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In Vivo Study to Assess the Recovery and Survival of Radiolabeled Autologous INTERCEPT Apheresis Platelet Components Suspended in 100% Plasma Stored for up to 7 Days

A Randomized, Multi-center, Open-label, Controlled, In Vivo Study to Assess the Recovery and Survival of Radiolabeled Autologous INTERCEPT Apheresis Platelet Components Suspended in 100% Plasma Stored for up to 7 Days

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04022889
Enrollment
37
Registered
2019-07-17
Start date
2019-11-05
Completion date
2021-04-17
Last updated
2022-10-27

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

Conditions

Healthy

Keywords

INTERCEPT, Recovery, Survival, 7 days, Radiolabeled, Autologous

Brief summary

The principle objective of this study is to evaluate the hypothesis that INTERCEPT Platelets in 100% plasma stored for 5 or more days (up to 7 days) after apheresis collection retain sufficient viability for therapeutic transfusion efficacy. The post-infusion recovery and survival of autologous radiolabeled 7 day INTERCEPT platelets (Test) stored in 100% plasma will be measured in comparison to fresh autologous radiolabeled platelets (Control) according to FDA guidance for platelet testing (FDA 1999) in Stage 2 of this study protocol. A secondary objective is to compare the recovery and survival results for Test platelets prepared for radiolabeling using the procedures outlined by the Biomedical Excellence for Safer Transfusion Collaboration (BEST) or a variation of the BEST procedure (referred to as Variant 1) in Stage 1 of this study protocol. Cerus has demonstrated that the Variant 1 method, which does not incorporate an initial soft spin in the presence of ACD A, results in improved in vitro platelet recovery and quality during preparation for radiolabeling compared to the BEST procedure. This comparison will evaluate the hypothesis that preparation methods prior to radiolabeling may influence in vitro quality of the radiolabeled platelets and post-infusion viability outcomes.

Detailed description

The study will be performed in two stages. Stage 1 is a randomized, 2-period crossover design. Test platelets stored for 7 days will be radiolabeled based on either the BEST or Variant 1 methods (depending on the period and randomization scheme for the Test platelets) for 12 healthy subjects. The recovery and survival for Test platelets prepared with the BEST and Variant 1 methods will be compared with each other and against the fresh platelet Control. With agreement from the FDA (BQ200481, July 8, 2020), completion of Stage 1 is not required. Stage 2 is a single arm design. Test platelets from 24 healthy subjects, stored for 7 days, will be prepared for radiolabeling following the Variant 1 methodology. The recovery and survival for Test platelets will be compared against the fresh platelet Control. Stage 1 subjects with evaluable Variant 1 method data will contribute to the requirement of the 24 subjects for Stage 2. For both stages, the study population will consist of healthy subjects who meet the FDA, AABB, and site-specific research donor eligibility criteria for apheresis platelet donation. Apheresis platelets will be collected in 100% plasma on the Trima Accel® Automated Blood Collection system. Each study apheresis collection will be processed using the INTERCEPT Blood System for Platelets. Platelet components containing 3.0 to 7.9 x10\^11 platelets in 300 to 420 mL of plasma will be processed using the INTERCEPT Dual Storage (DS) set. The INTERCEPT process will begin on either the day of collection (Day 0) or the day following donation (Day 1); illumination must occur within 24 hours after the end of collection. Test platelets components will be stored for up to 7 days, from day of collection, in 100% plasma. During each stage samples for in vitro platelet testing will be collected prior to INTERCEPT treatment (Day 0/1), post INTERCEPT treatment and at the end of storage, Day 7 (see In vitro evaluation of platelets below). At the end of storage, an aliquot of Test platelets will be aseptically removed from each subject's INTERCEPT platelet storage container for preparation of samples for radiolabeling using either the BEST (Stage 1) or Variant 1 (Stages 1 and 2) methodology. The in vitro quality of the Test platelet sample used for radiolabeling will be assessed prior to and following the pre-radiolabeling platelet sample preparations. The indices to be measured in Stage 1 are volume, pH22°C, CD62P, platelet count, red blood cell (RBC) count and white blood cell (WBC) count. Assessments of these indices will enable the determination of platelet processing recovery for each sample preparation method and evaluation of RBC and WBC contamination in samples prior to radiolabeling. In Stage 2 platelet processing recovery during sample preparation will be calculated from volume and platelet count and pH22°C, will be measured in the sample prior to radiolabeling. On the day corresponding to the end of storage for the Test component, healthy subjects will return to the site, and 43 mL of whole blood (WB) will be drawn into a syringe containing 9 mL of Anticoagulant Citrate Dextrose Solution, Formula A (ACD A). The sample will be used to prepare Control platelets following the BEST methodology. Test and Control platelets will be randomly radiolabeled with either 51Cr (approximately10-30μCi) as sodium radiochromate (Na251CrO4) or 111In (approximately 10-30 μCi) as indium oxine, depending upon the randomization assignment and period as applicable. Subjects will be randomized with equal probability to the radiolabeling sequences (111In/51Cr vs. 51Cr/111In) for Test/Control. The isotope labels will be assigned randomly with equal probability that Control and Test platelets will be labeled with each isotope, and the same randomization assignment of isotope labels will be utilized for both apheresis collections for the same subject in Stage 1. After radiolabeling, the autologous Control and Test platelet samples will be simultaneously infused into the subject (approximately 10 30 mL). A negative pregnancy test for females of childbearing potential is required before infusion. Blood samples will be drawn immediately before infusion and for radioactivity measurements at 1 hour ± 15 min and 2 hours ± 15 min post-infusion (Day 0), and 6 more samples will be drawn at 1, 2, 3, 4 (or 5 or 6), 7 or 8, and 11±1 days post-infusion (DPI), at approximately the same time of day as the radiolabeled platelet infusion was administered (±4 hours). The exact time of each sample draw will be recorded. For subjects enrolled in Stage 1, there will be a minimum washout period of four weeks between the two study periods (e.g., four weeks after the last blood sample at 11±1 DPI, in Period 1). Subjects will be monitored for safety (adverse events) from the first apheresis procedure until 24 hours after the last DPI blood sample is drawn.

