Table 3.
Total Adverse Events and Serious Adverse Events in the Two Study Groups.*
| Category | Total Adverse Events | Serious Adverse Events | ||||||
|---|---|---|---|---|---|---|---|---|
| Treatment Period | Observation Period | Treatment Period | Observation Period | |||||
| Placebo | Sirolimus | Placebo | Sirolimus | Placebo | Sirolimus | Placebo | Sirolimus | |
| number of events | ||||||||
| Allergy or immunologic event | 13 | 11 | 1 | 1 | ||||
|
| ||||||||
| Auditory or ear-related event | 2 | 4 | 0 | 1 | ||||
|
| ||||||||
| Blood or bone-marrow event | 4 | 12 | 1 | 0 | 0 | 1 | 0 | 0 |
|
| ||||||||
| Cardiac arrhythmia | 0 | 2 | 0 | 2 | ||||
|
| ||||||||
| Cardiac event, general | 12 | 15 | 3 | 2 | 0 | 5 | 0 | 0 |
|
| ||||||||
| Constitutional symptom | 35 | 46 | 7 | 7 | ||||
|
| ||||||||
| Death not related to an event | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 |
|
| ||||||||
| Dermatologic event | 41 | 106 | 8 | 11 | ||||
|
| ||||||||
| Endocrinologic event | 3 | 2 | 2 | 0 | 0 | 0 | 1 | 0 |
|
| ||||||||
| Gastrointestinal event | 181 | 275 | 12 | 20 | 1 | 3 | 0 | 0 |
|
| ||||||||
| Hemorrhage or bleeding event | 14 | 17 | 3 | 1 | 0 | 0 | 1† | 0 |
|
| ||||||||
| Hepatobiliary or pancreatic event | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 0 |
|
| ||||||||
| Infection | 74 | 78 | 20 | 24 | 3 | 2 | 1 | 0 |
|
| ||||||||
| Lymphatic event | 8 | 15 | 6 | 0 | ||||
|
| ||||||||
| Metabolic event or abnormal laboratory result | 26 | 56 | 1 | 6 | 0 | 1 | 0 | 0 |
|
| ||||||||
| Musculoskeletal or soft-tissue event | 21 | 35 | 2 | 4 | 0 | 1 | 0 | 1 |
|
| ||||||||
| Neurologic event | 27 | 33 | 4 | 7 | ||||
|
| ||||||||
| Ocular or visual problem | 3 | 8 | 1 | 2 | ||||
|
| ||||||||
| Pain | 115 | 130 | 9 | 13 | 1 | 7 | 0 | 0 |
|
| ||||||||
| Pulmonary or upper respiratory event | 121 | 97 | 17 | 32 | 13 | 2 | 0 | 0 |
|
| ||||||||
| Renal or genitourinary event | 8 | 11 | 0 | 2 | ||||
|
| ||||||||
| Sexual or reproductive problem | 8 | 5 | 0 | 0 | ||||
|
| ||||||||
| Vascular event | 1 | 1 | 0 | 0 | 0 | 1 | 0 | 0 |
|
| ||||||||
| Total adverse events | 718 | 959 | 99 | 135 | ||||
|
| ||||||||
| Total serious adverse events | 18 | 23 | 5 | 1 | ||||
|
| ||||||||
| Definitely not related to study drug | 1 | 11 | 2 | 1 | ||||
|
| ||||||||
| Probably not related to study drug | 8 | 7 | 0 | 0 | ||||
|
| ||||||||
| Possibly related to study drug | 5 | 3 | 3 | 0 | ||||
|
| ||||||||
| Probably related to study drug | 4 | 2 | 0 | 0 | ||||
Adverse events were assessed with the use of the Common Terminology Criteria for Adverse Events (version 3.0). Details of the statistical analysis plan for adverse events are provided in the Supplementary Appendix.
A level 5 serious adverse event due to intracranial hemorrhage resulted in the death of one patient in the 18th month after the beginning of the study (the 6th month of the observation period).