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Effect of Raxibacumab on Immunogenicity of Anthrax Vaccine Adsorbed

A Randomized, Open-label Study to Evaluate the Immunogenicity of Anthrax Vaccine Adsorbed Alone or Concomitantly With Raxibacumab (GSK3068483)

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02339155
Enrollment
573
Registered
2015-01-15
Start date
2015-02-24
Completion date
2017-06-06
Last updated
2024-03-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Infections, Bacterial

Keywords

Anthrax Vaccine Adsorbed, Raxibacumab, Immunogenicity

Brief summary

This study, as a post-marketing commitment to the Food and Drug Administration, is designed to detect the effect of raxibacumab on anthrax vaccine adsorbed (AVA) immunogenicity in a healthy volunteer population. This is a randomized, open-label, parallel group, two arm study to compare the immunogenicity of AVA at 4 weeks after the first AVA dose, when AVA is administered alone or concomitantly with raxibacumab. The study is planned to enroll approximately 30 to 534 subjects in up to 3 cohorts. The total duration of the study will be approximately 26 weeks. The dates reflect cohort 1.

Interventions

BIOLOGICALAVA

Sterile, milky-white suspension with dosage level of 0.5 mL for SC administration

BIOLOGICALRaxibacumab

Sterile, liquid formulation with unit dose strength of 40 mg/ kg for IV administration

DRUGDiphenhydramine

Depending upon the labelling of the specific product chosen, 25 - 50 mg will be administered orally or IV

Sponsors

GlaxoSmithKline
CollaboratorINDUSTRY
Emergent BioSolutions
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

* Healthy as determined by the Investigator or medically qualified designee based on a medical evaluation including medical history, physical examination and laboratory tests * Men and women between 18 to 65 years of age * Willing and able to adhere to the procedures stated in the protocol. * Female subject is eligible to participate if she is not pregnant (as confirmed by a negative serum or urine human chorionic gonadotrophin (hCG) test), not lactating, and at least one of the following conditions applies: Non-reproductive potential defined as: Pre-menopausal females with one of the following: Documented tubal ligation, Documented hysteroscopic tubal occlusion procedure with follow-up confirmation of bilateral tubal occlusion, Hysterectomy, Documented Bilateral Oophorectomy Postmenopausal defined as 12 months of spontaneous amenorrhea. Females on hormone replacement therapy (HRT) and whose menopausal status is in doubt will be required to use one of the highly effective contraception methods if they wish to continue their HRT during the study. Otherwise, they must discontinue HRT to allow confirmation of post-menopausal status prior to study enrollment. Reproductive potential and agrees to follow one of the options listed in the GSK Modified List of Highly Effective Methods for Avoiding Pregnancy in Females of Reproductive Potential (FRP), from 30 days prior to the first dose of study medication and until after the last dose of study medication and completion of the follow-up visit at Day 183 (at least five terminal half-lives for raxibacumab).

Exclusion criteria

* Concurrently participating in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational or non-investigational study vaccine/product (pharmaceutical product or device). * Be a member of the military, a laboratory worker, first responder, health care worker, or otherwise be at higher risk of exposure to anthrax. * History of regular alcohol consumption within 1 month of the study defined as: An average weekly intake of \>14 drinks for males or \>7 drinks for females. One drink is equivalent to 12 g of alcohol: 12 ounces (360 milliliter \[mL\]) of beer, 5 ounces (150 mL) of wine or 1.5 ounces (45 mL) of 80 proof distilled spirits. * Female planning to become pregnant or planning to discontinue contraceptive precautions before the Day 183 study visit. * Pregnant (confirmed by a serum or urine hCG test) or lactating female. * Alanine aminotransferase (ALT) and bilirubin \>1.5 x upper limit of normal (ULN) (isolated bilirubin \>1.5 x ULN is acceptable if bilirubin is fractionated and direct bilirubin \<35%). * Current or chronic history of liver disease, or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones). * Any confirmed or suspected immunosuppressive or immunodeficient condition resulting from disease (e.g., malignancy, human immunodeficiency virus \[HIV\] infection) or immunosuppressive/cytotoxic therapy (e.g., medications used during cancer chemotherapy, organ transplantation or to treat autoimmune disorders). * Presence of hepatitis B surface antigen (HBsAg), positive hepatitis C antibody test results at screening or within 3 months prior to first dose of study treatment. * A positive pre-study drug/alcohol screen. * A positive test for HIV antibody. * History of sensitivity to any of the study medications, or components thereof (especially latex and aluminium) or a history of other known drug allergies that, in the opinion of the Investigator or GSK Medical Monitor, contraindicates their participation. * Have previously been vaccinated against PA. * Have an anti-PA Ab concentration \>2 times the lower limit of quantitation at screening. * Administration of immunoglobulins not included in this trial and/or any blood products within the 3 months preceding the first dose of study vaccine or planned administration during the study period. * Administration of long-acting immune-modifying drugs (e.g. infliximab) within six months prior to the first vaccine dose or expected administration at any time during the study period. * Chronic administration (defined as more than 14 consecutive days) of systemic immunosupressants or other immune-modifying drugs within six months prior to the first vaccine dose. Inhaled, topical and intra-articular corticosteroids are allowed. * Administration or planned administration of a vaccine not foreseen by the study protocol within the period starting 35 days before the first dose of study vaccine(s) and ending 30 days after the last dose of study vaccine. This includes any type of vaccine such as (but not limited to) live, inactivated, and subunit vaccines. Influenza vaccines are permitted after Week 8. * Subjects must abstain from taking prescription or non-prescription drugs (including vitamins and dietary or herbal supplements), within 7 days (or 14 days if the drug is a potential enzyme inducer) or 5 half-lives (whichever is longer) prior to the first dose of study medication until completion of the follow-up visit, unless in the opinion of the Investigator and sponsor the medication will not interfere with the study. * Exposure to more than four new chemical entities within 12 months prior to the first dosing day. * Any condition which, in the opinion of the investigator, prevents the subject from participating in the study.

Design outcomes

Primary

MeasureTime frameDescription
Ratio of Geometric Mean Concentrations (GMC) of Anti-protective Antigen (PA) Antibody (Ab) at 4 Weeks (Day 29) After the First AVA Dose (Prior to the Third AVA Dose), Between the AVA Alone and the AVA With Raxibacumab Treatment GroupsDay 29Ratio of the GMC of anti-PA Ab between AVA alone and the AVA with raxibacumab treatment group was assessed to compare the immunogenicity of AVA at 4 weeks after the first AVA dose (prior to the third AVA dose). Serum AVA derived anti-PA Ab concentrations were determined using an approved immunoassay. Per Protocol (PP) population was used in analysis which comprised of all analyzable participants (those who received at least the Week 0 \[Day 1\] and Week 2 \[Day 15\] AVA doses within the protocol specified visit window; receive the raxibacumab dose, if randomized to Treatment Group 2 and; completed the primary study endpoint assessment \[anti-PA Ab concentration at Week 4\]).

