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Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of Recombinant Coagulation Factor VIII Fc Fusion Protein (rFVIIIFc) in Previously Treated Pediatric Subjects With Hemophilia A

An Open-Label, Multicenter Evaluation of Safety, Pharmacokinetics, and Efficacy of Recombinant Coagulation Factor VIII Fc Fusion Protein, BIIB031, in the Prevention and Treatment of Bleeding Episodes in Pediatric Subjects With Hemophilia A

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01458106
Acronym
Kids ALONG
Enrollment
71
Registered
2011-10-24
Start date
2012-11-30
Completion date
2013-12-31
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

Hemophilia A

Brief summary

The primary objective of the study is to evaluate the safety of Recombinant Coagulation Factor VIII Fc Fusion Protein (rFVIIIFc) in previously treated pediatric subjects with hemophilia A. Secondary objectives of this study in this study population are as follows: to evaluate the efficacy of rFVIIIFc for prevention and treatment of bleeding episodes; to evaluate and assess the pharmacokinetics (PK) of rFVIIIFc; and to evaluate rFVIIIFc consumption for prevention and treatment of bleeding episodes.

Detailed description

Previously treated pediatric participants will be treated with a prophylactic regimen of rFVIIIFc. PK analysis of pre-study factor VIII (FVIII) and rFVIIIFc will be performed in a sub-group of the study participants prior to commencement of prophylactic treatment. After these PK results are available, remaining participants have the option of proceeding directly to prophylactic treatment. After completing the end of study assessments, eligible participants would be able to continue treatment in Study 8HA01EXT.

Interventions

DRUGBIIB031 (rFVIIIFc)

Vials of rFVIIIFc were combined as needed, based on the actual labeled potency to achieve the participant's calculated dose. Partial vial use was allowed, in order to achieve the calculated dose.

DRUGFVIII (PK subgroup only)

Baseline prestudy FVIII dosing in participants who enter the PK subgroup. Vials of prestudy FVIII were combined as needed, based on the nominal labeled potency (e.g., 250 IU, 500 IU, and 1000 IU), to achieve the participant's calculated dose.

Sponsors

Swedish Orphan Biovitrum
CollaboratorINDUSTRY
Bioverativ Therapeutics Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
MALE
Age
No minimum to 11 Years
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: * Severe hemophilia A defined as \<1 IU/dL (\<1%) endogenous FVIII * Male \<12 years of age and weight ≥13 kg * History of at least 50 documented prior exposure days to FVIII * No current, or history of, inhibitor development to FVIII Key

Exclusion criteria

* Other coagulation disorders in addition to Hemophilia A * History of anaphylaxis associated with any FVIII or IV immunoglobulin administration NOTE: Other protocol-defined Inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Occurrence of FVIII Inhibitor DevelopmentUp to Week 26 +/- 7 days, or up to 50 exposure days (EDs) if reached prior to Week 26An inhibitor test result ≥0.6 Bethesda units (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. Incidences were summarized for any positive inhibitor for participants with ≥50 EDs to rFVIIIFc. In addition, the incidence for all participants, regardless of their EDs to rFVIIIFc, was also summarized. An exact 95% CI for the proportion of participants with a confirmed inhibitor was calculated using the Clopper-Pearson exact method for a binomial proportion.

