| Primary | Incidence of Adverse Drug Reactions (ADRs) (%) | Medical Dictionary for Regulatory Activities (MedDRA) primary system organ class preferred term. Incidence rate = number of patients reporting the event / number of patients * 100 | All patients who received at least one dose of Wilate during the study (SAF population). | Posted | | Count of Participants | | Participants | | Throughout the duration of each patient's participation in the study (mean [± standard deviation (SD)]: 575 days [±326]; median [range]: 731 days [2-1185]) | | | | ID | Title | Description |
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| OG000 | SAF Population | All patients treated with at least one dose of Wilate during the study. |
| | | Title | Denominators | Categories |
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| Any adverse event | | | | Infections and infestations | | | | Nervous system disorders | | |
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| Primary | Tolerability Assessment of Wilate Infusions by Reason for Administration | Tolerability was assessed using a 3-point verbal rating scale (excellent; satisfactory; unsatisfactory) according to overall feeling during and after Wilate therapy and occurrence of ADRs. Tolerability was assessed for infusions given for on-demand and prophylactic treatment, but not for infusions administered for surgeries or for the purpose of thrombogenicity assessment. In some instances, however, investigators also recorded the tolerability of infusions given for surgical prophylaxis. For infusions administered for surgeries, only those with available tolerability assessments are presented. Wilate infusion may have been administered to a patient for more than one reason and may be included in more than one category (e.g., if a patient was under Wilate prophylaxis, they could also receive Wilate for the treatment of a bleeding episode [BE] or surgery or menstruation). | The tolerability analysis was performed in the SAF population; however, not all of the 111 participants experienced bleeding or had surgery or menstruation. | Posted | | Count of Units | | Infusions | | During and immediately after each infusion of Wilate during the study. | Infusions | Infusions | | ID | Title | Description |
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| OG000 | Prophylaxis | Wilate administered to patients in the context of prophylactic treatment. | | OG001 | Bleeding | Wilate administered for the treatment of acute or breakthrough BEs (does not include menstrual BEs). |
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| Secondary | Patient and Investigator Efficacy Analysis Assessment of the Treatment of Bleeding Episodes (BEs) | Document the efficacy of Wilate in the treatment of acute BEs, breakthrough BEs in patients receiving prophylactic treatment, and menstrual BEs. Efficacy was rated on a 4-point scale (excellent; good; moderate; none) according to overall haemostasis. | From all the patients in the EFF population, 58 patients experienced one or more evaluable BEs; 24 patients experienced acute BEs, 25 patients experienced breakthrough BEs and 9 experienced menstrual BEs. | Posted | | Count of Units | | Bleeding Episodes (BEs) | | During and immediately after treatment of each BE. | Bleeding Episodes (BEs) | Bleeding Episodes (BEs) | | ID | Title | Description |
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| OG000 | Patient Assessment of Acute BEs | Patient assessment of the efficacy of Wilate in the treatment of acute BEs. | | OG001 | Investigator Assessment of Acute BEs | Investigator assessment of the efficacy of Wilate in the treatment of acute BEs. | | OG002 | Patient Assessment of Breakthrough BEs | Patient assessment of the efficacy of Wilate in the treatment of breakthrough BEs. | |
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| Secondary | Efficacy Analysis for the Prevention of Breakthrough Bleeds During Prophylaxis | Efficacy was rated on a 4-point scale (excellent; good; moderate; none) according to the number of breakthrough bleeds per month. The treatment regimen for prophylactic treatment was at the discretion of the investigator and differed for each patient, as did the duration of prophylactic treatment. The prophylaxis efficacy population (EFF-P) was subdivided into 2 groups, prophylaxis on a continuous basis (EFF-PC population) and prophylaxis on an intermittent basis (EFF-PI population). In total, 25 patients received Wilate for prophylaxis and of these, 17 patients received prophylaxis on a continuous basis, which was defined as: (1) patients having received continuous prophylaxis over a period of at least 3 months, with no treatment gaps longer than 14 days; or (2) patients having received continuous prophylaxis for at least 1 year with an average of 1 infusion/per week (these patients may have had gaps of more than 14 days). | The efficacy results for the 17 patients with continuous prophylaxis are described here (EFF-PC population). | Posted | | Count of Participants | | Participants | | At the end of the study for each patient (study duration: mean [±SD]: 805 days [±247]; median [range]: 797 days [144-1185]). | | | | ID | Title | Description |
