Table 3. Overview of Adverse Events in Safety Analysis Set.
| Characteristics | Patients, No. (%) | |
|---|---|---|
| Ponesimod, 20 mg (n = 565) | Teriflunomide, 14 mg (n = 566) | |
| TEAEs | 502 (88.8) | 499 (88.2) |
| ≥1 TEAEs in either group leading to treatment discontinuation, by system organ class termsa | 49 (8.7) | 34 (6.0) |
| Investigations | 12 (2.1) | 10 (1.8) |
| Respiratory, thoracic, and mediastinal disorders | 7 (1.2) | NA |
| Eye disorders | 5 (0.9) | NA |
| Gastrointestinal disorders | 4 (0.7) | 4 (0.7) |
| Blood and lymphatic system disorders | 3 (0.5) | 2 (0.4) |
| General disorders and administration site conditions | 3 (0.5) | 2 (0.4) |
| Hepatobiliary disorders | 3 (0.5) | 2 (0.4) |
| Pregnancy, puerperium, and perinatal conditions | 3 (0.5) | 3 (0.5) |
| Vascular disorders | 3 (0.5) | NA |
| Nervous system disorders | 2 (0.4) | 4 (0.7) |
| Social circumstances | 2 (0.4) | 1 (0.2) |
| Cardiac disorders | 1 (0.2) | 2 (0.4) |
| Skin and subcutaneous tissue disorders | 1 (0.2) | 2 (0.4) |
| Adverse event of special interestb | ||
| Hepatobiliary disorders or liver test result abnormality | ||
| End of treatment plus 1 d | 128 (22.7) | 69 (12.2) |
| End of treatment plus 15 d | 145 (25.7) | 82 (14.5) |
| ≥1 Serious adverse event | 2 (0.4) | 4 (0.7) |
| Hypertension | 57 (10.1) | 51 (9.0) |
| Pulmonary events | 45 (8.0) | 15 (2.7) |
| Effect on heart rate and rhythm plus hypotension on day 1 | 12 (2.1) | 2 (0.4) |
| Herpetic infection | 27 (4.8) | 27 (4.8) |
| Infectionc | 9 (1.6) | 5 (0.9) |
| Seizure | 8 (1.4) | 1 (0.2) |
| Macular edema | 6 (1.1) | 1 (0.2)d |
| Skin malignant condition | 5 (0.9)e | 1 (0.2)f |
| Nonskin malignant condition | 1 (0.2) | 1 (0.2) |
| Fatal TEAEs | NA | 2 (0.4)g |
| Serious adverse events (n ≥1 in either group by system organ class terms | 49 (8.7) | 46 (8.1) |
| Nervous system disorders | 9 (1.6) | 6 (1.1) |
| Infections and infestations | 7 (1.2) | 4 (0.7) |
| Gastrointestinal disorders | 6 (1.1) | 4 (0.7) |
| Neoplasms, benign, malignant, and unspecified, including cysts and polyps | 6 (1.1) | 3 (0.5) |
| Surgical and medical procedures | 5 (0.9) | 1 (0.2) |
| Injury, poisoning, and procedural complications | 4 (0.7) | 7 (1.2) |
| Kidney and urinary disorders | 4 (0.7) | 1 (0.2) |
| Musculoskeletal and connective tissue disorders | 3 (0.5) | 4 (0.7) |
| Reproductive system and breast disorders | 3 (0.5) | 6 (1.1) |
| Hepatobiliary disorders | 2 (0.4) | 7 (1.2) |
| Investigations | 2 (0.4) | 3 (0.5) |
| Respiratory, thoracic, and mediastinal disorders | 2 (0.4) | 1 (0.2) |
| Vascular disorders | 2 (0.4) | 2 (0.4) |
| Blood and lymphatic system disorders | 1 (0.2) | 1 (0.2) |
| Psychiatric disorders | 1 (0.2) | 2 (0.4) |
| Cardiac disorders | 0 | 2 (0.4) |
| Metabolism and nutrition disorders | 0 | 1 (0.2) |
Abbreviations: NA, not applicable; TEAE, treatment-emergent adverse events.
Only system organ classes with at least 2 events in at least 1 treatment arm are displayed.
Up to end of treatment plus 15 days, unless otherwise specified.
Infection adverse event of special interests were identified by the adverse events from the infections and infestations system organ class, only if reported as serious or severe.
Adverse event macular hole was not confirmed as macular edema.
Two with basal cell carcinoma, 2 with excision of preexisting benign lesions (nevus), and 1 with malignant melanoma.
One with basal cell carcinoma.
One because of coronary artery insufficiency and 1 because of multiple sclerosis.