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Pharmacokinetics & Safety of Cambia® in Migraine With or Without Aura in 12-17 Year Olds

A Phase 4, Open-Label Study of the Pharmacokinetics and Safety of Cambia® (Diclofenac Potassium for Oral Solution) for the Acute Treatment of Migraine Attacks With or Without Aura in Pediatric Subjects (Ages 12-17 Years)

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02287376
Enrollment
25
Registered
2014-11-10
Start date
2015-01-31
Completion date
2016-02-29
Last updated
2017-07-25

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

Conditions

Migraine

Keywords

Migraine with and without aura

Brief summary

Study Objectives: 1. The primary objective is to characterize the pharmacokinetics of a single oral administration of 50 mg Cambia in pediatric subjects, ages 12-17 years with a diagnosis of episodic migraine with or without aura. 2. The secondary objectives are to determine: 1. The safety and tolerability of Cambia from a single dose 2. Three-month safety evaluation of Cambia in outpatient usage in this population

Interventions

DRUGDiclofenac Potassium for Oral Solution

NSAID

Sponsors

Depomed
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
12 Years to 17 Years
Healthy volunteers
No

Inclusion criteria

1. Subject is ≥12 and ≤17 years of age at screening. 2. Subject diagnosed with episodic migraine with or without aura for at least 3 months (migraine defined based on the International classification of headache disorders-II 1.2.1 or 1.1). 3. Subject has 14 or fewer headache days per month. 4. Subject receiving prophylactic treatment for migraine may be included. 5. If female, is not of childbearing potential (defined as premenarchal) or if of childbearing potential must have a negative serum pregnancy test at screening and a negative urine pregnancy test on Study Day 1, if the Screening visit and Day 1 are not on the same day, and must use medically acceptable methods of birth control as listed below and agrees to continue its use throughout the study:1) hormonal methods (e.g., oral, implantable, injectable, or transdermal contraceptives for a minimum of 1 full menstrual cycle before study drug administration), 2) Total abstinence from sexual intercourse since the last menses before study drug administration, 3) intrauterine device, 4) double-barrier method (e.g., condoms, sponge, diaphragm, or vaginal ring with spermicidal jellies or cream). 6. Subject's legally authorized representative (e.g., parent, guardian) must voluntarily sign and date an informed consent form (ICF) that is approved by an Institutional Review Board (IRB), and the subject must sign an assent (if appropriate), before the commencement of any study assessment. 7. Subject's legally authorized representative (e.g., parent, guardian) and subject (if appropriate), is able to read and understand the study procedures and requirements and adhere to the protocol requirements and procedures.

Exclusion criteria

1. Subject has a known history of allergic reaction, hypersensitivity, or clinically significant intolerance to diclofenac, aspirin, or any nonsteroidal anti inflammatory drugs (NSAIDs); history of NSAID induced bronchospasm (subjects with the triad of asthma, nasal polyps, and chronic rhinitis are at greater risk for bronchospasm and should be considered carefully); or hypersensitivity, allergy, or significant reaction to the non-active ingredients of the study medication. 2. Subject is pregnant or lactating or considered at risk of pregnancy. 3. Subject has been under an inconsistent dosing regimen of prophylactic treatment for migraine. 4. Subject has headache symptoms likely due to, or aggravated by, traumatic injury to the head or neck region, such as whiplash, within the last six months; 5. Subject has or is suspected of having a secondary headache. 6. Subject has significant abnormal findings during the neurological exam at screening. 7. Subject has a history of any GI event (e.g., perforation, obstruction, bleed) before Screening that, in the opinion of the investigator, would make the subject unsuitable for study participation. 8. Subject is receiving any medication that, in the opinion of the investigator, may cause a clinically significant condition when used concomitantly with diclofenac (e.g., aspirin, anticoagulants, ACE inhibitors, methotrexate, cyclosporine, furosemide, lithium). 9. Subject is and has been receiving a medication that is known to strongly inhibit and/or induce cytochrome P450 2C9 such that it might unpredictably affect the pharmacokinetics of diclofenac (e.g., fluconazole, amiodarone, oxandrolone, sulfipyrazone as inhibitors and rifampin as an inducer). 10. Subject has any condition or any laboratory abnormality that would, in the opinion of the investigator, contraindicate study participation. 11. Subject has impaired liver function (e.g., alanine aminotransferase \[ALT\] ≥ 3 times the upper limit of normal \[ULN\] or bilirubin ≥ 3 times ULN), known active hepatic disease (e.g., hepatitis), or evidence of clinically significant liver disease or other condition affecting the liver that may suggest the potential for an increased susceptibility to hepatic toxicity with oral diclofenac exposure. 12. Subject has any history of renal disease that, in the opinion of the investigator, would contraindicate study participation; or subject has significantly impaired renal function as evidenced by an estimated GFR of ≤60 ml/min/1.73m2. 13. Subject is considered by the investigator, for any reason (including, but not limited to the risks described as precautions, warnings, and contraindications in the Prescribing Information for Cambia), to be an unsuitable candidate to receive the study medication. 14. Subject has a history of laboratory test results obtained within 6 months before the Screening visit that show the presence of HIV, hepatitis B surface antigen, hepatitis C antibody, or active hepatitis A immunoglobulin M. 15. Subject is currently receiving any medication that is contraindicated for use concomitantly with diclofenac (refer to the products' professional labeling) or the subject has not undergone a washout period of at least 5-6 half-lives of PK or PD, whichever is longer, for these medications. 16. Subject has a known or suspected history of alcohol use and or drug/ substance abuse or misuse within 2 years before Screening; or evidence of tolerance or physical dependence before study medication administration. 17. Subject has a documented history of a medical condition that, in the opinion of the investigator, would compromise the subject's ability to absorb, metabolize, or excrete diclofenac, including (but not limited to) intractable nausea and/or vomiting and/or severe GI narrowing (pathologic or iatrogenic). 18. Subject has received any investigational product or device within 30 days before the Screening, or is scheduled to receive an investigational device or another investigational drug (other than Cambia) during the course of this study. 19. Subject is a relative of a member of the study site staff or Sponsor directly involved in this study.