Secondary

MeasureTime frameDescription
Percentage of Participants Who Seroconvert, at Weeks 4, 8, and 26 (Days 29, 57 and 183) After the First AVA Dose, Between the AVA Alone and the AVA With Raxibacumab Treatment GroupsDays 29, 57 and 183The percentage of participants, with corresponding 95% CI based on Wilson's method, who seroconvert (seroconversion is defined as a \>4-fold increase in toxin neutralizing activity \[TNA\] titer) was summarized, at Weeks 4, 8 and 26 after the first AVA dose for both arms separately. Serum TNA titer was determined using a cell-based assay.
Number of Participants With Any Serious Adverse Event (SAE) and Any Non-serious Adverse Event (AE)Up to Day 183An AE is any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE resulting in death, is life threatening (ie, an immediate threat to life), inpatient hospitalization, prolongation of existing hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect or any other situation which is medically important and may jeopardize the participant or may require medical or surgical intervention or events associated with liver injury and impaired liver function is categorized as SAE. The Safety population was comprised of all randomized participants who received at least one dose of AVA.
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Indicated Time PointsBaseline and up to Day 183SBP and DBP were measured in semi-supine position after 5 minutes rest. Values at Day -1 were considered as Baseline values. Change from Baseline was defined as difference between the post-Baseline visit value and the Baseline value. Only those participants available at the specified time points (represented by n=X in the category titles) were analyzed.
Change From Baseline in Heart Rate at Indicated Time PointsBaseline and up to Day 183Heart rate was measured in semi-supine position after 5 minutes rest. Values at Day -1 were considered as Baseline values. Change from Baseline was defined as difference between the post-Baseline visit value and the Baseline value. Only those participants available at the specified time points (represented by n=X in the category titles) were analyzed.
Ratio of GMC of Anti-PA Ab at Weeks 8 and 26 (Days 57 and 183) After the First AVA Dose, Between the AVA Alone and AVA With Raxibacumab Treatment GroupsDays 57 and 183Anti-PA antibody concentrations were collected at Weeks 8 and 26 after the first AVA dose. Serum AVA derived anti-PA Ab concentrations were determined using an approved immunoassay. The GMCs with corresponding 95% CI were calculated for each treatment group at each timepoint. Only those participants available at the specified time points (represented by n=X in the category titles) were analyzed.
Change From Baseline in Temperature at Indicated Time PointsBaseline and up to Day 183Temperature was measured in semi-supine position after 5 minutes rest. Values at Day -1 were considered as Baseline values. Change from Baseline was defined as difference between the post-Baseline visit value and the Baseline value. Only those participants available at the specified time points (represented by n=X in the category titles) were analyzed.
Number of Participants With Hematology Parameters Outside Normal RangeUp to Day 57Hematology parameters included assessment of platelet count, erythrocytes, leukocytes , reticulocyte count, mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), neutrophils, lymphocytes, monocytes, eosinophils, basophils, hemoglobin and hematocrit. Here high is equal to above the upper limit of the normal range, low is equal to below the lower limit of the normal range. Participants are counted in the category that their value changes to (low, normal or high), unless there is no change in their category. Only those participants available at the specified time points (represented by n=X in the category titles) were analyzed.
Number of Participants With Clinical Chemistry Parameters Outside Normal RangeUp to Day 57Blood samples were collected to evaluate clinical chemistry parameters, which included assessment of urea nitrogen (UN), creatinine, chloride, glucose, magnesium, total protein, potassium, chloride, total Carbon dioxide (CO2), sodium, calcium (cal), alkaline phosphatase (ALP), aspartate aminotransferase (AST), alanine aminotransferase (ALT), gamma-glutamyltransferase (GGT), total and direct bilirubin ( D.bili), albumin and calculated creatinine clearance. Here high is equal to above the upper limit of the normal range, low is equal to below the lower limit of the normal range. Participants are counted in the category that their value changes to (low, normal or high), unless there is no change in their category. Only those participants available at the specified time points (represented by n=X in the category titles) were analyzed.
Number of Participants With Urinalysis ParametersDay 57Urinalysis parameters included amorphous crystals, bacteria, bilirubin, calcium oxalate (Ca Ox) crystals, choriogonadotropin beta, clarity, color, crystals of Ca Ox, erythrocytes, glucose, hemoglobin, ketone bodies, ketones, leukocyte cell clumps, leukocyte esterase, leukocytes, mucous threads, nitrite, occult blood, protein, specific gravity, squamous epithelial cells, turbidity, urobilinogen, and transitional epithelial cells. In urinalysis test plus sign (+) indicates increase in the level of the parameters.
Change From Baseline in Respiratory Rate at Indicated Time PointsBaseline and up to Day 183Respiratory rate was measured in semi-supine position after 5 minutes rest. Values at Day -1 were considered as Baseline values. Change from Baseline was defined as difference between the post-Baseline visit value and the Baseline value. Only those participants available at the specified time points (represented by n=X in the category titles) were analyzed.

Countries

United States

Participant flow

Recruitment details

This study included healthy volunteers who were not previously immunized against protective antigen. 573 participants were randomized with 566 receiving study treatment and 537 completed the study.

Pre-assignment details

A total of 573 participants were randomized with 566 receiving study treatment and 537 completed the study.

Participants by arm

ArmCount
AVA Alone
Participants administered AVA SC, 0.5 mL on Days 1, 15 and 29
287
AVA+Raxibacumab
Participants administered SC 0.5 mL of AVA doses on Days 1, 15, and 29, with the first AVA dose administered immediately after completion of a single 40 mg/kg, IV infusion of raxibacumab dose (Day 1). Participants were premedicated with 25-50 mg of diphenhydramine up to 1 hour prior to the raxibacumab infusion to reduce the risk of infusion reactions.
286
Total573

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event06
Overall StudyDeath11
Overall StudyLost to Follow-up89
Overall StudyPhysician Decision21
Overall StudyWithdrawal by Subject44

Baseline characteristics

CharacteristicAVA AloneAVA+RaxibacumabTotal
Age, Continuous36.2 Years
STANDARD_DEVIATION 12.78
36.1 Years
STANDARD_DEVIATION 12.06
36.2 Years
STANDARD_DEVIATION 12.42
Race/Ethnicity, Customized
American Indian or Alaska Native
7 Participants1 Participants8 Participants
Race/Ethnicity, Customized
Asian
2 Participants5 Participants7 Participants
Race/Ethnicity, Customized
Black or African American
61 Participants56 Participants117 Participants
Race/Ethnicity, Customized
Multiple
1 Participants2 Participants3 Participants
Race/Ethnicity, Customized
Unknown
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
White
216 Participants221 Participants437 Participants
Sex: Female, Male
Female
150 Participants142 Participants292 Participants
Sex: Female, Male
Male
137 Participants144 Participants281 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
1 / 2860 / 61 / 280
other
Total, other adverse events
85 / 2866 / 680 / 280
serious
Total, serious adverse events
5 / 2860 / 63 / 280

Outcome results

Primary

Ratio of Geometric Mean Concentrations (GMC) of Anti-protective Antigen (PA) Antibody (Ab) at 4 Weeks (Day 29) After the First AVA Dose (Prior to the Third AVA Dose), Between the AVA Alone and the AVA With Raxibacumab Treatment Groups

Ratio of the GMC of anti-PA Ab between AVA alone and the AVA with raxibacumab treatment group was assessed to compare the immunogenicity of AVA at 4 weeks after the first AVA dose (prior to the third AVA dose). Serum AVA derived anti-PA Ab concentrations were determined using an approved immunoassay. Per Protocol (PP) population was used in analysis which comprised of all analyzable participants (those who received at least the Week 0 \[Day 1\] and Week 2 \[Day 15\] AVA doses within the protocol specified visit window; receive the raxibacumab dose, if randomized to Treatment Group 2 and; completed the primary study endpoint assessment \[anti-PA Ab concentration at Week 4\]).

Time frame: Day 29

Population: PP Population.

