Aplastic Anemia
Conditions
Keywords
Anemia, Aplastic, Thrombopoietin, Thrombocytopenia
Brief summary
The present study will be conducted to evaluate the efficacy and safety of AMG531 and to determine the recommended initial dose of AMG531 on the basis of its efficacy and safety when it is administered subcutaneously (SC) to the Aplastic Anemia (AA) patients with immunosuppressive-therapy refractory thrombocytopenia and also to assess the pharmacokinetics of this product. Its efficacy and safety during the extension period beyond one year will also be evaluated.
Interventions
Subcutaneous, weekly injection
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient who is diagnosed as AA and refractory to immunosuppressive therapy * Platelet ≤ 30,000/μL
Exclusion criteria
* Concurrent active infection not adequately responding to appropriate therapy * HIV positivity * Bone marrow reticulin grade of \> 1 * Clinically significant cardiac disease * Arterial or venous thrombosis within the last 1 year before enrollment * Other cause of thrombocytopenia * AA with hemolytic predominant paroxysmal nocturnal hemoglobinuria (PNH) * Uncontrolled diabetes * Receiving any agent used to treat AA, including antithymocyte globulin (ATG) or ATG + cyclosporine within 6 months before starting study treatment and/or cyclosporine or anabolic hormone within 6 weeks before starting the study treatment * History of PEG-rHuMGDF, recombinant human thrombopoietin, AMG531, and other thrombopoietin (TPO)-receptor agonist * Who plans to conduct hematopoietic stem cell transplantation within 1 year
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of Subjects Achieving a Platelet Response at Week 9 | At week 9 | The proportion of subjects achieving a platelet response at Week 9, and two-sided 95% confidence interval will be calculated. Platelet response is defined as 1) achieving absolute platelet increase of ≥ 20x10\^9/L above baseline or 2) increase to ≥ 10x10\^9/L and by at least 100% from baseline. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of Subjects Achieving Platelet Transfusion Independency | Initial dose evaluation period (Week 9), Week 12, Week 16, Week 24, Week 52, Week 104, and Week 156 | The proportion of subjects achieving platelet transfusion independency in any time during the initial dose evaluation period , Week 1 through Week 12, Week 1 through Week 16, Week 1 through Week 24, Week 1 through Week 52, Week 1 through Week 104, and Week1 through Week 156 will be calculated in the same manner as the primary variables (The number of subjects discontinued or subjects who have missing data will not be calculated). Platelet transfusion independence is defined as achieving transfusion free period of at least 8 consecutive weeks (56 days). |
| Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Initial dose evaluation period (Week 9), Week 12, Week 16, Week 24, Week 52, Week 104, and Week 156 | The proportion of subjects with erythroid response, neutrophil response and erythroid and/or neutrophil response in any time during the initial dose evaluation period, Week 1 through Week 12, Week 1 through Week 16, Week 1 through Week 24, Week 1 through Week 52, Week 1 through Week 104, and Week1 through Week 156 will be calculated in the same manner as the primary variables (The number of subjects discontinued or subjects who have missing data will not be calculated). |
| Proportion of Subjects Achieving a Platelet Response | Initial dose evaluation period (Week 9), Week 12, Week 16, Week 24, Week 52, Week 104, and Week 156 | The proportion of subjects with a platelet response in any time during the initial dose evaluation period, Week 1 through Week 12, Week 1 through Week 16, Week 1 through Week 24, Week 1 through Week 52, Week 1 through Week 104 and Week 1 through Week 156. |
| Proportion of Subjects Achieving Tri-lineage Responses | Initial dose evaluation period (Week 9), Week 12, Week 16, Week 24, Week 52, Week 104, and Week 157 | Tri-lineage response is defined in those achieving platelet response, erythroid response, and neutrophil response all together. The proportion of subjects with tri-lineage response will be calculated in the same manner as the primary variables. Time to tri-lineage response will be summarized in the same manner as time to platelet response. Time to tri-lineage response is defined as duration of the time from Day 1 to the date of platelet response, erythroid response or neutrophil response whichever achieves last in Visit. |
| Duration of Study Drug Discontinuation While Maintaining Stable Response | Initial dose evaluation period (Week 9), Week 12, Week 16, Week 24, Week 52, Week 104, and Week 156 | The longest duration of study drug discontinuation in subjects while maintaining a stable response is summarized |
| Duration of Platelet Response and Time to Platelet Response | Initial dose evaluation period (Week 9), Week 12, Week 16, Week 24, Week 52, Week 104, and Week 156 | For subjects with a platelet response in any time, time to the initial platelet response and duration of platelet response will be summarized Time to the initial platelet response will be calculated as sampling date (response achieved) minus first dose date of study drug plus 1. Duration of platelet response will be calculated as the maximum of the duration of platelet response for each subject, each duration of response calculated as the date when response is disappeared minus the date when response is achieved. The censoring date is defined as the date of the last Platelet examination or EOS whichever archives first. |
Countries
South Korea
Participant flow
Recruitment details
Subjects were enrolled from 14 April 2014 through 28 November 2014 from two clinical centers (Seoul St. Mary's Hospital and Samsung Medical Center, Seoul, South Korea).
