Hemophilia A
Conditions
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
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.
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
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Occurrence of FVIII Inhibitor Development | Up to Week 26 +/- 7 days, or up to 50 exposure days (EDs) if reached prior to Week 26 | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 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 Episode | Up to Week 26 +/- 7 days | 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. |
| Physician's Global Assessment of the Participant's Response to His rFVIIIFc Regimen | Up to Week 26 +/- 7 days | 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. |
| Annualized rFVIIIFc Consumption Per Participant | Up 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 Episode | Up 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 Episode | Up 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 Episode | Up 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-dose | 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. |
| 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-dose | 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. |
| 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-dose | 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. |
| 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-dose | 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. |
| 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-dose | 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. |
| 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-dose | 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. |
| 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-dose | 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. |
| 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-dose | 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. |
| 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-dose | 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. |
| Annualized Bleeding Rate | Up 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-dose | 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. |
| 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-dose | 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. |
| 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-dose | 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. |
| 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-dose | 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 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-dose | 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 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-dose | 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. |
| 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-dose | 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. |
| 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-dose | 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. |
| 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-dose | 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. |
| 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-dose | 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. |
| 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-dose | 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. |
| 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-dose | 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. |
| 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-dose | 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. |
| 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-dose | 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. |
| 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-dose | 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. |
| 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-dose | 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. |
| 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-dose | 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. |
Countries
Australia, Hong Kong, Ireland, Netherlands, Poland, South Africa, United Kingdom, United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| 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 |
| Total | 71 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Pre-rFVIIIFc Adverse Event | 1 | 0 |
| Overall Study | Withdrawal by Subject | 2 | 0 |
| Overall Study | Withdrawn Per Protocol | 0 | 1 |
Baseline characteristics
| Characteristic | Participants < 6 Years Old | Participants 6 to < 12 Years Old | Total |
|---|---|---|---|
| Age, Continuous | 4.0 years | 8.0 years | 5.0 years |