Design outcomes

Primary

MeasureTime frameDescription
Pharmacokinetics Outcome (1 of 6)6 hours (pre-dose, 5, 10, 15, 20, 30, 40, and 60 min, and 2, 4, and 6 hrs post-dose)• Cmax: maximum concentration (ng/mL)
Pharmacokinetics Outcome (2 of 6)6 hours (pre-dose, 5, 10, 15, 20, 30, 40, and 60 min, and 2, 4, and 6 hrs post-dose)• tmax: time to maximum concentration (min)
Pharmacokinetics Outcome (3 of 6)6 hours (pre-dose, 5, 10, 15, 20, 30, 40, and 60 min, and 2, 4, and 6 hrs post-dose)• λz: elimination rate constant associated with the terminal (log linear) portion of the curve (1/min)
Pharmacokinetics Outcome (4 of 6)6 hours (pre-dose, 5, 10, 15, 20, 30, 40, and 60 min, and 2, 4, and 6 hrs post-dose)• t1/2: terminal elimination half-life (min)
Pharmacokinetics Outcome (5 of 6)6 hours (pre-dose, 5, 10, 15, 20, 30, 40, and 60 min, and 2, 4, and 6 hrs post-dose)• AUC 0-t: area under the concentration-time curve from time 0 to last time point (t) where diclofenac could be measured (min\*ng/mL)
Pharmacokinetics Outcome (6 of 6)6 hours (pre-dose, 5, 10, 15, 20, 30, 40, and 60 min, and 2, 4, and 6 hrs post-dose)• AUC 0-∞: area under the concentration-time curve from time 0 to infinity (∞) (min\*ng/mL)