Participants by arm
| Arm | Count |
|---|---|
| AMG531 (Dose 1) AMG531: 1 μg/kg, subcutaneous, once weekly | 7 |
| AMG531 (Dose 3) AMG531: 3 μg/kg, subcutaneous, once weekly | 9 |
| AMG531 (Dose 2) AMG531: 6 μg/kg, subcutaneous, once weekly | 9 |
| AMG531 (Dose 4) AMG531: 10 μg/kg, subcutaneous, once weekly | 10 |
| Total | 35 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 |
|---|---|---|---|---|---|
| Overall Study | Adverse Event | 0 | 0 | 0 | 1 |
| Overall Study | Eligibility criteria | 0 | 1 | 0 | 0 |
| Overall Study | No responder | 4 | 4 | 4 | 3 |
| Overall Study | Unable to conduct observations or assess | 0 | 1 | 0 | 0 |
| Overall Study | Withdrawal by Subject | 1 | 2 | 1 | 3 |
Baseline characteristics
| Characteristic | Total | AMG531 (Dose 1) | AMG531 (Dose 3) | AMG531 (Dose 2) | AMG531 (Dose 4) |
|---|---|---|---|---|---|
| Age, Continuous | 49.0 years | 45.0 years | 51.0 years | 50.0 years | 51.5 years |
| Baseline hemoglobin concentration | 6.48 g/dL STANDARD_DEVIATION 1.26 | 6.73 g/dL STANDARD_DEVIATION 0.57 | 6.63 g/dL STANDARD_DEVIATION 0.71 | 5.95 g/dL STANDARD_DEVIATION 1.04 | 6.50 g/dL STANDARD_DEVIATION 2.14 |
| Baseline neutrophil count | 0.9136 cells 10^9/L STANDARD_DEVIATION 0.4797 | 0.8902 cells 10^9/L STANDARD_DEVIATION 0.3606 | 0.9611 cells 10^9/L STANDARD_DEVIATION 0.6784 | 0.8756 cells 10^9/L STANDARD_DEVIATION 0.5 | 0.9215 cells 10^9/L STANDARD_DEVIATION 0.3836 |
| Baseline platelet count | 9.6 cells 10^9/L STANDARD_DEVIATION 6.2 | 7.5 cells 10^9/L STANDARD_DEVIATION 3.6 | 9.9 cells 10^9/L STANDARD_DEVIATION 8.5 | 10.7 cells 10^9/L STANDARD_DEVIATION 6.9 | 9.8 cells 10^9/L STANDARD_DEVIATION 5.1 |
| Race and Ethnicity Not Collected | 0 Participants | — | — | — | — |
| Sex: Female, Male Female | 18 Participants | 2 Participants | 6 Participants | 4 Participants | 6 Participants |
| Sex: Female, Male Male | 17 Participants | 5 Participants | 3 Participants | 5 Participants | 4 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 7 | 1 / 9 | 0 / 9 | 0 / 10 |
| other Total, other adverse events | 3 / 7 | 5 / 9 | 7 / 9 | 4 / 10 |
| serious Total, serious adverse events | 0 / 7 | 2 / 9 | 2 / 9 | 3 / 10 |
Outcome results
Proportion of Subjects Achieving a Platelet Response at Week 9
The proportion of subjects achieving a platelet response at Week 9, and two-sided 95% confidence interval will be calculated. Platelet response is defined as 1) achieving absolute platelet increase of ≥ 20x10\^9/L above baseline or 2) increase to ≥ 10x10\^9/L and by at least 100% from baseline.
