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Long-Term Safety and Efficacy of rFIXFc in the Prevention and Treatment of Bleeding Episodes in Previously Treated Participants With Hemophilia B

An Open-Label, Multicenter, Evaluation of the Long-Term Safety and Efficacy of Recombinant Human Coagulation Factor IX Fusion Protein (rFIXFc) in the Prevention and Treatment of Bleeding Episodes in Previously Treated Subjects With Hemophilia B

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01425723
Acronym
B-YOND
Enrollment
120
Registered
2011-08-30
Start date
2011-12-08
Completion date
2017-10-31
Last updated
2020-12-19

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

Conditions

Severe Hemophilia B

Keywords

B-LONG, B-YOND, B-LONG Extension, rFIXFc, Severe Hemophilia B

Brief summary

The primary objective of the study is to evaluate the long-term safety of rFIXFc in participants with hemophilia B. The secondary objective of this study is to evaluate the efficacy of rFIXFc in the prevention and treatment of bleeding episodes.

Detailed description

Participants will follow either a prophylaxis or on-demand regimen. The starting dose in this study will be determined by the clinical profile of the patient in the preceding studies, B-LONG 998HB102 (NCT01027364) and Kids B-LONG study 9HB02PED (NCT01440946)

Interventions

BIOLOGICALrFIXFc

Administered as specified in the treatment arm.

Sponsors

Bioverativ Therapeutics Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
MALE
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: * Subjects who have completed studies 998HB102 (NCT01027364) or 9HB02PED (NCT01440946) or other studies with rFIXFc * Ability to understand the purposes & risks of the study and provide signed and dated informed consent. Key

Exclusion criteria

* High-titer inhibitor (\>/=5.00 BU/mL) NOTE: Other protocol defined Inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Any Positive Inhibitor DevelopmentApproximately 5 yearsAn inhibitor test result greater than or equal to (\>=)0.6 Bethesda units per milliliter (BU/mL), confirmed on 2 separate samples drawn 2 to 4 weeks apart, was considered positive. Both tests were to be performed by the central laboratory using the Nijmegen-modified Bethesda Assay. Data was summarized by treatment regimen for participants from Study 998HB102 and by age cohort (\<6 years and 6 to \<12 years old) and treatment regimen for participants from Study 9HB02PED per planned analysis. Participants were included in summary of more than 1 treatment regimen if their regimen changed during study.

