Hemophilia A
Conditions
Keywords
ReFacto AF, factor VIII, inhibitors, antibodies
Brief summary
Study to evaluate the safety and effectiveness of ReFacto AF for the treatment of severe hemophilia A in patients who have not yet received treatment for their hemophilia. Study subjects will be males less than 6 years old who have not taken any clotting factor or other blood products before the study. The safety and effectiveness of ReFacto AF will be determined in this study by tests and procedures done at the doctor's office.
Detailed description
Regulatory Commitment
Interventions
Blood draws to determine the level of factor VIII activity before and after dosing at appropriate visits, and blood draws to determine levels of factor VIII inhibitor (antibody to factor VIII).
Sponsors
Study design
Eligibility
Inclusion criteria
* Male subjects \<6 years of age with severe hemophilia A (FVIII:C \<1%) based on clinical records, including newborns. * No prior exposure to factor products or any blood products.
Exclusion criteria
* Presence of any bleeding disorder in addition to hemophilia A. * Treatment with any investigational agent or device within the past 30 days. * Any condition(s) that compromises the ability to collect study-related observations, or that poses a contraindication to study participation (these conditions include, but are not limited to, inadequate medical history to assure study eligibility; and expectation of poor adherence to study requirements).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants Who Developed Clinically Significant Factor VIII (FVIII) Inhibitors During the Course of the Study | 2 years | Percentage of participants who developed clinically significant FVIII inhibitors: those persistent over a defined period with clinically impactful effects like breakthrough bleed, low recovery, etc., during the course of the study. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Total Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AF | 2 years | Number of infusions of Refacto AF required to treat a new bleed were classified on basis of the response to at 4-point response scale of assessment (excellent, good, moderate and no response). Assessment was completed each time a participant experienced a new bleed requiring an 'on-demand' IV infusion. Excellent: definite pain relief and/or improvement in bleeding signs within 8 hours (hr) after infusion, no additional infusion administered; Good: definite pain relief and/or improvement in bleeding signs within 8 hr after infusion, at least 1 additional infusion administered for complete resolution or with no additional infusion administered; Moderate: probable or slight improvement starting after 8 hr following infusion, at least 1 additional infusion administered for complete resolution; No Response: no improvement at all between infusions or during 24 hr interval following infusion or condition worsen. Bleeds for which response not recorded, reported as: Data Not Recorded. |
| Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | Within 48 hours after infusion, up to 2 years treatment duration | Number of infusions of Refacto AF required for resolution of a bleeding episodes were classified on basis of the response at 4-point response scale of assessment (excellent, good, moderate and no response). Excellent: definite pain relief and/or improvement in bleeding signs within 8 hours (hr) after infusion, no additional infusion administered; Good: definite pain relief and/or improvement in bleeding signs within 8 hr after infusion, at least 1 additional infusion administered for complete resolution or with no additional infusion administered; Moderate: probable or slight improvement starting after 8 hr following infusion, at least 1 additional infusion administered for complete resolution; No Response: no improvement at all between infusions or during 24 hr interval following infusion or condition worsen. Bleeds for which response not recorded, reported as: Data Not Recorded. |
| Total Number of Breakthrough Bleeding Episodes Occurring Within 48 Hours After a Prophylaxis Infusion of ReFacto AF | 2 years | The number of breakthrough bleeds (spontaneous or traumatic) within 48 hours following a prophylaxis dose of ReFacto AF are summarized. If there was more than 1 bleed location (like ankle and joint) with identical bleed start date and time, it was treated as 1 bleed occurrence. |
| Consumption of Total International Units of Factor VIII | 2 years | — |
| Consumption of Total International Units of Factor VIII Per Year | 2 years | Consumption of total international units of Factor VIII per year was calculated for a participant: dividing the total consumption of factor VIII by participant's treatment interval duration (in days), then multiplying by 365.25. |
| Mean Dose (IU) of Study Drug Consumed Per Infusion | 2 years | Mean dose for each participant was calculated as participant's total factor VIII consumption (in IU) divided by the number of infusions administered. |
| Consumption of Total International Units of Factor VIII by Weight | 2 years | Consumption of total international units of Factor VIII by weight was calculated for a participant: dividing the total consumption of factor VIII by participant's weight (the most recently recorded). |
