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Post Marketing Observational Study of Reformulated BeneFIX

Post Marketing Observational Study Of Reformulated BeneFIX

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT00835068
Enrollment
58
Registered
2009-02-03
Start date
2009-01-31
Completion date
2013-10-31
Last updated
2014-09-17

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

Conditions

Hemophilia B

Keywords

Hemophilia B, observational, post marketing study

Brief summary

The primary objective of this observational study is to collect safety data on reformulated BeneFIX as prescribed in routine clinical practice conditions in France. The secondary objectives are to collect data on the clinical course of individuals treated with reformulated BeneFIX and on the ease of reformulated BeneFIX.

Detailed description

No sampling

Interventions

OTHERNo intervention

As it is a non interventional study, patient receives his usual treatment (BeneFIX) as determined by the physician

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Healthy volunteers
No

Inclusion criteria

* Subjects with Hemophilia B already receiving or starting treatment with reformulated BeneFIX. * Subjects who have dated and signed the informed consent form.

Exclusion criteria

* Ongoing treatment of Hemophilia B by a product other than reformulated BeneFIX. * Participation in the European prospective registry of patients with Hemophilia B treated with BeneFIX (Wyeth protocol 3090A-101039).

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Treatment-Related Adverse Events (AEs) and Serious Adverse Events (SAEs) Prior to Safety AmendmentBaseline up to Year 3.5A treatment-related AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. An 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; congenital anomaly. AEs included SAEs as well as non-serious AEs which occurred prior to safety amendment. Prior to safety amendment, only AEs/SAEs deemed related to BeneFIX as per participating physician were collected.
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) by Relationship After Safety AmendmentYear 3.5 up to 4.75AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An 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; congenital anomaly. A treatment-related AE was any untoward medical occurrence attributed to study drug in a participant who received study drug as per participating physician. AEs included SAEs as well as non-serious AEs which occurred after the safety amendment. After the safety amendment, all AEs/SAEs were collected irrespective of their relationship to BeneFIX.
Number of Participants With Events of Special InterestBaseline up to Year 4.75Events of special interest included allergic reactions, red blood cell (RBC) agglutination phenomena, lack of efficacy/low recovery, thrombotic events and onset of factor IX (FIX) inhibitor. Participants may be represented in more than 1 category.

Secondary

MeasureTime frameDescription
Subjective Assessment of Efficacy by ParticipantBaseline up to Year 4.75Participants assessed efficacy of BeneFIX as very good, good, moderate and bad at each follow-up visit. Results were summarized for the latest (most recent), worst and best assessment of BeneFIX done by the participant.
Dose Per Injection of BeneFIXBaseline up to Year 4.75Dose per injection during prophylaxis and on demand period were reported. All periods with at least one injection per week were considered as prophylaxis period. All prophylaxis periods of less than a month were reviewed and cross-checked with the treatment scheme planned at the previous visit to confirm if they were real prophylaxis periods or preventive injections periods. On demand treatment period included the total duration of follow up excluding duration of both prophylaxis and preventive injection treatment scheme. Participants may be represented in more than 1 category.
Number of Bleeding EpisodesBaseline up to Year 4.75Number of bleeding episode during prophylaxis and on demand period were reported. All periods with at least one injection per week were considered as prophylaxis period. All prophylaxis periods of less than a month were reviewed and cross-checked with the treatment scheme planned at the previous visit to confirm if they were real prophylaxis periods or preventive injections periods. On demand treatment period included the total duration of follow up excluding duration of both prophylaxis and preventive injection treatment scheme. Efficacy population included only those participants who were previously treated with BeneFIX. Here, 'n' signifies participants evaluable for this measure during the specified treatment period. Participants may be represented in more than 1 category.
Subjective Assessment of Ease of Use by ParticipantBaseline up to Year 4.75Participants assessed ease of use of BeneFIX as very good, good, moderate and bad at each follow-up visit. Results were summarized for the latest (most recent), worst and best assessment of BeneFIX done by the participant.
Subjective Assessment of Efficacy by PhysicianBaseline up to Year 4.75Participating physician assessed efficacy of BeneFIX as very good, good, moderate and bad at follow-up visit. Results were summarized for the latest (most recent), worst and best assessment of BeneFIX done by the physician.
Number of Bleeding Episodes Requiring Treatment by InjectionBaseline up to Year 4.75Number of injections (1, 2, 3 or greater than or equal to \[\>= 4\]) required to treat the bleeding episodes during prophylaxis and on demand period were reported. All periods with at least one injection per week were considered as prophylaxis period. All prophylaxis periods of less than a month were reviewed and cross-checked with the treatment scheme planned at the previous visit to confirm if they were real prophylaxis periods or preventive injections periods. On demand treatment period included the total duration of follow up excluding duration of both prophylaxis and preventive injection treatment scheme.
Total Consumption of BeneFIXBaseline up to Year 4.75Total consumption of BeneFIX included consumption during prophylaxis, on demand, during bleeding episodes, preventive injections, surgeries or immune tolerance.