Secondary

MeasureTime frameDescription
Safety Outcome (5.3 of 7)3 months (signed informed consent/assent to the final visit)• Changes in vital sign measurements: Respiratory Rate (breaths/min).
Safety Outcome (5.4 of 7)3 months (signed informed consent/assent to the final visit)• Changes in vital sign measurements: Systolic Blood Pressure (mmHg).
Safety Outcome (5.5 of 7)3 months (signed informed consent/assent to the final visit)• Changes in vital sign measurements: Diastolic Blood Pressure (mmHg).
Safety Outcome (6.1 of 7)3 months (signed informed consent/assent to the final visit)• Changes in clinical laboratory results: Hematology - Hematocrit (L/L).
Safety Outcome (6.2 of 7)3 months (signed informed consent/assent to the final visit)• Changes in clinical laboratory results: Hematology - Hemoglobin (g/L).
Safety Outcome (6.3 of 7)3 months (signed informed consent/assent to the final visit)• Changes in clinical laboratory results: Hematology - Platelet Count (Cells \* 10\^9/L).
Safety Outcome (6.4 of 7)3 months (signed informed consent/assent to the final visit)• Changes in clinical laboratory results: Hematology - White Blood Cells (Cells \* 10\^9/L).
Safety Outcome (6.5 of 7)3 months (signed informed consent/assent to the final visit)• Changes in clinical laboratory results: Hematology - Basophils (%).
Safety Outcome (6.6 of 7)3 months (signed informed consent/assent to the final visit)• Changes in clinical laboratory results: Hematology - Eosinophils (%).
Safety Outcome (6.7 of 7)3 months (signed informed consent/assent to the final visit)• Changes in clinical laboratory results: Hematology - Neutrophils (%).
Safety Outcome (6.8 of 7)3 months (signed informed consent/assent to the final visit)• Changes in clinical laboratory results: Hematology - Lymphocytes (%).
Safety Outcome (6.9 of 7)3 months (signed informed consent/assent to the final visit)• Changes in clinical laboratory results: Hematology - Monocytes (%).
Safety Outcome (6.10 of 7)3 months (signed informed consent/assent to the final visit)• Changes in clinical laboratory results: Chemistry - Albumin (g/L).
Safety Outcome (6.11 of 7)3 months (signed informed consent/assent to the final visit)• Changes in clinical laboratory results: Chemistry - Alkaline Phosphatase (U/L).
Safety Outcome (1 of 7)3 months (time of first dose of study medication taken to 30 days after the last dose of study medication taken)• Treatment emergent AEs (TEAEs)
Safety Outcome (6.13 of 7)3 months (signed informed consent/assent to the final visit)• Changes in clinical laboratory results: Chemistry - AST (SGOT) (U/L).
Safety Outcome (6.14 of 7)3 months (signed informed consent/assent to the final visit)• Changes in clinical laboratory results: Chemistry - Bicarbonate (CO2) (mmol/L).
Safety Outcome (6.15 of 7)3 months (signed informed consent/assent to the final visit)• Changes in clinical laboratory results: Chemistry - Bilirubin Total (umol/L).
Safety Outcome (6.16 of 7)3 months (signed informed consent/assent to the final visit)• Changes in clinical laboratory results: Chemistry - BUN (Urea) (mmol/L).
Safety Outcome (6.17 of 7)3 months (signed informed consent/assent to the final visit)• Changes in clinical laboratory results: Chemistry - Chloride (mmol/L).
Safety Outcome (6.18 of 7)3 months (signed informed consent/assent to the final visit)• Changes in clinical laboratory results: Chemistry - Creatinine (umol/L).
Safety Outcome (6.19 of 7)3 months (signed informed consent/assent to the final visit)• Changes in clinical laboratory results: Chemistry - Glucose (mmol/L).
Safety Outcome (6.20 of 7)3 months (signed informed consent/assent to the final visit)• Changes in clinical laboratory results: Chemistry - LDH (U/L).
Safety Outcome (6.21 of 7)3 months (signed informed consent/assent to the final visit)• Changes in clinical laboratory results: Chemistry - Potassium (mmol/L).
Safety Outcome (6.22 of 7)3 months (signed informed consent/assent to the final visit)• Changes in clinical laboratory results: Chemistry - Sodium (mmol/L).
Safety Outcome (6.23 of 7)3 months (signed informed consent/assent to the final visit)• Changes in clinical laboratory results: Urinalysis - pH.
Safety Outcome (6.24 of 7)3 months (signed informed consent/assent to the final visit)• Changes in clinical laboratory results: Urinalysis - Specific Gravity.
Safety Outcome (7 of 7)3 months (signed informed consent/assent to the final visit)• Physical examination findings including abnormal clinically significant findings
Safety Outcome (6.12 of 7)3 months (signed informed consent/assent to the final visit)• Changes in clinical laboratory results: Chemistry - ALT (SGPT) (U/L).
Safety Outcome (2 of 7)3 months (signed informed consent/assent to 30 days post Day 90 or last dose of study medication taken)• Serious adverse events (SAEs)
Safety Outcome (3 of 7)3 months (signed informed consent/assent to 30 days after the last dose of study medication taken)• Withdrawals due to AEs
Safety Outcome (4 of 7)3 months (signed informed consent/assent to 30 days post Day 90 or last dose of study medication taken)• Deaths
Safety Outcome (5.1 of 7)3 months (signed informed consent/assent to the final visit)• Changes in vital sign measurements: Temperature (degrees C).
Safety Outcome (5.2 of 7)3 months (signed informed consent/assent to the final visit)• Changes in vital sign measurements: Heart Rate (beats/min).