| Annualized Bleeding Rate (ABR) | 2 years | Annualized bleeding rate was calculated as the number of bleeds divided by the treatment interval duration (enrollment visit to final visit) and then multiplied by 365.25. If there was more than 1 bleed location (like ankle and joint) with identical bleed start date and time, it was treated as 1 bleed occurrence. |
| Mean Dose (IU) of Study Drug Consumed Per Infusion by Weight | 2 years | Mean dose for each participant was calculated as participant's total factor consumption (in IU) divided by the number of infusions administered and then dividing by participant's weight (the most recently recorded). |
| Mean of Total Number of Infusions of Study Drug Received | 2 years | — |
| Mean of Total Number of Days Participants Exposed to Study Drug | 2 years | — |
| Number of Participants Who Required Dose Escalation of Their Prescribed Prophylaxis Regimen During Their Participation in This Study | 2 years | The number of participants who met the dose escalation criteria were prescribed a higher dose and/or were prescribed more frequent doses. When dose escalation was required, the specific dose and dosing schedule was at the investigator's discretion. |
| Percentage of Bleeding Episodes With Less-Than-Expected Therapeutic Effect (LETE) in On-Demand (OD) Setting | 2 years | LETE occurs in OD setting if participant recorded 2 successive No Response (no improvement at all between infusions, or condition worsens) ratings after 2 successive infusions of study drug. Infusions must have been given within 24 hours (hr) of each other for treatment of same bleeding event in absence of confounding factors (known presence or subsequent identification of a FVIII inhibitor, known inadequate dose for type and/or severity of bleed in opinion of investigator, delay of greater than (\>) 4 hr between onset of bleed to infusion, delay of \>24 hr before administration of a follow-up infusion, known compromised study drug, faulty administration of study drug, participant had an underlying, predisposing condition responsible for bleed in opinion of investigator, ongoing trauma responsible for continued bleeding. |
| Percentage of Bleeding Episodes With Less-Than-Expected Therapeutic Effect (LETE) in the Prophylaxis Setting | 2 years | LETE in prophylaxis setting if there was a spontaneous bleed within 48 hours after a regularly scheduled prophylactic dose of study drug (which was not used to treat a bleed) in the absence of confounding factors (known presence or subsequent identification of a FVIII inhibitor, known inadequate prophylactic dose \[a dose less than that prescribed in participant's regimen\], known lack of adherence to the prescribed prophylaxis regimen, known compromised study drug, faulty administration of study drug, participant had an underlying, predisposing condition responsible for the bleed in the opinion of the investigator, traumatic injury responsible for bleeding. |
| Total Number of Events of Potential Less-Than-Expected Therapeutic Effect (LETE) in the Low Recovery Setting | 2 years | LETE was lower than expected recovery of FVIII in the opinion of the investigator following infusion of study drug in the absence of confounding factors (known presence or subsequent identification of a FVIII inhibitor, known compromised study drug, faulty administration of study drug including inadequate dosing). |
| Consumption of Total International Units of Factor VIII Per Year by Weight | 2 years | Consumption of total international units of Factor VIII per year by weight was calculated for a participant: the total consumption of factor VIII divided by participant's treatment interval duration (in days), then multiplying by 365.25 and then dividing by participant's weight (the most recently recorded). |
Countries
France, Germany, Italy, Netherlands, Spain, Turkey (Türkiye), Ukraine
Participant flow
Recruitment details
A total of 23 participants were enrolled in this non-randomized open-label study & they received ReFacto albumin free (AF) at dose & frequency prescribed by each participant's treating physician as per local standard of care & in accordance with summary of product characteristics (SmPC). Participants were expected to be in study for about 26 months
Pre-assignment details
The study was conducted at 11 centers across various countries. Participants less than 6 years of age with severe hemophilia A (FVIII activity in plasma \[FVIII:C\]\<1%) who had not received any prior factor products or blood products for their hemophilia A were enrolled in this study.
Participants by arm
| Arm | Count |
|---|---|
| Overall Participants All participants enrolled in the study who had received at least 1 dose of ReFacto AF. | 23 |
| Total | 23 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Adverse Event | 2 |
| Overall Study | Discontinuation of Study by Sponsor | 1 |
| Overall Study | Parent/Legal Guardian Request | 1 |
Baseline characteristics
| Characteristic | Overall Participants |
|---|---|
| Age, Continuous | 1.0 Years STANDARD_DEVIATION 1.09 |
| Sex: Female, Male Female | 0 Participants |
| Sex: Female, Male Male | 23 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 20 / 23 |
| serious Total, serious adverse events | 11 / 23 |
Outcome results
Percentage of Participants Who Developed Clinically Significant Factor VIII (FVIII) Inhibitors During the Course of the Study
Percentage of participants who developed clinically significant FVIII inhibitors: those persistent over a defined period with clinically impactful effects like breakthrough bleed, low recovery, etc., during the course of the study.
