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Follow-up Study for Patients Who Completed Study ALX0681-C301 (Post-HERCULES)

Prospective Follow-up Study for Patients Who Completed Study ALX0681-C301 (HERCULES) to Evaluate Long-term Safety and Efficacy of Caplacizumab (Post-HERCULES)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02878603
Enrollment
104
Registered
2016-08-25
Start date
2016-10-06
Completion date
2020-10-23
Last updated
2022-03-28

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

Conditions

Acquired Thrombotic Thrombocytopenic Purpura

Brief summary

The objectives of this study were to evaluate long-term safety and efficacy of caplacizumab, to evaluate safety and efficacy of repeated use of caplacizumab and to characterize long-term impact of acquired thrombotic thrombocytopenic purpura (aTTP).

Interventions

BIOLOGICALCaplacizumab
OTHERStandard of Care

• PE with plasma (e.g., fresh frozen plasma, solvent detergent/viral-inactivated plasma, cryosupernatant), • Corticosteroid treatment and • Use of other immunosuppressive agents (e.g., rituximab).

Sponsors

Sanofi
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Completed the Final (28 day) follow-up visit in Study ALX0681-C301. 2. \>= 18 years of age at the time of signing the informed consent form. 3. Provided informed consent prior to initiation of any study specific activity/procedure.

