Acquired Thrombotic Thrombocytopenic Purpura
Conditions
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
• 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
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Acquired Thrombotic Thrombocytopenic Purpura (aTTP) Related Events | From Baseline up to 36 months | 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. |
| Number of Acquired Thrombotic Thrombocytopenic Purpura-related Events | From Baseline up to 36 months | 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 to First Acquired Thrombotic Thrombocytopenic Purpura-related Events | From Baseline up to 36 months | 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. |
| Number of Participants With aTTP Related Deaths Reported During the Study | From Baseline up to 36 months | — |
| Percentage of Participants With Recurrence of Disease (aTTP) | From Baseline up to 36 months | Recurrence of aTTP was defined as recurrent thrombocytopenia requiring initiation of daily PE. |
| Number of Disease (aTTP) Recurrence Reported During the Study | From Baseline up to 36 months | Recurrence of aTTP was defined as recurrent thrombocytopenia requiring initiation of daily PE. |
| Time to Recurrence of Disease (aTTP) | From Baseline up to 36 months | 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. |
| Percentage of Participants With Major Thromboembolic Events Including Thrombotic Thrombocytopenic Purpura (TTP) | From Baseline up to 36 months | 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. |
| Number of Major Thromboembolic Events Including Thrombotic Thrombocytopenic Purpura | From Baseline up to 36 months | 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 to First Major Thromboembolic Event | From Baseline up to 36 months | 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. |
| 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 | Baseline, 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. |
| 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 | Baseline, 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. |
| 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 | Baseline, 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. |
| 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 | Baseline, 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. |
| 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 | Baseline, 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. |
| 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 | Baseline, 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. |
| 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 | Baseline, 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. |
| 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 | Baseline, 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. |
| 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 | Baseline, 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. |
| 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 | Baseline, 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. |
| 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 | Baseline, 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. |
| Percentage of Participants With Drug-induced Treatment-emergent (TE) Anti-drug Antibodies (ADA) Positive Response | From Baseline up to 36 months | 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. |
| Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) | From Baseline up to 36 months | 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. |
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
| Arm | Count |
|---|---|
| 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 Title | 104 |
| Total | 208 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Death | 1 | 0 |
| Overall Study | Lost to Follow-up | 4 | 1 |
| Overall Study | Physician Decision | 0 | 3 |
| Overall Study | Withdrawal by Subject | 1 | 1 |
Baseline characteristics
| Characteristic | Caplacizumab (Treated in Study C301) | Total Title | Standard of Care (SoC) (Treated in Study C301) |
|---|---|---|---|
| Age, Continuous | 46.0 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 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 3 Participants | 3 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 13 Participants | 19 Participants | 6 Participants |
| Race (NIH/OMB) More than one race | 2 Participants | 2 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 5 Participants | 7 Participants | 2 Participants |
| Race (NIH/OMB) White | 52 Participants | 73 Participants | 21 Participants |
| Sex: Female, Male Female | 51 Participants | 74 Participants | 23 Participants |
| Sex: Female, Male Male | 24 Participants | 30 Participants | 6 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 1 / 29 | 0 / 75 |
| other Total, other adverse events | 22 / 29 | 58 / 75 |
| serious Total, serious adverse events | 16 / 29 | 28 / 75 |
Outcome results
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.
| Arm | Measure | Group | Value (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 Visit | Baseline | 89.7 units on a scale | Standard 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 Visit | At 36 Months | 98.0 units on a scale | Standard 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 Visit | Change at 36 Months | 2.1 units on a scale | Standard 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 Visit | Change at 36 Months | 4.2 units on a scale | Standard 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 Visit | Baseline | 92.7 units on a scale | Standard 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 Visit | At 36 Months | 96.5 units on a scale | Standard Deviation 17 |
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.
| Arm | Measure | Group | Value (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 Visits | Baseline | 45.7 units on a scale | Standard 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 Visits | Change at 12 Months | 30.0 units on a scale | Standard 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 Visits | Change at 24 Months | 21.3 units on a scale | Standard 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 Visits | Change at 36 Months | 16.7 units on a scale | Standard 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 Visits | Change at 36 Months | 4.7 units on a scale | Standard 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 Visits | Baseline | 53.6 units on a scale | Standard 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 Visits | Change at 24 Months | 10.6 units on a scale | Standard 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 Visits | Change at 12 Months | 20.1 units on a scale | Standard Deviation 44 |
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.