Interventions

Apheresis platelet components in 100% plasma collected using the Trima separator, prepared with the INTERCEPT Blood System for Platelets (Test Platelets) and stored for 7days at 20-24°C with continuous agitation. Samples from the Test component will be processed with either the BEST or the Variant 1 procedure prior to radiolabeling. The radiolabeled autologous Test and Control platelets (approximately 10-30 mL) will be simultaneously administered intravenously into the subject.

Sponsors

Cerus Corporation
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
NONE

Eligibility

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

Inclusion criteria

* Age greater than or equal to 18 years, of either gender. * Normal health status (as determined by the Investigator review of medical history and blood donor physical exam). * Meet FDA, AABB, and site guidelines for blood donation and apheresis platelet donation. Travel, tattoos/piercings and/or male to male sexual contact deferrals do not apply. * Complete blood count (CBC) and serum chemistry values within established reference ranges or within guidelines as above. * Pre-donation platelet count of more than 150×10\^9 platelets/ L. * Negative blood donor screening test panel for HIV, HBV, HCV, HTLV, syphilis, and WNV. * Subjects of childbearing potential must agree to use a medically acceptable method of contraception throughout the study. A barrier method of contraception must be included, regardless of other methods. * Signed and dated informed consent form.

Exclusion criteria

* For participation in Stage 2, received any previous infusion in this study. * Clinically significant acute or chronic disease (as determined by the Investigator). * Pregnant or nursing females. * Subjects of childbearing potential not using effective contraception. * Disease states or conditions that preclude apheresis platelet donation per AABB reference standards. * Treatment with aspirin or aspirin-containing medications within 7 days of apheresis or treatment with non-steroidal anti-inflammatory drugs (NSAID), anti-platelet agents (or other drugs affecting platelet viability within 3 days of apheresis (e.g., ibuprofen or other NSAIDs). * Subject received platelet inhibitors within 14 days of donation (e.g., clopidogrel, ticlopidine, amphetamines (e.g., Adderall, Dexedrine)). * Subjects with positive cocaine and/or amphetamine results from urine drug screen. * Splenectomized subjects. * History of known hypersensitivity to indium or chromium. * Has received an investigational drug within the past 28 days

Design outcomes

Primary

MeasureTime frameDescription
Post Infusion Recovery of Test Platelets at End of Storage (Day 7)11 days (+/- 1 day) post infusion of radiolabeled Test platelets stored for 7 days and fresh Control plateletsRecovery of Test platelets stored for 7 Days as compared to fresh controls. In vivo recovery was expressed as proportion of infused in days and was estimated using a multiple-hit model. The FDA acceptance criteria for survival is \>66% of control with the lower bound of a two-sided 95% CI for the mean treatment difference (Test-0.66\*Control) in survival is greater than or equal to zero.
Post Infusion Survival of Test Platelets at End of Storage11 days (+/- 1 day) post infusion of radiolabeled Test platelets stored for 7 days and fresh Control plateletsSurvival of Test platelets stored for 7 Days as compared to fresh controls. In vivo recovery was expressed as proportion of infused in days and was estimated using a multiple-hit model. The FDA acceptance criteria for survival is \>58% of control with the lower bound of a two-sided 95% CI for the mean treatment difference (Test - 0.58 \* Control) in survival is greater than or equal to zero.

Secondary

MeasureTime frameDescription
pH 22°CAt the end of storage on Day 7Percentage of Test components with pH 22°C ≥ 6.2
Platelet Yield RetentionAt the end of INTERCEPT treatment on Day 1 or Day 2Percentage of Test components with ≥80% platelet yield retention
Platelet Dose in Test ComponentAt the end of INTERCEPT treatment on Day 1 or Day 2Percentage of Test components with ≥ 3.0×10\^11 platelets

