Further details from the phase 2b AZALEA trial with the factor XI inhibitor abelacimab (Anthos) show significant reductions in major and clinically relevant nonmajor bleeding compared with earlier this year because of an "overwhelming" reduction in bleeding with abelacimab in comparison rivaroxaban. Abelacimab is a monoclonal antibody given by subcutaneous injection once a month.
Details of the bleeding results have now shown that the 150-mg dose of abelacimab, which is the dose being carried forward to phase 3 trials, was associated with a 57% reduction in major or clinically relevant nonmajor bleeding, the primary endpoint of the study. In addition, major bleeding was reduced by 74%, and major gastrointestinal (GI) bleeding was reduced by 93
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