Secondary

MeasureTime frameDescription
Annualized Spontaneous Joint Bleeding EpisodesApproximately 5 yearsBleeding episodes were classified as spontaneous if participant records a bleeding event when there is no known contributing factor such as definite trauma/antecedent strenuous activity. In addition, location of bleed (joint, internal, skin/mucosa or muscle) were also collected. Annualized spontaneous joint bleeding episodes=(Number of spontaneous joint bleeding episodes during efficacy period/number of days during efficacy period)\*365.25. Efficacy period reflects sum of all intervals of time during which participants were treated with rFIXFc per treatment regimen excluding major and minor surgical/rehabilitation periods and large injection intervals. Bleeding episodes were summarized by treatment regimen for participants from study 998HB102 and by age cohort (\<6 years and 6 to \<12 years old) and treatment regimen for participants from study 9HB02PED as per planned analysis. Participants were included in summary of more than 1 treatment regimen if their regimen changed during study.
Total Number of Exposure Days (EDs)Approximately 5 yearsAn exposure day is a 24-hour period in which one or more rFIXFc injections are given. The total number of days of exposure to rFIXFc were summarized by treatment regimen for participants from study 998HB102 and by age cohort (\<6 years and 6 to \<12 years old) and treatment regimen for participants from study 9HB02PED as per planned analysis. Participants were included in summary of more than 1 treatment regimen if their regimen changed during study.
Annualized Bleeding Rate (ABR)Approximately 5 yearsABR is annualized number of bleeding episodes per participant per year. Bleeding episodes were classified as spontaneous if participant records bleeding event when there is no known contributing factor such as definite trauma/antecedent strenuous activity and classified as traumatic if participant records bleeding event when there is known reason for bleed. ABR=(Number of bleeding episodes during efficacy period/number of days during efficacy period)\*365.25. Efficacy period reflects sum of all intervals of time during which participants were treated with rFIXFc per treatment regimen excluding major and minor surgical/rehabilitation periods and large injection intervals. ABR was summarized by treatment regimen for participants from study 998HB102 and by age cohort (\<6 years and 6 to \<12 years old) and treatment regimen for participants from study 9HB02PED per planned analysis. Participants were included in summary of more than 1 treatment regimen if their regimen changed during study.
Physicians' Global Assessment of Participant's Response to rFIXFc Regimen Using a 4-Point ScaleApproximately 5 yearsParticipants were assessed for response to their rFIXFc regimen using following 4-point scale: 1=Excellent: bleeding episodes responded to less than or equal to (\<=)usual number of injections or dose of rFIXFc or rate of breakthrough bleeding during prophylaxis was \<= that usually observed; 2=Effective: most bleeding episodes responded to same number of injections and dose, but some required more injections or higher doses, or there was minor increase in rate of breakthrough; 3=Partially Effective: bleeding episodes most often required more injections and/or higher doses than expected or adequate breakthrough bleeding prevention during prophylaxis required more frequent injections and/or higher doses and 4=Ineffective: routine failure to control hemostasis/hemostatic control require additional agents. Total number of scale responses =total count of scale responses for all participants; multiple responses per participant including those at scheduled and unscheduled visits are counted.
Participant's Assessment of Response (Excellent or Good Response) to rFIXFc Injections for the Treatment of Bleeding Episodes Using a 4-Point ScaleApproximately 5 yearsUsing eDiary, participant received rating for treatment response to any bleeding episode (BE) using 4-point scale- 1=Excellent: Abrupt pain relief and/or improvement in signs of bleeding within approximately (approx.) 8 hours (h) after initial injection (inj.); 2=Good: Definite pain relief and/or improvement in signs of bleeding within approx. 8h after an injection, but possibly requiring more than 1 injection after 24-48h for complete resolution; 3=Moderate: Probable/slight beneficial effect within 8h after initial injection and requires more than 1 injection and 4=None: No improvement, or condition worsens within approx. 8h after initial injection. This assessment was to be made approx. 8 to 12h from time the injection was given to treat BE and prior to any additional doses of rFIXFc given for same bleeding episode. Percentages are based on the number of bleeding episodes for which a response (excellent or good) was provided for the first injection during the efficacy period.
Annualized rFIXFc Consumption (International Units Per Kilogram [IU/kg])Approximately 5 yearsAnnualized consumption = (total international unit per kilogram \[IU/kg\] of study treatment received during the efficacy period / total number of days during the efficacy period) multiplied by 365.25. Efficacy period reflects sum of all intervals of time during which participants were treated with rFIXFc per treatment regimen excluding major and minor surgical/rehabilitation periods and large injection intervals. Annualized consumption was summarized by treatment regimen for participants from study 998HB102 and by age cohort (\<6 years and 6 to \<12 years old) and treatment regimen for participants from study 9HB02PED as per planned analysis. Participants were included in summary of more than 1 treatment regimen if their regimen changed during study.

Countries

Australia, Belgium, Brazil, Canada, China, France, Germany, Hong Kong, India, Ireland, Italy, Japan, Netherlands, Poland, South Africa, Sweden, United Kingdom, United States

Participant flow

Pre-assignment details

Participants who completed either of the Phase 3 studies (Study 998HB102 \[NCT01027364\], Study 9HB02PED \[NCT01440946\]) were expected to be eligible to enroll in this study.

