ClinicalTrials.gg
CompletedNCT01736475Updated May 20, 2021Results posted

Study Investigating a PEGylated Recombinant Factor VIII (BAX 855) for Hemophilia A (PROLONG-ATE Study)

A Phase 2/3 interventional study of Antihemophilic Factor (Recombinant) - Plasma/Albumin Free Method and PEGylated Recombinant Factor VIII in Hemophilia A, sponsored by Baxalta now part of Shire. Completed at 72 sites in 20 countries. Open to male participants aged 12 Years to 65 Years. Per ClinicalTrials.gov, last updated 2021-05-20.

Sponsored by Baxalta now part of Shire (part of Takeda) · Phase 2/3, Interventional, and Prevention

Phase
Phase 2/3
Study type
Interventional
Enrollment
159
Allocation
Non-randomized
Ages
12 Years to 65 Years
Sex
Male
01

Study summary

To assess efficacy and safety, including immunogenicity of BAX 855 administered as prophylaxis and as on-demand therapy in adult and adolescent (12-65 years) previously treated patients (PTPs) with severe hemophilia A To determine the pharmacokinetic (PK) parameters of BAX 855.

02

Conditions studied

  • Hemophilia A

Browse trials for

03

In context

Hemophilia A

885 studies on the registry are indexed under Hemophilia A; 139 are open to participants now.

This study's enrollment of 159 is above the median of 27 across 523 interventional studies indexed under Hemophilia A.

Browse Hemophilia A studies →

Lead sponsor

Baxalta now part of Shire is the lead sponsor of 111 studies on the registry; none are open to participants now.

Of its 18 completed or terminated interventional studies of FDA-regulated products, 16 (89%) have results posted.

First submitted before Baxalta became part of Takeda.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
12 Years to 65 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Eligibility criteria

Main Inclusion Criteria:

  • Participant and/or legal representative has/have voluntarily provided signed informed consent
  • Participant is 12 to 65 years old at the time of screening
  • Participant is male with severe hemophilia A (Factor VIII (FVIII) clotting activity \< 1%) as confirmed by central laboratory at screening after the appropriate washout period or a documented FVIII clotting activity \<1%
  • Participant has been previously treated with plasma-derived FVIII concentrates or recombinant FVIII for ≥150 documented exposure days (EDs)
  • Participant is currently receiving prophylaxis or on-demand therapy with FVIII
  • Participant is willing and able to comply with the requirements of the protocol

Main Exclusion Criteria:

  • Participant has detectable FVIII inhibitory antibodies (≥ 0.6 Bethesda Units (BU) using the Nijmegen modification of the Bethesda assay) as confirmed by central laboratory at screening
  • Participant has history of FVIII inhibitory antibodies (≥ 0.4 BU using the Nijmegen modification of the Bethesda assay or ≥ 0.6 BU using 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).
05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Prevention
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
159 participants (actual)

Study arms

  • Experimental
    Prophylaxis

    Biological: Antihemophilic Factor (Recombinant) - Plasma/Albumin Free Method · Biological: PEGylated Recombinant Factor VIII

  • Experimental
    On-demand

    Biological: PEGylated Recombinant Factor VIII

Interventions

06

What researchers measure

Primary outcomes

  1. Annualized Bleeding Rate (ABR)

    Comparisons between prophylactic and on-demand treatment were based on ABR estimates from a negative binomial regression model, taking into account the treatment regimen, target joints and age at screening, and duration of the observation period for efficacy.

    Time frame: 9 months

Secondary outcomes

  1. Rate of Success of BAX 855 for Treatment of Bleeding Episodes

    Success in the control of bleeding was defined as a rating of excellent or good using the Efficacy Rating Scale for Treatment of Bleeding Episodes measured 24 hours after initiation of treatment for the bleeding episode. EXCELLENT: Full relief of pain and cessation of objective signs of bleeding (eg, swelling, tenderness, and decreased range of motion in the case of musculoskeletal hemorrhage) after a single infusion. No additional infusion is required for the control of bleeding. Administration of further infusions to maintain hemostasis would not affect this scoring. GOOD: Definite pain relief and/or improvement in signs of bleeding after a single infusion. Possibly requires more than 1 infusion for complete resolution. FAIR: Probable and/or slight relief of pain and slight improvement in signs of bleeding after a single infusion. Required more than 1 infusion for complete resolution. NONE: No improvement or condition worsens.

    Time frame: At least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm and 6 months (± 2 weeks) for the on-demand arm.

  2. Average Number of BAX 855 Infusions Needed for the Treatment of Bleeding Episodes

    Time frame: From first exposure to BAX 855 until the end of the study, [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm; and 6 months (± 2 weeks) for the on-demand arm].

  3. Number of Participants With ≤1, 2, 3, 4, 5, 6, or >6 Month Time Intervals Between Bleeding Episodes or no Bleeding Episodes

    Interval between Bleeds in months was calculated as: Observation period for efficacy (in days)/(number of bleeds)\*(12/365.2425)

    Time frame: From first exposure to BAX 855 until the end of the study, [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm; and 6 months (± 2 weeks) for the on-demand arm].

  4. Weight-adjusted Consumption of BAX 855 - Per Prophylactic Infusion and Pharmacokinetic (PK) Infusion

    Time frame: Prophylactic Infusion: ≥50 exposure days or 6 months (±2 weeks), whichever occurs last. PK Infusion: PK #1 Pre-infusion within 30 minutes; Post-infusion 10 min, and 0.5, 1, 3, 6, 24, 32, 48, 56 hours (h). PK #2 also at Post-infusion 96h

  5. Weight-adjusted Consumption of BAX 855 - Per Treatment of Bleeding Episode (BE) and Per BE for Maintenance of Hemostasis

    Infusions per bleeding episode for maintenance of hemostasis only includes infusions following the resolution of a bleed to maintain hemostasis.

    Time frame: Treatment of Bleeding Episode (BE): Minor/Moderate BE every 12 to 24 hours until bleeding is resolved; Major BE every 8 to 12 hours until bleeding is resolved. Per BE for Maintenance of Hemostasis: within 48 hours after bleeding episode resolution.

  6. Percentage of Participants With Adverse Events

    Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Time frame: From first exposure to BAX 855 until the end of the study, [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm; and 6 months (± 2 weeks) for the on-demand arm].

  7. Immunogenicity - Number of Participants With Positive Inhibitory Antibodies to FVIII, Binding Antibodies to FVIII, PEG-VIII, PEG and Anti-CHO Antibodies at Study Completion/Termination

    Number of participants who received BAX855, with immunogenicity data from study completion/termination visit. FVIII = factor VIII; PEG-VIII = polyethylene glycol-factor VIII; Anti-CHO = Anti-Chinese hamster ovary

    Time frame: From first exposure to BAX 855 until the end of the study, [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm; and 6 months (± 2 weeks) for the on-demand arm].

  8. Patient Reported Outcomes: Haemo-SYM Questionnaire, Change in Score From Baseline to End of Study

    The HAEMO-SYM has two subscales: pain and bleeds. HAEMO-SYM subscale scores are calculated by taking the mean of the items in each subscale and transforming them to a 0 (none or absent) to 100 (very severe) scale. Given that higher scores indicate more severe symptoms on the Haemo-SYM and that the change scores were calculated as the value at study completion minus the value at baseline, a negative change score indicates an improvement (reduction in symptoms). Conversely, a positive change score indicates worsening symptoms.

    Time frame: Baseline; and end of study visit [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm and 6 months (± 2 weeks) for the on-demand arm].