ArmMeasureValue (GEOMETRIC_MEAN)
AVA AloneRatio of Geometric Mean Concentrations (GMC) of Anti-protective Antigen (PA) Antibody (Ab) at 4 Weeks (Day 29) After the First AVA Dose (Prior to the Third AVA Dose), Between the AVA Alone and the AVA With Raxibacumab Treatment Groups26.516 Microgram/milliliter (µg/mL)
AVA+RaxibacumabRatio of Geometric Mean Concentrations (GMC) of Anti-protective Antigen (PA) Antibody (Ab) at 4 Weeks (Day 29) After the First AVA Dose (Prior to the Third AVA Dose), Between the AVA Alone and the AVA With Raxibacumab Treatment Groups22.477 Microgram/milliliter (µg/mL)
p-value: 0.001690% CI: [1.03, 1.35]t-test, 1 sided
Secondary

Change From Baseline in Heart Rate at Indicated Time Points

Heart rate was measured in semi-supine position after 5 minutes rest. Values at Day -1 were considered as Baseline values. Change from Baseline was defined as difference between the post-Baseline visit value and the Baseline value. Only those participants available at the specified time points (represented by n=X in the category titles) were analyzed.

Time frame: Baseline and up to Day 183

Population: Safety Population

ArmMeasureGroupValue (MEAN)Dispersion
AVA AloneChange From Baseline in Heart Rate at Indicated Time PointsDay 1, n=286, 280-0.3 Beats per minute (bpm)Standard Deviation 10.4
AVA AloneChange From Baseline in Heart Rate at Indicated Time PointsDay 29, n=283, 279-0.4 Beats per minute (bpm)Standard Deviation 10.5
AVA AloneChange From Baseline in Heart Rate at Indicated Time PointsDay 57, n=282, 275-1.2 Beats per minute (bpm)Standard Deviation 10.6
AVA AloneChange From Baseline in Heart Rate at Indicated Time PointsDay 183, n=273, 2660.9 Beats per minute (bpm)Standard Deviation 11.7
AVA+RaxibacumabChange From Baseline in Heart Rate at Indicated Time PointsDay 183, n=273, 2660.7 Beats per minute (bpm)Standard Deviation 11.5
AVA+RaxibacumabChange From Baseline in Heart Rate at Indicated Time PointsDay 1, n=286, 280-0.8 Beats per minute (bpm)Standard Deviation 10.5
AVA+RaxibacumabChange From Baseline in Heart Rate at Indicated Time PointsDay 57, n=282, 275-0.9 Beats per minute (bpm)Standard Deviation 11.2
AVA+RaxibacumabChange From Baseline in Heart Rate at Indicated Time PointsDay 29, n=283, 279-0.4 Beats per minute (bpm)Standard Deviation 10.5
Secondary

Change From Baseline in Respiratory Rate at Indicated Time Points

Respiratory rate was measured in semi-supine position after 5 minutes rest. Values at Day -1 were considered as Baseline values. Change from Baseline was defined as difference between the post-Baseline visit value and the Baseline value. Only those participants available at the specified time points (represented by n=X in the category titles) were analyzed.

Time frame: Baseline and up to Day 183

Population: Safety Population

ArmMeasureGroupValue (MEAN)Dispersion
AVA AloneChange From Baseline in Respiratory Rate at Indicated Time PointsDay 1, n=286, 280-0.4 Breaths per minuteStandard Deviation 1.5
AVA AloneChange From Baseline in Respiratory Rate at Indicated Time PointsDay 29, n=283, 279-0.1 Breaths per minuteStandard Deviation 1.4
AVA AloneChange From Baseline in Respiratory Rate at Indicated Time PointsDay 57, n=282, 276-0.1 Breaths per minuteStandard Deviation 1.5
AVA AloneChange From Baseline in Respiratory Rate at Indicated Time PointsDay 183, n=273, 266-0.3 Breaths per minuteStandard Deviation 1.6
AVA+RaxibacumabChange From Baseline in Respiratory Rate at Indicated Time PointsDay 183, n=273, 266-0.2 Breaths per minuteStandard Deviation 1.5
AVA+RaxibacumabChange From Baseline in Respiratory Rate at Indicated Time PointsDay 1, n=286, 280-0.3 Breaths per minuteStandard Deviation 1.5
AVA+RaxibacumabChange From Baseline in Respiratory Rate at Indicated Time PointsDay 57, n=282, 276-0.1 Breaths per minuteStandard Deviation 1.3
AVA+RaxibacumabChange From Baseline in Respiratory Rate at Indicated Time PointsDay 29, n=283, 279-0.1 Breaths per minuteStandard Deviation 1.4
Secondary

Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Indicated Time Points

SBP and DBP were measured in semi-supine position after 5 minutes rest. Values at Day -1 were considered as Baseline values. Change from Baseline was defined as difference between the post-Baseline visit value and the Baseline value. Only those participants available at the specified time points (represented by n=X in the category titles) were analyzed.

Time frame: Baseline and up to Day 183

Population: Safety Population

ArmMeasureGroupValue (MEAN)Dispersion
AVA AloneChange From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Indicated Time PointsSBP, Day 1, n=286, 280-3.4 Millimeter of mercury (mmHg)Standard Deviation 9.2
AVA AloneChange From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Indicated Time PointsSBP, Day 29, n=283, 2790.6 Millimeter of mercury (mmHg)Standard Deviation 9.9
AVA AloneChange From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Indicated Time PointsSBP, Day 57, n=282, 2751.8 Millimeter of mercury (mmHg)Standard Deviation 10.9
AVA AloneChange From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Indicated Time PointsSBP, Day 183, n=273, 2662.4 Millimeter of mercury (mmHg)Standard Deviation 10.6
AVA AloneChange From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Indicated Time PointsDBP, Day 1, n=286, 280-2.7 Millimeter of mercury (mmHg)Standard Deviation 6.9
AVA AloneChange From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Indicated Time PointsDBP, Day 29, n=283, 2791.0 Millimeter of mercury (mmHg)Standard Deviation 7.3
AVA AloneChange From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Indicated Time PointsDBP, Day 57, n=282, 2751.9 Millimeter of mercury (mmHg)Standard Deviation 7.4
AVA AloneChange From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Indicated Time PointsDBP, Day 183, n=273, 2662.3 Millimeter of mercury (mmHg)Standard Deviation 8.4
AVA+RaxibacumabChange From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Indicated Time PointsDBP, Day 183, n=273, 2662.5 Millimeter of mercury (mmHg)Standard Deviation 7.9
AVA+RaxibacumabChange From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Indicated Time PointsSBP, Day 1, n=286, 280-3.8 Millimeter of mercury (mmHg)Standard Deviation 9.6
AVA+RaxibacumabChange From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Indicated Time PointsDBP, Day 1, n=286, 280-3.1 Millimeter of mercury (mmHg)Standard Deviation 6.8
AVA+RaxibacumabChange From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Indicated Time PointsSBP, Day 29, n=283, 2791.9 Millimeter of mercury (mmHg)Standard Deviation 9.9
AVA+RaxibacumabChange From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Indicated Time PointsDBP, Day 57, n=282, 2752.3 Millimeter of mercury (mmHg)Standard Deviation 7.4
AVA+RaxibacumabChange From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Indicated Time PointsSBP, Day 57, n=282, 2752.2 Millimeter of mercury (mmHg)Standard Deviation 10.3
AVA+RaxibacumabChange From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Indicated Time PointsDBP, Day 29, n=283, 2791.6 Millimeter of mercury (mmHg)Standard Deviation 6.5
AVA+RaxibacumabChange From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Indicated Time PointsSBP, Day 183, n=273, 2661.5 Millimeter of mercury (mmHg)Standard Deviation 9.9
Secondary

Change From Baseline in Temperature at Indicated Time Points

Temperature was measured in semi-supine position after 5 minutes rest. Values at Day -1 were considered as Baseline values. Change from Baseline was defined as difference between the post-Baseline visit value and the Baseline value. Only those participants available at the specified time points (represented by n=X in the category titles) were analyzed.