Time frame: 2 years
Population: Analysis set included all participants who had received at least 1 dose of ReFacto AF and those were observed for clinically significant FVIII inhibitors.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Overall Participants | Percentage of Participants Who Developed Clinically Significant Factor VIII (FVIII) Inhibitors During the Course of the Study | 21.74 Percentage of participants |
Annualized Bleeding Rate (ABR)
Annualized bleeding rate was calculated as the number of bleeds divided by the treatment interval duration (enrollment visit to final visit) and then multiplied by 365.25. If there was more than 1 bleed location (like ankle and joint) with identical bleed start date and time, it was treated as 1 bleed occurrence.
Time frame: 2 years
Population: Efficacy analysis set included all participants who had received at least 1 dose of ReFacto AF.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Overall Participants | Annualized Bleeding Rate (ABR) | 5.88 bleeds per year | Standard Deviation 8.082 |
Consumption of Total International Units of Factor VIII
Time frame: 2 years
Population: Efficacy analysis set included all participants who had received at least 1 dose of ReFacto AF.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Overall Participants | Consumption of Total International Units of Factor VIII | 4186 International units | Standard Deviation 3038.4 |
| Overall Participants: Follow-up IV Infusions | Consumption of Total International Units of Factor VIII | 1857 International units | Standard Deviation 2357.5 |
| Overall Participants: All IV Infusions | Consumption of Total International Units of Factor VIII | 55543 International units | Standard Deviation 55535.5 |
| Four IV Infusions | Consumption of Total International Units of Factor VIII | 1634 International units | Standard Deviation 2523.8 |
| Greater Than 4 IV Infusions | Consumption of Total International Units of Factor VIII | 57799 International units | Standard Deviation 55125.8 |
Consumption of Total International Units of Factor VIII by Weight
Consumption of total international units of Factor VIII by weight was calculated for a participant: dividing the total consumption of factor VIII by participant's weight (the most recently recorded).
Time frame: 2 years
Population: Efficacy analysis set included all participants who had received at least 1 dose of ReFacto AF.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Overall Participants | Consumption of Total International Units of Factor VIII by Weight | 388 International units per kilogram | Standard Deviation 297 |
| Overall Participants: Follow-up IV Infusions | Consumption of Total International Units of Factor VIII by Weight | 93 International units per kilogram | Standard Deviation 56.8 |
| Overall Participants: All IV Infusions | Consumption of Total International Units of Factor VIII by Weight | 4766 International units per kilogram | Standard Deviation 4933.5 |
| Four IV Infusions | Consumption of Total International Units of Factor VIII by Weight | 187 International units per kilogram | Standard Deviation 256.5 |
| Greater Than 4 IV Infusions | Consumption of Total International Units of Factor VIII by Weight | 4966 International units per kilogram | Standard Deviation 4891.4 |
Consumption of Total International Units of Factor VIII Per Year
Consumption of total international units of Factor VIII per year was calculated for a participant: dividing the total consumption of factor VIII by participant's treatment interval duration (in days), then multiplying by 365.25.
Time frame: 2 years
Population: Efficacy analysis set included all participants who had received at least 1 dose of ReFacto AF.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Overall Participants | Consumption of Total International Units of Factor VIII Per Year | 72336 International units per year | Standard Deviation 123407.9 |
Consumption of Total International Units of Factor VIII Per Year by Weight
Consumption of total international units of Factor VIII per year by weight was calculated for a participant: the total consumption of factor VIII divided by participant's treatment interval duration (in days), then multiplying by 365.25 and then dividing by participant's weight (the most recently recorded).
Time frame: 2 years
Population: Efficacy analysis set included all participants who had received at least 1 dose of ReFacto AF.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Overall Participants | Consumption of Total International Units of Factor VIII Per Year by Weight | 6398 International units per kilogram*years | Standard Deviation 11102.8 |
Mean Dose (IU) of Study Drug Consumed Per Infusion
Mean dose for each participant was calculated as participant's total factor VIII consumption (in IU) divided by the number of infusions administered.