Participants by arm

ArmCount
rFIXFc (Participants From 9HB02PED)
Participants received rFIXFc IV according to their assigned treatment regimen as follows: Weekly prophylaxis (P): Participants received 20 IU/kg to 100 IU/kg rFIXFc once weekly. Dose was based on participants clinical profile in parent study and individual pharmacokinetic profile, trough and/or peak (recovery) values; Individualized P: 100 IU/kg rFIXFc every 8 to 16 days or twice a month; Personalized P: included addition of prevention doses prior to strenuous activity; targeting FIX trough level of \>5%, if warranted by bleeding history and/or activity level or dosing twice a week (25 IU/kg twice weekly versus 50 IU/kg once weekly) for participants who may have better control with such regimen. Participants who reached age of 12 during study could also choose to switch to episodic treatment group, with dosing based on participants clinical condition and type and severity of bleeding event.
27
rFIXFc (Participants From 998HB102)
Participants received rFIXFc IV according to their assigned treatment regimen as follows: Weekly prophylaxis: Participants received 20 IU/kg to 100 IU/kg rFIXFc once weekly. Dose was based on participants clinical profile observed in parent study and individual pharmacokinetic profile, trough, and/or peak (recovery) values. Individualized prophylaxis: 100 IU/kg rFIXFc every 8 to 16 days or twice a month; Personalized Prophylaxis: included addition of prevention doses prior to strenuous activity; targeting a FIX trough level of \> 5%, if warranted by the bleeding history and/or activity level or dosing twice a week (25 IU/kg, twice weekly, versus 50 IU/kg, once weekly) for participants who may have better control with such a regimen. Episodic (On Demand): The individual dose of rFIXFc to treat bleeding episodes was based on participants clinical condition, type and severity of the bleeding event.
93
Total120

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyLack of Efficacy01
Overall StudyLost to Follow-up03
Overall StudyOther110
Overall StudyPhysician Decision20
Overall StudyWithdrawal by Subject14

Baseline characteristics

CharacteristicrFIXFc (Participants From 9HB02PED)rFIXFc (Participants From 998HB102)Total
Age, Customized
<18 years
27 Participants8 Participants35 Participants
Age, Customized
> 65 years
0 Participants0 Participants0 Participants
Age, Customized
Between 18 and 65 years
0 Participants85 Participants85 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants11 Participants11 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
27 Participants78 Participants105 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants4 Participants4 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Asian
5 Participants27 Participants32 Participants
Race/Ethnicity, Customized
Black or African American
2 Participants9 Participants11 Participants
Race/Ethnicity, Customized
Native Hawaiian or other Pacific Islander
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Other
1 Participants10 Participants11 Participants
Race/Ethnicity, Customized
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
White
19 Participants47 Participants66 Participants
Sex: Female, Male
Female
0 Participants0 Participants0 Participants
Sex: Female, Male
Male
27 Participants93 Participants120 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
0 / 270 / 930 / 1200 / 10 / 15
other
Total, other adverse events
23 / 2766 / 9389 / 1200 / 14 / 15
serious
Total, serious adverse events
5 / 2731 / 9336 / 1200 / 11 / 15

Outcome results

Primary

Number of Participants With Any Positive Inhibitor Development

An inhibitor test result greater than or equal to (\>=)0.6 Bethesda units per milliliter (BU/mL), confirmed on 2 separate samples drawn 2 to 4 weeks apart, was considered positive. Both tests were to be performed by the central laboratory using the Nijmegen-modified Bethesda Assay. Data was summarized by treatment regimen for participants from Study 998HB102 and by age cohort (\<6 years and 6 to \<12 years old) and treatment regimen for participants from Study 9HB02PED per planned analysis. Participants were included in summary of more than 1 treatment regimen if their regimen changed during study.

Time frame: Approximately 5 years

Population: Safety Analysis Set included participants who received at least 1 dose of Recombinant Human Coagulation Factor IX Fusion Protein (rFIXFc) in study 9HB01EXT.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
rFIXFc (9HB02PED [<6 Years Old])Number of Participants With Any Positive Inhibitor Development0 Participants
rFIXFc (9HB02PED [6 to <12 Years])Number of Participants With Any Positive Inhibitor Development0 Participants
rFIXFc (Participants From 998HB102)Number of Participants With Any Positive Inhibitor Development0 Participants
Secondary

Annualized Bleeding Rate (ABR)