  9. Patient Reported Outcomes - Short Form (SF)-36, Change From Baseline to End of Study

    Change from Baseline to End of Study for SF-36 Questionnaire is provided. Scores for individual SF-36 categories range from 0 to 100 with higher scores representing better health. Given that higher scores indicate better health-related quality of life (HRQoL) and that the change scores were calculated as the value at study completion minus the value at baseline, a negative change score indicates a worsening of HRQoL.

    Time frame: Baseline; and end of study visit [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm and 6 months (± 2 weeks) for the on-demand arm]

  10. Pharmacokinetics (Pk) - Plasma Half-life (One-stage Clotting Assay)

    Terminal half-life calculated as log\_e2/λz where λz is the terminal elimination rate constant. Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).

    Time frame: Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).

  11. Pharmacokinetics (Pk) - Mean Residence Time (One-stage Clotting Assay)

    The mean residence time (MRT) w as calculated as total area under the moment curve divided by the total area under the curve starting from the begin of infusion (or the end of infusion if start time is not available). Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).

    Time frame: Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).

  12. Pharmacokinetics (Pk) - Total Body Clearance (One-stage Clotting Assay)

    Clearance in dL/(kg.h) will be calculated as the dose in IU/kg divided by the total area under the curve starting from the begin of infusion (or the end of infusion if start time is not available). Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).

    Time frame: Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).

  13. Pharmacokinetics (Pk) - Incremental Recovery Over Time (One-stage Clotting Assay)

    Incremental recovery (IR) in (IU/dL)/ (IU/kg) calculated as: IR = (Cmax- (C pre-infusion)) / (Dose/kg), where C =concentration. Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).

    Time frame: Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).

  14. Pharmacokinetics (Pk) - Area Under the Concentration Versus Time Curve From 0 to Infinity (AUC0-∞) (One-stage Clotting Assay)

    Calculated by WinNonlin NCA (Model 201, calculation method: Linear Trapezoidal Linear/Log Interpolation). Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).

    Time frame: Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).

  15. Pharmacokinetics (Pk) - Apparent Volume of Distribution at Steady State (Vss) (One-stage Clotting Assay)

    The apparent volume of distribution at steady state (Vss) will be calculated as: Vss = Clearance \* Mean Residence Time. Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).

    Time frame: Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).

  16. Pharmacokinetics (Pk) - Maximum Plasma Concentration (Cmax) (One-stage Clotting Assay)

    Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).

    Time frame: Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).

  17. Pharmacokinetics (Pk) -Time to Maximum Concentration in Plasma (Tmax) (One-stage Clotting Assay)

    Tmax in hours will be defined as the time to reach Cmax. Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).

    Time frame: Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).

  18. Change in Vital Signs From Screening - Temperature

    Time frame: Screening, week 2, week 4, exposure day 10-15, month 3, study completion/termination

  19. Change in Vital Signs From Screening - Pulse Rate

    Time frame: Screening, week 2, week 4, exposure day 10-15, month 3, study completion/termination

  20. Change in Vital Signs From Screening - Respiratory Rate

    Time frame: Screening, week 2, week 4, exposure day 10-15, month 3, study completion/termination

  21. Changes in Vital Signs From Screening - Blood Pressure

    Systolic Blood Pressure (SBP) Diastolic Blood Pressure (DBP)

    Time frame: Screening, week 2, week 4, exposure day 10-15, month 3, study completion/termination

  22. Changes in Clinical Chemistry Laboratory Assessments From Screening - Albumin and Protein

    Time frame: Screening, week 2, week 4, month 3, study completion/termination

  23. Changes in Clinical Chemistry Laboratory Assessments From Screening - Alkaline Phosphatase, Alanine Aminotransferase, Aspartate Aminotransferase

    Alkaline Phosphatase (Alk Phos); Alanine Aminotransferase (Ala Amino); Aspartate Aminotransferase (Asp Amino)

    Time frame: Screening, week 2, week 4, month 3, study completion/termination

  24. Changes in Clinical Chemistry Laboratory Assessments From Screening - Bicarbonate, Chloride, Glucose, Potassium, Sodium, Blood Urea Nitrogen (BUN)

    Time frame: Screening, week 2, week 4, month 3, study completion/termination

  25. Changes in Clinical Chemistry Laboratory Assessments From Screening - Creatinine, and Bilirubin

    Time frame: Screening, week 2, week 4, month 3, study completion/termination

  26. Changes in Hematology Laboratory Assessments From Screening - Basophils, Eosinophils, Lymphocytes, Monocytes, Neutrophils, Platelets, and Leukocytes

    Time frame: Screening, week 2, week 4, month 3, study completion/termination

  27. Changes in Hematology Laboratory Assessments From Screening - Hematocrit

    Time frame: Screening, week 2, week 4, month 3, study completion/termination

  28. Changes in Hematology Laboratory Assessments From Screening - Hemoglobin

    Time frame: Screening, week 2, week 4, month 3, study completion/termination

  29. Changes in Hematology Laboratory Assessments From Screening - Erythrocytes

    Time frame: Screening, week 2, week 4, month 3, study completion/termination

  30. Changes in Lipid Panel Assessments From Screening - Cholesterol; High Density Lipoprotein (HDL); Low Density Lipoprotein (LDL); Triglycerides; and Very Low Density Lipoprotein (VLDL)

    Time frame: Screening, week 2, week 4, month 3, study completion/termination

07

Results

Posted Sep 7, 2016

Participant flow

Participants were enrolled (signed informed consent) at 72 sites.

Participant flow — Overall Study
MilestoneProphylaxisOn-demand
Started12117
Completed10917
Not completed120
Withdrew: Adverse event40
Withdrew: Withdrawal by subject20
Withdrew: Protocol violation40
Withdrew: Other - screen failure10
Withdrew: Other - surgical procedure10

Outcome measures

PrimaryAnnualized Bleeding Rate (ABR)

Comparisons between prophylactic and on-demand treatment were based on ABR estimates from a negative binomial regression model, taking into account the treatment regimen, target joints and age at screening, and duration of the observation period for efficacy.

Time frame:
9 months
Reported as:
Least squares mean · Bleeds per year
Annualized Bleeding Rate (ABR)
Bleeds per yearProphylaxisOn-demand
Annualized Bleeding Rate (ABR)4.3 (3.4 to 5.5)43.4 (25.2 to 74.8)
Statistical analysis
  • Prophylaxis vs On-demand · Regression, Negative binomial · p = <0.0001 · Ratio of means: 0.10 · 95% CI 0.06 to 0.19
SecondaryRate of Success of BAX 855 for Treatment of Bleeding Episodes

Success in the control of bleeding was defined as a rating of excellent or good using the Efficacy Rating Scale for Treatment of Bleeding Episodes measured 24 hours after initiation of treatment for the bleeding episode. EXCELLENT: Full relief of pain and cessation of objective signs of bleeding (eg, swelling, tenderness, and decreased range of motion in the case of musculoskeletal hemorrhage) after a single infusion. No additional infusion is required for the control of bleeding. Administration of further infusions to maintain hemostasis would not affect this scoring. GOOD: Definite pain relief and/or improvement in signs of bleeding after a single infusion. Possibly requires more than 1 infusion for complete resolution. FAIR: Probable and/or slight relief of pain and slight improvement in signs of bleeding after a single infusion. Required more than 1 infusion for complete resolution. NONE: No improvement or condition worsens.