Time frame: Baseline and up to Day 183

Population: Safety Population

ArmMeasureGroupValue (MEAN)Dispersion
AVA AloneChange From Baseline in Temperature at Indicated Time PointsDay 1, n=286, 280-0.04 Degree celsiusStandard Deviation 0.26
AVA AloneChange From Baseline in Temperature at Indicated Time PointsDay 29, n=283, 279-0.04 Degree celsiusStandard Deviation 0.24
AVA AloneChange From Baseline in Temperature at Indicated Time PointsDay 57, n=282, 276-0.05 Degree celsiusStandard Deviation 0.25
AVA AloneChange From Baseline in Temperature at Indicated Time PointsDay 183, n=272, 266-0.04 Degree celsiusStandard Deviation 0.277
AVA+RaxibacumabChange From Baseline in Temperature at Indicated Time PointsDay 183, n=272, 266-0.01 Degree celsiusStandard Deviation 0.26
AVA+RaxibacumabChange From Baseline in Temperature at Indicated Time PointsDay 1, n=286, 2800.02 Degree celsiusStandard Deviation 0.27
AVA+RaxibacumabChange From Baseline in Temperature at Indicated Time PointsDay 57, n=282, 276-0.02 Degree celsiusStandard Deviation 0.25
AVA+RaxibacumabChange From Baseline in Temperature at Indicated Time PointsDay 29, n=283, 279-0.03 Degree celsiusStandard Deviation 0.31
Secondary

Number of Participants With Any Serious Adverse Event (SAE) and Any Non-serious Adverse Event (AE)

An AE is any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE resulting in death, is life threatening (ie, an immediate threat to life), inpatient hospitalization, prolongation of existing hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect or any other situation which is medically important and may jeopardize the participant or may require medical or surgical intervention or events associated with liver injury and impaired liver function is categorized as SAE. The Safety population was comprised of all randomized participants who received at least one dose of AVA.

Time frame: Up to Day 183

Population: Safety Population

ArmMeasureGroupValue (NUMBER)
AVA AloneNumber of Participants With Any Serious Adverse Event (SAE) and Any Non-serious Adverse Event (AE)Non-serious AEs85 Participants
AVA AloneNumber of Participants With Any Serious Adverse Event (SAE) and Any Non-serious Adverse Event (AE)SAE5 Participants
AVA+RaxibacumabNumber of Participants With Any Serious Adverse Event (SAE) and Any Non-serious Adverse Event (AE)Non-serious AEs80 Participants
AVA+RaxibacumabNumber of Participants With Any Serious Adverse Event (SAE) and Any Non-serious Adverse Event (AE)SAE3 Participants
Secondary

Number of Participants With Clinical Chemistry Parameters Outside Normal Range

Blood samples were collected to evaluate clinical chemistry parameters, which included assessment of urea nitrogen (UN), creatinine, chloride, glucose, magnesium, total protein, potassium, chloride, total Carbon dioxide (CO2), sodium, calcium (cal), alkaline phosphatase (ALP), aspartate aminotransferase (AST), alanine aminotransferase (ALT), gamma-glutamyltransferase (GGT), total and direct bilirubin ( D.bili), albumin and calculated creatinine clearance. Here high is equal to above the upper limit of the normal range, low is equal to below the lower limit of the normal range. Participants are counted in the category that their value changes to (low, normal or high), unless there is no change in their category. Only those participants available at the specified time points (represented by n=X in the category titles) were analyzed.

Time frame: Up to Day 57

Population: Safety Population.

