Table 3.
Prophylactic efficacy of nonacog beta pegol in previously treated patients with haemophilia B in phase 3 trials
| Treatment | No. of ptsa | No bleeds (% pts) | Annualized bleeding rates | ||||
|---|---|---|---|---|---|---|---|
| Statistic | Spontaneous | Traumatic | Joint | Total | |||
| Paradigm 2 [8] | |||||||
| 10 IU/kg qw | 30 | 16.7 | Median (IQR) | 0.97 (0.00–4.01) | 0.98 (0.00–1.93) | NA | 2.93 (0.99–6.02) |
| Meanb (95% CI) | 3.14 (1.78–5.56) | 1.35 (0.81–2.24) | NA | 4.56 (3.01–6.90) | |||
| 40 IU/kg qw | 29 | 44.8 | Median (IQR) | 0.00 (0.00–0.98) | 0.00 (0.00–2.04) | 0.97 (0.00–2.07)c | 1.04 (0.00–4.00) |
| Meanb (95% CI) | 1.22 (0.48–3.10) | 1.29 (0.76–2.19) | NA | 2.51* (1.42–4.43)d | |||
| Paradigm 4 [15] | |||||||
| 10 IU/kg qw | 20 | 30.0 | Median (IQR) | 1.05 (0.00–2.16) | 0.00 (0.00–1.01) | 0.97 (0.00–1.41) | 1.36 (0.00–2.23) |
| Meanb (95% CI) | 1.31 (0.63–2.73) | 0.53 (0.20–1.39) | 1.36 (0.56–3.33) | 1.84 (1.00–3.38) | |||
| 40 IU/kg qw | 49 | 40.8 | Median (IQR) | 0.00 (0.00–1.00) | 0.00 (0.00–1.10) | 0.00 (0.00–1.97) | 1.00 (0.00–2.03) |
| Meanb (95% CI) | 0.71 (0.38–1.33) | 1.01 (0.64–1.57) | 1.49 (0.87–2.54) | 1.84 (1.26–2.70) | |||
| Total | 66 | 34.8 | Median (IQR) | 0.00 (0.00–1.29) | 0.00 (0.00–1.06) | 0.59 (0.00–1.89) | 1.05 (0.00–2.20) |
| Meanb (95% CI) | 0.89 (0.55–1.42) | 0.87 (0.57–1.32) | 1.46 (0.91–2.34) | 1.84 (1.33–2.56) | |||
See text for trial design details
IQR interquartile range, NA not available, qw once weekly, pt(s) patient(s)
*p = 0.01 based on 1-sided test of the null hypothesis that the estimated rate is at least 4.8, evaluated at the 2.5% level
aRandomized pts (Paradigm 2) or pts who were on same treatment regimen for ≥ 3 months (Paradigm 4)
bEstimate of mean based on a Poisson regression model
cData from the EU summary of product characteristics [12]
dProphylactic effect was confirmed based on a predefined criteria (i.e. the upper limit of the 95% CI was below 4.8, which corresponds to a > 60% reduction in a literature-based value of 12 bleeds/pt/year in pts receiving on-demand treatment)