SS- 1 Use of Clozaril ® and Zyprexa ® as Concomitant Medication (Simultaneous Use) 69 Clozaril patients used Olanzapine as concomitant medication 17 Zyprexa patients used Clozapine as concomitant medication WLW analysis results after excluding above patients (P =.021) ClozarilZyprexa N = 421N = 473 Type Type
SS- 2 Suicide History at Baseline Patients, n (%) Clozaril ® Zyprexa ® N = 490N = 490 Suicide history Lifetime attempts, n (15.7)86(17.6) 1124(25.3)99(20.2) (31.4)157(32.0) (12.2)75(15.3) > 575(15.3)72(14.7) Missing0(0.0)1(0.2) Mean3.6(7.5)3.2(4.5) Median 2 2 Range Suicide history Lifetime attempts, n (15.7)86(17.6) 1124(25.3)99(20.2) (31.4)157(32.0) (12.2)75(15.3) > 575(15.3)72(14.7) Missing0(0.0)1(0.2) Mean3.6(7.5)3.2(4.5) Median 2 2 Range CSR ABA 451-Clozaril §Treatment resistance determined by clinical assessment. 8
SS- 3 Number and Percent of Type 1 or Type 2 Events by Diagnosis Subgroup Clozaril ® Zyprexa ® Eventsn/N%K-M § (%)n/N%K-M § (%) Schizophrenia Type 151/ / Type 267/ / Schizoaffective Type 151/ / Type 253/ / §Kaplan-Meier estimates of cumulative probability of event at Week 104.
SS- 4 Retrieved Dropout Patients With Type 1 Events Events, (%) Clozaril ® N = 61 Zyprexa ® N = 60 No Type 1 event41 (67.2)35 (58.3) Type 1 event20 (32.8)25 (41.7) Clozaril and 3 Zyprexa patients had Type 1 events after discontinuation.
SS- 5 WLW and Cox’s Analyses of Type 1 and Type 2 Events Excluding Followup Data After Discontinuations Hazard ratio95% CIP value WLW.006 Cox’s proportional hazard analysis Type , Type ,
SS- 6 Influence of Change in Blinded Psychiatrist Number (%) of Patients With Worsening in CGI-SS-BP of Type 2 Event Clozaril ® Zyprexa ® Worsening CGI-SS-BP, score 6 or 7 (with a change in BP) 138 Change in a BP occurred after Type 2 event 75 Change in BP before Type 2 event63 19
SS- 7 Agreement Between SMB and Blinded Psychiatrist With Regard to Occurrence of Type 1 Events Concordance 90.5% (84% all) 2 possible explanations for discrepancies – BP evaluation of Type 1 event was not subject to challenge. All SMB determinations required consensus of all 3 SMB members – SMB reviewed all PEP (n = 577) whereas BP assessed on average PEPs (range (0 - 42); less variability in reviewing PEP by SMB could be expected Primary endpoint, patient’s first SMB-determined Type 1 event, prospectively defined and agreed upon with FDA High degree of agreement between SMB and BPs regarding this endpoint confirms validity of endpoint for demonstrating efficacy in patients at risk for suicidal behavior 19
SS- 8 Cox’s Analyses of Patients With Type 1 Events as Determined by SMB and BP 19 Hazard ratio95% CIP value SMB , BP , Both SMB and BP agreed ,
SS- 9 Number of Patients with Score of 6 or 7 on CGI-SS-BP (Type 2 Event) Clozaril ® 38 Zyprexa ® 42 CGI-SS-BP not assessed after discontinuation
SS- 10 ClozarilZyprexa SchizoaffectiveN = 190N = 181 Baseline mean Mean change from baseline P value<.001 SchizophreniaN = 300N = 309 Baseline mean Mean change from baseline P value<.001