Time frame:
At least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm and 6 months (± 2 weeks) for the on-demand arm.
Reported as:
Number · Bleeding episodes
Rate of Success of BAX 855 for Treatment of Bleeding Episodes
Bleeding episodesParticipants With a Bleeding Episode
Rate of Success of BAX 855 for Treatment of Bleeding Episodes0.96 (0.91 to 0.98)
SecondaryAverage Number of BAX 855 Infusions Needed for the Treatment of Bleeding Episodes
Time frame:
From first exposure to BAX 855 until the end of the study, [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm; and 6 months (± 2 weeks) for the on-demand arm].
Reported as:
Mean · Infusions
Average Number of BAX 855 Infusions Needed for the Treatment of Bleeding Episodes
InfusionsProphylaxisOn-demand
Average Number of BAX 855 Infusions Needed for the Treatment of Bleeding Episodes1.37 ± 0.801.21 ± 0.35
SecondaryNumber of Participants With ≤1, 2, 3, 4, 5, 6, or >6 Month Time Intervals Between Bleeding Episodes or no Bleeding Episodes

Interval between Bleeds in months was calculated as: Observation period for efficacy (in days)/(number of bleeds)\*(12/365.2425)

Time frame:
From first exposure to BAX 855 until the end of the study, [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm; and 6 months (± 2 weeks) for the on-demand arm].
Reported as:
Number · Participants
Number of Participants With ≤1, 2, 3, 4, 5, 6, or >6 Month Time Intervals Between Bleeding Episodes or no Bleeding Episodes
ParticipantsProphylaxisOn-demand
No bleed450
>6 Months50
6 Months200
5 Months30
4 Months00
3 Months110
2 Months160
≤1 Month2017
SecondaryWeight-adjusted Consumption of BAX 855 - Per Prophylactic Infusion and Pharmacokinetic (PK) Infusion
Time frame:
Prophylactic Infusion: ≥50 exposure days or 6 months (±2 weeks), whichever occurs last. PK Infusion: PK #1 Pre-infusion within 30 minutes; Post-infusion 10 min, and 0.5, 1, 3, 6, 24, 32, 48, 56 hours (h). PK #2 also at Post-infusion 96h
Reported as:
Mean · IU/kg
Weight-adjusted Consumption of BAX 855 - Per Prophylactic Infusion and Pharmacokinetic (PK) Infusion
IU/kgAll Study Participants
Per Prophylactic Infusion (N= 5941 Infusions)44.51 ± 4.556
Per PK Infusion (N= 50 Infusions)45.48 ± 2.592
SecondaryWeight-adjusted Consumption of BAX 855 - Per Treatment of Bleeding Episode (BE) and Per BE for Maintenance of Hemostasis

Infusions per bleeding episode for maintenance of hemostasis only includes infusions following the resolution of a bleed to maintain hemostasis.

Time frame:
Treatment of Bleeding Episode (BE): Minor/Moderate BE every 12 to 24 hours until bleeding is resolved; Major BE every 8 to 12 hours until bleeding is resolved. Per BE for Maintenance of Hemostasis: within 48 hours after bleeding episode resolution.
Reported as:
Mean · IU/kg
Weight-adjusted Consumption of BAX 855 - Per Treatment of Bleeding Episode (BE) and Per BE for Maintenance of Hemostasis
IU/kgAll Study Participants
Per Treatment of BE (N= 592 bleeds)37.44 ± 28.105
Per BE for Maintenance of Hemostasis (N=34 bleeds)39.29 ± 34.206
SecondaryPercentage of Participants With Adverse Events

Adverse Events (AEs) and Serious Adverse Events (SAEs)

Time frame:
From first exposure to BAX 855 until the end of the study, [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm; and 6 months (± 2 weeks) for the on-demand arm].
Reported as:
Number · percent of participants
Percentage of Participants With Adverse Events
percent of participantsAll Study Participants
SAE, Moderate, Unrelated0.7
SAE, Severe, Unrelated2.9
nSAE, Mild, Unrelated40.1
nSAE, Mild, Related3.6
nSAE, Moderate, Unrelated19.0
nSAE, Moderate, Related1.5
nSAE, Unknown Severity, Unrelated0.7
nSAE, Severe, Unrelated1.5
SecondaryImmunogenicity - Number of Participants With Positive Inhibitory Antibodies to FVIII, Binding Antibodies to FVIII, PEG-VIII, PEG and Anti-CHO Antibodies at Study Completion/Termination

Number of participants who received BAX855, with immunogenicity data from study completion/termination visit. FVIII = factor VIII; PEG-VIII = polyethylene glycol-factor VIII; Anti-CHO = Anti-Chinese hamster ovary

Time frame:
From first exposure to BAX 855 until the end of the study, [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm; and 6 months (± 2 weeks) for the on-demand arm].
Reported as:
Number · Participants
Immunogenicity - Number of Participants With Positive Inhibitory Antibodies to FVIII, Binding Antibodies to FVIII, PEG-VIII, PEG and Anti-CHO Antibodies at Study Completion/Termination
ParticipantsProphylaxisOn-demand
Inhibitory Antibodies to FVIII (N= 112, 14)00
IgG: Binding Antibodies FVIII (N= 117, 15)00
IgM: Binding Antibodies FVIII (N= 117, 15)00
IgG: Binding Antibodies PEG (N= 117, 15)00
IgM: Binding Antibodies PEG (N= 117, 15)00
IgG: Binding Antibodies PEG-FVIII (N= 117, 15)01
IgM: Binding Antibodies PEG-FVIII (N= 117, 15)00
CHO-Protein Antibodies (N= 117, 15)00
SecondaryPatient Reported Outcomes: Haemo-SYM Questionnaire, Change in Score From Baseline to End of Study

The HAEMO-SYM has two subscales: pain and bleeds. HAEMO-SYM subscale scores are calculated by taking the mean of the items in each subscale and transforming them to a 0 (none or absent) to 100 (very severe) scale. Given that higher scores indicate more severe symptoms on the Haemo-SYM and that the change scores were calculated as the value at study completion minus the value at baseline, a negative change score indicates an improvement (reduction in symptoms). Conversely, a positive change score indicates worsening symptoms.

Time frame:
Baseline; and end of study visit [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm and 6 months (± 2 weeks) for the on-demand arm].
Reported as:
Mean · Score on a scale
Patient Reported Outcomes: Haemo-SYM Questionnaire, Change in Score From Baseline to End of Study
Score on a scaleProphylaxisOn-demand
Bleed Severity Total Score-4.17 ± 17.05-4.24 ± 15.71
Pain Severity Total Score-1.22 ± 12.50-0.17 ± 11.88
SecondaryPatient Reported Outcomes - Short Form (SF)-36, Change From Baseline to End of Study

Change from Baseline to End of Study for SF-36 Questionnaire is provided. Scores for individual SF-36 categories range from 0 to 100 with higher scores representing better health. Given that higher scores indicate better health-related quality of life (HRQoL) and that the change scores were calculated as the value at study completion minus the value at baseline, a negative change score indicates a worsening of HRQoL.

Time frame:
Baseline; and end of study visit [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm and 6 months (± 2 weeks) for the on-demand arm]
Reported as:
Mean · Score on a scale
Patient Reported Outcomes - Short Form (SF)-36, Change From Baseline to End of Study
Score on a scaleProphylaxisOn-demand
Physical Functioning (N= 97, 12)0.49 ± 5.27-2.46 ± 4.29
Role-physical (N= 97, 12)1.31 ± 7.36-3.67 ± 9.01
Bodily Pain (N= 97, 12)2.08 ± 8.190.60 ± 4.44
General Health (N= 96, 12)0.40 ± 6.43-0.28 ± 9.04
Vitality (N= 96, 12)-0.38 ± 7.430.26 ± 9.36
Social Functioning (N= 97, 12)0.90 ± 7.54-3.18 ± 6.35
Role Emotional (N= 97, 12)-0.20 ± 8.460.65 ± 7.92
Mental Health (N= 96, 12)0.09 ± 7.26-3.29 ± 7.95
Physical Component Score (N= 96, 12)1.36 ± 5.76-1.58 ± 4.97
Mental Component Score (N= 96, 12)-0.37 ± 7.38-1.14 ± 5.03
SecondaryPharmacokinetics (Pk) - Plasma Half-life (One-stage Clotting Assay)

Terminal half-life calculated as log\_e2/λz where λz is the terminal elimination rate constant. Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).

