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APPULSE: A study of adults with PNH with Hb ≥10 g/dL who switched from a stable C5i regimen (eculizumab or ravulizumab) to FABHALTA1

Patients with baseline Hb ≥10 g/dL experienced an Hb increase after switching from a stable C5i regimen to FABHALTA

PRIMARY END POINT

The data are for observation only. No formal conclusions can be made.

Adjusted mean change from baseline in Hb. +2.07 g/dL (n¹ = 51, 95% CI, 1.80-2.33) Mean (SD) baseline Hb levels (g/dL): 11.87 (1.32).

*Mean of visits between Days 126 and 168 compared with baseline, defined as mean of Hb collected at screening (2 samples) and Day 1. Excludes values within 30 days post-transfusion.2
The ‘n’ values reflect patients with non-missing values.2

Explore the data of FABHALTA in patients with Hb ≥10 g/dL after the 24-week treatment period

The data are for observation only. No formal conclusions can be made.

Data of Fabhalta in patients with Hb ≥10 g/dL after the 24-week treatment period.

Assessed between visits Days 126 and 168 in the absence of RBC transfusions between Days 1 and 168, on 3 of 4 measurements taken at the visits occurring in the last 6 weeks.2
§Percentages are based on the number of patients with Hb results at that time point.2
||From 6 months to screening, no transfusions received. In the 12 to 6 months prior to the trial screening period, 3.8% (n=2/52) of patients received a transfusion.1
Transfusion avoidance response rate in APPULSE was defined as absence of administration of packed-RBC transfusions between Days 1 and 168.1
#Change from baseline as mean of visits between Days 126 and 168.2
**The ‘n’ values reflect patients with non-missing values.2
††Percentage change from baseline as mean of visits between Days 126 and 168.2
‡‡The Functional Assessment of Chronic Illness Therapy-Fatigue Scale (FACIT-Fatigue) is a 13-item questionnaire that assesses self-reported fatigue and its impact upon daily activities and function. The level of fatigue is measured on a 5-point Likert scale (in the study, 4=not at all fatigued to 0=very much fatigued), with 0 being the worst possible score and 52 the best.1,3
§§Baseline mean FACIT-Fatigue scores and adjusted mean change in FACIT-Fatigue scores at Day 84 and 168 were reported for 50 and 47 patients, respectively.1 

Explore the safety profile for FABHALTA

See how adult patients take FABHALTA

Start adult patients on FABHALTA

Definitions
ARC, absolute reticulocyte count; C5i, C5 inhibitor; Hb, hemoglobin; LDH, lactate dehydrogenase; PNH, paroxysmal nocturnal hemoglobinuria; RBC, red blood cell.

References:
1. Data on file. Study CLNP023C12303 CSR. Novartis Pharmaceuticals Corp; 2024.
2. Data on file. Study CLNP023C12303 supporting analyses for US Medical deck. Novartis Pharmaceuticals Corp; 2025.
3. Montan I, Lowe B, Cella D, Mehnert A, Hinz A. General population norms for the Functional Assessment of Chronic Illness Therapy (FACIT)-fatigue scale. Value Health. 2018;21(11):1313-1321. doi:10.1016/j.jval.2018.03.013