Just adding to Arnie’s post…
Note that while 22% of the highest dose group in the previous paediatric trial had reported vomiting, so too did 13% of the placebo group.
It’s worthwhile remembering that gastrointestinal problems impact more than 90% of individuals with Rett syndrome. For example, roughly 40% are affected by swallowing difficulties and reflux. And while diarrhoea was frequently reported for participants on high dose trofinetide in the previous trial, roughly 80% of individuals with Rett syndrome would normally suffer from constipation.
Though these reported adverse events are undeniably unpleasant, in the context of drug testing, such events are considered to be mild to moderate.
My thinking is that if the diarrhoea and vomiting was so extensive and severe that a large proportion of patients needed to be withdrawn from the Lavender trial, the trial would never complete on time (but it appears it will).
https://n.neurology.org/content/92/16/e1912
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3393805/
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Ann: Quarterly report and cash flow statement for Q1 2021, page-28
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