Countries

United States

Participant flow

Participants by arm

ArmCount
Cambia®
Diclofenac Potassium for Oral Solution (NSAID), 50 mg
25
Total25

Baseline characteristics

CharacteristicCambia®
Age, Continuous15.5 years
STANDARD_DEVIATION 1.66
Sex: Female, Male
Female
21 Participants
Sex: Female, Male
Male
4 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
4 / 25
serious
Total, serious adverse events
1 / 25

Outcome results

Primary

Pharmacokinetics Outcome (1 of 6)

• Cmax: maximum concentration (ng/mL)

Time frame: 6 hours (pre-dose, 5, 10, 15, 20, 30, 40, and 60 min, and 2, 4, and 6 hrs post-dose)

Population: The PK population included all subjects in the Safety population who have at least 1 time point with quantifiable study drug concentration after dosing.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Pharmacokinetics Outcome (1 of 6)6 hrs post-dose concentrations (ng/mL)14.26 ng/mLStandard Deviation 7.507
Cambia®Pharmacokinetics Outcome (1 of 6)Cmax (ng/mL)1411.96 ng/mLStandard Deviation 846.208
Cambia®Pharmacokinetics Outcome (1 of 6)pre-dose concentrations (ng/mL)0.00 ng/mLStandard Deviation 0
Cambia®Pharmacokinetics Outcome (1 of 6)5 min post-dose concentrations (ng/mL)649.78 ng/mLStandard Deviation 1008.783
Cambia®Pharmacokinetics Outcome (1 of 6)10 min post-dose concentrations (ng/mL)1123.88 ng/mLStandard Deviation 881.619
Cambia®Pharmacokinetics Outcome (1 of 6)15 min post-dose concentrations (ng/mL)1247.72 ng/mLStandard Deviation 824.194
Cambia®Pharmacokinetics Outcome (1 of 6)20 min post-dose concentrations (ng/mL)1084.52 ng/mLStandard Deviation 575.825
Cambia®Pharmacokinetics Outcome (1 of 6)30 min post-dose concentrations (ng/mL)855.92 ng/mLStandard Deviation 469.835
Cambia®Pharmacokinetics Outcome (1 of 6)40 min post-dose concentrations (ng/mL)629.96 ng/mLStandard Deviation 295.361
Cambia®Pharmacokinetics Outcome (1 of 6)60 min post-dose concentrations (ng/mL)535.44 ng/mLStandard Deviation 295.222
Cambia®Pharmacokinetics Outcome (1 of 6)2 hrs post-dose concentrations (ng/mL)164.25 ng/mLStandard Deviation 107.706
Cambia®Pharmacokinetics Outcome (1 of 6)4 hrs post-dose concentrations (ng/mL)40.20 ng/mLStandard Deviation 25.285
Primary

Pharmacokinetics Outcome (2 of 6)

• tmax: time to maximum concentration (min)

Time frame: 6 hours (pre-dose, 5, 10, 15, 20, 30, 40, and 60 min, and 2, 4, and 6 hrs post-dose)

Population: The PK population included all subjects in the Safety population who have at least 1 time point with quantifiable study drug concentration after dosing.

ArmMeasureValue (MEAN)Dispersion
Cambia®Pharmacokinetics Outcome (2 of 6)18.00 minStandard Deviation 11.551
Primary

Pharmacokinetics Outcome (3 of 6)

• λz: elimination rate constant associated with the terminal (log linear) portion of the curve (1/min)

Time frame: 6 hours (pre-dose, 5, 10, 15, 20, 30, 40, and 60 min, and 2, 4, and 6 hrs post-dose)

Population: The PK population included all subjects in the Safety population who have at least 1 time point with quantifiable study drug concentration after dosing.

ArmMeasureValue (MEAN)Dispersion
Cambia®Pharmacokinetics Outcome (3 of 6)0.01 1/minStandard Deviation 0.002
Primary

Pharmacokinetics Outcome (4 of 6)

• t1/2: terminal elimination half-life (min)

Time frame: 6 hours (pre-dose, 5, 10, 15, 20, 30, 40, and 60 min, and 2, 4, and 6 hrs post-dose)

Population: The PK population included all subjects in the Safety population who have at least 1 time point with quantifiable study drug concentration after dosing.

ArmMeasureValue (MEAN)Dispersion
Cambia®Pharmacokinetics Outcome (4 of 6)66.79 minStandard Deviation 9.193
Primary

Pharmacokinetics Outcome (5 of 6)

• AUC 0-t: area under the concentration-time curve from time 0 to last time point (t) where diclofenac could be measured (min\*ng/mL)

Time frame: 6 hours (pre-dose, 5, 10, 15, 20, 30, 40, and 60 min, and 2, 4, and 6 hrs post-dose)

Population: The PK population included all subjects in the Safety population who have at least 1 time point with quantifiable study drug concentration after dosing.

