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SUPPLEMENTAL DIGITAL CONTENT

Supplemental Digital Content 1. Table that lists the names of the Institutional Review Boards. docx

Supplemental Digital Content 2. Table that summarizes the deaths occurring during the study period. docx

Supplemental Digital Content 1. Institutional Review Boards.

Location Institutional Review Board

Australia Hunter New England Research

Ethics Committee

Research Ethics and Governance Unit, District Headquarters

Administration Building Lookout Road

New Lambton, NSW 2305 Australia

Royal Adelaide Hospital Research Ethics Committee

Royal Adelaide Hospital North Terrace

Adelaide SA 5000 Australia

Bellberry HREC

129 Glen Osmond Road

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Eastwood, SA 5063 Australia

Belgium Commissie Medische Ethiek van Universitaire Ziekenhuizen KULeuven – Campus Gasthuisberg

Herestraat 49 Leuven 3000 Belgium

Denmark Den Videnskabsetiske Komite for Region Syddanmark

Regionshuset Damhaven 12 Vejle 7100 Denmark

Estonia Tallinn Medical Research Ethics Committee

Hiiu str. 42 Tallinn

Harjumaa 11619 Estonia

France CPP TOURS – Region Centre –

Ouest 1

Hopital Bretonneau – CHRU

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TOURS – Batiment B1A 2, Boulevard Tonnelle TOURS Cedax 9 37044 France

Germany Ethikkommission der

Landesarztekammer Thuringen Im Semmicht 33

Jena

Thuringen 07751 Germany

Hungary Egeszsegugyi Tudomanyos

Tanacs Klinikai Farmakologiai Etkai Bizottsaga

Arany Janos u. 6-8 Budapest H-1051 Hungary

Poland Komisja Bioetyczna przy Slaskiej

Izbie Lekarskiej w Katowicach ul. Grazynskiego 49a

Katowice 40-126 Poland

South Africa University of the Witwatersrand Human Research Ethics Committee 8 Blackwood Avenue

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Parktown Johannesburg Gauteng 2193 South Africa

Spain CEIC Hospital Universitari de Girona Doctor Josep Trueta Avinguda de Franca s/n Girona 17007

Spain

CEIC – Consorci Sanitari Integral Hospital General De l-Hospitalet AV Joseph Molins, 29-41

L’Hospitalet de Llobregat Barcelona 08906

Spain

Sweden Regionala Etikprovningsnamnden

i Stockholm

Karolinska Institutet/Solna Nobels vag 9, plan D3 Stockholm 171

Sweden

United Kingdom NRES Committee North West – Liverpool East

North West Centre of Research

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Ethics Committees 3rd Floor, Barlow House 4 Minshull Street

Manchester M1 3DZ United Kingdom

United States Schulman Associates Institutional Review Board

4445 Lake Forest Drive Suite 300

Cincinnati, OH 45242 United States

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Supplemental Digital Content 2. Summary of all deaths during the study period

(safety population).

Treatment Sex Age,

years

Race BMI,

kg/m2

Day of Death*

TEAE Cause of Death

Naldemedine

Female 53 White 22.6 350 No

Cerebrovascular accident

Female 58 White 37.3 162 No

Acute exacerbation of

COPD

Female 52 White 35.8 169 No

Stage IV pulmonary adenocarcinoma

Male 49 White 27.7 350 Yes

Myocardial infarction related

to diabetes

Placebo

Male 52 Black 28.1 50 No

Accidental overdose

Male 64 White 28.8 28 Yes Cardiac arrest

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Female 49 White 37.1 31 Yes

Complications of arteriosclerotic

CVD

Female 78 White 38.1 179 Yes

Cerebrovascular accident

*Day of death since the start of treatment with the study drug.

A death was not considered a TEAE if the patient died >14 days after their last visit and the bottles of pills were never returned for accountability.

Accidental overdose was of a noninvestigational product.

BMI, body mass index; COPD, chronic obstructive pulmonary disease; CVD, cardiovascular disease; TEAE, treatment-emergent adverse event.

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