Table 3.
Long-term outcomes in participants with 6-month B-cell counts ≤4 cells/μL versus >4 cells/μL.
| Rate/year (95% CI) Placebo RCP |
Rate/year (95% CI) ≤4 cells/μL after first dosing period |
Rate/year (95% CI) >4 cells/μL after first dosing period |
RR (95% CI) | p | |
|---|---|---|---|---|---|
| Post-6-month NMOSD attacks | 1.01 (0.79–1.23) | 0.034 (0.024–0.04) | 0.086 (0.056–0.12) | 0.40 (0.16–0.98) | 0.045 |
| Post-6-month NMOSD attacks, AQP4+ participants only | 1.08 (0.85–1.31) | 0.038 (0.026–0.052) | 0.088 (0.058–0.12) | 0.44 (0.18–1.07) | 0.07 |
| Post-6-month EDSS worsening, participants/year | 1.66 (1.26–2.05) | 0.076 (0.06–0.10) | 0.14 (0.10–0.18) | 0.55 (0.27–1.11) | 0.093 |
| Post-6-month EDSS worsening, participants/year; AQP4+ participants only | 1.76 (1.34–2.18) | 0.07 (0.06–0.09) | 0.15 (0.10–0.19) | 0.50 (0.24–1.05) | 0.07 |
| Post-6-month new/enlarging T2 MRI lesions | 3.03 (2.13–3.92) | 0.49 (0.43–0.56) | 1.36 (1.12–1.61) | 0.36 (0.23–0.56) | <0.0001 |
| Post-6-month new T2 MRI lesions, AQP4+ participants only | 3.14 (2.27–4.01) | 0.51 (0.44–0.58) | 1.38 (1.13–1.63) | 0.37 (0.24–0.58) | <0.0001 |
| Post-6-month NMOSD-related inpatient hospitalisations | 0.53 (0.28–0.78) | 0.08 (0.058–0.104) | 0.18 (0.11–0.25) | 0.45 (0.17–1.18) | 0.11 |
| Post-6-month NMOSD-related inpatient hospitalisations, AQP4+ participants only | 0.55 (0.27–0.82) | 0.08 (0.05–0.10) | 0.19 (0.11–0.26) | 0.41 (0.15–1.08) | 0.07 |
AQP4+ = seropositive for immunoglobulin G autoantibodies against the aquaporin-4 water channel, CI = confidence interval, EDSS = Expanded Disability Status Scale, MRI = magnetic resonance imaging, NMOSD = neuromyelitis optica spectrum disorder, RCP = randomised controlled period, RR = rate ratio, W26 = week 26 after treatment initiation.
RR (95% CI) versus W26 B-cell cut-off point of attacks, new/enlarging T2 MRI lesions, EDSS worsening, and NMOSD-related inpatient hospitalisations that occurred after the first dosing period. RRs were calculated by comparing the rate/year at which each endpoint occurred in patients with B cells ≤4 cells/μL versus >4 cells/μL after the first dosing period; p values are shown for this comparison.