Severe Hemophilia B
Conditions
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
Administered as specified in the treatment arm.
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Any Positive Inhibitor Development | Approximately 5 years | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Annualized Spontaneous Joint Bleeding Episodes | Approximately 5 years | 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. |
| Total Number of Exposure Days (EDs) | Approximately 5 years | 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. |
| Annualized Bleeding Rate (ABR) | Approximately 5 years | 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. |
| Physicians' Global Assessment of Participant's Response to rFIXFc Regimen Using a 4-Point Scale | Approximately 5 years | 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. |
| Participant's Assessment of Response (Excellent or Good Response) to rFIXFc Injections for the Treatment of Bleeding Episodes Using a 4-Point Scale | Approximately 5 years | 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. |
| Annualized rFIXFc Consumption (International Units Per Kilogram [IU/kg]) | Approximately 5 years | 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. |
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
| Arm | Count |
|---|---|
| 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 |
| Total | 120 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Lack of Efficacy | 0 | 1 |
| Overall Study | Lost to Follow-up | 0 | 3 |
| Overall Study | Other | 1 | 10 |
| Overall Study | Physician Decision | 2 | 0 |
| Overall Study | Withdrawal by Subject | 1 | 4 |
Baseline characteristics
| Characteristic | rFIXFc (Participants From 9HB02PED) | rFIXFc (Participants From 998HB102) | Total |
|---|---|---|---|
| Age, Customized <18 years | 27 Participants | 8 Participants | 35 Participants |
| Age, Customized > 65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Customized Between 18 and 65 years | 0 Participants | 85 Participants | 85 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 0 Participants | 11 Participants | 11 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 27 Participants | 78 Participants | 105 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 4 Participants | 4 Participants |
| Race/Ethnicity, Customized American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized Asian | 5 Participants | 27 Participants | 32 Participants |
| Race/Ethnicity, Customized Black or African American | 2 Participants | 9 Participants | 11 Participants |
| Race/Ethnicity, Customized Native Hawaiian or other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized Other | 1 Participants | 10 Participants | 11 Participants |
| Race/Ethnicity, Customized Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized White | 19 Participants | 47 Participants | 66 Participants |
| Sex: Female, Male Female | 0 Participants | 0 Participants | 0 Participants |
| Sex: Female, Male Male | 27 Participants | 93 Participants | 120 Participants |
Adverse events
| Event type | EG000 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 / 27 | 0 / 93 | 0 / 120 | 0 / 1 | 0 / 15 |
| other Total, other adverse events | 23 / 27 | 66 / 93 | 89 / 120 | 0 / 1 | 4 / 15 |
| serious Total, serious adverse events | 5 / 27 | 31 / 93 | 36 / 120 | 0 / 1 | 1 / 15 |
Outcome results
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| rFIXFc (9HB02PED [<6 Years Old]) | Number of Participants With Any Positive Inhibitor Development | 0 Participants |
| rFIXFc (9HB02PED [6 to <12 Years]) | Number of Participants With Any Positive Inhibitor Development | 0 Participants |
| rFIXFc (Participants From 998HB102) | Number of Participants With Any Positive Inhibitor Development | 0 Participants |
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.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| rFIXFc (9HB02PED [<6 Years Old]) | Annualized Bleeding Rate (ABR) | Personalized Prophylaxis | 0.54 episodes per participant per year |
| rFIXFc (9HB02PED [<6 Years Old]) | Annualized Bleeding Rate (ABR) | Weekly Prophylaxis | 1.04 episodes per participant per year |
