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. Author manuscript; available in PMC: 2024 Jul 5.
Published in final edited form as: N Engl J Med. 2023 Mar 9;388(10):898–912. doi: 10.1056/NEJMoa2210140

Table 2.

Adverse Events in the Safety Population.*

Category Nirogacestat (N = 69) Placebo (N = 72)
Adverse event, any grade — no. (%) 69 (100) 69 (96)
Advert event, grade ≥3 — no. (%) 38 (55) 12 (17)
Adverse event leading to early discontinuation of nirogacestat or placebo, any grade — no. (%) 14 (20) 1 (1)
Adverse event leading to death — no. (%) 0 1 (1)
Adverse events reported in ≥15% of patients in either group, any grade — no. (%)
 Diarrhea 58 (84) 25 (35)
 Nausea 37 (54) 28 (39)
 Fatigue 35 (51) 26 (36)
 Hypophosphatemia 29 (42) 5 (7)
 Maculopapular rash 22 (32) 4 (6)
 Stomatitis 20 (29) 3 (4)
 Headache 20 (29) 11 (15)
 Dermatitis acneiform 15 (22) 0
 Vomiting 14 (20) 14 (19)
 Rash 13 (19) 5 (7)
 Hot flush 13 (19) 4 (6)
 Alopecia 13 (19) 1 (1)
 Alanine aminotransferase level increased 12 (17) 6 (8)
 Covid-19 12 (17) 12 (17)
 Weight gain 11 (16) 5 (7)
 Cough 11 (16) 3 (4)
 Abdominal pain 11 (16) 9 (12)
 Aspartate aminotransferase level increased 11 (16) 8 (11)
 Dyspnea 11 (16) 4 (6)
 Decreased appetite 11 (16) 8 (11)
 Dry skin 11 (16) 5 (7)
 Tumor pain 5 (7) 13 (18)
Ovarian dysfunction
 In the safety population — no. (%) 27 (39) 0
 In women of childbearing potential in the safety population — no./total no. (%) 27/36 (75) 0/37
*

Shown are adverse events that emerged or worsened from the time of the first dose of nirogacestat or placebo through 30 days after the last dose. Covid-19 denotes coronavirus disease 2019.

The patient died from sepsis.

Ovarian dysfunction includes the Medical Dictionary for Regulatory Activities, version 24.0, preferred terms amenorrhea, premature menopause, menopause, and ovarian failure.