cell (WBC), Basophil, Eosinophil, Lymphocyte, Monocyte and NeutrophilHigh Monocyte (n=58, 58)0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Platelet, White Blood Cell (WBC), Basophil, Eosinophil, Lymphocyte, Monocyte and NeutrophilHigh Neutrophil (n=58, 58)0 participants
Secondary

Number of Participants With Marked Laboratory Abnormalities in Prothrombin Time (PT) International Normalized Ratio (INR)

A marked abnormality was defined as a test result which was outside of the marked abnormality range, and which represented a clinically relevant change from baseline of at least the designated amount. The marked reference range for PT-INR was n.d.-2.00. The clinical relevant change (decrease/ increase) for PT-INR was (n.d, 30%).

Time frame: Week 1, Day 1 (Baseline), Week 4 (Day 22 ± 2 days), and Week 6 (Day 36 ± 2 days)

Population: The ITT population included all participants who received at least one injection

ArmMeasureValue (NUMBER)
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Prothrombin Time (PT) International Normalized Ratio (INR)0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Prothrombin Time (PT) International Normalized Ratio (INR)0 participants
Secondary

Number of Participants With Marked Laboratory Abnormalities in Right Blood Cell (RBC)

A marked abnormality was defined as a test result which was outside of the marked abnormality range, and which represented a clinically relevant change from baseline of at least the designated amount. The marked reference range for RBC was 3.80-6.10 (10\*12/L). The clinical relevant change (decrease/ increase) for RBC was (15%, 15%).

Time frame: Week 1, Day 1 (Baseline), Week 4 (Day 22 ± 2 days), and Week 6 (Day 36 ± 2 days)

Population: The ITT population included all participants who received at least one injection

ArmMeasureGroupValue (NUMBER)
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Right Blood Cell (RBC)High Red Blood Cells (n=57, 57)1 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Right Blood Cell (RBC)Low Red Blood Cells (n=57, 57)1 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Right Blood Cell (RBC)High Red Blood Cells (n=57, 57)0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Right Blood Cell (RBC)Low Red Blood Cells (n=57, 57)1 participants
Secondary

Number of Participants With Marked Laboratory Abnormalities in Serum Glutamic Oxaloacetic Transaminase (SGOT), Serum Glutamic-Pyruvic Transaminase (SGPT), and Alkaline Phosphatase

A marked abnormality was defined as a test result which was outside of the marked abnormality range, and which represented a clinically relevant change from baseline of at least the designated amount. The marked reference range for SGOT was 0-80 (Units Per Litre \[U/L\]), SGPT was 0-110 U/L, and alkaline phosphatase was 0-220 U/L. The clinical relevant change (decrease/ increase) for SGOT was (n.d, 50%), SGPT was (n.d, 50%), and ALP was (n.d, 50%) respectively.

Time frame: Week 1, Day 1 (Baseline), Week 4 (Day 22 ± 2 days), and Week 6 (Day 36 ± 2 days)

Population: The ITT population included all participants who received at least one injection

ArmMeasureGroupValue (NUMBER)
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Serum Glutamic Oxaloacetic Transaminase (SGOT), Serum Glutamic-Pyruvic Transaminase (SGPT), and Alkaline PhosphataseHigh SGOT (n=58, 58)4 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Serum Glutamic Oxaloacetic Transaminase (SGOT), Serum Glutamic-Pyruvic Transaminase (SGPT), and Alkaline PhosphataseHigh SGPT (n=58, 58)2 participants
AutoinjectorNumber of Participants With Marked Laboratory Abnormalities in Serum Glutamic Oxaloacetic Transaminase (SGOT), Serum Glutamic-Pyruvic Transaminase (SGPT), and Alkaline PhosphataseHigh Alkaline Phosphatase (n=58, 58)0 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Serum Glutamic Oxaloacetic Transaminase (SGOT), Serum Glutamic-Pyruvic Transaminase (SGPT), and Alkaline PhosphataseHigh SGOT (n=58, 58)4 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Serum Glutamic Oxaloacetic Transaminase (SGOT), Serum Glutamic-Pyruvic Transaminase (SGPT), and Alkaline PhosphataseHigh SGPT (n=58, 58)1 participants
Pre-filled SyringeNumber of Participants With Marked Laboratory Abnormalities in Serum Glutamic Oxaloacetic Transaminase (SGOT), Serum Glutamic-Pyruvic Transaminase (SGPT), and Alkaline PhosphataseHigh Alkaline Phosphatase (n=58, 58)0 participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026