ABR is annualized number of bleeding episodes per participant per year. Bleeding episodes were classified as spontaneous if participant records bleeding event when there is no known contributing factor such as definite trauma/antecedent strenuous activity and classified as traumatic if participant records bleeding event when there is known reason for bleed. ABR=(Number of bleeding episodes during efficacy period/number of days during efficacy period)\*365.25. Efficacy period reflects sum of all intervals of time during which participants were treated with rFIXFc per treatment regimen excluding major and minor surgical/rehabilitation periods and large injection intervals. ABR was summarized by treatment regimen for participants from study 998HB102 and by age cohort (\<6 years and 6 to \<12 years old) and treatment regimen for participants from study 9HB02PED per planned analysis. Participants were included in summary of more than 1 treatment regimen if their regimen changed during study.

Time frame: Approximately 5 years

Population: Full Analysis Set (FAS) included all participants who received at least 1 dose of rFIXFc. Here 'n' (number analyzed) signifies number of participants who were analyzed in each treatment regimen, for each arm, respectively.

ArmMeasureGroupValue (MEDIAN)
rFIXFc (9HB02PED [<6 Years Old])Annualized Bleeding Rate (ABR)Personalized Prophylaxis0.54 episodes per participant per year
rFIXFc (9HB02PED [<6 Years Old])Annualized Bleeding Rate (ABR)Weekly Prophylaxis1.04 episodes per participant per year
rFIXFc (9HB02PED [6 to <12 Years])Annualized Bleeding Rate (ABR)Individualized Prophylaxis3.69 episodes per participant per year
rFIXFc (9HB02PED [6 to <12 Years])Annualized Bleeding Rate (ABR)Personalized Prophylaxis3.13 episodes per participant per year
rFIXFc (9HB02PED [6 to <12 Years])Annualized Bleeding Rate (ABR)Weekly Prophylaxis1.14 episodes per participant per year
rFIXFc (Participants From 998HB102)Annualized Bleeding Rate (ABR)Individualized Prophylaxis1.85 episodes per participant per year
rFIXFc (Participants From 998HB102)Annualized Bleeding Rate (ABR)Weekly Prophylaxis2.26 episodes per participant per year
rFIXFc (Participants From 998HB102)Annualized Bleeding Rate (ABR)Episodic11.64 episodes per participant per year
rFIXFc (Participants From 998HB102)Annualized Bleeding Rate (ABR)Personalized Prophylaxis2.91 episodes per participant per year
Secondary

Annualized rFIXFc Consumption (International Units Per Kilogram [IU/kg])

Annualized consumption = (total international unit per kilogram \[IU/kg\] of study treatment received during the efficacy period / total number of days during the efficacy period) multiplied by 365.25. Efficacy period reflects sum of all intervals of time during which participants were treated with rFIXFc per treatment regimen excluding major and minor surgical/rehabilitation periods and large injection intervals. Annualized consumption was summarized by treatment regimen for participants from study 998HB102 and by age cohort (\<6 years and 6 to \<12 years old) and treatment regimen for participants from study 9HB02PED as per planned analysis. Participants were included in summary of more than 1 treatment regimen if their regimen changed during study.

Time frame: Approximately 5 years

Population: FAS included all participants who received at least 1 dose of rFIXFc. Here 'n' (number analyzed) signifies number of participants who were analyzed in each treatment regimen, for each arm, respectively.