Time frame:
Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Reported as:
Mean · hours
Pharmacokinetics (Pk) - Plasma Half-life (One-stage Clotting Assay)
hoursPharmacokinetic Analysis Participants
PK-1: ADVATE10.40 ± 2.244
PK-2: BAX 85514.30 ± 3.838
PK-3: BAX 855, After ≥50 Exposure Days (N=22)16.02 ± 4.922
SecondaryPharmacokinetics (Pk) - Mean Residence Time (One-stage Clotting Assay)

The mean residence time (MRT) w as calculated as total area under the moment curve divided by the total area under the curve starting from the begin of infusion (or the end of infusion if start time is not available). Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).

Time frame:
Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Reported as:
Mean · hours
Pharmacokinetics (Pk) - Mean Residence Time (One-stage Clotting Assay)
hoursPharmacokinetic Analysis Participants
PK-1: ADVATE12.86 ± 3.044
PK-2: BAX 85519.56 ± 5.315
PK-3: BAX 855, After ≥50 Exposure Days (N=22)20.65 ± 4.821
SecondaryPharmacokinetics (Pk) - Total Body Clearance (One-stage Clotting Assay)

Clearance in dL/(kg.h) will be calculated as the dose in IU/kg divided by the total area under the curve starting from the begin of infusion (or the end of infusion if start time is not available). Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).

Time frame:
Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Reported as:
Mean · dL/(kg*hours)
Pharmacokinetics (Pk) - Total Body Clearance (One-stage Clotting Assay)
dL/(kg*hours)Pharmacokinetic Analysis Participants
PK-1: ADVATE0.04551 ± 0.021725
PK-2: BAX 8550.02760 ± 0.020288
PK-3: BAX 855, After ≥50 Exposure Days (N=22)0.02474 ± 0.008225
SecondaryPharmacokinetics (Pk) - Incremental Recovery Over Time (One-stage Clotting Assay)

Incremental recovery (IR) in (IU/dL)/ (IU/kg) calculated as: IR = (Cmax- (C pre-infusion)) / (Dose/kg), where C =concentration. Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).

Time frame:
Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Reported as:
Mean · (IU/dL)/(IU/kg)
Pharmacokinetics (Pk) - Incremental Recovery Over Time (One-stage Clotting Assay)
(IU/dL)/(IU/kg)Pharmacokinetic Analysis Participants
PK-1: ADVATE2.372 ± 0.5357
PK-2: BAX 8552.493 ± 0.6944
PK-3: BAX 855, After ≥50 Exposure Days (N=22)2.297 ± 0.6377
SecondaryPharmacokinetics (Pk) - Area Under the Concentration Versus Time Curve From 0 to Infinity (AUC0-∞) (One-stage Clotting Assay)

Calculated by WinNonlin NCA (Model 201, calculation method: Linear Trapezoidal Linear/Log Interpolation). Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).

Time frame:
Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Reported as:
Mean · (IU*hours)/dL
Pharmacokinetics (Pk) - Area Under the Concentration Versus Time Curve From 0 to Infinity (AUC0-∞) (One-stage Clotting Assay)
(IU*hours)/dLPharmacokinetic Analysis Participants
PK-1: ADVATE1168.0 ± 425.40
PK-2: BAX 8552073.3 ± 778.41
PK-3: BAX 855, After ≥50 Exposure Days (N=22)2008.7 ± 631.53
SecondaryPharmacokinetics (Pk) - Apparent Volume of Distribution at Steady State (Vss) (One-stage Clotting Assay)

The apparent volume of distribution at steady state (Vss) will be calculated as: Vss = Clearance \* Mean Residence Time. Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).

Time frame:
Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Reported as:
Mean · dL/kg
Pharmacokinetics (Pk) - Apparent Volume of Distribution at Steady State (Vss) (One-stage Clotting Assay)
dL/kgPharmacokinetic Analysis Participants
PK-1: ADVATE0.5487 ± 0.20213
PK-2: BAX 8550.4715 ± 0.14602
PK-3: BAX 855, After ≥50 Exposure Days (N=22)0.4970 ± 0.15756
SecondaryPharmacokinetics (Pk) - Maximum Plasma Concentration (Cmax) (One-stage Clotting Assay)

Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).

Time frame:
Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Reported as:
Mean · IU/dL
Pharmacokinetics (Pk) - Maximum Plasma Concentration (Cmax) (One-stage Clotting Assay)
IU/dLPharmacokinetic Analysis Participants
PK-1: ADVATE108.45 ± 26.250
PK-2: BAX 855113.68 ± 30.259
PK-3: BAX 855, After ≥50 Exposure Days (N=22)103.34 ± 29.311
SecondaryPharmacokinetics (Pk) -Time to Maximum Concentration in Plasma (Tmax) (One-stage Clotting Assay)

Tmax in hours will be defined as the time to reach Cmax. Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).

Time frame:
Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Reported as:
Mean · hours
Pharmacokinetics (Pk) -Time to Maximum Concentration in Plasma (Tmax) (One-stage Clotting Assay)
hoursPharmacokinetic Analysis Participants
PK-1: ADVATE0.296 ± 0.1662
PK-2: BAX 8550.397 ± 0.2632
PK-3: BAX 855, After ≥50 Exposure Days (N=22)0.467 ± 0.6044
SecondaryChange in Vital Signs From Screening - Temperature
Time frame:
Screening, week 2, week 4, exposure day 10-15, month 3, study completion/termination
Reported as:
Median · Celsius
Change in Vital Signs From Screening - Temperature
CelsiusProphylaxisOn-demand
Week 2 (N= 118, 17)0.00 (-0.20 to 0.20)0.00 (0.00 to 0.20)
Week 4 (N= 118, 15)0.00 (-0.30 to 0.20)0.00 (-0.40 to 0.10)
Exposure day 10-15 (N= 31, 10)-0.10 (-0.30 to 0.10)0.00 (-0.30 to 0.30)
Month 3 (N= 112, 17)0.00 (-0.20 to 0.20)0.00 (-0.10 to 0.10)
Completion/Termination (N= 116, 15)0.00 (-0.20 to 0.20)0.00 (-0.10 to 0.30)
SecondaryChange in Vital Signs From Screening - Pulse Rate
Time frame:
Screening, week 2, week 4, exposure day 10-15, month 3, study completion/termination
Reported as:
Median · beats per minute
Change in Vital Signs From Screening - Pulse Rate
beats per minuteProphylaxisOn-demand
Week 2 (N= 118, 17)3.0 (-3.0 to 9.0)2.0 (-3.0 to 5.0)
Week 4 (N= 117, 15)2.0 (-4.0 to 10.0)2.0 (-5.0 to 4.0)
Exposure day 10-15 (N= 31, 10)3.0 (-3.0 to 10.0)4.0 (0.0 to 5.0)
Month 3 (N= 112, 17)2.0 (-5.5 to 6.5)1.0 (-6.0 to 8.0)
Completion/Termination (N= 116, 15)2.0 (-6.0 to 8.5)3.0 (-5.0 to 10.0)
SecondaryChange in Vital Signs From Screening - Respiratory Rate
Time frame:
Screening, week 2, week 4, exposure day 10-15, month 3, study completion/termination
Reported as:
Median · breaths per minute
Change in Vital Signs From Screening - Respiratory Rate
breaths per minuteProphylaxisOn-deamand
Week 2 (N= 117, 17)0.0 (-1.0 to 1.0)0.0 (-1.0 to 2.0)
Week 4 (N= 118, 15)0.0 (-1.0 to 1.0)0.0 (-1.0 to 2.0)
Exposure day 10-15 (N= 31, 10)0.0 (-1.0 to 2.0)0.0 (-1.0 to 0.0)
Month 3 (N= 112, 16)0.0 (-2.0 to 2.0)0.0 (-2.0 to 1.0)
Completion/Termination (N= 115, 15)0.0 (-2.0 to 1.0)-1.0 (-2.0 to 2.0)
SecondaryChanges in Vital Signs From Screening - Blood Pressure