Countries

France

Participant flow

Participants by arm

ArmCount
BeneFIX (Previously Treated Participants)
Participants with hemophilia B who were previously treated with reformulated BeneFIX, received reformulated BeneFIX intravenous injection per routine clinical practice and were observed for up to 5 years.
57
BeneFIX (Previously Untreated Participants)
Participants with hemophilia B who were previously untreated with reformulated BeneFIX, received reformulated BeneFIX intravenous injection as per routine clinical practice and were observed for up to 5 years.
1
Total58

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event01
Overall StudyDeath10
Overall StudyOther80
Overall StudyWithdrawal by Subject10

Baseline characteristics

CharacteristicBeneFIX (Previously Treated Participants)BeneFIX (Previously Untreated Participants)Total
Age, Continuous23.36 years
STANDARD_DEVIATION 16.237
1.30 years22.98 years
STANDARD_DEVIATION 16.353
Sex: Female, Male
Female
0 Participants0 Participants0 Participants
Sex: Female, Male
Male
57 Participants1 Participants58 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
21 / 570 / 1
serious
Total, serious adverse events
10 / 571 / 1

Outcome results

Primary

Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) by Relationship After Safety Amendment

AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An 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; congenital anomaly. A treatment-related AE was any untoward medical occurrence attributed to study drug in a participant who received study drug as per participating physician. AEs included SAEs as well as non-serious AEs which occurred after the safety amendment. After the safety amendment, all AEs/SAEs were collected irrespective of their relationship to BeneFIX.

Time frame: Year 3.5 up to 4.75

Population: Safety population included all participants who received at least one dose of BeneFIX. Previously untreated participants were not evaluable for this outcome measure due to discontinuation prior to safety amendment.

ArmMeasureGroupValue (NUMBER)
BeneFIX (Previously Treated Participants)Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) by Relationship After Safety AmendmentAE26 participants
BeneFIX (Previously Treated Participants)Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) by Relationship After Safety AmendmentSAE10 participants
BeneFIX (Previously Treated Participants)Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) by Relationship After Safety AmendmentTreatment-related AE1 participants
BeneFIX (Previously Treated Participants)Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) by Relationship After Safety AmendmentTreatment-related SAE0 participants
Primary

Number of Participants With Events of Special Interest

Events of special interest included allergic reactions, red blood cell (RBC) agglutination phenomena, lack of efficacy/low recovery, thrombotic events and onset of factor IX (FIX) inhibitor. Participants may be represented in more than 1 category.

Time frame: Baseline up to Year 4.75

Population: Safety population included all participants who received at least one dose of BeneFIX.

ArmMeasureGroupValue (NUMBER)
BeneFIX (Previously Treated Participants)Number of Participants With Events of Special InterestFIX inhibitor0 participants
BeneFIX (Previously Treated Participants)Number of Participants With Events of Special InterestRBC agglutination0 participants
BeneFIX (Previously Treated Participants)Number of Participants With Events of Special InterestLack of efficacy/ low recovery0 participants
BeneFIX (Previously Treated Participants)Number of Participants With Events of Special InterestThrombotic event0 participants
BeneFIX (Previously Treated Participants)Number of Participants With Events of Special InterestAllergic reactions0 participants
BeneFIX (Previously Untreated Participants)Number of Participants With Events of Special InterestAllergic reactions0 participants
BeneFIX (Previously Untreated Participants)Number of Participants With Events of Special InterestThrombotic event0 participants
BeneFIX (Previously Untreated Participants)Number of Participants With Events of Special InterestRBC agglutination0 participants
BeneFIX (Previously Untreated Participants)Number of Participants With Events of Special InterestFIX inhibitor1 participants
BeneFIX (Previously Untreated Participants)Number of Participants With Events of Special InterestLack of efficacy/ low recovery0 participants
Primary

Number of Participants With Treatment-Related Adverse Events (AEs) and Serious Adverse Events (SAEs) Prior to Safety Amendment

A treatment-related AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. An 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; congenital anomaly. AEs included SAEs as well as non-serious AEs which occurred prior to safety amendment. Prior to safety amendment, only AEs/SAEs deemed related to BeneFIX as per participating physician were collected.

Time frame: Baseline up to Year 3.5

Population: Safety population included all participants who received at least one dose of BeneFIX.

