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. 2021 Mar 29;78(5):1–10. doi: 10.1001/jamaneurol.2021.0405

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.

a

Only system organ classes with at least 2 events in at least 1 treatment arm are displayed.

b

Up to end of treatment plus 15 days, unless otherwise specified.

c

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.

d

Adverse event macular hole was not confirmed as macular edema.

e

Two with basal cell carcinoma, 2 with excision of preexisting benign lesions (nevus), and 1 with malignant melanoma.

f

One with basal cell carcinoma.

g

One because of coronary artery insufficiency and 1 because of multiple sclerosis.