Other

MeasureTime frameDescription
Assessment of the Stored Test (INTERCEPT) Platelet Components: pO2At the end of storage on Day 7pO2 was summarized descriptively for Stage 1 and Stage 2 Test components
Assessment of the Stored Test (INTERCEPT) Platelet Components: Normalized pO2At the end of storage on Day 7pO2 normalized for platelet count was summarized descriptively for Stage 1 and Stage 2 Test components
Assessment of the Stored Test (INTERCEPT) Platelet Components: pCO2At the end of storage on Day 7pCO2 was summarized descriptively for Stage 1 and Stage 2 Test components
Assessment of the Stored Test (INTERCEPT) Platelet Components: Normalized pCO2At the end of storage on Day 7pCO2 was normalized for platelet count and summarized descriptively for Stage 1 and Stage 2 Test components
Assessment of the Stored Test (INTERCEPT) Platelet Components: HCO3At the end of storage on Day 7HCO3 was summarized descriptively for Stage 1 and Stage 2 Test components
Assessment of the Stored Test (INTERCEPT) Platelet Components: Normalized HCO3At the end of storage on Day 7HCO3 was normalized for platelet count and was summarized descriptively for Stage 1 and Stage 2 Test components
Assessment of the Stored Test (INTERCEPT) Platelet Components: Supernatant GlucoseAt the end of storage on Day 7Supernatant glucose was summarized descriptively for Stage 1 and Stage 2 Test components
Assessment of the Stored Test (INTERCEPT) Platelet Components: Normalized Supernatant GlucoseAt the end of storage on Day 7Supernatant glucose was normalized for platelet count and summarized descriptively for Stage 1 and Stage 2 Test components
Assessment of the Stored Test (INTERCEPT) Platelet Components: Supernatant LactateAt the end of storage on Day 7Supernatant lactate was summarized descriptively for Stage 1 and Stage 2 Test components
Assessment of the Stored Test (INTERCEPT) Platelet Components: Normalized Supernatant LactateAt the end of storage on Day 7Supernatant lactate was normalized for platelet count and summarized descriptively for Stage 1 and Stage 2 Test components
Assessment of the Stored Test (INTERCEPT) Platelet Components: Total ATPAt the end of storage on Day 7Total ATP was summarized descriptively for Stage 1 and Stage 2 Test components
Assessment of the Stored Test (INTERCEPT) Platelet Components: Normalized Total ATPAt the end of storage on Day 7Total ATP was normalized for platelet count and summarized descriptively for Stage 1 and Stage 2 Test components
Assessment of the Stored Test (INTERCEPT) Platelet Components: MorphologyAt the end of storage on Day 7The morphology score quantifies (via phase-contrast light microscopy) the morphological changes of platelets coincident with the full range of platelet activation profile (Units: Kunicki score; Range is 0 to 400). Higher morphology scores represent healthier platelets. Morphology was summarized descriptively for Stage 1 and Stage 2 Test components.
Assessment of the Stored Test (INTERCEPT) Platelet Components: Extent of Shape ChangeAt the end of storage on Day 7The Extent of Shape Change is a measurement of agonist-induced, disc-to-sphere shape change of platelets using an aggregometer. It is a quantitative assessment of the proportion of platelets that have discoid morphology in a platelet suspension. Higher values indicate better platelet quality. An aggregometer instrument is to make this measurement. Extent of Shape Change was summarized descriptively for Stage 1 and Stage 2 Test components.
Assessment of the Stored Test (INTERCEPT) Platelet Components: Hypotonic Shock ResponseAt the end of storage on Day 7Hypotonic Shock Response is used as an index of platelet integrity and metabolic homeostasis. An aggregometer instrument was used to measure the ability of platelets to recover their volume after being exposed to a hypotonic environment. Higher values of Hypotonic Shock Response indicate better platelet quality. Hypotonic Shock Response was summarized descriptively for Stage 1 and Stage 2 Test components.
Assessment of the Stored Test (INTERCEPT) Platelet Components: Supernatant Lactate Dehydrogenase (LDH) ActivityAt the end of storage on Day 7Supernatant levels of LDH in PCs represent normal plasma LDH plus LDH released by platelets through cell leakage and injury. Supernatant LDH activity was summarized descriptively for Stage 1 and Stage 2 Test components.
Assessment of the Stored Test (INTERCEPT) Platelet Components: Normalized Supernatant LDHAt the end of storage on Day 7Supernatant LDH activity was normalized for platelet count and was summarized descriptively for Stage 1 and Stage 2 Test components
Assessment of the Stored Test (INTERCEPT) Platelet Components: Total LDH ActivityAt the end of storage on Day 7Total LDH activity was normalized for platelet count and was summarized descriptively for Stage 1 and Stage 2 Test components
Assessment of the Stored Test (INTERCEPT) Platelet Components: Supernatant LDH Proportion of Total LDHAt the end of storage on Day 7Supernatant LDH Proportion of Total LDH, ratio of LDH supernatant to the total LDH, was summarized descriptively for Stage 1 and Stage 2 Test components
Assessment of the Stored Test (INTERCEPT) Platelet Components: Baseline Adjusted LysisAt the end of storage on Day 7For calculation of baseline adjusted lysis the baseline/input supernatant LDH is subtract from the Day 7 supernatant LDH; the lysis is calculated from from the Day 7 adjusted supernatant LDH and Day 7 total LDH values. Baseline Adjusted Lysis was summarized descriptively for Stage 1 and Stage 2 Test components.
Assessment of the Stored Test (INTERCEPT) Platelet Components: P-selectin (CD62P)At the end of storage on Day 7Measurement of P-selectin (CD62P) exposure is often used as an index of platelet activation as it is translocated from the alpha granule to the plasma membrane during platelet secretion. This is a sensitive assay to quantify platelet potential for activation. Higher levels of P-selectin indicate more activation. P-selectin was measured by flow cytometry and was summarized descriptively for Stage 1 and Stage 2 Test components.
In Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Sample Volume From ComponentDay 7Stage 1 and Stage 2 sample volume from platelet component was summarized descriptively for Test samples processed using both the BEST (Stage 1) and Variant 1 (Stage 1 and Stage 2) procedures.
In Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Platelet CountDay 7Stage 1 and Stage 2 platelet count was summarized descriptively for Test samples processed using both the BEST (Stage 1) and Variant 1 (Stage 1 and Stage 2) procedures.
In Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Platelet Yield (Physical Recovery)Day 7In vitro physical platelet recovery is expressed as the percentage of platelets that are remaining after preparation of the Test sample for radiolabeling, prior to addition of the radiolabel, compared to the number of platelets that were present prior to sample preparation. This measurement shows the loss of platelets during the sample preparations and also provides a process control parameter to ensure that the platelet sample used for radiolabeling is representative of the platelet population in the entire platelet component. Stage 1 and Stage 2 Platelet Yield (Physical Recovery) was summarized descriptively for Test samples processed using both the BEST (Stage 1) and Variant 1 (Stage 1 and Stage 2) procedures.
In Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Percentage of Samples With Physical Recovery ≥ 80%Day 7The percentage of Stage 1 and Stage 2 samples with physical recovery ≥ 80% was summarized for Test samples processed using both the BEST (Stage 1) and Variant 1 (Stage 1 and Stage 2) procedures.
In Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: pH 22°CDay 7Stage 1 and Stage 2 pH 22°C was summarized descriptively for Test samples processed using both the BEST (Stage 1) and Variant 1 (Stage 1 and Stage 2) procedures.
In Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Percentage of Samples With pH 22°C ≥ 6.2Day 7The percentage of Stage 1 and Stage 2 samples with pH 22°C ≥ 6.2 was summarized for Test samples processed using both the BEST (Stage 1) and Variant 1 (Stage 1 and Stage 2) procedures.
In Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Red Blood Cell Total CountDay 7The Red Blood Cell Total Count was summarized descriptively for Test samples processed using both the BEST and Variant 1 procedures in Stage 1.
In Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: White Blood Cell Total CountDay 7The White Blood Cell Total Count was summarized descriptively for Test samples processed using both the BEST and Variant 1 procedures in Stage 1.
In Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: P-selectin Expression (CD62P)Day 7Measurement of P-selectin (CD62P) exposure is often used as an index of platelet activation as it is translocated from the alpha granule to the plasma membrane during platelet secretion. This is a sensitive assay to quantify platelet potential for activation. Higher levels of P-selectin indicate more activation. Measurement of P-selectin prior to radiolabeling allows assessment of the amount of platelet activation induced by the sample preparation process when compared to the Day 7 P-selectin levels in the platelet component. The P-selectin expression (CD62P) was summarized descriptively for Test samples processed using both the BEST and Variant 1 procedures in Stage 1.
Assessment of the Stored Test (INTERCEPT) Platelet Components: Platelet CountAt the end of storage on Day 7Platelet count was summarized descriptively for Stage 1 and Stage 2 Test components
Assessment of the Stored Test (INTERCEPT) Platelet Components: Component VolumeAt the end of storage on Day 7Component volume was summarized descriptively for Stage 1 and Stage 2 Test components
Assessment of the Stored Test (INTERCEPT) Platelet Components: Platelet DoseAt the end of storage on Day 7Platelet dose was summarized descriptively for Stage 1 and Stage 2 Test components
Assessment of the Stored Test (INTERCEPT) Platelet Components: MPVAt the end of storage on Day 7MPV was summarized descriptively for Stage 1 and Stage 2 Test components

