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ポリープを含む)/転移性非小細胞肺癌/転移 19MAR2010 Permanently withdrawn

005-0505 71/F/White 眼障害/視力低下/15文字の視力低下 SEVERE/No No No 04NOV2009 545 Drug

Permanently withdrawn

Not Recovered / Not Resolved Source: 5.3.5.4-1 702試験のListing 14.3.2.3

無作為化集団)及び表 2.7.6.13- 33(安全性解析対象集団)に示す。全無作為化集団における 治験対象眼の TEAE、僚眼の TEAE 及び眼以外の TEAE の発現例数及び発現率に関して、バイアル 群とプレフィルドシリンジ群の比較をそれぞれ表 2.7.6.13- 34、表 2.7.6.13- 36及び表 37に示す。また、安全性解析対象集団における同様の結果をそれぞれ表 2.7.6.13-35、表 2.7.6.13- 37及び表 2.7.6.13- 39に示す。

最も高頻度に報告された事象〔白内障(cataract)、網膜出血(retinal hemorrhage)、視力低 下(reduced VA)、結膜出血(conjunctival hemorrhage)及び眼瞼炎(blepharitis)〕を含め、

無作為化後に発現した治験対象眼における TEAE の発現率は、バイアル群の方が高かった

(76.0%対 58.6%)が、その差の臨床的な意味は明らかではなかった(表 2.7.6.13- 34)。

僚眼における TEAE の発現率は、無作為化前には両投与群で同程度(バイアル群 40.0%、プレフ ィルドシリンジ群 43.4%)であったが、無作為化後にはバイアル群のほうが高かった(バイア ル群 70.0%、プレフィルドシリンジ群 50.5%、表 2.7.6.13- 36)。

眼以外の TEAE の発現率は両群で同じ(バイアル群 88.0%、プレフィルドシリンジ群 87.9%)で あ っ た ( 表 2.7.6.13- 38 ) 。 眼 以 外 の TEAE と し て 下 痢 ( diarrhea ) 、 鼻 咽 頭 炎

(nasopharyngitis)、気管支炎(bronchitis)、尿路感染(urinary tract infection)、副鼻

腔炎(sinusitis)、上気道感染(upper respiratory tract infection)、転倒(fall)、関節

炎(arthritis)、変形性関節症(osteoarthritis)及び高血圧(hypertension)]が比較的高

頻度に報告されたが、それぞれの発現率は概して低かった(表 2.7.6.13- 38)。

Any non ocular AE 33 (66.0%) 44 (88.0%) 65 (65.7%) 87 (87.9%) 98 (65.8%) 131 (87.9%)

Any treatment related AE 1 (2.0%) 0 1 (1.0%) 1 (1.0%) 2 (1.3%) 1 (0.7%)

Any ocular treatment related AE 1 (2.0%) 0 1 (1.0%) 0 2 (1.3%) 0

Study eye 1 (2.0%) 0 1 (1.0%) 0 2 (1.3%) 0

Fellow eye 0 0 0 0 0 0

Any non ocular treatment related AE 0 0 0 1 (1.0%) 0 1 (0.7%)

Maximum intensity for any ocular AE

Mild 23 (46.0%) 39 (78.0%) 56 (56.6%) 65 (65.7%) 79 (53.0%) 104 (69.8%)

Moderate 11 (22.0%) 12 (24.0%) 27 (27.3%) 27 (27.3%) 38 (25.5%) 39 (26.2%)

Severe 1 (2.0%) 3 (6.0%) 3 (3.0%) 5 (5.1%) 4 (2.7%) 8 (5.4%)

Study Eye 1 (2.0%) 2 (4.0%) 2 (2.0%) 4 (4.0%) 3 (2.0%) 6 (4.0%)

Fellow Eye 0 2 (4.0%) 1 (1.0%) 1 (1.0%) 1 (0.7%) 3 (2.0%)

Maximum intensity for any non-ocular AE

Mild 22 (44.0%) 39 (78.0%) 55 (55.6%) 77 (77.8%) 77 (51.7%) 116 (77.9%)

Moderate 19 (38.0%) 17 (34.0%) 32 (32.3%) 55 (55.6%) 51 (34.2%) 72 (48.3%)

Severe 5 (10.0%) 12 (24.0%) 6 (6.1%) 16 (16.2%) 11 (7.4%) 28 (18.8%)

Study Eye 0 0 0 0 0 0

Fellow Eye 5 (10.0%) 12 (24.0%) 6 (6.1%) 16 (16.2%) 11 (7.4%) 28 (18.8%)

Any SAE 9 (18.0%) 16 (32.0%) 13 (13.1%) 33 (33.3%) 22 (14.8%) 49 (32.9%)

Any injection related SAE 1 (2.0%) 0 0 1 (1.0%) 1 (0.7%) 1 (0.7%)

Any AEs leading to withdrawal from study 0 2 (4.0%) 0 1 (1.0%) 0 3 (2.0%)

Discontinuation of study drug due to AEs 0 1 (2.0%) 0 2 (2.0%) 0 3 (2.0%)

Any Death due to AE 0 2 (4.0%) 0 3 (3.0%) 0 5 (3.4%)

Any non ocular AE 52 (96.3%) 76 (92.7%) 128 (94.1%)

Any treatment related AE 1 (1.9%) 2 (2.4%) 3 (2.2%)

Any ocular treatment related AE 1 (1.9%) 1 (1.2%) 2 (1.5%)

Study eye 1 (1.9%) 1 (1.2%) 2 (1.5%)

Fellow eye 0 0 0

Any non ocular treatment related AE 0 1 (1.2%) 1 (0.7%)

Maximum intensity for any ocular AE

MILD 43 (79.6%) 68 (82.9%) 111 (81.6%)

MODERATE 21 (38.9%) 40 (48.8%) 61 (44.9%)

SEVERE 4 (7.4%) 7 (8.5%) 11 (8.1%)

Maximum intensity for any non ocular AE

MILD 45 (83.3%) 70 (85.4%) 115 (84.6%)

MODERATE 31 (57.4%) 56 (68.3%) 87 (64.0%)

SEVERE 17 (31.5%) 17 (20.7%) 34 (25.0%)

Any SAE 20 (37.0%) 37 (45.1%) 57 (41.9%)

