Skip to content

Registry For Patients Treated With BeneFix In Usual Care Setting In Germany

Pharmacovigilance Evaluation Of Benefix (Registered) In Germany And Austria

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT00714415
Enrollment
80
Registered
2008-07-14
Start date
2008-01-31
Completion date
2016-10-31
Last updated
2018-10-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hemophilia B

Brief summary

The purpose of this observational study is to describe the incidence of adverse events among patients treated with BeneFix® in usual health care settings in Germany.

Detailed description

Non-interventional study: subjects to be selected according to the usual clinical practice of their physician

Interventions

Patients will be treated in accordance with the requirements of the labeling of BeneFIX in Germany. The dosage and duration of therapy is to be determined by the physician to meet the patients' individual needs for treatment.

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Healthy volunteers
No

Inclusion criteria

* Patients with hemophilia B already receiving or starting treatment with reformulated BeneFIX®.

Exclusion criteria

* Patients with hemophilia B treated with a product other than BeneFIX®. * Inclusion in the ongoing prospective registry of European hemophilia B patients using BeneFIX®.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)Baseline until last visit (up to 8.7 years)An AE was any untoward medical occurrence in a participant who received study treatment without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability or incapacity; cancer; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to last visit (up to 8.7 years) that were absent before treatment or that worsened relative to pretreatment state. AEs included both serious and non-serious.
Number of Participants With Treatment-Related Adverse Events (AEs) and Serious Adverse Events (SAEs)Baseline until last visit (up to 8.7 years)Treatment-related AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; cancer; congenital anomaly. AEs included both serious and non-serious. Relatedness to BeneFIX was assessed by the investigator.
Number of Participants With Adverse Events (AEs) of Special InterestBaseline until last visit (up to 8.7 years)An AE was any untoward medical occurrence in a participant who received study treatment without regard to possibility of causal relationship. Adverse Events of special interest included allergic reactions, less than expected therapeutic effect (LETE) of drug, lack of efficacy/low recovery, erythrocyte agglutination in tube or syringe red blood cell (RBC) agglutination phenomena and thrombogenicity.
Number of Participants With Factor IX (FIX) Inhibitor Development as Measured by the Nijmegen-Modified Bethesda AssayBaseline until last visit (up to 8.7 years)FIX inhibitor development was defined as measured inhibitor titer of greater than (\>) 0.6 Bethesda Units (BU) using the Nijmegen-modified Bethesda assay.
Investigator Assessment of Treatment Tolerability of ParticipantsEnd of study visit (any time up to 8.7 years)Investigator assessed the tolerability of participants and categorized as very good, good, moderate and poor.
Participant Assessment of Treatment TolerabilityEnd of study visit (any time up to 8.7 years)Participants evaluated their treatment (BeneFIX) tolerability and rated it in 4 categories as very good, good, moderate and poor.

Secondary

MeasureTime frameDescription
Assessment of Treatment Handling by the ParticipantsEnd of study visit (any time up to 8.7 years)Participants evaluated the handling (administration) of BeneFIX and rated it in 4 categories as very good, good, moderate and poor.
Assessment of Treatment Efficacy by the ParticipantsEnd of study visit (any time up to 8.7 years)Participants evaluated the efficacy of BeneFIX and rated it in 4 categories as very good, good, moderate and poor.
Investigator Assessment of Treatment Satisfaction of ParticipantsBaseline up to 8.7 yearsInvestigator evaluated the participant's satisfaction of treatment with BeneFIX and rated it in 4 categories as very satisfied, satisfied, unsatisfied and very unsatisfied.
Mean Total Number of Bleeding Episodes in ParticipantsBaseline until last visit (up to 8.7 years)Participants documented all bleeding episodes in a diary during the study.
Mean Total Number of Bleeding Episodes Per Year in ParticipantsBaseline until last visit (up to 8.7 years)Participants documented all bleeding episodes in a diary during the study. Mean total number of bleeding episodes per year was calculated by mean total number of bleeding episodes divided by duration of observation period (in years) for bleeding documentation.
Number of Participants With Change From Baseline Status in Number of Days Missed From School or WorkBaseline, up to 8.7 yearsChange from baseline status in days missed from school or work was categorized in 3 categories: Improvement, unchanged and worsening. Improvement was defined as a decrease in number of days missed by participants from school/work as compared to baseline; worsening was defined as an increase in number of days missed by participants from school/work as compared to baseline; unchanged was defined as no change in number of days missed by participants from school/work as compared to baseline. In this outcome measure, number of participants with change from baseline status (as improved, worsen, unchanged) in days missed from school/work were reported.
Investigator Assessment of Treatment Efficacy of ParticipantsEnd of study visit (any time up to 8.7 years)Investigator evaluated the efficacy of BeneFIX in participants and rated it in 4 categories as very good, good, moderate and poor.
Investigator Assessment of Treatment Handling of ParticipantsEnd of study visit (any time up to 8.7 years)Investigator evaluated the handling (administration) of BeneFIX by participants and rated it in 4 categories as very good, good, moderate and poor.