Systolic Blood Pressure (SBP) Diastolic Blood Pressure (DBP)

Time frame:
Screening, week 2, week 4, exposure day 10-15, month 3, study completion/termination
Reported as:
Median · mmHg
Changes in Vital Signs From Screening - Blood Pressure
mmHgProphylaxisOn-demand
SBP-Week 2 (N= 118, 17)0.0 (-7.0 to 6.0)-2.0 (-9.0 to 7.0)
SBP-Week 4 (N= 118, 15)-0.5 (-9.0 to 7.0)-1.0 (-5.0 to 0.0)
SBP-Exposure day 10-15 (N= 31, 10)0.0 (-5.0 to 4.0)3.5 (0.0 to 6.0)
SBP-Month 3 (N= 112, 17)0.0 (-7.0 to 7.5)-5.0 (-12.0 to 4.0)
SBP-Completion/Termination (N= 116, 15)0.0 (-10.0 to 7.5)0.0 (-8.0 to 4.0)
DBP-Week 2 (N= 118, 17)0.0 (-8.0 to 5.0)-2.0 (-9.0 to 5.0)
DBP-Week 4 (N= 118, 15)-0.5 (-6.0 to 5.0)-6.0 (-12.0 to 7.0)
DBP-Exposure day 10-15 (N= 31, 10)0.0 (-9.0 to 3.0)-2.5 (-6.0 to 5.0)
DBP-Month 3 (N= 112, 17)0.0 (-7.0 to 7.5)-4.0 (-9.0 to 5.0)
DBP-Completion/Termination (N= 116, 15)0.0 (-6.0 to 5.0)-2.0 (-10.0 to 5.0)
SecondaryChanges in Clinical Chemistry Laboratory Assessments From Screening - Albumin and Protein
Time frame:
Screening, week 2, week 4, month 3, study completion/termination
Reported as:
Median · g/L
Changes in Clinical Chemistry Laboratory Assessments From Screening - Albumin and Protein
g/LProphylaxisOn-demand
Albumin: Week 2 (N= 112, 17)-1.0 (-2.5 to 1.0)-1.0 (-2.0 to 0.0)
Albumin: Week 4 (N= 112, 14)-1.0 (-3.0 to 0.5)-1.0 (-2.0 to 0.0)
Albumin: Month 3 (N= 106, 17)-1.0 (-3.0 to 1.0)-1.0 (-2.0 to 1.0)
Albumin: Completion/Termination (N= 112, 14)0.0 (-2.0 to 2.0)-1.0 (-2.0 to -1.0)
Protein: Week 2 (N= 115, 17)-1.0 (-4.0 to 1.0)-2.0 (-4.0 to 0.0)
Protein: Week 4 (N= 114, 14)-1.0 (-4.0 to 1.0)-2.0 (-5.0 to -1.0)
Protein: Month 3 (N= 109, 17)-1.0 (-3.0 to 2.0)-1.0 (-3.0 to 2.0)
Protein: Completion/Termination (N= 114, 15)-1.0 (-3.0 to 2.0)-1.0 (-4.0 to 0.0)
SecondaryChanges in Clinical Chemistry Laboratory Assessments From Screening - Alkaline Phosphatase, Alanine Aminotransferase, Aspartate Aminotransferase

Alkaline Phosphatase (Alk Phos); Alanine Aminotransferase (Ala Amino); Aspartate Aminotransferase (Asp Amino)