| rFIXFc (9HB02PED [6 to <12 Years]) | Annualized Bleeding Rate (ABR) | Individualized Prophylaxis | 3.69 episodes per participant per year |
| rFIXFc (9HB02PED [6 to <12 Years]) | Annualized Bleeding Rate (ABR) | Personalized Prophylaxis | 3.13 episodes per participant per year |
| rFIXFc (9HB02PED [6 to <12 Years]) | Annualized Bleeding Rate (ABR) | Weekly Prophylaxis | 1.14 episodes per participant per year |
| rFIXFc (Participants From 998HB102) | Annualized Bleeding Rate (ABR) | Individualized Prophylaxis | 1.85 episodes per participant per year |
| rFIXFc (Participants From 998HB102) | Annualized Bleeding Rate (ABR) | Weekly Prophylaxis | 2.26 episodes per participant per year |
| rFIXFc (Participants From 998HB102) | Annualized Bleeding Rate (ABR) | Episodic | 11.64 episodes per participant per year |
| rFIXFc (Participants From 998HB102) | Annualized Bleeding Rate (ABR) | Personalized Prophylaxis | 2.91 episodes per participant per year |
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.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| rFIXFc (9HB02PED [<6 Years Old]) | Annualized rFIXFc Consumption (International Units Per Kilogram [IU/kg]) | Weekly Prophylaxis | 3382.5 IU per kilogram per participant per year |
| rFIXFc (9HB02PED [<6 Years Old]) | Annualized rFIXFc Consumption (International Units Per Kilogram [IU/kg]) | Personalized Prophylaxis | 3331.7 IU per kilogram per participant per year |
| rFIXFc (9HB02PED [6 to <12 Years]) | Annualized rFIXFc Consumption (International Units Per Kilogram [IU/kg]) | Individualized Prophylaxis | 3700.7 IU per kilogram per participant per year |
| rFIXFc (9HB02PED [6 to <12 Years]) | Annualized rFIXFc Consumption (International Units Per Kilogram [IU/kg]) | Personalized Prophylaxis | 8931.2 IU per kilogram per participant per year |
| rFIXFc (9HB02PED [6 to <12 Years]) | Annualized rFIXFc Consumption (International Units Per Kilogram [IU/kg]) | Weekly Prophylaxis | 3212.0 IU per kilogram per participant per year |
| rFIXFc (Participants From 998HB102) | Annualized rFIXFc Consumption (International Units Per Kilogram [IU/kg]) | Episodic | 595.6 IU per kilogram per participant per year |
| rFIXFc (Participants From 998HB102) | Annualized rFIXFc Consumption (International Units Per Kilogram [IU/kg]) | Individualized Prophylaxis | 2894.8 IU per kilogram per participant per year |
| rFIXFc (Participants From 998HB102) | Annualized rFIXFc Consumption (International Units Per Kilogram [IU/kg]) | Personalized Prophylaxis | 3671.2 IU per kilogram per participant per year |
| rFIXFc (Participants From 998HB102) | Annualized rFIXFc Consumption (International Units Per Kilogram [IU/kg]) | Weekly Prophylaxis | 2598.0 IU per kilogram per participant per year |
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.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| rFIXFc (9HB02PED [<6 Years Old]) | Annualized Spontaneous Joint Bleeding Episodes | Weekly Prophylaxis | 0.00 episodes per participant per year |
| rFIXFc (9HB02PED [<6 Years Old]) | Annualized Spontaneous Joint Bleeding Episodes | Personalized Prophylaxis | 0.00 episodes per participant per year |
| rFIXFc (9HB02PED [6 to <12 Years]) | Annualized Spontaneous Joint Bleeding Episodes | Personalized Prophylaxis | 0.00 episodes per participant per year |
| rFIXFc (9HB02PED [6 to <12 Years]) | Annualized Spontaneous Joint Bleeding Episodes | Individualized Prophylaxis | 0.00 episodes per participant per year |
| rFIXFc (9HB02PED [6 to <12 Years]) | Annualized Spontaneous Joint Bleeding Episodes | Weekly Prophylaxis | 0.00 episodes per participant per year |
| rFIXFc (Participants From 998HB102) | Annualized Spontaneous Joint Bleeding Episodes | Weekly Prophylaxis | 0.38 episodes per participant per year |
| rFIXFc (Participants From 998HB102) | Annualized Spontaneous Joint Bleeding Episodes | Episodic | 2.15 episodes per participant per year |
| rFIXFc (Participants From 998HB102) | Annualized Spontaneous Joint Bleeding Episodes | Individualized Prophylaxis | 0.38 episodes per participant per year |
| rFIXFc (Participants From 998HB102) | Annualized Spontaneous Joint Bleeding Episodes | Personalized Prophylaxis | 0.30 episodes per participant per year |
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.
