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| ID | Type | Description | Link |
|---|---|---|---|
| 2013-005512-10 | EudraCT Number |
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| Name | Class |
|---|---|
| Swedish Orphan Biovitrum | INDUSTRY |
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The primary objective of the study was to evaluate the safety of rFVIIIFc (BIIB031) in previously untreated participants (PUPs) with severe hemophilia A. The secondary objectives were to evaluate the efficacy of rFVIIIFc in the prevention and treatment of bleeding episodes in PUPs, to evaluate rFVIIIFc consumption for the prevention and treatment of bleeding episodes in PUPs, and to describe experience with the use of rFVIIIFc for immune tolerance induction (ITI) in participants with inhibitors.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| rFVIIIFc | Experimental | Participants were to receive rFVIIIFc as follows- Prophylaxis regimen (PR): rFVIIIFc 25-80 international units per kilogram (IU/kg), at 3- to 5-day intervals until participant reached greater than or equal to (>=) 50 exposure days (ED: 24-hour period in which >=1 injection/dose of rFVIIIFc was given), or study withdrawal/end of study. Adjustments to dose/dosing interval was done as needed by investigator; Treatment with an optional ER (Episodic regimen) can be initiated before PR at investigators discretion; ITI: rFVIIIFc 200 IU/kg, daily for participants who, after exposure to rFVIIIFc, had positive high titer inhibitor (>=5.00 Bethesda Units per milliliter [BU/mL]) or positive low titer inhibitor (>=0.60 and <5.00 BU/mL) and had poorly controlled bleeding despite increased rFVIIIFc doses, or required bypassing agent to treat bleeding. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| rFVIIIFc | Biological | Administered as specified in arm description |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With Confirmed Inhibitor Development as Measured by the Nijmegen-Modified Bethesda Assay | A positive/confirmed inhibitor result occurs when a participant has a value >=0.6 BU/mL by central laboratory testing using Nijmegen-modified Bethesda assay, that is confirmed on re-testing of a separate sample collected >=2 weeks after the initial sample. Confirmed inhibitor development was based on all participants who had reached >=10 EDs and had >=1 inhibitor test performed at or beyond this milestone or who had an inhibitor. Exposure day (ED) is a 24-hour period in which participant received >=1 dose of rFVIIIFc injections. Participants who did not develop an inhibitor but reached the milestone number of EDs were included in the denominator during calculation of percentage. Additionally, any participant who developed an inhibitor following the initial rFVIIIFc administration was included in the numerator and denominator during calculation of percentage. | Up to 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Annualized Number of Bleeding Episodes (Spontaneous and Traumatic) Per Participant (Annualized Bleeding Rate [ABR]) | ABR was annualized number of bleeding episodes during efficacy period (EP) per participant annualized to a 1-year interval of time. Bleeding episodes were classified as spontaneous if parent/caregiver/participant records bleeding event when there is no known contributing factor such as definite trauma or antecedent "strenuous" activity and as traumatic when there is known reason for bleed. ABR=(Number of bleeding episodes during EP divided by total number of days during EP)*365.25. EP was sum of all intervals of time during which participants were treated with rFVIIIFc per treatment regimens of study excluding surgical/rehabilitation periods and large injection intervals (greater than [>]28 days). Participants were included in summary of more than 1 treatment regimen if their regimen changed during study. |
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Key Inclusion Criteria:
Key Exclusion Criteria:
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Little Rock | Arkansas | 72202 | United States | ||
| Research Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38266154 | Derived | Carcao M, Schiavulli M, Kulkarni R, Rendo P, Foster M, Santagostino E, Casiano S, Konigs C. A post hoc analysis of previously untreated patients with severe hemophilia A who developed inhibitors in the PUPs A-LONG trial. Blood Adv. 2024 Mar 26;8(6):1494-1503. doi: 10.1182/bloodadvances.2023011475. | |
| 35421219 | Derived |
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Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
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110 participants screened, 108 enrolled, 103 received drug.
The study was conducted at 44 active centers in 13 countries between 12-Jan-2015 to 23-Sep-2019.