Time frame: 2 years
Population: Efficacy analysis set included all participants who had received at least 1 dose of ReFacto AF.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Overall Participants | Mean Dose (IU) of Study Drug Consumed Per Infusion | 552 International units per infusion | Standard Deviation 296.7 |
| Overall Participants: Follow-up IV Infusions | Mean Dose (IU) of Study Drug Consumed Per Infusion | 544 International units per infusion | Standard Deviation 285.6 |
| Overall Participants: All IV Infusions | Mean Dose (IU) of Study Drug Consumed Per Infusion | 628 International units per infusion | Standard Deviation 389.6 |
| Four IV Infusions | Mean Dose (IU) of Study Drug Consumed Per Infusion | 481 International units per infusion | Standard Deviation 401.5 |
| Greater Than 4 IV Infusions | Mean Dose (IU) of Study Drug Consumed Per Infusion | 619 International units per infusion | Standard Deviation 386.5 |
Mean Dose (IU) of Study Drug Consumed Per Infusion by Weight
Mean dose for each participant was calculated as participant's total factor consumption (in IU) divided by the number of infusions administered and then dividing by participant's weight (the most recently recorded).
Time frame: 2 years
Population: Efficacy analysis set included all participants who had received at least 1 dose of ReFacto AF.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Overall Participants | Mean Dose (IU) of Study Drug Consumed Per Infusion by Weight | 49 International units per kilogram | Standard Deviation 26.1 |
| Overall Participants: Follow-up IV Infusions | Mean Dose (IU) of Study Drug Consumed Per Infusion by Weight | 42 International units per kilogram | Standard Deviation 16.9 |
| Overall Participants: All IV Infusions | Mean Dose (IU) of Study Drug Consumed Per Infusion by Weight | 55 International units per kilogram | Standard Deviation 34.4 |
| Four IV Infusions | Mean Dose (IU) of Study Drug Consumed Per Infusion by Weight | 50 International units per kilogram | Standard Deviation 41 |
| Greater Than 4 IV Infusions | Mean Dose (IU) of Study Drug Consumed Per Infusion by Weight | 53 International units per kilogram | Standard Deviation 33.5 |
Mean of Total Number of Days Participants Exposed to Study Drug
Time frame: 2 years
Population: Efficacy analysis set included all participants who had received at least 1 dose of ReFacto AF.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Overall Participants | Mean of Total Number of Days Participants Exposed to Study Drug | 8 Days | Standard Deviation 6.3 |
| Overall Participants: Follow-up IV Infusions | Mean of Total Number of Days Participants Exposed to Study Drug | 3 Days | Standard Deviation 3.7 |
| Overall Participants: All IV Infusions | Mean of Total Number of Days Participants Exposed to Study Drug | 76 Days | Standard Deviation 31.3 |
| Four IV Infusions | Mean of Total Number of Days Participants Exposed to Study Drug | 2 Days | Standard Deviation 1.9 |
| Greater Than 4 IV Infusions | Mean of Total Number of Days Participants Exposed to Study Drug | 81 Days | Standard Deviation 32.4 |
Mean of Total Number of Infusions of Study Drug Received
Time frame: 2 years
Population: Efficacy analysis set included all participants who had received at least 1 dose of ReFacto AF.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Overall Participants | Mean of Total Number of Infusions of Study Drug Received | 9 Infusions | Standard Deviation 8 |
| Overall Participants: Follow-up IV Infusions | Mean of Total Number of Infusions of Study Drug Received | 5 Infusions | Standard Deviation 8.9 |
| Overall Participants: All IV Infusions | Mean of Total Number of Infusions of Study Drug Received | 80 Infusions | Standard Deviation 36.9 |
| Four IV Infusions | Mean of Total Number of Infusions of Study Drug Received | 2 Infusions | Standard Deviation 1.9 |
| Greater Than 4 IV Infusions | Mean of Total Number of Infusions of Study Drug Received | 86 Infusions | Standard Deviation 37.5 |
Number of Participants Who Required Dose Escalation of Their Prescribed Prophylaxis Regimen During Their Participation in This Study
The number of participants who met the dose escalation criteria were prescribed a higher dose and/or were prescribed more frequent doses. When dose escalation was required, the specific dose and dosing schedule was at the investigator's discretion.