Exclusion criteria

1. Not being able/willing to comply with the study protocol procedures. 2. Currently enrolled in a clinical study with another investigational drug or device.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Acquired Thrombotic Thrombocytopenic Purpura (aTTP) Related EventsFrom Baseline up to 36 monthsaTTP-related events were defined as: aTTP-related death, recurrence of aTTP (defined as recurrent thrombocytopenia requiring initiation of daily PE) or at least one major thromboembolic event (e.g., myocardial infarction, cerebrovascular accident, pulmonary embolism, or deep venous thrombosis). Percentage of participants with at least one aTTP-related events during the study were reported in this outcome measure.
Number of Acquired Thrombotic Thrombocytopenic Purpura-related EventsFrom Baseline up to 36 monthsaTTP-related events were defined as: aTTP-related death, recurrence of aTTP (defined as recurrent thrombocytopenia requiring initiation of daily PE) or at least one major thromboembolic event (e.g., myocardial infarction, cerebrovascular accident, pulmonary embolism or deep venous thrombosis).
Time to First Acquired Thrombotic Thrombocytopenic Purpura-related EventsFrom Baseline up to 36 monthsTime to first aTTP-related events was defined as the duration of time (in days) from Baseline up to first aTTP-related event in LTS16371. Participants without an event during LTS16371 were censored at the end of the study. Kaplan-Meier method was used for the analysis.
Number of Participants With aTTP Related Deaths Reported During the StudyFrom Baseline up to 36 months
Percentage of Participants With Recurrence of Disease (aTTP)From Baseline up to 36 monthsRecurrence of aTTP was defined as recurrent thrombocytopenia requiring initiation of daily PE.
Number of Disease (aTTP) Recurrence Reported During the StudyFrom Baseline up to 36 monthsRecurrence of aTTP was defined as recurrent thrombocytopenia requiring initiation of daily PE.
Time to Recurrence of Disease (aTTP)From Baseline up to 36 monthsTime to first recurrence of disease (aTTP) was defined as the duration of time (in days) from Baseline up to first recurrence of aTTP event in LTS16371. Recurrence of aTTP: defined as recurrent thrombocytopenia requiring initiation of daily PE. Participants without an event during LTS16371 were censored at the end of the study. Kaplan-Meier method was used for the analysis.
Percentage of Participants With Major Thromboembolic Events Including Thrombotic Thrombocytopenic Purpura (TTP)From Baseline up to 36 monthsMajor thromboembolic events (e.g., myocardial infarction, cerebrovascular accident, pulmonary embolism, or deep venous thrombosis) were assessed based on Standardized Medical Dictionary for Regulatory Activities (MedDRA) Query (SMQ). Reported major thromboembolic events included TTP recurrences.
Number of Major Thromboembolic Events Including Thrombotic Thrombocytopenic PurpuraFrom Baseline up to 36 monthsMajor thromboembolic events (e.g., myocardial infarction, cerebrovascular accident, pulmonary embolism, or deep venous thrombosis) were assessed based on SMQ. Reported major thromboembolic events included TTP recurrences.
Time to First Major Thromboembolic EventFrom Baseline up to 36 monthsTime to first major thromboembolic event was defined as the duration of time (in days) from Baseline up to first major thromboembolic event in LTS16371. Participants without an event during LTS16371 were censored at the end of the study. Kaplan-Meier method was used for the analysis.
Cognitive Function: Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Total Absolute Scores at Baseline, 36 Months Follow-up Visit, and Change From Baseline in RBANS Total Score at 36 Months Follow-up VisitBaseline, 36 Months follow-up visitThe RBANS is a 30-minute comprehensive screening test with five individual domains (immediate memory, delayed memory, attention, language, and visuospatial ability) to examine the cognitive mental status of a participant. Scores from all individual domain were aggregated into a total score and thus RBANS total score ranged from 40 to 160, where higher scores reflected better performance.
Health-Related Quality of Life (HRQoL): Change From Baseline in Headache Impact Test (HIT-6) Total Scores at Month 12, 24, and 36 Follow-up VisitsBaseline, Month 12, 24, and 36 Follow-up visitsHIT-6 is an easy to administer assessment that was used as a clinical evaluation of the impact of headache on a participant's QoL in both clinical practice and clinical research. The questionnaire included 6 questions covering the 6 areas of functioning most impacted in headache sufferers including pain, role functioning (the ability to carry out usual activities), social functioning, vitality (energy/ fatigue), cognitive functioning, and psychological/emotional distress. Total HIT-6 scores (sum of all individual questions) ranged from 36 (best outcome) to 78 (worst outcome), where higher scores indicated worse condition.
Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire (SF-36) Health Survey - Physical Functioning Domain Scores at Month 12, 24, and 36 Follow-up VisitsBaseline, Month 12, 24, and 36 Follow-up visitsThe SF-36 consisted of 36 items that was summarized into 8 domains: physical functioning, social functioning, role functioning/physical, role functioning/emotional, emotional well-being, energy/fatigue, pain, general health and an additional single item covering change in health status. Physical functioning domain scores ranged from 0 (worst value) to 100 (best value), with higher scores reflecting better health status. Change from baseline in physical functioning domain score at months 12, 24, and 36 were reported in this outcome measure.
Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Role Functioning/Physical Domain Scores at Month 12, 24, and 36 Follow-up VisitsBaseline, Month 12, 24, and 36 Follow-up visitsThe SF-36 consisted of 36 items that was summarized into 8 domains: physical functioning, social functioning, role functioning/physical, role functioning/emotional, emotional well-being, energy/fatigue, pain, general health and an additional single item covering change in health status. Role Functioning/Physical domain scores ranged from 0 (worst value) to 100 (best value), with higher scores reflecting better health status. Change from baseline in role functioning/physical domain score at months 12, 24, and 36 were reported in this outcome measure.
Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Role Functioning/Emotional Domain Scores at Month 12, 24, and 36 Follow-up VisitsBaseline, Month 12, 24, and 36 Follow-up visitsThe SF-36 consisted of 36 items that was summarized into 8 domains: physical functioning, social functioning, role functioning/physical, role functioning/emotional, emotional well-being, energy/fatigue, pain, general health and an additional single item covering change in health status. Role functioning/emotional domain scores ranged from 0 (worst value) to 100 (best value), with higher scores reflecting better health status. Change from baseline in role functioning/emotional domain score at months 12, 24, and 36 were reported in this outcome measure.
Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Energy/Fatigue Domain Scores at Month 12, 24, and 36 Follow-up VisitsBaseline, Month 12, 24, and 36 Follow-up visitsThe SF-36 consisted of 36 items that was summarized into 8 domains: physical functioning, social functioning, role functioning/physical, role functioning/emotional, emotional well-being, energy/fatigue, pain, general health and an additional single item covering change in health status. Energy/fatigue domain scores ranged from 0 (worst value) to 100 (best value), with higher scores reflecting better health status. Change from baseline in energy/fatigue domain score at months 12, 24, and 36 were reported in this outcome measure.
Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Emotional Well-being Domain Scores at Month 12, 24, and 36 Follow-up VisitsBaseline, Month 12, 24, and 36 Follow-up visitsThe SF-36 consisted of 36 items that was summarized into 8 domains: physical functioning, social functioning, role functioning/physical, role functioning/emotional, emotional well-being, energy/fatigue, pain, general health and an additional single item covering change in health status. Emotional well-being domain scores ranged from 0 (worst value) to 100 (best value), with higher scores reflecting better health status. Change from baseline in emotional well-being domain score at months 12, 24, and 36 were reported in this outcome measure.
Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Social Functioning Domain Scores at Month 12, 24, and 36 Follow-up VisitsBaseline, Month 12, 24, and 36 Follow-up visitsThe SF-36 consisted of 36 items that was summarized into 8 domains: physical functioning, social functioning, role functioning/physical, role functioning/emotional, emotional well-being, energy/fatigue, pain, general health and an additional single item covering change in health status. Social functioning domain scores ranged from 0 (worst value) to 100 (best value), with higher scores reflecting better health status. Change from baseline in social functioning domain score at months 12, 24, and 36 were reported in this outcome measure.
Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Pain Domain Scores at Month 12, 24, and 36 Follow-up VisitsBaseline, Month 12, 24, and 36 Follow-up visitsThe SF-36 consisted of 36 items that was summarized into 8 domains: physical functioning, social functioning, role functioning/physical, role functioning/emotional, emotional well-being, energy/fatigue, pain, general health and an additional single item covering change in health status. Pain domain scores ranged from 0 (worst value) to 100 (best value), with higher scores reflecting better health status. Change from baseline in pain domain score at months 12, 24, and 36 were reported in this outcome measure.
Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - General Health Domain Scores at Month 12, 24, and 36 Follow-up VisitsBaseline, Month 12, 24, and 36 Follow-up visitsThe SF-36 consisted of 36 items that was summarized into 8 domains: physical functioning, social functioning, role functioning/physical, role functioning/emotional, emotional well-being, energy/fatigue, pain, general health and an additional single item covering change in health status. General Health domain scores ranged from 0 (worst value) to 100 (best value), with higher scores reflecting better health status. Change from baseline in general health domain score at months 12, 24, and 36 were reported in this outcome measure.
Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Change in Health Status Scores at Month 12, 24, and 36 Follow-up VisitsBaseline, Month 12, 24, and 36 Follow-up visitsThe SF-36 consisted of 36 items that was summarized into 8 domains: physical functioning, social functioning, role functioning/physical, role functioning/emotional, emotional well-being, energy/fatigue, pain, general health and an additional single item covering change in health status. Change in health status scores ranged from 0 (worst value) to 100 (best value), with higher scores reflecting better health status. Change from baseline in change in health status score at months 12, 24, and 36 were reported in this outcome measure.
Percentage of Participants With Drug-induced Treatment-emergent (TE) Anti-drug Antibodies (ADA) Positive ResponseFrom Baseline up to 36 monthsDrug-induced TE ADA positive was based on the outcome of a tiered assay approach that included a modified ADA (mADA) method to eliminate the effects of pre-existing antibodies (pre-Ab). TE ADA responses reported here included both pre-Ab positive and negative responses. A participant was considered as drug-induced TE ADA positive if post-dose samples were positive, regardless of the status of pre-dose samples in the ADA and modified ADA assay.
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)From Baseline up to 36 monthsAn AE was any untoward medical occurrence in a clinical study participant administered a medicinal product and which did not necessarily had to have a causal relationship with the treatment. An SAE was any untoward medical occurrence that at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event.

Countries

Austria, Belgium, Canada, Czechia, France, Hungary, Israel, Italy, Spain, Switzerland, Turkey (Türkiye), United Kingdom, United States

Participant flow

Recruitment details

Study was conducted at 43 active sites in 13 countries. A total of 104 participants who completed Study ALX0681-C301 (HERCULES; NCT02553317) were enrolled between 06-October-2016 and 27-October-2017 in this current study: LTS16371 (ALX0681-C302).