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| ID | Title | Description |
|---|---|---|
| FG000 | Recombinant Coagulation Factor VIII Fc Fusion Protein | Participants were to receive rFVIIIFc as follows -Prophylaxis regimen (PR): rFVIIIFc 25-80 international units per kilogram (IU/kg), at 3-5 day intervals until participant reached >= 50 exposure days (ED: 24-hour period in which >=1 injection/dose of rFVIIIFc was given), or study withdrawal/end of study. Adjustments to dose/dosing interval was done as needed by investigator; Treatment with an optional ER (Episodic regimen) can be initiated before PR at investigators discretion; ITI: rFVIIIFc 200 IU/kg, daily for participants who, after exposure to rFVIIIFc, had positive high titer inhibitor (>=5.00 Bethesda Units per milliliter [BU/mL]) or positive low titer inhibitor (>=0.60 and <5.00 BU/mL) and had poorly controlled bleeding despite increased rFVIIIFc doses, or required bypassing agent to treat bleeding. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| All Enrolled |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Feb 12, 2018 | Jul 28, 2020 |
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| Up to 3 years |
| Annualized Number of Spontaneous Joint Bleeding Episodes | Bleeding episodes were classified as spontaneous if parent/caregiver/participant records a bleeding event when there was no known contributing factor such as a definite trauma or antecedent "strenuous" activity. Annualized spontaneous joint bleeding episodes = (Total number of spontaneous joint bleeding episodes during EP divided by total number of days during EP)*365.25. EP reflects sum of all intervals of time during which participants were treated with rFVIIIFc per treatment regimen excluding major and minor surgical/rehabilitation periods and large injection intervals (> 28 days). Bleeding episodes were summarized by treatment regimen. Participants were included in summary of more than 1 treatment regimen if their regimen changed during study. | Up to 3 years |
| Number of rFVIIIFc Injections With Excellent or Good, Moderate or None Treatment Response Assessed Using a 4-Point Scale | Using e-diary, each participant's parent/caregiver rated treatment response to any bleeding episode at approximately 8-12 hours from time of injection and prior to additional doses of rFVIIIFc given for same bleeding episodes, using 4-point scale: 1=Excellent: abrupt pain relief and/or improvement in signs of bleeding within approximately 8 hour after initial injection; 2=Good: definite pain relief and/or improvement in signs of bleeding within approximately 8 hour after injection, but possibly requiring more than 1 injection after 24-48 hour for complete resolution; 3=Moderate: Probable/slight beneficial effect within 8 hour after initial injection and requires more than 1 injection and 4=None: No improvement or condition worsens within approximately 8 hour after initial injection. Participants included in more than 1 treatment regimen if their regimen changed during study. | Up to 3 years |
| Total Number of Exposure Days (EDs) | An ED was defined as a 24-hour period in which a participant received one or more doses of rFVIIIFc injections, with the time of the first injection of rFVIIIFc defined as the start of the ED. Participants who did not have a particular injection type were counted as having zero injections for that type. | Up to 3 years |
| Total Annualized rFVIIIFc Consumption Per Participant for the Prevention and Treatment of Bleeding Episodes | Total annualized rFVIIIFc consumption (in IU/kg) was calculated for each participant as: Annualized consumption = (Total IU/kg of rFVIIIFc during EP divided by total number of days during EP)*365.25. EP reflects the sum of all intervals of time during which participants are treated with rFVIIIFc according to the treatment regimens of the study excluding surgical/rehabilitation periods and large injection intervals (>28 days). Participants were included in summary of more than 1 treatment regimen if their regimen changed during study. | Up to 3 years |