Countries

Austria, Germany

Participant flow

Participants by arm

ArmCount
BeneFIX: On Demand
Participants were treated with IV injection of BeneFIX whenever they had a bleeding episode, as a part of routine clinical practice at a dose and frequency prescribed by treating physician (with a mean recommended dose of 42.4 ± 16.6 IU/kg). Participants were observed for up to a maximum duration of 8.7 years in this study.
25
BeneFIX: Prophylaxis
Participants were treated prophylactically with a regular IV injection of BeneFIX to prevent any bleeding episode at a dose and frequency prescribed by treating physician (with a mean recommended dose of 34.4 ± 19.3 IU/kg). Participants were observed for up to a maximum duration of 8.7 years in this study.
55
Total80

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyDeath10
Overall StudyLack of Efficacy10

Baseline characteristics

CharacteristicBeneFIX: On DemandBeneFIX: ProphylaxisTotal
Age, Continuous20.2 years
STANDARD_DEVIATION 18.8
16.0 years
STANDARD_DEVIATION 12.2
17.3 years
STANDARD_DEVIATION 14.6
Sex: Female, Male
Female
0 Participants0 Participants0 Participants
Sex: Female, Male
Male
25 Participants55 Participants80 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
18 / 2546 / 55
serious
Total, serious adverse events
8 / 2529 / 55

Outcome results

Primary

Investigator Assessment of Treatment Tolerability of Participants

Investigator assessed the tolerability of participants and categorized as very good, good, moderate and poor.

Time frame: End of study visit (any time up to 8.7 years)

Population: Safety analysis set included all participants with informed consent and treated with at least 1 dose of Benefix. Here, 'N' (number of participants analyzed) signifies those participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
BeneFIX: On DemandInvestigator Assessment of Treatment Tolerability of ParticipantsVery good16 participants
BeneFIX: On DemandInvestigator Assessment of Treatment Tolerability of ParticipantsGood7 participants
BeneFIX: On DemandInvestigator Assessment of Treatment Tolerability of ParticipantsModerate0 participants
BeneFIX: On DemandInvestigator Assessment of Treatment Tolerability of ParticipantsPoor0 participants
BeneFIX: ProphylaxisInvestigator Assessment of Treatment Tolerability of ParticipantsPoor0 participants
BeneFIX: ProphylaxisInvestigator Assessment of Treatment Tolerability of ParticipantsVery good35 participants
BeneFIX: ProphylaxisInvestigator Assessment of Treatment Tolerability of ParticipantsModerate1 participants
BeneFIX: ProphylaxisInvestigator Assessment of Treatment Tolerability of ParticipantsGood18 participants
Primary

Number of Participants With Adverse Events (AEs) of Special Interest

An AE was any untoward medical occurrence in a participant who received study treatment without regard to possibility of causal relationship. Adverse Events of special interest included allergic reactions, less than expected therapeutic effect (LETE) of drug, lack of efficacy/low recovery, erythrocyte agglutination in tube or syringe red blood cell (RBC) agglutination phenomena and thrombogenicity.

Time frame: Baseline until last visit (up to 8.7 years)

Population: Safety analysis set included all participants with informed consent and treated with at least 1 dose of Benefix.

ArmMeasureValue (NUMBER)
BeneFIX: On DemandNumber of Participants With Adverse Events (AEs) of Special Interest0 participants
BeneFIX: ProphylaxisNumber of Participants With Adverse Events (AEs) of Special Interest0 participants
Primary

Number of Participants With Factor IX (FIX) Inhibitor Development as Measured by the Nijmegen-Modified Bethesda Assay

FIX inhibitor development was defined as measured inhibitor titer of greater than (\>) 0.6 Bethesda Units (BU) using the Nijmegen-modified Bethesda assay.

