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NCT02604433 · OUTCOME

Percentage of Participants Who Achieved Erythroid Response - Week 13 to Week 24

An Efficacy and Safety Study of Luspatercept (ACE-536) Versus Placebo in Adults Who Require Regular Red Blood Cell Transfusions Due to Beta (β) Thalassemia · Source last updated 2023-04-18

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
NUMBER
Unit
Percentage of participants
Interval / dispersion
Not reported
Time frame
Baseline: Day -83 to Day 1; Treatment: Weeks 13 to Week 24

What was measured

Erythroid Response was defined as red blood cell (RBC) transfusion burden reduction from baseline ≥ 33% with a reduction of at least 2 units during Week 13 - 24 compared to the 12-week interval on or prior to Dose 1 Day 1.

Analysis population: All randomized participants

Groups in this outcome

Luspatercept + BSC

Luspatercept (ACE-536) was administered subcutaneously (SC) at a starting dose level of 1 mg/kg once every 21 days. Participants could be dose-titrated to 1.25 mg/kg, but the maximum total dose should not exceed 120 mg, total dose per administration during the Treatment Period, the Long-term Treatment Period, and Open-Label Treatment Period. BSC = Best Supportive Care

Placebo + BSC

Placebo (normal saline) was administered subcutaneously (SC) in volumes to match active treatment once every 21 days. BSC = Best Supportive Care

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Luspatercept + BSC224
Placebo + BSC112

Reported measurements

Source class 1
Values in Percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Luspatercept + BSC21.0Not reportedNot reportedNot reportedNot reported
Placebo + BSC4.5Not reportedNot reportedNot reportedNot reported

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Lower Limit
    2.17
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    14.53
    group Description
    Odds ratio 95% confidence intervals (CIs), and p-value were estimated from the Cochran Mantel-Haenszel (CMH) test stratified by the geographical regions defined at randomization.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    <0.0001
    p Value Comment
    Significance level of 0.050 for 2-sided tests.
    param Type
    Odds Ratio (OR)
    param Value
    5.62
    statistical Method
    Cochran-Mantel-Haenszel
  2. ci Lower Limit
    10.0
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    23.1
    estimate Comment
    Luspatercept - Placebo
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    param Type
    Difference in Percentages
    param Value
    16.5
  3. ci Lower Limit
    9.9
    ci Pct Value
    95
    ci Upper Limit
    23.1
    estimate Comment
    Luspatercept - Placebo
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    param Type
    Common Risk Difference
    param Value
    16.5
Complete source fields
analyses
  1. ci Lower Limit
    2.17
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    14.53
    group Description
    Odds ratio 95% confidence intervals (CIs), and p-value were estimated from the Cochran Mantel-Haenszel (CMH) test stratified by the geographical regions defined at randomization.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    <0.0001
    p Value Comment
    Significance level of 0.050 for 2-sided tests.
    param Type
    Odds Ratio (OR)
    param Value
    5.62
    statistical Method
    Cochran-Mantel-Haenszel
  2. ci Lower Limit
    10.0
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    23.1
    estimate Comment
    Luspatercept - Placebo
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    param Type
    Difference in Percentages
    param Value
    16.5
  3. ci Lower Limit
    9.9
    ci Pct Value
    95
    ci Upper Limit
    23.1
    estimate Comment
    Luspatercept - Placebo
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    param Type
    Common Risk Difference
    param Value
    16.5
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        21.0
      2. group Id
        OG001
        value
        4.5
denoms
  1. counts
    1. group Id
      OG000
      value
      224
    2. group Id
      OG001
      value
      112
    units
    Participants
description
Erythroid Response was defined as red blood cell (RBC) transfusion burden reduction from baseline ≥ 33% with a reduction of at least 2 units during Week 13 - 24 compared to the 12-week interval on or prior to Dose 1 Day 1.
groups
  1. description
    Luspatercept (ACE-536) was administered subcutaneously (SC) at a starting dose level of 1 mg/kg once every 21 days. Participants could be dose-titrated to 1.25 mg/kg, but the maximum total dose should not exceed 120 mg, total dose per administration during the Treatment Period, the Long-term Treatment Period, and Open-Label Treatment Period. BSC = Best Supportive Care
    id
    OG000
    title
    Luspatercept + BSC
  2. description
    Placebo (normal saline) was administered subcutaneously (SC) in volumes to match active treatment once every 21 days. BSC = Best Supportive Care
    id
    OG001
    title
    Placebo + BSC
param Type
NUMBER
population Description
All randomized participants
reporting Status
POSTED
time Frame
Baseline: Day -83 to Day 1; Treatment: Weeks 13 to Week 24
title
Percentage of Participants Who Achieved Erythroid Response - Week 13 to Week 24
type
PRIMARY
unit Of Measure
Percentage of participants

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Preserved source evidence · Not medical advice