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NCT02781311 Study ID: 1922-201-002 Title: MULTICENTER, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, PHASE 2A STUDY OF SETIPIPRANT TABLETS IN ANDROGENETIC ALOPECIA IN MALES Statistical Analysis Plan Amendment 2 Date: 25Jul2018

MULTICENTER, RANDOMIZED, DOUBLE-BLIND, PLACEBO … · bo . Allergan C Setipipran t This SA P treatmen t Finasteri group w i onfidential Tablets is based on arms – Seti de 1 mg QD

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Page 1: MULTICENTER, RANDOMIZED, DOUBLE-BLIND, PLACEBO … · bo . Allergan C Setipipran t This SA P treatmen t Finasteri group w i onfidential Tablets is based on arms – Seti de 1 mg QD

NCT02781311

Study ID: 1922-201-002  

Title: MULTICENTER, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, PHASE 2A STUDY OF SETIPIPRANT TABLETS IN ANDROGENETIC ALOPECIA IN

MALES

Statistical Analysis Plan Amendment 2 Date: 25‐Jul‐2018 

 

 

 

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Allergan Confidential SAP 1922-201-002 Setipiprant Tablets

1

1. Title Page

STATISTICAL ANALYSIS PLAN

MULTICENTER, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, PHASE 2A STUDY OF SETIPIPRANT TABLETS IN ANDROGENETIC ALOPECIA IN

MALES

Original: 2017-APR-17

Amendment 2: 2018-JUL-25

Protocol Number: 1922-201-002

Development Phase: 2A

Product Name: Setipiprant Tablets

Study Statistician:

Sponsor: Allergan, Inc. 2525 Dupont Drive Irvine, California USA 92612 +1-714-246-4500 +1-800-347-4500

This document is the property of Allergan, Inc. and may not, in full or part, be passed on, reproduced, published, distributed to any person, or submitted to any regulatory authority without the express written permission of Allergan, Inc.

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Allergan CSetipiprant

2. T

1.  Title

2.  Tabl

 2.1

 2.2

3.  List

4.  Intro

 4.1

 4.3

5.  Stati

 5.1

 5.2

6.  Data

 6.1

 6.3

 6.4

 6.5

Confidential t Tablets

Table of Co

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le of Content

List of Tab

List of Fig

of Abbrevia

oduction ......

Primary St

Schedule o

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Missing D

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ations and De

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tudy Objecti

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Methods Pla

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efinition of T

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Measurements

....................

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.... 25 

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.... 26 

.... 27 

.... 28 

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Allergan CSetipiprant

 6.7

7.  Data

8.  Refe

9.  Ame

10.  Ame

L2.1

Table 3-1

L2.2

Confidential t Tablets

Imputed V

a Collected b

erences ........

endment 1 ...

endment 2 ...

List of Tabl

1  Abbre

List of Figu

Value Listing

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les

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lyzed ...........

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Allergan Confidential SAP 1922-201-002 Setipiprant Tablets

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3. List of Abbreviations and Definition of Terms

Table 3-1 Abbreviations and Definitions of Terms

Term/Abbreviation Definition AE adverse event AGA androgenetic alopecia

ALT alanine aminotransferase ANCOVA analysis of covariance ASA Alopecia Symptom Assessment AST aspartate aminotransferase

AUC0-inf area under the concentration-time curve from time 0 to infinity BID twice daily bpm beats per minute

CMH Cochran-Mantel-Haenszel

CSR Clinical Study Report

eCRF electronic case report form

LOCF last observation carried forward mITT modified intent-to-treat NHS Norwood-Hamilton Hair Loss Scale

PT preferred term

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Allergan Confidential SAP 1922-201-002 Setipiprant Tablets

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SOC system organ class SSA Subject Self-Assessment

TAHC target area hair count

TBL total bilirubin

ULN upper limits of normal WBC white blood cell

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Allergan CSetipiprant

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Allergan CSetipiprant

This SAPtreatmentFinasterigroup wi

Confidential t Tablets

P is based ont arms – Setide 1 mg QDill be summa

n the Amendipiprant 100

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7

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ad three QD. The the Finasteri

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AS

Allergan ConfidentSetipiprant Tablets

tial

8

SAP 1922-2011-002

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Allergan Confidential SAP 1922-201-002 Setipiprant Tablets

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Allergan Confidential SAP 1922-201-002 Setipiprant Tablets

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Allergan CSetipiprant

5. S

S5.1

This statistatisticacollectedAppendix

5.1.1 S

Statistica

5.1.1.1

5.1.1.1.