Time frame: Baseline until last visit (up to 8.7 years)

Population: Safety analysis set included all participants with informed consent and treated with at least 1 dose of Benefix.

ArmMeasureValue (NUMBER)
BeneFIX: On DemandNumber of Participants With Factor IX (FIX) Inhibitor Development as Measured by the Nijmegen-Modified Bethesda Assay1 participants
BeneFIX: ProphylaxisNumber of Participants With Factor IX (FIX) Inhibitor Development as Measured by the Nijmegen-Modified Bethesda Assay3 participants
Primary

Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

An AE was any untoward medical occurrence in a participant who received study treatment without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability or incapacity; cancer; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to last visit (up to 8.7 years) that were absent before treatment or that worsened relative to pretreatment state. AEs included both serious and non-serious.

Time frame: Baseline until last visit (up to 8.7 years)

Population: Safety analysis set included all participants with informed consent and treated with at least 1 dose of Benefix.

ArmMeasureGroupValue (NUMBER)
BeneFIX: On DemandNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)AEs19 participants
BeneFIX: On DemandNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)SAEs8 participants
BeneFIX: ProphylaxisNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)AEs49 participants
BeneFIX: ProphylaxisNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)SAEs29 participants
Primary

Number of Participants With Treatment-Related Adverse Events (AEs) and Serious Adverse Events (SAEs)

Treatment-related AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; cancer; congenital anomaly. AEs included both serious and non-serious. Relatedness to BeneFIX was assessed by the investigator.

Time frame: Baseline until last visit (up to 8.7 years)

Population: Safety analysis set included all participants with informed consent and treated with at least 1 dose of Benefix.

ArmMeasureGroupValue (NUMBER)
BeneFIX: On DemandNumber of Participants With Treatment-Related Adverse Events (AEs) and Serious Adverse Events (SAEs)AEs2 participants
BeneFIX: On DemandNumber of Participants With Treatment-Related Adverse Events (AEs) and Serious Adverse Events (SAEs)SAEs1 participants
BeneFIX: ProphylaxisNumber of Participants With Treatment-Related Adverse Events (AEs) and Serious Adverse Events (SAEs)AEs8 participants
BeneFIX: ProphylaxisNumber of Participants With Treatment-Related Adverse Events (AEs) and Serious Adverse Events (SAEs)SAEs2 participants
Primary

Participant Assessment of Treatment Tolerability

Participants evaluated their treatment (BeneFIX) tolerability and rated it in 4 categories as very good, good, moderate and poor.

Time frame: End of study visit (any time up to 8.7 years)

Population: Safety analysis set included all participants with informed consent and treated with at least 1 dose of Benefix. Here, 'N' (number of participants analyzed) signifies those participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
BeneFIX: On DemandParticipant Assessment of Treatment TolerabilityVery good16 participants
BeneFIX: On DemandParticipant Assessment of Treatment TolerabilityModerate0 participants
BeneFIX: On DemandParticipant Assessment of Treatment TolerabilityGood6 participants
BeneFIX: On DemandParticipant Assessment of Treatment TolerabilityPoor0 participants
BeneFIX: ProphylaxisParticipant Assessment of Treatment TolerabilityGood14 participants
BeneFIX: ProphylaxisParticipant Assessment of Treatment TolerabilityVery good37 participants
BeneFIX: ProphylaxisParticipant Assessment of Treatment TolerabilityPoor0 participants
BeneFIX: ProphylaxisParticipant Assessment of Treatment TolerabilityModerate1 participants
Secondary

Assessment of Treatment Efficacy by the Participants

Participants evaluated the efficacy of BeneFIX and rated it in 4 categories as very good, good, moderate and poor.

