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Study of Safety And Efficacy Of ReFacto AF In Previously Untreated Hemophilia A Patients In The Usual Care Setting

AN OPEN-LABEL STUDY OF THE SAFETY AND EFFICACY OF REFACTO AF IN PREVIOUSLY UNTREATED PATIENTS IN USUAL CARE SETTINGS

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00950170
Enrollment
23
Registered
2009-07-31
Start date
2010-02-10
Completion date
2016-11-24
Last updated
2019-07-19

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

Conditions

Hemophilia A

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

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
MALE
Age
No minimum to 6 Years
Healthy volunteers
No

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

MeasureTime frameDescription
Percentage of Participants Who Developed Clinically Significant Factor VIII (FVIII) Inhibitors During the Course of the Study2 yearsPercentage 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

MeasureTime frameDescription
Total Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AF2 yearsNumber 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 InfusionWithin 48 hours after infusion, up to 2 years treatment durationNumber 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 AF2 yearsThe 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 VIII2 years
Consumption of Total International Units of Factor VIII Per Year2 yearsConsumption 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 Infusion2 yearsMean 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 Weight2 yearsConsumption 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 yearsAnnualized 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 Weight2 yearsMean 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 Received2 years
Mean of Total Number of Days Participants Exposed to Study Drug2 years
Number of Participants Who Required Dose Escalation of Their Prescribed Prophylaxis Regimen During Their Participation in This Study2 yearsThe 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) Setting2 yearsLETE 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 Setting2 yearsLETE 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 Setting2 yearsLETE 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 Weight2 yearsConsumption 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

ArmCount
Overall Participants
All participants enrolled in the study who had received at least 1 dose of ReFacto AF.
23
Total23

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event2
Overall StudyDiscontinuation of Study by Sponsor1
Overall StudyParent/Legal Guardian Request1

Baseline characteristics

CharacteristicOverall Participants
Age, Continuous1.0 Years
STANDARD_DEVIATION 1.09
Sex: Female, Male
Female
0 Participants
Sex: Female, Male
Male
23 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
20 / 23
serious
Total, serious adverse events
11 / 23

Outcome results

Primary

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.

ArmMeasureValue (NUMBER)
Overall ParticipantsPercentage of Participants Who Developed Clinically Significant Factor VIII (FVIII) Inhibitors During the Course of the Study21.74 Percentage of participants
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Overall ParticipantsAnnualized Bleeding Rate (ABR)5.88 bleeds per yearStandard Deviation 8.082
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Overall ParticipantsConsumption of Total International Units of Factor VIII4186 International unitsStandard Deviation 3038.4
Overall Participants: Follow-up IV InfusionsConsumption of Total International Units of Factor VIII1857 International unitsStandard Deviation 2357.5
Overall Participants: All IV InfusionsConsumption of Total International Units of Factor VIII55543 International unitsStandard Deviation 55535.5
Four IV InfusionsConsumption of Total International Units of Factor VIII1634 International unitsStandard Deviation 2523.8
Greater Than 4 IV InfusionsConsumption of Total International Units of Factor VIII57799 International unitsStandard Deviation 55125.8
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Overall ParticipantsConsumption of Total International Units of Factor VIII by Weight388 International units per kilogramStandard Deviation 297
Overall Participants: Follow-up IV InfusionsConsumption of Total International Units of Factor VIII by Weight93 International units per kilogramStandard Deviation 56.8
Overall Participants: All IV InfusionsConsumption of Total International Units of Factor VIII by Weight4766 International units per kilogramStandard Deviation 4933.5
Four IV InfusionsConsumption of Total International Units of Factor VIII by Weight187 International units per kilogramStandard Deviation 256.5
Greater Than 4 IV InfusionsConsumption of Total International Units of Factor VIII by Weight4966 International units per kilogramStandard Deviation 4891.4
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Overall ParticipantsConsumption of Total International Units of Factor VIII Per Year72336 International units per yearStandard Deviation 123407.9
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Overall ParticipantsConsumption of Total International Units of Factor VIII Per Year by Weight6398 International units per kilogram*yearsStandard Deviation 11102.8
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Overall ParticipantsMean Dose (IU) of Study Drug Consumed Per Infusion552 International units per infusionStandard Deviation 296.7
Overall Participants: Follow-up IV InfusionsMean Dose (IU) of Study Drug Consumed Per Infusion544 International units per infusionStandard Deviation 285.6
Overall Participants: All IV InfusionsMean Dose (IU) of Study Drug Consumed Per Infusion628 International units per infusionStandard Deviation 389.6
Four IV InfusionsMean Dose (IU) of Study Drug Consumed Per Infusion481 International units per infusionStandard Deviation 401.5
Greater Than 4 IV InfusionsMean Dose (IU) of Study Drug Consumed Per Infusion619 International units per infusionStandard Deviation 386.5
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Overall ParticipantsMean Dose (IU) of Study Drug Consumed Per Infusion by Weight49 International units per kilogramStandard Deviation 26.1
Overall Participants: Follow-up IV InfusionsMean Dose (IU) of Study Drug Consumed Per Infusion by Weight42 International units per kilogramStandard Deviation 16.9
Overall Participants: All IV InfusionsMean Dose (IU) of Study Drug Consumed Per Infusion by Weight55 International units per kilogramStandard Deviation 34.4
Four IV InfusionsMean Dose (IU) of Study Drug Consumed Per Infusion by Weight50 International units per kilogramStandard Deviation 41
Greater Than 4 IV InfusionsMean Dose (IU) of Study Drug Consumed Per Infusion by Weight53 International units per kilogramStandard Deviation 33.5
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Overall ParticipantsMean of Total Number of Days Participants Exposed to Study Drug8 DaysStandard Deviation 6.3
Overall Participants: Follow-up IV InfusionsMean of Total Number of Days Participants Exposed to Study Drug3 DaysStandard Deviation 3.7
Overall Participants: All IV InfusionsMean of Total Number of Days Participants Exposed to Study Drug76 DaysStandard Deviation 31.3
Four IV InfusionsMean of Total Number of Days Participants Exposed to Study Drug2 DaysStandard Deviation 1.9
Greater Than 4 IV InfusionsMean of Total Number of Days Participants Exposed to Study Drug81 DaysStandard Deviation 32.4
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Overall ParticipantsMean of Total Number of Infusions of Study Drug Received9 InfusionsStandard Deviation 8
Overall Participants: Follow-up IV InfusionsMean of Total Number of Infusions of Study Drug Received5 InfusionsStandard Deviation 8.9
Overall Participants: All IV InfusionsMean of Total Number of Infusions of Study Drug Received80 InfusionsStandard Deviation 36.9
Four IV InfusionsMean of Total Number of Infusions of Study Drug Received2 InfusionsStandard Deviation 1.9
Greater Than 4 IV InfusionsMean of Total Number of Infusions of Study Drug Received86 InfusionsStandard Deviation 37.5
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Overall ParticipantsNumber of Participants Who Required Dose Escalation of Their Prescribed Prophylaxis Regimen During Their Participation in This Study15 Participants
Secondary