Two popu

The mITpostbaselefficacy dsummarizwill also

The safettreated sureceived.

5.1.1.1.

The follo

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• P

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Confidential t Tablets

Statistical M

Statistical MSamp

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d in the studyx 16.1.9.

Statistical a

al analyses w

Com

1 Analysi

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T populationline measuredata based ozed and analbe based on

ty populationubjects), wil.

2 Study T

owing treatm

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lacebo

inasteride: encluded in an

ll be labeled tings.

Methodolo

Methods Pple Size

sis plan (SAthe protocol y. The text po

and Analy

will be condu

mon Conv

s Populati

l be used in t

n, consistingement for 1 oon the randomlyzed using t

n mITT popu

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Treatments

ment groups a

enrolled undeny data analy

as “Setipipr

ogy and S

Planned in

AP) will be apand contain

ortion of the

ytical Plan

ucted using

ventions

ions

the analysis:

g of all randoof the coprimmized treatmthe mITT po

ulation.

g of all subjer analyses of

s

are defined f

er the originysis models.

rant”, “Place

11

tudy Endp

n the Proto

pproved prions a detailed e SAP will be

ns

: modified in

omized subjemary efficacyment group. Aopulation. D

ects who recef all safety d

for this study

nal protocol, .

ebo” and “Fin

points

ocol and D

or to databasdescription e included in

ntent-to-trea

ects who havy measures, All efficacy emographic

eive at least data based on

y.

data will be

nasteride” in

Determina

se lock. The of methods tn the CSR re

at (mITT) an

ve a baselinewill be usedvariables wi and baselin

1 dose of stun the actual t

summarized

n the data su

SAP 1922-20

ation of

SAP expandto analyze deport as

d safety.

e and at leastd for analyseill be

ne characteris

udy drug (ietreatment

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ummary

01-002

ds the data

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Allergan Confidential SAP 1922-201-002 Setipiprant Tablets

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5.1.1.1.3 Statistical Methodology

The methodologies defined below apply as specified to individual endpoints defined in this SAP. Finasteride subjects enrolled prior to Protocol Amendment 1 will be summarized alone and will not be included in the analysis models. All statistical testing will be based on 2-sided hypothesis tests with a statistical significance of p ≤ 0.05, unless specified otherwise.

• Descriptive statistics include the sample size (N), mean, standard deviation (SD), median, minimum (Min), and maximum (Max) for continuous/ordinal data, and the sample size (N), frequency count, and percentage for categorical data.

• For the analysis of ordinal-scaled categorical data, unless specified otherwise, Cochran-Mantel-Haenszel (CMH) row mean scores test stratified by age group (< 35 and ≥35 years) will be used.

• Change from baseline (CFB) will be analyzed using an analysis of covariance (ANCOVA) model with treatment as a fixed effect and age and baseline value as covariates (if applicable). The treatment difference (Setipiprant versus Placebo) will be constructed based on the ANCOVA model, along with the 2-sided p-value and 95% confidence intervals (CI). The type III sums of squares will be used for all ANCOVA models.

5.1.1.1.4 Other Common Conventions

• The baseline value of an assessment will be the last value recorded prior to the subject receiving the first dose of study medication (day 1), except for TAHC, For these parameters, the baseline value is based on the nominal Visit 2 (baseline) macrophotography, which may include photos taken after the first dose of study drug when a reshoot was required to obtain evaluable baseline measurements.

• In general, change from baseline is calculated as follow-up minus baseline. Between-group differences will be calculated for Setipiprant minus Placebo.

• Clinical laboratory system will be presented with Standard International (SI) units.