ArmMeasureGroupValue (NUMBER)
BeneFIX (Previously Treated Participants)Number of Participants With Treatment-Related Adverse Events (AEs) and Serious Adverse Events (SAEs) Prior to Safety AmendmentTreatment-related AE1 participants
BeneFIX (Previously Treated Participants)Number of Participants With Treatment-Related Adverse Events (AEs) and Serious Adverse Events (SAEs) Prior to Safety AmendmentTreatment-related SAE0 participants
BeneFIX (Previously Untreated Participants)Number of Participants With Treatment-Related Adverse Events (AEs) and Serious Adverse Events (SAEs) Prior to Safety AmendmentTreatment-related AE1 participants
BeneFIX (Previously Untreated Participants)Number of Participants With Treatment-Related Adverse Events (AEs) and Serious Adverse Events (SAEs) Prior to Safety AmendmentTreatment-related SAE1 participants
Secondary

Dose Per Injection of BeneFIX

Dose per injection during prophylaxis and on demand period were reported. All periods with at least one injection per week were considered as prophylaxis period. All prophylaxis periods of less than a month were reviewed and cross-checked with the treatment scheme planned at the previous visit to confirm if they were real prophylaxis periods or preventive injections periods. On demand treatment period included the total duration of follow up excluding duration of both prophylaxis and preventive injection treatment scheme. Participants may be represented in more than 1 category.

Time frame: Baseline up to Year 4.75

Population: Efficacy population. Efficacy population included only those participants who were previously treated with BeneFIX. Here, 'n' signifies participants evaluable for this measure during the specified treatment period.

ArmMeasureGroupValue (MEAN)Dispersion
BeneFIX (Previously Treated Participants)Dose Per Injection of BeneFIXProphylaxis (n=28)45.3 IU/kgStandard Deviation 11.41
BeneFIX (Previously Treated Participants)Dose Per Injection of BeneFIXOn demand (n=21)49.0 IU/kgStandard Deviation 14.25
Secondary

Number of Bleeding Episodes

Number of bleeding episode during prophylaxis and on demand period were reported. All periods with at least one injection per week were considered as prophylaxis period. All prophylaxis periods of less than a month were reviewed and cross-checked with the treatment scheme planned at the previous visit to confirm if they were real prophylaxis periods or preventive injections periods. On demand treatment period included the total duration of follow up excluding duration of both prophylaxis and preventive injection treatment scheme. Efficacy population included only those participants who were previously treated with BeneFIX. Here, 'n' signifies participants evaluable for this measure during the specified treatment period. Participants may be represented in more than 1 category.

Time frame: Baseline up to Year 4.75

Population: Efficacy population: participants with basal FIX activity less than or equal to (\<=) 1 percent (%) with real exposure days in diary at least 70% of planned exposure days for prophylaxis period, and without FIX inhibitor before or during study (no FIX inhibitor history at baseline; FIX inhibitor titer \<0.6 Bethesda Unit \[BU\] during follow up).

ArmMeasureGroupValue (NUMBER)
BeneFIX (Previously Treated Participants)Number of Bleeding EpisodesProphylaxis (n=28)261 bleeding episodes
BeneFIX (Previously Treated Participants)Number of Bleeding EpisodesOn demand (n=21)695 bleeding episodes
Secondary

Number of Bleeding Episodes Requiring Treatment by Injection

Number of injections (1, 2, 3 or greater than or equal to \[\>= 4\]) required to treat the bleeding episodes during prophylaxis and on demand period were reported. All periods with at least one injection per week were considered as prophylaxis period. All prophylaxis periods of less than a month were reviewed and cross-checked with the treatment scheme planned at the previous visit to confirm if they were real prophylaxis periods or preventive injections periods. On demand treatment period included the total duration of follow up excluding duration of both prophylaxis and preventive injection treatment scheme.

Time frame: Baseline up to Year 4.75

Population: Efficacy population. Efficacy population included only those participants who were previously treated with BeneFIX. Here, 'number of bleeding episodes analyzed' signifies episodes evaluable for this measure. 'n' signifies those bleeding episodes with injection data available during specified period.

ArmMeasureGroupValue (NUMBER)
BeneFIX (Previously Treated Participants)Number of Bleeding Episodes Requiring Treatment by InjectionProphylaxis: 1 Injection (n = 261)144 bleeding episodes
BeneFIX (Previously Treated Participants)Number of Bleeding Episodes Requiring Treatment by InjectionOn demand: 1 Injection (n = 694)515 bleeding episodes
BeneFIX (Previously Treated Participants)Number of Bleeding Episodes Requiring Treatment by InjectionProphylaxis: 2 Injection (n = 261)63 bleeding episodes
BeneFIX (Previously Treated Participants)Number of Bleeding Episodes Requiring Treatment by InjectionOn demand: 2 Injection (n = 694)89 bleeding episodes
BeneFIX (Previously Treated Participants)Number of Bleeding Episodes Requiring Treatment by InjectionProphylaxis: 3 Injection (n = 261)21 bleeding episodes
BeneFIX (Previously Treated Participants)Number of Bleeding Episodes Requiring Treatment by InjectionOn demand: 3 Injection (n = 694)35 bleeding episodes
BeneFIX (Previously Treated Participants)Number of Bleeding Episodes Requiring Treatment by InjectionProphylaxis: >=4 Injection (n = 261)33 bleeding episodes
BeneFIX (Previously Treated Participants)Number of Bleeding Episodes Requiring Treatment by InjectionOn demand: >=4 Injection (n = 694)55 bleeding episodes
Secondary