Countries

United States

Participant flow

Recruitment details

A subject was considered enrolled upon signing the informed consent form.

Pre-assignment details

Subjects who initiated an apheresis collection were included in the Safety Analysis Set. Subjects with paired Test and Control in vivo recovery and survival data were included in the Evaluable Analysis Set. Data from subjects who completed a Variant 1 arm of Stage 1 was included as part of the Stage 2 analysis.

Participants by arm

ArmCount
Stage 1
Stage 1 was comprised of a randomized 2-arm, 2-period crossover design (Period 1 and Period 2). Each subject was randomized to Arm 1 or 2 of the study to determine which methodology was used in Period 1 and Period 2 to prepare and radiolabel the Test platelets. In Arm 1, Test platelets were radiolabeled using the Variant 1 method in Period 1 and the BEST method in Period 2. Test platelets in Arm 2 were radiolabeled using the BEST method in Period 1 and the Variant 1 method in Period 2. Test platelets were derived from apheresis platelet components in 100% plasma, collected using the Trima separator, prepared with the INTERCEPT Blood System for Platelets and stored for 7 days. The recovery and survival for Test platelets was compared against the fresh platelet Control. A subject was considered enrolled upon signing the informed consent form. Demographics are summarized for the Safety Analysis Set which was comprised all subjects who initiated an apheresis collection for Stage 1.
15
Stage 2
Stage 2 was comprised of a single period. Test platelets were derived from apheresis platelet components in 100% plasma, collected using the Trima separator, prepared with the INTERCEPT Blood System for Platelets and stored for 7 days. On Day 7 Test platelets were prepared for radiolabeling following the Variant 1 methodology. The recovery and survival for Test platelets was compared against the fresh platelet Control. A subject was considered enrolled upon signing the informed consent form. Safety Analysis Set which comprised all subjects who initiated an apheresis collection; the Safety Analysis Set for Stage 2 comprised 12 Stage 1 subjects with evaluable Variant 1 method data and 17 new Stage 2 subjects. Demographics are summarized for the 17 new Stage 2 subjects.
17
Total32

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Stage 1: Period 1Adverse Event100
Stage 1: Period 1Platelet component did not meet input specifications100
Stage 1: Period 2Site closure due to COVID-19 pandemic110
Stage 2Adverse Event002
Stage 2Ineligible for apheresis donation002
Stage 2Protocol Violation001
Stage 2Screen Failure003
Stage 2Site closure due to COVID-19 pandemic100

Baseline characteristics

CharacteristicStage 2Stage 1Total
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
1 Participants0 Participants1 Participants
Age, Categorical
Between 18 and 65 years
16 Participants15 Participants31 Participants
Age, Continuous40.9 years
STANDARD_DEVIATION 16.2
36.5 years
STANDARD_DEVIATION 14.2
38.9 years
STANDARD_DEVIATION 15.2
Blood Type
A
6 participants7 participants13 participants
Blood Type
AB
1 participants0 participants1 participants
Blood Type
B
0 participants2 participants2 participants
Blood Type
O
10 participants6 participants16 participants
BMI29 kg/m^229 kg/m^229 kg/m^2
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants2 Participants5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
14 Participants13 Participants27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Height172 cm
STANDARD_DEVIATION 7
180 cm
STANDARD_DEVIATION 8
176 cm
STANDARD_DEVIATION 8
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
1 Participants0 Participants1 Participants
Race (NIH/OMB)
Black or African American
0 Participants1 Participants1 Participants
Race (NIH/OMB)
More than one race
1 Participants0 Participants1 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
15 Participants14 Participants29 Participants
Region of Enrollment
United States
17 participants15 participants32 participants
Rh Factor
Negative
2 participants3 participants5 participants
Rh Factor
Positive
15 participants12 participants27 participants
Sex: Female, Male
Female
5 Participants3 Participants8 Participants
Sex: Female, Male
Male
12 Participants12 Participants24 Participants
Weight85 kg
STANDARD_DEVIATION 16
93 kg
STANDARD_DEVIATION 16
88 kg
STANDARD_DEVIATION 15

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 130 / 150 / 17
other
Total, other adverse events
8 / 1311 / 1510 / 17
serious
Total, serious adverse events
0 / 130 / 150 / 17

Outcome results

Primary

Post Infusion Recovery of Test Platelets at End of Storage (Day 7)

Recovery of Test platelets stored for 7 Days as compared to fresh controls. In vivo recovery was expressed as proportion of infused in days and was estimated using a multiple-hit model. The FDA acceptance criteria for survival is \>66% of control with the lower bound of a two-sided 95% CI for the mean treatment difference (Test-0.66\*Control) in survival is greater than or equal to zero.