ArmMeasureValue (MEAN)Dispersion
Cambia®Pharmacokinetics Outcome (5 of 6)82920.03 min*ng/mLStandard Deviation 25327.634
Primary

Pharmacokinetics Outcome (6 of 6)

• AUC 0-∞: area under the concentration-time curve from time 0 to infinity (∞) (min\*ng/mL)

Time frame: 6 hours (pre-dose, 5, 10, 15, 20, 30, 40, and 60 min, and 2, 4, and 6 hrs post-dose)

Population: The PK population included all subjects in the Safety population who have at least 1 time point with quantifiable study drug concentration after dosing.

ArmMeasureValue (MEAN)Dispersion
Cambia®Pharmacokinetics Outcome (6 of 6)84388.75 min*ng/mLStandard Deviation 25993.623
Secondary

Safety Outcome (1 of 7)

• Treatment emergent AEs (TEAEs)

Time frame: 3 months (time of first dose of study medication taken to 30 days after the last dose of study medication taken)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cambia®Safety Outcome (1 of 7)10 Participants
Secondary

Safety Outcome (2 of 7)

• Serious adverse events (SAEs)

Time frame: 3 months (signed informed consent/assent to 30 days post Day 90 or last dose of study medication taken)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cambia®Safety Outcome (2 of 7)1 Participants
Secondary

Safety Outcome (3 of 7)

• Withdrawals due to AEs

Time frame: 3 months (signed informed consent/assent to 30 days after the last dose of study medication taken)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cambia®Safety Outcome (3 of 7)0 Participants
Secondary

Safety Outcome (4 of 7)

• Deaths

Time frame: 3 months (signed informed consent/assent to 30 days post Day 90 or last dose of study medication taken)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cambia®Safety Outcome (4 of 7)0 Participants
Secondary

Safety Outcome (5.1 of 7)

• Changes in vital sign measurements: Temperature (degrees C).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (5.1 of 7)Baseline (degrees C)36.52 degrees CStandard Deviation 0.569
Cambia®Safety Outcome (5.1 of 7)Final Visit (degrees C)36.72 degrees CStandard Deviation 0.499
Cambia®Safety Outcome (5.1 of 7)Change from Baseline to Final Visit (degrees C)0.20 degrees CStandard Deviation 0.491
Secondary

Safety Outcome (5.2 of 7)

• Changes in vital sign measurements: Heart Rate (beats/min).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (5.2 of 7)Baseline (beats/min)74.6 beats/minStandard Deviation 12.41
Cambia®Safety Outcome (5.2 of 7)Final Visit (beats/min)74.7 beats/minStandard Deviation 9.23
Cambia®Safety Outcome (5.2 of 7)Change from Baseline to Final Visit (beats/min)0.2 beats/minStandard Deviation 10.95
Secondary

Safety Outcome (5.3 of 7)

• Changes in vital sign measurements: Respiratory Rate (breaths/min).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (5.3 of 7)Baseline (breaths/min)15.4 breaths/minStandard Deviation 1.23
Cambia®Safety Outcome (5.3 of 7)Final Visit (breaths/min)15.6 breaths/minStandard Deviation 0.82
Cambia®Safety Outcome (5.3 of 7)Change from Baseline to Final Visit (breaths/min)0.1 breaths/minStandard Deviation 1.42
Secondary

Safety Outcome (5.4 of 7)

• Changes in vital sign measurements: Systolic Blood Pressure (mmHg).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (5.4 of 7)Final Visit (mm Hg)109.6 mm HgStandard Deviation 9.83
Cambia®Safety Outcome (5.4 of 7)Change from Baseline to Final Visit (mm Hg)-3.1 mm HgStandard Deviation 14.27
Cambia®Safety Outcome (5.4 of 7)Baseline (mm Hg)112.7 mm HgStandard Deviation 11.71
Secondary

Safety Outcome (5.5 of 7)

• Changes in vital sign measurements: Diastolic Blood Pressure (mmHg).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (5.5 of 7)Baseline (mm Hg)68.8 mm HgStandard Deviation 8.78
Cambia®Safety Outcome (5.5 of 7)Final Visit (mm Hg)67.1 mm HgStandard Deviation 7.07
Cambia®Safety Outcome (5.5 of 7)Change from Baseline to Final Visit (mm Hg)-1.7 mm HgStandard Deviation 9.62
Secondary