| Sex: Female, Male Female | 0 Participants | 0 Participants | 0 Participants |
| Sex: Female, Male Male | 36 Participants | 35 Participants | 71 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 31 / 35 | 28 / 34 |
| serious Total, serious adverse events | 4 / 35 | 1 / 34 |
Outcome results
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Participants < 6 Years Old | Occurrence of FVIII Inhibitor Development | Participants with ≥50 EDs; n=27, 34, 61 | 0 percentage of participants |
| Participants < 6 Years Old | Occurrence of FVIII Inhibitor Development | All participants; n=36, 35, 71 | 0 percentage of participants |
| Participants 6 to < 12 Years Old | Occurrence of FVIII Inhibitor Development | Participants with ≥50 EDs; n=27, 34, 61 | 0 percentage of participants |
| Participants 6 to < 12 Years Old | Occurrence of FVIII Inhibitor Development | All participants; n=36, 35, 71 | 0 percentage of participants |
| All Arms: Total | Occurrence of FVIII Inhibitor Development | Participants with ≥50 EDs; n=27, 34, 61 | 0 percentage of participants |
| All Arms: Total | Occurrence of FVIII Inhibitor Development | All participants; n=36, 35, 71 | 0 percentage of participants |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Participants < 6 Years Old | Annualized Bleeding Rate | 0.00 bleeding episodes per participant per yr |
| Participants 6 to < 12 Years Old | Annualized Bleeding Rate | 2.01 bleeding episodes per participant per yr |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Participants < 6 Years Old | Annualized Joint Bleeding Rate (Spontaneous) | 0.00 bleeding episodes per participant per yr |
| Participants 6 to < 12 Years Old | Annualized Joint Bleeding Rate (Spontaneous) | 0.00 bleeding episodes per participant per yr |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Participants < 6 Years Old | Annualized rFVIIIFc Consumption Per Participant | Last 3 months on study (n=26, 33) | 5562.1 IU/kg rFVIIIFc per participant per year | Standard Deviation 1474.42 |
| Participants < 6 Years Old | Annualized rFVIIIFc Consumption Per Participant | Overall (n=35, 34) | 5331.8 IU/kg rFVIIIFc per participant per year | Standard Deviation 1106.68 |
| Participants 6 to < 12 Years Old | Annualized rFVIIIFc Consumption Per Participant | Overall (n=35, 34) | 4973.5 IU/kg rFVIIIFc per participant per year | Standard Deviation 976.06 |
| Participants 6 to < 12 Years Old | Annualized rFVIIIFc Consumption Per Participant | Last 3 months on study (n=26, 33) | 5092.6 IU/kg rFVIIIFc per participant per year | Standard Deviation 1013.01 |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Area Under the Curve to Infinity (AUCinf; One-stage aPTT Clotting Assay) | 1446.5 IU*h/dL |
| Participants 6 to < 12 Years Old | Area Under the Curve to Infinity (AUCinf; One-stage aPTT Clotting Assay) | 1918.5 IU*h/dL |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Area Under the Curve to Infinity (AUCinf; Two-stage Chromogenic Assay) | 1294.7 IU*h/dL |
| Participants 6 to < 12 Years Old | Area Under the Curve to Infinity (AUCinf; Two-stage Chromogenic Assay) | 1640.0 IU*h/dL |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Area Under the Curve to the Last Measurable Timepoint (AUClast; One-stage aPTT Clotting Assay) | 1410.4 IU*h/dL |
| Participants 6 to < 12 Years Old | Area Under the Curve to the Last Measurable Timepoint (AUClast; One-stage aPTT Clotting Assay) | 1823.4 IU*h/dL |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Area Under the Curve to the Last Measurable Timepoint (AUClast; Two-stage Chromogenic Assay) | 1250.1 IU*h/dL |
| Participants 6 to < 12 Years Old | Area Under the Curve to the Last Measurable Timepoint (AUClast; Two-stage Chromogenic Assay) | 1540.4 IU*h/dL |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Clearance (CL; One-stage aPTT Clotting Assay) | 3.4561 mL/h/kg |
| Participants 6 to < 12 Years Old | Clearance (CL; One-stage aPTT Clotting Assay) | 2.6067 mL/h/kg |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Clearance (CL; Two-stage Chromogenic Assay) | 3.8600 mL/h/kg |
| Participants 6 to < 12 Years Old | Clearance (CL; Two-stage Chromogenic Assay) | 3.0486 mL/h/kg |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Dose Normalized Area Under the Curve (DNAUC; One-stage aPTT Clotting Assay) | 28.93 IU*h/dL per IU/kg |
| Participants 6 to < 12 Years Old | Dose Normalized Area Under the Curve (DNAUC; One-stage aPTT Clotting Assay) | 38.37 IU*h/dL per IU/kg |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Dose Normalized Area Under the Curve (DNAUC; Two-stage Chromogenic Assay) | 25.90 IU*h/dL per IU/kg |
| Participants 6 to < 12 Years Old | Dose Normalized Area Under the Curve (DNAUC; Two-stage Chromogenic Assay) | 32.80 IU*h/dL per IU/kg |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Elimination Half Life (t1/2; One-stage aPTT Clotting Assay) | 12.277 hours |