| Arm | Measure | Group | Value (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 Visits | Baseline | 72.1 units on a scale | Standard 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 Visits | Change at 12 Months | -9.3 units on a scale | Standard 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 Visits | Change at 24 Months | -3.3 units on a scale | Standard 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 Visits | Change at 36 Months | -0.7 units on a scale | Standard 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 Visits | Change at 36 Months | -1.5 units on a scale | Standard 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 Visits | Baseline | 70.1 units on a scale | Standard 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 Visits | Change at 24 Months | -2.0 units on a scale | Standard 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 Visits | Change at 12 Months | -2.5 units on a scale | Standard Deviation 21.1 |
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.
| Arm | Measure | Group | Value (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 Visits | Baseline | 50.9 units on a scale | Standard 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 Visits | Change at 12 Months | -0.3 units on a scale | Standard 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 Visits | Change at 24 Months | 5.9 units on a scale | Standard 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 Visits | Change at 36 Months | 7.5 units on a scale | Standard 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 Visits | Change at 36 Months | 3.9 units on a scale | Standard 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 Visits | Baseline | 52.4 units on a scale | Standard 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 Visits | Change at 24 Months | 0.6 units on a scale | Standard 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 Visits | Change at 12 Months | 2.0 units on a scale | Standard Deviation 20.7 |
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.
| Arm | Measure | Group | Value (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 Visits | Baseline | 66.4 units on a scale | Standard 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 Visits | Change at 12 Months | -4.0 units on a scale | Standard 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 Visits | Change at 24 Months | -1.5 units on a scale | Standard 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 Visits | Change at 36 Months | -4.7 units on a scale | Standard 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 Visits | Change at 36 Months | 3.6 units on a scale | Standard 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 Visits | Baseline | 53.1 units on a scale | Standard 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 Visits | Change at 24 Months | 4.8 units on a scale | Standard 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 Visits | Change at 12 Months | 4.9 units on a scale | Standard Deviation 19 |
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.
| Arm | Measure | Group | Value (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 Visits | Baseline | 68.4 units on a scale | Standard 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 Visits | Change at 12 Months | -1.8 units on a scale | Standard 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 Visits | Change at 24 Months | -9.4 units on a scale | Standard 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 Visits | Change at 36 Months | -5.2 units on a scale | Standard 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 Visits | Change at 36 Months | 3.7 units on a scale | Standard 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 Visits | Baseline | 68.0 units on a scale | Standard 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 Visits | Change at 24 Months | 5.0 units on a scale | Standard 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 Visits | Change at 12 Months | 0.3 units on a scale | Standard Deviation 33.6 |
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.
| Arm | Measure | Group | Value (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 Visits | Baseline | 75.3 units on a scale | Standard 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 Visits | Change at 12 Months | -13.2 units on a scale | Standard 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 Visits | Change at 24 Months | -1.3 units on a scale | Standard 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 Visits | Change at 36 Month | -4.4 units on a scale | Standard 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 Visits | Change at 36 Month | -3.7 units on a scale | Standard 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 Visits | Baseline | 75.0 units on a scale | Standard 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 Visits | Change at 24 Months | 0.9 units on a scale | Standard 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 Visits | Change at 12 Months | 1.6 units on a scale | Standard Deviation 38 |
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.
| Arm | Measure | Group | Value (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 Visits | Baseline | 60.1 units on a scale | Standard 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 Visits | Change at 12 Months | -5.3 units on a scale | Standard 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 Visits | Change at 24 Months | 4.1 units on a scale | Standard 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 Visits | Change at 36 Months | 5.8 units on a scale | Standard 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 Visits | Change at 36 Months | 3.6 units on a scale | Standard 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 Visits | Baseline | 65.9 units on a scale | Standard 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 Visits | Change at 24 Months | 7.1 units on a scale | Standard 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 Visits | Change at 12 Months | 7.7 units on a scale | Standard Deviation 35.4 |
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.
| Arm | Measure | Group | Value (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 Visits | Baseline | 74.6 units on a scale | Standard 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 Visits | Change at 12 Months | -10.6 units on a scale | Standard 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 Visits | Change at 24 Months | 0.0 units on a scale | Standard 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 Visits | Change at 36 Months | 0.8 units on a scale | Standard 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 Visits | Change at 36 Months | -2.6 units on a scale | Standard 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 Visits | Baseline | 74.0 units on a scale | Standard 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 Visits | Change at 24 Months | -0.8 units on a scale | Standard 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 Visits | Change at 12 Months | 1.6 units on a scale | Standard Deviation 35.1 |
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.