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| OG000 | Spontaneous | Spontaneous bleeding causes | | OG001 | All Causes | All causes of bleeding episodes |
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| Secondary | Efficacy Analysis of Surgical Prophylaxis | Efficacy was rated on a 4-point scale (excellent; good; moderate; none) according to overall haemostasis during and after surgery. | All patients in the EFF population who underwent surgery under the cover of Wilate (efficacy subpopulation undergoing surgery (EFF-S) population), divided according to surgery type. Efficacy assessments were available for 51/52 minor and 46/46 major surgeries. | Posted | | Count of Units | | Surgeries | | During and immediately after each surgery. | Surgeries | Surgeries | | ID | Title | Description |
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| OG000 | Minor Surgeries | Efficacy analysis for minor surgeries including treatment with Wilate. | | OG001 | Major Surgeries | Efficacy analysis for major surgeries including treatment with Wilate. |
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| Secondary | Overall Efficacy Assessment by Patient and Physician at the End of the Treatment Period | Patient and investigator assessment of the overall efficacy of Wilate performed at the end of the study for each patient. Efficacy was rated on a 4-point scale (excellent; good; moderate; none); criteria for assessment were not defined. | Overall efficacy assessments in the EFF population (n=91) were available from 78 patients, and investigator assessments were available for 86 patients. | Posted | | Count of Participants | | Participants | | At the end of the study for each patient (study duration: mean [±SD]: 596 days [±336]; median [range]: 732 days [2-1185]). | | | | ID | Title | Description |
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| OG000 | Patients | Patient assessment of Wilate efficacy | | OG001 | Investigator | Investigator assessment of Wilate efficacy |
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| Other Pre-specified | Safety: Number of Exposure Days to Wilate | Number of exposure days to Wilate was documented throughout the observation period EDs = exposure days. IU = international unit. SD = standard deviation. | All patients who received at least one dose of Wilate during the study (SAF Population). | Posted | | Median | Full Range | Exposure days | | Throughout the duration of each patient's participation in the study (study duration: mean [±SD]: 575 days [±326]; median [range]: 731 days [2-1185]). | | | | ID | Title | Description |
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| OG000 | Number of EDs | |
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| Other Pre-specified | Safety: Frequency of VWF Inhibitors at Baseline and Follow up | Optional testing for anti-VWF antibodies/VWF inhibitor was performed at the baseline and follow up visits. VWF inhibitor testing was only performed if anti-VWF antibody results were positive. VWF antibody testing was performed using an ELISA assay, and inhibitor testing using a Bethesda assay. Both assays were considered experimental, since no standardized laboratory assays were available. Results displayed here are for confirmatory inhibitor testing. | Data was analysed for all patients in the SAF population who underwent VWF inhibitor testing. Results were not available at all visits for all patients. | Posted | | Count of Participants | | Participants | No | Optional antibody tests were performed at baseline and 3-4 days (preferable 7 days) after Wilate injection. | | | | ID | Title | Description |
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| OG000 | Baseline | Inhibitor results from patients at baseline | | OG001 | Follow-up | Inhibitor results from patients at follow-up |
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| Other Pre-specified | Adverse Drug Reactions (ADRs) | Patients with a positive inhibitor test were assessed for ADRs related to anti VWF antibody or inhibitor development | ADRs were assessed for all patients who has a positive VWF inhibitor testing result as described in outcome 8. | Posted | | Number | | Adverse drug reactions | | Optional antibody tests were performed at baseline and 3-4 days (preferable 7 days) after Wilate injection | | | | ID | Title | Description |