Time frame:
Screening, week 2, week 4, month 3, study completion/termination
Reported as:
Median · Units per Liter
Changes in Clinical Chemistry Laboratory Assessments From Screening - Alkaline Phosphatase, Alanine Aminotransferase, Aspartate Aminotransferase
Units per LiterProphylaxisOn-demand
Alk Phos: Week 2 (N= 115, 17)-1.0 (-7.0 to 3.0)-5.0 (-7.0 to 2.0)
Alk Phos: Week 4 (N= 114, 14)-4.0 (-9.0 to 2.0)-4.5 (-10.0 to 1.0)
Alk Phos: Month 3 (N= 109, 17)-2.0 (-9.0 to 4.0)-5.0 (-11.0 to 4.0)
Alk Phos: Completion/Termination (N= 114, 15)0.0 (-9.0 to 6.0)-5.0 (-9.0 to 1.0)
Ala Amino: Week 2 (N= 112, 17)1.0 (-4.0 to 4.5)-2.0 (-6.0 to 5.0)
Ala Amino: Week 4 (N= 112, 14)0.0 (-5.0 to 4.0)-2.5 (-7.0 to 1.0)
Ala Amino: Month 3 (N= 106, 17)1.0 (-6.0 to 5.0)1.0 (-4.0 to 12.0)
Ala Amino: Completion/Termination (N= 112, 14)-1.0 (-7.0 to 4.0)2.5 (-3.0 to 5.0)
Asp Amino: Week 2 (N= 110, 17)0.5 (-2.0 to 5.0)-1.0 (-6.0 to 2.0)
Asp Amino: Week 4 (N= 110, 14)0.0 (-4.0 to 3.0)-3.5 (-7.0 to 0.0)
Asp Amino: Month 3 (N= 103, 17)1.0 (-3.0 to 5.0)1.0 (-3.0 to 2.0)
Asp Amino: Completion/Termination (N= 110, 14)1.0 (-5.0 to 3.0)3.5 (-3.0 to 6.0)
SecondaryChanges in Clinical Chemistry Laboratory Assessments From Screening - Bicarbonate, Chloride, Glucose, Potassium, Sodium, Blood Urea Nitrogen (BUN)
Time frame:
Screening, week 2, week 4, month 3, study completion/termination
Reported as:
Median · mmol/L
Changes in Clinical Chemistry Laboratory Assessments From Screening - Bicarbonate, Chloride, Glucose, Potassium, Sodium, Blood Urea Nitrogen (BUN)
mmol/LProphylaxisOn-demand
Bicarbonate: Week 2 (N= 111, 16)0.10 (-1.60 to 1.40)1.10 (-1.50 to 2.60)
Bicarbonate: Week 4 (N= 110, 13)0.40 (-0.90 to 2.40)0.10 (-1.50 to 3.00)
Bicarbonate: Month 3 (N= 111, 16)0.60 (-1.30 to 1.90)0.60 (-1.30 to 1.75)
Bicarbonate: Completion/Termination (N= 117, 13)1.20 (-0.60 to 2.60)2.20 (1.00 to 3.90)
Chloride: Week 2 (N= 115, 17)0.0 (-1.0 to 2.0)-2.0 (-3.0 to 1.0)
Chloride: Week 4 (N= 114, 14)1.0 (-1.0 to 2.0)-1.0 (-2.0 to 0.0)
Chloride: Month 3 (N= 109, 17)0.0 (-1.0 to 2.0)1.0 (-1.0 to 2.0)
Chloride: Completion/Termination (N= 114, 15)0.0 (-1.0 to 2.0)-1.0 (-2.0 to 1.0)
Glucose: Week 2 (N= 112, 17)-0.10 (-0.55 to 0.55)-0.30 (-0.80 to 0.20)
Glucose: Week 4 (N= 112, 14)0.10 (-0.40 to 0.70)-0.05 (-0.50 to 0.50)
Glucose: Month 3 (N= 106, 17)0.00 (-0.50 to 0.50)0.10 (-0.50 to 0.30)
Glucose: Completion/Termination (N= 115, 14)0.00 (-0.50 to 0.60)-0.10 (-0.50 to 0.60)
Potassium: Week 2 (N= 115, 17)0.00 (-0.20 to 0.30)0.10 (-0.20 to 0.10)
Potassium: Week 4 (N= 114, 14)0.05 (-0.20 to 0.30)0.10 (-0.10 to 0.20)
Potassium: Month 3 (N= 109, 17)0.00 (-0.30 to 0.30)0.10 (-0.10 to 0.40)
Potassium: Completion/Termination (N= 114, 15)0.00 (-0.20 to 0.20)0.00 (-0.10 to 0.40)
Sodium: Week 2 (N= 115, 17)0.0 (-1.0 to 1.0)-1.0 (-2.0 to 1.0)
Sodium: Week 4 (N= 114, 14)0.0 (-1.0 to 1.0)-1.5 (-3.0 to 0.0)
Sodium: Month 3 (N= 109, 17)0.0 (-2.0 to 1.0)0.0 (-2.0 to 2.0)
Sodium: Completion/Termination (N= 114, 15)-1.0 (-2.0 to 1.0)-1.0 (-3.0 to 0.0)
BUN: Week 2 (N= 115, 17)0.00 (-0.60 to 0.70)-0.20 (-0.40 to 0.70)
BUN: Week 4 (N= 113, 14)0.00 (-0.70 to 0.70)-0.10 (-0.30 to 0.50)
BUN: Month 3 (N= 109, 17)0.30 (-0.30 to 0.90)-0.40 (-0.70 to 0.30)
BUN: Completion/Termination (N= 114, 15)0.30 (-0.70 to 1.10)0.00 (-1.30 to 1.00)
SecondaryChanges in Clinical Chemistry Laboratory Assessments From Screening - Creatinine, and Bilirubin
Time frame:
Screening, week 2, week 4, month 3, study completion/termination
Reported as:
Median · µmol/L
Changes in Clinical Chemistry Laboratory Assessments From Screening - Creatinine, and Bilirubin
µmol/LProphylaxisOn-demand
Creatinine: Week 2 (N= 115, 17)0.0 (-7.0 to 4.0)1.0 (-3.0 to 4.0)
Creatinine: Week 4 (N= 114, 14)0.0 (-5.0 to 4.0)0.5 (-6.0 to 6.0)
Creatinine: Month 3 (N= 109, 17)0.0 (-6.0 to 2.0)3.0 (-3.0 to 6.0)
Creatinine: Completion/Termination (N= 114, 15)0.0 (-4.0 to 5.0)6.0 (-4.0 to 9.0)
Bilirubin: Week 2 (N= 109, 17)0.00 (-3.00 to 2.00)-2.00 (-5.00 to 2.00)
Bilirubin: Week 4 (N= 109, 14)0.00 (-2.00 to 2.00)-0.50 (-5.00 to 3.00)
Bilirubin: Month 3 (N= 103, 17)0.00 (-3.00 to 2.00)1.00 (-3.00 to 2.00)
Bilirubin: Completion/Termination (N= 109, 14)0.00 (-3.00 to 2.00)-0.50 (-2.00 to 3.00)
SecondaryChanges in Hematology Laboratory Assessments From Screening - Basophils, Eosinophils, Lymphocytes, Monocytes, Neutrophils, Platelets, and Leukocytes
Time frame:
Screening, week 2, week 4, month 3, study completion/termination
Reported as:
Median · giga (10^9) cells per liter (Gi/L)
Changes in Hematology Laboratory Assessments From Screening - Basophils, Eosinophils, Lymphocytes, Monocytes, Neutrophils, Platelets, and Leukocytes
giga (10^9) cells per liter (Gi/L)ProphylaxisOn-demand
Basophils: Week 2 (N= 108, 17)0.000 (-0.015 to 0.010)0.000 (-0.010 to 0.020)
Basophils: Week 4 (N= 109, 14)0.000 (-0.010 to 0.010)0.005 (-0.020 to 0.020)
Basophils: Month 3 (N= 103, 16)0.000 (-0.020 to 0.020)0.000 (-0.010 to 0.010)
Basophils: Completion/Termination (N= 107, 14)-0.010 (-0.020 to 0.010)0.000 (-0.020 to 0.020)
Eosinophils: Week 2 (N= 108, 17)0.010 (-0.020 to 0.050)0.030 (0.000 to 0.060)
Eosinophils: Week 4 (N= 109, 14)0.020 (-0.020 to 0.060)0.035 (-0.010 to 0.070)
Eosinophils: Month 3 (N= 103, 16)0.010 (-0.040 to 0.050)0.010 (-0.005 to 0.050)
Eosinophils: Completion/Termination (N= 107, 14)0.010 (-0.030 to 0.050)0.045 (0.010 to 0.080)
Lymphocytes: Week 2 (N= 108, 17)-0.005 (-0.215 to 0.140)0.280 (-0.070 to 0.640)
Lymphocytes: Week 4 (N= 109, 14)-0.060 (-0.240 to 0.210)0.175 (0.030 to 0.350)
Lymphocytes: Month 3 (N= 103, 16)0.030 (-0.200 to 0.260)0.130 (-0.120 to 0.500)
Lymphocytes: Completion/Termination (N= 107, 14)0.040 (-0.160 to 0.260)0.030 (-0.070 to 0.460)
Monocytes: Week 2 (N= 108, 17)0.005 (-0.050 to 0.070)0.060 (-0.050 to 0.130)
Monocytes: Week 4 (N= 109, 14)0.020 (-0.060 to 0.050)-0.010 (-0.070 to 0.040)
Monocytes: Month 3 (N= 103, 16)0.000 (-0.060 to 0.050)0.020 (-0.015 to 0.085)
Monocytes: Completion/Termination (N= 107, 14)0.010 (-0.050 to 0.080)0.060 (-0.040 to 0.080)
Neutrophils: Week 2 (N= 108, 17)-0.165 (-0.870 to 0.540)0.060 (-0.490 to 0.420)
Neutrophils: Week 4 (N= 109, 14)-0.130 (-0.680 to 0.450)-0.140 (-0.300 to 0.540)
Neutrophils: Month 3 (N= 103, 16)-0.070 (-0.860 to 0.490)-0.425 (-0.725 to 0.625)
Neutrophils: Completion/Termination (N= 107, 14)0.050 (-0.820 to 0.480)0.055 (-0.570 to 1.150)
Platelets: Week 2 (N= 107, 16)-1.0 (-21.0 to 25.0)13.5 (-6.5 to 34.5)
Platelets: Week 4 (N= 108, 13)2.0 (-19.5 to 22.5)-8.0 (-18.0 to 7.0)
Platelets: Month 3 (N= 102, 15)1.5 (-21.0 to 21.0)-3.0 (-24.0 to 17.0)
Platelets: Completion/Termination (N= 105, 13)0.0 (-20.0 to 20.0)-1.0 (-15.0 to 14.0)
Leukocytes: Week 2 (N= 108, 17)-0.185 (-0.910 to 0.560)0.030 (-0.550 to 1.080)
Leukocytes: Week 4 (N= 109, 14)-0.180 (-0.930 to 0.640)-0.005 (-0.670 to 0.750)
Leukocytes: Month 3 (N= 103, 16)-0.040 (-1.070 to 0.620)0.220 (-0.760 to 1.085)
Leukocytes: Completion/Termination (N= 107, 14)-0.020 (-0.900 to 0.680)0.250 (-0.710 to 1.800)
SecondaryChanges in Hematology Laboratory Assessments From Screening - Hematocrit
Time frame:
Screening, week 2, week 4, month 3, study completion/termination
Reported as:
Median · Percentage red blood cells
Changes in Hematology Laboratory Assessments From Screening - Hematocrit
Percentage red blood cellsProphylaxisOn-demand
Week 2 (N= 107, 17)-0.010 (-0.030 to 0.010)0.000 (-0.020 to 0.000)
Week 4 (N= 108, 13)-0.010 (-0.020 to 0.005)-0.010 (-0.020 to 0.000)
Month 3 (N= 102, 16)0.000 (-0.020 to 0.010)0.000 (-0.020 to 0.010)
Completion/Termination (N= 106, 14)0.000 (-0.010 to 0.020)-0.005 (-0.030 to 0.030)
SecondaryChanges in Hematology Laboratory Assessments From Screening - Hemoglobin
Time frame:
Screening, week 2, week 4, month 3, study completion/termination
Reported as:
Median · g/L
Changes in Hematology Laboratory Assessments From Screening - Hemoglobin
g/LProphylaxisOn-demand
Week 2 (N= 108, 17)-1.0 (-5.0 to 4.0)3.0 (-1.0 to 6.0)
Week 4 (N= 109, 14)-1.0 (-5.0 to 5.0)0.0 (-2.0 to 7.0)
Month 3 (N= 103, 16)1.0 (-3.0 to 8.0)3.5 (-1.5 to 8.5)
Completion/Termination (N= 107, 14)2.0 (-4.0 to 6.0)4.5 (-6.0 to 9.0)
SecondaryChanges in Hematology Laboratory Assessments From Screening - Erythrocytes
Time frame:
Screening, week 2, week 4, month 3, study completion/termination
Reported as:
Median · TI/L
Changes in Hematology Laboratory Assessments From Screening - Erythrocytes
TI/LProphylaxisOn-demand
Week 2 (N= 108, 17)-0.10 (-0.20 to 0.10)0.10 (-0.20 to 0.10)
Week 4 (N= 109, 14)0.00 (-0.20 to 0.20)0.00 (-0.20 to 0.10)
Month 3 (N= 103, 16)0.00 (-0.10 to 0.20)0.00 (-0.10 to 0.20)
Completion/Termination (N= 107, 14)0.00 (-0.10 to 0.20)0.00 (-0.20 to 0.20)
SecondaryChanges in Lipid Panel Assessments From Screening - Cholesterol; High Density Lipoprotein (HDL); Low Density Lipoprotein (LDL); Triglycerides; and Very Low Density Lipoprotein (VLDL)
Time frame:
Screening, week 2, week 4, month 3, study completion/termination
Reported as:
Median · mmol/L
Changes in Lipid Panel Assessments From Screening - Cholesterol; High Density Lipoprotein (HDL); Low Density Lipoprotein (LDL); Triglycerides; and Very Low Density Lipoprotein (VLDL)
mmol/LProphylaxisOn-demand
Cholesterol: Week 2 (N= 115, 17)-0.130 (-0.390 to 0.200)-0.100 (-0.770 to 0.260)
Cholesterol: Week 4 (N= 114, 14)-0.050 (-0.470 to 0.240)-0.190 (-0.780 to 0.120)
Cholesterol: Month 3 (N= 109, 17)-0.070 (-0.330 to 0.360)0.040 (-0.220 to 0.400)
Cholesterol: Completion/Termination (N= 114, 15)-0.015 (-0.340 to 0.320)0.080 (-0.400 to 0.480)
HDL: Week 2 (N= 115, 17)0.000 (-0.100 to 0.080)-0.130 (-0.190 to -0.020)
HDL: Week 4 (N= 114, 14)-0.015 (-0.120 to 0.100)-0.095 (-0.130 to 0.030)
HDL: Month 3 (N= 109, 17)0.010 (-0.110 to 0.100)-0.020 (-0.130 to 0.050)
HDL: Completion/Termination (N= 114, 15)-0.020 (-0.150 to 0.070)0.030 (-0.120 to 0.110)
LDL: Week 2 (N= 114, 17)-0.070 (-0.330 to 0.170)-0.090 (-0.650 to 0.000)
LDL: Week 4 (N= 112, 13)-0.080 (-0.350 to 0.245)-0.320 (-0.470 to -0.210)
LDL: Month 3 (N= 108, 17)-0.030 (-0.255 to 0.380)0.000 (-0.410 to 0.200)
LDL: Completion/Termination (N= 113, 15)0.050 (-0.310 to 0.310)-0.050 (-0.450 to 0.380)
Triglycerides: Week 2 (N= 115, 17)-0.0600 (-0.4200 to 0.2600)0.1700 (-0.0100 to 0.3500)
Triglycerides: Week 4 (N= 114, 14)-0.0800 (-0.4000 to 0.2300)0.1500 (-0.2500 to 0.6200)
Triglycerides: Month 3 (N= 109, 17)-0.1600 (-0.4700 to 0.2100)0.3600 (0.2000 to 0.5200)
Triglycerides: Completion/Termination (N= 114, 15)0.0000 (-0.3800 to 0.2300)0.1200 (-0.0400 to 0.2100)
VLDL: Week 2 (N= 114, 17)-0.0150 (-0.1900 to 0.1200)0.0800 (0.0000 to 0.1600)
VLDL: Week 4 (N= 112, 13)-0.0350 (-0.1800 to 0.1050)0.0400 (-0.1100 to 0.2400)
VLDL: Month 3 (N= 108, 17)-0.0700 (-0.2250 to 0.0950)0.1600 (0.0900 to 0.2400)
VLDL: Completion/Termination (N= 113, 15)0.0000 (-0.1700 to 0.1000)0.0600 (-0.0200 to 0.1000)