Time frame: 2 years
Population: Efficacy analysis set consisted of all participants who had received at least 1 dose of ReFacto AF.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Overall Participants | Number of Participants Who Required Dose Escalation of Their Prescribed Prophylaxis Regimen During Their Participation in This Study | 15 Participants |
Percentage of Bleeding Episodes With Less-Than-Expected Therapeutic Effect (LETE) in On-Demand (OD) Setting
LETE occurs in OD setting if participant recorded 2 successive No Response (no improvement at all between infusions, or condition worsens) ratings after 2 successive infusions of study drug. Infusions must have been given within 24 hours (hr) of each other for treatment of same bleeding event in absence of confounding factors (known presence or subsequent identification of a FVIII inhibitor, known inadequate dose for type and/or severity of bleed in opinion of investigator, delay of greater than (\>) 4 hr between onset of bleed to infusion, delay of \>24 hr before administration of a follow-up infusion, known compromised study drug, faulty administration of study drug, participant had an underlying, predisposing condition responsible for bleed in opinion of investigator, ongoing trauma responsible for continued bleeding.
Time frame: 2 years
Population: Efficacy analysis set included all participants who had received at least 1 dose of ReFacto AF.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Overall Participants | Percentage of Bleeding Episodes With Less-Than-Expected Therapeutic Effect (LETE) in On-Demand (OD) Setting | 0 Percentage of bleeding episodes |
Percentage of Bleeding Episodes With Less-Than-Expected Therapeutic Effect (LETE) in the Prophylaxis Setting
LETE in prophylaxis setting if there was a spontaneous bleed within 48 hours after a regularly scheduled prophylactic dose of study drug (which was not used to treat a bleed) in the absence of confounding factors (known presence or subsequent identification of a FVIII inhibitor, known inadequate prophylactic dose \[a dose less than that prescribed in participant's regimen\], known lack of adherence to the prescribed prophylaxis regimen, known compromised study drug, faulty administration of study drug, participant had an underlying, predisposing condition responsible for the bleed in the opinion of the investigator, traumatic injury responsible for bleeding.
Time frame: 2 years
Population: Efficacy analysis set included all participants who had received at least 1 dose of ReFacto AF.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Overall Participants | Percentage of Bleeding Episodes With Less-Than-Expected Therapeutic Effect (LETE) in the Prophylaxis Setting | 0.11 Percentage of bleeding episodes |
Total Number of Breakthrough Bleeding Episodes Occurring Within 48 Hours After a Prophylaxis Infusion of ReFacto AF
The number of breakthrough bleeds (spontaneous or traumatic) within 48 hours following a prophylaxis dose of ReFacto AF are summarized. If there was more than 1 bleed location (like ankle and joint) with identical bleed start date and time, it was treated as 1 bleed occurrence.
Time frame: 2 years
Population: Efficacy analysis set included all participants who had received at least 1 dose of ReFacto AF.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Overall Participants | Total Number of Breakthrough Bleeding Episodes Occurring Within 48 Hours After a Prophylaxis Infusion of ReFacto AF | 12 Bleeding episodes |
Total Number of Events of Potential Less-Than-Expected Therapeutic Effect (LETE) in the Low Recovery Setting
LETE was lower than expected recovery of FVIII in the opinion of the investigator following infusion of study drug in the absence of confounding factors (known presence or subsequent identification of a FVIII inhibitor, known compromised study drug, faulty administration of study drug including inadequate dosing).
Time frame: 2 years
Population: Efficacy analysis set consisted of all participants who had received at least 1 dose of ReFacto AF.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Overall Participants | Total Number of Events of Potential Less-Than-Expected Therapeutic Effect (LETE) in the Low Recovery Setting | 10 Events |
Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion
Number of infusions of Refacto AF required for resolution of a bleeding episodes were classified on basis of the response at 4-point response scale of assessment (excellent, good, moderate and no response). Excellent: definite pain relief and/or improvement in bleeding signs within 8 hours (hr) after infusion, no additional infusion administered; Good: definite pain relief and/or improvement in bleeding signs within 8 hr after infusion, at least 1 additional infusion administered for complete resolution or with no additional infusion administered; Moderate: probable or slight improvement starting after 8 hr following infusion, at least 1 additional infusion administered for complete resolution; No Response: no improvement at all between infusions or during 24 hr interval following infusion or condition worsen. Bleeds for which response not recorded, reported as: Data Not Recorded.