Time frame: End of study visit (any time up to 8.7 years)

Population: Full analysis set included all participants with informed consent and treated with at least 1 dose of Benefix. Here, 'N' (number of participants analyzed) signifies those participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
BeneFIX: On DemandAssessment of Treatment Efficacy by the ParticipantsVery good11 participants
BeneFIX: On DemandAssessment of Treatment Efficacy by the ParticipantsGood10 participants
BeneFIX: On DemandAssessment of Treatment Efficacy by the ParticipantsModerate0 participants
BeneFIX: On DemandAssessment of Treatment Efficacy by the ParticipantsPoor1 participants
BeneFIX: ProphylaxisAssessment of Treatment Efficacy by the ParticipantsPoor0 participants
BeneFIX: ProphylaxisAssessment of Treatment Efficacy by the ParticipantsVery good27 participants
BeneFIX: ProphylaxisAssessment of Treatment Efficacy by the ParticipantsModerate0 participants
BeneFIX: ProphylaxisAssessment of Treatment Efficacy by the ParticipantsGood25 participants
Secondary

Assessment of Treatment Handling by the Participants

Participants evaluated the handling (administration) of BeneFIX and rated it in 4 categories as very good, good, moderate and poor.

Time frame: End of study visit (any time up to 8.7 years)

Population: Full analysis set included all participants with informed consent and treated with at least 1 dose of Benefix. Here, 'N' (number of participants analyzed) signifies those participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
BeneFIX: On DemandAssessment of Treatment Handling by the ParticipantsVery good13 participants
BeneFIX: On DemandAssessment of Treatment Handling by the ParticipantsGood8 participants
BeneFIX: On DemandAssessment of Treatment Handling by the ParticipantsModerate1 participants
BeneFIX: On DemandAssessment of Treatment Handling by the ParticipantsPoor0 participants
BeneFIX: ProphylaxisAssessment of Treatment Handling by the ParticipantsPoor0 participants
BeneFIX: ProphylaxisAssessment of Treatment Handling by the ParticipantsVery good37 participants
BeneFIX: ProphylaxisAssessment of Treatment Handling by the ParticipantsModerate0 participants
BeneFIX: ProphylaxisAssessment of Treatment Handling by the ParticipantsGood15 participants
Secondary

Investigator Assessment of Treatment Efficacy of Participants

Investigator evaluated the efficacy of BeneFIX in participants and rated it in 4 categories as very good, good, moderate and poor.

Time frame: End of study visit (any time up to 8.7 years)

Population: Full analysis set included all participants with informed consent and treated with at least 1 dose of Benefix. Here, 'N' (number of participants analyzed) signifies those participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
BeneFIX: On DemandInvestigator Assessment of Treatment Efficacy of ParticipantsVery good10 participants
BeneFIX: On DemandInvestigator Assessment of Treatment Efficacy of ParticipantsGood11 participants
BeneFIX: On DemandInvestigator Assessment of Treatment Efficacy of ParticipantsModerate1 participants
BeneFIX: On DemandInvestigator Assessment of Treatment Efficacy of ParticipantsPoor1 participants
BeneFIX: ProphylaxisInvestigator Assessment of Treatment Efficacy of ParticipantsPoor0 participants
BeneFIX: ProphylaxisInvestigator Assessment of Treatment Efficacy of ParticipantsVery good24 participants
BeneFIX: ProphylaxisInvestigator Assessment of Treatment Efficacy of ParticipantsModerate0 participants
BeneFIX: ProphylaxisInvestigator Assessment of Treatment Efficacy of ParticipantsGood30 participants
Secondary

Investigator Assessment of Treatment Handling of Participants

Investigator evaluated the handling (administration) of BeneFIX by participants and rated it in 4 categories as very good, good, moderate and poor.

Time frame: End of study visit (any time up to 8.7 years)

Population: Full analysis set included all participants with informed consent and treated with at least 1 dose of Benefix. Here, 'N' (number of participants analyzed) signifies those participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
BeneFIX: On DemandInvestigator Assessment of Treatment Handling of ParticipantsVery good13 participants
BeneFIX: On DemandInvestigator Assessment of Treatment Handling of ParticipantsGood10 participants
BeneFIX: On DemandInvestigator Assessment of Treatment Handling of ParticipantsModerate0 participants
BeneFIX: On DemandInvestigator Assessment of Treatment Handling of ParticipantsPoor0 participants
BeneFIX: ProphylaxisInvestigator Assessment of Treatment Handling of ParticipantsPoor0 participants
BeneFIX: ProphylaxisInvestigator Assessment of Treatment Handling of ParticipantsVery good34 participants
BeneFIX: ProphylaxisInvestigator Assessment of Treatment Handling of ParticipantsModerate0 participants
BeneFIX: ProphylaxisInvestigator Assessment of Treatment Handling of ParticipantsGood20 participants
Secondary

Investigator Assessment of Treatment Satisfaction of Participants

Investigator evaluated the participant's satisfaction of treatment with BeneFIX and rated it in 4 categories as very satisfied, satisfied, unsatisfied and very unsatisfied.