ArmMeasureGroupValue (MEDIAN)
rFIXFc (9HB02PED [<6 Years Old])Annualized rFIXFc Consumption (International Units Per Kilogram [IU/kg])Weekly Prophylaxis3382.5 IU per kilogram per participant per year
rFIXFc (9HB02PED [<6 Years Old])Annualized rFIXFc Consumption (International Units Per Kilogram [IU/kg])Personalized Prophylaxis3331.7 IU per kilogram per participant per year
rFIXFc (9HB02PED [6 to <12 Years])Annualized rFIXFc Consumption (International Units Per Kilogram [IU/kg])Individualized Prophylaxis3700.7 IU per kilogram per participant per year
rFIXFc (9HB02PED [6 to <12 Years])Annualized rFIXFc Consumption (International Units Per Kilogram [IU/kg])Personalized Prophylaxis8931.2 IU per kilogram per participant per year
rFIXFc (9HB02PED [6 to <12 Years])Annualized rFIXFc Consumption (International Units Per Kilogram [IU/kg])Weekly Prophylaxis3212.0 IU per kilogram per participant per year
rFIXFc (Participants From 998HB102)Annualized rFIXFc Consumption (International Units Per Kilogram [IU/kg])Episodic595.6 IU per kilogram per participant per year
rFIXFc (Participants From 998HB102)Annualized rFIXFc Consumption (International Units Per Kilogram [IU/kg])Individualized Prophylaxis2894.8 IU per kilogram per participant per year
rFIXFc (Participants From 998HB102)Annualized rFIXFc Consumption (International Units Per Kilogram [IU/kg])Personalized Prophylaxis3671.2 IU per kilogram per participant per year
rFIXFc (Participants From 998HB102)Annualized rFIXFc Consumption (International Units Per Kilogram [IU/kg])Weekly Prophylaxis2598.0 IU per kilogram per participant per year
Secondary

Annualized Spontaneous Joint Bleeding Episodes

Bleeding episodes were classified as spontaneous if participant records a bleeding event when there is no known contributing factor such as definite trauma/antecedent strenuous activity. In addition, location of bleed (joint, internal, skin/mucosa or muscle) were also collected. Annualized spontaneous joint bleeding episodes=(Number of spontaneous joint bleeding episodes during efficacy period/number of days during efficacy period)\*365.25. Efficacy period reflects sum of all intervals of time during which participants were treated with rFIXFc per treatment regimen excluding major and minor surgical/rehabilitation periods and large injection intervals. Bleeding episodes were summarized by treatment regimen for participants from study 998HB102 and by age cohort (\<6 years and 6 to \<12 years old) and treatment regimen for participants from study 9HB02PED as per planned analysis. Participants were included in summary of more than 1 treatment regimen if their regimen changed during study.

Time frame: Approximately 5 years

Population: FAS included all participants who received at least 1 dose of rFIXFc. Here 'n' (number analyzed) signifies number of participants who were analyzed in each treatment regimen, for each arm, respectively.

ArmMeasureGroupValue (MEDIAN)
rFIXFc (9HB02PED [<6 Years Old])Annualized Spontaneous Joint Bleeding EpisodesWeekly Prophylaxis0.00 episodes per participant per year
rFIXFc (9HB02PED [<6 Years Old])Annualized Spontaneous Joint Bleeding EpisodesPersonalized Prophylaxis0.00 episodes per participant per year
rFIXFc (9HB02PED [6 to <12 Years])Annualized Spontaneous Joint Bleeding EpisodesPersonalized Prophylaxis0.00 episodes per participant per year
rFIXFc (9HB02PED [6 to <12 Years])Annualized Spontaneous Joint Bleeding EpisodesIndividualized Prophylaxis0.00 episodes per participant per year
rFIXFc (9HB02PED [6 to <12 Years])Annualized Spontaneous Joint Bleeding EpisodesWeekly Prophylaxis0.00 episodes per participant per year
rFIXFc (Participants From 998HB102)Annualized Spontaneous Joint Bleeding EpisodesWeekly Prophylaxis0.38 episodes per participant per year
rFIXFc (Participants From 998HB102)Annualized Spontaneous Joint Bleeding EpisodesEpisodic2.15 episodes per participant per year
rFIXFc (Participants From 998HB102)Annualized Spontaneous Joint Bleeding EpisodesIndividualized Prophylaxis0.38 episodes per participant per year
rFIXFc (Participants From 998HB102)Annualized Spontaneous Joint Bleeding EpisodesPersonalized Prophylaxis0.30 episodes per participant per year
Secondary

Participant's Assessment of Response (Excellent or Good Response) to rFIXFc Injections for the Treatment of Bleeding Episodes Using a 4-Point Scale

