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Double-Masked Trial of NOVA22007 (1mg/mL Ciclosporin/Cyclosporine) Versus Vehicle in Pediatric Patients With Active Severe Vernal Keratoconjunctivitis

A Multicenter, Randomized, Double-Masked, 3 Parallel Arms, Placebo Controlled Study to Assess the Efficacy and Safety of NOVA22007 1mg/mL (Ciclosporin/Cyclosporine) Eye Drops, Emulsion Administered in Paediatric Patients With Active Severe Vernal Keratoconjunctivitis With Severe Keratitis

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01751126
Enrollment
169
Registered
2012-12-17
Start date
2013-04-29
Completion date
2016-02-29
Last updated
2022-03-28

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

Conditions

Vernal Keratoconjunctivitis

Keywords

vernal keratoconjunctivitis, ciclosporin, cyclosporine

Brief summary

The objective of this study is to compare the efficacy of two different dosing regimen of NOVA22007 (1mg/ml ciclosporin/cyclosporine) eye drops, emulsion versus placebo (vehicle of the formulation) administered four times a day in patients with severe vernal keratoconjunctivitis after 4 months of treatment.

Interventions

DRUGNOVA22007 ''Ciclosporin''

Sterile, ophthalmic cationic oil-in-water emulsion containing 1 mg/ml Ciclosporin.

DRUGPlacebo

Sterile, drug-free, cationic ophthalmic oil-in-water emulsion containing 0 mg/ml Ciclosporin.

Sponsors

Santen SAS
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

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

Inclusion criteria

* Males or females from 4 to less than 18 years of age. * History of at least one recurrence of vernal keratoconjunctivitis (VKC) in the past year prior to enrolment. * Patients not receiving any treatment for an established and active VKC; or patients already receiving treatment for their VKC provided treatment is stopped according to the wash-out period specified in the

Exclusion criteria

. * Active severe VKC consistent with grade 3 or 4 of Bonini scale (Bonini 2007) with severe keratitis (grade 4 or 5 on the modified Oxford scale). * Mean score of 4 subjective symptoms (photophobia, tearing, itching and mucous discharge) ≥ 60 mm using a 100 mm Visual Analogue Scale (where 0 means no symptom and 100 means the worst that have been ever experienced).

Design outcomes

Primary

MeasureTime frameDescription
Average Penalties Adjusted Composite Efficacy Score (CFS) Score Over the 4 Monthsover the 4 monthsEfficacy was assessed every month during the 4-month treatment phase and compared with Baseline using a composite criterion based on: * Keratitis assessed by the modified Oxford scale (7-point ordinal scale, score 0, 0.5, and 1 to 5). On this modified scale, the score 0 corresponded to no staining dots and the score 0.5 to three or less staining dots. A CFS grade of 0 represented complete corneal clearing. * Need for rescue medication. * Occurrence of corneal ulceration. An efficacy score was calculated as follows: Patient's score at month X = CFS (Baseline) - CFS (Month X) + penalty (ies) Penalty for rescue medication: -1 (per course, with a maximum of 2 courses between 2 scheduled visits) Penalty for corneal ulceration: -1 (per occurrence). A positive value indicated improvement. The maximum CFS is five and the minimum cannot be set due to the number of rescue medication and ulceration which decreases the penalty adjusted CFS.

Secondary

MeasureTime frameDescription
Best Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IUp to Month4Best corrected distance visual acuity (BCDVA) was measured with the patient's best correction and recorded in LogMAR (log of the Minimum Angle of Resolution) A negative LogMar BCDVA measure shows an improvement, whereas positive values indicates poor vision.
Best Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIUp to Month12Best corrected distance visual acuity (BCDVA) was measured with the patient's best correction and recorded in LogMAR (log of the Minimum Angle of Resolution) A negative LogMar BCDVA measure shows an improvement, whereas positive values indicate poor vision.
Number of Courses of Rescue Medication in Period IUp to Month4Use of rescue medication: the total number of topical corticosteroid courses was assessed at each visit during the 4-month efficacy evaluation treatment period.