Pre-assignment details

Participants who were randomized to caplacizumab/placebo and received caplacizumab for recurrence of acquired thrombotic thrombocytopenic purpura (aTTP) in ALX0681-C301 were enrolled in Caplacizumab group, and participants randomized to placebo in ALX0681-C301 were enrolled under Standard of Care (SoC) group in the current study LTS16371.

Participants by arm

ArmCount
Standard of Care (SoC) (Treated in Study C301)
Participants who completed study ALX0681-C301 with SoC (plasma exchange \[PE\], corticosteroid and other immunosuppressive agents) treatment were enrolled in study LTS16371. Participants upon each recurrence of aTTP in LTS16371 and not meeting any criteria (namely: pregnancy, history of severe and/or serious hypersensitivity reaction to investigational medicinal product \[IMP\], withdrawal before receiving IMP, received more than 1 PE) were treated with caplacizumab initial 10 mg intravenous (IV) dose followed by a daily 10 milligrams (mg) subcutaneous (SC) injections during the period of PE and for 30 days after stop of PE (and eventually 28-day extension period, if needed). Participants with or without recurrence were followed up twice yearly up to maximum of 36 months in LTS16371.
29
Caplacizumab (Treated in Study C301)
Participants who completed study ALX0681-C301 and received caplacizumab with PE and immunosuppressive agents were enrolled in study LTS16371. Participants upon each recurrence of aTTP in LTS16371 and not meeting any criteria (namely: pregnancy, history of severe and/or serious hypersensitivity reaction to IMP, withdrawal before receiving IMP, received more than 1 PE) were treated with caplacizumab initial 10 mg IV dose followed by a daily 10 mg SC injections during the period of PE and for 30 days after stop of PE (and eventually 28-day extension period, if needed). Participants with or without recurrence were followed up twice yearly up to maximum of 36 months in LTS16371.
75
Total Title104
Total208

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyDeath10
Overall StudyLost to Follow-up41
Overall StudyPhysician Decision03
Overall StudyWithdrawal by Subject11

Baseline characteristics

CharacteristicCaplacizumab (Treated in Study C301)Total TitleStandard of Care (SoC) (Treated in Study C301)
Age, Continuous46.0 years
STANDARD_DEVIATION 11.9
47.5 years
STANDARD_DEVIATION 12.9
51.5 years
STANDARD_DEVIATION 14.8
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
3 Participants3 Participants0 Participants
Race (NIH/OMB)
Black or African American
13 Participants19 Participants6 Participants
Race (NIH/OMB)
More than one race
2 Participants2 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
5 Participants7 Participants2 Participants
Race (NIH/OMB)
White
52 Participants73 Participants21 Participants
Sex: Female, Male
Female
51 Participants74 Participants23 Participants
Sex: Female, Male
Male
24 Participants30 Participants6 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
1 / 290 / 75
other
Total, other adverse events
22 / 2958 / 75
serious
Total, serious adverse events
16 / 2928 / 75

Outcome results

Primary

Cognitive Function: Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Total Absolute Scores at Baseline, 36 Months Follow-up Visit, and Change From Baseline in RBANS Total Score at 36 Months Follow-up Visit

The RBANS is a 30-minute comprehensive screening test with five individual domains (immediate memory, delayed memory, attention, language, and visuospatial ability) to examine the cognitive mental status of a participant. Scores from all individual domain were aggregated into a total score and thus RBANS total score ranged from 40 to 160, where higher scores reflected better performance.

Time frame: Baseline, 36 Months follow-up visit

Population: Analyzed on efficacy ITO population: participants who were enrolled in LTS16371 and did not experience aTTP recurrence in previous study ALX0681-C301 or prior to beginning of LTS16371. Here, 'number analyzed'=participants with available data for each specified category.

ArmMeasureGroupValue (MEAN)Dispersion
Standard of Care (SoC) (Treated in Study C301)Cognitive Function: Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Total Absolute Scores at Baseline, 36 Months Follow-up Visit, and Change From Baseline in RBANS Total Score at 36 Months Follow-up VisitBaseline89.7 units on a scaleStandard Deviation 20.3
Standard of Care (SoC) (Treated in Study C301)Cognitive Function: Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Total Absolute Scores at Baseline, 36 Months Follow-up Visit, and Change From Baseline in RBANS Total Score at 36 Months Follow-up VisitAt 36 Months98.0 units on a scaleStandard Deviation 16.6
Standard of Care (SoC) (Treated in Study C301)Cognitive Function: Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Total Absolute Scores at Baseline, 36 Months Follow-up Visit, and Change From Baseline in RBANS Total Score at 36 Months Follow-up VisitChange at 36 Months2.1 units on a scaleStandard Deviation 8.7
Caplacizumab (Treated in Study C301)Cognitive Function: Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Total Absolute Scores at Baseline, 36 Months Follow-up Visit, and Change From Baseline in RBANS Total Score at 36 Months Follow-up VisitChange at 36 Months4.2 units on a scaleStandard Deviation 8.9
Caplacizumab (Treated in Study C301)Cognitive Function: Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Total Absolute Scores at Baseline, 36 Months Follow-up Visit, and Change From Baseline in RBANS Total Score at 36 Months Follow-up VisitBaseline92.7 units on a scaleStandard Deviation 14.9
Caplacizumab (Treated in Study C301)Cognitive Function: Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Total Absolute Scores at Baseline, 36 Months Follow-up Visit, and Change From Baseline in RBANS Total Score at 36 Months Follow-up VisitAt 36 Months96.5 units on a scaleStandard Deviation 17
Primary

Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Change in Health Status Scores at Month 12, 24, and 36 Follow-up Visits

The SF-36 consisted of 36 items that was summarized into 8 domains: physical functioning, social functioning, role functioning/physical, role functioning/emotional, emotional well-being, energy/fatigue, pain, general health and an additional single item covering change in health status. Change in health status scores ranged from 0 (worst value) to 100 (best value), with higher scores reflecting better health status. Change from baseline in change in health status score at months 12, 24, and 36 were reported in this outcome measure.