Time frame: At week 9
Population: All efficacy analyses were carried out using the Per Protocol Set, which was defined as all enrolled subjects who received ≥6 times of the specified dose, with no major violation in the initial dose evaluation period. The Overall Number of Participants Analyzed is not consistent with numbers provided in the Participant Flow module because the Participant Flow module has been recorded based on the Full Analysis Set.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| AMG531 (Dose 1) | Proportion of Subjects Achieving a Platelet Response at Week 9 | 0 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving a Platelet Response at Week 9 | 0 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving a Platelet Response at Week 9 | 3 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving a Platelet Response at Week 9 | 7 Participants |
Duration of Platelet Response and Time to Platelet Response
For subjects with a platelet response in any time, time to the initial platelet response and duration of platelet response will be summarized Time to the initial platelet response will be calculated as sampling date (response achieved) minus first dose date of study drug plus 1. Duration of platelet response will be calculated as the maximum of the duration of platelet response for each subject, each duration of response calculated as the date when response is disappeared minus the date when response is achieved. The censoring date is defined as the date of the last Platelet examination or EOS whichever archives first.
Time frame: Initial dose evaluation period (Week 9), Week 12, Week 16, Week 24, Week 52, Week 104, and Week 156
Population: A total of 29 subjects achieved a platelet response and the median duration of the platelet response was 77.0 days (range: 5 to 959 days). For the 29 subjects who achieved a platelet response, the median time to the initial platelet response was 43 days (range: 8 to 219 days).
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| AMG531 (Dose 1) | Duration of Platelet Response and Time to Platelet Response | Duration of platelet response | 24.5 days |
| AMG531 (Dose 1) | Duration of Platelet Response and Time to Platelet Response | Time to the initial platelet response | 59.0 days |
| AMG531 (Dose 2) | Duration of Platelet Response and Time to Platelet Response | Time to the initial platelet response | 44.0 days |
| AMG531 (Dose 2) | Duration of Platelet Response and Time to Platelet Response | Duration of platelet response | 21.0 days |
| AMG531 (Dose 3) | Duration of Platelet Response and Time to Platelet Response | Duration of platelet response | 503.5 days |
| AMG531 (Dose 3) | Duration of Platelet Response and Time to Platelet Response | Time to the initial platelet response | 53.5 days |
| AMG531 (Dose 4) | Duration of Platelet Response and Time to Platelet Response | Duration of platelet response | 131.0 days |
| AMG531 (Dose 4) | Duration of Platelet Response and Time to Platelet Response | Time to the initial platelet response | 41.0 days |
Duration of Study Drug Discontinuation While Maintaining Stable Response
The longest duration of study drug discontinuation in subjects while maintaining a stable response is summarized
Time frame: Initial dose evaluation period (Week 9), Week 12, Week 16, Week 24, Week 52, Week 104, and Week 156
Population: 3/33 (9.1%) subjects (who maintained blood cell response) discontinued the study drug during Week 1 to Week 156.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| AMG531 (Dose 3) | Duration of Study Drug Discontinuation While Maintaining Stable Response | 273.0 days |
| AMG531 (Dose 4) | Duration of Study Drug Discontinuation While Maintaining Stable Response | 483.0 days |
Proportion of Subjects Achieving a Platelet Response
The proportion of subjects with a platelet response in any time during the initial dose evaluation period, Week 1 through Week 12, Week 1 through Week 16, Week 1 through Week 24, Week 1 through Week 52, Week 1 through Week 104 and Week 1 through Week 156.