Any injection related SAE 1 (1.9%) 1 (1.2%) 2 (1.5%)

Any AEs leading to withdrawal from study 2 (3.7%) 1 (1.2%) 3 (2.2%)

Discontinuation of study drug due to AEs 1 (1.9%) 2 (2.4%) 3 (2.2%)

Any death due to AE 4 (7.4%) 2 (2.4%) 6 (4.4%)

Note: Cutoff date for the data is 20 . Source: 5.3.5.4-1 702試験のpost-text table 14.3.1/4

角膜ジストロフィー 1 (2.0%) 1 (2.0%) 0 1 (1.0%) 1 (0.7%) 2 (1.3%)

睫毛重生 1 (2.0%) 0 0 0 1 (0.7%) 0

眼障害 22 (44.0%) 37 (74.0%) 52 (52.5%) 52 (52.5%) 74 (49.7%) 89 (59.7%)

前房内細胞 0 0 1 (1.0%) 1 (1.0%) 1 (0.7%) 1 (0.7%)

角膜リポイド環 0 0 0 1 (1.0%) 0 1 (0.7%)

眼瞼炎 1 (2.0%) 5 (10.0%) 1 (1.0%) 2 (2.0%) 2 (1.3%) 7 (4.7%)

アレルギー性眼瞼炎 0 0 1 (1.0%) 0 1 (0.7%) 0

眼瞼皮膚弛緩症 0 1 (2.0%) 2 (2.0%) 0 2 (1.3%) 1 (0.7%)

白内障 2 (4.0%) 7 (14.0%) 5 (5.1%) 9 (9.1%) 7 (4.7%) 16 (10.7%)

皮質白内障 1 (2.0%) 1 (2.0%) 0 1 (1.0%) 1 (0.7%) 2 (1.3%) 核性白内障 1 (2.0%) 2 (4.0%) 2 (2.0%) 1 (1.0%) 3 (2.0%) 3 (2.0%) 嚢下白内障 0 1 (2.0%) 3 (3.0%) 3 (3.0%) 3 (2.0%) 4 (2.7%)

脈絡網膜障害 0 0 1 (1.0%) 0 1 (0.7%) 0

結膜出血 4 (8.0%) 6 (12.0%) 8 (8.1%) 8 (8.1%) 12 (8.1%) 14 (9.4%)

結膜充血 0 0 1 (1.0%) 0 1 (0.7%) 0

結膜浮腫 1 (2.0%) 0 0 0 1 (0.7%) 0

結膜炎 2 (4.0%) 2 (4.0%) 0 0 2 (1.3%) 2 (1.3%)

アレルギー性結膜炎 0 1 (2.0%) 0 1 (1.0%) 0 2 (1.3%)

角膜浮腫 1 (2.0%) 0 0 1 (1.0%) 1 (0.7%) 1 (0.7%)

網膜色素上皮剥離 2 (4.0%) 0 1 (1.0%) 2 (2.0%) 3 (2.0%) 2 (1.3%)

糖尿病性網膜症 0 2 (4.0%) 0 0 0 2 (1.3%)

複視 0 0 1 (1.0%) 0 1 (0.7%) 0

眼乾燥 1 (2.0%) 2 (4.0%) 3 (3.0%) 2 (2.0%) 4 (2.7%) 4 (2.7%)

眼のアレルギー 0 1 (2.0%) 1 (1.0%) 2 (2.0%) 1 (0.7%) 3 (2.0%)

眼脂 0 2 (4.0%) 2 (2.0%) 0 2 (1.3%) 2 (1.3%)

眼刺激 0 0 2 (2.0%) 1 (1.0%) 2 (1.3%) 1 (0.7%)

眼痛 0 1 (2.0%) 7 (7.1%) 3 (3.0%) 7 (4.7%) 4 (2.7%)

眼そう痒症 1 (2.0%) 0 5 (5.1%) 4 (4.0%) 6 (4.0%) 4 (2.7%)

眼瞼出血 0 0 b 1 (1.0%) 0 1 (0.7%) 0

眼瞼びらん 0 0 1 (1.0%) 0 1 (0.7%) 0

眼瞼浮腫 0 0 1 (1.0%) 1 (1.0%) 1 (0.7%) 1 (0.7%)

眼瞼下垂 0 0 1 (1.0%) 0 1 (0.7%) 0

眼の異物感 0 0 0 6 (6.1%) 0 6 (4.0%)

緑内障 0 0 0 1 (1.0%) 0 1 (0.7%)

星状硝子体症 0 0 0 1 (1.0%) 0 1 (0.7%)

虹彩癒着 0 0 0 1 (1.0%) 0 1 (0.7%)

乾性角結膜炎 1 (2.0%) 1 (2.0%) 0 0 1 (0.7%) 1 (0.7%)

涙液分泌低下 0 1 (2.0%) 0 0 0 1 (0.7%)

流涙増加 0 0 2 (2.0%) 3 (3.0%) 2 (1.3%) 3 (2.0%)

黄斑嚢胞 0 1 (2.0%) 0 0 0 1 (0.7%)

黄斑変性 3 (6.0%) 3 (6.0%) 3 (3.0%) 4 (4.0%) 6 (4.0%) 7 (4.7%)

黄斑円孔 0 0 1 (1.0%) 0 1 (0.7%) 0

黄斑浮腫 0 1 (2.0%) 1 (1.0%) 1 (1.0%) 1 (0.7%) 2 (1.3%)

黄斑偽円孔 0 0 1 (1.0%) 0 1 (0.7%) 0

黄斑症 0 1 (2.0%) 0 3 (3.0%) 0 4 (2.7%)

マイボーム腺機能不全 0 1 (2.0%) 0 0 0 1 (0.7%)

変視症 0 1 (2.0%) 1 (1.0%) 1 (1.0%) 1 (0.7%) 2 (1.3%)

眼充血 0 0 1 (1.0%) 1 (1.0%) 1 (0.7%) 1 (0.7%)

1 (2.0%) 1 (2.0%) 0 0 1 (0.7%) 1 (0.7%)

光視症 0 2 (4.0%) 0 1 (1.0%) 0 3 (2.0%) 後嚢部混濁 1 (2.0%) 2 (4.0%) 4 (4.0%) 2 (2.0%) 5 (3.4%) 4 (2.7%)