Adverse events

Collected over From first exposure to BAX 855 until the end of the study, [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm; and 6 months (± 2 weeks) for the on-demand arm].. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
All Study Participants—5/137 (3.6%)26/137 (19%)
Most frequent serious events
Most frequent serious events
EventAll Study Participants
HERPES ZOSTER INFECTION NEUROLOGICALInfections and infestations1/137
HUMERUS FRACTUREInjury, poisoning and procedural complications1/137
MUSCLE HAEMORRHAGEMusculoskeletal and connective tissue disorders1/137
OSTEOARTHRITISMusculoskeletal and connective tissue disorders1/137
NEUROENDOCRINE CARCINOMANeoplasms benign, malignant and unspecified (incl cysts and polyps)1/137
Most frequent other events
Most frequent other events
EventAll Study Participants
NasopharyngitisInfections and infestations13/137
Upper respiratory tract infectionInfections and infestations9/137
HeadacheNervous system disorders7/137

Baseline characteristics

All Study Participants

Age, Continuous
Age, Continuous(Years)ProphylaxisOn-demandTotal
Mean29.8 ± 12.5331.5 ± 11.0530.0 ± 12.34
Sex: Female, Male
Sex: Female, Male(Participants)ProphylaxisOn-demandTotal
Female000
Male12117138
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Study locations