Safety Outcome (6.10 of 7)

• Changes in clinical laboratory results: Chemistry - Albumin (g/L).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (6.10 of 7)Baseline (g/L)43.800 g/LStandard Deviation 4.0415
Cambia®Safety Outcome (6.10 of 7)Final Visit (g/L)47.200 g/LStandard Deviation 4.4441
Cambia®Safety Outcome (6.10 of 7)Change from Baseline to Final Visit (g/L)3.400 g/LStandard Deviation 3.0277
Secondary

Safety Outcome (6.11 of 7)

• Changes in clinical laboratory results: Chemistry - Alkaline Phosphatase (U/L).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (6.11 of 7)Baseline (U/L)98.960 U/LStandard Deviation 85.0022
Cambia®Safety Outcome (6.11 of 7)Final Visit (U/L)103.760 U/LStandard Deviation 89.5378
Cambia®Safety Outcome (6.11 of 7)Change from Baseline to Final Visit (U/L)4.800 U/LStandard Deviation 11.4054
Secondary

Safety Outcome (6.12 of 7)

• Changes in clinical laboratory results: Chemistry - ALT (SGPT) (U/L).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (6.12 of 7)Baseline (U/L)12.680 U/LStandard Deviation 5.7134
Cambia®Safety Outcome (6.12 of 7)Final Visit (U/L)13.080 U/LStandard Deviation 5.1553
Cambia®Safety Outcome (6.12 of 7)Change from Baseline to Final Visit (U/L)0.400 U/LStandard Deviation 2.0817
Secondary

Safety Outcome (6.13 of 7)

• Changes in clinical laboratory results: Chemistry - AST (SGOT) (U/L).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (6.13 of 7)Baseline (U/L)17.240 U/LStandard Deviation 4.576
Cambia®Safety Outcome (6.13 of 7)Final Visit (U/L)18.040 U/LStandard Deviation 4.6947
Cambia®Safety Outcome (6.13 of 7)Change from Baseline to Final Visit (U/L)0.800 U/LStandard Deviation 2.6615
Secondary

Safety Outcome (6.14 of 7)

• Changes in clinical laboratory results: Chemistry - Bicarbonate (CO2) (mmol/L).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (6.14 of 7)Baseline (mmol/L)23.400 mmol/LStandard Deviation 1.8028
Cambia®Safety Outcome (6.14 of 7)Final Visit (mmol/L)23.920 mmol/LStandard Deviation 2.197
Cambia®Safety Outcome (6.14 of 7)Change from Baseline to Final Visit (mmol/L)0.520 mmol/LStandard Deviation 2.7099
Secondary

Safety Outcome (6.15 of 7)

• Changes in clinical laboratory results: Chemistry - Bilirubin Total (umol/L).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (6.15 of 7)Baseline (umol/L)9.029 umol/LStandard Deviation 4.1454
Cambia®Safety Outcome (6.15 of 7)Final Visit (umol/L)10.192 umol/LStandard Deviation 5.5311
Cambia®Safety Outcome (6.15 of 7)Change from Baseline to Final Visit (umol/L)1.163 umol/LStandard Deviation 3.9107
Secondary

Safety Outcome (6.16 of 7)

• Changes in clinical laboratory results: Chemistry - BUN (Urea) (mmol/L).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (6.16 of 7)Baseline (mmol/L)4.512 mmol/LStandard Deviation 1.0858
Cambia®Safety Outcome (6.16 of 7)Final Visit (mmol/L)4.594 mmol/LStandard Deviation 1.2965
Cambia®Safety Outcome (6.16 of 7)Change from Baseline to Final Visit (mmol/L)0.081 mmol/LStandard Deviation 1.0515
Secondary

Safety Outcome (6.17 of 7)

• Changes in clinical laboratory results: Chemistry - Chloride (mmol/L).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (6.17 of 7)Baseline (mmol/L)105.480 mmol/LStandard Deviation 1.9604
Cambia®Safety Outcome (6.17 of 7)Final Visit (mmol/L)104.880 mmol/LStandard Deviation 2.7435
Cambia®Safety Outcome (6.17 of 7)Change from Baseline to Final Visit (mmol/L)-0.600 mmol/LStandard Deviation 2.1602
Secondary

Safety Outcome (6.18 of 7)