翼状片 0 1 (2.0%) 0 0 0 1 (0.7%)

点状角膜炎 1 (2.0%) 1 (2.0%) 1 (1.0%) 3 (3.0%) 2 (1.3%) 4 (2.7%)

網膜血管瘤 0 0 0 1 (1.0%) 0 1 (0.7%)

網膜動脈塞栓症 0 0 0 1 (1.0%) 0 1 (0.7%)

網膜変性 0 2 (4.0%) 1 (1.0%) 2 (2.0%) 1 (0.7%) 4 (2.7%)

網膜滲出物 1 (2.0%) 1 (2.0%) 2 (2.0%) 1 (1.0%) 3 (2.0%) 2 (1.3%)

網膜出血 4 (8.0%) 8 (16.0%) 4 (4.0%) 8 (8.1%) 8 (5.4%) 16 (10.7%)

網膜血管新生 0 0 0 1 (1.0%) 0 1 (0.7%)

網膜浮腫 1 (2.0%) 2 (4.0%) 1 (1.0%) 2 (2.0%) 2 (1.3%) 4 (2.7%)

網膜色素上皮裂孔 0 1 (2.0%) 1 (1.0%) 3 (3.0%) 1 (0.7%) 4 (2.7%)

網膜色素上皮症 0 0 1 (1.0%) 0 1 (0.7%) 0

網膜裂孔 0 0 1 (1.0%) 0 1 (0.7%) 0

暗点 1 (2.0%) 1 (2.0%) 0 0 1 (0.7%) 1 (0.7%)

網膜下線維症 1 (2.0%) 0 3 (3.0%) 2 (2.0%) 4 (2.7%) 2 (1.3%)

霧視 1 (2.0%) 2 (4.0%) 3 (3.0%) 0 4 (2.7%) 2 (1.3%)

視力低下 3 (6.0%) 8 (16.0%) 5 (5.1%) 7 (7.1%) 8 (5.4%) 15 (10.1%)

硝子体細胞 1 (2.0%) 0 0 0 1 (0.7%) 0

硝子体癒着 0 0 0 1 (1.0%) 0 1 (0.7%)

硝子体変性 0 0 1 (1.0%) 0 1 (0.7%) 0

硝子体剥離 1 (2.0%) 5 (10.0%) 2 (2.0%) 1 (1.0%) 3 (2.0%) 6 (4.0%) 硝子体浮遊物 0 2 (4.0%) 4 (4.0%) 7 (7.1%) 4 (2.7%) 9 (6.0%)

硝子体混濁 0 0 1 (1.0%) 0 1 (0.7%) 0

注射部位紅斑 0 0 0 1 (1.0%) 0 1 (0.7%) 注射部位疼痛 0 0 4 (4.0%) 4 (4.0%) 4 (2.7%) 4 (2.7%)

感染症および寄生虫症 0 0 0 2 (2.0%) 0 2 (1.3%)

眼帯状疱疹 0 0 0 1 (1.0%) 0 1 (0.7%)

麦粒腫 0 0 0 1 (1.0%) 0 1 (0.7%)

傷害、中毒および処置合併症 0 1 (2.0%) 1 (1.0%) 4 (4.0%) 1 (0.7%) 5 (3.4%)

角膜擦過傷 0 0 0 2 (2.0%) 0 2 (1.3%)

眼外傷 0 0 0 1 (1.0%) 0 1 (0.7%)

眼の貫通性外傷 0 0 0 1 (1.0%) 0 1 (0.7%)

傷害、中毒および処置合併症

黄斑部瘢痕 0 1 (2.0%) 0 0 0 1 (0.7%)

過量投与 0 0 1 (1.0%) 0 1 (0.7%) 0

処置後浮腫 0 0 0 1 (1.0%) 0 1 (0.7%)

臨床検査 2 (4.0%) 0 5 (5.1%) 4 (4.0%) 7 (4.7%) 4 (2.7%)

眼圧上昇 1 (2.0%) 0 4 (4.0%) 4 (4.0%) 5 (3.4%) 4 (2.7%)

視神経乳頭陥凹/乳頭比増加 1 (2.0%) 0 0 0 1 (0.7%) 0

視野検査異常 0 0 1 (1.0%) 0 1 (0.7%) 0

良性、悪性および詳細不明の新生物(嚢胞およびポリ ープを含む)

0 1 (2.0%) 0 0 0 1 (0.7%)

眼瞼乳頭腫 0 1 (2.0%) 0 0 0 1 (0.7%)

神経系障害 0 0 1 (1.0%) 0 1 (0.7%) 0

0 0 1 (1.0%) 0 1 (0.7%) 0

顔面腫脹 0 0 0 1 (1.0%) 0 1 (0.7%) Source: 5.3.5.4-1 702試験のpost-text table 14.3.1/5

結膜出血 8 (14.8%) 14 (17.1%) 22 (16.2%)

視力低下 12 (22.2%) 10 (12.2%) 22 (16.2%)

白内障 9 (16.7%) 11 (13.4%) 20 (14.7%)

網膜出血 10 (18.5%) 10 (12.2%) 20 (14.7%)

黄斑変性 6 (11.1%) 7 (8.5%) 13 (9.6%)

硝子体浮遊物 2 (3.7%) 10 (12.2%) 12 (8.8%)

眼痛 1 (1.9%) 9 (11.0%) 10 (7.4%)

眼そう痒症 2 (3.7%) 7 (8.5%) 9 (6.6%)

後嚢部混濁 3 (5.6%) 6 (7.3%) 9 (6.6%)

硝子体剥離 6 (11.1%) 3 (3.7%) 9 (6.6%)

眼瞼炎 6 (11.1%) 2 (2.4%) 8 (5.9%)

眼乾燥 3 (5.6%) 5 (6.1%) 8 (5.9%)

嚢下白内障 1 (1.9%) 6 (7.3%) 7 (5.1%)

核性白内障 3 (5.6%) 3 (3.7%) 6 (4.4%)

眼の異物感 0 6 (7.3%) 6 (4.4%)

網膜色素上皮剥離 2 (3.7%) 3 (3.7%) 5 (3.7%)

流涙増加 0 5 (6.1%) 5 (3.7%)