| Participants 6 to < 12 Years Old | Elimination Half Life (t1/2; One-stage aPTT Clotting Assay) | 13.451 hours |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Elimination Half Life (t1/2; Two-stage Chromogenic Assay) | 14.268 hours |
| Participants 6 to < 12 Years Old | Elimination Half Life (t1/2; Two-stage Chromogenic Assay) | 15.861 hours |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Incremental Recovery (IR; One-stage aPTT Clotting Assay) | 1.901 IU/dL per IU/kg |
| Participants 6 to < 12 Years Old | Incremental Recovery (IR; One-stage aPTT Clotting Assay) | 2.299 IU/dL per IU/kg |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Incremental Recovery (IR; Two-stage Chromogenic Assay) | 1.882 IU/dL per IU/kg |
| Participants 6 to < 12 Years Old | Incremental Recovery (IR; Two-stage Chromogenic Assay) | 2.076 IU/dL per IU/kg |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Lambda Z (One-stage aPTT Clotting Assay) | 0.05644 1/hours |
| Participants 6 to < 12 Years Old | Lambda Z (One-stage aPTT Clotting Assay) | 0.05158 1/hours |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Lambda Z (Two-stage Chromogenic Assay) | 0.04848 1/hours |
| Participants 6 to < 12 Years Old | Lambda Z (Two-stage Chromogenic Assay) | 0.04367 1/hours |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Maximum Plasma Activity (Cmax; One-stage Activated Partial Thromboplastin Time [aPTT] Clotting Assay) | 95.03 IU/dL |
| Participants 6 to < 12 Years Old | Maximum Plasma Activity (Cmax; One-stage Activated Partial Thromboplastin Time [aPTT] Clotting Assay) | 114.94 IU/dL |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Maximum Plasma Activity (Cmax; Two-stage Chromogenic Assay) | 94.11 IU/dL |
| Participants 6 to < 12 Years Old | Maximum Plasma Activity (Cmax; Two-stage Chromogenic Assay) | 103.80 IU/dL |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Mean Residence Time (MRT; One-stage aPTT Clotting Assay) | 16.762 hours |
| Participants 6 to < 12 Years Old | Mean Residence Time (MRT; One-stage aPTT Clotting Assay) | 18.999 hours |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Mean Residence Time (MRT; Two-stage Chromogenic Assay) | 17.220 hours |
| Participants 6 to < 12 Years Old | Mean Residence Time (MRT; Two-stage Chromogenic Assay) | 20.708 hours |
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.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Participants < 6 Years Old | Number of Days From Last Treatment Injection to a Spontaneous Bleeding Episode | Per Spontaneous Bleeding Episode | 2.16 days |
| Participants < 6 Years Old | Number of Days From Last Treatment Injection to a Spontaneous Bleeding Episode | Per Participant | 2.17 days |
| Participants 6 to < 12 Years Old | Number of Days From Last Treatment Injection to a Spontaneous Bleeding Episode | Per Spontaneous Bleeding Episode | 2.77 days |
| Participants 6 to < 12 Years Old | Number of Days From Last Treatment Injection to a Spontaneous Bleeding Episode | Per Participant | 2.55 days |
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.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Participants < 6 Years Old | Number of Injections Required for Resolution of a Bleeding Episode | Per Participant | 1.0 injections |
| Participants < 6 Years Old | Number of Injections Required for Resolution of a Bleeding Episode | Per Bleeding Episode | 1.0 injections |
| Participants 6 to < 12 Years Old | Number of Injections Required for Resolution of a Bleeding Episode | Per Participant | 1.0 injections |
| Participants 6 to < 12 Years Old | Number of Injections Required for Resolution of a Bleeding Episode | Per Bleeding Episode | 1.0 injections |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Participants < 6 Years Old | Participant Assessment of Response to Injections to Treat a Bleeding Episode | Excellent or Good | 91.4 percent of 1st injections w/ a response |
| Participants < 6 Years Old | Participant Assessment of Response to Injections to Treat a Bleeding Episode | Excellent | 65.7 percent of 1st injections w/ a response |
| Participants < 6 Years Old | Participant Assessment of Response to Injections to Treat a Bleeding Episode | Good | 25.7 percent of 1st injections w/ a response |
| Participants < 6 Years Old | Participant Assessment of Response to Injections to Treat a Bleeding Episode | Moderate | 8.6 percent of 1st injections w/ a response |
| Participants < 6 Years Old | Participant Assessment of Response to Injections to Treat a Bleeding Episode | No Response | 0 percent of 1st injections w/ a response |
| Participants 6 to < 12 Years Old | Participant Assessment of Response to Injections to Treat a Bleeding Episode | Good | 45.7 percent of 1st injections w/ a response |
