Question · Q4 2025
Justin Morrison asked about the larger standard error observed in povetacicept's RUBY-3 UPCR data compared to atacicept or siprolizumab, and Vertex's assumption for the placebo rate in the RAINIER interim analysis, given varying rates in competitor studies.
Answer
Reshma Kewalramani (CEO and President, Vertex Pharmaceuticals) deferred on the standard error comparison, noting that it is impacted by sample size and lab tests (24-hour urine vs. spot urine), and she had not reviewed the competitor data. For the RAINIER placebo rate, she reiterated a physician expert's estimate of 0-5% proteinuria improvement in the placebo group, which she believes is 'about right.'
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