Time frame: 11 days (+/- 1 day) post infusion of radiolabeled Test platelets stored for 7 days and fresh Control platelets

Population: The Evaluable Analysis Set (EAS) comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation. EAS was the primary analysis population for the efficacy evaluation.

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTPost Infusion Recovery of Test Platelets at End of Storage (Day 7)39.5 percentage of infused plateletsStandard Deviation 10.3
Stage 1 - Variant 1 Arm - CONTROLPost Infusion Recovery of Test Platelets at End of Storage (Day 7)57.8 percentage of infused plateletsStandard Deviation 11.6
Stage 1 - BEST Arm- TESTPost Infusion Recovery of Test Platelets at End of Storage (Day 7)39.1 percentage of infused plateletsStandard Deviation 10.6
Stage 1 - BEST Arm - CONTROLPost Infusion Recovery of Test Platelets at End of Storage (Day 7)60.4 percentage of infused plateletsStandard Deviation 10.5
Stage 2 - TESTPost Infusion Recovery of Test Platelets at End of Storage (Day 7)37.6 percentage of infused plateletsStandard Deviation 8.4
Stage 2 - CONTROLPost Infusion Recovery of Test Platelets at End of Storage (Day 7)56.8 percentage of infused plateletsStandard Deviation 9.2
95% CI: [-3.5, 6.2]
95% CI: [-6.4, 4.8]
95% CI: [-5, 8.7]
95% CI: [-2.5, 2.6]
Primary

Post Infusion Survival of Test Platelets at End of Storage

Survival of Test platelets stored for 7 Days as compared to fresh controls. In vivo recovery was expressed as proportion of infused in days and was estimated using a multiple-hit model. The FDA acceptance criteria for survival is \>58% of control with the lower bound of a two-sided 95% CI for the mean treatment difference (Test - 0.58 \* Control) in survival is greater than or equal to zero.

Time frame: 11 days (+/- 1 day) post infusion of radiolabeled Test platelets stored for 7 days and fresh Control platelets

Population: The Evaluable Analysis Set (EAS) comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation. EAS was the primary analysis population for the efficacy evaluation.

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTPost Infusion Survival of Test Platelets at End of Storage150.1 hoursStandard Deviation 21.6
Stage 1 - Variant 1 Arm - CONTROLPost Infusion Survival of Test Platelets at End of Storage208.9 hoursStandard Deviation 15.8
Stage 1 - BEST Arm- TESTPost Infusion Survival of Test Platelets at End of Storage143.2 hoursStandard Deviation 33.6
Stage 1 - BEST Arm - CONTROLPost Infusion Survival of Test Platelets at End of Storage202.9 hoursStandard Deviation 24.4
Stage 2 - TESTPost Infusion Survival of Test Platelets at End of Storage151.4 hoursStandard Deviation 20.1
Stage 2 - CONTROLPost Infusion Survival of Test Platelets at End of Storage209.6 hoursStandard Deviation 13.9
95% CI: [18.5, 39.4]
95% CI: [9.5, 41.6]
95% CI: [-12.7, 15.8]
95% CI: [21.8, 37.8]
Secondary

pH 22°C

Percentage of Test components with pH 22°C ≥ 6.2

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Stage 1 - Variant 1 Arm - TESTpH 22°C13 Participants
Stage 1 - Variant 1 Arm - CONTROLpH 22°C13 Participants
Stage 1 - BEST Arm- TESTpH 22°C23 Participants
Secondary

Platelet Dose in Test Component

Percentage of Test components with ≥ 3.0×10\^11 platelets

Time frame: At the end of INTERCEPT treatment on Day 1 or Day 2

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Stage 1 - Variant 1 Arm - TESTPlatelet Dose in Test Component12 Participants
Stage 1 - Variant 1 Arm - CONTROLPlatelet Dose in Test Component13 Participants
Stage 1 - BEST Arm- TESTPlatelet Dose in Test Component22 Participants
Secondary

Platelet Yield Retention

Percentage of Test components with ≥80% platelet yield retention

Time frame: At the end of INTERCEPT treatment on Day 1 or Day 2

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Stage 1 - Variant 1 Arm - TESTPlatelet Yield Retention12 Participants
Stage 1 - Variant 1 Arm - CONTROLPlatelet Yield Retention12 Participants
Stage 1 - BEST Arm- TESTPlatelet Yield Retention22 Participants
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: Baseline Adjusted Lysis

For calculation of baseline adjusted lysis the baseline/input supernatant LDH is subtract from the Day 7 supernatant LDH; the lysis is calculated from from the Day 7 adjusted supernatant LDH and Day 7 total LDH values. Baseline Adjusted Lysis was summarized descriptively for Stage 1 and Stage 2 Test components.