網膜変性 2 (3.7%) 3 (3.7%) 5 (3.7%)

網膜滲出物 2 (3.7%) 3 (3.7%) 5 (3.7%)

網膜色素上皮裂孔 1 (1.9%) 4 (4.9%) 5 (3.7%)

網膜下線維症 2 (3.7%) 3 (3.7%) 5 (3.7%)

霧視 2 (3.7%) 3 (3.7%) 5 (3.7%)

眼のアレルギー 1 (1.9%) 3 (3.7%) 4 (2.9%)

眼脂

点状角膜炎 1 (1.9%) 3 (3.7%) 4 (2.9%)

網膜浮腫 2 (3.7%) 2 (2.4%) 4 (2.9%)

眼瞼皮膚弛緩症 1 (1.9%) 2 (2.4%) 3 (2.2%)

皮質白内障 3 (5.6%) 0 3 (2.2%)

結膜炎 3 (5.6%) 0 3 (2.2%)

眼刺激 0 3 (3.7%) 3 (2.2%)

黄斑浮腫 1 (1.9%) 2 (2.4%) 3 (2.2%)

変視症 1 (1.9%) 2 (2.4%) 3 (2.2%)

光視症 2 (3.7%) 1 (1.2%) 3 (2.2%)

前房内細胞 0 2 (2.4%) 2 (1.5%)

アレルギー性結膜炎 1 (1.9%) 1 (1.2%) 2 (1.5%)

角膜浮腫 1 (1.9%) 1 (1.2%) 2 (1.5%)

糖尿病性網膜症 2 (3.7%) 0 2 (1.5%)

眼瞼外反 0 2 (2.4%) 2 (1.5%)

眼瞼浮腫 0 2 (2.4%) 2 (1.5%)

乾性角結膜炎 2 (3.7%) 0 2 (1.5%)

眼充血 1 (1.9%) 1 (1.2%) 2 (1.5%)

暗点 2 (3.7%) 0 2 (1.5%)

角膜リポイド環 0 1 (1.2%) 1 (0.7%)

アレルギー性眼瞼炎 1 (1.9%) 0 1 (0.7%)

脈絡網膜障害 0 1 (1.2%) 1 (0.7%)

結膜充血 0 1 (1.2%) 1 (0.7%)

結膜浮腫 1 (1.9%) 0 1 (0.7%)

複視 0 1 (1.2%) 1 (0.7%)

眼瞼湿疹 0 1 (1.2%) 1 (0.7%)

眼瞼出血

緑内障 0 1 (1.2%) 1 (0.7%)

星状硝子体症 0 1 (1.2%) 1 (0.7%)

虹彩癒着 1 (1.9%) 0 1 (0.7%)

涙液分泌低下 1 (1.9%) 0 1 (0.7%)

黄斑嚢胞 1 (1.9%) 0 1 (0.7%)

マイボーム腺機能不全 1 (1.9%) 0 1 (0.7%)

高眼圧症 1 (1.9%) 0 1 (0.7%)

視神経障害 0 1 (1.2%) 1 (0.7%)

翼状片 1 (1.9%) 0 1 (0.7%)

網膜血管瘤 0 1 (1.2%) 1 (0.7%)

網膜動脈塞栓症 0 1 (1.2%) 1 (0.7%)

網膜血管新生 0 1 (1.2%) 1 (0.7%)

網膜色素上皮症 0 1 (1.2%) 1 (0.7%)

網膜裂孔 0 1 (1.2%) 1 (0.7%)

硝子体細胞 1 (1.9%) 0 1 (0.7%)

硝子体癒着 0 1 (1.2%) 1 (0.7%)

硝子体変性 0 1 (1.2%) 1 (0.7%)

硝子体混濁 0 1 (1.2%) 1 (0.7%)

全身障害および投与局所様態 0 10 (12.2%) 10 (7.4%)

注射部位疼痛 0 7 (8.5%) 7 (5.1%)

注射部位不快感 0 3 (3.7%) 3 (2.2%)

顔面痛 0 1 (1.2%) 1 (0.7%)

注射部位紅斑

視野検査異常 0 1 (1.2%) 1 (0.7%)

傷害、中毒および処置合併症 1 (1.9%) 5 (6.1%) 6 (4.4%)

角膜擦過傷 0 2 (2.4%) 2 (1.5%)

眼外傷 0 1 (1.2%) 1 (0.7%)

眼の貫通性外傷 0 1 (1.2%) 1 (0.7%)

黄斑部瘢痕 1 (1.9%) 0 1 (0.7%)

過量投与 0 1 (1.2%) 1 (0.7%)

処置後浮腫 0 1 (1.2%) 1 (0.7%)

先天性、家族性および遺伝性障害 3 (5.6%) 1 (1.2%) 4 (2.9%)

角膜ジストロフィー 2 (3.7%) 1 (1.2%) 3 (2.2%)

睫毛重生 1 (1.9%) 0 1 (0.7%)

感染症および寄生虫症 0 2 (2.4%) 2 (1.5%)

眼帯状疱疹 0 1 (1.2%) 1 (0.7%)

麦粒腫 0 1 (1.2%) 1 (0.7%)

皮膚および皮下組織障害 1 (1.9%) 1 (1.2%) 2 (1.5%)

脂漏性皮膚炎 1 (1.9%) 0 1 (0.7%)

顔面腫脹 0 1 (1.2%) 1 (0.7%)

良性、悪性および詳細不明の新生物(嚢胞およびポリープを含む) 1 (1.9%) 0 1 (0.7) 眼瞼乳頭腫

Note: Cutoff date for the data is 20 .

