Time Frame |
24 weeks
|
Adverse Event Reporting Description |
The adverse events were gathered in Common Terminology Criteria for Adverse Events v.4.0
|
|
Arm/Group Title
|
Naltrexone
|
Placebo
|
Arm/Group Description |
Randomized patients received 4.5 mg...
|
Randomized patients received placeb...
|
Arm/Group Description |
Randomized patients received 4.5 mg low dose naltrexone (LDN) to be taken every night before bed.
|
Randomized patients received placebo to be taken every night before bed.
|
|
|
Naltrexone
|
Placebo
|
|
Affected / at Risk (%) |
Affected / at Risk (%) |
Total |
--/-- |
--/-- |
|
|
Naltrexone
|
Placebo
|
|
Affected / at Risk (%) |
Affected / at Risk (%) |
Total |
12/54 (22.22%) |
17/56 (30.36%) |
Blood and lymphatic system disorders |
|
|
Anemia |
0/54 (0.00%) |
1/56 (1.79%) |
Cardiac disorders |
|
|
Atrial fibrillation |
0/54 (0.00%) |
1/56 (1.79%) |
Sinus tachycardia |
0/54 (0.00%) |
1/56 (1.79%) |
Gastrointestinal disorders |
|
|
Dysphagia |
0/54 (0.00%) |
1/56 (1.79%) |
Nausea |
1/54 (1.85%) |
0/56 (0.00%) |
Pancreatitis |
0/54 (0.00%) |
1/56 (1.79%) |
Vomiting |
1/54 (1.85%) |
0/56 (0.00%) |
General disorders |
|
|
Edema face |
1/54 (1.85%) |
1/56 (1.79%) |
Edema limbs |
1/54 (1.85%) |
1/56 (1.79%) |
Fatigue |
1/54 (1.85%) |
0/56 (0.00%) |
Fever |
2/54 (3.70%) |
1/56 (1.79%) |
Infections and infestations |
|
|
Encephalitis infection |
0/54 (0.00%) |
1/56 (1.79%) |
Lung infection |
0/54 (0.00%) |
3/56 (5.36%) |
Mucosal infection |
0/54 (0.00%) |
1/56 (1.79%) |
Rash pustular |
0/54 (0.00%) |
1/56 (1.79%) |
Sepsis |
0/54 (0.00%) |
1/56 (1.79%) |
Urinary tract infection |
1/54 (1.85%) |
0/56 (0.00%) |
Investigations |
|
|
Neutrophil count decreased |
1/54 (1.85%) |
2/56 (3.57%) |
Platelet count decreased |
2/54 (3.70%) |
2/56 (3.57%) |
White blood cell decreased |
2/54 (3.70%) |
2/56 (3.57%) |
Metabolism and nutrition disorders |
|
|
Dehydration |
3/54 (5.56%) |
0/56 (0.00%) |
Hyponatremia |
0/54 (0.00%) |
2/56 (3.57%) |
Musculoskeletal and connective tissue disorders |
|
|
Chest wall pain |
0/54 (0.00%) |
1/56 (1.79%) |
Generalized muscle weakness |
0/54 (0.00%) |
1/56 (1.79%) |
Muscle weakness left-sided |
1/54 (1.85%) |
0/56 (0.00%) |
Nervous system disorders |
|
|
Dysphasia |
0/54 (0.00%) |
1/56 (1.79%) |
Edema cerebral |
1/54 (1.85%) |
0/56 (0.00%) |
Encephalopathy |
0/54 (0.00%) |
2/56 (3.57%) |
Headache |
3/54 (5.56%) |
1/56 (1.79%) |
Pyramidal tract syndrome |
0/54 (0.00%) |
1/56 (1.79%) |
Seizure |
1/54 (1.85%) |
2/56 (3.57%) |
Somnolence |
0/54 (0.00%) |
1/56 (1.79%) |
Psychiatric disorders |
|
|
Confusion |
2/54 (3.70%) |
0/56 (0.00%) |
Respiratory, thoracic and mediastinal disorders |
|
|
Dyspnea |
0/54 (0.00%) |
2/56 (3.57%) |
Hypoxia |
0/54 (0.00%) |
1/56 (1.79%) |
Pneumonitis |
0/54 (0.00%) |
2/56 (3.57%) |
Pulmonary edema |
1/54 (1.85%) |
0/56 (0.00%) |
Vascular disorders |
|
|
Hypotension |
0/54 (0.00%) |
1/56 (1.79%) |
Thromboembolic event |