ArmMeasureGroupValue (NUMBER)
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeD.bili µmol/L, Low, Week 8, n=274, 2610 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeAlbumin g/L, High, Week 4, n=283, 2791 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeAlbumin g/L, Low, Week 8, n=282, 2752 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeAlbumin g/L, High, Week 8, n=282, 2750 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeALP units/liter (U/L), Low, Week 4, n=283, 2793 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeALP U/L, High, Week 4, n=283, 27914 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeALP U/L, Low, Week 8, n=282, 2752 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeALP U/L, High, Week 8, n=282, 27513 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeALT U/L, Low, Week 4, n=283, 27945 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeALT U/L, High, Week 4, n=283, 2797 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeALT U/L, Low, Week 8, n=282, 27539 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeALT U/L, High, Week 8, n=282, 2757 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeAST U/L, Low, Week 4, n=283, 27941 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeAST U/L, High, Week 4, n=283, 2797 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeAST U/L, Low, Week 8, n=282, 27538 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeAST U/L, High, Week 8, n=282, 2756 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeD.bili micromole/Liter (µmol/L) LowWeek4,n=274,2630 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeD.bili µmol/L, High, Week 4, n=274, 2635 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeAlbumin g/L, Low, Week 4, n=283, 2796 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeD.bili µmol/L, High, Week 8, n=274, 2615 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeBili µmol/L, Low, Week 4, n=280, 2795 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeBili µmol/L, High, Week 4, n=280, 2791 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeBili µmol/L, Low, Week 8, n=280, 2733 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeBili µmol/L, High, Week 8, n=280, 2732 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeCal,millimole/Liter (mmol/L)Low,Week 4,n=283, 2796 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeCal mmol/L, High, Week 4, n=283, 2792 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeCal mmol/L, Low, Week 8, n=282, 27512 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeCal mmol/L, High, Week 8, n=282, 2750 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeChloride mmol/L, Low, Week 4, n=283, 2790 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeChloride mmol/L, High, Week 4, n=283, 27919 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeChloride mmol/L, Low, Week 8, n=282, 2750 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeChloride mmol/L, High, Week 8, n=282, 27512 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeCO2 mmol/L, Low, Week 4, n=283, 2797 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeCO2 mmol/L, High, Week 4, n=283, 27914 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeCO2 mmol/L, Low, Week 8, n=282, 2756 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeCO2 mmol/L, High, Week 8, n=282, 27510 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeCreatinine µmol/L, Low, Week 4, n=283, 27919 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeCreatinine µmol/L, High, Week 4, n=283, 2796 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeCreatinine µmol/L, Low, Week 8, n=282, 27520 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeCreatinine µmol/L, High, Week 8, n=282, 2757 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeGGT U/L, Low, Week 4, n=283, 2798 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeGGT U/L, High, Week 4, n=283, 2794 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeGGT U/L, Low, Week 8, n=282, 27510 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeGGT U/L, High, Week 8, n=282, 2754 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeGlucose mmol/L, Low, Week 4, n=283, 27917 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeGlucose mmol/L, High, Week 4, n=283, 27916 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeGlucose mmol/L, Low, Week 8, n=282, 27516 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeGlucose mmol/L, High, Week 8, n=282, 27521 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangePotassium mmol/L, Low, Week 4, n=283, 2793 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangePotassium mmol/L, High, Week 4, n=283, 2791 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangePotassium mmol/L, Low, Week 8, n=282, 2751 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangePotassium mmol/L, High, Week 8, n=282, 2752 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeMagnesium mmol/L, Low, Week 4, n=283, 2790 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeMagnesium mmol/L, High, Week 4, n=283, 2790 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeMagnesium mmol/L, Low, Week 8, n=282, 2750 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeMagnesium mmol/L, High, Week 8, n=282, 2750 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeProtein g/L, Low, Week 4, n=283, 27916 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeProtein g/L, High, Week 4, n=283, 2791 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeProtein g/L, Low, Week 8, n=282, 27516 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeProtein g/L, High, Week 8, n=282, 2754 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeSodium mmol/L, Low, Week 4, n=283, 2793 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeSodium mmol/L, High, Week 4, n=283, 2791 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeSodium mmol/L, Low, Week 8, n=282, 2755 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeSodium mmol/L, High, Week 8, n=282, 2752 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeUrate µmol/L, Low, Week 4, n=283, 2795 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeUrate µmol/L, High, Week 4, n=283, 2794 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeUrate µmol/L, Low, Week 8, n=282, 2759 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeUrate µmol/L, High, Week 8, n=282, 2754 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeUN mmol/L, Low, Week 4, n=283, 2793 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeUN mmol/L, High, Week 4, n=283, 2799 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeUN mmol/L, Low, Week 8, n=282, 2753 Participants
AVA AloneNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeUN mmol/L, High, Week 8, n=282, 2758 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeUrate µmol/L, High, Week 8, n=282, 2754 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeAlbumin g/L, Low, Week 4, n=283, 2792 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeCreatinine µmol/L, Low, Week 4, n=283, 27910 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeAlbumin g/L, High, Week 4, n=283, 2790 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeMagnesium mmol/L, Low, Week 8, n=282, 2751 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeAlbumin g/L, Low, Week 8, n=282, 2751 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeCreatinine µmol/L, High, Week 4, n=283, 2793 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeAlbumin g/L, High, Week 8, n=282, 2750 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeSodium mmol/L, High, Week 8, n=282, 2751 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeALP units/liter (U/L), Low, Week 4, n=283, 2795 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeCreatinine µmol/L, Low, Week 8, n=282, 27510 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeALP U/L, High, Week 4, n=283, 27920 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeMagnesium mmol/L, High, Week 8, n=282, 2750 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeALP U/L, Low, Week 8, n=282, 2752 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeCreatinine µmol/L, High, Week 8, n=282, 2755 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeALP U/L, High, Week 8, n=282, 27519 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeUN mmol/L, High, Week 8, n=282, 2757 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeALT U/L, Low, Week 4, n=283, 27944 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeGGT U/L, Low, Week 4, n=283, 2793 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeALT U/L, High, Week 4, n=283, 2794 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeProtein g/L, Low, Week 4, n=283, 27917 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeALT U/L, Low, Week 8, n=282, 27542 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeGGT U/L, High, Week 4, n=283, 2793 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeALT U/L, High, Week 8, n=282, 2756 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeUrate µmol/L, Low, Week 4, n=283, 2795 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeAST U/L, Low, Week 4, n=283, 27937 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeGGT U/L, Low, Week 8, n=282, 2756 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeAST U/L, High, Week 4, n=283, 2795 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeProtein g/L, High, Week 4, n=283, 2792 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeAST U/L, Low, Week 8, n=282, 27534 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeGGT U/L, High, Week 8, n=282, 2759 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeAST U/L, High, Week 8, n=282, 27510 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeUN mmol/L, Low, Week 4, n=283, 2794 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeD.bili micromole/Liter (µmol/L) LowWeek4,n=274,2630 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeGlucose mmol/L, Low, Week 4, n=283, 27914 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeD.bili µmol/L, High, Week 4, n=274, 2633 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeProtein g/L, Low, Week 8, n=282, 2759 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeD.bili µmol/L, Low, Week 8, n=274, 2610 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeGlucose mmol/L, High, Week 4, n=283, 27931 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeD.bili µmol/L, High, Week 8, n=274, 2619 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeUrate µmol/L, High, Week 4, n=283, 2795 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeBili µmol/L, Low, Week 4, n=280, 2794 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeGlucose mmol/L, Low, Week 8, n=282, 27516 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeBili µmol/L, High, Week 4, n=280, 2795 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeProtein g/L, High, Week 8, n=282, 2752 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeBili µmol/L, Low, Week 8, n=280, 2732 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeGlucose mmol/L, High, Week 8, n=282, 27512 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeBili µmol/L, High, Week 8, n=280, 2737 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeUN mmol/L, Low, Week 8, n=282, 2756 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeCal,millimole/Liter (mmol/L)Low,Week 4,n=283, 2794 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangePotassium mmol/L, Low, Week 4, n=283, 2792 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeCal mmol/L, High, Week 4, n=283, 2794 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeSodium mmol/L, Low, Week 4, n=283, 2796 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeCal mmol/L, Low, Week 8, n=282, 27510 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangePotassium mmol/L, High, Week 4, n=283, 2791 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeCal mmol/L, High, Week 8, n=282, 2753 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeUrate µmol/L, Low, Week 8, n=282, 2757 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeChloride mmol/L, Low, Week 4, n=283, 2790 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangePotassium mmol/L, Low, Week 8, n=282, 2752 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeChloride mmol/L, High, Week 4, n=283, 27912 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeSodium mmol/L, High, Week 4, n=283, 2791 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeChloride mmol/L, Low, Week 8, n=282, 2750 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangePotassium mmol/L, High, Week 8, n=282, 2751 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeChloride mmol/L, High, Week 8, n=282, 2759 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeUN mmol/L, High, Week 4, n=283, 2797 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeCO2 mmol/L, Low, Week 4, n=283, 27911 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeMagnesium mmol/L, Low, Week 4, n=283, 2790 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeCO2 mmol/L, High, Week 4, n=283, 27912 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeSodium mmol/L, Low, Week 8, n=282, 2756 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeCO2 mmol/L, Low, Week 8, n=282, 27514 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeMagnesium mmol/L, High, Week 4, n=283, 2792 Participants
AVA+RaxibacumabNumber of Participants With Clinical Chemistry Parameters Outside Normal RangeCO2 mmol/L, High, Week 8, n=282, 2759 Participants
Secondary

Number of Participants With Hematology Parameters Outside Normal Range

Hematology parameters included assessment of platelet count, erythrocytes, leukocytes , reticulocyte count, mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), neutrophils, lymphocytes, monocytes, eosinophils, basophils, hemoglobin and hematocrit. Here high is equal to above the upper limit of the normal range, low is equal to below the lower limit of the normal range. Participants are counted in the category that their value changes to (low, normal or high), unless there is no change in their category. Only those participants available at the specified time points (represented by n=X in the category titles) were analyzed.