Secondary

MeasureTime frameDescription
Annualized Joint Bleeding Rate (Spontaneous)Up to Week 26 +/- 7 days (efficacy period as defined in description)Annualized bleeding rate for spontaneous joint bleed=(number of bleeding episodes meeting those criteria during the efficacy period/total number of days during the efficacy period)\*365.25. The efficacy period begins with the first prophylactic dose of rFVIIIFc and ends with the last dose (for prophylaxis or a bleed). Surgery/rehabilitation periods and PK evaluation periods are not included in the efficacy period. A bleeding episode started from the first sign of a bleed and ended no more than 72 hours after the last treatment for the bleed, within which any symptoms of bleeding at the same location or injections less than or equal to 72 hours apart were considered the same bleeding episode. Any injection to treat the bleeding episode taken more than 72 hours after the preceding one was considered the first injection to treat a new bleeding episode at the same location. Any bleeding at a different location was considered a separate bleeding episode, regardless of time from last inject
Participant Assessment of Response to Injections to Treat a Bleeding EpisodeUp to Week 26 +/- 7 daysParticipant's assessment (provided by the caregiver) of the response to the first rFVIIIFc injection for each bleeding episode. Percentages were based on the number of first injections for which a response was provided, using the following 4-point scale: excellent=abrupt pain relief and/or improvement in signs of bleeding within approximately 8 hours after the initial injection; good=definite pain relief and/or improvement in signs of bleeding within approximately 8 hours after a single injection, but possibly requiring more than one injection after 24 to 48 hours for complete resolution; moderate=probable or slight beneficial effect within approximately 8 hours after the initial injection and requiring more than one injection; no response=no improvement, or condition worsened, within approximately 8 hours after the initial injection.
Physician's Global Assessment of the Participant's Response to His rFVIIIFc RegimenUp to Week 26 +/- 7 daysInvestigators assessed each participant's response to his rFVIIIFc regimen using a 4-point scale: excellent=bleeding episodes responded to ≤ the usual number of injections or ≤ the usual dose of rFVIIIFc or the rate of breakthrough bleeding during prophylaxis was ≤ that usually observed; effective=most bleeding episodes responded to the same number of injections and dose, but some required more injections or higher doses, or there was a minor increase in the rate of breakthrough bleeding; 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; ineffective=routine failure to control hemostasis, or hemostatic control required additional agents. Percentages are based on the total number of responses; multiple responses per participant are counted.
Annualized rFVIIIFc Consumption Per ParticipantUp to Week 26 +/- 7 days (efficacy period as defined in description)Consumption is calculated for the efficacy period. The efficacy period begins with the first prophylactic dose of rFVIIIFc and ends with the last dose (for prophylaxis or a bleed). Surgery/rehabilitation periods and PK evaluation periods are not included in the efficacy period. Annualized consumption = (total IU/kg of study treatment received during the efficacy period / total number of days during the efficacy period)\*365.25. Consumption was calculated overall for all participants and for the last 3 months (91 days) on study, counted backwards from the end of the efficacy period, for participants with at least 24 weeks on study.
Number of Days From Last Treatment Injection to a Spontaneous Bleeding EpisodeUp to Week 26 +/- 7 days (efficacy period as defined in description)The number of days from the last prophylaxis injection to the onset of a new spontaneous bleeding episode, analyzed across all evaluable bleeding episodes per participant and per episode, based on the efficacy period. Evaluable bleeding episodes are those for which both a date and time are available for both the onset of the bleeding episode and the previous prophylactic injection. The efficacy period begins with the first prophylactic dose of rFVIIIFc and ends with the last dose (for prophylaxis or a bleed). Surgery/rehabilitation periods and PK evaluation periods are not included in the efficacy period. For 'Per participant' values, the number of days from the last prophylactic injection to a spontaneous bleeding episode is averaged across all evaluable spontaneous bleeding episodes per participant.
Number of Injections Required for Resolution of a Bleeding EpisodeUp to Week 26 +/- 7 days (efficacy period as defined in description)The number of injections required to resolve a bleeding episode per participant and per episode, based on the efficacy period. The efficacy period begins with the first prophylactic dose of rFVIIIFc and ends with the last dose (for prophylaxis or a bleed). Surgery/rehabilitation periods and PK evaluation periods are not included in the efficacy period. All injections given from the initial sign of a bleed, until the last date/time within the bleed window are counted. The resolution of a bleed is defined as no sign of bleeding following injection for the bleed. For 'Per participant' values, the number of injections required to resolve each bleed is averaged across all bleeding episodes per participant.
Total Dose Required for Resolution of a Bleeding EpisodeUp to Week 26 +/- 7 days (efficacy period as defined in description)The total dose required to resolve a bleeding episode per participant and per episode, based on the efficacy period. The efficacy period begins with the first prophylactic dose of rFVIIIFc and ends with the last dose (for prophylaxis or a bleed). Surgery/rehabilitation periods and PK evaluation periods are not included in the efficacy period. For 'Per bleeding episode' values, for each bleeding episode, the total dose is the sum of the doses (IU/kg) administered across all injections given to treat that bleeding episode. For 'Per participant' values, the total dose (IU/kg) used to resolve each bleed is averaged across all bleeding episodes per participant.
Maximum Plasma Activity (Cmax; One-stage Activated Partial Thromboplastin Time [aPTT] Clotting Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-doseMaximum plasma activity during a dosing interval for participants in the PK subgroup. The values for Cmax were adjusted to the nominal dose of 50 IU/kg. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Maximum Plasma Activity (Cmax; Two-stage Chromogenic Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-doseMaximum plasma activity during a dosing interval for participants in the PK subgroup. The values for Cmax were adjusted to the nominal dose of 50 IU/kg. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Elimination Half Life (t1/2; One-stage aPTT Clotting Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-doseTime required for the activity of the drug to reach half of its original value for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Elimination Half Life (t1/2; Two-stage Chromogenic Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-doseTime required for the activity of the drug to reach half of its original value for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Clearance (CL; One-stage aPTT Clotting Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-doseRate at which the body removes the drug, measured as the volume of the plasma cleared of drug per unit time per unit weight for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Clearance (CL; Two-stage Chromogenic Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-doseRate at which the body removes the drug, measured as the volume of the plasma cleared of drug per unit time per unit weight for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Volume at Steady State (Vss; One-stage aPTT Clotting Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-doseVolume of distribution at steady state for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Volume at Steady State (Vss; Two-stage Chromogenic Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-doseVolume of distribution at steady state for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Dose Normalized Area Under the Curve (DNAUC; One-stage aPTT Clotting Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-doseDose normalized area under the FVIII activity-time curve for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Annualized Bleeding RateUp to Week 26 +/- 7 days (efficacy period as defined in description)Annualized bleeding rate = (number of bleeding episodes during the efficacy period / total number of days during the efficacy period)\*365.25. The efficacy period begins with the first prophylactic dose of rFVIIIFc and ends with the last dose (for prophylaxis or a bleed). Surgery/rehabilitation periods and PK evaluation periods are not included in the efficacy period. A bleeding episode started from the first sign of a bleed and ended no more than 72 hours after the last treatment for the bleed, within which any symptoms of bleeding at the same location or injections less than or equal to 72 hours apart were considered the same bleeding episode. Any injection to treat the bleeding episode taken more than 72 hours after the preceding one was considered the first injection to treat a new bleeding episode at the same location. Any bleeding at a different location was considered a separate bleeding episode, regardless of time from last injection.
Mean Residence Time (MRT; One-stage aPTT Clotting Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-doseThe average time that a drug molecule is present in the systemic circulation for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Mean Residence Time (MRT; Two-stage Chromogenic Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-doseThe average time that a drug molecule is present in the systemic circulation for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Incremental Recovery (IR; One-stage aPTT Clotting Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-doseThe rise in FVIII activity in IU/dL per unit dose administered in IU/kg for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Incremental Recovery (IR; Two-stage Chromogenic Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-doseThe rise in FVIII activity in IU/dL per unit dose administered in IU/kg for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Time at Maximum Activity (Tmax; One-stage aPTT Clotting Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-doseTime at which maximum activity (Cmax) is observed for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Time at Maximum Activity (Tmax; Two-stage Chromogenic Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-doseTime at which maximum activity (Cmax) is observed for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Lambda Z (One-stage aPTT Clotting Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-doseFirst order rate constant associated with the terminal portion of the curve (lambda z) for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Lambda Z (Two-stage Chromogenic Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-doseFirst order rate constant associated with the terminal portion of the curve (lambda z) for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Volume at Terminal Phase (Vz; One-stage aPTT Clotting Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-doseVolume of distribution estimated from the terminal phase for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Volume at Terminal Phase (Vz; Two-stage Chromogenic Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-doseVolume of distribution estimated from the terminal phase for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Area Under the Curve to the Last Measurable Timepoint (AUClast; One-stage aPTT Clotting Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-doseDose-normalized area under the FVIII activity-time curve to the last measurable timepoint for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Area Under the Curve to the Last Measurable Timepoint (AUClast; Two-stage Chromogenic Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-doseDose-normalized area under the FVIII activity-time curve to the last measurable timepoint for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Area Under the Curve to Infinity (AUCinf; One-stage aPTT Clotting Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-doseDose normalized area under the FVIII activity-time curve to infinity for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Area Under the Curve to Infinity (AUCinf; Two-stage Chromogenic Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-doseDose normalized area under the FVIII activity-time curve to infinity for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Percentage of AUCinf Extrapolated From the Last Data Point to Infinity (%AUCext; One-stage aPTT Clotting Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dosePercentage of AUCinf extrapolated from the last data point to infinity for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Percentage of AUCinf Extrapolated From the Last Data Point to Infinity (%AUCext; Two-stage Chromogenic Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dosePercentage of AUCinf extrapolated from the last data point to infinity for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.
Dose Normalized Area Under the Curve (DNAUC; Two-stage Chromogenic Assay)Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-doseDose normalized area under the FVIII activity-time curve for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Countries