2/54 (3.70%) |
7/56 (12.50%) |
Indicates events were collected by systematic assessment
Term from vocabulary, CTCAE (4.0)
|
|
Frequency Threshold for Reporting Other Adverse Events
|
0%
|
|
Naltrexone
|
Placebo
|
|
Affected / at Risk (%) |
Affected / at Risk (%) |
Total |
51/54 (94.44%) |
54/56 (96.43%) |
Blood and lymphatic system disorders |
|
|
Anemia |
18/54 (33.33%) |
25/56 (44.64%) |
Cardiac disorders |
|
|
Chest pain - cardiac |
1/54 (1.85%) |
0/56 (0.00%) |
Conduction disorder |
1/54 (1.85%) |
0/56 (0.00%) |
Sinus bradycardia |
0/54 (0.00%) |
1/56 (1.79%) |
Ventricular tachycardia |
0/54 (0.00%) |
1/56 (1.79%) |
Eye disorders |
|
|
Blurred vision |
2/54 (3.70%) |
5/56 (8.93%) |
Eye disorders - Other, specify: VISUAL FIELD CUT IN BOTH LOWER QUADRANTS |
0/54 (0.00%) |
1/56 (1.79%) |
Gastrointestinal disorders |
|
|
Abdominal pain |
1/54 (1.85%) |
0/56 (0.00%) |
Constipation |
20/54 (37.04%) |
20/56 (35.71%) |
Diarrhea |
2/54 (3.70%) |
6/56 (10.71%) |
Dyspepsia |
1/54 (1.85%) |
2/56 (3.57%) |
Dysphagia |
0/54 (0.00%) |
1/56 (1.79%) |
Fecal incontinence |
0/54 (0.00%) |
1/56 (1.79%) |
Gastritis |
0/54 (0.00%) |
1/56 (1.79%) |
Gastroesophageal reflux disease |
2/54 (3.70%) |
0/56 (0.00%) |
Gastrointestinal disorders - Other, specify: CHIPPED TOOTH |
1/54 (1.85%) |
0/56 (0.00%) |
Gastrointestinal disorders - Other, specify: DIVERTICULITIS |
0/54 (0.00%) |
1/56 (1.79%) |
Gastrointestinal disorders - Other, specify: DIVERTICULITIS BASELINE |
0/54 (0.00%) |
1/56 (1.79%) |
Gastrointestinal disorders - Other, specify: GI BUG |
1/54 (1.85%) |
0/56 (0.00%) |
Hemorrhoids |
1/54 (1.85%) |
0/56 (0.00%) |
Ileal obstruction |
0/54 (0.00%) |
1/56 (1.79%) |
Mucositis oral |
3/54 (5.56%) |
6/56 (10.71%) |
Nausea |
15/54 (27.78%) |
19/56 (33.93%) |
Vomiting |
6/54 (11.11%) |
4/56 (7.14%) |
General disorders |
|
|
Chills |
1/54 (1.85%) |
0/56 (0.00%) |
Edema face |
0/54 (0.00%) |
1/56 (1.79%) |
Edema limbs |
5/54 (9.26%) |
2/56 (3.57%) |
Fatigue |
36/54 (66.67%) |
35/56 (62.50%) |
Fever |
3/54 (5.56%) |
2/56 (3.57%) |
Flu like symptoms |
1/54 (1.85%) |
0/56 (0.00%) |
Irritability |
0/54 (0.00%) |
1/56 (1.79%) |
Non-cardiac chest pain |
1/54 (1.85%) |
0/56 (0.00%) |
Pain |
0/54 (0.00%) |
1/56 (1.79%) |
Hepatobiliary disorders |
|
|
Cholecystitis |
1/54 (1.85%) |
1/56 (1.79%) |
Immune system disorders |
|
|
Allergic reaction |
0/54 (0.00%) |
2/56 (3.57%) |
Infections and infestations |
|
|
Abdominal infection |
0/54 (0.00%) |
1/56 (1.79%) |
Infections and infestations - Other, specify: FLU |
0/54 (0.00%) |
1/56 (1.79%) |
Infections and infestations - Other, specify: H-PYLORI |
1/54 (1.85%) |
0/56 (0.00%) |
Infections and infestations - Other, specify: LLE CELLULITIS |
1/54 (1.85%) |
0/56 (0.00%) |
Infections and infestations - Other, specify: LYME'S DX |
1/54 (1.85%) |
0/56 (0.00%) |
Infections and infestations - Other, specify: SHINGLES |
1/54 (1.85%) |
1/56 (1.79%) |
Otitis externa |
0/54 (0.00%) |