Time frame: Within 48 hours after infusion, up to 2 years treatment duration
Population: Efficacy analysis set included all participants who had received at least 1 dose of ReFacto AF.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Overall Participants | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | No response | 2 Infusions |
| Overall Participants | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | Excellent | 48 Infusions |
| Overall Participants | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | Data Not Recorded | 17 Infusions |
| Overall Participants | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | Good | 43 Infusions |
| Overall Participants | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | Moderate | 22 Infusions |
| Overall Participants: Follow-up IV Infusions | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | No response | 0 Infusions |
| Overall Participants: Follow-up IV Infusions | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | Moderate | 4 Infusions |
| Overall Participants: Follow-up IV Infusions | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | Good | 5 Infusions |
| Overall Participants: Follow-up IV Infusions | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | Data Not Recorded | 1 Infusions |
| Overall Participants: Follow-up IV Infusions | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | Excellent | 3 Infusions |
| Overall Participants: All IV Infusions | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | Moderate | 0 Infusions |
| Overall Participants: All IV Infusions | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | Excellent | 0 Infusions |
| Overall Participants: All IV Infusions | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | Good | 0 Infusions |
| Overall Participants: All IV Infusions | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | No response | 0 Infusions |
| Overall Participants: All IV Infusions | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | Data Not Recorded | 1 Infusions |
| Greater Than 4 IV Infusions | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | Data Not Recorded | 0 Infusions |
| Greater Than 4 IV Infusions | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | Excellent | 0 Infusions |
| Greater Than 4 IV Infusions | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | No response | 1 Infusions |
| Greater Than 4 IV Infusions | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | Moderate | 2 Infusions |
| Greater Than 4 IV Infusions | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | Good | 1 Infusions |
| Total Number of Bleeds | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | Moderate | 28 Infusions |
| Total Number of Bleeds | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | No response | 3 Infusions |
| Total Number of Bleeds | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | Excellent | 51 Infusions |
| Total Number of Bleeds | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | Data Not Recorded | 19 Infusions |
| Total Number of Bleeds | Total Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug Infusion | Good | 49 Infusions |
Total Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AF
Number of infusions of Refacto AF required to treat a new bleed were classified on basis of the response to at 4-point response scale of assessment (excellent, good, moderate and no response). Assessment was completed each time a participant experienced a new bleed requiring an 'on-demand' IV infusion. Excellent: definite pain relief and/or improvement in bleeding signs within 8 hours (hr) after infusion, no additional infusion administered; Good: definite pain relief and/or improvement in bleeding signs within 8 hr after infusion, at least 1 additional infusion administered for complete resolution or with no additional infusion administered; Moderate: probable or slight improvement starting after 8 hr following infusion, at least 1 additional infusion administered for complete resolution; No Response: no improvement at all between infusions or during 24 hr interval following infusion or condition worsen. Bleeds for which response not recorded, reported as: Data Not Recorded.
Time frame: 2 years
Population: Efficacy analysis set included all participants who had received at least 1 dose of ReFacto AF.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Overall Participants | Total Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AF | No response | 3 Infusions |
| Overall Participants | Total Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AF | Moderate | 28 Infusions |
| Overall Participants | Total Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AF | Excellent | 51 Infusions |
| Overall Participants | Total Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AF | Good | 48 Infusions |
| Overall Participants | Total Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AF | Data not recorded | 19 Infusions |
| Overall Participants: Follow-up IV Infusions | Total Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AF | Moderate | 12 Infusions |
| Overall Participants: Follow-up IV Infusions | Total Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AF | Excellent | 7 Infusions |
| Overall Participants: Follow-up IV Infusions | Total Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AF | Good | 19 Infusions |
| Overall Participants: Follow-up IV Infusions | Total Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AF | No response | 5 Infusions |
| Overall Participants: Follow-up IV Infusions | Total Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AF | Data not recorded | 1 Infusions |
| Overall Participants: All IV Infusions | Total Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AF | Data not recorded | 20 Infusions |
| Overall Participants: All IV Infusions | Total Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AF | No response | 8 Infusions |
| Overall Participants: All IV Infusions | Total Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AF | Excellent | 58 Infusions |
| Overall Participants: All IV Infusions | Total Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AF | Moderate | 40 Infusions |
| Overall Participants: All IV Infusions | Total Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AF | Good | 67 Infusions |