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. 2020 Aug 24;78(1):1–13. doi: 10.1001/jamaneurol.2020.2950

Table 3. Safety Profile.

Adverse event No. (%)
Fingolimod groups GA, 20 mg, group
0.5 mg 0.25 mg
Total participants, No. 345 366 324
Events ≥3% in any group
Any event 312 (90.4) 323 (88.3) 283 (87.3)
Headache 52 (15.1) 52 (14.2) 27 (8.3)
Fatigue 46 (13.3) 46 (12.6) 22 (6.8)
Urinary tract infection 44 (12.8) 43 (11.7) 37 (11.4)
Upper respiratory tract infection 30 (8.7) 35 (9.6) 20 (6.2)
Hypertension 26 (7.5) 34 (9.3) 12 (3.7)
Nausea 24 (7.0) 30 (8.2) 15 (4.6)
Pain in extremity 24 (7.0) 24 (6.6) 17 (5.2)
Depression 23 (6.7) 19 (5.2) 18 (5.6)
Lymphopenia 23 (6.7) 18 (4.9) 1 (0.3)
Nasopharyngitis 23 (6.7) 23 (6.3) 14 (4.3)
Diarrhea 21 (6.1) 23 (6.3) 10 (3.1)
Increase in alanine aminotransferase level 20 (5.8) 15 (4.1) 4 (1.2)
Back pain 17 (4.9) 19 (5.2) 18 (5.6)
Dyspnea 17 (4.9) 10 (2.7) 6 (1.9)
Decrease in lymphocyte count 16 (4.6) 10 (2.7) 1 (0.3)
Sinusitis 16 (4.6) 16 (4.4) 15 (4.6)
Arthralgia 15 (4.3) 20 (5.5) 13 (4.0)
Cough 15 (4.3) 13 (3.6) 11 (3.4)
Increase in γ glutamyltransferase level 15 (4.3) 12 (3.3) 2 (0.6)
Muscle spasms 14 (4.1) 15 (4.1) 11 (3.4)
Paresthesia 14 (4.1) 13 (3.6) 11 (3.4)
Vision blurred 14 (4.1) 13 (3.6) 6 (1.9)
Anxiety 13 (3.8) 21 (5.7) 9 (2.8)
Increase in hepatic enzymes 13 (3.8) 2 (0.5) 2 (0.6)
Influenza 13 (3.8) 16 (4.4) 9 (2.8)
Alopecia 12 (3.5) 17 (4.6) 3 (0.9)
Bronchitis 12 (3.5) 10 (2.7) 6 (1.9)
Dizziness 12 (3.5) 27 (7.4) 14 (4.3)
Hypoesthesia 12 (3.5) 17 (4.6) 10 (3.1)
Insomnia 12 (3.5) 27 (7.4) 9 (2.8)
Oropharyngeal pain 12 (3.5) 8 (2.2) 4 (1.2)
Migraine 11 (3.2) 17 (4.6) 8 (2.5)
Vomiting 11 (3.2) 9 (2.5) 6 (1.9)
Fall 9 (2.6) 10 (2.7) 10 (3.1)
Muscular weakness 9 (2.6) 13 (3.6) 5 (1.5)
Vertigo 9 (2.6) 12 (3.3) 6 (1.9)
Constipation 7 (2.0) 17 (4.6) 5 (1.5)
Dry eye 5 (1.4) 5 (1.4) 10 (3.1)
Eye pain 4 (1.2) 14 (3.8) 3 (0.9)
Injection site
Erythema 0 0 34 (10.5)
Mass 0 0 12 (3.7)
Pain 0 0 36 (11.1)
Pruritus 0 0 26 (8.0)
Reaction 0 0 21 (6.5)
Serious events >0.5% in any group
Any event 25 (7.2) 32 (8.7) 20 (6.2)
Multiple sclerosis relapse 4 (1.2) 7 (1.9) 7 (2.2)
Basal cell carcinoma 3 (0.9) 4 (1.1) 0
Headache 1 (0.3) 3 (0.8) 0
Urinary tract infection 2 (0.6) 1 (0.3) 2 (0.6)
Seizure 1 (0.3) 2 (0.5) 0
Syncope 0 0 2 (0.6)
Dyspnea 2 (0.6) 0 0
Gait disturbance 0 2 (0.5) 0
Leukocytosis 0 2 (0.5) 0
Events leading to study drug discontinuation
Any event 32 (9.3) 27 (7.4) 45 (13.9)
Increase in hepatic enzymes 4 (1.2) 2 (0.5) 0
Drug hypersensitivity 0 0 6 (1.9)
Injection site
Pain 0 0 6 (1.9)
Reaction 0 0 7 (2.2)

Abbreviation: GA, glatiramer acetate.