Australia, Hong Kong, Ireland, Netherlands, Poland, South Africa, United Kingdom, United States

Participant flow

Participants by arm

ArmCount
Participants < 6 Years Old
PK subgroup: After a Washout Period of ≥72 hours, at the Baseline Visit (28±7 days prior to Day 1), participants receive a single IV injection of prestudy FVIII over 5 (±2) minutes at a dose of 50 IU/kg, rounded up to the nearest 250 IU increment, for a PK assessment. Following a second Washout Period of ≥72 hours, participants receive a single IV injection of rFVIIIFc over 5 (±2) minutes at a dose of 50 IU/kg for PK assessment. The first prophylactic dose of rFVIIIFc is administered at a starting dose of 25 IU/kg IV injection on Day 1 and 50 IU/kg on Day 4. Dose increases to a maximum of 80 IU/kg, and frequency of administration to a minimum interval of once every 2 days, are allowed as indicated. Non-PK subgroup: On Day 1, a first prophylactic dose of rFVIIIFc of 25 IU/kg IV injection is given, followed by a dose of 50 IU/kg on Day 4. Dose increases to a maximum of 80 IU/kg, and frequency of administration to a minimum interval of once every 2 days, are allowed as indicated.
36
Participants 6 to < 12 Years Old
PK subgroup: After a Washout Period of ≥72 hours, at the Baseline Visit (28±7 days prior to Day 1), participants receive a single IV injection of prestudy FVIII over 5 (±2) minutes at a dose of 50 IU/kg, rounded up to the nearest 250 IU increment, for a PK assessment. Following a second Washout Period of ≥72 hours, participants receive a single IV injection of rFVIIIFc over 5 (±2) minutes at a dose of 50 IU/kg for PK assessment. The first prophylactic dose of rFVIIIFc is administered at a starting dose of 25 IU/kg IV injection on Day 1 and 50 IU/kg on Day 4. Dose increases to a maximum of 80 IU/kg, and frequency of administration to a minimum interval of once every 2 days, are allowed as indicated. Non-PK subgroup: On Day 1, a first prophylactic dose of rFVIIIFc of 25 IU/kg IV injection is given, followed by a dose of 50 IU/kg on Day 4. Dose increases to a maximum of 80 IU/kg, and frequency of administration to a minimum interval of once every 2 days, are allowed as indicated.
35
Total71

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyPre-rFVIIIFc Adverse Event10
Overall StudyWithdrawal by Subject20
Overall StudyWithdrawn Per Protocol01

Baseline characteristics

CharacteristicParticipants < 6 Years OldParticipants 6 to < 12 Years OldTotal
Age, Continuous4.0 years8.0 years5.0 years
Sex: Female, Male
Female
0 Participants0 Participants0 Participants
Sex: Female, Male
Male
36 Participants35 Participants71 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
31 / 3528 / 34
serious
Total, serious adverse events
4 / 351 / 34

Outcome results

Primary

Occurrence of FVIII Inhibitor Development

An inhibitor test result ≥0.6 Bethesda units (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. Incidences were summarized for any positive inhibitor for participants with ≥50 EDs to rFVIIIFc. In addition, the incidence for all participants, regardless of their EDs to rFVIIIFc, was also summarized. An exact 95% CI for the proportion of participants with a confirmed inhibitor was calculated using the Clopper-Pearson exact method for a binomial proportion.