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Baseline Adjusted Lysis4.7 - % of cell free LDH increased from baseStandard Deviation 2.7
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: Baseline Adjusted Lysis4.6 - % of cell free LDH increased from baseStandard Deviation 2.9
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Baseline Adjusted Lysis4.4 - % of cell free LDH increased from baseStandard Deviation 2.9
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: Component Volume

Component volume was summarized descriptively for Stage 1 and Stage 2 Test components

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Component Volume334 mLStandard Deviation 17
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: Component Volume338 mLStandard Deviation 12
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Component Volume330 mLStandard Deviation 20
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: Extent of Shape Change

The Extent of Shape Change is a measurement of agonist-induced, disc-to-sphere shape change of platelets using an aggregometer. It is a quantitative assessment of the proportion of platelets that have discoid morphology in a platelet suspension. Higher values indicate better platelet quality. An aggregometer instrument is to make this measurement. Extent of Shape Change was summarized descriptively for Stage 1 and Stage 2 Test components.

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Extent of Shape Change18.3 percentage of extent of shape changeStandard Deviation 6.7
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: Extent of Shape Change21.5 percentage of extent of shape changeStandard Deviation 8.2
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Extent of Shape Change16.8 percentage of extent of shape changeStandard Deviation 5.5
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: HCO3

HCO3 was summarized descriptively for Stage 1 and Stage 2 Test components

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: HCO37.4 mmol/LStandard Deviation 2.3
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: HCO37.0 mmol/LStandard Deviation 1.7
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: HCO37.1 mmol/LStandard Deviation 2.1
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: Hypotonic Shock Response

Hypotonic Shock Response is used as an index of platelet integrity and metabolic homeostasis. An aggregometer instrument was used to measure the ability of platelets to recover their volume after being exposed to a hypotonic environment. Higher values of Hypotonic Shock Response indicate better platelet quality. Hypotonic Shock Response was summarized descriptively for Stage 1 and Stage 2 Test components.

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Hypotonic Shock Response45.8 percentage of hypotonic shock responseStandard Deviation 14.2
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: Hypotonic Shock Response53.4 percentage of hypotonic shock responseStandard Deviation 9.1
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Hypotonic Shock Response48.6 percentage of hypotonic shock responseStandard Deviation 16.9
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: Morphology

The morphology score quantifies (via phase-contrast light microscopy) the morphological changes of platelets coincident with the full range of platelet activation profile (Units: Kunicki score; Range is 0 to 400). Higher morphology scores represent healthier platelets. Morphology was summarized descriptively for Stage 1 and Stage 2 Test components.

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Morphology327 score on a scaleStandard Deviation 21
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: Morphology326 score on a scaleStandard Deviation 31
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Morphology324 score on a scaleStandard Deviation 22
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: MPV

MPV was summarized descriptively for Stage 1 and Stage 2 Test components

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: MPV7.3 fLStandard Deviation 0.6
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: MPV7.2 fLStandard Deviation 0.7
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: MPV7.0 fLStandard Deviation 0.7
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: Normalized HCO3

HCO3 was normalized for platelet count and was summarized descriptively for Stage 1 and Stage 2 Test components

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Normalized HCO36.8 mmol/10^12 plateletsStandard Deviation 2.7
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: Normalized HCO36.5 mmol/10^12 plateletsStandard Deviation 1.6
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Normalized HCO36.5 mmol/10^12 plateletsStandard Deviation 2.5
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: Normalized pCO2

pCO2 was normalized for platelet count and summarized descriptively for Stage 1 and Stage 2 Test components

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Normalized pCO27.4 µmol/hrs/10^12 plateletsStandard Deviation 1
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: Normalized pCO27.8 µmol/hrs/10^12 plateletsStandard Deviation 0.6
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Normalized pCO27.3 µmol/hrs/10^12 plateletsStandard Deviation 1.3
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: Normalized pO2

pO2 normalized for platelet count was summarized descriptively for Stage 1 and Stage 2 Test components

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Normalized pO243.5 µmol/hrs/10^12 plateletsStandard Deviation 10.6
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: Normalized pO242.4 µmol/hrs/10^12 plateletsStandard Deviation 7.3
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Normalized pO242.5 µmol/hrs/10^12 plateletsStandard Deviation 8.4
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: Normalized Supernatant Glucose

Supernatant glucose was normalized for platelet count and summarized descriptively for Stage 1 and Stage 2 Test components

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Normalized Supernatant Glucose11.3 mmol/10^12 plateletsStandard Deviation 4.2
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: Normalized Supernatant Glucose11.1 mmol/10^12 plateletsStandard Deviation 2
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Normalized Supernatant Glucose11.2 mmol/10^12 plateletsStandard Deviation 4.4
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: Normalized Supernatant Lactate

Supernatant lactate was normalized for platelet count and summarized descriptively for Stage 1 and Stage 2 Test components

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Normalized Supernatant Lactate10.7 mmol/10^12 plateletsStandard Deviation 3.4
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: Normalized Supernatant Lactate10.4 mmol/10^12 plateletsStandard Deviation 3.1
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Normalized Supernatant Lactate11.1 mmol/10^12 plateletsStandard Deviation 2.8
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: Normalized Supernatant LDH

Supernatant LDH activity was normalized for platelet count and was summarized descriptively for Stage 1 and Stage 2 Test components

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Normalized Supernatant LDH222 U/10^12 plateletsStandard Deviation 87
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: Normalized Supernatant LDH220 U/10^12 plateletsStandard Deviation 62
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Normalized Supernatant LDH217 U/10^12 plateletsStandard Deviation 90
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: Normalized Total ATP

Total ATP was normalized for platelet count and summarized descriptively for Stage 1 and Stage 2 Test components

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Normalized Total ATP3.2 nmol/10^8 plateletsStandard Deviation 2
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: Normalized Total ATP2.8 nmol/10^8 plateletsStandard Deviation 1.5
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Normalized Total ATP3.5 nmol/10^8 plateletsStandard Deviation 1.7
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: pCO2

pCO2 was summarized descriptively for Stage 1 and Stage 2 Test components

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: pCO226.5 mm HgStandard Deviation 3.1
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: pCO227.4 mm HgStandard Deviation 2.3
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: pCO226.3 mm HgStandard Deviation 2.8
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: Platelet Count