Note: the tables indicating that the results are presented by the primary system organ class and preferred term and sorted in descending frequency of 'All' column Source: 5.3.5.4-1 702試験のpost-text table 14.3.1/8

先天性、家族性および遺伝性障害 0 1 (2.0%) 0 1 (1.0%) 0 2 (1.3%) 角膜ジストロフィー 0 1 (2.0%) 0 1 (1.0%) 0 2 (1.3%)

眼障害 20 (40.0%) 35 (70.0%) 43 (43.4%) 49 (49.5%) 63 (42.3%) 84 (56.4%)

一過性黒内障 0 0 0 1 (1.0%) 0 1 (0.7%)

前房内細胞 0 1 (2.0%) 0 0 0 1 (0.7%)

前房のフレア 0 0 1 (1.0%) 0 1 (0.7%) 0

角膜リポイド環 0 1 (2.0%) 0 1 (1.0%) 0 2 (1.3%)

乱視 0 1 (2.0%) 0 0 0 1 (0.7%)

眼瞼炎 2 (4.0%) 5 (10.0%) 1 (1.0%) 2 (2.0%) 3 (2.0%) 7 (4.7%)

アレルギー性眼瞼炎 0 0 1 (1.0%) 0 1 (0.7%) 0

眼瞼皮膚弛緩症 0 2 (4.0%) 2 (2.0%) 0 2 (1.3%) 2 (1.3%)

白内障 4 (8.0%) 3 (6.0%) 5 (5.1%) 8 (8.1%) 9 (6.0%) 11 (7.4%)

皮質白内障 1 (2.0%) 1 (2.0%) 2 (2.0%) 0 3 (2.0%) 1 (0.7%) 核性白内障 1 (2.0%) 3 (6.0%) 2 (2.0%) 2 (2.0%) 3 (2.0%) 5 (3.4%) 嚢下白内障 0 2 (4.0%) 2 (2.0%) 2 (2.0%) 2 (1.3%) 4 (2.7%) 脈絡膜血管新生 1 (2.0%) 2 (4.0%) 0 2 (2.0%) 1 (0.7%) 4 (2.7%)

結膜濾過胞 0 1 (2.0%) 0 0 0 1 (0.7%)

結膜障害 0 1 (2.0%) 0 0 0 1 (0.7%)

結膜出血 0 5 (10.0%) 3 (3.0%) 4 (4.0%) 3 (2.0%) 9 (6.0%)

結膜炎 1 (2.0%) 1 (2.0%) 1 (1.0%) 1 (1.0%) 2 (1.3%) 2 (1.3%)

アレルギー性結膜炎 0 1 (2.0%) 0 0 0 1 (0.7%)

角膜沈着物 0 2 (4.0%) 0 0 0 2 (1.3%)

角膜浮腫 0 1 (2.0%) 0 2 (2.0%) 0 3 (2.0%)

角膜混濁 0 0 0 1 (1.0%) 0 1 (0.7%)

網膜色素上皮剥離 0 3 (6.0%) 2 (2.0%) 0 2 (1.3%) 3 (2.0%)

糖尿病性網膜症 0 0 0 1 (1.0%) 0 1 (0.7%)

複視 1 (2.0%) 0 1 (1.0%) 1 (1.0%) 2 (1.3%) 1 (0.7%)

眼乾燥 1 (2.0%) 2 (4.0%) 3 (3.0%) 3 (3.0%) 4 (2.7%) 5 (3.4%)

眼瞼外反 0 0 0 1 (1.0%) 0 1 (0.7%)

眼瞼湿疹 0 0 1 (1.0%) 0 1 (0.7%) 0

眼のアレルギー 0 1 (2.0%) 1 (1.0%) 2 (2.0%) 1 (0.7%) 3 (2.0%)

眼脂 0 1 (2.0%) 1 (1.0%) 0 1 (0.7%) 1 (0.7%)

眼刺激 0 0 1 (1.0%) 0 1 (0.7%) 0

眼痛 1 (2.0%) 1 (2.0%) 3 (3.0%) 2 (2.0%) 4 (2.7%) 3 (2.0%)

眼そう痒症 1 (2.0%) 0 3 (3.0%) 3 (3.0%) 4 (2.7%) 3 (2.0%)

眼部腫脹 0 0 1 (1.0%) 0 1 (0.7%) 0

眼瞼下垂 0 0 1 (1.0%) 1 (1.0%) 1 (0.7%) 1 (0.7%)

眼の異物感 0 0 0 3 (3.0%) 0 3 (2.0%)

緑内障 0 0 0 1 (1.0%) 0 1 (0.7%)

虹彩癒着 0 0 1 (1.0%) 0 1 (0.7%) 0

虹彩萎縮 0 0 0 1 (1.0%) 0 1 (0.7%)

虹彩炎 0 1 (2.0%) 0 0 0 1 (0.7%)

乾性角結膜炎 0 1 (2.0%) 0 0 0 1 (0.7%)

涙液分泌低下 0 1 (2.0%) 0 1 (1.0%) 0 2 (1.3%)

流涙増加 0 0 2 (2.0%) 2 (2.0%) 2 (1.3%) 2 (1.3%)

水晶体脱臼 0 1 (2.0%) 0 0 0 1 (0.7%)

黄斑症 0 0 0 2 (2.0%) 0 2 (1.3%)

マイボーム腺機能不全 0 1 (2.0%) 0 0 0 1 (0.7%)

変視症 0 0 1 (1.0%) 1 (1.0%) 1 (0.7%) 1 (0.7%)

眼充血 0 0 1 (1.0%) 1 (1.0%) 1 (0.7%) 1 (0.7%)

高眼圧症 1 (2.0%) 0 0 0 1 (0.7%) 0

視神経乳頭出血 0 0 1 (1.0%) 0 1 (0.7%) 0

羞明 2 (4.0%) 0 0 1 (1.0%) 2 (1.3%) 1 (0.7%)

光視症 0 0 1 (1.0%) 0 1 (0.7%) 0

後嚢部混濁 1 (2.0%) 1 (2.0%) 3 (3.0%) 1 (1.0%) 4 (2.7%) 2 (1.3%)

点状角膜炎 0 2 (4.0%) 0 1 (1.0%) 0 3 (2.0%)

瞳孔変形 0 1 (2.0%) 0 1 (1.0%) 0 2 (1.3%)

網膜血管瘤 0 0 0 1 (1.0%) 0 1 (0.7%)

網膜変性 1 (2.0%) 3 (6.0%) 3 (3.0%) 0 4 (2.7%) 3 (2.0%)

網膜滲出物 1 (2.0%) 0 1 (1.0%) 2 (2.0%) 2 (1.3%) 2 (1.3%)

網膜出血 1 (2.0%) 4 (8.0%) 4 (4.0%) 3 (3.0%) 5 (3.4%) 7 (4.7%)