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| OG000 | Baseline | Inhibitor results from patients at baseline | | OG001 | Follow-up | Inhibitor results from patients at follow-up |
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| Other Pre-specified | Safety: Patients With Thrombogenicity Values >2 Times the Upper Limit of Normal (ULN) | Thrombogenicity testing was optional. Thrombogenicity markers (prothrombin fragments 1 + 2; D-dimer) were evaluated at baseline and during follow up. Samples with prothrombin F1+2 and/or D-dimer values at least 2 times above the upper limit of normal were recorded as high. | A total of 47 patients were assessed over multiple visits. Results were not available at all visits for all patients. | Posted | | Count of Participants | | Participants | | Optional thrombogenicity tests were performed at baseline and 1, 3 and 24 hours after each administration of Wilate. | | | | ID | Title | Description |
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| OG000 | Prothrombin (Pre-infusion) | Pre-infusion assessment of prothrombin F1 + 2 (>2-fold ULN) | | OG001 | Prothrombin (Post-infusion) | Post-infusion assessment of prothrombin F1 + 2 (>2-fold ULN) | | OG002 | D-Dimer (Pre-infusion) | Pre-infusion assessment of D-dimer (>2-fold ULN) | | OG003 | D-Dimer (Post-infusion) | |
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| Other Pre-specified | Wilate Dosage Per Infusion for the Treatment of Acute Bleeding Episodes (BEs; On-demand) | The number of infusions and dosage of Wilate administered for the on-demand treatment of acute BEs was documented throughout the study. n= number of infusions | Bleeding episodes (BEs) occurring in the efficacy on-demand (EFF-OD) population that included 25 patients. Menstrual BEs were excluded from this analysis. | Posted | | Median | Full Range | IU/kg per infusion | | Throughout the duration of each patient's participation in the study (study duration: mean [±SD]: 677 days [±264]; median [range]: 749 days [40-1052]). | Number of infusions | Number of infusions | | ID | Title | Description |
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| OG000 | Dose of Wilate Per Infusion, IU/kg Per Infusion | Dose of Wilate given on-demand per infusion, units per kg per infusion |
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| Other Pre-specified | Wilate Dosage for the Treatment of Acute Bleeding Episodes (BEs; On-demand) Per Bleeding Episode (BE) | The dosage of Wilate administered for the on-demand treatment of acute BEs was documented throughout the study. n = number of BEs | Bleeding episodes (BEs) occurring in the efficacy on-demand (EFF-OD) population that included 25 patients. | Posted | | Median | Full Range | IU/kg per BE | | Throughout the duration of each patient's participation in the study (study duration: mean [±SD]: 677 days [±264]; median [range]: 749 days [40-1052]). | Number of BEs | Number of BEs | | ID | Title | Description |
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| OG000 | Dose of Wilate Per BE, IU/kg Per BE | Dose of Wilate given on-demand per BE |
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| Other Pre-specified | Wilate Doses for the Treatment of Menstrual Bleeding Episodes (BEs) | Dosage of Wilate administered for treatment of menstrual BE's was documented throughout the study. n = number of BEs treated | Nine patients from the EFF population had a total of 56 menstrual BEs treated with Wilate. | Posted | | Median | Full Range | IU/kg per menstrual BE | | Throughout the duration of each patient's participation in the study (study duration: mean [±SD]: 553 days [±296]; median [range]: 713 days [125-840]). | Number of menstrual BEs | Number of menstrual BEs | | ID | Title | Description |
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| OG000 | Dose of Wilate Per Menstrual BE, IU/kg Per Menstrual BE | Dose of Wilate given to participants per menstrual BE, units per kg per menstrual BE |
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| Other Pre-specified | Exposure Days for Prophylactic Treatment With Wilate | The treatment regimen for prophylactic treatment was at the discretion of the investigator and differed for each patient, as did the duration of prophylactic treatment. The prophylaxis efficacy population (EFF-P) was subdivided into 2 groups, prophylaxis on a continuous basis (EFF-PC population) and prophylaxis on an intermittent basis (EFF-PI population). | Patients receiving prophylactic treatment (n=25) on either a continuous basis (EFF-PC population) or an intermittent basis (EFF-PI population). | Posted | | Median | Full Range | Exposure days | | Throughout the duration of each patient's participation in the study (study duration: mean [±SD]: 761 days [±251]; median [range]: 773 days [144-1185]). | | | | ID | Title | Description |
