Simone Biles fell off the beam to miss out on a medal for the first time at the Paris Olympics as Alice d’Amato took gold.

The American, 27 – who won team, all-around and vault gold – lost her balance at the end of the series and placed fifth, in a final where half of the gymnasts fell off the 10cm-wide apparatus.

It was a brilliant gold for Italy’s D’Amato, who won with 14.366. China’s Zhou Yaqin took silver with 14.100 and another Italian, Manila Esposito got the bronze with 14.000.

Biles, who has won three golds in Paris, has one more chance for another medal in Monday’s floor final (13:23 BST).