Time frame: Up to Week 26 +/- 7 days, or up to 50 exposure days (EDs) if reached prior to Week 26

Population: Safety Analysis Set: participants who received at least 1 dose of prestudy FVIII, or at least 1 dose of rFVIIIFc; n=number of participants with given number of exposure days who had a valid inhibitor test.

ArmMeasureGroupValue (NUMBER)
Participants < 6 Years OldOccurrence of FVIII Inhibitor DevelopmentParticipants with ≥50 EDs; n=27, 34, 610 percentage of participants
Participants < 6 Years OldOccurrence of FVIII Inhibitor DevelopmentAll participants; n=36, 35, 710 percentage of participants
Participants 6 to < 12 Years OldOccurrence of FVIII Inhibitor DevelopmentParticipants with ≥50 EDs; n=27, 34, 610 percentage of participants
Participants 6 to < 12 Years OldOccurrence of FVIII Inhibitor DevelopmentAll participants; n=36, 35, 710 percentage of participants
All Arms: TotalOccurrence of FVIII Inhibitor DevelopmentParticipants with ≥50 EDs; n=27, 34, 610 percentage of participants
All Arms: TotalOccurrence of FVIII Inhibitor DevelopmentAll participants; n=36, 35, 710 percentage of participants
Secondary

Annualized Bleeding Rate

Annualized bleeding rate = (number of bleeding episodes during the efficacy period / total number of days during the efficacy period)\*365.25. The efficacy period begins with the first prophylactic dose of rFVIIIFc and ends with the last dose (for prophylaxis or a bleed). Surgery/rehabilitation periods and PK evaluation periods are not included in the efficacy period. A bleeding episode started from the first sign of a bleed and ended no more than 72 hours after the last treatment for the bleed, within which any symptoms of bleeding at the same location or injections less than or equal to 72 hours apart were considered the same bleeding episode. Any injection to treat the bleeding episode taken more than 72 hours after the preceding one was considered the first injection to treat a new bleeding episode at the same location. Any bleeding at a different location was considered a separate bleeding episode, regardless of time from last injection.

Time frame: Up to Week 26 +/- 7 days (efficacy period as defined in description)

Population: Full Analysis Set: participants who received at least 1 dose of rFVIIIFc; based on the number of participants whose efficacy period was of at least 1 day in duration.

ArmMeasureValue (MEDIAN)
Participants < 6 Years OldAnnualized Bleeding Rate0.00 bleeding episodes per participant per yr
Participants 6 to < 12 Years OldAnnualized Bleeding Rate2.01 bleeding episodes per participant per yr
Secondary

Annualized Joint Bleeding Rate (Spontaneous)

Annualized bleeding rate for spontaneous joint bleed=(number of bleeding episodes meeting those criteria during the efficacy period/total number of days during the efficacy period)\*365.25. The efficacy period begins with the first prophylactic dose of rFVIIIFc and ends with the last dose (for prophylaxis or a bleed). Surgery/rehabilitation periods and PK evaluation periods are not included in the efficacy period. A bleeding episode started from the first sign of a bleed and ended no more than 72 hours after the last treatment for the bleed, within which any symptoms of bleeding at the same location or injections less than or equal to 72 hours apart were considered the same bleeding episode. Any injection to treat the bleeding episode taken more than 72 hours after the preceding one was considered the first injection to treat a new bleeding episode at the same location. Any bleeding at a different location was considered a separate bleeding episode, regardless of time from last inject

Time frame: Up to Week 26 +/- 7 days (efficacy period as defined in description)

Population: Full Analysis Set: participants who received at least 1 dose of rFVIIIFc; based on the number of participants whose efficacy period is of at least 1 day in duration.

ArmMeasureValue (MEDIAN)
Participants < 6 Years OldAnnualized Joint Bleeding Rate (Spontaneous)0.00 bleeding episodes per participant per yr
Participants 6 to < 12 Years OldAnnualized Joint Bleeding Rate (Spontaneous)0.00 bleeding episodes per participant per yr
Secondary

Annualized rFVIIIFc Consumption Per Participant

Consumption is calculated for the efficacy period. The efficacy period begins with the first prophylactic dose of rFVIIIFc and ends with the last dose (for prophylaxis or a bleed). Surgery/rehabilitation periods and PK evaluation periods are not included in the efficacy period. Annualized consumption = (total IU/kg of study treatment received during the efficacy period / total number of days during the efficacy period)\*365.25. Consumption was calculated overall for all participants and for the last 3 months (91 days) on study, counted backwards from the end of the efficacy period, for participants with at least 24 weeks on study.

Time frame: Up to Week 26 +/- 7 days (efficacy period as defined in description)

Population: Full Analysis Set: participants who received at least 1 dose of rFVIIIFc. 'Overall' n=participants in the Full Analysis Set with evaluable data in the efficacy period; 'Last 3 Months on Study' n=participants in the Full Analysis Set with evaluable data and ≥ 24 weeks on study.