Using eDiary, participant received rating for treatment response to any bleeding episode (BE) using 4-point scale- 1=Excellent: Abrupt pain relief and/or improvement in signs of bleeding within approximately (approx.) 8 hours (h) after initial injection (inj.); 2=Good: Definite pain relief and/or improvement in signs of bleeding within approx. 8h after an injection, but possibly requiring more than 1 injection after 24-48h for complete resolution; 3=Moderate: Probable/slight beneficial effect within 8h after initial injection and requires more than 1 injection and 4=None: No improvement, or condition worsens within approx. 8h after initial injection. This assessment was to be made approx. 8 to 12h from time the injection was given to treat BE and prior to any additional doses of rFIXFc given for same bleeding episode. Percentages are based on the number of bleeding episodes for which a response (excellent or good) was provided for the first injection during the efficacy period.

Time frame: Approximately 5 years

Population: FAS was analyzed. Data was summarized by treatment regimen for participants from study 998HB102 and by age cohort (\<6 years and 6 to \<12 years old) and treatment regimen for participants from study 9HB02PED per planned analysis. Participants were included in summary of more than 1 treatment regimen if their regimen changed during study.

ArmMeasureGroupValue (COUNT_OF_UNITS)
rFIXFc (9HB02PED [<6 Years Old])Participant's Assessment of Response (Excellent or Good Response) to rFIXFc Injections for the Treatment of Bleeding Episodes Using a 4-Point ScalePersonalized Prophylaxis0 Injections
rFIXFc (9HB02PED [<6 Years Old])Participant's Assessment of Response (Excellent or Good Response) to rFIXFc Injections for the Treatment of Bleeding Episodes Using a 4-Point ScaleWeekly Prophylaxis60 Injections
rFIXFc (9HB02PED [6 to <12 Years])Participant's Assessment of Response (Excellent or Good Response) to rFIXFc Injections for the Treatment of Bleeding Episodes Using a 4-Point ScalePersonalized Prophylaxis1 Injections
rFIXFc (9HB02PED [6 to <12 Years])Participant's Assessment of Response (Excellent or Good Response) to rFIXFc Injections for the Treatment of Bleeding Episodes Using a 4-Point ScaleIndividualized Prophylaxis25 Injections
rFIXFc (9HB02PED [6 to <12 Years])Participant's Assessment of Response (Excellent or Good Response) to rFIXFc Injections for the Treatment of Bleeding Episodes Using a 4-Point ScaleWeekly Prophylaxis47 Injections
rFIXFc (Participants From 998HB102)Participant's Assessment of Response (Excellent or Good Response) to rFIXFc Injections for the Treatment of Bleeding Episodes Using a 4-Point ScaleEpisodic603 Injections
rFIXFc (Participants From 998HB102)Participant's Assessment of Response (Excellent or Good Response) to rFIXFc Injections for the Treatment of Bleeding Episodes Using a 4-Point ScaleWeekly Prophylaxis342 Injections
rFIXFc (Participants From 998HB102)Participant's Assessment of Response (Excellent or Good Response) to rFIXFc Injections for the Treatment of Bleeding Episodes Using a 4-Point ScaleIndividualized Prophylaxis336 Injections
rFIXFc (Participants From 998HB102)Participant's Assessment of Response (Excellent or Good Response) to rFIXFc Injections for the Treatment of Bleeding Episodes Using a 4-Point ScalePersonalized Prophylaxis135 Injections
Secondary

Physicians' Global Assessment of Participant's Response to rFIXFc Regimen Using a 4-Point Scale

Participants were assessed for response to their rFIXFc regimen using following 4-point scale: 1=Excellent: bleeding episodes responded to less than or equal to (\<=)usual number of injections or dose of rFIXFc or rate of breakthrough bleeding during prophylaxis was \<= that usually observed; 2=Effective: most bleeding episodes responded to same number of injections and dose, but some required more injections or higher doses, or there was minor increase in rate of breakthrough; 3=Partially Effective: bleeding episodes most often required more injections and/or higher doses than expected or adequate breakthrough bleeding prevention during prophylaxis required more frequent injections and/or higher doses and 4=Ineffective: routine failure to control hemostasis/hemostatic control require additional agents. Total number of scale responses =total count of scale responses for all participants; multiple responses per participant including those at scheduled and unscheduled visits are counted.