| Number of Injections of rFVIIIFc Required to Resolve a Bleeding Episode | Number of Injections of rFVIIIFc required to resolve a bleeding episode during EP were reported. EP reflects the sum of all intervals of time during which participants were treated with rFVIIIFc according to the treatment regimens of the study excluding surgical/rehabilitation periods and large injection intervals (>28 days). All injections given from the initial sign of a bleed, until the last date/time within the bleed window were counted. Participants were included in summary of more than 1 treatment regimen if their regimen changed during study. | Up to 3 years |
| Average Dose Per Injection of rFVIIIFc Required to Resolve a Bleeding Episode | The average dose of rFVIIIFc per injection per bleeding episode was calculated as the average of all doses (IU/kg) administered to treat the bleeding episode during EP. EP begins with the first treatment regimen dose of rFVIIIFc and ends with the last dose (regardless of the reason for dosing). Surgery/rehabilitation periods were not included in the EP. Participants were included in summary of more than 1 treatment regimen if their regimen changed during study. | Up to 3 years |
| Change From Baseline in rFVIIIFc Incremental Recovery (IR) | Blood samples were taken at trough (predose) and Cmax (maximum concentration) for assessment of incremental recovery, measured by the one-stage clotting assay. IR (International Units per deciliter [IU/dL] per IU/kg) = (Cmax for FVIII activity - Pre-dose FVIII activity) (IU/dL) divided by actual dose (IU/kg), where Cmax (maximum concentration) is 30-minute FVIII activity post-dose and FVIII activity less than (<)0.5 IU/dL was set to 0 IU/dL for calculation of IR. | Baseline, Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108 and 120 |
| Number of Participants With Response to Immune Tolerance Induction (ITI) | Complete Success was defined as meeting all of the following criteria: Negative inhibitor titers in 2 consecutive determinations at least 4 weeks apart; IR >=66% of baseline in 2 consecutive determinations at least 4 weeks apart; Half life >=6 hours. Partial Success was defined as meeting the first criteria for complete success and one of the other 2 after 33 months of ITI. | Up to 3 years |
| Duarte |
| California |
| 91010 |
| United States |
| Research Site | Sacramento | California | 95817 | United States |
| Research Site | San Francisco | California | 94143 | United States |
| Research Site | Torrance | California | 90509 | United States |
| Research Site | Indianapolis | Indiana | 46260 | United States |
| Research Site | Louisville | Kentucky | 40202 | United States |
| Research Site | Brewer | Maine | 04412 | United States |
| Research Site | East Lansing | Michigan | 48823 | United States |
| Research Site | Minneapolis | Minnesota | 55404 | United States |
| Research Site | St Louis | Missouri | 63104 | United States |
| Research Site | Buffalo | New York | 14209 | United States |
| Research Site | New York | New York | 10065 | United States |
| Research Site | Rochester | New York | 14621 | United States |
| Research Site | Columbus | Ohio | 43205 | United States |
| Research Site | Portland | Oregon | 97239 | United States |
| Research Site | Philadelphia | Pennsylvania | 19104 | United States |
| Research Site | Dallas | Texas | 75230 | United States |
| Research Site | Dallas | Texas | 75235 | United States |
| Research Site | Milwaukee | Wisconsin | 53226 | United States |
| Research Site | Brisbane | 4029 | Australia |
| Research Site | Parkville | 3052 | Australia |
| Research Site | Perth | 6008 | Australia |
| Research Site | Westmead | 2145 | Australia |
| Research Site | Campinas | 13083-878 | Brazil |
| Research Site | Canoas | 92425-900 | Brazil |
| Research Site | Ribeirão Preto | 14048-900 | Brazil |
| Research Site | Rio de Janeiro | 20211-030 | Brazil |
| Research Site | São Paulo | 01227-200 | Brazil |
| Research Site | Hamilton | L8S 4K1 | Canada |
| Research Site | London | N6A 4G5 | Canada |
| Research Site | Toronto | M5G 1X8 | Canada |
| Research Site | Caen | 14033 | France |
| Research Site | Le Kremlin-Bicêtre | 94270 | France |
| Research Site | Lille | 59037 | France |
| Research Site | Nantes | 44093 | France |
| Research Site | Strasbourg | 67200 | France |
| Research Site | Toulouse | 31059 | France |
| Research Site | Tours | 37044 | France |
| Research Site | Berlin | 13353 | Germany |
| Research Site | Bonn | 53127 | Germany |
| Research Site | Düsseldorf | 40225 | Germany |
| Research Site | Frankfurt | 60590 | Germany |
| Research Site | Hannover | 30625 | Germany |