網膜血管新生 1 (2.0%) 0 0 1 (1.0%) 1 (0.7%) 1 (0.7%)

網膜浮腫 0 1 (2.0%) 0 2 (2.0%) 0 3 (2.0%)

網膜色素上皮裂孔 0 0 1 (1.0%) 1 (1.0%) 1 (0.7%) 1 (0.7%)

網膜色素上皮症 0 0 2 (2.0%) 0 2 (1.3%) 0

網膜静脈閉塞 0 0 0 1 (1.0%) 0 1 (0.7%)

霧視 1 (2.0%) 0 1 (1.0%) 1 (1.0%) 2 (1.3%) 1 (0.7%)

視力低下 1 (2.0%) 1 (2.0%) 0 6 (6.1%) 1 (0.7%) 7 (4.7%)

硝子体剥離 2 (4.0%) 3 (6.0%) 4 (4.0%) 1 (1.0%) 6 (4.0%) 4 (2.7%)

注射部位そう痒感 0 0 1 (1.0%) 0 1 (0.7%) 0

感染症および寄生虫症 0 0 0 2 (2.0%) 0 2 (1.3%)

細菌性結膜炎 0 0 0 1 (1.0%) 0 1 (0.7%)

麦粒腫 0 0 0 1 (1.0%) 0 1 (0.7%)

傷害、中毒および処置合併症 0 2 (4.0%) 0 1 (1.0%) 0 3 (2.0%)

白内障手術合併症 0 1 (2.0%) 0 0 0 1 (0.7%)

挫傷 0 1 (2.0%) 0 0 0 1 (0.7%)

処置後浮腫 0 0 0 1 (1.0%) 0 1 (0.7%)

臨床検査 1 (2.0%) 1 (2.0%) 1 (1.0%) 1 (1.0%) 2 (1.3%) 2 (1.3%)

眼圧上昇 0 1 (2.0%) 1 (1.0%) 0 1 (0.7%) 1 (0.7%)

視神経乳頭陥凹/乳頭比増加 1 (2.0%) 0 0 1 (1.0%) 1 (0.7%) 1 (0.7%)

瞳孔対光反射試験異常 0 1 (2.0%) 0 0 0 1 (0.7%)

良性、悪性および詳細不明の新生物(嚢胞およびポリープ を含む)

0 1 (2.0%) 1 (1.0%) 0 1 (0.7%) 1 (0.7%)

眼の母斑 0 1 (2.0%) 0 0 0 1 (0.7%)

眼瞼の悪性新生物 0 0 1 (1.0%) 0 1 (0.7%) 0

神経系障害 0 0 1 (1.0%) 0 1 (0.7%) 0

前兆を伴う片頭痛 0 0 1 (1.0%) 0 1 (0.7%) 0

外科および内科処置 0 0 0 1 (1.0%) 0 1 (0.7%)

角膜縫合 0 0 0 1 (1.0%) 0 1 (0.7%)

Note: Cutoff date for the data is 20 . Source: 5.3.5.4-1 702試験のpost-text table 14.3.1/9

黄斑変性 8 (14.8%) 12 (14.6%) 20 (14.7%)

白内障 9 (16.7%) 8 (9.8%) 17 (12.5%)

網膜出血 6 (11.1%) 5 (6.1%) 11 (8.1%)

結膜出血 5 (9.3%) 5 (6.1%) 10 (7.4%)

硝子体剥離 6 (11.1%) 4 (4.9%) 10 (7.4%)

眼乾燥 3 (5.6%) 6 (7.3%) 9 (6.6%)

眼瞼炎 6 (11.1%) 2 (2.4%) 8 (5.9%)

核性白内障 4 (7.4%) 4 (4.9%) 8 (5.9%)

眼痛 2 (3.7%) 5 (6.1%) 7 (5.1%)

視力低下 2 (3.7%) 5 (6.1%) 7 (5.1%)

嚢下白内障 2 (3.7%) 4 (4.9%) 6 (4.4%)

網膜色素上皮剥離 4 (7.4%) 2 (2.4%) 6 (4.4%)

眼そう痒症 1 (1.9%) 5 (6.1%) 6 (4.4%)

網膜変性 3 (5.6%) 3 (3.7%) 6 (4.4%)

硝子体浮遊物 0 6 (7.3%) 6 (4.4%)

脈絡膜血管新生 3 (5.6%) 2 (2.4%) 5 (3.7%)

眼瞼皮膚弛緩症 2 (3.7%) 2 (2.4%) 4 (2.9%)

皮質白内障 3 (5.6%) 1 (1.2%) 4 (2.9%)

眼のアレルギー 1 (1.9%) 3 (3.7%) 4 (2.9%)

流涙増加 0 4 (4.9%) 4 (2.9%)

後嚢部混濁 1 (1.9%) 3 (3.7%) 4 (2.9%)

角膜浮腫 1 (1.9%) 2 (2.4%) 3 (2.2%)

複視 1 (1.9%) 2 (2.4%) 3 (2.2%)

網膜滲出物 1 (1.9%) 2 (2.4%) 3 (2.2%)

網膜浮腫 1 (1.9%) 2 (2.4%) 3 (2.2%)

角膜リポイド環 1 (1.9%) 1 (1.2%) 2 (1.5%)

結膜炎 1 (1.9%) 1 (1.2%) 2 (1.5%)

眼脂 1 (1.9%) 1 (1.2%) 2 (1.5%)

眼瞼下垂 0 2 (2.4%) 2 (1.5%)

涙液分泌低下 1 (1.9%) 1 (1.2%) 2 (1.5%)

黄斑浮腫 0 2 (2.4%) 2 (1.5%)

黄斑症 0 2 (2.4%) 2 (1.5%)

変視症 0 2 (2.4%) 2 (1.5%)

眼充血 0 2 (2.4%) 2 (1.5%)

瞳孔変形 1 (1.9%) 1 (1.2%) 2 (1.5%)

網膜血管新生 1 (1.9%) 1 (1.2%) 2 (1.5%)

網膜色素上皮裂孔 0 2 (2.4%) 2 (1.5%)

網膜色素上皮症 0 2 (2.4%) 2 (1.5%)

霧視 1 (1.9%) 1 (1.2%) 2 (1.5%)

一過性黒内障 0 1 (1.2%) 1 (0.7%)