Time frame: Approximately 5 years

Population: FAS included all participants who received at least 1 dose of rFIXFc. Data was summarized by treatment regimen for participants from Study 998HB102 and Study 9HB02PED per planned analysis. Participants were included in summary of more than 1 treatment regimen if their regimen changed during study.

ArmMeasureGroupValue (COUNT_OF_UNITS)
rFIXFc (9HB02PED [<6 Years Old])Physicians' Global Assessment of Participant's Response to rFIXFc Regimen Using a 4-Point ScaleExcellent131 Responses
rFIXFc (9HB02PED [<6 Years Old])Physicians' Global Assessment of Participant's Response to rFIXFc Regimen Using a 4-Point ScalePartially Effective1 Responses
rFIXFc (9HB02PED [<6 Years Old])Physicians' Global Assessment of Participant's Response to rFIXFc Regimen Using a 4-Point ScaleEffective19 Responses
rFIXFc (9HB02PED [<6 Years Old])Physicians' Global Assessment of Participant's Response to rFIXFc Regimen Using a 4-Point ScaleIneffective0 Responses
rFIXFc (9HB02PED [6 to <12 Years])Physicians' Global Assessment of Participant's Response to rFIXFc Regimen Using a 4-Point ScaleIneffective0 Responses
rFIXFc (9HB02PED [6 to <12 Years])Physicians' Global Assessment of Participant's Response to rFIXFc Regimen Using a 4-Point ScaleExcellent622 Responses
rFIXFc (9HB02PED [6 to <12 Years])Physicians' Global Assessment of Participant's Response to rFIXFc Regimen Using a 4-Point ScaleEffective184 Responses
rFIXFc (9HB02PED [6 to <12 Years])Physicians' Global Assessment of Participant's Response to rFIXFc Regimen Using a 4-Point ScalePartially Effective9 Responses
Secondary

Total Number of Exposure Days (EDs)

An exposure day is a 24-hour period in which one or more rFIXFc injections are given. The total number of days of exposure to rFIXFc were summarized by treatment regimen for participants from study 998HB102 and by age cohort (\<6 years and 6 to \<12 years old) and treatment regimen for participants from study 9HB02PED as per planned analysis. Participants were included in summary of more than 1 treatment regimen if their regimen changed during study.

Time frame: Approximately 5 years

Population: Safety Analysis Set included participants who received at least 1 dose of rFIXFc in study 9HB01EXT. Here 'n' (number analyzed) signifies number of participants who were analyzed in each treatment regimen, for each arm, respectively.

ArmMeasureGroupValue (MEDIAN)
rFIXFc (9HB02PED [<6 Years Old])Total Number of Exposure Days (EDs)Personalized Prophylaxis157.00 days
rFIXFc (9HB02PED [<6 Years Old])Total Number of Exposure Days (EDs)Weekly Prophylaxis55.00 days
rFIXFc (9HB02PED [6 to <12 Years])Total Number of Exposure Days (EDs)Personalized Prophylaxis90.00 days
rFIXFc (9HB02PED [6 to <12 Years])Total Number of Exposure Days (EDs)Individualized Prophylaxis54.00 days
rFIXFc (9HB02PED [6 to <12 Years])Total Number of Exposure Days (EDs)Weekly Prophylaxis165.00 days
rFIXFc (Participants From 998HB102)Total Number of Exposure Days (EDs)Episodic52.00 days
rFIXFc (Participants From 998HB102)Total Number of Exposure Days (EDs)Weekly Prophylaxis169.00 days
rFIXFc (Participants From 998HB102)Total Number of Exposure Days (EDs)Individualized Prophylaxis110.00 days
rFIXFc (Participants From 998HB102)Total Number of Exposure Days (EDs)Personalized Prophylaxis146.00 days

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