Time frame: Baseline up to 8.7 years

Population: Full analysis set included all participants with informed consent and treated with at least 1 dose of Benefix. Here, 'N' (number of participants analyzed) signifies those participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
BeneFIX: On DemandInvestigator Assessment of Treatment Satisfaction of ParticipantsVery satisfied12 participants
BeneFIX: On DemandInvestigator Assessment of Treatment Satisfaction of ParticipantsSatisfied9 participants
BeneFIX: On DemandInvestigator Assessment of Treatment Satisfaction of ParticipantsUnsatisfied1 participants
BeneFIX: On DemandInvestigator Assessment of Treatment Satisfaction of ParticipantsVery unsatisfied1 participants
BeneFIX: ProphylaxisInvestigator Assessment of Treatment Satisfaction of ParticipantsVery unsatisfied0 participants
BeneFIX: ProphylaxisInvestigator Assessment of Treatment Satisfaction of ParticipantsVery satisfied27 participants
BeneFIX: ProphylaxisInvestigator Assessment of Treatment Satisfaction of ParticipantsUnsatisfied0 participants
BeneFIX: ProphylaxisInvestigator Assessment of Treatment Satisfaction of ParticipantsSatisfied27 participants
Secondary

Mean Total Number of Bleeding Episodes in Participants

Participants documented all bleeding episodes in a diary during the study.

Time frame: Baseline until last visit (up to 8.7 years)

Population: Full analysis set included all participants with informed consent and treated with at least 1 dose of Benefix. Here, 'N' (number of participants analyzed) signifies those participants who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
BeneFIX: On DemandMean Total Number of Bleeding Episodes in Participants16.7 bleeding episodesStandard Deviation 21.2
BeneFIX: ProphylaxisMean Total Number of Bleeding Episodes in Participants17.6 bleeding episodesStandard Deviation 23.1
Secondary

Mean Total Number of Bleeding Episodes Per Year in Participants

Participants documented all bleeding episodes in a diary during the study. Mean total number of bleeding episodes per year was calculated by mean total number of bleeding episodes divided by duration of observation period (in years) for bleeding documentation.

Time frame: Baseline until last visit (up to 8.7 years)

Population: Full analysis set included all participants with informed consent and treated with at least 1 dose of Benefix. Here, 'N' (number of participants analyzed) signifies those participants who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
BeneFIX: On DemandMean Total Number of Bleeding Episodes Per Year in Participants4.7 bleeding episodes per yearStandard Deviation 4.7
BeneFIX: ProphylaxisMean Total Number of Bleeding Episodes Per Year in Participants4.2 bleeding episodes per yearStandard Deviation 4.3
Secondary

Number of Participants With Change From Baseline Status in Number of Days Missed From School or Work

Change from baseline status in days missed from school or work was categorized in 3 categories: Improvement, unchanged and worsening. Improvement was defined as a decrease in number of days missed by participants from school/work as compared to baseline; worsening was defined as an increase in number of days missed by participants from school/work as compared to baseline; unchanged was defined as no change in number of days missed by participants from school/work as compared to baseline. In this outcome measure, number of participants with change from baseline status (as improved, worsen, unchanged) in days missed from school/work were reported.

Time frame: Baseline, up to 8.7 years

Population: Full analysis set included all participants with informed consent and treated with at least 1 dose of Benefix. Here, 'N' (number of participants analyzed) signifies those participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
BeneFIX: On DemandNumber of Participants With Change From Baseline Status in Number of Days Missed From School or WorkImproved4 participants
BeneFIX: On DemandNumber of Participants With Change From Baseline Status in Number of Days Missed From School or WorkUnchanged9 participants
BeneFIX: On DemandNumber of Participants With Change From Baseline Status in Number of Days Missed From School or WorkWorsened2 participants
BeneFIX: ProphylaxisNumber of Participants With Change From Baseline Status in Number of Days Missed From School or WorkImproved7 participants
BeneFIX: ProphylaxisNumber of Participants With Change From Baseline Status in Number of Days Missed From School or WorkUnchanged20 participants
BeneFIX: ProphylaxisNumber of Participants With Change From Baseline Status in Number of Days Missed From School or WorkWorsened7 participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026