ArmMeasureGroupValue (MEAN)Dispersion
Participants < 6 Years OldAnnualized rFVIIIFc Consumption Per ParticipantLast 3 months on study (n=26, 33)5562.1 IU/kg rFVIIIFc per participant per yearStandard Deviation 1474.42
Participants < 6 Years OldAnnualized rFVIIIFc Consumption Per ParticipantOverall (n=35, 34)5331.8 IU/kg rFVIIIFc per participant per yearStandard Deviation 1106.68
Participants 6 to < 12 Years OldAnnualized rFVIIIFc Consumption Per ParticipantOverall (n=35, 34)4973.5 IU/kg rFVIIIFc per participant per yearStandard Deviation 976.06
Participants 6 to < 12 Years OldAnnualized rFVIIIFc Consumption Per ParticipantLast 3 months on study (n=26, 33)5092.6 IU/kg rFVIIIFc per participant per yearStandard Deviation 1013.01
Secondary

Area Under the Curve to Infinity (AUCinf; One-stage aPTT Clotting Assay)

Dose normalized area under the FVIII activity-time curve to infinity for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldArea Under the Curve to Infinity (AUCinf; One-stage aPTT Clotting Assay)1446.5 IU*h/dL
Participants 6 to < 12 Years OldArea Under the Curve to Infinity (AUCinf; One-stage aPTT Clotting Assay)1918.5 IU*h/dL
Secondary

Area Under the Curve to Infinity (AUCinf; Two-stage Chromogenic Assay)

Dose normalized area under the FVIII activity-time curve to infinity for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldArea Under the Curve to Infinity (AUCinf; Two-stage Chromogenic Assay)1294.7 IU*h/dL
Participants 6 to < 12 Years OldArea Under the Curve to Infinity (AUCinf; Two-stage Chromogenic Assay)1640.0 IU*h/dL
Secondary

Area Under the Curve to the Last Measurable Timepoint (AUClast; One-stage aPTT Clotting Assay)

Dose-normalized area under the FVIII activity-time curve to the last measurable timepoint for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldArea Under the Curve to the Last Measurable Timepoint (AUClast; One-stage aPTT Clotting Assay)1410.4 IU*h/dL
Participants 6 to < 12 Years OldArea Under the Curve to the Last Measurable Timepoint (AUClast; One-stage aPTT Clotting Assay)1823.4 IU*h/dL
Secondary

Area Under the Curve to the Last Measurable Timepoint (AUClast; Two-stage Chromogenic Assay)

Dose-normalized area under the FVIII activity-time curve to the last measurable timepoint for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldArea Under the Curve to the Last Measurable Timepoint (AUClast; Two-stage Chromogenic Assay)1250.1 IU*h/dL
Participants 6 to < 12 Years OldArea Under the Curve to the Last Measurable Timepoint (AUClast; Two-stage Chromogenic Assay)1540.4 IU*h/dL
Secondary

Clearance (CL; One-stage aPTT Clotting Assay)

Rate at which the body removes the drug, measured as the volume of the plasma cleared of drug per unit time per unit weight for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldClearance (CL; One-stage aPTT Clotting Assay)3.4561 mL/h/kg
Participants 6 to < 12 Years OldClearance (CL; One-stage aPTT Clotting Assay)2.6067 mL/h/kg
Secondary

Clearance (CL; Two-stage Chromogenic Assay)

Rate at which the body removes the drug, measured as the volume of the plasma cleared of drug per unit time per unit weight for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldClearance (CL; Two-stage Chromogenic Assay)3.8600 mL/h/kg
Participants 6 to < 12 Years OldClearance (CL; Two-stage Chromogenic Assay)3.0486 mL/h/kg
Secondary

Dose Normalized Area Under the Curve (DNAUC; One-stage aPTT Clotting Assay)

Dose normalized area under the FVIII activity-time curve for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldDose Normalized Area Under the Curve (DNAUC; One-stage aPTT Clotting Assay)28.93 IU*h/dL per IU/kg
Participants 6 to < 12 Years OldDose Normalized Area Under the Curve (DNAUC; One-stage aPTT Clotting Assay)38.37 IU*h/dL per IU/kg
Secondary

Dose Normalized Area Under the Curve (DNAUC; Two-stage Chromogenic Assay)

Dose normalized area under the FVIII activity-time curve for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldDose Normalized Area Under the Curve (DNAUC; Two-stage Chromogenic Assay)25.90 IU*h/dL per IU/kg
Participants 6 to < 12 Years OldDose Normalized Area Under the Curve (DNAUC; Two-stage Chromogenic Assay)32.80 IU*h/dL per IU/kg
Secondary

Elimination Half Life (t1/2; One-stage aPTT Clotting Assay)

Time required for the activity of the drug to reach half of its original value for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldElimination Half Life (t1/2; One-stage aPTT Clotting Assay)12.277 hours
Participants 6 to < 12 Years OldElimination Half Life (t1/2; One-stage aPTT Clotting Assay)13.451 hours
Secondary

Elimination Half Life (t1/2; Two-stage Chromogenic Assay)

Time required for the activity of the drug to reach half of its original value for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldElimination Half Life (t1/2; Two-stage Chromogenic Assay)14.268 hours
Participants 6 to < 12 Years OldElimination Half Life (t1/2; Two-stage Chromogenic Assay)15.861 hours
Secondary

Incremental Recovery (IR; One-stage aPTT Clotting Assay)

The rise in FVIII activity in IU/dL per unit dose administered in IU/kg for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldIncremental Recovery (IR; One-stage aPTT Clotting Assay)1.901 IU/dL per IU/kg
Participants 6 to < 12 Years OldIncremental Recovery (IR; One-stage aPTT Clotting Assay)2.299 IU/dL per IU/kg
Secondary

Incremental Recovery (IR; Two-stage Chromogenic Assay)

