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. 2017 Nov 9;77(18):2003–2012. doi: 10.1007/s40265-017-0836-8

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)