Time frame: Baseline, Month 12, 24, and 36 Follow-up visits

Population: Analyzed on efficacy ITO population: participants who were enrolled in LTS16371 and did not experience aTTP recurrence in previous study ALX0681-C301 or prior to beginning of LTS16371. Here, 'number analyzed'=participants with available data for each specified category.

ArmMeasureGroupValue (MEAN)Dispersion
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Change in Health Status Scores at Month 12, 24, and 36 Follow-up VisitsBaseline45.7 units on a scaleStandard Deviation 31.4
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Change in Health Status Scores at Month 12, 24, and 36 Follow-up VisitsChange at 12 Months30.0 units on a scaleStandard Deviation 40.2
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Change in Health Status Scores at Month 12, 24, and 36 Follow-up VisitsChange at 24 Months21.3 units on a scaleStandard Deviation 36.5
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Change in Health Status Scores at Month 12, 24, and 36 Follow-up VisitsChange at 36 Months16.7 units on a scaleStandard Deviation 33.6
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Change in Health Status Scores at Month 12, 24, and 36 Follow-up VisitsChange at 36 Months4.7 units on a scaleStandard Deviation 37.1
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Change in Health Status Scores at Month 12, 24, and 36 Follow-up VisitsBaseline53.6 units on a scaleStandard Deviation 34.2
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Change in Health Status Scores at Month 12, 24, and 36 Follow-up VisitsChange at 24 Months10.6 units on a scaleStandard Deviation 39
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Change in Health Status Scores at Month 12, 24, and 36 Follow-up VisitsChange at 12 Months20.1 units on a scaleStandard Deviation 44
Primary

Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Emotional Well-being Domain Scores at Month 12, 24, and 36 Follow-up Visits

The SF-36 consisted of 36 items that was summarized into 8 domains: physical functioning, social functioning, role functioning/physical, role functioning/emotional, emotional well-being, energy/fatigue, pain, general health and an additional single item covering change in health status. Emotional well-being domain scores ranged from 0 (worst value) to 100 (best value), with higher scores reflecting better health status. Change from baseline in emotional well-being domain score at months 12, 24, and 36 were reported in this outcome measure.

Time frame: Baseline, Month 12, 24, and 36 Follow-up visits

Population: Analyzed on efficacy ITO population: participants who were enrolled in LTS16371 and did not experience aTTP recurrence in previous study ALX0681-C301 or prior to beginning of LTS16371. Here, 'number analyzed'=participants with available data for each specified category.

ArmMeasureGroupValue (MEAN)Dispersion
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Emotional Well-being Domain Scores at Month 12, 24, and 36 Follow-up VisitsBaseline72.1 units on a scaleStandard Deviation 18.3
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Emotional Well-being Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 12 Months-9.3 units on a scaleStandard Deviation 18.2
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Emotional Well-being Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 24 Months-3.3 units on a scaleStandard Deviation 18.9
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Emotional Well-being Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 36 Months-0.7 units on a scaleStandard Deviation 14.6
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Emotional Well-being Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 36 Months-1.5 units on a scaleStandard Deviation 19.3
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Emotional Well-being Domain Scores at Month 12, 24, and 36 Follow-up VisitsBaseline70.1 units on a scaleStandard Deviation 20.7
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Emotional Well-being Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 24 Months-2.0 units on a scaleStandard Deviation 21.3
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Emotional Well-being Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 12 Months-2.5 units on a scaleStandard Deviation 21.1
Primary

Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Energy/Fatigue Domain Scores at Month 12, 24, and 36 Follow-up Visits

The SF-36 consisted of 36 items that was summarized into 8 domains: physical functioning, social functioning, role functioning/physical, role functioning/emotional, emotional well-being, energy/fatigue, pain, general health and an additional single item covering change in health status. Energy/fatigue domain scores ranged from 0 (worst value) to 100 (best value), with higher scores reflecting better health status. Change from baseline in energy/fatigue domain score at months 12, 24, and 36 were reported in this outcome measure.

Time frame: Baseline, Month 12, 24, and 36 Follow-up visits

Population: Analyzed on efficacy ITO population: participants who were enrolled in LTS16371 and did not experience aTTP recurrence in previous study ALX0681-C301 or prior to beginning of LTS16371. Here, 'number analyzed'=participants with available data for each specified category.

ArmMeasureGroupValue (MEAN)Dispersion
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Energy/Fatigue Domain Scores at Month 12, 24, and 36 Follow-up VisitsBaseline50.9 units on a scaleStandard Deviation 21.2
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Energy/Fatigue Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 12 Months-0.3 units on a scaleStandard Deviation 18.3
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Energy/Fatigue Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 24 Months5.9 units on a scaleStandard Deviation 21.4
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Energy/Fatigue Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 36 Months7.5 units on a scaleStandard Deviation 21.3
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Energy/Fatigue Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 36 Months3.9 units on a scaleStandard Deviation 18.7
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Energy/Fatigue Domain Scores at Month 12, 24, and 36 Follow-up VisitsBaseline52.4 units on a scaleStandard Deviation 20.9
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Energy/Fatigue Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 24 Months0.6 units on a scaleStandard Deviation 21.7
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Energy/Fatigue Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 12 Months2.0 units on a scaleStandard Deviation 20.7
Primary

Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - General Health Domain Scores at Month 12, 24, and 36 Follow-up Visits

The SF-36 consisted of 36 items that was summarized into 8 domains: physical functioning, social functioning, role functioning/physical, role functioning/emotional, emotional well-being, energy/fatigue, pain, general health and an additional single item covering change in health status. General Health domain scores ranged from 0 (worst value) to 100 (best value), with higher scores reflecting better health status. Change from baseline in general health domain score at months 12, 24, and 36 were reported in this outcome measure.

Time frame: Baseline, Month 12, 24, and 36 Follow-up visits

Population: Analyzed on efficacy ITO population: participants who were enrolled in LTS16371 and did not experience aTTP recurrence in previous study ALX0681-C301 or prior to beginning of LTS16371. Here, 'number analyzed'=participants with available data for each specified category.