| Research Site | Dublin | D12 N512 | Ireland |
| Research Site | Vicenza | VI | 36100 | Italy |
| Research Site | Bari | 70123 | Italy |
| Research Site | Florence | 50134 | Italy |
| Research Site | Genova | 16148 | Italy |
| Research Site | Milan | 20122 | Italy |
| Research Site | Naples | 80123 | Italy |
| Research Site | Padova | 35128 | Italy |
| Research Site | Rome | 161 | Italy |
| Research Site | Rome | 165 | Italy |
| Research Site | Leiden | 2333 ZA | Netherlands |
| Research Site | Utrecht | 3584 CX | Netherlands |
| Research Site | Auckland | 1023 | New Zealand |
| Research Site | Christchurch | 8011 | New Zealand |
| Research Site | Gdansk | 80-952 | Poland |
| Research Site | Krakow | 30-663 | Poland |
| Research Site | Lublin | 20-093 | Poland |
| Research Site | Warsaw | 02-091 | Poland |
| Research Site | Barcelona | 08035 | Spain |
| Research Site | Madrid | 28046 | Spain |
| Research Site | Stockholm | 171 76 | Sweden |
| Research Site | Cambridge | Cambridgeshire | CB2 0QQ | United Kingdom |
| Research Site | Basingstoke | Hampshire | RG24 9NA | United Kingdom |
| Research Site | Whitechapel | London | E1 1BB | United Kingdom |
| Research Site | Cardiff | CF14 4XW | United Kingdom |
| Research Site | London | WC1N3JH | United Kingdom |
| Research Site | Sheffield | S10 2TH | United Kingdom |
| Konigs C, Ozelo MC, Dunn A, Kulkarni R, Nolan B, Brown SA, Schiavulli M, Gunawardena S, Mukhopadhyay S, Jayawardene D, Winding B, Carcao M. First study of extended half-life rFVIIIFc in previously untreated patients with hemophilia A: PUPs A-LONG final results. Blood. 2022 Jun 30;139(26):3699-3707. doi: 10.1182/blood.2021013563. |
| COMPLETED |
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| NOT COMPLETED |
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| All Treated |
|
|
The safety analysis set was defined as all participants who received at least 1 dose of rFVIIIFc.
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| ID | Title | Description |
|---|---|---|
| BG000 | Recombinant Coagulation Factor VIII Fc Fusion Protein | Participants were to receive rFVIIIFc as follows -PR: rFVIIIFc 25-80 IU/kg, at 3- to 5-day intervals until participant reached >= 50 exposure days (ED: 24-hour period in which >=1 injection/dose of rFVIIIFc was given), or study withdrawal/end of study. Adjustments to dose/dosing interval was done as needed by investigator; Treatment with an optional ER can be initiated before PR at investigators discretion; ITI: rFVIIIFc 200 IU/kg, daily for participants who, after exposure to rFVIIIFc, had positive high titer inhibitor (>=5.00 BU/mL) or positive low titer inhibitor (>=0.60 and <5.00 BU/mL) and had poorly controlled bleeding despite increased rFVIIIFc doses, or required bypassing agent to treat bleeding. |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Median | Full Range | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percentage of Participants With Confirmed Inhibitor Development as Measured by the Nijmegen-Modified Bethesda Assay | A positive/confirmed inhibitor result occurs when a participant has a value >=0.6 BU/mL by central laboratory testing using Nijmegen-modified Bethesda assay, that is confirmed on re-testing of a separate sample collected >=2 weeks after the initial sample. Confirmed inhibitor development was based on all participants who had reached >=10 EDs and had >=1 inhibitor test performed at or beyond this milestone or who had an inhibitor. Exposure day (ED) is a 24-hour period in which participant received >=1 dose of rFVIIIFc injections. Participants who did not develop an inhibitor but reached the milestone number of EDs were included in the denominator during calculation of percentage. Additionally, any participant who developed an inhibitor following the initial rFVIIIFc administration was included in the numerator and denominator during calculation of percentage. | Safety analysis set participants who 1) reached >=10 EDs and had >=1 inhibitor test performed at >=10 EDs or who had inhibitor or 2) did not develop inhibitor but reached >=10 EDs or 3) developed an inhibitor following the initial rFVIIIFc administration. | Posted | Number | 95% Confidence Interval | percentage of participants | Up to 3 years |