Time frame: Up to Day 57

Population: Safety Population

ArmMeasureGroupValue (NUMBER)
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeHemoglobin g/L, Low, Week 8, n=281, 2767 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeEosinophils 10^9/L High, Week 4, n=282, 2784 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeEosinophils 10^9/L, Low, Week 8, n=281, 2760 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeEosinophils 10^9/L, High, Week 8, n=281, 2767 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeBasophils 10^9/L, Low, Week 4, n=282, 2780 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeBasophils 10^9/L, High, Week 4, n=282, 2780 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeBasophils 10^9/L, Low, Week 8, n=281, 2760 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeBasophils 10^9/L, High, Week 8, n=281, 2760 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeHematocrit percent (%) Low, Week 4, n=283, 2797 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeHematocrit %, High, Week 4, n=283, 2792 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeHematocrit %, Low, Week 8, n=281, 2766 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeHematocrit %, High, Week 8, n=281, 2762 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeHemoglobin gram/Liter (g/L) Low,Week 4,n=283, 2797 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeHemoglobin g/L, High, Week 4, n=283, 2794 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeEosinophils 10^9/Liter (L) Low, Week 4, n=282, 2780 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeHemoglobin g/L, High, Week 8, n=281, 2763 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeLymphocytes 10^9/L , Low, Week 4, n=282, 2783 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeLymphocytes 10^9/L , High, Week 4, n=282, 2780 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeLymphocytes 10^9/L, Low, Week 8, n=281, 2762 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeLymphocytes 10^9/L, High, Week 8, n=281, 2760 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeMCH picogram (pg), Low, Week 4, n=283, 2792 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeMCH pg, High, Week 4, n=283, 2790 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeMonocytes 10^9/L, Low, Week 8, n=281, 2760 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeMCH pg, Low, Week 8, n=281, 2762 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeMCH pg, High, Week 8, n=281, 2760 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeMCHC g/L, Low, Week 4, n=283, 2793 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeMCHC g/L, High, Week 4, n=283, 27919 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeMCHC g/L, Low, Week 8, n=281, 2763 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeMCHC g/L, High, Week 8, n=281, 27616 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeMCV femtoliters (fL), Low, Week 4, n=283, 2792 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeMCV fL, High, Week 4, n=283, 2790 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeMCV fL, Low, Week 8, n=281, 2763 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeMCV fL, High, Week 8, n=281, 2760 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeMonocytes 10^9/L , Low, Week 4, n=282, 2780 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeMonocytes 10^9/L, High, Week 4, n=282, 2783 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeMonocytes 10^9/L, High, Week 8, n=281, 2760 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeNeutrophils 10^9/L, Low, Week 4, n=283, 2797 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeNeutrophils 10^9/L, High, Week 4, n=283, 2793 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeNeutrophils 10^9/L, Low, Week 8, n=281, 2765 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeNeutrophils 10^9/L, High, Week 8, n=281, 2761 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeErythrocytes 10^12/L, Low, Week 4, n=283, 2796 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeErythrocytes 10^12/L, High, Week 4, n=283, 2794 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeErythrocytes 10^12/L, Low, Week 8, n=281, 2762 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeErythrocytes 10^12/L, High, Week 8, n=281, 2766 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeLeukocytes 10^9/L, Low, Week 4, n=283, 27915 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeLeukocytes 10^9/L, High, Week 4, n=283, 2792 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeLeukocytes 10^9/L, Low, Week 8, n=281, 2766 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeLeukocytes 10^9/L, High, Week 8, n=281, 2761 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeReticulocytes 10^12/L, Low, Week 4, n=283, 2791 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeReticulocytes 10^12/L, High, Week 4, n=283, 2791 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeReticulocytes 10^12/L, Low, Week 8, n=281, 2761 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangeReticulocytes 10^12/L, High, Week 8, n=281, 2765 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangePlatelet 10^9/L, Low, Week 4, n=282, 2796 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangePlatelet 10^9/L, High, Week 4, n=282, 2790 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangePlatelet 10^9/L, Low, Week 8, n=280, 2764 Participants
AVA AloneNumber of Participants With Hematology Parameters Outside Normal RangePlatelet 10^9/L, High, Week 8, n=280, 2761 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeMCHC g/L, High, Week 8, n=281, 27612 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeEosinophils 10^9/Liter (L) Low, Week 4, n=282, 2780 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeErythrocytes 10^12/L, Low, Week 8, n=281, 2768 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeEosinophils 10^9/L High, Week 4, n=282, 2786 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeMCV femtoliters (fL), Low, Week 4, n=283, 2792 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeEosinophils 10^9/L, Low, Week 8, n=281, 2760 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeReticulocytes 10^12/L, High, Week 4, n=283, 2793 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeEosinophils 10^9/L, High, Week 8, n=281, 2765 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeMCV fL, High, Week 4, n=283, 2791 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeBasophils 10^9/L, Low, Week 4, n=282, 2780 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeErythrocytes 10^12/L, High, Week 8, n=281, 2763 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeBasophils 10^9/L, High, Week 4, n=282, 2780 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeMCV fL, Low, Week 8, n=281, 2762 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeBasophils 10^9/L, Low, Week 8, n=281, 2760 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangePlatelet 10^9/L, Low, Week 8, n=280, 2764 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeBasophils 10^9/L, High, Week 8, n=281, 2760 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeMCV fL, High, Week 8, n=281, 2760 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeHematocrit percent (%) Low, Week 4, n=283, 2796 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeLeukocytes 10^9/L, Low, Week 4, n=283, 27912 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeHematocrit %, High, Week 4, n=283, 2791 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeMonocytes 10^9/L , Low, Week 4, n=282, 2780 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeHematocrit %, Low, Week 8, n=281, 2769 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeReticulocytes 10^12/L, Low, Week 8, n=281, 2761 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeHematocrit %, High, Week 8, n=281, 2762 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeMonocytes 10^9/L, High, Week 4, n=282, 2782 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeHemoglobin gram/Liter (g/L) Low,Week 4,n=283, 2793 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeMonocytes 10^9/L, Low, Week 8, n=281, 2760 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeHemoglobin g/L, High, Week 4, n=283, 2791 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeLeukocytes 10^9/L, High, Week 4, n=283, 2792 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeHemoglobin g/L, Low, Week 8, n=281, 27610 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeMonocytes 10^9/L, High, Week 8, n=281, 2761 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeHemoglobin g/L, High, Week 8, n=281, 2762 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangePlatelet 10^9/L, High, Week 4, n=282, 2790 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeLymphocytes 10^9/L , Low, Week 4, n=282, 2781 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeNeutrophils 10^9/L, Low, Week 4, n=283, 2798 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeLymphocytes 10^9/L , High, Week 4, n=282, 2781 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeLeukocytes 10^9/L, Low, Week 8, n=281, 27610 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeLymphocytes 10^9/L, Low, Week 8, n=281, 2764 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeNeutrophils 10^9/L, High, Week 4, n=283, 2792 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeLymphocytes 10^9/L, High, Week 8, n=281, 2760 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeReticulocytes 10^12/L, High, Week 8, n=281, 2763 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeMCH picogram (pg), Low, Week 4, n=283, 2791 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeNeutrophils 10^9/L, Low, Week 8, n=281, 2766 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeLeukocytes 10^9/L, High, Week 8, n=281, 2765 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeMCH pg, High, Week 4, n=283, 2790 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeNeutrophils 10^9/L, High, Week 8, n=281, 2766 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeMCH pg, Low, Week 8, n=281, 2765 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangePlatelet 10^9/L, High, Week 8, n=280, 2760 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeMCH pg, High, Week 8, n=281, 2760 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeErythrocytes 10^12/L, Low, Week 4, n=283, 2794 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeMCHC g/L, Low, Week 4, n=283, 2793 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeReticulocytes 10^12/L, Low, Week 4, n=283, 2790 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeMCHC g/L, High, Week 4, n=283, 27917 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeErythrocytes 10^12/L, High, Week 4, n=283, 2797 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangeMCHC g/L, Low, Week 8, n=281, 2767 Participants
AVA+RaxibacumabNumber of Participants With Hematology Parameters Outside Normal RangePlatelet 10^9/L, Low, Week 4, n=282, 2794 Participants
Secondary

Number of Participants With Urinalysis Parameters

Urinalysis parameters included amorphous crystals, bacteria, bilirubin, calcium oxalate (Ca Ox) crystals, choriogonadotropin beta, clarity, color, crystals of Ca Ox, erythrocytes, glucose, hemoglobin, ketone bodies, ketones, leukocyte cell clumps, leukocyte esterase, leukocytes, mucous threads, nitrite, occult blood, protein, specific gravity, squamous epithelial cells, turbidity, urobilinogen, and transitional epithelial cells. In urinalysis test plus sign (+) indicates increase in the level of the parameters.