72 sites
  • University of Colorado
    Aurora, Colorado 80045, United States
  • University of Florida, College of Medicine
    Gainesville, Florida 32610, United States
  • Children's Healthcare of Atlanta
    Atlanta, Georgia 30322, United States
  • Bleeding and Clotting Disorders Institute
    Peoria, Illinois 61614, United States
  • University of Kentucky Medical Center
    Lexington, Kentucky 40504, United States
  • University of Louisville Hospital
    Louisville, Kentucky 40202, United States
  • Tulane University Medical School
    New Orleans, Louisiana 70124, United States
  • Children's Mercy Hospitals & Clinics
    Kansas City, Missouri 66211, United States
  • Weill Cornell Medical College-New York Presbyterian Hospital
    New York, New York 10065, United States
  • University of North Carolina Chapel Hill
    Chapel Hill, North Carolina 27599, United States
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
  • Cincinnati Children's Hospital Medical Center
    Cincinnati, Ohio 45229, United States
  • The Cleveland Clinic Foundation
    Cleveland, Ohio 44195, United States
  • Penn State Milton S. Hershey Medical Center
    Hershey, Pennsylvania 17033, United States
  • Palmetto Health
    Columbia, South Carolina 29203, United States
  • University of Utah Health Sciences Center
    Salt Lake City, Utah 84132, United States
  • Puget Sound Blood Group
    Seattle, Washington 98104, United States
  • Royal Adelaide Hospital
    Adelaide, South Australia 5000, Australia
  • The Alfred Hospital
    Clayton, Victoria 3168, Australia
  • Fremantle Hospital
    Fremantle, Western Australia 6160, Australia
  • Hollywood Specialist Centre
    Nedlands, Western Australia 6009, Australia
  • Landes-Frauen-und Kinderklinik Linz
    Linz, 4020, Austria
  • AKH - Medizinische Universität Wien
    Vienna, 1090, Austria
  • SHAT of Oncohaematology Diseases
    Sofia, 1527, Bulgaria
  • Fakultni nemocnice Brno
    Brno, 61300, Czechia
  • Fakultni nemocnice Olomouc
    Olomouc, 775 20, Czechia
  • Fakultni nemocnice v Motole
    Prague, 150 06, Czechia
  • Gerinnungszentrum Rhein-Ruhr
    Duisburg, North Rhine-Westphalia 47051, Germany
  • Vivantes Klinikum im Friedrichshain - Landsberger Allee
    Berlin, 10249, Germany
  • Universitaetsklinikum Hamburg-Eppendorf
    Hamburg, 20246, Germany
  • Werlhof-Institut MVZ
    Hanover, 30159, Germany
  • Rambam Health Care Campus
    Haifa, 3109601, Israel
  • Chaim Sheba Medical Center
    Tel Aviv, 64239, Israel
  • Nagoya University Hospital
    Nagoya, Aichi-ken 466-8560, Japan
  • University of Occupational and Environmental Health Hospital
    Kitakyushu-shi, Fukuoka 807-8556, Japan
  • Hiroshima University Hospital
    Hiroshima, Hiroshima 734-8551, Japan
  • Hyogo College of Medicine Hospital
    Nishinomiya-shi, Hyōgo 663-8501, Japan
  • St. Marianna University School of Medicine Hospital
    Kawasaki-shi, Kanagawa 216-8511, Japan
  • Nara Medical University Hospital
    Kashihara-shi, Nara 634-8522, Japan
  • Tokyo Medical University Hospital
    Shinjuku-ku, Tokyo-To 160-0023, Japan
  • Ogikubo Hospital
    Suginami-ku, Tokyo-To 167-8515, Japan
  • Vilnius University Hospital Santariskiu Clinics, Public Institution
    Vilnius, 08661, Lithuania
  • Children's Hospital, Affiliate of Vilnius University Hospital Santariskiu Klinikos
    Vilnius, LT-08406, Lithuania
  • Hospital Pulau Pinang
    George Town, Pulau Pinang 10990, Malaysia
  • Hospital Tengku Ampuan Rahimah
    Klang, Selangor 41200, Malaysia
  • Pusat Darah Negara
    Kuala Lumpur, 50400, Malaysia
  • Academisch Medisch Centrum
    Amsterdam, 1105 AZ, Netherlands
  • Uniwersyteckie Centrum Kliniczne
    Gdansk, 80-952, Poland
  • Wojewodzki Szpital Specjalistyczny im.M.Kopernika w Lodzi
    Lodz, 93-510, Poland
  • Sanador SRL
    Bucharest, 011026, Romania
  • Chonnam National University Hwasun Hospital
    Hwasun, Jeollanam-do 519-763, South Korea
  • Pusan National University Hospital
    Busan, 602-739, South Korea
  • Eulji University Hospital
    Daejeon, 302-120, South Korea
  • Kyung hee University Hospital at Gangdong
    Seoul, 134-727, South Korea
  • Ulsan University Hospital
    Ulsan, 682-714, South Korea
  • Hospital Universitari Son Espases
    Palma de Mallorca, Balearic Islands 07010, Spain
  • Complejo Hospitalario Universitario A Coruña
    A Coruña, La Coruña 15006, Spain
  • Hospital Regional Universitario de Malaga
    Málaga, Málaga 29010, Spain
  • Hospital Universitari i Politecnic La Fe
    Valencia, 46026, Spain
  • Skånes Universitetssjukhus, Malmö
    Malmö, 20502, Sweden
  • Karolinska Universitetssjukhuset, Solna
    Stockholm, 17176, Sweden
  • Universitatsspital Zurich
    Zurich, 8091, Switzerland
  • Tri-Service General Hospital
    Taipei, 11490, Taiwan
  • SI V.K.Gusak Emergency and Reconstructive Surgery Institute of NAMSU Center of IT
    Donetsk, 83045, Ukraine
  • SI Institute of Blood Pathology and Transfusion Medicine of NAMSU
    Lviv, 79044, Ukraine
  • Bristol Royal Hospital for Children
    Bristol, Avon BS2 8BJ, United Kingdom
  • Royal Free Hospital
    London, Greater London NW3 2QG, United Kingdom
  • St Thomas' Hospital
    London, Greater London SE1 7EH, United Kingdom
  • Manchester Royal Infirmary
    Manchester, Greater Manchester M13 9WL, United Kingdom
  • Royal Manchester Children's Hospital
    Manchester, Greater Manchester M13 9WL, United Kingdom
  • Leicester Royal Infirmary
    Leicester, Leicestershire LE1 5WW, United Kingdom
  • Churchill Hospital
    Oxford, Oxfordshire OX3 7LJ, United Kingdom
09

References and documents

Publications

  • Konkle BA, Stasyshyn O, Chowdary P, Bevan DH, Mant T, Shima M, Engl W, Dyck-Jones J, Fuerlinger M, Patrone L, Ewenstein B, Abbuehl B. Pegylated, full-length, recombinant factor VIII for prophylactic and on-demand treatment of severe hemophilia A. Blood. 2015 Aug 27;126(9):1078-85. doi: 10.1182/blood-2015-03-630897. Epub 2015 Jul 8. PubMed 26157075 ↗

Individual participant data

Plan to share: Yes — Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Access criteria: IPD from eligible studies will be shared with qualified researchers according to the criteria and process described on https://vivli.org/ourmember/takeda/. For approved requests, the researchers will be provided access to anonymized data (to respect patient privacy in line with applicable laws and regulations) and with information necessary to address the research objectives under the terms of a data sharing agreement.

Data sharing details ↗ · vivli.org

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 20, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01736475
Responsible party
Sponsor
First posted
Nov 29, 2012
Start date
Jan 31, 2013
Primary completion
Jul 17, 2014
Completion
Jul 17, 2014
Results posted
Sep 7, 2016
Last update
May 20, 2021

Study contacts

Study Director
study director · Takeda

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2021. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Antihemophilic factor, human recombinant

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