Time frame: Initial dose evaluation period (Week 9), Week 12, Week 16, Week 24, Week 52, Week 104, and Week 156
Population: All efficacy analyses were carried out using the Per Protocol Set, which was defined as all enrolled subjects who received ≥6 times of the specified dose, with no major violation in the initial dose evaluation period. The Overall Number of Participants Analyzed is not consistent with numbers provided in the Participant Flow module because the Participant Flow module has been recorded based on the Full Analysis Set.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| AMG531 (Dose 1) | Proportion of Subjects Achieving a Platelet Response | Week 1 - Week 52 | 6 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving a Platelet Response | Week 1 - Week 16 | 4 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving a Platelet Response | Week 1 - Week 156 | 6 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving a Platelet Response | Week 1 - Week 104 | 6 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving a Platelet Response | Initial dose evaluation period | 3 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving a Platelet Response | Week 1 - Week 24 | 6 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving a Platelet Response | Week 1 - Week 12 | 4 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving a Platelet Response | Week 1 - Week 156 | 5 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving a Platelet Response | Initial dose evaluation period | 3 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving a Platelet Response | Week 1 - Week 16 | 4 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving a Platelet Response | Week 1 - Week 24 | 4 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving a Platelet Response | Week 1 - Week 12 | 4 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving a Platelet Response | Week 1 - Week 52 | 5 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving a Platelet Response | Week 1 - Week 104 | 5 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving a Platelet Response | Week 1 - Week 16 | 7 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving a Platelet Response | Week 1 - Week 52 | 8 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving a Platelet Response | Initial dose evaluation period | 6 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving a Platelet Response | Week 1 - Week 12 | 7 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving a Platelet Response | Week 1 - Week 24 | 8 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving a Platelet Response | Week 1 - Week 104 | 8 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving a Platelet Response | Week 1 - Week 156 | 8 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving a Platelet Response | Initial dose evaluation period | 10 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving a Platelet Response | Week 1 - Week 156 | 10 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving a Platelet Response | Week 1 - Week 16 | 10 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving a Platelet Response | Week 1 - Week 104 | 10 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving a Platelet Response | Week 1 - Week 52 | 10 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving a Platelet Response | Week 1 - Week 24 | 10 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving a Platelet Response | Week 1 - Week 12 | 10 Participants |
Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response
The proportion of subjects with erythroid response, neutrophil response and erythroid and/or neutrophil response in any time during the initial dose evaluation period, Week 1 through Week 12, Week 1 through Week 16, Week 1 through Week 24, Week 1 through Week 52, Week 1 through Week 104, and Week1 through Week 156 will be calculated in the same manner as the primary variables (The number of subjects discontinued or subjects who have missing data will not be calculated).
Time frame: Initial dose evaluation period (Week 9), Week 12, Week 16, Week 24, Week 52, Week 104, and Week 156
Population: All efficacy analyses were carried out using the Per Protocol Set, which was defined as all enrolled subjects who received ≥6 times of the specified dose, with no major violation in the initial dose evaluation period. The Overall Number of Participants Analyzed is not consistent with numbers provided in the Participant Flow module because the Participant Flow module has been recorded based on the Full Analysis Set.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| AMG531 (Dose 1) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Initial dose evaluation period | 0 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Week 1 - Week 12 | 0 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Week 1 - Week 16 | 3 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Week 1 - Week 24 | 5 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Week 1 - Week 52 | 6 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Week 1 - Week 104 | 6 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Week 1 - Week 156 | 6 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Initial dose evaluation period | 1 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Week 1 - Week 12 | 1 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Week 1 - Week 16 | 2 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Week 1 - Week 24 | 4 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Week 1 - Week 52 | 4 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Week 1 - Week 104 | 4 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Week 1 - Week 156 | 4 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Initial dose evaluation period | 1 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Week 1 - Week 12 | 1 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Week 1 - Week 16 | 4 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Week 1 - Week 24 | 7 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Week 1 - Week 52 | 7 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Week 1 - Week 104 | 7 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Week 1 - Week 156 | 7 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Week 1 - Week 24 | 6 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Initial dose evaluation period | 2 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Initial dose evaluation period | 3 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Week 1 - Week 52 | 5 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Week 1 - Week 156 | 5 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Week 1 - Week 12 | 5 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Initial dose evaluation period | 4 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Week 1 - Week 104 | 5 