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| Secondary | Annualized Number of Bleeding Episodes (Spontaneous and Traumatic) Per Participant (Annualized Bleeding Rate [ABR]) | ABR was annualized number of bleeding episodes during efficacy period (EP) per participant annualized to a 1-year interval of time. Bleeding episodes were classified as spontaneous if parent/caregiver/participant records bleeding event when there is no known contributing factor such as definite trauma or antecedent "strenuous" activity and as traumatic when there is known reason for bleed. ABR=(Number of bleeding episodes during EP divided by total number of days during EP)*365.25. EP was sum of all intervals of time during which participants were treated with rFVIIIFc per treatment regimens of study excluding surgical/rehabilitation periods and large injection intervals (greater than [>]28 days). Participants were included in summary of more than 1 treatment regimen if their regimen changed during study. | Analysis performed on Full Analysis Set (FAS) participants within the EP. FAS included all enrolled participants with >=1 dose of study treatment. Here, number analyzed signifies number of FAS participants analyzed in each treatment regimen. | Posted | Median | Full Range | episodes per participant per year | Up to 3 years |
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| Secondary | Annualized Number of Spontaneous Joint Bleeding Episodes | Bleeding episodes were classified as spontaneous if parent/caregiver/participant records a bleeding event when there was no known contributing factor such as a definite trauma or antecedent "strenuous" activity. Annualized spontaneous joint bleeding episodes = (Total number of spontaneous joint bleeding episodes during EP divided by total number of days during EP)*365.25. EP reflects sum of all intervals of time during which participants were treated with rFVIIIFc per treatment regimen excluding major and minor surgical/rehabilitation periods and large injection intervals (> 28 days). Bleeding episodes were summarized by treatment regimen. Participants were included in summary of more than 1 treatment regimen if their regimen changed during study. | Analysis was performed on FAS which included participants within EP. Here, number analyzed signifies number of FAS participants who were analyzed in each treatment regimen. | Posted | Median | Inter-Quartile Range | episodes per participant per year | Up to 3 years |
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| Secondary | Number of rFVIIIFc Injections With Excellent or Good, Moderate or None Treatment Response Assessed Using a 4-Point Scale | Using e-diary, each participant's parent/caregiver rated treatment response to any bleeding episode at approximately 8-12 hours from time of injection and prior to additional doses of rFVIIIFc given for same bleeding episodes, using 4-point scale: 1=Excellent: abrupt pain relief and/or improvement in signs of bleeding within approximately 8 hour after initial injection; 2=Good: definite pain relief and/or improvement in signs of bleeding within approximately 8 hour after injection, but possibly requiring more than 1 injection after 24-48 hour for complete resolution; 3=Moderate: Probable/slight beneficial effect within 8 hour after initial injection and requires more than 1 injection and 4=None: No improvement or condition worsens within approximately 8 hour after initial injection. Participants included in more than 1 treatment regimen if their regimen changed during study. | Analysis performed on FAS participants within the EP and based on all injections. Here, number analyzed signifies number of responses to injections reported for each treatment regimen. | Posted | Count of Units | responses to injections | Up to 3 years | responses to injections | responses to injections |
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| Secondary | Total Number of Exposure Days (EDs) | An ED was defined as a 24-hour period in which a participant received one or more doses of rFVIIIFc injections, with the time of the first injection of rFVIIIFc defined as the start of the ED. Participants who did not have a particular injection type were counted as having zero injections for that type. | Analysis performed on safety analysis set. | Posted | Median | Full Range | days | Up to 3 years |