| Arm | Measure | Group | Value (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 Visits | Baseline | 68.3 units on a scale | Standard 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 Visits | Change at 12 Months | 1.3 units on a scale | Standard 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 Visits | Change at 24 Months | -0.8 units on a scale | Standard 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 Visits | Change at 36 Months | 5.7 units on a scale | Standard 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 Visits | Change at 36 Months | 6.2 units on a scale | Standard 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 Visits | Baseline | 74.1 units on a scale | Standard 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 Visits | Change at 24 Months | 5.7 units on a scale | Standard 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 Visits | Change at 12 Months | 1.5 units on a scale | Standard Deviation 24.1 |
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.
| Arm | Measure | Group | Value (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 Visits | Baseline | 45.0 units on a scale | Standard 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 Visits | Change at 12 Months | 0.9 units on a scale | Standard 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 Visits | Change at 24 Months | 1.2 units on a scale | Standard 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 Visits | Change at 36 Months | 0.6 units on a scale | Standard 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 Visits | Change at 36 Months | 1.4 units on a scale | Standard 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 Visits | Baseline | 48.2 units on a scale | Standard 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 Visits | Change at 24 Months | -0.6 units on a scale | Standard 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 Visits | Change at 12 Months | 0.1 units on a scale | Standard Deviation 7 |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Standard of Care (SoC) (Treated in Study C301) | Number of Acquired Thrombotic Thrombocytopenic Purpura-related Events | 11 aTTP-related events |
| Caplacizumab (Treated in Study C301) | Number of Acquired Thrombotic Thrombocytopenic Purpura-related Events | 4 aTTP-related events |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Standard of Care (SoC) (Treated in Study C301) | Number of Disease (aTTP) Recurrence Reported During the Study | 8 aTTP recurrences |
| Caplacizumab (Treated in Study C301) | Number of Disease (aTTP) Recurrence Reported During the Study | 4 aTTP recurrences |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Standard of Care (SoC) (Treated in Study C301) | Number of Major Thromboembolic Events Including Thrombotic Thrombocytopenic Purpura | 11 major thromboembolic events |
| Caplacizumab (Treated in Study C301) | Number of Major Thromboembolic Events Including Thrombotic Thrombocytopenic Purpura | 4 major thromboembolic events |
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.
| Arm | Measure | Group | Value (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 AE | 26 Participants |
| Standard of Care (SoC) (Treated in Study C301) | Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) | At least one SAE | 16 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 death | 1 Participants |
| Caplacizumab (Treated in Study C301) | Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) | At least one AE | 68 Participants |
| Caplacizumab (Treated in Study C301) | Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) | At least one SAE | 28 Participants |
| Caplacizumab (Treated in Study C301) | Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) | At least one AE leading to death | 0 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Standard of Care (SoC) (Treated in Study C301) | Number of Participants With aTTP Related Deaths Reported During the Study | 1 Participants |
| Caplacizumab (Treated in Study C301) | Number of Participants With aTTP Related Deaths Reported During the Study | 0 Participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Standard of Care (SoC) (Treated in Study C301) | Percentage of Participants With Acquired Thrombotic Thrombocytopenic Purpura (aTTP) Related Events | 37.9 percentage of participants |
| Caplacizumab (Treated in Study C301) | Percentage of Participants With Acquired Thrombotic Thrombocytopenic Purpura (aTTP) Related Events | 8.2 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Standard of Care (SoC) (Treated in Study C301) | Percentage of Participants With Drug-induced Treatment-emergent (TE) Anti-drug Antibodies (ADA) Positive Response | 0 percentage of participants |
| Caplacizumab (Treated in Study C301) | Percentage of Participants With Drug-induced Treatment-emergent (TE) Anti-drug Antibodies (ADA) Positive Response | 10.7 percentage of participants |
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.
| Arm | Measure | Value (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 |
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.
| Arm | Measure | Value (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 |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Standard of Care (SoC) (Treated in Study C301) | Time to First Acquired Thrombotic Thrombocytopenic Purpura-related Events | NA days |
| Caplacizumab (Treated in Study C301) | Time to First Acquired Thrombotic Thrombocytopenic Purpura-related Events | NA days |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Standard of Care (SoC) (Treated in Study C301) | Time to First Major Thromboembolic Event | NA days |
| Caplacizumab (Treated in Study C301) | Time to First Major Thromboembolic Event | NA days |
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.
| Arm | Measure | Value (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 |