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| OG000 | Number of Exposure Days | Number of prophylactic exposure days. |
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| Other Pre-specified | Number of Infusions of Prophylactic Treatment With Wilate Per Week | The treatment regimen for prophylactic treatment was at the discretion of the investigator and differed for each patient, as did the duration of prophylactic treatment. The prophylaxis efficacy population (EFF-P) was subdivided into 2 groups, prophylaxis on a continuous basis (EFF-PC population) and prophylaxis on an intermittent basis (EFF-PI population). n = number of patients. | Patients receiving prophylactic treatment (n=25) on either a continuous basis (EFF-PC population) or an intermittent basis (EFF-PI population). | Posted | | Median | Full Range | Infusions per week | | Throughout the duration of each patient's participation in the study (study duration: mean [±SD]: 761 days [±251]; median [range]: 773 days [144-1185]). | | | | ID | Title | Description |
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| OG000 | Number of Wilate Infusions Per Week | The number of prophylactic Wilate infusions given to participants per week. |
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| Other Pre-specified | Dosage for Prophylactic Treatment With Wilate Per Week | The treatment regimen for prophylactic treatment was at the discretion of the investigator and differed for each patient, as did the duration of prophylactic treatment. The prophylaxis efficacy population (EFF-P) was subdivided into 2 groups, prophylaxis on a continuous basis (EFF-PC population) and prophylaxis on an intermittent basis (EFF-PI population). n = number of patients | Patients receiving prophylactic treatment (n=25) on either a continuous basis (EFF-PC population) or an intermittent basis (EFF-PI population). | Posted | | Median | Full Range | IU/kg per week | | Throughout the duration of each patient's participation in the study (study duration: mean [±SD]: 761 days [±251]; median [range]: 773 days [144-1185]). | | | | ID | Title | Description |
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| OG000 | Dose of Wilate Per Week, IU/kg Per Week | The prophylactic dose of Wilate given to participants per week |
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| Other Pre-specified | Dosage for Prophylactic Treatment With Wilate Per Infusion | The treatment regimen for prophylactic treatment was at the discretion of the investigator and differed for each patient, as did the duration of prophylactic treatment. The prophylaxis efficacy population (EFF-P) was subdivided into 2 groups, prophylaxis on a continuous basis (EFF-PC population) and prophylaxis on an intermittent basis (EFF-PI population). | Patients receiving prophylactic treatment (n=25) on either a continuous basis (EFF-PC population) or an intermittent basis (EFF-PI population). | Posted | | Median | Full Range | IU/kg per infusion | | Throughout the duration of each patient's participation in the study (study duration: mean [±SD]: 761 days [±251]; median [range]: 773 days [144-1185]). | Number of infusions | Number of infusions | | ID | Title | Description |
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| OG000 | Dose of Wilate Per Infusion, IU/kg Per Infusion | Dose of prophylactic Wilate administered per infusion |
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| Other Pre-specified | Exposure Days for Prophylactic Wilate Treatment on a Continuous Basis | Number and dosage of Wilate infusions administered as prophylactic treatment on a continuous basis were documented throughout the study. The treatment regimen for prophylactic treatment was at the discretion of the investigator and differed for each patient, as did the duration of prophylactic treatment. | Patients receiving prophylactic Wilate (n=17) on a continuous basis (EFF-PC population). | Posted | | Median | Full Range | Exposure days | | Throughout the duration of each patient's participation in the study (study duration: mean [±SD]: 805 days [±247]; median [range]: 797 days [144-1185]). | | | | ID | Title | Description |
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| OG000 | Number of Exposure Days (EDs) | Number of prophylactic exposure days |