Countries

Croatia, France, Germany, Greece, Hungary, India, Israel, Italy, Portugal, Spain, United States

Participant flow

Participants by arm

ArmCount
High Dose Regimen
1 drop of CsA (NOVA22007) 1 mg/mL 4 times a day as monotherapy (morning, noon, afternoon and evening).
56
Low Dose Regimen
1 drop of CsA (NOVA22007) 1 mg/mL twice a day and 1 drop of placebo twice a day (active study treatment morning and evening and placebo noon and afternoon) as monotherapy.
54
Placebo
1 drop of placebo 4 times a day as monotherapy.
58
Total168

Baseline characteristics

CharacteristicHigh Dose RegimenLow Dose RegimenPlaceboTotal
Age, Customized
Children (4-18 years)
9.1 years
STANDARD_DEVIATION 3.3
9.6 years
STANDARD_DEVIATION 3.4
8.9 years
STANDARD_DEVIATION 3.2
9.2 years
STANDARD_DEVIATION 3.3
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
11 Participants11 Participants13 Participants35 Participants
Race (NIH/OMB)
Black or African American
3 Participants5 Participants2 Participants10 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants0 Participants2 Participants4 Participants
Race (NIH/OMB)
White
40 Participants38 Participants41 Participants119 Participants
Sex: Female, Male
Female
12 Participants12 Participants12 Participants36 Participants
Sex: Female, Male
Male
44 Participants42 Participants46 Participants132 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
29 / 5013 / 2242 / 7224 / 4411 / 2635 / 70
serious
Total, serious adverse events
3 / 500 / 223 / 721 / 440 / 261 / 70

Outcome results

Primary

Average Penalties Adjusted Composite Efficacy Score (CFS) Score Over the 4 Months

Efficacy was assessed every month during the 4-month treatment phase and compared with Baseline using a composite criterion based on: * Keratitis assessed by the modified Oxford scale (7-point ordinal scale, score 0, 0.5, and 1 to 5). On this modified scale, the score 0 corresponded to no staining dots and the score 0.5 to three or less staining dots. A CFS grade of 0 represented complete corneal clearing. * Need for rescue medication. * Occurrence of corneal ulceration. An efficacy score was calculated as follows: Patient's score at month X = CFS (Baseline) - CFS (Month X) + penalty (ies) Penalty for rescue medication: -1 (per course, with a maximum of 2 courses between 2 scheduled visits) Penalty for corneal ulceration: -1 (per occurrence). A positive value indicated improvement. The maximum CFS is five and the minimum cannot be set due to the number of rescue medication and ulceration which decreases the penalty adjusted CFS.

Time frame: over the 4 months

ArmMeasureValue (MEAN)Dispersion
High Dose RegimenAverage Penalties Adjusted Composite Efficacy Score (CFS) Score Over the 4 Months2.06 Penalties Adjusted CFS ScoreStandard Deviation 1.44
Low Dose RegimenAverage Penalties Adjusted Composite Efficacy Score (CFS) Score Over the 4 Months1.93 Penalties Adjusted CFS ScoreStandard Deviation 1.37
PlaceboAverage Penalties Adjusted Composite Efficacy Score (CFS) Score Over the 4 Months1.34 Penalties Adjusted CFS ScoreStandard Deviation 1.22
p-value: 0.00795% CI: [0.26, 1.27]t-test, 2 sided
p-value: 0.0195% CI: [0.16, 1.18]ANCOVA
Secondary

Best Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period I

Best corrected distance visual acuity (BCDVA) was measured with the patient's best correction and recorded in LogMAR (log of the Minimum Angle of Resolution) A negative LogMar BCDVA measure shows an improvement, whereas positive values indicates poor vision.