• Medical Dictionary of Regulatory Activities (MedDRA) nomenclature will be used to code diagnosis or symptoms from medical histories, adverse events (AEs), indications for prestudy and concomitant medications. In addition, the Drug Dictionary Enhanced (DDE) preferred drug names from World Health Organization (WHO) Drug Dictionary will be used to classify all prestudy and concomitant medications by drug class and drug names.

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5.1.1.2 Demographics and Other Baseline Characteristics

Disposition and exit status, demographics and baseline characteristics will be performed on the mITT population.

5.1.1.2.1 Disposition and Exit Status

Subject disposition and exit status will be summarized overall and by treatment group using frequency distributions at the primary efficacy endpoint of week 24 as well as at the end of the study.

Reasons for early termination include AEs, lack of efficacy as determined by investigator, lost to follow-up, personal reasons, protocol violation, and other reasons. Subjects who discontinue prematurely will be listed along with the corresponding reason(s) for their early termination.

5.1.1.2.2 Protocol Deviations

Significant (major) protocol deviations will be summarized using standard text by treatment group, and data listing will be presented.

5.1.1.2.3 Demographics

Demographic data will include age, sex, race, and ethnicity. Age will be summarized with descriptive statistics by treatment group and overall (ie, all treatment groups combined). In addition, age will be classified into categories of < 35 and ≥ 35 years, and race will be classified as White and non-White. Age group, sex, race and ethnicity will be summarized with frequency distribution by treatment group and overall, respectively.

5.1.1.2.4 Baseline Characteristics

Body mass index (BMI) is defined as weight (kg) / height (m)2. Weight, height, and BMI will be summarized with descriptive statistics by treatment group and overall.

Baseline TAHC (terminal hairs/cm2), will be summarized by left circular areas of 1 , and right circular areas of 1 . In addition, TAHC will be summarized within the area of

The summary will be presented with descriptive statistics by treatment group and overall.

Distribution of subject’s score of modified Norwood-Hamilton Scale of male-pattern baldness at baseline, Fitzpatrick skin type, Hair Loss history, and the Hair Satisfaction Assessment scale (HSA) will be presented with frequency distributions by treatment group and overall, respectively.

A subject listing with demographics and baseline characteristics will be presented.

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5.1.1.2.5 Medical History

Medical and surgical history will be analyzed on the mITT population.

Medical history, encompassing abnormalities and surgeries reported as occurring before the Screening Visit, will be coded using the Medical Dictionary for Regulatory Activities (MedDRA), version 19.1 or newer. Unique subjects who report medical history events will be summarized by the primary system organ class (SOC) and preferred term (PT) (per MedDRA definition) for each treatment group and overall using frequency distributions.

5.1.1.2.6 Prior and Concomitant Medications

Prior and concomitant medications will be analyzed on the mITT population.

Prior medications include all medications with a start date before the day 1 date, whether or not medication is continuing beyond the baseline visit.

Concomitant medications encompass all non-study medications that the subject was taking prior to day 1 visit that are ongoing at the visit, in addition to all medications that have a start date on or after baseline (day 1) visit date.

Medications will be coded using the World Health Organization (WHO) Drug Dictionary, version March 2016 or newer. Unique subjects who reported medications will be summarized by Anatomical Therapeutic Chemical (ATC) 4 class and PT in total and by treatment group in mITT population. No statistical comparisons will be performed.

5.1.1.3 Efficacy Analyses

Efficacy analyses will be based on the mITT Population. Hypothesis testing will be 2-tailed with a significance level of 0.05, unless specified otherwise. Treatment comparison will be made for Setipiprant versus Placebo. For all efficacy analyses, no adjustment of significance levels will be made for multiplicity of treatment comparisons.

5.1.1.3.1 Collection and Derivation of Primary and Other Efficacy Measurements

The coprimary efficacy variables will be based on the following 2 measures: TAHC within a 1 cm2 circular area on the left side of the scalp and SSA.

• The TAHC is a standardized objective quantification of each subject’s number of terminal hairs (hair width ≥ 30 µm) within a 1 cm2 target circular area on the left side located at the anterior leading edge of the vertex thinning area of the scalp using digital image analysis.