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| Other Pre-specified | Number of Infusions Per Week for Prophylactic Wilate Treatment on a Continuous Basis | Number and dosage of Wilate infusions administered as prophylactic treatment on a continuous basis were documented throughout the study. The treatment regimen for prophylactic treatment was at the discretion of the investigator and differed for each patient, as did the duration of prophylactic treatment. | Patients receiving prophylactic Wilate (n=17) on a continuous basis (EFF-PC population). | Posted | | Median | Full Range | Infusions per week | | Throughout the duration of each patient's participation in the study (study duration: mean [±SD]: 805 days [±247]; median [range]: 797 days [144-1185]). | | | | ID | Title | Description |
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| OG000 | Number of Wilate Infusions Per Week | The prophylactic dose of Wilate given to participants per week |
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| Other Pre-specified | Dosage for Prophylactic Wilate Treatment on a Continuous Basis | Number and dosage of Wilate infusions administered as prophylactic treatment on a continuous basis were documented throughout the study. The treatment regimen for prophylactic treatment was at the discretion of the investigator and differed for each patient, as did the duration of prophylactic treatment. n = number of patients. | Patients receiving prophylactic Wilate (n=17) on a continuous basis (EFF-PC population). | Posted | | Median | Full Range | IU/kg per week | | Throughout the duration of each patient's participation in the study (study duration: mean [±SD]: 805 days [±247]; median [range]: 797 days [144-1185]). | | | | ID | Title | Description |
|---|
| OG000 | Dose of Wilate Per Week, IU/kg Per Week | The prophylactic dose of Wilate given to participants per week, per kg |
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| Other Pre-specified | Dosage for Prophylactic Wilate Treatment Per Infusion on a Continuous Basis | Number and dosage of Wilate infusions administered as prophylactic treatment on a continuous basis were documented throughout the study. The treatment regimen for prophylactic treatment was at the discretion of the investigator and differed for each patient, as did the duration of prophylactic treatment. n = number of infusions. | Patients receiving prophylactic Wilate (n=17) on a continuous basis (EFF-PC population). | Posted | | Median | Full Range | IU/kg per infusion | | Throughout the duration of each patient's participation in the study (study duration: mean [±SD]: 805 days [±247]; median [range]: 797 days [144-1185]). | Number of infusions | Number of infusions | | ID | Title | Description |
|---|
| OG000 | Dose of Wilate Per Infusion, IU/kg Per Infusion | The prophylactic dose of Wilate given to participants per infusion, per kg per infusion |
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| Other Pre-specified | Dosage of Wilate Per Infusion for the Treatment of Breakthrough Bleeds | Number and dosage of Wilate infusions administered as treatment for breakthrough bleeds in patients receiving prophylactic treatment on a continuous or intermittent basis were documented throughout the study. n = number of infusions | The EFF-P population included 25 patients. | Posted | | Median | Full Range | IU/kg per infusion | | Throughout the duration of each patient's participation in the study (study duration: mean [±SD]: 561 days [±251]; median [range]: 773 days [144-1185]). | Number of infusions | Number of infusions | | ID | Title | Description |
|---|
| OG000 | Dose of Wilate Per Infusion, IU/kg Per Infusion | The dose of Wilate given to participants per infusions, per kg to treat breakthrough bleeds |
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| Other Pre-specified | Dosage of Wilate for the Treatment of Breakthrough Bleeds Per Breakthrough Bleed | Number and dosage of Wilate infusions administered as treatment for breakthrough bleeds in patients receiving prophylactic treatment on a continuous or intermittent basis were documented throughout the study. n = For 1 bleed in the EFF-PC population, the dose is unknown. | Treatment of breakthrough bleeds (n=175) in the EFF-P population that included 25 patients. | Posted | | Median | Full Range | IU/kg per breakthrough bleed | | Throughout the duration of each patient's participation in the study (study duration: mean [±SD]: 561 days [±251]; median [range]: 773 days [144-1185]). | No. of breakthrough bleeds | No. of breakthrough bleeds | | ID | Title | Description |
|---|
| OG000 | Dose of Wilate Per Breakthrough Bleed | The dose of Wilate given to participants per breakthrough bleed, units per kg per breakthrough bleed |
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| Other Pre-specified | Wilate Dosage Per Infusion for the Prevention of Bleeding During and After Surgery | Number and dosage of Wilate infusions administered to prevent bleeding during and after surgery were documented throughout the study.