| Participants 6 to < 12 Years Old | Participant Assessment of Response to Injections to Treat a Bleeding Episode | Excellent or Good | 93.5 percent of 1st injections w/ a response |
| Participants 6 to < 12 Years Old | Participant Assessment of Response to Injections to Treat a Bleeding Episode | No Response | 4.3 percent of 1st injections w/ a response |
| Participants 6 to < 12 Years Old | Participant Assessment of Response to Injections to Treat a Bleeding Episode | Excellent | 47.8 percent of 1st injections w/ a response |
| Participants 6 to < 12 Years Old | Participant Assessment of Response to Injections to Treat a Bleeding Episode | Moderate | 2.2 percent of 1st injections w/ a response |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Percentage 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 Old | Percentage of AUCinf Extrapolated From the Last Data Point to Infinity (%AUCext; One-stage aPTT Clotting Assay) | 2.7777 percentage of AUCinf |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Percentage 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 Old | Percentage of AUCinf Extrapolated From the Last Data Point to Infinity (%AUCext; Two-stage Chromogenic Assay) | 3.9476 percentage of AUCinf |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Participants < 6 Years Old | Physician's Global Assessment of the Participant's Response to His rFVIIIFc Regimen | Effective | 3.5 percentage of responses |
| Participants < 6 Years Old | Physician's Global Assessment of the Participant's Response to His rFVIIIFc Regimen | Ineffective | 0 percentage of responses |
| Participants < 6 Years Old | Physician's Global Assessment of the Participant's Response to His rFVIIIFc Regimen | Excellent | 96.5 percentage of responses |
| Participants < 6 Years Old | Physician's Global Assessment of the Participant's Response to His rFVIIIFc Regimen | Partially Effective | 0 percentage of responses |
| Participants 6 to < 12 Years Old | Physician's Global Assessment of the Participant's Response to His rFVIIIFc Regimen | Ineffective | 0 percentage of responses |
| Participants 6 to < 12 Years Old | Physician's Global Assessment of the Participant's Response to His rFVIIIFc Regimen | Effective | 9.1 percentage of responses |
| Participants 6 to < 12 Years Old | Physician's Global Assessment of the Participant's Response to His rFVIIIFc Regimen | Partially Effective | 1.2 percentage of responses |
| Participants 6 to < 12 Years Old | Physician's Global Assessment of the Participant's Response to His rFVIIIFc Regimen | Excellent | 89.7 percentage of responses |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Time at Maximum Activity (Tmax; One-stage aPTT Clotting Assay) | 0.6987 hours |
| Participants 6 to < 12 Years Old | Time at Maximum Activity (Tmax; One-stage aPTT Clotting Assay) | 0.7257 hours |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Time at Maximum Activity (Tmax; Two-stage Chromogenic Assay) | 0.7313 hours |
| Participants 6 to < 12 Years Old | Time at Maximum Activity (Tmax; Two-stage Chromogenic Assay) | 0.6334 hours |
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.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Participants < 6 Years Old | Total Dose Required for Resolution of a Bleeding Episode | Per Participant | 55.56 IU/kg |
| Participants < 6 Years Old | Total Dose Required for Resolution of a Bleeding Episode | Per Bleeding Episode | 56.40 IU/kg |
| Participants 6 to < 12 Years Old | Total Dose Required for Resolution of a Bleeding Episode | Per Participant | 51.35 IU/kg |
| Participants 6 to < 12 Years Old | Total Dose Required for Resolution of a Bleeding Episode | Per Bleeding Episode | 53.49 IU/kg |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Volume at Steady State (Vss; One-stage aPTT Clotting Assay) | 57.94 mL/kg |
| Participants 6 to < 12 Years Old | Volume at Steady State (Vss; One-stage aPTT Clotting Assay) | 49.51 mL/kg |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Volume at Steady State (Vss; Two-stage Chromogenic Assay) | 66.48 mL/kg |
| Participants 6 to < 12 Years Old | Volume at Steady State (Vss; Two-stage Chromogenic Assay) | 63.15 mL/kg |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Volume at Terminal Phase (Vz; One-stage aPTT Clotting Assay) | 61.22 mL/kg |
| Participants 6 to < 12 Years Old | Volume at Terminal Phase (Vz; One-stage aPTT Clotting Assay) | 50.58 mL/kg |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Participants < 6 Years Old | Volume at Terminal Phase (Vz; Two-stage Chromogenic Assay) | 79.48 mL/kg |
| Participants 6 to < 12 Years Old | Volume at Terminal Phase (Vz; Two-stage Chromogenic Assay) | 69.75 mL/kg |