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• The SSA score is the subject’s assessment of change of hair growth, scored on a 7-point scale (−3 = greatly decreased, −2 = moderately decreased, −1 = slightly decreased, 0 = remained the same, +1 = slightly increased, +2 = moderately increased, and +3 = greatly increased). The analyses of the SSA from the blinded photograph assessments will be based on the actual change from the screening photographs (ie, if the postbaseline photograph is used as Photo A, the assessment score will be reversed for analyses).

The coprimary efficacy endpoints based on the measurements of TAHC and SSA (blinded) are the following.

• Change from baseline in TAHC within a 1 cm2 target circular area on the left side located at the anterior leading edge of the vertex thinning area of the scalp at Week 24

• Subject Self-Assessment of change from baseline in hair growth as viewed on the subject’s paired (before and after presented in a blinded fashion) global photographs of the vertex target area at Week 24 and measured by the distribution of SSA scores

Postbaseline evaluations of TAHC and SSA will be made at Week 24 and 32, with the primary analysis timepoint being Week 24. For SSA, if the postbaseline photograph is used as Photo A, then the assessment score will be reversed for analyses.

For each of the 2 coprimary measures (TAHC and SSA), missing data will be imputed up to Week 24 using last observation carried forward (LOCF) method.

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5.1.1.3.2 Primary Efficacy Analyses

For analyses of TAHC, the following set of hypotheses will be used to compare setipiprant tablets 1000 mg BID versus placebo BID:

• Null hypothesis: There is no difference between setipiprant tablets 1000 mg BID and placebo BID in increasing TAHC (terminal hairs in a 1 cm2circular area) as measured by the change from baseline at Week 24 using digital image analysis.

• Alternative hypothesis: There is a difference between setipiprant tablets 1000 mg BID and placebo BID in increasing TAHC (terminal hairs in a 1 cm2 circular area) as measured by the change from baseline at Week 24 using digital image analysis.

For analyses of the SSA, the following set of hypotheses will be used to compare setipiprant tablets 1000 mg BID versus placebo BID:

• Null hypothesis: There is no difference between setipiprant tablets 1000 mg BID and placebo BID in SSA (blinded) of hair growth from baseline at Week 24.

• Alternative hypothesis: There is a difference between setipiprant tablets 1000 mg BID and placebo BID in SSA (blinded) of hair growth from baseline at Week 24.

Change from baseline in TAHC at Week 24 and SSA of the change of hair growth from baseline at Week 24 will be analyzed using an analysis of covariance (ANCOVA) model with treatment as a fixed effect and age and baseline value as covariates (if applicable). The treatment difference for setipiprant tablets 1000 mg BID versus placebo BID will be constructed based on this ANCOVA model, along with the 2-sided p-value.

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5.1.1.4 Safety Analyses

All safety analyses will be performed on the safety population. All analyses will be based on observed cases without imputation.

5.1.1.4.1 Study Treatment Exposure

Subjects’ exposure to the study medication will be characterized by duration of treatment exposure.

Duration of subject exposure to study treatment (days) will be calculated as the study treatment end date minus study treatment start date +1. Duration of treatment exposure will be summarized with descriptive statistics by treatment group.

5.1.1.4.2 Adverse Events

An AE is defined as any untoward medical occurrence in a subject administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. Adverse events are collected both for the screening/baseline period pretreatment (which are referred to as pretreatment AEs) and for the follow-up period after treatment is initiated (which are referred to as postbaseline AEs). Adverse events will be summarized using the concept of treatment-emergent adverse events (TEAEs). TEAE is a postbaseline AE where:

a) there is no pretreatment AE of the same MedDRA primary system organ class (SOC) and preferred term (PT); or

b) the maximum severity during the postbaseline period is greater than the maximal severity of any pretreatment AE of the same MedDRA primary SOC and preferred term during the screening/baseline period; or

c) the AE reports as a serious AE (SAE) during the postbaseline period

Analysis of the incidence of TEAEs will be performed over the entire study period, and the incidence of TEAEs will be presented and summarized as follows:

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(1) Overall AE, treatment related TEAE, serious AE, deaths, AEs leading to discontinuation and Non-scalp hair growth.

