Long-term safety and efficacy of emicizumab in a phase 1/2 study in patients with hemophilia A with or without inhibitors by Midori Shima, Hideji Hanabusa,

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Long-term safety and efficacy of emicizumab in a phase 1/2 study in patients with hemophilia A with or without inhibitors by Midori Shima, Hideji Hanabusa, Masashi Taki, Tadashi Matsushita, Tetsuji Sato, Katsuyuki Fukutake, Ryu Kasai, Koichiro Yoneyama, Hiroki Yoshida, and Keiji Nogami BloodAdv Volume 1(22):1891-1899 October 10, 2017 © 2017 by The American Society of Hematology

Midori Shima et al. Blood Adv 2017;1:1891-1899 © 2017 by The American Society of Hematology

Study design schematic of the extension study following the first-in-patient study. Study design schematic of the extension study following the first-in-patient study. SC, subcutaneous; QW, once weekly. *Loading dose. †Maintenance dose. ‡Dose escalation within patient may be allowed (decided by efficacy and safety evaluation committee). Midori Shima et al. Blood Adv 2017;1:1891-1899 © 2017 by The American Society of Hematology

PK and PD of emicizumab during once-weekly subcutaneous administrations of emicizumab. PK and PD of emicizumab during once-weekly subcutaneous administrations of emicizumab. Mean (± standard deviation) time courses of plasma emicizumab concentration (A), aPTT (B), peak height of FXIa-triggered TG (C). The reference ranges for aPTT and peak height of FXIa-triggered TG are 25.4 to 37.2 seconds and 341 to 489 nmol/L, respectively, which were derived from healthy Japanese participants.22 All data collected after dose up-titrations were excluded; the number of patients for this summary was 6 per cohort. Data points where the number of patients with quantifiable measurement was ≥2 and not less than half of the number of observed patients were plotted. Midori Shima et al. Blood Adv 2017;1:1891-1899 © 2017 by The American Society of Hematology

Median ABR for each dose cohort during once-weekly subcutaneous administration of emicizumab. Median ABR for each dose cohort during once-weekly subcutaneous administration of emicizumab. (A) Bleeding events at any site. (B) Joint bleeding events. All data collected after dose up-titrations were excluded; the number of patients for this summary was 6 per cohort. Cohort 1 included 4 patients with and 2 without inhibitors at study enrollment and data cutoff; cohort 2 included 4 patients with and 2 without inhibitors at study enrollment, and 3 patients with and 2 without inhibitors at data cutoff; cohort 3 included 3 patients with and 3 without inhibitors at study enrollment, and 3 patients with and 2 without inhibitors at data cutoff. Midori Shima et al. Blood Adv 2017;1:1891-1899 © 2017 by The American Society of Hematology