| Arm | Measure | Group | Value (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 Scale | Personalized Prophylaxis | 0 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 Scale | Weekly Prophylaxis | 60 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 Scale | Personalized Prophylaxis | 1 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 Scale | Individualized Prophylaxis | 25 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 Scale | Weekly Prophylaxis | 47 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 Scale | Episodic | 603 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 Scale | Weekly Prophylaxis | 342 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 Scale | Individualized Prophylaxis | 336 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 Scale | Personalized Prophylaxis | 135 Injections |
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.
| Arm | Measure | Group | Value (COUNT_OF_UNITS) |
|---|---|---|---|
| rFIXFc (9HB02PED [<6 Years Old]) | Physicians' Global Assessment of Participant's Response to rFIXFc Regimen Using a 4-Point Scale | Excellent | 131 Responses |
| rFIXFc (9HB02PED [<6 Years Old]) | Physicians' Global Assessment of Participant's Response to rFIXFc Regimen Using a 4-Point Scale | Partially Effective | 1 Responses |
| rFIXFc (9HB02PED [<6 Years Old]) | Physicians' Global Assessment of Participant's Response to rFIXFc Regimen Using a 4-Point Scale | Effective | 19 Responses |
| rFIXFc (9HB02PED [<6 Years Old]) | Physicians' Global Assessment of Participant's Response to rFIXFc Regimen Using a 4-Point Scale | Ineffective | 0 Responses |
| rFIXFc (9HB02PED [6 to <12 Years]) | Physicians' Global Assessment of Participant's Response to rFIXFc Regimen Using a 4-Point Scale | Ineffective | 0 Responses |
| rFIXFc (9HB02PED [6 to <12 Years]) | Physicians' Global Assessment of Participant's Response to rFIXFc Regimen Using a 4-Point Scale | Excellent | 622 Responses |
| rFIXFc (9HB02PED [6 to <12 Years]) | Physicians' Global Assessment of Participant's Response to rFIXFc Regimen Using a 4-Point Scale | Effective | 184 Responses |
| rFIXFc (9HB02PED [6 to <12 Years]) | Physicians' Global Assessment of Participant's Response to rFIXFc Regimen Using a 4-Point Scale | Partially Effective | 9 Responses |
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.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| rFIXFc (9HB02PED [<6 Years Old]) | Total Number of Exposure Days (EDs) | Personalized Prophylaxis | 157.00 days |
| rFIXFc (9HB02PED [<6 Years Old]) | Total Number of Exposure Days (EDs) | Weekly Prophylaxis | 55.00 days |
| rFIXFc (9HB02PED [6 to <12 Years]) | Total Number of Exposure Days (EDs) | Personalized Prophylaxis | 90.00 days |
| rFIXFc (9HB02PED [6 to <12 Years]) | Total Number of Exposure Days (EDs) | Individualized Prophylaxis | 54.00 days |
| rFIXFc (9HB02PED [6 to <12 Years]) | Total Number of Exposure Days (EDs) | Weekly Prophylaxis | 165.00 days |
| rFIXFc (Participants From 998HB102) | Total Number of Exposure Days (EDs) | Episodic | 52.00 days |
| rFIXFc (Participants From 998HB102) | Total Number of Exposure Days (EDs) | Weekly Prophylaxis | 169.00 days |
| rFIXFc (Participants From 998HB102) | Total Number of Exposure Days (EDs) | Individualized Prophylaxis | 110.00 days |
| rFIXFc (Participants From 998HB102) | Total Number of Exposure Days (EDs) | Personalized Prophylaxis | 146.00 days |