Time frame: Up to Month4

Population: SS population

ArmMeasureGroupValue (MEAN)Dispersion
High Dose RegimenBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 4/ Early Termination0.158 lettersStandard Deviation 0.249
High Dose RegimenBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 20.221 lettersStandard Deviation 0.251
High Dose RegimenBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 40.149 lettersStandard Deviation 0.244
High Dose RegimenBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 30.172 lettersStandard Deviation 0.235
High Dose RegimenBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Baseline0.293 lettersStandard Deviation 0.297
High Dose RegimenBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 10.263 lettersStandard Deviation 0.292
Low Dose RegimenBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 30.110 lettersStandard Deviation 0.204
Low Dose RegimenBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Baseline0.209 lettersStandard Deviation 0.284
Low Dose RegimenBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 20.146 lettersStandard Deviation 0.214
Low Dose RegimenBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 40.097 lettersStandard Deviation 0.203
Low Dose RegimenBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 10.160 lettersStandard Deviation 0.241
Low Dose RegimenBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 4/ Early Termination0.114 lettersStandard Deviation 0.212
PlaceboBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 20.331 lettersStandard Deviation 0.352
PlaceboBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 4/ Early Termination0.217 lettersStandard Deviation 0.295
PlaceboBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 10.285 lettersStandard Deviation 0.362
PlaceboBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Baseline0.302 lettersStandard Deviation 0.347
PlaceboBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 30.273 lettersStandard Deviation 0.318
PlaceboBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 40.237 lettersStandard Deviation 0.308
Change From Baseline in LogMAR- High DoseBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 3-0.110 lettersStandard Deviation 0.173
Change From Baseline in LogMAR- High DoseBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 4/ Early Termination-0.135 lettersStandard Deviation 0.22
Change From Baseline in LogMAR- High DoseBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 1-0.036 lettersStandard Deviation 0.187
Change From Baseline in LogMAR- High DoseBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Baseline0 lettersStandard Deviation 0
Change From Baseline in LogMAR- High DoseBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 2-0.071 lettersStandard Deviation 0.191
Change From Baseline in LogMAR- High DoseBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 4-0.127 lettersStandard Deviation 0.165
Change From Baseline in LogMAR- Low DoseBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 2-0.073 lettersStandard Deviation 0.202
Change From Baseline in LogMAR- Low DoseBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 4-0.110 lettersStandard Deviation 0.233
Change From Baseline in LogMAR- Low DoseBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 3-0.089 lettersStandard Deviation 0.233
Change From Baseline in LogMAR- Low DoseBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 4/ Early Termination-0.091 lettersStandard Deviation 0.257
Change From Baseline in LogMAR- Low DoseBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Baseline0 lettersStandard Deviation 0
Change From Baseline in LogMAR- Low DoseBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 1-0.058 lettersStandard Deviation 0.199
Change From Baseline in LogMAR- PlaceboBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 4/ Early Termination-0.097 lettersStandard Deviation 0.21
Change From Baseline in LogMAR- PlaceboBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Baseline0 lettersStandard Deviation 0
Change From Baseline in LogMAR- PlaceboBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 1-0.027 lettersStandard Deviation 0.182
Change From Baseline in LogMAR- PlaceboBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 20.003 lettersStandard Deviation 0.233
Change From Baseline in LogMAR- PlaceboBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 3-0.066 lettersStandard Deviation 0.229
Change From Baseline in LogMAR- PlaceboBest Corrected Distance Visual Acuity (BCDVA) in 4-month Randomized Period IAnalysis Eye-Month 4-0.109 lettersStandard Deviation 0.211
Secondary

Best Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period II

Best corrected distance visual acuity (BCDVA) was measured with the patient's best correction and recorded in LogMAR (log of the Minimum Angle of Resolution) A negative LogMar BCDVA measure shows an improvement, whereas positive values indicate poor vision.