The rise in FVIII activity in IU/dL per unit dose administered in IU/kg for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldIncremental Recovery (IR; Two-stage Chromogenic Assay)1.882 IU/dL per IU/kg
Participants 6 to < 12 Years OldIncremental Recovery (IR; Two-stage Chromogenic Assay)2.076 IU/dL per IU/kg
Secondary

Lambda Z (One-stage aPTT Clotting Assay)

First order rate constant associated with the terminal portion of the curve (lambda z) for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldLambda Z (One-stage aPTT Clotting Assay)0.05644 1/hours
Participants 6 to < 12 Years OldLambda Z (One-stage aPTT Clotting Assay)0.05158 1/hours
Secondary

Lambda Z (Two-stage Chromogenic Assay)

First order rate constant associated with the terminal portion of the curve (lambda z) for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldLambda Z (Two-stage Chromogenic Assay)0.04848 1/hours
Participants 6 to < 12 Years OldLambda Z (Two-stage Chromogenic Assay)0.04367 1/hours
Secondary

Maximum Plasma Activity (Cmax; One-stage Activated Partial Thromboplastin Time [aPTT] Clotting Assay)

Maximum plasma activity during a dosing interval for participants in the PK subgroup. The values for Cmax were adjusted to the nominal dose of 50 IU/kg. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldMaximum Plasma Activity (Cmax; One-stage Activated Partial Thromboplastin Time [aPTT] Clotting Assay)95.03 IU/dL
Participants 6 to < 12 Years OldMaximum Plasma Activity (Cmax; One-stage Activated Partial Thromboplastin Time [aPTT] Clotting Assay)114.94 IU/dL
Secondary

Maximum Plasma Activity (Cmax; Two-stage Chromogenic Assay)

Maximum plasma activity during a dosing interval for participants in the PK subgroup. The values for Cmax were adjusted to the nominal dose of 50 IU/kg. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldMaximum Plasma Activity (Cmax; Two-stage Chromogenic Assay)94.11 IU/dL
Participants 6 to < 12 Years OldMaximum Plasma Activity (Cmax; Two-stage Chromogenic Assay)103.80 IU/dL
Secondary

Mean Residence Time (MRT; One-stage aPTT Clotting Assay)

The average time that a drug molecule is present in the systemic circulation for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldMean Residence Time (MRT; One-stage aPTT Clotting Assay)16.762 hours
Participants 6 to < 12 Years OldMean Residence Time (MRT; One-stage aPTT Clotting Assay)18.999 hours
Secondary

Mean Residence Time (MRT; Two-stage Chromogenic Assay)

The average time that a drug molecule is present in the systemic circulation for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldMean Residence Time (MRT; Two-stage Chromogenic Assay)17.220 hours
Participants 6 to < 12 Years OldMean Residence Time (MRT; Two-stage Chromogenic Assay)20.708 hours
Secondary

Number of Days From Last Treatment Injection to a Spontaneous Bleeding Episode

The number of days from the last prophylaxis injection to the onset of a new spontaneous bleeding episode, analyzed across all evaluable bleeding episodes per participant and per episode, based on the efficacy period. Evaluable bleeding episodes are those for which both a date and time are available for both the onset of the bleeding episode and the previous prophylactic injection. The efficacy period begins with the first prophylactic dose of rFVIIIFc and ends with the last dose (for prophylaxis or a bleed). Surgery/rehabilitation periods and PK evaluation periods are not included in the efficacy period. For 'Per participant' values, the number of days from the last prophylactic injection to a spontaneous bleeding episode is averaged across all evaluable spontaneous bleeding episodes per participant.

Time frame: Up to Week 26 +/- 7 days (efficacy period as defined in description)

Population: Full Analysis Set: participants who received at least 1 dose of rFVIIIFc; number of participants and number of episodes were determined for participants with at least 1 evaluable spontaneous bleeding episode.

ArmMeasureGroupValue (MEDIAN)
Participants < 6 Years OldNumber of Days From Last Treatment Injection to a Spontaneous Bleeding EpisodePer Spontaneous Bleeding Episode2.16 days
Participants < 6 Years OldNumber of Days From Last Treatment Injection to a Spontaneous Bleeding EpisodePer Participant2.17 days
Participants 6 to < 12 Years OldNumber of Days From Last Treatment Injection to a Spontaneous Bleeding EpisodePer Spontaneous Bleeding Episode2.77 days
Participants 6 to < 12 Years OldNumber of Days From Last Treatment Injection to a Spontaneous Bleeding EpisodePer Participant2.55 days
Secondary

Number of Injections Required for Resolution of a Bleeding Episode

The number of injections required to resolve a bleeding episode per participant and per episode, based on the efficacy period. The efficacy period begins with the first prophylactic dose of rFVIIIFc and ends with the last dose (for prophylaxis or a bleed). Surgery/rehabilitation periods and PK evaluation periods are not included in the efficacy period. All injections given from the initial sign of a bleed, until the last date/time within the bleed window are counted. The resolution of a bleed is defined as no sign of bleeding following injection for the bleed. For 'Per participant' values, the number of injections required to resolve each bleed is averaged across all bleeding episodes per participant.

Time frame: Up to Week 26 +/- 7 days (efficacy period as defined in description)

Population: Full Analysis Set: participants who received at least 1 dose of rFVIIIFc; number of participants and number of episodes were determined for participants with at least 1 evaluable bleeding episode.