ArmMeasureGroupValue (MEAN)Dispersion
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - General Health Domain Scores at Month 12, 24, and 36 Follow-up VisitsBaseline66.4 units on a scaleStandard Deviation 18.5
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - General Health Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 12 Months-4.0 units on a scaleStandard Deviation 19.8
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - General Health Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 24 Months-1.5 units on a scaleStandard Deviation 17.9
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - General Health Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 36 Months-4.7 units on a scaleStandard Deviation 11.1
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - General Health Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 36 Months3.6 units on a scaleStandard Deviation 17.3
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - General Health Domain Scores at Month 12, 24, and 36 Follow-up VisitsBaseline53.1 units on a scaleStandard Deviation 19.3
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - General Health Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 24 Months4.8 units on a scaleStandard Deviation 20.9
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - General Health Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 12 Months4.9 units on a scaleStandard Deviation 19
Primary

Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Pain Domain Scores at Month 12, 24, and 36 Follow-up Visits

The SF-36 consisted of 36 items that was summarized into 8 domains: physical functioning, social functioning, role functioning/physical, role functioning/emotional, emotional well-being, energy/fatigue, pain, general health and an additional single item covering change in health status. Pain domain scores ranged from 0 (worst value) to 100 (best value), with higher scores reflecting better health status. Change from baseline in pain domain score at months 12, 24, and 36 were reported in this outcome measure.

Time frame: Baseline, Month 12, 24, and 36 Follow-up visits

Population: Analyzed on efficacy ITO population: participants who were enrolled in LTS16371 and did not experience aTTP recurrence in previous study ALX0681-C301 or prior to beginning of LTS16371. Here, 'number analyzed'=participants with available data for each specified category.

ArmMeasureGroupValue (MEAN)Dispersion
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Pain Domain Scores at Month 12, 24, and 36 Follow-up VisitsBaseline68.4 units on a scaleStandard Deviation 31.7
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Pain Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 12 Months-1.8 units on a scaleStandard Deviation 30.4
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Pain Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 24 Months-9.4 units on a scaleStandard Deviation 32.5
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Pain Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 36 Months-5.2 units on a scaleStandard Deviation 21.5
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Pain Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 36 Months3.7 units on a scaleStandard Deviation 25.6
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Pain Domain Scores at Month 12, 24, and 36 Follow-up VisitsBaseline68.0 units on a scaleStandard Deviation 23.5
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Pain Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 24 Months5.0 units on a scaleStandard Deviation 24.9
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Pain Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 12 Months0.3 units on a scaleStandard Deviation 33.6
Primary

Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Role Functioning/Emotional Domain Scores at Month 12, 24, and 36 Follow-up Visits

The SF-36 consisted of 36 items that was summarized into 8 domains: physical functioning, social functioning, role functioning/physical, role functioning/emotional, emotional well-being, energy/fatigue, pain, general health and an additional single item covering change in health status. Role functioning/emotional domain scores ranged from 0 (worst value) to 100 (best value), with higher scores reflecting better health status. Change from baseline in role functioning/emotional domain score at months 12, 24, and 36 were reported in this outcome measure.

Time frame: Baseline, Month 12, 24, and 36 Follow-up visits

Population: Analyzed on efficacy ITO population: participants who were enrolled in LTS16371 and did not experience aTTP recurrence in previous study ALX0681-C301 or prior to beginning of LTS16371. Here, 'number analyzed'=participants with available data for each specified category.

ArmMeasureGroupValue (MEAN)Dispersion
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Role Functioning/Emotional Domain Scores at Month 12, 24, and 36 Follow-up VisitsBaseline75.3 units on a scaleStandard Deviation 25.6
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Role Functioning/Emotional Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 12 Months-13.2 units on a scaleStandard Deviation 31
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Role Functioning/Emotional Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 24 Months-1.3 units on a scaleStandard Deviation 32.5
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Role Functioning/Emotional Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 36 Month-4.4 units on a scaleStandard Deviation 20.6
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Role Functioning/Emotional Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 36 Month-3.7 units on a scaleStandard Deviation 29.6
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Role Functioning/Emotional Domain Scores at Month 12, 24, and 36 Follow-up VisitsBaseline75.0 units on a scaleStandard Deviation 29.4
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Role Functioning/Emotional Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 24 Months0.9 units on a scaleStandard Deviation 33.7
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Role Functioning/Emotional Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 12 Months1.6 units on a scaleStandard Deviation 38
Primary

Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Role Functioning/Physical Domain Scores at Month 12, 24, and 36 Follow-up Visits

The SF-36 consisted of 36 items that was summarized into 8 domains: physical functioning, social functioning, role functioning/physical, role functioning/emotional, emotional well-being, energy/fatigue, pain, general health and an additional single item covering change in health status. Role Functioning/Physical domain scores ranged from 0 (worst value) to 100 (best value), with higher scores reflecting better health status. Change from baseline in role functioning/physical domain score at months 12, 24, and 36 were reported in this outcome measure.

Time frame: Baseline, Month 12, 24, and 36 Follow-up visits

Population: Analyzed on efficacy ITO population: participants who were enrolled in LTS16371 and did not experience aTTP recurrence in previous study ALX0681-C301 or prior to beginning of LTS16371. Here, 'number analyzed'=participants with available data for each specified category.

ArmMeasureGroupValue (MEAN)Dispersion
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Role Functioning/Physical Domain Scores at Month 12, 24, and 36 Follow-up VisitsBaseline60.1 units on a scaleStandard Deviation 31.9
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Role Functioning/Physical Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 12 Months-5.3 units on a scaleStandard Deviation 19.3
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Role Functioning/Physical Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 24 Months4.1 units on a scaleStandard Deviation 24.1
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Role Functioning/Physical Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 36 Months5.8 units on a scaleStandard Deviation 20
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Role Functioning/Physical Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 36 Months3.6 units on a scaleStandard Deviation 28.6
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Role Functioning/Physical Domain Scores at Month 12, 24, and 36 Follow-up VisitsBaseline65.9 units on a scaleStandard Deviation 30.6
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Role Functioning/Physical Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 24 Months7.1 units on a scaleStandard Deviation 28
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Role Functioning/Physical Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 12 Months7.7 units on a scaleStandard Deviation 35.4
Primary

Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Social Functioning Domain Scores at Month 12, 24, and 36 Follow-up Visits

The SF-36 consisted of 36 items that was summarized into 8 domains: physical functioning, social functioning, role functioning/physical, role functioning/emotional, emotional well-being, energy/fatigue, pain, general health and an additional single item covering change in health status. Social functioning domain scores ranged from 0 (worst value) to 100 (best value), with higher scores reflecting better health status. Change from baseline in social functioning domain score at months 12, 24, and 36 were reported in this outcome measure.