Time frame: Up to Month12

Population: SS population

ArmMeasureGroupValue (MEAN)Dispersion
High Dose RegimenBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 12/ Early Termination0.136 lettersStandard Deviation 0.212
High Dose RegimenBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Baseline (Month 4)0.152 lettersStandard Deviation 0.246
High Dose RegimenBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 60.128 lettersStandard Deviation 0.23
High Dose RegimenBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 80.141 lettersStandard Deviation 0.228
High Dose RegimenBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 100.141 lettersStandard Deviation 0.222
High Dose RegimenBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 120.134 lettersStandard Deviation 0.214
Low Dose RegimenBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 12/ Early Termination0.220 lettersStandard Deviation 0.363
Low Dose RegimenBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 120.220 lettersStandard Deviation 0.363
Low Dose RegimenBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 100.207 lettersStandard Deviation 0.325
Low Dose RegimenBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 60.258 lettersStandard Deviation 0.359
Low Dose RegimenBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 80.222 lettersStandard Deviation 0.324
Low Dose RegimenBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Baseline (Month 4)0.250 lettersStandard Deviation 0.317
PlaceboBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 60.168 lettersStandard Deviation 0.28
PlaceboBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Baseline (Month 4)0.181 lettersStandard Deviation 0.27
PlaceboBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 120.160 lettersStandard Deviation 0.268
PlaceboBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 100.160 lettersStandard Deviation 0.257
PlaceboBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 12/ Early Termination0.161 lettersStandard Deviation 0.266
PlaceboBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 80.165 lettersStandard Deviation 0.261
Change From Baseline in LogMAR- High DoseBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 8-0.015 lettersStandard Deviation 0.136
Change From Baseline in LogMAR- High DoseBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 6-0.024 lettersStandard Deviation 0.114
Change From Baseline in LogMAR- High DoseBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 10-0.014 lettersStandard Deviation 0.149
Change From Baseline in LogMAR- High DoseBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 12/ Early Termination-0.016 lettersStandard Deviation 0.154
Change From Baseline in LogMAR- High DoseBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 12-0.020 lettersStandard Deviation 0.152
Change From Baseline in LogMAR- High DoseBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Baseline (Month 4)0 lettersStandard Deviation 0
Change From Baseline in LogMAR- Low DoseBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 6-0.017 lettersStandard Deviation 0.143
Change From Baseline in LogMAR- Low DoseBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Baseline (Month 4)0 lettersStandard Deviation 0
Change From Baseline in LogMAR- Low DoseBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 8-0.029 lettersStandard Deviation 0.155
Change From Baseline in LogMAR- Low DoseBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 10-0.044 lettersStandard Deviation 0.128
Change From Baseline in LogMAR- Low DoseBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 12-0.030 lettersStandard Deviation 0.172
Change From Baseline in LogMAR- Low DoseBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 12/ Early Termination-0.030 lettersStandard Deviation 0.172
Change From Baseline in LogMAR- PlaceboBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 10-0.023 lettersStandard Deviation 0.143
Change From Baseline in LogMAR- PlaceboBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 8-0.019 lettersStandard Deviation 0.141
Change From Baseline in LogMAR- PlaceboBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 6-0.022 lettersStandard Deviation 0.122
Change From Baseline in LogMAR- PlaceboBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Baseline (Month 4)0 lettersStandard Deviation 0
Change From Baseline in LogMAR- PlaceboBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 12/ Early Termination-0.020 lettersStandard Deviation 0.158
Change From Baseline in LogMAR- PlaceboBest Corrected Distance Visual Acuity (BCDVA) in 8-month Safety FU Period- Period IIAnalysis Eye-Month 12-0.023 lettersStandard Deviation 0.157
Secondary

Number of Courses of Rescue Medication in Period I

Use of rescue medication: the total number of topical corticosteroid courses was assessed at each visit during the 4-month efficacy evaluation treatment period.