• Changes in clinical laboratory results: Chemistry - Creatinine (umol/L).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (6.18 of 7)Baseline (umol/L)66.760 umol/LStandard Deviation 11.2603
Cambia®Safety Outcome (6.18 of 7)Final Visit (umol/L)67.467 umol/LStandard Deviation 10.7228
Cambia®Safety Outcome (6.18 of 7)Change from Baseline to Final Visit (umol/L)0.707 umol/LStandard Deviation 8.1866
Secondary

Safety Outcome (6.19 of 7)

• Changes in clinical laboratory results: Chemistry - Glucose (mmol/L).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (6.19 of 7)Baseline (mmol/L)4.758 mmol/LStandard Deviation 0.6037
Cambia®Safety Outcome (6.19 of 7)Final Visit (mmol/L)4.483 mmol/LStandard Deviation 0.859
Cambia®Safety Outcome (6.19 of 7)Change from Baseline to Final Visit (mmol/L)-0.275 mmol/LStandard Deviation 0.9215
Secondary

Safety Outcome (6.1 of 7)

• Changes in clinical laboratory results: Hematology - Hematocrit (L/L).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (6.1 of 7)Baseline (L/L)0.388 L/LStandard Deviation 0.0329
Cambia®Safety Outcome (6.1 of 7)Final Visit (L/L)0.408 L/LStandard Deviation 0.0344
Cambia®Safety Outcome (6.1 of 7)Change from Baseline to Final Visit (L/L)0.020 L/LStandard Deviation 0.019
Secondary

Safety Outcome (6.20 of 7)

• Changes in clinical laboratory results: Chemistry - LDH (U/L).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (6.20 of 7)Baseline (U/L)157.882 U/LStandard Deviation 59.0824
Cambia®Safety Outcome (6.20 of 7)Final Visit (U/L)159.708 U/LStandard Deviation 41.5425
Cambia®Safety Outcome (6.20 of 7)Change from Baseline to Final Visit (U/L)-0.882 U/LStandard Deviation 74.6064
Secondary

Safety Outcome (6.21 of 7)

• Changes in clinical laboratory results: Chemistry - Potassium (mmol/L).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (6.21 of 7)Baseline (mmol/L)3.964 mmol/LStandard Deviation 0.2215
Cambia®Safety Outcome (6.21 of 7)Final Visit (mmol/L)4.060 mmol/LStandard Deviation 0.2784
Cambia®Safety Outcome (6.21 of 7)Change from Baseline to Final Visit (mmol/L)0.096 mmol/LStandard Deviation 0.3007
Secondary

Safety Outcome (6.22 of 7)

• Changes in clinical laboratory results: Chemistry - Sodium (mmol/L).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (6.22 of 7)Baseline (mmol/L)138.640 mmol/LStandard Deviation 1.036
Cambia®Safety Outcome (6.22 of 7)Final Visit (mmol/L)138.840 mmol/LStandard Deviation 1.5188
Cambia®Safety Outcome (6.22 of 7)Change from Baseline to Final Visit (mmol/L)0.200 mmol/LStandard Deviation 1.6833
Secondary

Safety Outcome (6.23 of 7)

• Changes in clinical laboratory results: Urinalysis - pH.

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (6.23 of 7)Baseline (pH)6.220 pHStandard Deviation 0.7511
Cambia®Safety Outcome (6.23 of 7)Final Visit (pH)6.300 pHStandard Deviation 0.7773
Cambia®Safety Outcome (6.23 of 7)Change from Baseline to Final Visit (pH)0.080 pHStandard Deviation 0.8977
Secondary

Safety Outcome (6.24 of 7)

• Changes in clinical laboratory results: Urinalysis - Specific Gravity.

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (6.24 of 7)Baseline (Specific Gravity)1.020 Specific GravityStandard Deviation 0.0085
Cambia®Safety Outcome (6.24 of 7)Final Visit (Specific Gravity)1.022 Specific GravityStandard Deviation 0.006
Cambia®Safety Outcome (6.24 of 7)Change from Baseline to Final Visit (Spec.Gravity)0.002 Specific GravityStandard Deviation 0.0081
Secondary

Safety Outcome (6.2 of 7)

• Changes in clinical laboratory results: Hematology - Hemoglobin (g/L).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (6.2 of 7)Baseline (g/L)128.000 g/LStandard Deviation 11.4419
Cambia®Safety Outcome (6.2 of 7)Final Visit (g/L)132.720 g/LStandard Deviation 11.6638
Cambia®Safety Outcome (6.2 of 7)Change from Baseline to Final Visit (g/L)4.720 g/LStandard Deviation 5.443
Secondary

Safety Outcome (6.3 of 7)