Subjective Assessment of Ease of Use by Participant

Participants assessed ease of use of BeneFIX as very good, good, moderate and bad at each follow-up visit. Results were summarized for the latest (most recent), worst and best assessment of BeneFIX done by the participant.

Time frame: Baseline up to Year 4.75

Population: Efficacy population. Efficacy population included only those participants who were previously treated with BeneFIX.

ArmMeasureGroupValue (NUMBER)
BeneFIX (Previously Treated Participants)Subjective Assessment of Ease of Use by ParticipantLatest assessment: Missing5 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Ease of Use by ParticipantLatest assessment: Very Good17 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Ease of Use by ParticipantLatest assessment: Good19 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Ease of Use by ParticipantLatest assessment: Moderate1 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Ease of Use by ParticipantLatest assessment: Bad0 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Ease of Use by ParticipantWorst assessment: Missing Value5 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Ease of Use by ParticipantWorst assessment: Very Good13 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Ease of Use by ParticipantWorst assessment: Good22 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Ease of Use by ParticipantWorst assessment: Moderate2 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Ease of Use by ParticipantBest assessment: Missing Values5 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Ease of Use by ParticipantBest assessment: Very Good21 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Ease of Use by ParticipantBest assessment: Good16 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Ease of Use by ParticipantBest assessment: Moderate0 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Ease of Use by ParticipantBest assessment: Bad0 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Ease of Use by ParticipantWorst assessment: Bad0 participants
Secondary

Subjective Assessment of Efficacy by Participant

Participants assessed efficacy of BeneFIX as very good, good, moderate and bad at each follow-up visit. Results were summarized for the latest (most recent), worst and best assessment of BeneFIX done by the participant.

Time frame: Baseline up to Year 4.75

Population: Efficacy population. Efficacy population included only those participants who were previously treated with BeneFIX.

ArmMeasureGroupValue (NUMBER)
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by ParticipantLatest assessment: Missing Values4 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by ParticipantLatest assessment: Very Good19 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by ParticipantLatest assessment: Good19 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by ParticipantLatest assessment: Moderate0 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by ParticipantLatest assessment: Bad0 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by ParticipantWorst assessment: Missing Values4 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by ParticipantWorst assessment: Very Good17 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by ParticipantWorst assessment: Good20 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by ParticipantWorst assessment: Moderate1 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by ParticipantWorst assessment: Bad0 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by ParticipantBest assessment: Missing Values4 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by ParticipantBest assessment: Moderate0 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by ParticipantBest assessment: Bad0 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by ParticipantBest assessment: Very Good25 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by ParticipantBest assessment: Good13 participants
Secondary

Subjective Assessment of Efficacy by Physician

Participating physician assessed efficacy of BeneFIX as very good, good, moderate and bad at follow-up visit. Results were summarized for the latest (most recent), worst and best assessment of BeneFIX done by the physician.

Time frame: Baseline up to Year 4.75

Population: Efficacy population. Efficacy population included only those participants who were previously treated with BeneFIX.

ArmMeasureGroupValue (NUMBER)
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by PhysicianLatest assessment: Very Good17 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by PhysicianLatest assessment: Good23 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by PhysicianLatest assessment: Moderate2 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by PhysicianLatest assessment: Bad0 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by PhysicianWorst assessment: Very Good10 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by PhysicianWorst assessment: Good29 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by PhysicianWorst assessment: Moderate3 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by PhysicianWorst assessment: Bad0 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by PhysicianBest assessment: Very Good31 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by PhysicianBest assessment: Good11 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by PhysicianBest assessment: Moderate0 participants
BeneFIX (Previously Treated Participants)Subjective Assessment of Efficacy by PhysicianBest assessment: Bad0 participants
Secondary

Total Consumption of BeneFIX

Total consumption of BeneFIX included consumption during prophylaxis, on demand, during bleeding episodes, preventive injections, surgeries or immune tolerance.

Time frame: Baseline up to Year 4.75

Population: Safety population included all participants who received at least one dose of BeneFIX. Participants with at least one follow-up visit were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
BeneFIX (Previously Treated Participants)Total Consumption of BeneFIX434751.0 International Unit (IU)Standard Deviation 446077.9
BeneFIX (Previously Untreated Participants)Total Consumption of BeneFIX15000.0 International Unit (IU)

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