Table 4.

Summary of adverse events, and adverse events occurring in ≥5% of children in either treatment group (treated set)

DabigatranTotal, N = 203
12 to <18 y, n = 1532 to <12 y, n = 420 to <2 y, n = 8
Children with any adverse event, n (%) 120 (78.4) 25 (59.5) 7 (87.5) 152 (74.9) 
 Drug-related adverse event* 37 (24.2) 5 (11.9) 1 (12.5) 43 (21.2) 
Children with serious adverse events, n (%) 19 (12.4) 6 (14.3) 25 (12.3) 
 Leading to death 
 Life-threatening 2 (1.3) 2 (1.0) 
 Requiring hospitalization 17 (11.1) 6 (14.3) 23 (11.3) 
 Prolonging hospitalization 1 (0.7) 1 (2.4) 2 (1.0) 
 Other 2 (1.3) 2 (4.8) 4 (2.0) 
Children with adverse events of special interest 
Children with adverse events leading to treatment discontinuation 9 (5.9) 2 (4.8) 1 (12.5) 12 (5.9) 
Adverse events in ≥5% of children overall, n (%)     
 Nasopharyngitis 26 (17.0) 7 (16.7) 1 (12.5) 34 (16.7) 
  Drug-related 
  Serious adverse event 
 Headache 27 (17.6) 6 (14.3) 33 (16.3) 
  Drug-related 2 (1.3) 1 (2.4) 3 (1.5) 
  Serious 1 (2.4) 1 (0.5) 
 Abdominal pain§ 19 (12.4) 2 (4.8) 21 (10.3) 
  Drug-related 5 (3.3) 2 (4.8) 7 (3.4) 
  Serious 1 (0.7) 1 (0.5) 
 Respiratory tract infection|| 15 (9.8) 3 (7.1) 18 (8.9) 
  Drug-related 
  Serious 1 (0.7) 1 (0.5) 
 Nausea 13 (8.5) 3 (7.1) 16 (7.9) 
  Drug-related 5 (3.3) 2 (4.8) 7 (3.4) 
  Serious 
 Vomiting 10 (6.5) 4 (9.5) 14 (6.9) 
  Drug-related 1 (0.7) 1 (2.4) 2 (1.0) 
  Serious 
 Cough 9 (5.9) 4 (9.5) 1 (12.5) 14 (6.9) 
  Drug-related 
  Serious 
 Dyspepsia 13 (8.5) 13 (6.4) 
  Drug-related 9 (5.9) 9 (4.4) 
  Serious 
 Pyrexia 11 (7.2) 2 (4.8) 13 (6.4) 
  Drug-related 
  Serious 
 Diarrhea 12 (7.8) 1 (2.4) 13 (6.4) 
  Drug-related 2 (1.3) 2 (1.0) 
  Serious 
 Pain in extremity 11 (7.2) 2 (4.8) 13 (6.4) 
  Drug-related 
  Serious 1 (0.7) 1 (0.5) 
 Epistaxis 10 (6.5) 1 (2.4) 1 (12.5) 12 (5.9) 
  Drug-related 5 (3.3) 1 (2.4) 1 (12.5) 7 (3.4) 
  Serious 
DabigatranTotal, N = 203
12 to <18 y, n = 1532 to <12 y, n = 420 to <2 y, n = 8
Children with any adverse event, n (%) 120 (78.4) 25 (59.5) 7 (87.5) 152 (74.9) 
 Drug-related adverse event* 37 (24.2) 5 (11.9) 1 (12.5) 43 (21.2) 
Children with serious adverse events, n (%) 19 (12.4) 6 (14.3) 25 (12.3) 
 Leading to death 
 Life-threatening 2 (1.3) 2 (1.0) 
 Requiring hospitalization 17 (11.1) 6 (14.3) 23 (11.3) 
 Prolonging hospitalization 1 (0.7) 1 (2.4) 2 (1.0) 
 Other 2 (1.3) 2 (4.8) 4 (2.0) 
Children with adverse events of special interest 
Children with adverse events leading to treatment discontinuation 9 (5.9) 2 (4.8) 1 (12.5) 12 (5.9) 
Adverse events in ≥5% of children overall, n (%)     
 Nasopharyngitis 26 (17.0) 7 (16.7) 1 (12.5) 34 (16.7) 
  Drug-related 
  Serious adverse event 
 Headache 27 (17.6) 6 (14.3) 33 (16.3) 
  Drug-related 2 (1.3) 1 (2.4) 3 (1.5) 
  Serious 1 (2.4) 1 (0.5) 
 Abdominal pain§ 19 (12.4) 2 (4.8) 21 (10.3) 
  Drug-related 5 (3.3) 2 (4.8) 7 (3.4) 
  Serious 1 (0.7) 1 (0.5) 
 Respiratory tract infection|| 15 (9.8) 3 (7.1) 18 (8.9) 
  Drug-related 
  Serious 1 (0.7) 1 (0.5) 
 Nausea 13 (8.5) 3 (7.1) 16 (7.9) 
  Drug-related 5 (3.3) 2 (4.8) 7 (3.4) 
  Serious 
 Vomiting 10 (6.5) 4 (9.5) 14 (6.9) 
  Drug-related 1 (0.7) 1 (2.4) 2 (1.0) 
  Serious 
 Cough 9 (5.9) 4 (9.5) 1 (12.5) 14 (6.9) 
  Drug-related 
  Serious 
 Dyspepsia 13 (8.5) 13 (6.4) 
  Drug-related 9 (5.9) 9 (4.4) 
  Serious 
 Pyrexia 11 (7.2) 2 (4.8) 13 (6.4) 
  Drug-related 
  Serious 
 Diarrhea 12 (7.8) 1 (2.4) 13 (6.4) 
  Drug-related 2 (1.3) 2 (1.0) 
  Serious 
 Pain in extremity 11 (7.2) 2 (4.8) 13 (6.4) 
  Drug-related 
  Serious 1 (0.7) 1 (0.5) 
 Epistaxis 10 (6.5) 1 (2.4) 1 (12.5) 12 (5.9) 
  Drug-related 5 (3.3) 1 (2.4) 1 (12.5) 7 (3.4) 
  Serious 
*

Investigator defined.

A child could be counted in >1 category.

Protocol-defined adverse events of special interest were elevated aspartate aminotransferase and/or alanine aminotransferase more than threefold upper limit of normal combined with an elevation of total bilirubin more than twofold upper limit of normal measured in the same blood draw sample, and an at least twofold increase in creatinine from baseline levels that is above the upper limit of normal.

§

Includes children with upper abdominal pain.

||

Includes children with upper respiratory tract infection and viral upper respiratory tract infection.

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