(2) TEAEs by primary SOC in alphabetical order, PT and severity (maximum severity). The maximum severity of a TEAE experienced by a subject is determined by the greatest severity recorded on the eCRFs for the subject’s given TEAE.

(3) Common (>=2%) TEAEs by Preferred Term

(4) Treatment related TEAEs by primary SOC in alphabetical order, and preferred term.

(5) Treatment-emergent serious AEs (SAE) by SOC in alphabetical order, and preferred term.

(6) TEAEs leading to treatment discontinuation by SOC in alphabetical order, and preferred term

(7) Treatment-emergent SAE with fatal outcome by primary SOC in alphabetical order, and preferred term. Subject listings will be generated for all AEs, SAE, Deaths, and AEs leading to study discontinuation.

Participant listings will be provided for all AEs, SAEs, AEs leading to study treatment discontinuation, and death (if occurred).

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5.1.1.4.6 Other Analyses

5.1.1.4.6.1 Nonscalp Hair Growth

Starting at Week 8, subjects will be queried at each visit whether they have noticed any hair growth in nonscalp areas (yes/no) and this response will be captured in the eCRF. If judged by the investigator as clinically significant, nonscalp hair growth may be reported as an AE.

The nonscalp hair growth will be summarized separately with a frequency distribution by treatment group.

5.1.1.5 Subgroup Analyses

Subgroup analyses are not planned but might be performed as Ad hoc analyses after database lock.

5.1.1.6 Interim Analyses

Not applicable.

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C5.2

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date is on or(day 1).

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01-002

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M6.3

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Partial A

1) If day2) If bot3) If imp

pre-tr

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Confidential t Tablets

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AE onset date

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partial AE o

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but month is

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25

Adverse E

elow method

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ll be imputed

01-002

erved

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d as

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2) If bot3) If imp

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omplete for a) and the impe. Imputed patant medicat

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missing day;

month are mil date is befostudy periodl date is befol date as the

dates will onlisted “as is”

complete

itant medicatand/or stop da patient, theputed start daartial medication. All par

omplete Star

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rt Date

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day will be above proce

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26

te the date atreatment, an

ute the date at date or the se two dates.

o determine listings.

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ding rescue mimputed. W

will be imputhe stop date,op dates wilill be listed “

e the missing

the same as dose of stud

before the ysing fields;

after the yeag fields.

treated as medure.

start date arehe first dose

s 15 June; nd the corresas the first tredate of first .

treatment-em

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ted first. If t, the start dall only be use“as is” in the

g numeric fi

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year of the fir

ar of the first

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sponding AEeatment dateincrease in

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tant Medic

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ate will be imed to determe data listing

ields for an i

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SAP 1922-20

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2) If either the year of the incomplete start date is before the year of the date of the first dose of study treatment or if both years are the same but the month of the incomplete start date is before the month of the date of the first dose of study treatment, the last day of the month will be assigned to the missing day;

3) If either the year of the incomplete start date is after the year of the date of the first dose of study treatment or if both years are the same but the month of the incomplete start date is after the month of the date of the first dose of study treatment, the first day of the month will be assigned to the missing day.

6.4.2 Missing/Incomplete End Date

The following rules will be applied to impute the missing numeric fields for an incomplete prior or concomitant medication stop date. If the date of the last dose of study treatment is missing, impute it as the method in the Section 6.1.2. If the imputed stop date is before the start date (imputed or nonimputed start date), the imputed stop date will be equal to the start date.

• Missing month and day

1) If the year of the incomplete stop date is the same as the year of the last dose of study treatment, the month and day of the last dose of study treatment will be assigned to the missing fields;

2) If the year of the incomplete stop date is before the year of the last dose of study treatment, December 31 will be assigned to the missing fields;

3) If the year of the incomplete stop date is after the year of the last dose of study treatment, January 1 will be assigned to the missing fields.

• Missing month only If only the month is missing, the day will be treated as missing and both the month and the day will be replaced according to the above procedure.

