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. 2017 Sep 12;77(15):1677–1686. doi: 10.1007/s40265-017-0815-0

Table 2.

Efficacy of lonoctocog alfa in the treatment of bleeding episodes in the two pivotal multicentre trials in patients with severe haemophilia A

In adults and adolescents aged ≥12 years [4, 12, 16] In children aged 0 to <12 years [8, 16]
Pt population All pts On-demand Prophylaxis All pts On-demand Prophylaxis
No. of evaluable pts 173 27 146 83 3 80a
No. of treated bleeding eps (IA/all) 835/848 577/590 258/258 347/347 132/132 215/215
Haemostatic efficacy rating (% bleeds)
 Excellent or good (all bleeding eps)b,c 92.3 92.4 92.2 96.3 100.0d 94.0
 Moderate (all bleeding eps)e 6.1 5.4 7.8 3.5 0 5.6
 Excellent or good (IA bleeding eps)c 93.8 94.5 92.2 96.3 100.0d 94.0
 Moderate (IA bleeding eps)e 6.2 3.8 7.8 3.5 0 5.6
Bleeding eps (%) controlled withf
 1 inj 80.9 82.7 76.7 85.9 99.2 77.7
 2 injs 12.6 12.0 14.0 9.8 0 15.8
 ≥3 injs 6.5 5.3 9.3 4.3 0.8 6.5
Overall med dose/inj/bleeding ep (IU/kg) 31.7 30.0 31.0 27.3 25.9 30.0
Overall med cumul dose/bleeding ep (IU/kg) 34.7 27.6 25.9 37.0g

Cumul cumulative, ep(s) episode(s), IA investigator-assessed, inj(s) injection(s), LON lonoctocog alfa, med median, pt(s) patient(s)

aProphylaxis regimens were: every second day (n = 3), three times weekly (n = 24), twice weekly (n = 43), and other regimens (n = 10)

bPrimary endpoint; missing data counted as treatment failures

cExcellent = definite pain relief ± improvement in signs of bleeding within ≈8 h post 1st inj of LON; good = definite pain relief ± improvement in signs of bleeding at ≈8 h post 1st inj, but required 2 injs for complete resolution

dHaemostatic efficacy was assessed as excellent in all (100%) treatment procedures

eProbable/slight beneficial effect within ≈8 h post 1st inj of LON, requires >2 injs for complete resolution

fSecondary endpoint. Based on all treated bleeding episodes; missing ratings counted as treatment failures

gAcross all prophylaxis regimens, the median prophylaxis dose/subject was 342 IU/kg/month and 4109 IU/kg/year