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Rhophylac

Clinical Pharmacology
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Clinical Pharmacology

Table 4 presents the primary response rates for the intent-to-treat (ITT) and per-protocol (PP) populations.

Table 4: Primary Response Rates (ITT and PP Populations)


Analysis Population No. Subjects No. Responders Primary Response Rate at Day 15
% Responders 95% Confidence Interval (CI)
ITT 98 65 66.3% 56.5%, 74.9%
PP 92 62 67.4% 57.3%, 76.1%

The primary efficacy response rate (ITT population) demonstrated a clinically relevant response to treatment, i.e., the lower bound of the 95% CI was greater than the predefined response rate of 50%. The median time to platelet response was 3 days, and the median duration of platelet response was 22 days.

Table 5 presents the response rates by baseline platelet count for subjects in the ITT population.

Table 5: Response Rates By Baseline Platelet Count (ITT Population)


Response Rates at Day 15
Baseline Platelet count(x 109/L) Total No. Subjects No. (%) Subjects Achievinga Platelet Count of ≥ 30 x 109/L and an Increase of >20 x 109L No. (%) Subjects With an Increase in Platelet Counts to ≥ 50 x 109/L
≤10 38 15 (39.5) 10 (26.3)
>10 to 20 28 22 (78.6) 17 (60.7)
>20 to 30 27 24 (88.9) 22 (81.5)
>30* 5 4 (80.0) 5 (100.0)
Overall (all subjects) 98 65 (66.3) 54 (55.1)
* Reflects subjects with a platelet count of <30 × 109/L at screening but >30 × 109L immediately before treatment.

During the study, an overall regression of hemorrhage was seen in 44 (88%, 95% CI: 76% to 94%) of the 50 subjects with bleeding at baseline. The percentage of subjects showing a regression of hemorrhage increased from 20% at Day 2 to 64% at Day 15. There was no evidence of an association between the overall hemorrhage regression rate and baseline platelet count.

Approximately half of the 98 subjects in the ITT population had evidence of bleeding at baseline. Post-baseline, the percentage of subjects without bleeding increased to a maximum of 70.4% at Day 8.

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Brand Name: Rhophylac
Generic Name: Immune Globulin Intravenous (Human) solution
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