Time frame: Baseline, Month 12, 24, and 36 Follow-up visits

Population: Analyzed on efficacy ITO population: participants who were enrolled in LTS16371 and did not experience aTTP recurrence in previous study ALX0681-C301 or prior to beginning of LTS16371. Here, 'number analyzed'=participants with available data for each specified category.

ArmMeasureGroupValue (MEAN)Dispersion
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Social Functioning Domain Scores at Month 12, 24, and 36 Follow-up VisitsBaseline74.6 units on a scaleStandard Deviation 25.3
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Social Functioning Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 12 Months-10.6 units on a scaleStandard Deviation 26.7
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Social Functioning Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 24 Months0.0 units on a scaleStandard Deviation 27.5
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Social Functioning Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 36 Months0.8 units on a scaleStandard Deviation 18
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Social Functioning Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 36 Months-2.6 units on a scaleStandard Deviation 31.9
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Social Functioning Domain Scores at Month 12, 24, and 36 Follow-up VisitsBaseline74.0 units on a scaleStandard Deviation 28.5
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Social Functioning Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 24 Months-0.8 units on a scaleStandard Deviation 33.8
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire Health Survey - Social Functioning Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 12 Months1.6 units on a scaleStandard Deviation 35.1
Primary

Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire (SF-36) Health Survey - Physical Functioning Domain Scores at Month 12, 24, and 36 Follow-up Visits

The SF-36 consisted of 36 items that was summarized into 8 domains: physical functioning, social functioning, role functioning/physical, role functioning/emotional, emotional well-being, energy/fatigue, pain, general health and an additional single item covering change in health status. Physical functioning domain scores ranged from 0 (worst value) to 100 (best value), with higher scores reflecting better health status. Change from baseline in physical functioning domain score at months 12, 24, and 36 were reported in this outcome measure.

Time frame: Baseline, Month 12, 24, and 36 Follow-up visits

Population: Analyzed on efficacy ITO population: participants who were enrolled in LTS16371 and did not experience aTTP recurrence in previous study ALX0681-C301 or prior to beginning of LTS16371. Here, 'number analyzed'=participants with available data for each specified category.

ArmMeasureGroupValue (MEAN)Dispersion
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire (SF-36) Health Survey - Physical Functioning Domain Scores at Month 12, 24, and 36 Follow-up VisitsBaseline68.3 units on a scaleStandard Deviation 28.9
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire (SF-36) Health Survey - Physical Functioning Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 12 Months1.3 units on a scaleStandard Deviation 16.8
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire (SF-36) Health Survey - Physical Functioning Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 24 Months-0.8 units on a scaleStandard Deviation 18.2
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire (SF-36) Health Survey - Physical Functioning Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 36 Months5.7 units on a scaleStandard Deviation 17.4
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire (SF-36) Health Survey - Physical Functioning Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 36 Months6.2 units on a scaleStandard Deviation 18.9
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire (SF-36) Health Survey - Physical Functioning Domain Scores at Month 12, 24, and 36 Follow-up VisitsBaseline74.1 units on a scaleStandard Deviation 23.6
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire (SF-36) Health Survey - Physical Functioning Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 24 Months5.7 units on a scaleStandard Deviation 19.3
Caplacizumab (Treated in Study C301)Health-Related Quality of Life: Change From Baseline in 36-Item Short Form Questionnaire (SF-36) Health Survey - Physical Functioning Domain Scores at Month 12, 24, and 36 Follow-up VisitsChange at 12 Months1.5 units on a scaleStandard Deviation 24.1
Primary

Health-Related Quality of Life (HRQoL): Change From Baseline in Headache Impact Test (HIT-6) Total Scores at Month 12, 24, and 36 Follow-up Visits

HIT-6 is an easy to administer assessment that was used as a clinical evaluation of the impact of headache on a participant's QoL in both clinical practice and clinical research. The questionnaire included 6 questions covering the 6 areas of functioning most impacted in headache sufferers including pain, role functioning (the ability to carry out usual activities), social functioning, vitality (energy/ fatigue), cognitive functioning, and psychological/emotional distress. Total HIT-6 scores (sum of all individual questions) ranged from 36 (best outcome) to 78 (worst outcome), where higher scores indicated worse condition.

Time frame: Baseline, Month 12, 24, and 36 Follow-up visits

Population: Analyzed on efficacy ITO population: participants who were enrolled in LTS16371 and did not experience aTTP recurrence in previous study ALX0681-C301 or prior to beginning of LTS16371. Here, 'number analyzed'=participants with available data for each specified category.