前房内細胞 1 (1.9%) 0 1 (0.7%)

前房のフレア 1 (1.9%) 0 1 (0.7%)

乱視 1 (1.9%) 0 1 (0.7%)

アレルギー性眼瞼炎 1 (1.9%) 0 1 (0.7%)

結膜濾過胞 1 (1.9%) 0 1 (0.7%)

結膜障害 1 (1.9%) 0 1 (0.7%)

アレルギー性結膜炎 1 (1.9%) 0 1 (0.7%)

角膜沈着物

眼瞼外反 0 1 (1.2%) 1 (0.7%)

眼瞼湿疹 0 1 (1.2%) 1 (0.7%)

眼刺激 0 1 (1.2%) 1 (0.7%)

眼部腫脹 0 1 (1.2%) 1 (0.7%)

緑内障 0 1 (1.2%) 1 (0.7%)

虹彩萎縮 0 1 (1.2%) 1 (0.7%)

虹彩炎 1 (1.9%) 0 1 (0.7%)

乾性角結膜炎 1 (1.9%) 0 1 (0.7%)

水晶体脱臼 1 (1.9%) 0 1 (0.7%)

マイボーム腺機能不全 1 (1.9%) 0 1 (0.7%)

高眼圧症 1 (1.9%) 0 1 (0.7%)

光視症 0 1 (1.2%) 1 (0.7%)

網膜血管瘤 0 1 (1.2%) 1 (0.7%)

網膜静脈閉塞 0 1 (1.2%) 1 (0.7%)

臨床検査 2 (3.7%) 2 (2.4%) 4 (2.9%)

眼圧上昇 1 (1.9%) 1 (1.2%) 2 (1.5%)

視神経乳頭陥凹/乳頭比増加 1 (1.9%) 1 (1.2%) 2 (1.5%)

瞳孔対光反射試験異常 1 (1.9%) 0 1 (0.7%)

傷害、中毒および処置合併症 2 (3.7%) 1 (1.2%) 3 (2.2%)

白内障手術合併症 1 (1.9%) 0 1 (0.7%)

挫傷 1 (1.9%) 0 1 (0.7%)

処置後浮腫

注射部位紅斑 1 (1.9%) 0 1 (0.7%)

注射部位そう痒感 0 1 (1.2%) 1 (0.7%)

感染症および寄生虫症 0 2 (2.4%) 2 (1.5%)

細菌性結膜炎 0 1 (1.2%) 1 (0.7%)

麦粒腫 0 1 (1.2%) 1 (0.7%)

良性、悪性および詳細不明の新生物(嚢胞およびポリープを含む) 1 (1.9%) 1 (1.2%) 2 (1.5%)

眼の母斑 1 (1.9%) 0 1 (0.7%)

眼瞼の悪性新生物 0 1 (1.2%) 1 (0.7%)

神経系障害 0 1 (1.2%) 1 (0.7%)

前兆を伴う片頭痛 0 1 (1.2%) 1 (0.7%)

皮膚および皮下組織障害 1 (1.9%) 0 1 (0.7%)

脂漏性皮膚炎 1 (1.9%) 0 1 (0.7%)

外科および内科処置 0 1 (1.2%) 1 (0.7%)

角膜縫合 0 1 (1.2%) 1 (0.7%)

Note: Cutoff date for the data is 20 .

Note: the tables indicating that the results are presented by the primary system organ class and preferred term and sorted in descending frequency of 'All' column Source: 5.3.5.4-1 702試験のpost-text table 14.3.1/12

Uncoded 0 1 (2.0%) 0 0 0 1 (0.7%)

Uncoded 0 1 (2.0%) 0 0 0 1 (0.7%)

血液およびリンパ系障害 0 1 (2.0%) 5 (5.1%) 6 (6.1%) 5 (3.4%) 7 (4.7%)

貧血 0 1 (2.0%) 1 (1.0%) 4 (4.0%) 1 (0.7%) 5 (3.4%)

白血球増加症 0 0 1 (1.0%) 3 (3.0%) 1 (0.7%) 3 (2.0%) リンパ節症 0 1 (2.0%) 1 (1.0%) 0 1 (0.7%) 1 (0.7%)

正色素性正球性貧血 0 0 1 (1.0%) 0 1 (0.7%) 0

血小板増加症 0 0 1 (1.0%) 0 1 (0.7%) 0

白血球障害 0 0 1 (1.0%) 0 1 (0.7%) 0

心臓障害 4 (8.0%) 4 (8.0%) 8 (8.1%) 12 (12.1%) 12 (8.1%) 16 (10.7%)

急性心筋梗塞 0 0 0 1 (1.0%) 0 1 (0.7%)

狭心症 1 (2.0%) 0 2 (2.0%) 1 (1.0%) 3 (2.0%) 1 (0.7%)

不安定狭心症 0 0 1 (1.0%) 0 1 (0.7%) 0

不整脈 0 1 (2.0%) 0 1 (1.0%) 0 2 (1.3%)

冠動脈硬化症 0 0 2 (2.0%) 0 2 (1.3%) 0

心房細動 1 (2.0%) 2 (4.0%) 1 (1.0%) 2 (2.0%) 2 (1.3%) 4 (2.7%)

房室ブロック 0 0 0 1 (1.0%) 0 1 (0.7%)

第一度房室ブロック 0 0 0 1 (1.0%) 0 1 (0.7%)

徐脈 0 1 (2.0%) 0 0 0 1 (0.7%)

うっ血性心不全 1 (2.0%) 0 1 (1.0%) 1 (1.0%) 2 (1.3%) 1 (0.7%)

心粗動 0 0 0 1 (1.0%) 0 1 (0.7%)

冠動脈閉塞 0 0 0 1 (1.0%) 0 1 (0.7%) 冠動脈狭窄 0 0 1 (1.0%) 1 (1.0%) 1 (0.7%) 1 (0.7%)

心筋梗塞 0 0 0 2 (2.0%) 0 2 (1.3%)

動悸 0 0 0 1 (1.0%) 0 1 (0.7%)

心膜炎 1 (2.0%) 0 0 0 1 (0.7%) 0

上室性期外収縮 0 0 1 (1.0%) 0 1 (0.7%) 0

頻脈 0 0 0 1 (1.0%) 0 1 (0.7%)

