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NCT02604433 · OUTCOME

Mean Change From Baseline In Total Hip And Lumbar Spine Bone Mineral Density (BMD) At Week 48

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
MEAN
Unit
gm/cm^2
Interval / dispersion
Standard Deviation
Time frame
Baseline: Day 1; Treatment: Week 48

What was measured

For BMD, the lumbar spine and total hip were measured at baseline and 48 weeks by dual energy x-ray absorptiometry (DXA). Baseline was defined as the last value on or before the first dose of study drug is administered; if multiple values are present for the same date, the average of these values was used. If during the 48 week double-blinded treatment period, a participant has only one assessment, it is counted as 'Week 48' visit; if a participant has multiple assessments, the last one is used as 'Week 48' visit. The analysis was done on the population that had at least 2 measurements.

Analysis population: All randomized participants with available measurements at the specified timepoints

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 + BSC190
Placebo + BSC97

Reported measurements

Total Hip

Analysis denominator · Participants

GroupSource count
Luspatercept + BSC190
Placebo + BSC97
Values in gm/cm^2 · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Luspatercept + BSC0.010.050Not reportedNot reportedNot reported
Placebo + BSC0.010.057Not reportedNot reportedNot reported
Lumbar Spine

Analysis denominator · Participants

GroupSource count
Luspatercept + BSC189
Placebo + BSC97
Values in gm/cm^2 · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Luspatercept + BSC-0.000.063Not reportedNot reportedNot reported
Placebo + BSC0.000.078Not reportedNot reportedNot reported

Source statistical analyses

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

  1. ci Lower Limit
    -0.01
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    0.01
    estimate Comment
    luspatercept - placebo
    group Description
    Total Hip Bone Mineral Density: Change from baseline at Week 48 LS = least squares
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.9201
    p Value Comment
    Significance level of 0.050 for 2-sided tests.
    param Type
    LS Mean of Difference
    param Value
    0.00
    statistical Comment
    Estimates are based on an ANCOVA model with geographical regions defined at randomization and baseline BMD measurement as covariates.
    statistical Method
    ANCOVA
  2. ci Lower Limit
    -0.02
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    0.01
    estimate Comment
    luspatercept - placebo
    group Description
    Lumbar Spine Bone Mineral Density: Change from baseline at Week 48 LS = least squares
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.4620
    p Value Comment
    Significance level of 0.050 for 2-sided tests.
    param Type
    LS Mean of Difference
    param Value
    -0.01
    statistical Comment
    Estimates are based on an ANCOVA model with geographical regions defined at randomization and baseline BMD measurement as covariates.
    statistical Method
    ANCOVA
Complete source fields
analyses
  1. ci Lower Limit
    -0.01
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    0.01
    estimate Comment
    luspatercept - placebo
    group Description
    Total Hip Bone Mineral Density: Change from baseline at Week 48 LS = least squares
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.9201
    p Value Comment
    Significance level of 0.050 for 2-sided tests.
    param Type
    LS Mean of Difference
    param Value
    0.00
    statistical Comment
    Estimates are based on an ANCOVA model with geographical regions defined at randomization and baseline BMD measurement as covariates.
    statistical Method
    ANCOVA
  2. ci Lower Limit
    -0.02
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    0.01
    estimate Comment
    luspatercept - placebo
    group Description
    Lumbar Spine Bone Mineral Density: Change from baseline at Week 48 LS = least squares
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.4620
    p Value Comment
    Significance level of 0.050 for 2-sided tests.
    param Type
    LS Mean of Difference
    param Value
    -0.01
    statistical Comment
    Estimates are based on an ANCOVA model with geographical regions defined at randomization and baseline BMD measurement as covariates.
    statistical Method
    ANCOVA
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.050
        value
        0.01
      2. group Id
        OG001
        spread
        0.057
        value
        0.01
    denoms
    1. counts
      1. group Id
        OG000
        value
        190
      2. group Id
        OG001
        value
        97
      units
      Participants
    title
    Total Hip
  2. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.063
        value
        -0.00
      2. group Id
        OG001
        spread
        0.078
        value
        0.00
    denoms
    1. counts
      1. group Id
        OG000
        value
        189
      2. group Id
        OG001
        value
        97
      units
      Participants
    title
    Lumbar Spine
denoms
  1. counts
    1. group Id
      OG000
      value
      190
    2. group Id
      OG001
      value
      97
    units
    Participants
description
For BMD, the lumbar spine and total hip were measured at baseline and 48 weeks by dual energy x-ray absorptiometry (DXA). Baseline was defined as the last value on or before the first dose of study drug is administered; if multiple values are present for the same date, the average of these values was used. If during the 48 week double-blinded treatment period, a participant has only one assessment, it is counted as 'Week 48' visit; if a participant has multiple assessments, the last one is used as 'Week 48' visit. The analysis was done on the population that had at least 2 measurements.
dispersion Type
Standard Deviation
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
MEAN
population Description
All randomized participants with available measurements at the specified timepoints
reporting Status
POSTED
time Frame
Baseline: Day 1; Treatment: Week 48
title
Mean Change From Baseline In Total Hip And Lumbar Spine Bone Mineral Density (BMD) At Week 48
type
SECONDARY
unit Of Measure
gm/cm^2

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Preserved source evidence · Not medical advice