- For 6 infusions, no dosage information is available
- One minor surgical procedure was not treated with Wilate. For 2 of the 98 treated surgical procedures, no dosage information is available (i.e., 1 major orthopaedic surgery and 1 minor cardiovascular surgery)
| Efficacy of Wilate for the prevention of bleeding during and after surgery was assessed in the efficacy surgery (EFF-S) population that included 62 patients. | Posted | | Median | Full Range | IU/kg per infusion | | Throughout the duration of each patient's participation in the study (study duration: mean [±SD]: 568 days [±349]; median [range]: 732 days [2-1185]). | Number of infusions | Number of infusions | | ID | Title | Description |
|---|
| OG000 | Dose of Wilate Per Infusion, IU/kg Per Infusion | Dose of Wilate per infusion, units per kg in patients following surgery. |
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| Other Pre-specified | Wilate Dosage Per Procedure for the Prevention of Bleeding During and After Surgery | Number and dosage of Wilate infusions administered to prevent bleeding during and after surgery were documented throughout the study.
- For 6 infusions, no dosage information is available
- One minor surgical procedure was not treated with Wilate. For 2 of the 98 treated surgical procedures, no dosage information is available (i.e., 1 major orthopedic surgery and 1 minor cardiovascular surgery)
| Efficacy of Wilate for the prevention of bleeding during and after surgery was assessed in the efficacy surgery (EFF-S) population that included 62 patients. | Posted | | Median | Full Range | IU/kg per procedure | | Throughout the duration of each patient's participation in the study (study duration: mean [±SD]: 568 days [±349]; median [range]: 732 days [2-1185]). | Number of treated surgeries | Number of treated surgeries | | ID | Title | Description |
|---|
| OG000 | Dose of Wilate Per Procedure, IU/kg Per Procedure | Dose of Wilate per procedure, units per kg in patients following surgery |
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| Other Pre-specified | Number of Patients With Breakthrough Bleeds During Prophylaxis | Breakthrough bleeds in patients receiving Wilate as prophylactic treatment on a continuous (EFF-PC population) or intermittent (EFF-PI population) basis were documented throughout the study. | Patients who received Wilate as prophylaxis were sub-divided into those who received prophylaxis on a continuous basis (EFF-PC Population) and those who received prophylaxis on an intermittent basis (EFF-PI). | Posted | | Count of Participants | | Participants | | Throughout the duration of each patient's participation in the study (study duration: mean [±SD]: 761 days [±251]; median [range]: 773 days [144-1185]). | | | | ID | Title | Description |
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| OG000 | EFF-PC | Efficacy population undergoing continuous prophylaxis. | | OG001 | EFF-PI | Efficacy population undergoing intermittent prophylaxis. |
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| Post-Hoc | Thromboembolic Adverse Drug Reactions (ADRs) | Patients with elevated F1 + F2 and/or D-dimer levels were monitored for thromboembolic ADRs | Thromboembolic ADRs were analysed for all patients who has elevated F1 + F2 and/or D-dimer levels >2 times the upper limit of normal as identified in outcome 11. | Posted | | Number | | number of adverse drug reactions | | Optional thrombogenicity tests were performed at baseline and 1,3 and 24 hours after each administration of Wilate | | | | ID | Title | Description |
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| OG000 | Prothrombin (Pre-infusion) | Pre-infusion assessment of prothrombin F1 + 2 (>2-fold ULN) | | OG001 | Prothrombin (Post-infusion) | Post-infusion assessment of prothrombin F1 + 2 (>2-fold ULN) | | OG002 | D-Dimer (Pre-infusion) | Pre-infusion assessment of D-dimer (>2-fold ULN) | | OG003 | D-Dimer (Post-infusion) | Post-infusion assessment of D-dimer (>2-fold ULN) |
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| Post-Hoc | Clinical Symptoms of Von Willebrand Factor (VWF) Inhibition | Patients with a positive inhibitor tests were assessed for clinical symptoms of VWF inhibition | Data was assessed for all patients in the SAF population who had a positive VWF inhibitor testing result as described in outcome 8. | Posted | | Count of Participants | | Participants | | Optional antibody tests were performed at baseline and 3-4 days (preferable 7 days) after Wilate injection | | | | ID | Title | Description |
|---|
| OG000 | Baseline | Inhibitor results from patients at baseline | | OG001 | Follow-up | Inhibitor results from patients at follow-up |
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