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.

ArmMeasureValue (NUMBER)
Overall ParticipantsPercentage of Bleeding Episodes With Less-Than-Expected Therapeutic Effect (LETE) in On-Demand (OD) Setting0 Percentage of bleeding episodes
Secondary

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.

ArmMeasureValue (NUMBER)
Overall ParticipantsPercentage of Bleeding Episodes With Less-Than-Expected Therapeutic Effect (LETE) in the Prophylaxis Setting0.11 Percentage of bleeding episodes
Secondary

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.

ArmMeasureValue (NUMBER)
Overall ParticipantsTotal Number of Breakthrough Bleeding Episodes Occurring Within 48 Hours After a Prophylaxis Infusion of ReFacto AF12 Bleeding episodes
Secondary

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.

ArmMeasureValue (NUMBER)
Overall ParticipantsTotal Number of Events of Potential Less-Than-Expected Therapeutic Effect (LETE) in the Low Recovery Setting10 Events
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Overall ParticipantsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionNo response2 Infusions
Overall ParticipantsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionExcellent48 Infusions
Overall ParticipantsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionData Not Recorded17 Infusions
Overall ParticipantsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionGood43 Infusions
Overall ParticipantsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionModerate22 Infusions
Overall Participants: Follow-up IV InfusionsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionNo response0 Infusions
Overall Participants: Follow-up IV InfusionsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionModerate4 Infusions
Overall Participants: Follow-up IV InfusionsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionGood5 Infusions
Overall Participants: Follow-up IV InfusionsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionData Not Recorded1 Infusions
Overall Participants: Follow-up IV InfusionsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionExcellent3 Infusions
Overall Participants: All IV InfusionsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionModerate0 Infusions
Overall Participants: All IV InfusionsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionExcellent0 Infusions
Overall Participants: All IV InfusionsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionGood0 Infusions
Overall Participants: All IV InfusionsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionNo response0 Infusions
Overall Participants: All IV InfusionsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionData Not Recorded1 Infusions
Greater Than 4 IV InfusionsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionData Not Recorded0 Infusions
Greater Than 4 IV InfusionsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionExcellent0 Infusions
Greater Than 4 IV InfusionsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionNo response1 Infusions
Greater Than 4 IV InfusionsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionModerate2 Infusions
Greater Than 4 IV InfusionsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionGood1 Infusions
Total Number of BleedsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionModerate28 Infusions
Total Number of BleedsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionNo response3 Infusions
Total Number of BleedsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionExcellent51 Infusions
Total Number of BleedsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionData Not Recorded19 Infusions
Total Number of BleedsTotal Number of Infusions Needed for Resolution of Bleeding Episodes Classified on Basis of Response to Study Drug InfusionGood49 Infusions
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Overall ParticipantsTotal Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AFNo response3 Infusions
Overall ParticipantsTotal Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AFModerate28 Infusions
Overall ParticipantsTotal Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AFExcellent51 Infusions
Overall ParticipantsTotal Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AFGood48 Infusions
Overall ParticipantsTotal Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AFData not recorded19 Infusions
Overall Participants: Follow-up IV InfusionsTotal Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AFModerate12 Infusions
Overall Participants: Follow-up IV InfusionsTotal Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AFExcellent7 Infusions
Overall Participants: Follow-up IV InfusionsTotal Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AFGood19 Infusions
Overall Participants: Follow-up IV InfusionsTotal Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AFNo response5 Infusions
Overall Participants: Follow-up IV InfusionsTotal Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AFData not recorded1 Infusions
Overall Participants: All IV InfusionsTotal Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AFData not recorded20 Infusions
Overall Participants: All IV InfusionsTotal Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AFNo response8 Infusions
Overall Participants: All IV InfusionsTotal Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AFExcellent58 Infusions
Overall Participants: All IV InfusionsTotal Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AFModerate40 Infusions
Overall Participants: All IV InfusionsTotal Number of Infusions to Treat a New Bleed Classified on Basis of Response to First On-Demand Treatment With Refacto AFGood67 Infusions

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