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| Secondary | Total Annualized rFVIIIFc Consumption Per Participant for the Prevention and Treatment of Bleeding Episodes | Total annualized rFVIIIFc consumption (in IU/kg) was calculated for each participant as: Annualized consumption = (Total IU/kg of rFVIIIFc during EP divided by total number of days during EP)*365.25. EP reflects the sum of all intervals of time during which participants are treated with rFVIIIFc according to the treatment regimens of the study excluding surgical/rehabilitation periods and large injection intervals (>28 days). Participants were included in summary of more than 1 treatment regimen if their regimen changed during study. | Analysis performed on FAS participants within the EP. Here, number analyzed signifies number of FAS participants who were analyzed in each treatment regimen. | Posted | Median | Full Range | IU per kilogram per participant per year | Up to 3 years |
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| Secondary | Number of Injections of rFVIIIFc Required to Resolve a Bleeding Episode | Number of Injections of rFVIIIFc required to resolve a bleeding episode during EP were reported. EP reflects the sum of all intervals of time during which participants were treated with rFVIIIFc according to the treatment regimens of the study excluding surgical/rehabilitation periods and large injection intervals (>28 days). All injections given from the initial sign of a bleed, until the last date/time within the bleed window were counted. Participants were included in summary of more than 1 treatment regimen if their regimen changed during study. | Analysis performed on FAS participants within the EP. Here, number analyzed signifies number of FAS participants who were analyzed in each treatment regimen. | Posted | Median | Full Range | injections | Up to 3 years |
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| Secondary | Average Dose Per Injection of rFVIIIFc Required to Resolve a Bleeding Episode | The average dose of rFVIIIFc per injection per bleeding episode was calculated as the average of all doses (IU/kg) administered to treat the bleeding episode during EP. EP begins with the first treatment regimen dose of rFVIIIFc and ends with the last dose (regardless of the reason for dosing). Surgery/rehabilitation periods were not included in the EP. Participants were included in summary of more than 1 treatment regimen if their regimen changed during study. | Analysis performed on FAS participants within the EP. Here, number analyzed signifies number of FAS participants who were analyzed in each treatment regimen. | Posted | Median | Full Range | IU/kg | Up to 3 years |
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| Secondary | Change From Baseline in rFVIIIFc Incremental Recovery (IR) | Blood samples were taken at trough (predose) and Cmax (maximum concentration) for assessment of incremental recovery, measured by the one-stage clotting assay. IR (International Units per deciliter [IU/dL] per IU/kg) = (Cmax for FVIII activity - Pre-dose FVIII activity) (IU/dL) divided by actual dose (IU/kg), where Cmax (maximum concentration) is 30-minute FVIII activity post-dose and FVIII activity less than (<)0.5 IU/dL was set to 0 IU/dL for calculation of IR. | Analysis performed on FAS participants within the EP. Here number analyzed signifies number of FAS participants with available data for each visit. | Posted | Median | Inter-Quartile Range | IU/dL per IU/kg | Baseline, Weeks 12, 24, 36, 48, 60, 72, 84, 96, 108 and 120 |
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| Secondary | Number of Participants With Response to Immune Tolerance Induction (ITI) | Complete Success was defined as meeting all of the following criteria: Negative inhibitor titers in 2 consecutive determinations at least 4 weeks apart; IR >=66% of baseline in 2 consecutive determinations at least 4 weeks apart; Half life >=6 hours. Partial Success was defined as meeting the first criteria for complete success and one of the other 2 after 33 months of ITI. | Analysis performed on ITI analysis set which was defined as all participants who consented to and initiated the ITI sub-study. | Posted | Count of Participants | Participants | Up to 3 years |
|
|
All Adverse Events (AEs) were collected from signature of the informed consent form up to end of the study (up to 3 years) regardless of seriousness or relationship to investigational product.