• Missing day only

1) If the month and year of the incomplete stop date are the same as the month and year of the last dose of study treatment, the day of the last dose of study treatment will be assigned to the missing day;

2) If either the year of the incomplete stop date is before the year of the date of the last dose of study treatment or if both years are the same but the month of the incomplete stop date is before the month of the date of the last dose of study treatment, the last day of the month will be assigned to the missing day;

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3) If eithstudyafter be as

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References

is G, Zheng Yphia: Univer

G, Martinez Band safety o

of the incomor if both yeaof the date ofe missing da

n of Prima

AHC endpoibservation c

window, the lused for analmputation wt scheduled vor imputationion.

Value Listin

will present thendpoint derbe flagged. Adocument.

cted but N

d on the eCRbut will be l

s

Y,Hsieh J. Ersity of Penn

B, Tsai TF, ef different d

mplete stop dars are the saf the last dosay.

ary Efficac

ints and SSAcarried forwalatest non-mlysis for that

will be applievisit(s) immn. Analyses

ng Conven

he actual parivation. In in

Actual rules

Not Analyz

RF may be nisted.

Evaluation osylvania; 20

et al. A randdoses of duta

28

date is after tame but the mse of study tr

cy Measur

A (blinded anard (LOCF)

missing obsert particular wd to postbasediately follof Week 32

ntions

rtial or missinstances whewill be fully

zed

ot analyzed

of DP-2 anta015a.

domized, actiasteride versu

the year of thmonth of thereatment, the

rements (T

nd unblindedas follows: w

rvation prior window, wheeline visits ulowing baseldata will be

ing values raere imputed

y defined in t

(eg, photogr

agonists in p

ive- and placus placebo a

he date of the incompletee first day of

TAHC and

d) will be imwhen there ito that visit

ether from aup to Week 2line, the basee based on ob

ather than thvalues will the table, fig

raphy consen

promotion of

cebo-controand finasterid

SAP 1922-20

he last dose oe stop date isf the month w

d SSA)

mputed up tois no observawindow wil

a scheduled o24 only. If eline value wbserved case

he imputed vbe presented

gure, and dat

nt, and subje

f hair growth

lled study ofde in the

01-002

of s will

ation ll be or

will es

alues d, ta

ect

h.

f the

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treatment of male subjects with androgenetic alopecia. J Am Acad Dermatol. 2014;70(3):489-498.

Olsen EA, Hordinsky M, Whiting D, et al. The importance of dual 5alpha-reductase inhibition in the treatment of male pattern hair loss: results of a randomized placebo-controlled study of dutasteride versus finasteride. J Am Acad Dermatol. 2006;55(6):1014-1023.

9. Amendment 1

The following amendments were made from the originally approved SAP/TFL shells. • New analyses were specified in Sections 5.1.1.3.3, 5.1.1.4.2 and 5.1.1.4.3 with the

following new tables and listings added

o Table 14.3-2.4 Number (%) of Participants with Common (>=2%) Treatment-Emergent Adverse Events by Preferred Term

o Table 14.3-4.4 Potential Hy’s Law Criteria: Number of Participants Meeting Criteria

o Figure 14.3-4.4-1 The maximum postbaseline TBL elevation vs the maximum postbaseline ALT elevation

o Figure 14.3-4.4-2 The maximum postbaseline TBL elevation vs the maximum postbaseline AST elevation

o Listing 14.3-4.5 Laboratory Parameters: Potential Hy’s Law Criteria Findings

o Table 14.3-4.6 Shift from Baseline to End of Treatment in Hematology and Chemistry Parameters

• Some TFLs were re-numbered in the shells due to deletion and addition of tables/listings

10. Amendment 2

The following updates were made relative to Amendment 1 of the SAP:

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• Section 5.1.1.1.4: Text was added to clarify that the baseline values used for macrophotography (TAHC, ) may include photos taken after the first dose of study drug when a reshoot was required to obtain evaluable baseline measurements.

• Section 6.5: Clarification was made to indicate that the LOCF missing data imputation will be done for all TAHC endpoints and SSA (blinded and unblinded). In addition, more details of how the LOCF algorithm will be done are provided.

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ALLERGAN

Date (DD/MMM/YYYY)/Time (PT) Signed by: Justification

Analysis Plan for 1922-201-002 Amendment 2