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First results of the Phase II TITAN trial: anti-von Willebrand ... - Ablynx

First results of the Phase II TITAN trial: anti-von Willebrand ... - Ablynx

First results of the Phase II TITAN trial: anti-von Willebrand ... - Ablynx

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PD measurement<br />

• RICO/RIPA assay as only suitable assay to assess specifically full<br />

neutralisation <strong>of</strong> (UL)VWF by ALX-0081<br />

Assay Test principle Pro Con<br />

RIPA<br />

RICO<br />

vWF:Act<br />

PFA-100<br />

VWF-mediated aggregation<br />

<strong>of</strong> autologous platelets by<br />

ristocetin<br />

VWF-mediated aggregation<br />

<strong>of</strong> fixed platelets by<br />

ristocetin<br />

Immunoassay with mAb<br />

that interacts with GPIbbinding<br />

region in VWF<br />

High shear flow system to<br />

measure platelet adhesion<br />

and aggregation upon<br />

stimulus<br />

Correlates with preclinical<br />

efficacy <strong>of</strong> ALX-0081 (ACS)<br />

• Demonstrated equivalence<br />

to RIPA<br />

• Can be performed on<br />

frozen samples<br />

Easy, high throughput<br />

• Requires specific<br />

equipment<br />

• Low throughput<br />

• Fresh samples<br />

• Requires specific<br />

equipment<br />

• Low throughput<br />

No inhibition <strong>of</strong> response by<br />

ALX-0081<br />

Easy, high throughput Aspecific: interference <strong>of</strong><br />

comedication<br />

20

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