Time frame: Day 57

Population: Safety Population

ArmMeasureGroupValue (NUMBER)
AVA AloneNumber of Participants With Urinalysis ParametersCrystals Ca-Ox9 Participants
AVA AloneNumber of Participants With Urinalysis ParametersBacteria mod1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersBacteria Occ3 Participants
AVA AloneNumber of Participants With Urinalysis ParametersBacteria many1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersAmorphous crystals 1+1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersAmorphous crystals 2+7 Participants
AVA AloneNumber of Participants With Urinalysis ParametersAmorphous crystals 3+0 Participants
AVA AloneNumber of Participants With Urinalysis ParametersAmorphous crystals 4+3 Participants
AVA AloneNumber of Participants With Urinalysis ParametersAmorphous crystals trace1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersBacteria 1+1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersBacteria 2+2 Participants
AVA AloneNumber of Participants With Urinalysis ParametersBacteria 3+0 Participants
AVA AloneNumber of Participants With Urinalysis ParametersBacteria 4+1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersBacteria few2 Participants
AVA AloneNumber of Participants With Urinalysis ParametersBacteria rare5 Participants
AVA AloneNumber of Participants With Urinalysis ParametersBacteria trace2 Participants
AVA AloneNumber of Participants With Urinalysis ParametersBilirubin 1+2 Participants
AVA AloneNumber of Participants With Urinalysis ParametersBilirubin negative196 Participants
AVA AloneNumber of Participants With Urinalysis ParametersBilirubin small0 Participants
AVA AloneNumber of Participants With Urinalysis ParametersCa Ox Crystals few0 Participants
AVA AloneNumber of Participants With Urinalysis ParametersCa Ox Crystals rare2 Participants
AVA AloneNumber of Participants With Urinalysis ParametersChoriogonadotropin Beta negative24 Participants
AVA AloneNumber of Participants With Urinalysis ParametersChoriogonadotropin Beta positive1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersClarity, clear38 Participants
AVA AloneNumber of Participants With Urinalysis ParametersClarity, cloudy8 Participants
AVA AloneNumber of Participants With Urinalysis ParametersClarity turbid1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersColor amber2 Participants
AVA AloneNumber of Participants With Urinalysis ParametersColor colorless1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersColor light-red0 Participants
AVA AloneNumber of Participants With Urinalysis ParametersColor light-yellow6 Participants
AVA AloneNumber of Participants With Urinalysis ParametersColor yellow74 Participants
AVA AloneNumber of Participants With Urinalysis ParametersErythrocytes 0-2107 Participants
AVA AloneNumber of Participants With Urinalysis ParametersErythrocytes 10-253 Participants
AVA AloneNumber of Participants With Urinalysis ParametersErythrocytes 2-52 Participants
AVA AloneNumber of Participants With Urinalysis ParametersErythrocytes 25-500 Participants
AVA AloneNumber of Participants With Urinalysis ParametersErythrocytes 5-101 Participants
AVA AloneNumber of Participants With Urinalysis ParametersErythrocytes 50-991 Participants
AVA AloneNumber of Participants With Urinalysis ParametersErythrocytes innumerable0 Participants
AVA AloneNumber of Participants With Urinalysis ParametersErythrocytes less than 110 Participants
AVA AloneNumber of Participants With Urinalysis ParametersErythrocytes Tntc1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersGlucose positive1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersGlucose negative257 Participants
AVA AloneNumber of Participants With Urinalysis ParametersHemoglobin +13 Participants
AVA AloneNumber of Participants With Urinalysis ParametersHemoglobin ++0 Participants
AVA AloneNumber of Participants With Urinalysis ParametersHemoglobin +++1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersHemoglobin large4 Participants
AVA AloneNumber of Participants With Urinalysis ParametersHemoglobin mod3 Participants
AVA AloneNumber of Participants With Urinalysis ParametersHemoglobin negative174 Participants
AVA AloneNumber of Participants With Urinalysis ParametersHemoglobin small13 Participants
AVA AloneNumber of Participants With Urinalysis ParametersHemoglobin trace2 Participants
AVA AloneNumber of Participants With Urinalysis ParametersKetone bodies negative114 Participants
AVA AloneNumber of Participants With Urinalysis ParametersKetone bodies trace0 Participants
AVA AloneNumber of Participants With Urinalysis ParametersKetones +1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersKetones ++1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersKetones ++++0 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte less than 18 Participants
AVA AloneNumber of Participants With Urinalysis ParametersKetones mod1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersKetones negative255 Participants
AVA AloneNumber of Participants With Urinalysis ParametersKetones trace0 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte Cell Clumps Occ1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte Cell Clumps rare1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte Esterase 1+4 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte Esterase 2+1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte Esterase 3+1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte Esterase large10 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte Esterase Mod1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte Esterase Moderate1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte Esterase negative162 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte Esterase small5 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte Esterase trace13 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte +5 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte ++1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte +++1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte 0-2105 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte 10-252 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte 2-56 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte 25-500 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte 5-102 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte large4 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte mod1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte negative187 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte small2 Participants
AVA AloneNumber of Participants With Urinalysis ParametersLeukocyte trace9 Participants
AVA AloneNumber of Participants With Urinalysis ParametersMucous threads 2+0 Participants
AVA AloneNumber of Participants With Urinalysis ParametersMucous Threads few24 Participants
AVA AloneNumber of Participants With Urinalysis ParametersMucous Threads many2 Participants
AVA AloneNumber of Participants With Urinalysis ParametersMucous Threads Mod1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersMucous Threads trace1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersNitrite negative190 Participants
AVA AloneNumber of Participants With Urinalysis ParametersNitrite positive8 Participants
AVA AloneNumber of Participants With Urinalysis ParametersOccult Blood 1+1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersOccult Blood 2+1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersOccult Blood 3+0 Participants
AVA AloneNumber of Participants With Urinalysis ParametersOccult Blood large5 Participants
AVA AloneNumber of Participants With Urinalysis ParametersOccult Blood mod1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersOccult Blood moderate2 Participants
AVA AloneNumber of Participants With Urinalysis ParametersOccult Blood negative163 Participants
AVA AloneNumber of Participants With Urinalysis ParametersOccult Blood small22 Participants
AVA AloneNumber of Participants With Urinalysis ParametersOccult Blood trace3 Participants
AVA AloneNumber of Participants With Urinalysis ParametersProtein +7 Participants
AVA AloneNumber of Participants With Urinalysis ParametersProtein ++2 Participants
AVA AloneNumber of Participants With Urinalysis ParametersProtein ++++0 Participants
AVA AloneNumber of Participants With Urinalysis ParametersProtein 1+3 Participants
AVA AloneNumber of Participants With Urinalysis ParametersProtein large1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersProtein negative244 Participants
AVA AloneNumber of Participants With Urinalysis ParametersProtein non-heam1 Participants
AVA AloneNumber of Participants With Urinalysis ParametersProtein trace12 Participants
AVA AloneNumber of Participants With Urinalysis ParametersSpecific Gravity <=1.0051 Participants
AVA AloneNumber of Participants With Urinalysis ParametersSpecific Gravity >=1.0303 Participants
AVA AloneNumber of Participants With Urinalysis ParametersSquamous Epithelial Cells 0-28 Participants
AVA AloneNumber of Participants With Urinalysis ParametersSquamous Epithelial Cells 2-52 Participants
AVA AloneNumber of Participants With Urinalysis ParametersSquamous Epithelial Cells 5-102 Participants
AVA AloneNumber of Participants With Urinalysis ParametersSquamous Epithelial Cells <19 Participants
AVA AloneNumber of Participants With Urinalysis ParametersTurbidity clear15 Participants
AVA AloneNumber of Participants With Urinalysis ParametersTurbidity cloudy2 Participants
AVA AloneNumber of Participants With Urinalysis ParametersTurbidity hazy19 Participants
AVA AloneNumber of Participants With Urinalysis ParametersUrobilinogen <2.0113 Participants
AVA AloneNumber of Participants With Urinalysis ParametersUrobilinogen less than 2.033 Participants
AVA AloneNumber of Participants With Urinalysis ParametersUrobilinogen normal47 Participants
AVA AloneNumber of Participants With Urinalysis ParametersTransitional Epithelial Cells <12 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersSquamous Epithelial Cells <18 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte Cell Clumps rare1 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersBacteria mod2 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersOccult Blood 1+0 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersBacteria Occ7 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte Esterase 1+2 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersProtein non-heam0 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersAmorphous crystals 1+5 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte Esterase 2+1 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersAmorphous crystals 2+1 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersOccult Blood 2+2 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersAmorphous crystals 3+3 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte Esterase 3+0 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersAmorphous crystals 4+4 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersUrobilinogen <2.0111 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersAmorphous crystals trace2 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte Esterase large7 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersBacteria 1+2 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersOccult Blood 3+1 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersBacteria 2+1 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte Esterase Mod3 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersBacteria 3+1 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersProtein trace15 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersBacteria 4+0 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte Esterase Moderate4 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersBacteria few1 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersOccult Blood large3 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersBacteria rare8 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte Esterase negative159 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersBacteria trace3 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersTurbidity clear15 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersBilirubin 1+3 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte Esterase small7 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersBilirubin negative188 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersOccult Blood mod5 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersBilirubin small2 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte Esterase trace10 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersCa Ox Crystals few2 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersSpecific Gravity <=1.0055 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersCa Ox Crystals rare3 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte +0 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersChoriogonadotropin Beta negative16 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersOccult Blood moderate7 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersChoriogonadotropin Beta positive0 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte ++0 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersClarity, clear44 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersUrobilinogen normal46 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersClarity, cloudy2 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte +++1 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersClarity turbid0 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersOccult Blood negative148 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersColor amber5 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte 0-299 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersColor colorless1 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersSpecific Gravity >=1.0306 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersColor light-red1 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte 10-252 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersColor light-yellow2 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersOccult Blood small21 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersColor yellow71 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersBacteria many0 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersCrystals Ca-Ox17 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte 2-57 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersErythrocytes 0-2104 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersTurbidity cloudy3 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersErythrocytes 10-250 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte 25-501 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersErythrocytes 2-56 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersOccult Blood trace6 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersErythrocytes 25-501 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte 5-104 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte less than 15 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersErythrocytes 5-102 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersSquamous Epithelial Cells 0-23 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersErythrocytes 50-990 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte large5 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersErythrocytes innumerable1 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersProtein +10 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersErythrocytes less than 14 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte mod5 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersErythrocytes Tntc0 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersUrobilinogen less than 2.031 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersGlucose positive0 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte negative188 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersGlucose negative257 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersProtein ++0 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersHemoglobin +18 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte small5 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersHemoglobin ++3 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersSquamous Epithelial Cells 2-55 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersHemoglobin +++2 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte trace7 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersHemoglobin large2 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersProtein ++++1 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersHemoglobin mod6 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersMucous threads 2+1 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersHemoglobin negative166 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersTurbidity hazy16 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersHemoglobin small13 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersMucous Threads few25 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersHemoglobin trace1 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersProtein 1+4 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersKetone bodies negative106 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersMucous Threads many1 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersKetone bodies trace4 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersSquamous Epithelial Cells 5-102 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersKetones +1 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersMucous Threads Mod2 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersKetones ++0 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersProtein large0 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersMucous Threads trace2 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersKetones ++++2 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersTransitional Epithelial Cells <10 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersKetones mod0 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersNitrite negative190 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersKetones negative247 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersProtein negative238 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersKetones trace7 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersNitrite positive3 Participants
AVA+RaxibacumabNumber of Participants With Urinalysis ParametersLeukocyte Cell Clumps Occ0 Participants
Secondary

