Table 1.

Patient disposition

VariableEculizumab-naive (n = 5)Eculizumab-experienced (n = 8)Total (N = 13)
Sex, n (%)    
Male 4 (80.0) 1 (12.5) 5 (38.5) 
Female 1 (20.0) 7 (87.5) 8 (61.5) 
Ravulizumab treatment duration, d, mean ± SD (range) 883.4 ± 102.7 (700-937) 1040.4 ± 381.8 (369-1610) 980.0 ± 308.0 (369-1610) 
Age at first ravulizumab infusion, y, mean ± SD (range) 14.4 ± 2.2 (11.0-17.0) 14.4 ± 3.1 (9.0-17.0) 14.4 ± 2.7 (9.0-17.0) 
Age category, y, n (%)    
0-12 1 (20.0) 1 (12.5) 2 (15.4) 
>12 4 (80.0) 7 (87.5) 11 (84.6) 
Race, n (%)    
Caucasian 5 (100) 3 (37.5) 8 (61.5) 
African American 0 (0) 2 (25.0) 2 (15.4) 
Not reported 0 (0) 2 (25.0) 2 (15.4) 
Other 0 (0) 1 (12.5) 1 (7.7) 
Body weight, kg, mean ± SD (range) 56.3 ± 11.6 (39.5-72.0) 56.3 ± 12.2 (36.7-69.0) 56.3 ± 11.5 (36.7-72.0) 
Weight category, kg, n (%)    
≥30 to <40 1 (20.0) 1 (12.5) 2 (15.4) 
≥40 to <60 3 (60.0) 4 (50.0) 7 (53.8) 
≥60 to <100 1 (20.0) 3 (37.5) 4 (30.8) 
Height, cm, mean ± SD (range) 163.4 ± 11.8 (143.0-171.0) 161.0 ± 9.4 (146.0-176.2) 161.9 ± 9.9 (143.0-176.2) 
Presenting symptoms, n (%)    
Any PNH symptoms before informed consent 5 (100) 7 (87.5) 12 (92.3) 
Fatigue/asthenia 5 (100) 7 (87.5) 12 (92.3) 
Abdominal pain 3 (60.0) 5 (62.5) 8 (61.5) 
Red/dark urine 4 (80.0) 4 (50.0) 8 (61.5) 
Jaundice 4 (80.0) 3 (37.5) 7 (53.8) 
CNS-related symptoms  2 (40.0) 4 (50.0) 6 (46.2) 
Back or flank pain 0 (0) 3 (37.5) 3 (23.1) 
Chest pain 0 (0) 2 (25.0) 2 (15.4) 
Dysphagia 0 (0) 1 (12.5) 1 (7.7) 
Erectile dysfunction 0 (0) 1 (12.5) 1 (7.7) 
Leg pain 0 (0) 1 (12.5) 1 (7.7) 
Dyspnea 0 (0) 1 (12.5) 1 (7.7) 
Other 0 (0) 1 (12.5) 1 (7.7) 
Age at PNH diagnosis, y, mean ± SD (range) 13.8 ± 2.4 (11.0-17.0) 12.3 ± 3.1 (7.0-16.0)  
Time from PNH diagnosis to informed consent, months, mean ± SD (range) 8.9 ± 1.4 (0-39.6) 24.1 ± 1.0 (13.2-45.6)  
History of pRBC/whole blood transfusion , n (%) 2 (40.0) 2 (25.0)  
Units of pRBC/whole blood transfusion, total, mean ± SD (range) 14.0
7.0 ± 5.7 (3.0-11.0) 
2.0
2.0 (2.0-2.0) 
 