• Changes in clinical laboratory results: Hematology - Platelet Count (Cells \* 10\^9/L).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (6.3 of 7)Baseline (Cells * 10^9/L)233.640 Cells * 10^9/LStandard Deviation 43.4855
Cambia®Safety Outcome (6.3 of 7)Final Visit (Cells * 10^9/L)244.960 Cells * 10^9/LStandard Deviation 47.0049
Cambia®Safety Outcome (6.3 of 7)Change from Baseline to Final Visit (Cells*10^9/L)11.320 Cells * 10^9/LStandard Deviation 42.3642
Secondary

Safety Outcome (6.4 of 7)

• Changes in clinical laboratory results: Hematology - White Blood Cells (Cells \* 10\^9/L).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (6.4 of 7)Baseline (Cells * 10^9/L)6.512 Cells * 10^9/LStandard Deviation 1.9935
Cambia®Safety Outcome (6.4 of 7)Final Visit (Cells * 10^9/L)6.262 Cells * 10^9/LStandard Deviation 1.4957
Cambia®Safety Outcome (6.4 of 7)Change from Baseline to Final Visit (Cells*10^9/L)-0.249 Cells * 10^9/LStandard Deviation 2.0634
Secondary

Safety Outcome (6.5 of 7)

• Changes in clinical laboratory results: Hematology - Basophils (%).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (6.5 of 7)Change from Baseline to Final Visit (% Basophils)0.026 % BasophilsStandard Deviation 0.519
Cambia®Safety Outcome (6.5 of 7)Baseline (% Basophils)0.324 % BasophilsStandard Deviation 0.3829
Cambia®Safety Outcome (6.5 of 7)Final Visit (% Basophils)0.350 % BasophilsStandard Deviation 0.3766
Secondary

Safety Outcome (6.6 of 7)

• Changes in clinical laboratory results: Hematology - Eosinophils (%).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (6.6 of 7)Baseline (% Eosinophils)2.730 % EosinophilsStandard Deviation 2.0728
Cambia®Safety Outcome (6.6 of 7)Final Visit (% Eosinophils)2.036 % EosinophilsStandard Deviation 1.6519
Cambia®Safety Outcome (6.6 of 7)Change from Baseline to Final Visit(% Eosinophils)-0.694 % EosinophilsStandard Deviation 1.7186
Secondary

Safety Outcome (6.7 of 7)

• Changes in clinical laboratory results: Hematology - Neutrophils (%).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (6.7 of 7)Baseline (% Neutrophils)54.530 % NeutrophilsStandard Deviation 9.7221
Cambia®Safety Outcome (6.7 of 7)Final Visit (% Neutrophils)57.932 % NeutrophilsStandard Deviation 8.4095
Cambia®Safety Outcome (6.7 of 7)Change from Baseline to Final Visit(% Neutrophils)3.402 % NeutrophilsStandard Deviation 10.1083
Secondary

Safety Outcome (6.8 of 7)

• Changes in clinical laboratory results: Hematology - Lymphocytes (%).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (6.8 of 7)Baseline (% Lymphocytes)36.260 % LymphocytesStandard Deviation 8.9981
Cambia®Safety Outcome (6.8 of 7)Final Visit (% Lymphocytes)33.745 % LymphocytesStandard Deviation 7.526
Cambia®Safety Outcome (6.8 of 7)Change from Baseline to Final Visit(% Lymphocytes)-2.515 % LymphocytesStandard Deviation 9.1165
Secondary

Safety Outcome (6.9 of 7)

• Changes in clinical laboratory results: Hematology - Monocytes (%).

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented are changes from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureGroupValue (MEAN)Dispersion
Cambia®Safety Outcome (6.9 of 7)Baseline (% Monocytes)6.030 % MonocytesStandard Deviation 1.8765
Cambia®Safety Outcome (6.9 of 7)Final Visit (% Monocytes)5.847 % MonocytesStandard Deviation 1.717
Cambia®Safety Outcome (6.9 of 7)Change from Baseline to Final Visit (% Monocytes)-0.183 % MonocytesStandard Deviation 1.7852
Secondary

Safety Outcome (7 of 7)

• Physical examination findings including abnormal clinically significant findings

Time frame: 3 months (signed informed consent/assent to the final visit)

Population: The Safety population included all subjects who have received at least 1 dose of study drug.~The data presented is a clinically significant change from baseline to the final visit. Baseline is defined as the last measurement taken before first treatment with study drug.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cambia®Safety Outcome (7 of 7)1 Participants

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