Percentage of Participants Who Seroconvert, at Weeks 4, 8, and 26 (Days 29, 57 and 183) After the First AVA Dose, Between the AVA Alone and the AVA With Raxibacumab Treatment Groups

The percentage of participants, with corresponding 95% CI based on Wilson's method, who seroconvert (seroconversion is defined as a \>4-fold increase in toxin neutralizing activity \[TNA\] titer) was summarized, at Weeks 4, 8 and 26 after the first AVA dose for both arms separately. Serum TNA titer was determined using a cell-based assay.

Time frame: Days 29, 57 and 183

Population: PP Population.

ArmMeasureGroupValue (NUMBER)
AVA AlonePercentage of Participants Who Seroconvert, at Weeks 4, 8, and 26 (Days 29, 57 and 183) After the First AVA Dose, Between the AVA Alone and the AVA With Raxibacumab Treatment GroupsWeek 476.4 Percent of Participants
AVA AlonePercentage of Participants Who Seroconvert, at Weeks 4, 8, and 26 (Days 29, 57 and 183) After the First AVA Dose, Between the AVA Alone and the AVA With Raxibacumab Treatment GroupsWeek 895.3 Percent of Participants
AVA AlonePercentage of Participants Who Seroconvert, at Weeks 4, 8, and 26 (Days 29, 57 and 183) After the First AVA Dose, Between the AVA Alone and the AVA With Raxibacumab Treatment GroupsWeek 2631.9 Percent of Participants
AVA+RaxibacumabPercentage of Participants Who Seroconvert, at Weeks 4, 8, and 26 (Days 29, 57 and 183) After the First AVA Dose, Between the AVA Alone and the AVA With Raxibacumab Treatment GroupsWeek 499.3 Percent of Participants
AVA+RaxibacumabPercentage of Participants Who Seroconvert, at Weeks 4, 8, and 26 (Days 29, 57 and 183) After the First AVA Dose, Between the AVA Alone and the AVA With Raxibacumab Treatment GroupsWeek 898.1 Percent of Participants
AVA+RaxibacumabPercentage of Participants Who Seroconvert, at Weeks 4, 8, and 26 (Days 29, 57 and 183) After the First AVA Dose, Between the AVA Alone and the AVA With Raxibacumab Treatment GroupsWeek 2632.0 Percent of Participants
Secondary

Ratio of GMC of Anti-PA Ab at Weeks 8 and 26 (Days 57 and 183) After the First AVA Dose, Between the AVA Alone and AVA With Raxibacumab Treatment Groups

Anti-PA antibody concentrations were collected at Weeks 8 and 26 after the first AVA dose. Serum AVA derived anti-PA Ab concentrations were determined using an approved immunoassay. The GMCs with corresponding 95% CI were calculated for each treatment group at each timepoint. Only those participants available at the specified time points (represented by n=X in the category titles) were analyzed.

Time frame: Days 57 and 183

Population: PP Population.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
AVA AloneRatio of GMC of Anti-PA Ab at Weeks 8 and 26 (Days 57 and 183) After the First AVA Dose, Between the AVA Alone and AVA With Raxibacumab Treatment GroupsWeek 8, n=275, 26750.470 µg/mL
AVA AloneRatio of GMC of Anti-PA Ab at Weeks 8 and 26 (Days 57 and 183) After the First AVA Dose, Between the AVA Alone and AVA With Raxibacumab Treatment GroupsWeek 26, n=267, 25810.007 µg/mL
AVA+RaxibacumabRatio of GMC of Anti-PA Ab at Weeks 8 and 26 (Days 57 and 183) After the First AVA Dose, Between the AVA Alone and AVA With Raxibacumab Treatment GroupsWeek 8, n=275, 26746.095 µg/mL
AVA+RaxibacumabRatio of GMC of Anti-PA Ab at Weeks 8 and 26 (Days 57 and 183) After the First AVA Dose, Between the AVA Alone and AVA With Raxibacumab Treatment GroupsWeek 26, n=267, 25810.231 µg/mL
90% CI: [0.98, 1.22]t-test, 1 sided
p-value: <0.000190% CI: [0.89, 1.07]t-test, 1 sided

Source: ClinicalTrials.gov · Data processed: Feb 27, 2026