Reported AEs are treatment-emergent AEs i.e. AE that was present prior to receiving first injection of rFVIIIFc and subsequently worsened in severity, or was not present prior to receiving first injection but subsequently appeared before last visit/follow-up call, whichever came later. Analysis performed on safety analysis set.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Recombinant Coagulation Factor VIII Fc Fusion Protein | Participants were to receive rFVIIIFc as follows -PR: rFVIIIFc 25-80 IU/kg, at 3- to 5-day intervals until participant reached >= 50 exposure days (ED: 24-hour period in which >=1 injection/dose of rFVIIIFc was given), or study withdrawal/end of study. Adjustments to dose/dosing interval was done as needed by investigator; Treatment with an optional ER can be initiated before PR at investigators discretion; ITI: rFVIIIFc 200 IU/kg, daily for participants who, after exposure to rFVIIIFc, had positive high titer inhibitor (>=5.00 BU/mL) or positive low titer inhibitor (>=0.60 and <5.00 BU/mL) and had poorly controlled bleeding despite increased rFVIIIFc doses, or required bypassing agent to treat bleeding. | 1 | 103 | 60 | 103 | 85 | 103 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Factor viii inhibition | Blood and lymphatic system disorders | MedDra 22.0 | Systematic Assessment |
| |
| Febrile neutropenia | Blood and lymphatic system disorders | MedDra 22.0 | Systematic Assessment |
| |
| Spontaneous haematoma | Blood and lymphatic system disorders | MedDra 22.0 | Systematic Assessment |
| |
| Supraventricular tachycardia | Cardiac disorders | MedDra 22.0 | Systematic Assessment |
| |
| Tongue haemorrhage | Gastrointestinal disorders | MedDra 22.0 | Systematic Assessment |
| |
| Device related thrombosis | General disorders | MedDra 22.0 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDra 22.0 | Systematic Assessment |
| |
| Bacterial sepsis | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Gastroenteritis norovirus | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Haematoma infection | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Meningitis aseptic | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Parainfluenzae virus infection | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Rotavirus infection | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Staphylococcal bacteraemia | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Staphylococcal infection | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Staphylococcal skin infection | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Vascular device infection | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Viral infection | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Viral upper respiratory tract infection | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Concussion | Injury, poisoning and procedural complications | MedDra 22.0 | Systematic Assessment |
| |
| Contusion | Injury, poisoning and procedural complications | MedDra 22.0 | Systematic Assessment |
| |
| Craniocerebral injury | Injury, poisoning and procedural complications | MedDra 22.0 | Systematic Assessment |
| |
| Facial bones fracture | Injury, poisoning and procedural complications | MedDra 22.0 | Systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDra 22.0 | Systematic Assessment |
| |
| Head injury | Injury, poisoning and procedural complications | MedDra 22.0 | Systematic Assessment |
| |
| Palate injury | Injury, poisoning and procedural complications | MedDra 22.0 | Systematic Assessment |
| |
| Post procedural haemorrhage | Injury, poisoning and procedural complications | MedDra 22.0 | Systematic Assessment |
| |
| Skin laceration | Injury, poisoning and procedural complications | MedDra 22.0 | Systematic Assessment |
| |
| Traumatic haematoma | Injury, poisoning and procedural complications | MedDra 22.0 | Systematic Assessment |
| |
| Vascular access site haematoma | Injury, poisoning and procedural complications | MedDra 22.0 | Systematic Assessment |
| |
| Haemarthrosis | Musculoskeletal and connective tissue disorders | MedDra 22.0 | Systematic Assessment |
| |
| Haematoma muscle | Musculoskeletal and connective tissue disorders | MedDra 22.0 | Systematic Assessment |
| |
| Soft tissue haemorrhage | Musculoskeletal and connective tissue disorders | MedDra 22.0 | Systematic Assessment |
| |
| Febrile convulsion | Nervous system disorders | MedDra 22.0 | Systematic Assessment |
| |
| Haemorrhage intracranial | Nervous system disorders | MedDra 22.0 | Systematic Assessment |
| |
| Intraventricular haemorrhage | Nervous system disorders | MedDra 22.0 | Systematic Assessment |
| |
| Device issue | Product Issues | MedDra 22.0 | Systematic Assessment |
| |
| Mental status changes | Psychiatric disorders | MedDra 22.0 | Systematic Assessment |