Platelet count was summarized descriptively for Stage 1 and Stage 2 Test components

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Platelet Count1116 ×10^3 platelets/µLStandard Deviation 185
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: Platelet Count1086 ×10^3 platelets/µLStandard Deviation 112
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Platelet Count1133 ×10^3 platelets/µLStandard Deviation 176
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: Platelet Dose

Platelet dose was summarized descriptively for Stage 1 and Stage 2 Test components

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Platelet Dose3.7 ×10^11 plateletsStandard Deviation 0.7
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: Platelet Dose3.7 ×10^11 plateletsStandard Deviation 0.4
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Platelet Dose3.7 ×10^11 plateletsStandard Deviation 0.5
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: pO2

pO2 was summarized descriptively for Stage 1 and Stage 2 Test components

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: pO2152.2 mm HgStandard Deviation 7.6
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: pO2147.2 mm HgStandard Deviation 13.8
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: pO2152.3 mm HgStandard Deviation 8.3
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: P-selectin (CD62P)

Measurement of P-selectin (CD62P) exposure is often used as an index of platelet activation as it is translocated from the alpha granule to the plasma membrane during platelet secretion. This is a sensitive assay to quantify platelet potential for activation. Higher levels of P-selectin indicate more activation. P-selectin was measured by flow cytometry and was summarized descriptively for Stage 1 and Stage 2 Test components.

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: P-selectin (CD62P)44.7 percentage of CD62P plateletsStandard Deviation 19.4
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: P-selectin (CD62P)45.3 percentage of CD62P plateletsStandard Deviation 18.2
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: P-selectin (CD62P)52.2 percentage of CD62P plateletsStandard Deviation 16.5
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: Supernatant Glucose

Supernatant glucose was summarized descriptively for Stage 1 and Stage 2 Test components

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Supernatant Glucose12.0 mmol/LStandard Deviation 2.4
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: Supernatant Glucose12.0 mmol/LStandard Deviation 2.2
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Supernatant Glucose12.2 mmol/LStandard Deviation 3.9
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: Supernatant Lactate

Supernatant lactate was summarized descriptively for Stage 1 and Stage 2 Test components

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Supernatant Lactate11.6 mmol/LStandard Deviation 3.1
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: Supernatant Lactate11.1 mmol/LStandard Deviation 2.8
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Supernatant Lactate12.3 mmol/LStandard Deviation 2.8
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: Supernatant Lactate Dehydrogenase (LDH) Activity

Supernatant levels of LDH in PCs represent normal plasma LDH plus LDH released by platelets through cell leakage and injury. Supernatant LDH activity was summarized descriptively for Stage 1 and Stage 2 Test components.

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Supernatant Lactate Dehydrogenase (LDH) Activity238 U/LStandard Deviation 70
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: Supernatant Lactate Dehydrogenase (LDH) Activity235 U/LStandard Deviation 54
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Supernatant Lactate Dehydrogenase (LDH) Activity238 U/LStandard Deviation 86
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: Supernatant LDH Proportion of Total LDH

Supernatant LDH Proportion of Total LDH, ratio of LDH supernatant to the total LDH, was summarized descriptively for Stage 1 and Stage 2 Test components

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Supernatant LDH Proportion of Total LDH10.7 percentage of cell free LDH to total LDHStandard Deviation 3.1
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: Supernatant LDH Proportion of Total LDH10.6 percentage of cell free LDH to total LDHStandard Deviation 3.3
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Supernatant LDH Proportion of Total LDH10.1 percentage of cell free LDH to total LDHStandard Deviation 3.4
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: Total ATP

Total ATP was summarized descriptively for Stage 1 and Stage 2 Test components

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Total ATP3.5 µmol/dLStandard Deviation 2.1
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: Total ATP3.0 µmol/dLStandard Deviation 1.5
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Total ATP4.0 µmol/dLStandard Deviation 2
Other Pre-specified

Assessment of the Stored Test (INTERCEPT) Platelet Components: Total LDH Activity

Total LDH activity was normalized for platelet count and was summarized descriptively for Stage 1 and Stage 2 Test components

Time frame: At the end of storage on Day 7

Population: Assessed in Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Total LDH Activity2278 U/LStandard Deviation 458
Stage 1 - Variant 1 Arm - CONTROLAssessment of the Stored Test (INTERCEPT) Platelet Components: Total LDH Activity2294 U/LStandard Deviation 537
Stage 1 - BEST Arm- TESTAssessment of the Stored Test (INTERCEPT) Platelet Components: Total LDH Activity2398 U/LStandard Deviation 482
Other Pre-specified

In Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Percentage of Samples With pH 22°C ≥ 6.2

The percentage of Stage 1 and Stage 2 samples with pH 22°C ≥ 6.2 was summarized for Test samples processed using both the BEST (Stage 1) and Variant 1 (Stage 1 and Stage 2) procedures.

Time frame: Day 7

Population: Assessed in samples from Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Stage 1 - Variant 1 Arm - TESTIn Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Percentage of Samples With pH 22°C ≥ 6.28 Participants
Stage 1 - Variant 1 Arm - CONTROLIn Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Percentage of Samples With pH 22°C ≥ 6.28 Participants
Stage 1 - BEST Arm- TESTIn Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Percentage of Samples With pH 22°C ≥ 6.218 Participants
Other Pre-specified

In Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Percentage of Samples With Physical Recovery ≥ 80%

The percentage of Stage 1 and Stage 2 samples with physical recovery ≥ 80% was summarized for Test samples processed using both the BEST (Stage 1) and Variant 1 (Stage 1 and Stage 2) procedures.