Time frame: Up to Month4

Population: Participants reduced due to missing data

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
High Dose RegimenNumber of Courses of Rescue Medication in Period IMonth 4, two courses2 Participants
High Dose RegimenNumber of Courses of Rescue Medication in Period IMonth 2, two courses2 Participants
High Dose RegimenNumber of Courses of Rescue Medication in Period IMonth 4/Early Termination, one course7 Participants
High Dose RegimenNumber of Courses of Rescue Medication in Period IMonth4, one course6 Participants
High Dose RegimenNumber of Courses of Rescue Medication in Period IMonth3, zero course43 Participants
High Dose RegimenNumber of Courses of Rescue Medication in Period IMonth1, two courses0 Participants
High Dose RegimenNumber of Courses of Rescue Medication in Period IMonth4, zero course42 Participants
High Dose RegimenNumber of Courses of Rescue Medication in Period IMonth 4/Early Termination, two courses3 Participants
High Dose RegimenNumber of Courses of Rescue Medication in Period IMonth 3, two courses1 Participants
High Dose RegimenNumber of Courses of Rescue Medication in Period IMonth 4/Early Termination, zero course46 Participants
High Dose RegimenNumber of Courses of Rescue Medication in Period IMonth2, zero course45 Participants
High Dose RegimenNumber of Courses of Rescue Medication in Period IMonth 1, one course3 Participants
High Dose RegimenNumber of Courses of Rescue Medication in Period IMonth3, one course7 Participants
High Dose RegimenNumber of Courses of Rescue Medication in Period IMonth 2, one course6 Participants
High Dose RegimenNumber of Courses of Rescue Medication in Period IMonth1, zero course51 Participants
Low Dose RegimenNumber of Courses of Rescue Medication in Period IMonth 4, two courses1 Participants
Low Dose RegimenNumber of Courses of Rescue Medication in Period IMonth1, zero course41 Participants
Low Dose RegimenNumber of Courses of Rescue Medication in Period IMonth 1, one course7 Participants
Low Dose RegimenNumber of Courses of Rescue Medication in Period IMonth1, two courses2 Participants
Low Dose RegimenNumber of Courses of Rescue Medication in Period IMonth2, zero course43 Participants
Low Dose RegimenNumber of Courses of Rescue Medication in Period IMonth 2, one course2 Participants
Low Dose RegimenNumber of Courses of Rescue Medication in Period IMonth 2, two courses2 Participants
Low Dose RegimenNumber of Courses of Rescue Medication in Period IMonth3, zero course42 Participants
Low Dose RegimenNumber of Courses of Rescue Medication in Period IMonth3, one course2 Participants
Low Dose RegimenNumber of Courses of Rescue Medication in Period IMonth 3, two courses2 Participants
Low Dose RegimenNumber of Courses of Rescue Medication in Period IMonth4, zero course41 Participants
Low Dose RegimenNumber of Courses of Rescue Medication in Period IMonth4, one course2 Participants
Low Dose RegimenNumber of Courses of Rescue Medication in Period IMonth 4/Early Termination, zero course46 Participants
Low Dose RegimenNumber of Courses of Rescue Medication in Period IMonth 4/Early Termination, one course5 Participants
Low Dose RegimenNumber of Courses of Rescue Medication in Period IMonth 4/Early Termination, two courses3 Participants
PlaceboNumber of Courses of Rescue Medication in Period IMonth 2, two courses3 Participants
PlaceboNumber of Courses of Rescue Medication in Period IMonth 4/Early Termination, one course11 Participants
PlaceboNumber of Courses of Rescue Medication in Period IMonth4, one course8 Participants
PlaceboNumber of Courses of Rescue Medication in Period IMonth 2, one course11 Participants
PlaceboNumber of Courses of Rescue Medication in Period IMonth2, zero course38 Participants
PlaceboNumber of Courses of Rescue Medication in Period IMonth 4, two courses2 Participants
PlaceboNumber of Courses of Rescue Medication in Period IMonth1, two courses2 Participants
PlaceboNumber of Courses of Rescue Medication in Period IMonth1, zero course44 Participants
PlaceboNumber of Courses of Rescue Medication in Period IMonth 4/Early Termination, zero course43 Participants
PlaceboNumber of Courses of Rescue Medication in Period IMonth3, one course12 Participants
PlaceboNumber of Courses of Rescue Medication in Period IMonth 1, one course11 Participants
PlaceboNumber of Courses of Rescue Medication in Period IMonth 3, two courses4 Participants
PlaceboNumber of Courses of Rescue Medication in Period IMonth3, zero course34 Participants
PlaceboNumber of Courses of Rescue Medication in Period IMonth 4/Early Termination, two courses4 Participants
PlaceboNumber of Courses of Rescue Medication in Period IMonth4, zero course38 Participants

Source: ClinicalTrials.gov · Data processed: Feb 12, 2026