| |
| Asthma | Respiratory, thoracic and mediastinal disorders | MedDra 22.0 | Systematic Assessment |
| |
| Arteriovenous fistula operation | Surgical and medical procedures | MedDra 22.0 | Systematic Assessment |
| |
| Central venous catheter removal | Surgical and medical procedures | MedDra 22.0 | Systematic Assessment |
| |
| Central venous catheterisation | Surgical and medical procedures | MedDra 22.0 | Systematic Assessment |
| |
| Ventriculo-peritoneal shunt | Surgical and medical procedures | MedDra 22.0 | Systematic Assessment |
| |
| Deep vein thrombosis | Vascular disorders | MedDra 22.0 | Systematic Assessment |
| |
| Haematoma | Vascular disorders | MedDra 22.0 | Systematic Assessment |
| |
| Poor venous access | Vascular disorders | MedDra 22.0 | Systematic Assessment |
| |
| Subgaleal haematoma | Vascular disorders | MedDra 22.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Iron deficiency anaemia | Blood and lymphatic system disorders | MedDra 22.0 | Systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | MedDra 22.0 | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDra 22.0 | Systematic Assessment |
| |
| Teething | Gastrointestinal disorders | MedDra 22.0 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDra 22.0 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDra 22.0 | Systematic Assessment |
| |
| Conjunctivitis | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Ear infection | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Hand-foot-and-mouth disease | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Otitis media | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Rhinitis | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Varicella | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Viral infection | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Viral upper respiratory tract infection | Infections and infestations | MedDra 22.0 | Systematic Assessment |
| |
| Contusion | Injury, poisoning and procedural complications | MedDra 22.0 | Systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDra 22.0 | Systematic Assessment |
| |
| Head injury | Injury, poisoning and procedural complications | MedDra 22.0 | Systematic Assessment |
| |
| Limb injury | Injury, poisoning and procedural complications | MedDra 22.0 | Systematic Assessment |
| |
| Lip injury | Injury, poisoning and procedural complications | MedDra 22.0 | Systematic Assessment |
| |
| Mouth injury | Injury, poisoning and procedural complications | MedDra 22.0 | Systematic Assessment |
| |
| Skin abrasion | Injury, poisoning and procedural complications | MedDra 22.0 | Systematic Assessment |
| |
| Skin laceration | Injury, poisoning and procedural complications | MedDra 22.0 | Systematic Assessment |
| |
| Vaccination complication | Injury, poisoning and procedural complications | MedDra 22.0 | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDra 22.0 | Systematic Assessment |
| |
| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDra 22.0 | Systematic Assessment |
| |
| Eczema | Skin and subcutaneous tissue disorders | MedDra 22.0 | Systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | MedDra 22.0 | Systematic Assessment |
|
The Sponsor supports publication of clinical trial results but may request that investigators temporarily delay or alter publications in order to protect proprietary information. The Sponsor may also require that the results of multicenter studies be published only in their entirety and not as individual site data.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Trial Transparency Team | Bioverativ, a Sanofi company | 800-633-1610 | 6 | Contact-US@sanofi.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Mar 30, 2018 | Jul 28, 2020 | SAP_001.pdf |
| ID | Term |
|---|---|
| D006467 | Hemophilia A |
| ID | Term |
|---|---|
| D025861 | Blood Coagulation Disorders, Inherited |
| D001778 | Blood Coagulation Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D020147 | Coagulation Protein Disorders |
| D006474 | Hemorrhagic Disorders |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
Not provided
Not provided
| ID | Term |
|---|---|
| C587014 | factor VIII-Fc fusion protein |
| D005169 | Factor VIII |
| ID | Term |
|---|---|
| D001779 | Blood Coagulation Factors |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D011498 | Protein Precursors |
| D001685 | Biological Factors |
Not provided
Not provided
| Exceeded lab value limit |
|
| Other |
|
| Asian |
|
| Native Hawaiian or other Pacific Islander |
|
| Not reported due to confidentiality regulations |
|
| Other |
|
|
|
|
|
|
|
|
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
| Counts |
|---|
| Participants |
|
|
| None |
|
| Response not provided |
|
| None |
|
| Response not provided |
|