History of aplastic anemia, n (%) 3 (60.0) 1 (12.5)  
LDH at baseline (U/L), mean ± SD (range)  957.0 ± 757.2 (444.0-2269.7) 262.8 ± 106.0 (140.5-487.0)  
PNH clone size, mean ± SD (range)    
RBC type II 18.7 ± 19.5 (0.7-41.4)§  10.6 ± 16.4 (0.6-42.6)   
RBC type III 19.2 ± 12.9 (6.2-39.9) 54.5 ± 22.2 (20.6-80.8)  
Total RBC 38.8 ± 31.5 (6.9-68.1)§  65.7 ± 22.7 (21.2-85.4)   
Granulocytes 68.1 ± 26.4 (36.8-99.0) 82.9 ± 26.0 (20.3-97.6)  
Monocytes 75.2 ± 24.0 (34.9-98.9) 91.9 ± 5.5 (81.3-97.7)  
VariableEculizumab-naive (n = 5)Eculizumab-experienced (n = 8)Total (N = 13)
Sex, n (%)    
Male 4 (80.0) 1 (12.5) 5 (38.5) 
Female 1 (20.0) 7 (87.5) 8 (61.5) 
Ravulizumab treatment duration, d, mean ± SD (range) 883.4 ± 102.7 (700-937) 1040.4 ± 381.8 (369-1610) 980.0 ± 308.0 (369-1610) 
Age at first ravulizumab infusion, y, mean ± SD (range) 14.4 ± 2.2 (11.0-17.0) 14.4 ± 3.1 (9.0-17.0) 14.4 ± 2.7 (9.0-17.0) 
Age category, y, n (%)    
0-12 1 (20.0) 1 (12.5) 2 (15.4) 
>12 4 (80.0) 7 (87.5) 11 (84.6) 
Race, n (%)    
Caucasian 5 (100) 3 (37.5) 8 (61.5) 
African American 0 (0) 2 (25.0) 2 (15.4) 
Not reported 0 (0) 2 (25.0) 2 (15.4) 
Other 0 (0) 1 (12.5) 1 (7.7) 
Body weight, kg, mean ± SD (range) 56.3 ± 11.6 (39.5-72.0) 56.3 ± 12.2 (36.7-69.0) 56.3 ± 11.5 (36.7-72.0) 
Weight category, kg, n (%)    
≥30 to <40 1 (20.0) 1 (12.5) 2 (15.4) 
≥40 to <60 3 (60.0) 4 (50.0) 7 (53.8) 
≥60 to <100 1 (20.0) 3 (37.5) 4 (30.8) 
Height, cm, mean ± SD (range) 163.4 ± 11.8 (143.0-171.0) 161.0 ± 9.4 (146.0-176.2) 161.9 ± 9.9 (143.0-176.2) 
Presenting symptoms, n (%)    
Any PNH symptoms before informed consent 5 (100) 7 (87.5) 12 (92.3) 
Fatigue/asthenia 5 (100) 7 (87.5) 12 (92.3) 
Abdominal pain 3 (60.0) 5 (62.5) 8 (61.5) 
Red/dark urine 4 (80.0) 4 (50.0) 8 (61.5) 
Jaundice 4 (80.0) 3 (37.5) 7 (53.8) 
CNS-related symptoms  2 (40.0) 4 (50.0) 6 (46.2) 
Back or flank pain 0 (0) 3 (37.5) 3 (23.1) 
Chest pain 0 (0) 2 (25.0) 2 (15.4) 
Dysphagia 0 (0) 1 (12.5) 1 (7.7) 
Erectile dysfunction 0 (0) 1 (12.5) 1 (7.7) 
Leg pain 0 (0) 1 (12.5) 1 (7.7) 
Dyspnea 0 (0) 1 (12.5) 1 (7.7) 
Other 0 (0) 1 (12.5) 1 (7.7) 
Age at PNH diagnosis, y, mean ± SD (range) 13.8 ± 2.4 (11.0-17.0) 12.3 ± 3.1 (7.0-16.0)  
Time from PNH diagnosis to informed consent, months, mean ± SD (range) 8.9 ± 1.4 (0-39.6) 24.1 ± 1.0 (13.2-45.6)  
History of pRBC/whole blood transfusion , n (%) 2 (40.0) 2 (25.0)  
Units of pRBC/whole blood transfusion, total, mean ± SD (range) 14.0
7.0 ± 5.7 (3.0-11.0) 
2.0
2.0 (2.0-2.0) 
 
History of aplastic anemia, n (%) 3 (60.0) 1 (12.5)  
LDH at baseline (U/L), mean ± SD (range)  957.0 ± 757.2 (444.0-2269.7) 262.8 ± 106.0 (140.5-487.0)  
PNH clone size, mean ± SD (range)    
RBC type II 18.7 ± 19.5 (0.7-41.4)§  10.6 ± 16.4 (0.6-42.6)   
RBC type III 19.2 ± 12.9 (6.2-39.9) 54.5 ± 22.2 (20.6-80.8)  
Total RBC 38.8 ± 31.5 (6.9-68.1)§  65.7 ± 22.7 (21.2-85.4)   
Granulocytes 68.1 ± 26.4 (36.8-99.0) 82.9 ± 26.0 (20.3-97.6)  
Monocytes 75.2 ± 24.0 (34.9-98.9) 91.9 ± 5.5 (81.3-97.7)  

CNS, central nervous system; LDH, lactate dehydrogenase; PNH, paroxysmal nocturnal hemoglobinuria; pRBC, packed red blood cell; RBC, red blood cell; SD, standard deviation; y, years.

For example headache, dizziness, or difficulty concentrating.

In the 12 months before first dose of ravulizumab.

There are multiple LDH normal ranges depending on pediatric age and sex (100-220, 100-242, 100-275, 120-290 and 140-280).

§

n = 4.

n = 6.

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