1/56 (1.79%) |
Papulopustular rash |
1/54 (1.85%) |
0/56 (0.00%) |
Sinusitis |
0/54 (0.00%) |
2/56 (3.57%) |
Upper respiratory infection |
4/54 (7.41%) |
1/56 (1.79%) |
Urinary tract infection |
2/54 (3.70%) |
2/56 (3.57%) |
Wound infection |
0/54 (0.00%) |
1/56 (1.79%) |
Injury, poisoning and procedural complications |
|
|
Fall |
2/54 (3.70%) |
0/56 (0.00%) |
Radiation recall reaction (dermatologic) |
1/54 (1.85%) |
0/56 (0.00%) |
Wound complication |
0/54 (0.00%) |
2/56 (3.57%) |
Investigations |
|
|
Alanine aminotransferase increased |
16/54 (29.63%) |
19/56 (33.93%) |
Alkaline phosphatase increased |
2/54 (3.70%) |
3/56 (5.36%) |
Aspartate aminotransferase increased |
16/54 (29.63%) |
14/56 (25.00%) |
Blood bilirubin increased |
6/54 (11.11%) |
8/56 (14.29%) |
Creatinine increased |
5/54 (9.26%) |
5/56 (8.93%) |
Lipase increased |
0/54 (0.00%) |
1/56 (1.79%) |
Lymphocyte count decreased |
17/54 (31.48%) |
20/56 (35.71%) |
Neutrophil count decreased |
9/54 (16.67%) |
18/56 (32.14%) |
Platelet count decreased |
29/54 (53.70%) |
31/56 (55.36%) |
Weight gain |
1/54 (1.85%) |
0/56 (0.00%) |
Weight loss |
5/54 (9.26%) |
2/56 (3.57%) |
White blood cell decreased |
18/54 (33.33%) |
23/56 (41.07%) |
Metabolism and nutrition disorders |
|
|
Anorexia |
8/54 (14.81%) |
10/56 (17.86%) |
Dehydration |
0/54 (0.00%) |
1/56 (1.79%) |
Hyperglycemia |
32/54 (59.26%) |
28/56 (50.00%) |
Hyperkalemia |
3/54 (5.56%) |
2/56 (3.57%) |
Hypernatremia |
5/54 (9.26%) |
3/56 (5.36%) |
Hypoalbuminemia |
9/54 (16.67%) |
12/56 (21.43%) |
Hypocalcemia |
16/54 (29.63%) |
10/56 (17.86%) |
Hypoglycemia |
3/54 (5.56%) |
7/56 (12.50%) |
Hypokalemia |
15/54 (27.78%) |
10/56 (17.86%) |
Hyponatremia |
10/54 (18.52%) |
14/56 (25.00%) |
Metabolism and nutrition disorders - Other, specify: PHOSPHORUS ELEVATED |
0/54 (0.00%) |
1/56 (1.79%) |
Musculoskeletal and connective tissue disorders |
|
|
Arthralgia |
2/54 (3.70%) |
3/56 (5.36%) |
Arthritis |
0/54 (0.00%) |
1/56 (1.79%) |
Back pain |
1/54 (1.85%) |
1/56 (1.79%) |
Buttock pain |
0/54 (0.00%) |
1/56 (1.79%) |
Chest wall pain |
1/54 (1.85%) |
0/56 (0.00%) |
Generalized muscle weakness |
2/54 (3.70%) |
1/56 (1.79%) |
Muscle weakness left-sided |
2/54 (3.70%) |
0/56 (0.00%) |
Muscle weakness lower limb |
1/54 (1.85%) |
1/56 (1.79%) |
Muscle weakness right-sided |
2/54 (3.70%) |
0/56 (0.00%) |
Musculoskeletal and connective tissue disorder - Other, specify: CRAMPS IN FEET |
1/54 (1.85%) |
0/56 (0.00%) |
Musculoskeletal and connective tissue disorder - Other, specify: CRAMPS IN LEGS |
0/54 (0.00%) |
1/56 (1.79%) |
Musculoskeletal and connective tissue disorder - Other, specify: JOINT AND MUSCLE PAIN |
0/54 (0.00%) |
1/56 (1.79%) |
Myalgia |
1/54 (1.85%) |
1/56 (1.79%) |
Myositis |
1/54 (1.85%) |
0/56 (0.00%) |
Neck pain |
1/54 (1.85%) |
0/56 (0.00%) |
Pain in extremity |
1/54 (1.85%) |
2/56 (3.57%) |
Nervous system disorders |
|
|
Ataxia |
1/54 (1.85%) |
0/56 (0.00%) |