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Week 1 - Week 16 | 4 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Week 1 - Week 104 | 6 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Week 1 - Week 16 | 5 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Week 1 - Week 156 | 5 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Week 1 - Week 12 | 3 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Week 1 - Week 52 | 5 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Week 1 - Week 104 | 5 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Week 1 - Week 156 | 6 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Week 1 - Week 16 | 4 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Week 1 - Week 24 | 5 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Week 1 - Week 12 | 4 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Week 1 - Week 52 | 6 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Week 1 - Week 24 | 4 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Week 1 - Week 12 | 4 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Week 1 - Week 104 | 7 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Week 1 - Week 156 | 7 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Week 1 - Week 24 | 8 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Initial dose evaluation period | 4 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Week 1 - Week 12 | 5 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Week 1 - Week 16 | 5 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Week 1 - Week 24 | 5 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Week 1 - Week 52 | 8 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Week 1 - Week 52 | 5 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Week 1 - Week 104 | 5 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Week 1 - Week 156 | 8 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Week 1 - Week 156 | 5 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Initial dose evaluation period | 5 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Week 1 - Week 104 | 8 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Week 1 - Week 12 | 7 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Initial dose evaluation period | 1 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Week 1 - Week 16 | 4 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Week 1 - Week 16 | 7 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Week 1 - Week 24 | 7 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Week 1 - Week 52 | 7 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Week 1 - Week 12 | 7 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Week 1 - Week 24 | 7 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Week 1 - Week 16 | 7 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Initial dose evaluation period | 3 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Week 1 - Week 104 | 8 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Week 1 - Week 16 | 6 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Week 1 - Week 12 | 6 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Week 1 - Week 12 | 4 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Week 1 - Week 24 | 8 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Initial dose evaluation period | 6 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Week 1 - Week 104 | 7 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Week 1 - Week 16 | 4 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Week 1 - Week 156 | 8 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Week 1 - Week 156 | 7 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Week 1 - Week 104 | 7 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Week 1 - Week 52 | 8 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Week 1 - Week 156 | 7 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid response and/or Neutrophil response : Initial dose evaluation period | 7 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Week 1 - Week 52 | 7 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Neutrophil Response : Week 1 - Week 52 | 7 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response | Erythroid Response : Week 1 - Week 24 | 5 Participants |
Proportion of Subjects Achieving Platelet Transfusion Independency
The proportion of subjects achieving platelet transfusion independency in any time during the initial dose evaluation period , Week 1 through Week 12, Week 1 through Week 16, Week 1 through Week 24, Week 1 through Week 52, Week 1 through Week 104, and Week1 through Week 156 will be calculated in the same manner as the primary variables (The number of subjects discontinued or subjects who have missing data will not be calculated). Platelet transfusion independence is defined as achieving transfusion free period of at least 8 consecutive weeks (56 days).
Time frame: Initial dose evaluation period (Week 9), Week 12, Week 16, Week 24, Week 52, Week 104, and Week 156
Population: With respcet to platelet transfusion indendpendence, the proportion will be calculated based on all subjcets in each analysis set and all subjects receving platelet transfusion as a pretreatment 8 weeks prior to the first AMG531 administration respectively.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| AMG531 (Dose 1) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Week 1 - Week 12 | 0 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Initial dose evaluation period | 0 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Week 1 - Week 52 | 2 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Week 1 - Week 156 | 2 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Week 1 - Week 156 | 2 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Week 1 - Week 104 | 2 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Week 1 - Week 52 | 2 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Initial dose evaluation period | 0 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Week 1 - Week 16 | 0 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Week 1 - Week 104 | 2 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Week 1 - Week 24 | 1 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Week 1 - Week 16 | 0 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Week 1 - Week 24 | 1 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Week 1 - Week 12 | 0 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Week 1 - Week 24 | 2 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Initial dose evaluation period | 2 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Week 1 - Week 12 | 2 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Week 1 - Week 16 | 2 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Week 1 - Week 24 | 2 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Week 1 - Week 52 | 2 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Week 