ArmMeasureGroupValue (MEDIAN)
Participants < 6 Years OldNumber of Injections Required for Resolution of a Bleeding EpisodePer Participant1.0 injections
Participants < 6 Years OldNumber of Injections Required for Resolution of a Bleeding EpisodePer Bleeding Episode1.0 injections
Participants 6 to < 12 Years OldNumber of Injections Required for Resolution of a Bleeding EpisodePer Participant1.0 injections
Participants 6 to < 12 Years OldNumber of Injections Required for Resolution of a Bleeding EpisodePer Bleeding Episode1.0 injections
Secondary

Participant Assessment of Response to Injections to Treat a Bleeding Episode

Participant's assessment (provided by the caregiver) of the response to the first rFVIIIFc injection for each bleeding episode. Percentages were based on the number of first injections for which a response was provided, using the following 4-point scale: excellent=abrupt pain relief and/or improvement in signs of bleeding within approximately 8 hours after the initial injection; good=definite pain relief and/or improvement in signs of bleeding within approximately 8 hours after a single injection, but possibly requiring more than one injection after 24 to 48 hours for complete resolution; moderate=probable or slight beneficial effect within approximately 8 hours after the initial injection and requiring more than one injection; no response=no improvement, or condition worsened, within approximately 8 hours after the initial injection.

Time frame: Up to Week 26 +/- 7 days

Population: Full Analysis Set: participants who received at least 1 dose of rFVIIIFc and had a bleeding episode; participants with a non-evaluable bleed are counted in the number of participants analyzed, but not the percentages.

ArmMeasureGroupValue (NUMBER)
Participants < 6 Years OldParticipant Assessment of Response to Injections to Treat a Bleeding EpisodeExcellent or Good91.4 percent of 1st injections w/ a response
Participants < 6 Years OldParticipant Assessment of Response to Injections to Treat a Bleeding EpisodeExcellent65.7 percent of 1st injections w/ a response
Participants < 6 Years OldParticipant Assessment of Response to Injections to Treat a Bleeding EpisodeGood25.7 percent of 1st injections w/ a response
Participants < 6 Years OldParticipant Assessment of Response to Injections to Treat a Bleeding EpisodeModerate8.6 percent of 1st injections w/ a response
Participants < 6 Years OldParticipant Assessment of Response to Injections to Treat a Bleeding EpisodeNo Response0 percent of 1st injections w/ a response
Participants 6 to < 12 Years OldParticipant Assessment of Response to Injections to Treat a Bleeding EpisodeGood45.7 percent of 1st injections w/ a response
Participants 6 to < 12 Years OldParticipant Assessment of Response to Injections to Treat a Bleeding EpisodeExcellent or Good93.5 percent of 1st injections w/ a response
Participants 6 to < 12 Years OldParticipant Assessment of Response to Injections to Treat a Bleeding EpisodeNo Response4.3 percent of 1st injections w/ a response
Participants 6 to < 12 Years OldParticipant Assessment of Response to Injections to Treat a Bleeding EpisodeExcellent47.8 percent of 1st injections w/ a response
Participants 6 to < 12 Years OldParticipant Assessment of Response to Injections to Treat a Bleeding EpisodeModerate2.2 percent of 1st injections w/ a response
Secondary

Percentage of AUCinf Extrapolated From the Last Data Point to Infinity (%AUCext; One-stage aPTT Clotting Assay)

Percentage of AUCinf extrapolated from the last data point to infinity for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldPercentage of AUCinf Extrapolated From the Last Data Point to Infinity (%AUCext; One-stage aPTT Clotting Assay)1.8421 percentage of AUCinf
Participants 6 to < 12 Years OldPercentage of AUCinf Extrapolated From the Last Data Point to Infinity (%AUCext; One-stage aPTT Clotting Assay)2.7777 percentage of AUCinf
Secondary

Percentage of AUCinf Extrapolated From the Last Data Point to Infinity (%AUCext; Two-stage Chromogenic Assay)

Percentage of AUCinf extrapolated from the last data point to infinity for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldPercentage of AUCinf Extrapolated From the Last Data Point to Infinity (%AUCext; Two-stage Chromogenic Assay)2.7530 percentage of AUCinf
Participants 6 to < 12 Years OldPercentage of AUCinf Extrapolated From the Last Data Point to Infinity (%AUCext; Two-stage Chromogenic Assay)3.9476 percentage of AUCinf
Secondary

Physician's Global Assessment of the Participant's Response to His rFVIIIFc Regimen

Investigators assessed each participant's response to his rFVIIIFc regimen using a 4-point scale: excellent=bleeding episodes responded to ≤ the usual number of injections or ≤ the usual dose of rFVIIIFc or the rate of breakthrough bleeding during prophylaxis was ≤ that usually observed; effective=most bleeding episodes responded to the same number of injections and dose, but some required more injections or higher doses, or there was a minor increase in the rate of breakthrough bleeding; 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; ineffective=routine failure to control hemostasis, or hemostatic control required additional agents. Percentages are based on the total number of responses; multiple responses per participant are counted.

Time frame: Up to Week 26 +/- 7 days

Population: Full Analysis Set: participants who received at least 1 dose of rFVIIIFc; based on the number of responses.