Cerebrospinal fluid leakage |
1/54 (1.85%) |
0/56 (0.00%) |
Cognitive disturbance |
1/54 (1.85%) |
0/56 (0.00%) |
Dysgeusia |
3/54 (5.56%) |
4/56 (7.14%) |
Dysphasia |
1/54 (1.85%) |
0/56 (0.00%) |
Edema cerebral |
0/54 (0.00%) |
1/56 (1.79%) |
Headache |
8/54 (14.81%) |
15/56 (26.79%) |
Hypersomnia |
1/54 (1.85%) |
0/56 (0.00%) |
Intracranial hemorrhage |
0/54 (0.00%) |
1/56 (1.79%) |
Memory impairment |
3/54 (5.56%) |
0/56 (0.00%) |
Nervous system disorders - Other, specify: BASELINE L HEMIPARESIS |
1/54 (1.85%) |
0/56 (0.00%) |
Nervous system disorders - Other, specify: DECREASED GRIP STRENGTH IN R HAND |
1/54 (1.85%) |
0/56 (0.00%) |
Nervous system disorders - Other, specify: GAIT DISTURBANCE |
0/54 (0.00%) |
1/56 (1.79%) |
Nervous system disorders - Other, specify: L HEMIPARESIS |
1/54 (1.85%) |
1/56 (1.79%) |
Nervous system disorders - Other, specify: LE WEAKNESS |
1/54 (1.85%) |
0/56 (0.00%) |
Paresthesia |
2/54 (3.70%) |
0/56 (0.00%) |
Peripheral sensory neuropathy |
1/54 (1.85%) |
0/56 (0.00%) |
Pyramidal tract syndrome |
0/54 (0.00%) |
1/56 (1.79%) |
Seizure |
6/54 (11.11%) |
3/56 (5.36%) |
Tremor |
4/54 (7.41%) |
2/56 (3.57%) |
Psychiatric disorders |
|
|
Agitation |
1/54 (1.85%) |
0/56 (0.00%) |
Anxiety |
4/54 (7.41%) |
0/56 (0.00%) |
Confusion |
1/54 (1.85%) |
0/56 (0.00%) |
Depression |
2/54 (3.70%) |
2/56 (3.57%) |
Insomnia |
7/54 (12.96%) |
1/56 (1.79%) |
Psychiatric disorders - Other, specify |
4/54 (7.41%) |
1/56 (1.79%) |
Renal and urinary disorders |
|
|
Acute kidney injury |
2/54 (3.70%) |
2/56 (3.57%) |
Proteinuria |
3/54 (5.56%) |
5/56 (8.93%) |
Renal calculi |
1/54 (1.85%) |
0/56 (0.00%) |
Urinary incontinence |
1/54 (1.85%) |
1/56 (1.79%) |
Respiratory, thoracic and mediastinal disorders |
|
|
Allergic rhinitis |
1/54 (1.85%) |
1/56 (1.79%) |
Cough |
1/54 (1.85%) |
3/56 (5.36%) |
Dyspnea |
5/54 (9.26%) |
0/56 (0.00%) |
Epistaxis |
2/54 (3.70%) |
3/56 (5.36%) |
Hoarseness |
5/54 (9.26%) |
2/56 (3.57%) |
Nasal congestion |
1/54 (1.85%) |
0/56 (0.00%) |
Pneumonitis |
1/54 (1.85%) |
0/56 (0.00%) |
Postnasal drip |
6/54 (11.11%) |
7/56 (12.50%) |
Sore throat |
1/54 (1.85%) |
0/56 (0.00%) |
Skin and subcutaneous tissue disorders |
|
|
Alopecia |
1/54 (1.85%) |
2/56 (3.57%) |
Dry skin |
2/54 (3.70%) |
2/56 (3.57%) |
Pruritus |
4/54 (7.41%) |
0/56 (0.00%) |
Rash acneiform |
1/54 (1.85%) |
2/56 (3.57%) |
Rash maculo-papular |
4/54 (7.41%) |
3/56 (5.36%) |
Skin and subcutaneous tissue disorders - Other, specify: DERMATITIS AT WOUND SITE |
0/54 (0.00%) |
1/56 (1.79%) |
Skin and subcutaneous tissue disorders-MACULAR ERRYTHEMATOUS, BACK AND ABDOMEN |
1/54 (1.85%) |
0/56 (0.00%) |
Vascular disorders |
|
|
Hematoma |
0/54 (0.00%) |
1/56 (1.79%) |
Hypertension |
3/54 (5.56%) |
2/56 (3.57%) |
Hypotension |
0/54 (0.00%) |
2/56 (3.57%) |
Thromboembolic event |
5/54 (9.26%) |
1/56 (1.79%) |
Indicates events were collected by systematic assessment
Term from vocabulary, CTCAE (4.0)
|