ArmMeasureGroupValue (MEAN)Dispersion
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life (HRQoL): Change From Baseline in Headache Impact Test (HIT-6) Total Scores at Month 12, 24, and 36 Follow-up VisitsBaseline45.0 units on a scaleStandard Deviation 10
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life (HRQoL): Change From Baseline in Headache Impact Test (HIT-6) Total Scores at Month 12, 24, and 36 Follow-up VisitsChange at 12 Months0.9 units on a scaleStandard Deviation 6.5
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life (HRQoL): Change From Baseline in Headache Impact Test (HIT-6) Total Scores at Month 12, 24, and 36 Follow-up VisitsChange at 24 Months1.2 units on a scaleStandard Deviation 8.2
Standard of Care (SoC) (Treated in Study C301)Health-Related Quality of Life (HRQoL): Change From Baseline in Headache Impact Test (HIT-6) Total Scores at Month 12, 24, and 36 Follow-up VisitsChange at 36 Months0.6 units on a scaleStandard Deviation 7.9
Caplacizumab (Treated in Study C301)Health-Related Quality of Life (HRQoL): Change From Baseline in Headache Impact Test (HIT-6) Total Scores at Month 12, 24, and 36 Follow-up VisitsChange at 36 Months1.4 units on a scaleStandard Deviation 7.5
Caplacizumab (Treated in Study C301)Health-Related Quality of Life (HRQoL): Change From Baseline in Headache Impact Test (HIT-6) Total Scores at Month 12, 24, and 36 Follow-up VisitsBaseline48.2 units on a scaleStandard Deviation 9.9
Caplacizumab (Treated in Study C301)Health-Related Quality of Life (HRQoL): Change From Baseline in Headache Impact Test (HIT-6) Total Scores at Month 12, 24, and 36 Follow-up VisitsChange at 24 Months-0.6 units on a scaleStandard Deviation 8.7
Caplacizumab (Treated in Study C301)Health-Related Quality of Life (HRQoL): Change From Baseline in Headache Impact Test (HIT-6) Total Scores at Month 12, 24, and 36 Follow-up VisitsChange at 12 Months0.1 units on a scaleStandard Deviation 7
Primary

Number of Acquired Thrombotic Thrombocytopenic Purpura-related Events

aTTP-related events were defined as: aTTP-related death, recurrence of aTTP (defined as recurrent thrombocytopenia requiring initiation of daily PE) or at least one major thromboembolic event (e.g., myocardial infarction, cerebrovascular accident, pulmonary embolism or deep venous thrombosis).

Time frame: From Baseline up to 36 months

Population: Analysis was performed on efficacy ITO population which included participants who were enrolled in LTS16371 and did not experience an aTTP recurrence in previous study ALX0681-C301 or prior to the beginning of LTS16371.

ArmMeasureValue (NUMBER)
Standard of Care (SoC) (Treated in Study C301)Number of Acquired Thrombotic Thrombocytopenic Purpura-related Events11 aTTP-related events
Caplacizumab (Treated in Study C301)Number of Acquired Thrombotic Thrombocytopenic Purpura-related Events4 aTTP-related events
Primary

Number of Disease (aTTP) Recurrence Reported During the Study

Recurrence of aTTP was defined as recurrent thrombocytopenia requiring initiation of daily PE.

Time frame: From Baseline up to 36 months

Population: Analysis was performed on efficacy ITO population which included participants who were enrolled in LTS16371 and did not experience an aTTP recurrence in previous study ALX0681-C301 or prior to the beginning of LTS16371.

ArmMeasureValue (NUMBER)
Standard of Care (SoC) (Treated in Study C301)Number of Disease (aTTP) Recurrence Reported During the Study8 aTTP recurrences
Caplacizumab (Treated in Study C301)Number of Disease (aTTP) Recurrence Reported During the Study4 aTTP recurrences
Primary

Number of Major Thromboembolic Events Including Thrombotic Thrombocytopenic Purpura

Major thromboembolic events (e.g., myocardial infarction, cerebrovascular accident, pulmonary embolism, or deep venous thrombosis) were assessed based on SMQ. Reported major thromboembolic events included TTP recurrences.

Time frame: From Baseline up to 36 months

Population: Analysis was performed on efficacy ITO population which included participants who were enrolled in LTS16371 and did not experience an aTTP recurrence in previous study ALX0681-C301 or prior to the beginning of LTS16371.

ArmMeasureValue (NUMBER)
Standard of Care (SoC) (Treated in Study C301)Number of Major Thromboembolic Events Including Thrombotic Thrombocytopenic Purpura11 major thromboembolic events
Caplacizumab (Treated in Study C301)Number of Major Thromboembolic Events Including Thrombotic Thrombocytopenic Purpura4 major thromboembolic events
Primary

Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

An AE was any untoward medical occurrence in a clinical study participant administered a medicinal product and which did not necessarily had to have a causal relationship with the treatment. An SAE was any untoward medical occurrence that at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event.

Time frame: From Baseline up to 36 months

Population: Analysis was performed on overall ITO population which included participants who were enrolled in LTS16371, grouped by whether they received caplacizumab during previous study ALX0681-C301 versus those who never received caplacizumab before enrollment in LTS16371.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Standard of Care (SoC) (Treated in Study C301)Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)At least one AE26 Participants
Standard of Care (SoC) (Treated in Study C301)Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)At least one SAE16 Participants
Standard of Care (SoC) (Treated in Study C301)Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)At least one AE leading to death1 Participants
Caplacizumab (Treated in Study C301)Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)At least one AE68 Participants
Caplacizumab (Treated in Study C301)Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)At least one SAE28 Participants
Caplacizumab (Treated in Study C301)Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)At least one AE leading to death0 Participants
Primary

Number of Participants With aTTP Related Deaths Reported During the Study

Time frame: From Baseline up to 36 months

Population: Analysis was performed on efficacy ITO population which included participants who were enrolled in LTS16371 and did not experience an aTTP recurrence in previous study ALX0681-C301 or prior to the beginning of LTS16371.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Standard of Care (SoC) (Treated in Study C301)Number of Participants With aTTP Related Deaths Reported During the Study1 Participants
Caplacizumab (Treated in Study C301)Number of Participants With aTTP Related Deaths Reported During the Study0 Participants
Primary

Percentage of Participants With Acquired Thrombotic Thrombocytopenic Purpura (aTTP) Related Events

aTTP-related events were defined as: aTTP-related death, recurrence of aTTP (defined as recurrent thrombocytopenia requiring initiation of daily PE) or at least one major thromboembolic event (e.g., myocardial infarction, cerebrovascular accident, pulmonary embolism, or deep venous thrombosis). Percentage of participants with at least one aTTP-related events during the study were reported in this outcome measure.

Time frame: From Baseline up to 36 months

Population: Analysis was performed on efficacy intention-to-observe (efficacy ITO) population which included participants who were enrolled in LTS16371 and did not experience an aTTP recurrence in previous study ALX0681-C301 or prior to the beginning of LTS16371.