1 - Week 104 | 2 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Week 1 - Week 156 | 2 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Initial dose evaluation period | 2 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Week 1 - Week 12 | 2 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Week 1 - Week 16 | 2 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Week 1 - Week 52 | 2 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Week 1 - Week 104 | 2 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Week 1 - Week 156 | 2 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Week 1 - Week 24 | 3 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Week 1 - Week 104 | 3 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Week 1 - Week 12 | 1 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Week 1 - Week 24 | 3 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Week 1 - Week 52 | 3 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Initial dose evaluation period | 0 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Week 1 - Week 16 | 2 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Initial dose evaluation period | 0 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Week 1 - Week 104 | 3 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Week 1 - Week 16 | 2 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Week 1 - Week 52 | 3 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Week 1 - Week 156 | 3 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Week 1 - Week 156 | 3 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Week 1 - Week 12 | 1 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Week 1 - Week 156 | 6 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Initial dose evaluation period | 2 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Week 1 - Week 104 | 6 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Week 1 - Week 12 | 4 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Week 1 - Week 16 | 4 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Week 1 - Week 16 | 4 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Week 1 - Week 12 | 4 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Week 1 - Week 24 | 6 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Week 1 - Week 156 | 6 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Platelet Transfusion Independency | Subjects with TF : Week 1 - Week 52 | 6 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Week 1 - Week 52 | 6 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Initial dose evaluation period | 2 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Week 1 - Week 104 | 6 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Platelet Transfusion Independency | All subjects : Week 1 - Week 24 | 6 Participants |
Proportion of Subjects Achieving Tri-lineage Responses
Tri-lineage response is defined in those achieving platelet response, erythroid response, and neutrophil response all together. The proportion of subjects with tri-lineage response will be calculated in the same manner as the primary variables. Time to tri-lineage response will be summarized in the same manner as time to platelet response. Time to tri-lineage response is defined as duration of the time from Day 1 to the date of platelet response, erythroid response or neutrophil response whichever achieves last in Visit.
Time frame: Initial dose evaluation period (Week 9), Week 12, Week 16, Week 24, Week 52, Week 104, and Week 157
Population: All efficacy analyses were carried out using the Per Protocol Set, which was defined as all enrolled subjects who received ≥6 times of the specified dose, with no major violation in the initial dose evaluation period. The Overall Number of Participants Analyzed is not consistent with numbers provided in the Participant Flow module because the Participant Flow module has been recorded based on the Full Analysis Set.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| AMG531 (Dose 1) | Proportion of Subjects Achieving Tri-lineage Responses | Week 9 | 0 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Tri-lineage Responses | Week 13 | 0 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Tri-lineage Responses | Week 17 | 0 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Tri-lineage Responses | Week 25 | 1 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Tri-lineage Responses | Week 27 | 0 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Tri-lineage Responses | Week 53 | 1 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Tri-lineage Responses | Week 105 | 1 Participants |
| AMG531 (Dose 1) | Proportion of Subjects Achieving Tri-lineage Responses | Week 157 | 1 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Tri-lineage Responses | Week 53 | 1 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Tri-lineage Responses | Week 27 | 1 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Tri-lineage Responses | Week 13 | 0 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Tri-lineage Responses | Week 157 | 1 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Tri-lineage Responses | Week 105 | 1 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Tri-lineage Responses | Week 25 | 1 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Tri-lineage Responses | Week 17 | 1 Participants |
| AMG531 (Dose 2) | Proportion of Subjects Achieving Tri-lineage Responses | Week 9 | 0 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Tri-lineage Responses | Week 105 | 2 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Tri-lineage Responses | Week 17 | 0 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Tri-lineage Responses | Week 25 | 1 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Tri-lineage Responses | Week 27 | 2 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Tri-lineage Responses | Week 53 | 2 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Tri-lineage Responses | Week 157 | 3 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Tri-lineage Responses | Week 9 | 0 Participants |
| AMG531 (Dose 3) | Proportion of Subjects Achieving Tri-lineage Responses | Week 13 | 0 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Tri-lineage Responses | Week 17 | 0 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Tri-lineage Responses | Week 25 | 1 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Tri-lineage Responses | Week 13 | 0 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Tri-lineage Responses | Week 9 | 0 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Tri-lineage Responses | Week 27 | 0 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Tri-lineage Responses | Week 157 | 0 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Tri-lineage Responses | Week 105 | 1 Participants |
| AMG531 (Dose 4) | Proportion of Subjects Achieving Tri-lineage Responses | Week 53 | 1 Participants |