Time frame: Day 7

Population: Assessed in samples from Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Stage 1 - Variant 1 Arm - TESTIn Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Percentage of Samples With Physical Recovery ≥ 80%11 Participants
Stage 1 - Variant 1 Arm - CONTROLIn Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Percentage of Samples With Physical Recovery ≥ 80%1 Participants
Stage 1 - BEST Arm- TESTIn Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Percentage of Samples With Physical Recovery ≥ 80%16 Participants
Other Pre-specified

In Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: pH 22°C

Stage 1 and Stage 2 pH 22°C was summarized descriptively for Test samples processed using both the BEST (Stage 1) and Variant 1 (Stage 1 and Stage 2) procedures.

Time frame: Day 7

Population: Assessed in samples from Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTIn Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: pH 22°C6.3 pH unitStandard Deviation 0.3
Stage 1 - Variant 1 Arm - CONTROLIn Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: pH 22°C6.1 pH unitStandard Deviation 0.4
Stage 1 - BEST Arm- TESTIn Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: pH 22°C6.3 pH unitStandard Deviation 0.2
Other Pre-specified

In Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Platelet Count

Stage 1 and Stage 2 platelet count was summarized descriptively for Test samples processed using both the BEST (Stage 1) and Variant 1 (Stage 1 and Stage 2) procedures.

Time frame: Day 7

Population: Assessed in samples from Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTIn Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Platelet Count5368 ×10^3 platelets/µLStandard Deviation 868
Stage 1 - Variant 1 Arm - CONTROLIn Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Platelet Count3938 ×10^3 platelets/µLStandard Deviation 856
Stage 1 - BEST Arm- TESTIn Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Platelet Count5265 ×10^3 platelets/µLStandard Deviation 1128
Other Pre-specified

In Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Platelet Yield (Physical Recovery)

In vitro physical platelet recovery is expressed as the percentage of platelets that are remaining after preparation of the Test sample for radiolabeling, prior to addition of the radiolabel, compared to the number of platelets that were present prior to sample preparation. This measurement shows the loss of platelets during the sample preparations and also provides a process control parameter to ensure that the platelet sample used for radiolabeling is representative of the platelet population in the entire platelet component. Stage 1 and Stage 2 Platelet Yield (Physical Recovery) was summarized descriptively for Test samples processed using both the BEST (Stage 1) and Variant 1 (Stage 1 and Stage 2) procedures.

Time frame: Day 7

Population: Assessed in samples from Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTIn Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Platelet Yield (Physical Recovery)85.2 percentage of physical recoveryStandard Deviation 6.8
Stage 1 - Variant 1 Arm - CONTROLIn Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Platelet Yield (Physical Recovery)67.7 percentage of physical recoveryStandard Deviation 12.2
Stage 1 - BEST Arm- TESTIn Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Platelet Yield (Physical Recovery)84.4 percentage of physical recoveryStandard Deviation 6.8
Other Pre-specified

In Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: P-selectin Expression (CD62P)

Measurement of P-selectin (CD62P) exposure is often used as an index of platelet activation as it is translocated from the alpha granule to the plasma membrane during platelet secretion. This is a sensitive assay to quantify platelet potential for activation. Higher levels of P-selectin indicate more activation. Measurement of P-selectin prior to radiolabeling allows assessment of the amount of platelet activation induced by the sample preparation process when compared to the Day 7 P-selectin levels in the platelet component. The P-selectin expression (CD62P) was summarized descriptively for Test samples processed using both the BEST and Variant 1 procedures in Stage 1.

Time frame: Day 7

Population: Assessed in samples from Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTIn Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: P-selectin Expression (CD62P)54.2 percentage of CD62P plateletsStandard Deviation 21.5
Stage 1 - Variant 1 Arm - CONTROLIn Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: P-selectin Expression (CD62P)67.2 percentage of CD62P plateletsStandard Deviation 17.7
Other Pre-specified

In Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Red Blood Cell Total Count

The Red Blood Cell Total Count was summarized descriptively for Test samples processed using both the BEST and Variant 1 procedures in Stage 1.

Time frame: Day 7

Population: Assessed in samples from Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTIn Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Red Blood Cell Total Count212 cellsStandard Deviation 456
Stage 1 - Variant 1 Arm - CONTROLIn Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Red Blood Cell Total Count176 cellsStandard Deviation 324
Other Pre-specified

In Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Sample Volume From Component

Stage 1 and Stage 2 sample volume from platelet component was summarized descriptively for Test samples processed using both the BEST (Stage 1) and Variant 1 (Stage 1 and Stage 2) procedures.

Time frame: Day 7

Population: Assessed in samples from Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTIn Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Sample Volume From Component46.8 mLStandard Deviation 13.8
Stage 1 - Variant 1 Arm - CONTROLIn Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Sample Volume From Component45.4 mLStandard Deviation 15.4
Stage 1 - BEST Arm- TESTIn Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: Sample Volume From Component42.9 mLStandard Deviation 14.9
Other Pre-specified

In Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: White Blood Cell Total Count

The White Blood Cell Total Count was summarized descriptively for Test samples processed using both the BEST and Variant 1 procedures in Stage 1.

Time frame: Day 7

Population: Assessed in samples from Test components stored for 7 days for subjects in the Evaluable Analysis Set (comprised all infused subjects who had both paired (referred to Test and Control) recovery and paired survival data for the relevant study stage and/or radiolabeling method, and otherwise complied with the protocol without any other major protocol deviation).

ArmMeasureValue (MEAN)Dispersion
Stage 1 - Variant 1 Arm - TESTIn Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: White Blood Cell Total Count2666 cellsStandard Deviation 3104
Stage 1 - Variant 1 Arm - CONTROLIn Vitro Evaluation of Processed Platelet Samples Prior to Radiolabeling: White Blood Cell Total Count722 cellsStandard Deviation 629

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026