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Population pharmacokinetic modeling of on-demand
and surgical use of nonacog beta pegol (N9-GP) and
rFIXFc based upon the paradigm 7 comparative
pharmacokinetic study
Mindy L Simpson1, Roshni Kulkarni2, Carmen Escuriola Ettingshausen3, Rikke Medom
Meldgaard4, David L Cooper5, Robert Klamroth6
Supplement materials
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Supplementary figure 1 Goodness of fit for (A) predicted FIX activity with N9-GP
compared with observed activity in paradigm 7; (B) Residuals vs time with N9-GP in
paradigm 7; (C) Individual vs population predictions of N9-GP compared with observed
activity in paradigm 7.
Abbreviation: FIX, factor IX.
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Supplementary figure 2 Goodness of fit for (A) predicted FIX activity with rFIXFc
compared with observed activity in paradigm 7; (B) residuals vs time with rFIXFc in
paradigm 7; (C) individual vs population predictions of rFIXFc compared with observed
activity in paradigm 7.
Abbreviations: FIX, factor IX; rFIXFc, recombinant FIX Fc fusion protein.
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Supplementary figure 3 Predictions of FIX activity with N9-GP compared with
observed activity in paradigm 2.
Abbreviation: FIX, factor IX.
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Supplementary figure 4 Predicted means and confidence limits for simulated
dosing for severe bleeds to achieve FIX activities meeting WFH guidelines2 for (A) N9-
GP 80 IU/kg and for (B) rFIXFc 80 IU/kg followed by 50 IU/kg.
Abbreviations: FIX, factor IX; rFIXFc, recombinant FIX Fc fusion protein; WFH, World Federation
of Hemophilia.
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Supplementary figure 5 Predicted means and confidence limits for simulated
dosing for life-threatening bleed (N9-GP vs rFIXFc) to achieve FIX activities to meet
WFH guidelines2 for (A) N9-GP 80 IU/kg followed by 40 IU/kg and (B) rFIXFc 110 IU/kg
followed by three doses of 90 IU/kg and seven doses of 80 IU/kg.
Abbreviations: FIX, factor IX; rFIXFc, recombinant FIX Fc fusion protein; WFH, World Federation
of Hemophilia.
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Supplementary figure 6 Predicted means and confidence limits for simulated
dosing for major surgery to achieve FIX activities meeting WFH guidelines2 for (A) N9-
GP 80 IU/kg followed by 40 IU/kg and for (B) rFIXFc 80 IU/kg followed by 50 IU/kg.
Abbreviations: FIX, factor IX; rFIXFc, recombinant FIX Fc fusion protein; WFH, World Federation
of Hemophilia.
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