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Phase 3 N=218 Prevention

BAX 855 Continuation

Hemophilia A

Enrolled (actual)
218
Serious AEs
15.3%
Results posted
May 2019
Primary outcome: Primary: Number of Participants With Inhibitory Antibodies to Factor VIII (FVIII) — 0; 0; 0; 0 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
BAX855 (Biological)
Age
Pediatric, Adult, Older Adult
Sex
All
Sponsor
Baxalta now part of Shire
Primary completion
Mar 2018

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Inhibitory Antibodies to Factor VIII (FVIII)
0; 0; 0; 0
PRIMARY
Annualized Bleed Rate (ABR) - Spontaneous Bleeds
1.381; 1.160; 0.669; 1.992; 0.614; 0.792
SECONDARY
Total Annualized Bleed Rate (ABR)
1.855; 2.370; 3.175; 2.426
SECONDARY
Overall Hemostatic Efficacy Rating of BAX 855 for Treatment of Breakthrough Bleeding Episodes
3; 108; 98; 229; 3; 66
SECONDARY
BAX 855 Infusions Needed to Treat Bleeding Episodes
1.3; 1.4; 1.4; 1.4
SECONDARY
Total Time Intervals Between Bleeding Episodes
5.700; 5.051; 5.232; 5.818
SECONDARY
Average Dose of BAX 855 Per Prophylactic Infusion
50.748; 53.855; 53.356; 49.727
SECONDARY
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
3; 52; 18; 101; 0; 7
SECONDARY
Change From Baseline in Body Temperature
-0.23; -0.05; -0.08; -0.01; -0.07; -0.03
SECONDARY
Change From Baseline in Pulse Rate
-20.3; -0.1; -7.7; -0.4; -13; 2.4
SECONDARY
Change From Baseline in Respiratory Rate
-6.3; -0.8; -1.3; 0.4; -6.3; -1.3
SECONDARY
Change From Baseline in Blood Pressure
-2.7; 4.5; 4.0; 1.8; -8.7; 3
SECONDARY
Number of Participants With Shifts in Clinical Chemistry Laboratory Assessments.
3; 43; 20; 55; 0; 0
SECONDARY
Number of Participants With Shifts in Hematology Laboratory Assessments
2; 28; 11; 97; 0; 5
SECONDARY
Number of Participants With Shifts in Lipid Panel Assessments
3; 8; 12; 65; 0; 5
SECONDARY
Number of Participants With Binding Antibodies
0; 2; 1; 2; 0; 0
SECONDARY
Number of Participants With Anti-Chinese Hamster Ovary (CHO) Antibodies
0; 0; 0; 0
SECONDARY
Change From Baseline in Bleed Severity
-7.824; -16.667
SECONDARY
Change From Baseline in Pain Severity
-1.341; -8.889
SECONDARY
Change From Baseline in Patient Reported Outcomes: Health-related Quality of Life (HRQoL): Short Form-36 (SF-36)
3.875; -0.108; 1.000; -0.364; 0.8; 0.4
SECONDARY
Change From Baseline in Patient Reported Outcomes: Health-related Quality of Life (HRQoL): Pediatrics Quality of Life (PedsQL) Questionnaire
0.534; 3.125; -0.446; 7.813; -1.0; 8.3

Summary

To continue the evaluation of the safety and efficacy of BAX 855 for prophylaxis and treatment of bleeding episodes in adult and pediatric previously treated patients (PTPs) aged ≤ 75 years of age with severe hemophilia A.

Eligibility Criteria

INCLUSION CRITERIA

Participants Transitioning from Other BAX 855 Studies:

Participants transitioning from other BAX 855 studies can be provided with the continuation study informed consent form (ICF) prior to the end of study visit to review and consider participation in this continuation study. These participants will complete any additional screening assessments within 2 weeks of the previous study's end of study visit and will return to the study site within 6 (± 1) weeks of the previous study end of study visit to confirm eligibility for this continuation study.

  • Participants transitioning from other BAX 855 studies who meet ALL of the following criteria are eligible for this study:
  • Participant has completed a previous BAX 855 study and is willing to immediately transition into this continuation study.
  • Participant is ≤75 years of age at screening of the previous BAX 855 study.
  • Participant continues to have a Karnofsky (for participants aged ≥ 16 years) or Lansky (for participants aged 2.0 mg/dL), as confirmed by central laboratory at screening.
  • Participant experienced a life-threatening or gastrointestinal bleeding episode within 3 months prior to study entry.
  • Participant is scheduled to use other PEGylated drugs during study participation.
  • Participant is planning to take part in any other clinical study during the course of the continuation study, with the exception of any other parallel BAX 855 study.
  • Participant has medical, psychiatric, or cognitive illness or recreational drug/alcohol use that, in the opinion of the investigator, would affect participant safety or compliance.
  • Participant is a family member or employee of the investigator.
  • BAX 855 Naïve Participants:

BAX 855 naïve participants who meet ANY of the following criteria are not eligible for this study:

  • Participant has detectable FVIII inhibitory antibodies (≥ 0.6 BU using the Nijmegen modification of the Bethesda assay) as confirmed by central laboratory at screening.
  • Participant has history of FVIII inhibitory antibodies (≥ 0.6 BU using the Nijmegen modification of the Bethesda assay or the Bethesda assay) at any time prior to screening.
  • Participant has been diagnosed with an inherited or acquired hemostatic defect other than hemophilia A (eg, qualitative platelet defect or von Willebrand's disease).
  • Participant has known hypersensitivity towards mouse or hamster proteins, polyethylene glycol (PEG), or Tween 80.
  • Participant has severe chronic hepatic dysfunction eg, ≥ 5 times upper limit of normal ALT, as confirmed by central laboratory at screening).
  • Participant has severe renal impairment (serum creatinine > 2.0 mg/dL), as confirmed by central laboratory at screening.
  • Participant experienced a life-threatening or gastrointestinal bleeding episode within 3 months prior to study entry.
  • Participant has current or recent (< 30 days) use of other PEGylated drugs prior to study participation or scheduled use of such drugs during study participation.
  • Participant has participated in another clinical study involving an IP other than BAX 855 or device within 30 days prior to enrollment or is scheduled to participate in another clinical study involving an investigational product (IP) or investigational device during the course of this study.
  • Participant has medical, psychiatric, or cognitive illness or recreational drug/alcohol use that, in the opinion of the investigator, would affect participant safety or compliance.
  • Participant is a family member or employee of the investigator.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01945593). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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