心室性期外収縮 0 0 1 (1.0%) 0 1 (0.7%) 0

先天性、家族性および遺伝性障害 0 1 (2.0%) 0 1 (1.0%) 0 2 (1.3%)

異形成母斑症候群 0 1 (2.0%) 0 0 0 1 (0.7%)

包茎 0 0 0 1 (1.0%) 0 1 (0.7%)

耳および迷路障害 2 (4.0%) 4 (8.0%) 2 (2.0%) 3 (3.0%) 4 (2.7%) 7 (4.7%)

耳そう痒症 0 1 (2.0%) 0 0 0 1 (0.7%)

中耳の炎症 0 1 (2.0%) 0 0 0 1 (0.7%)

乗物酔い 0 0 1 (1.0%) 0 1 (0.7%) 0

鼓膜穿孔 0 0 1 (1.0%) 0 1 (0.7%) 0

回転性めまい 2 (4.0%) 2 (4.0%) 0 3 (3.0%) 2 (1.3%) 5 (3.4%) 内分泌障害 1 (2.0%) 2 (4.0%) 1 (1.0%) 1 (1.0%) 2 (1.3%) 3 (2.0%)

甲状腺腫 0 1 (2.0%) 0 0 0 1 (0.7%)

甲状腺機能低下症 1 (2.0%) 1 (2.0%) 1 (1.0%) 1 (1.0%) 2 (1.3%) 2 (1.3%)

胃腸障害 6 (12.0%) 14 (28.0%) 15 (15.2%) 28 (28.3%) 21 (14.1%) 42 (28.2%) 腹部不快感 1 (2.0%) 1 (2.0%) 0 2 (2.0%) 1 (0.7%) 3 (2.0%)

腹痛 0 0 2 (2.0%) 3 (3.0%) 2 (1.3%) 3 (2.0%)

上腹部痛 0 0 2 (2.0%) 2 (2.0%) 2 (1.3%) 2 (1.3%)

腹部圧痛 0 0 1 (1.0%) 0 1 (0.7%) 0

結腸ポリープ 0 1 (2.0%) 0 2 (2.0%) 0 3 (2.0%)

便秘 0 2 (4.0%) 3 (3.0%) 3 (3.0%) 3 (2.0%) 5 (3.4%)

齲歯 0 1 (2.0%) 1 (1.0%) 2 (2.0%) 1 (0.7%) 3 (2.0%)

下痢 2 (4.0%) 5 (10.0%) 4 (4.0%) 5 (5.1%) 6 (4.0%) 10 (6.7%)

憩室 1 (2.0%) 0 1 (1.0%) 1 (1.0%) 2 (1.3%) 1 (0.7%)

穿孔性十二指腸潰瘍 0 1 (2.0%) 0 0 0 1 (0.7%)

消化不良 0 1 (2.0%) 0 3 (3.0%) 0 4 (2.7%)

嚥下障害 1 (2.0%) 2 (4.0%) 0 0 1 (0.7%) 2 (1.3%)

小腸炎 0 0 0 1 (1.0%) 0 1 (0.7%)

おくび 0 0 1 (1.0%) 0 1 (0.7%) 0

鼓腸 0 0 0 1 (1.0%) 0 1 (0.7%)

食中毒 0 1 (2.0%) 0 1 (1.0%) 0 2 (1.3%)

胃潰瘍 0 0 0 1 (1.0%) 0 1 (0.7%)

胃炎 0 0 0 2 (2.0%) 0 2 (1.3%)

胃食道逆流性疾患 1 (2.0%) 2 (4.0%) 1 (1.0%) 2 (2.0%) 2 (1.3%) 4 (2.7%)

痔核 0 1 (2.0%) 0 1 (1.0%) 0 2 (1.3%)

裂孔ヘルニア 0 1 (2.0%) 1 (1.0%) 1 (1.0%) 1 (0.7%) 2 (1.3%)

口の感覚鈍麻 0 0 0 1 (1.0%) 0 1 (0.7%)

悪心 2 (4.0%) 3 (6.0%) 5 (5.1%) 4 (4.0%) 7 (4.7%) 7 (4.7%)

食道浮腫 1 (2.0%) 0 0 0 1 (0.7%) 0

食道痙攣 0 0 0 1 (1.0%) 0 1 (0.7%)

食道炎 0 0 1 (1.0%) 1 (1.0%) 1 (0.7%) 1 (0.7%)

口腔内痛 1 (2.0%) 0 0 0 1 (0.7%) 0

肛門周囲痛 0 1 (2.0%) 0 0 0 1 (0.7%)

直腸出血 0 0 0 1 (1.0%) 0 1 (0.7%)

唾液腺結石 0 0 1 (1.0%) 0 1 (0.7%) 0

歯痛 0 0 0 1 (1.0%) 0 1 (0.7%)

嘔吐 1 (2.0%) 4 (8.0%) 1 (1.0%) 1 (1.0%) 2 (1.3%) 5 (3.4%)

全身障害および投与局所様態 0 6 (12.0%) 7 (7.1%) 10 (10.1%) 7 (4.7%) 16 (10.7%)

無力症 0 0 1 (1.0%) 3 (3.0%) 1 (0.7%) 3 (2.0%)

胸痛 0 0 1 (1.0%) 1 (1.0%) 1 (0.7%) 1 (0.7%)

悪寒 0 1 (2.0%) 0 0 0 1 (0.7%)

死亡 0 1 (2.0%) 0 0 0 1 (0.7%)

疲労 0 0 1 (1.0%) 1 (1.0%) 1 (0.7%) 1 (0.7%)

歩行障害 0 1 (2.0%) 0 1 (1.0%) 0 2 (1.3%)

ヘルニア痛 0 0 1 (1.0%) 0 1 (0.7%) 0

インフルエンザ様疾患 0 0 0 1 (1.0%) 0 1 (0.7%)

注射部位血腫 0 0 0 1 (1.0%) 0 1 (0.7%)

倦怠感 0 0 1 (1.0%) 0 1 (0.7%) 0

化生 0 1 (2.0%) 0 0 0 1 (0.7%)

末梢性浮腫 0 0 2 (2.0%) 1 (1.0%) 2 (1.3%) 1 (0.7%)

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