Table 2:
Tolebrutinib |
|||||
---|---|---|---|---|---|
Participants, n (%)a | All participants (N=130) | 5 mg (n=33) | 15 mg (n=32) | 30 mg (n=33) | 60 mg (n=32) |
Any AE | 70 (54) | 19 (58) | 17 (53) | 18 (55) | 16 (50) |
Severe AEb | 1 (1) | 0 | 0 | 0 | 1 (3) |
Serious AEb | 1 (1) | 0 | 0 | 0 | 1 (3) |
AE leading to death | 0 | 0 | 0 | 0 | 0 |
AE leading to study discontinuation | 0 | 0 | 0 | 0 | 0 |
Any AE leading to study treatment discontinuation | 0 | 0 | 0 | 0 | 0 |
Any treatment-related AE | 17 (13) | 5 (15) | 1 (3) | 4 (12) | 7 (22) |
| |||||
AEs occurring in >2 participants during 12 weeks of tolebrutinib treatment | |||||
Headache | 9 (7) | 1 (3) | 3 (9) | 1 (3) | 4 (13) |
Upper respiratory tract infection | 6 (5) | 2 (6) | 2 (6) | 1 (3) | 1 (3) |
Nasopharyngitis | 5 (4) | 1 (3) | 0 | 1 (3) | 3 (9) |
Back pain | 4 (3) | 1 (3) | 1 (3) | 2 (6) | 0 |
Peripheral oedema | 4 (3) | 2 (6) | 0 | 0 | 2 (6) |
Accidental overdose | 3 (2) | 0 | 0 | 0 | 3 (9) |
Gastroenteritis | 3 (2) | 1 (3) | 0 | 0 | 2 (6) |
Alanine aminotransferase increasedc | 3 (2) | 1 (3) | 0 | 1 (3) | 1 (3) |
Respiratory tract infection | 3 (2) | 0 | 1 (3) | 1 (3) | 1 (3) |
Muscle spasticity | 3 (2) | 0 | 0 | 1 (3) | 2 (6) |
Oropharyngeal pain | 3 (2) | 1 (3) | 0 | 1 (3) | 1 (3) |
Alopecia | 3 (2) | 1 (3) | 1 (3) | 0 | 1 (3) |
Percentage of participants with ≥1 event.
One participant from the tolebrutinib 60-mg arm experienced a serious AE, which was also determined to be severe; the AE was an MS relapse that was reported by an investigator due to hospitalisation for differential diagnosis.
Three participants had elevated alanine aminotransferase levels, 2 of whom (in the 30- and 60-mg arms) had levels >3 times the upper limit of normal.
AE=adverse event. MS=multiple sclerosis. See table S2 (Supplementary Appendix, page 27) for details about safety outcomes of tolebrutinib compared to placebo over weeks 1-4.