ArmMeasureValue (NUMBER)
Standard of Care (SoC) (Treated in Study C301)Percentage of Participants With Acquired Thrombotic Thrombocytopenic Purpura (aTTP) Related Events37.9 percentage of participants
Caplacizumab (Treated in Study C301)Percentage of Participants With Acquired Thrombotic Thrombocytopenic Purpura (aTTP) Related Events8.2 percentage of participants
Primary

Percentage of Participants With Drug-induced Treatment-emergent (TE) Anti-drug Antibodies (ADA) Positive Response

Drug-induced TE ADA positive was based on the outcome of a tiered assay approach that included a modified ADA (mADA) method to eliminate the effects of pre-existing antibodies (pre-Ab). TE ADA responses reported here included both pre-Ab positive and negative responses. A participant was considered as drug-induced TE ADA positive if post-dose samples were positive, regardless of the status of pre-dose samples in the ADA and modified ADA assay.

Time frame: From Baseline up to 36 months

Population: Analysis was performed on overall ITO population which included participants who were enrolled in LTS16371, grouped by whether they received caplacizumab during previous study ALX0681-C301 versus those who never received caplacizumab before enrollment in LTS16371.

ArmMeasureValue (NUMBER)
Standard of Care (SoC) (Treated in Study C301)Percentage of Participants With Drug-induced Treatment-emergent (TE) Anti-drug Antibodies (ADA) Positive Response0 percentage of participants
Caplacizumab (Treated in Study C301)Percentage of Participants With Drug-induced Treatment-emergent (TE) Anti-drug Antibodies (ADA) Positive Response10.7 percentage of participants
Primary

Percentage of Participants With Major Thromboembolic Events Including Thrombotic Thrombocytopenic Purpura (TTP)

Major thromboembolic events (e.g., myocardial infarction, cerebrovascular accident, pulmonary embolism, or deep venous thrombosis) were assessed based on Standardized Medical Dictionary for Regulatory Activities (MedDRA) Query (SMQ). Reported major thromboembolic events included TTP recurrences.

Time frame: From Baseline up to 36 months

Population: Analysis was performed on efficacy ITO population which included participants who were enrolled in LTS16371 and did not experience an aTTP recurrence in previous study ALX0681-C301 or prior to the beginning of LTS16371.

ArmMeasureValue (NUMBER)
Standard of Care (SoC) (Treated in Study C301)Percentage of Participants With Major Thromboembolic Events Including Thrombotic Thrombocytopenic Purpura (TTP)37.9 percentage of participants
Caplacizumab (Treated in Study C301)Percentage of Participants With Major Thromboembolic Events Including Thrombotic Thrombocytopenic Purpura (TTP)8.2 percentage of participants
Primary

Percentage of Participants With Recurrence of Disease (aTTP)

Recurrence of aTTP was defined as recurrent thrombocytopenia requiring initiation of daily PE.

Time frame: From Baseline up to 36 months

Population: Analysis was performed on efficacy ITO population which included participants who were enrolled in LTS16371 and did not experience an aTTP recurrence in previous study ALX0681-C301 or prior to the beginning of LTS16371.

ArmMeasureValue (NUMBER)
Standard of Care (SoC) (Treated in Study C301)Percentage of Participants With Recurrence of Disease (aTTP)27.6 percentage of participants
Caplacizumab (Treated in Study C301)Percentage of Participants With Recurrence of Disease (aTTP)8.2 percentage of participants
Primary

Time to First Acquired Thrombotic Thrombocytopenic Purpura-related Events

Time to first aTTP-related events was defined as the duration of time (in days) from Baseline up to first aTTP-related event in LTS16371. Participants without an event during LTS16371 were censored at the end of the study. Kaplan-Meier method was used for the analysis.

Time frame: From Baseline up to 36 months

Population: Analysis was performed on efficacy ITO population which included participants who were enrolled in LTS16371 and did not experience an aTTP recurrence in previous study ALX0681-C301 or prior to the beginning of LTS16371.

ArmMeasureValue (MEDIAN)
Standard of Care (SoC) (Treated in Study C301)Time to First Acquired Thrombotic Thrombocytopenic Purpura-related EventsNA days
Caplacizumab (Treated in Study C301)Time to First Acquired Thrombotic Thrombocytopenic Purpura-related EventsNA days
Primary

Time to First Major Thromboembolic Event

Time to first major thromboembolic event was defined as the duration of time (in days) from Baseline up to first major thromboembolic event in LTS16371. Participants without an event during LTS16371 were censored at the end of the study. Kaplan-Meier method was used for the analysis.

Time frame: From Baseline up to 36 months

Population: Analysis was performed on efficacy ITO population which included participants who were enrolled in LTS16371 and did not experience an aTTP recurrence in previous study ALX0681-C301 or prior to the beginning of LTS16371.

ArmMeasureValue (MEDIAN)
Standard of Care (SoC) (Treated in Study C301)Time to First Major Thromboembolic EventNA days
Caplacizumab (Treated in Study C301)Time to First Major Thromboembolic EventNA days
Primary

Time to Recurrence of Disease (aTTP)

Time to first recurrence of disease (aTTP) was defined as the duration of time (in days) from Baseline up to first recurrence of aTTP event in LTS16371. Recurrence of aTTP: defined as recurrent thrombocytopenia requiring initiation of daily PE. Participants without an event during LTS16371 were censored at the end of the study. Kaplan-Meier method was used for the analysis.

Time frame: From Baseline up to 36 months

Population: Analysis was performed on efficacy ITO population which included participants who were enrolled in LTS16371 and did not experience an aTTP recurrence in previous study ALX0681-C301 or prior to the beginning of LTS16371.

ArmMeasureValue (MEDIAN)
Standard of Care (SoC) (Treated in Study C301)Time to Recurrence of Disease (aTTP)NA days
Caplacizumab (Treated in Study C301)Time to Recurrence of Disease (aTTP)NA days

Source: ClinicalTrials.gov · Data processed: Feb 14, 2026