ArmMeasureGroupValue (NUMBER)
Participants < 6 Years OldPhysician's Global Assessment of the Participant's Response to His rFVIIIFc RegimenEffective3.5 percentage of responses
Participants < 6 Years OldPhysician's Global Assessment of the Participant's Response to His rFVIIIFc RegimenIneffective0 percentage of responses
Participants < 6 Years OldPhysician's Global Assessment of the Participant's Response to His rFVIIIFc RegimenExcellent96.5 percentage of responses
Participants < 6 Years OldPhysician's Global Assessment of the Participant's Response to His rFVIIIFc RegimenPartially Effective0 percentage of responses
Participants 6 to < 12 Years OldPhysician's Global Assessment of the Participant's Response to His rFVIIIFc RegimenIneffective0 percentage of responses
Participants 6 to < 12 Years OldPhysician's Global Assessment of the Participant's Response to His rFVIIIFc RegimenEffective9.1 percentage of responses
Participants 6 to < 12 Years OldPhysician's Global Assessment of the Participant's Response to His rFVIIIFc RegimenPartially Effective1.2 percentage of responses
Participants 6 to < 12 Years OldPhysician's Global Assessment of the Participant's Response to His rFVIIIFc RegimenExcellent89.7 percentage of responses
Secondary

Time at Maximum Activity (Tmax; One-stage aPTT Clotting Assay)

Time at which maximum activity (Cmax) is observed for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldTime at Maximum Activity (Tmax; One-stage aPTT Clotting Assay)0.6987 hours
Participants 6 to < 12 Years OldTime at Maximum Activity (Tmax; One-stage aPTT Clotting Assay)0.7257 hours
Secondary

Time at Maximum Activity (Tmax; Two-stage Chromogenic Assay)

Time at which maximum activity (Cmax) is observed for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldTime at Maximum Activity (Tmax; Two-stage Chromogenic Assay)0.7313 hours
Participants 6 to < 12 Years OldTime at Maximum Activity (Tmax; Two-stage Chromogenic Assay)0.6334 hours
Secondary

Total Dose Required for Resolution of a Bleeding Episode

The total dose required to resolve a bleeding episode per participant and per episode, based on the efficacy period. The efficacy period begins with the first prophylactic dose of rFVIIIFc and ends with the last dose (for prophylaxis or a bleed). Surgery/rehabilitation periods and PK evaluation periods are not included in the efficacy period. For 'Per bleeding episode' values, for each bleeding episode, the total dose is the sum of the doses (IU/kg) administered across all injections given to treat that bleeding episode. For 'Per participant' values, the total dose (IU/kg) used to resolve each bleed is averaged across all bleeding episodes per participant.

Time frame: Up to Week 26 +/- 7 days (efficacy period as defined in description)

Population: Full Analysis Set: participants who received at least 1 dose of rFVIIIFc; number of participants and number of episodes were determined for participants who had complete information on the dose administered to treat a bleeding episode.

ArmMeasureGroupValue (MEDIAN)
Participants < 6 Years OldTotal Dose Required for Resolution of a Bleeding EpisodePer Participant55.56 IU/kg
Participants < 6 Years OldTotal Dose Required for Resolution of a Bleeding EpisodePer Bleeding Episode56.40 IU/kg
Participants 6 to < 12 Years OldTotal Dose Required for Resolution of a Bleeding EpisodePer Participant51.35 IU/kg
Participants 6 to < 12 Years OldTotal Dose Required for Resolution of a Bleeding EpisodePer Bleeding Episode53.49 IU/kg
Secondary

Volume at Steady State (Vss; One-stage aPTT Clotting Assay)

Volume of distribution at steady state for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldVolume at Steady State (Vss; One-stage aPTT Clotting Assay)57.94 mL/kg
Participants 6 to < 12 Years OldVolume at Steady State (Vss; One-stage aPTT Clotting Assay)49.51 mL/kg
Secondary

Volume at Steady State (Vss; Two-stage Chromogenic Assay)

Volume of distribution at steady state for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldVolume at Steady State (Vss; Two-stage Chromogenic Assay)66.48 mL/kg
Participants 6 to < 12 Years OldVolume at Steady State (Vss; Two-stage Chromogenic Assay)63.15 mL/kg
Secondary

Volume at Terminal Phase (Vz; One-stage aPTT Clotting Assay)

Volume of distribution estimated from the terminal phase for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldVolume at Terminal Phase (Vz; One-stage aPTT Clotting Assay)61.22 mL/kg
Participants 6 to < 12 Years OldVolume at Terminal Phase (Vz; One-stage aPTT Clotting Assay)50.58 mL/kg
Secondary

Volume at Terminal Phase (Vz; Two-stage Chromogenic Assay)

Volume of distribution estimated from the terminal phase for participants in the PK subgroup. The 95% confidence interval on the geometric mean is based on the t-statistic back-transformed from the log scale.

Time frame: Baseline (28 ±7 days prior to Day 1) Prestudy FVIII Dosing: predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours post-dose. Day 1 (rFVIIIFc Dosing): predose; 30 ±5 min, 3 hours ±30 min, 24 ±3 hours, 48 ±4 hours, 72 ±7 hours post-dose

Population: PK Analysis Set: All participants in the PK subgroup with adequate PK data, defined as complete and evaluable PK samples through 72 hours after rFVIIIFc dosing. Complete means the availability of the 72-hour sample and at least enough other samples to allow for all the PK parameters to be estimated.

ArmMeasureValue (GEOMETRIC_MEAN)
Participants < 6 Years OldVolume at Terminal Phase (Vz; Two-stage Chromogenic Assay)79.48 mL/kg
Participants 6 to < 12 Years OldVolume at Terminal Phase (Vz; Two-stage Chromogenic Assay)69.75 mL/kg

Source: ClinicalTrials.gov · Data processed: Mar 10, 2026