0] 1.25 [1.0-1.25] <0.05 INR Δ*: 1.2 [0.7-2.2] 1.5 [1.2-2.0] 0.14 % Δ INR*: 38.8% GANT61 clinical trial [30.7%-56.0%] 54.1% [47.3%-62.7%] 0.002 n (%) ≤ 1.5: 25 (33.8%) 23 (71.9%) 0.001 Time (h:mm)*: 3:53 [2:32-7:17] 4:30 [2:21-6:25] 0.78 *Data as median [IQR]. PCC3, 3 factor Prothrombin Complex Concentrate; LDrFVIIa, low dose recombinant factor VII activated; INR, International Normalized Ratio. Five thromboembolic events occurred in the PCC3 group compared to 2 events
in the LDrFVIIa group (Table 5, p = 1.00). Deep vein thrombosis (DVT) occurred in 2 patients in each group. In the PCC3 group, one patient was found to have 4 upper extremity DVTs 7 days after PCC3 administration, and the other was found to have a superior femoral vein DVT 5 days after PCC3 administration. In the LDrFVIIa group, one patient had a lower extremity DVT 11 days after LDrFVIIa administration, and the other was found to have
a left upper extremity Cisplatin solubility dmso non- occlusive DVT 7 days post-LDrFVIIa. All DVTs diagnosed by duplex ultrasonography. Three PCC3 patients experienced an additional thromboembolic complication during their hospitalization: right see more internal jugular vein thrombus 15 days post-PCC3 (central line present), MRI-confirmed cerebrovascular accident (CVA) with multiple infarcts 2 days post-PCC3, and chest tube clots 1 day post-PCC3 (this patient may have also had a CVA which could have contributed to death, although this was not confirmed with imaging). Table 5 Patient outcomes PCC3 (n = 74) LD rFVIIa (n = 32) p Mortality, n (%) 22 (29.7%) 6 (18.8%) 0.34 LOS all pts (d)* 8.0 [4-11] 7.5 [5-13] 0.43 LOS survivors (d)* 8.0 [4-11] 9.5 [6-13] 0.15 Thromboembolic events 5 2 1.00 DVT 2 2
many IJ thrombus 1 0 Multiple CVA’s 1 0 Chest tube clots 1 0 (and possible unconfirmed CVA) *Data as median [IQR]. PCC3, 3 factor prothrombin complex concentrate; LDrFVIIa, low dose recombinant factor VII activated; LOS, length of stay; DVT, deep vein thrombosis, IJ, internal jugular; CVA, cerebral vascular accident. There was no difference in mortality (29.7% PCC3 vs. 18.8% LDrFVIIa, p = 0.34), overall length of hospital stay [PCC3 group 8.0 [4-11] days vs. LDrFVIIa group 7.5 [5-13] days (p = 0.43)] or length of stay of survivors [PCC3 group 8.0 [4-11] days vs. LDrFVIIa group 9.5 [6-13], p = 0.15]. Coagulation factor cost (USD) was not different (1116.50 [963-1718] in the PCC3 group, and 1230[1170-1360] in the LDrFVIIa group, p = 0.26) and FFP cost (USD) was similar between the two groups (393[0-496] in the PCC3 group and 393[0-496] in the LDrFVIIa group, p = 0.70). However, when combined, the overall cost for FFP and coagulation factor was higher in the PCC3 group (1526 [1299-2047] PCC3 vs. 1609.50 [1360-1756] LDrFVIIa, p < 0.05).