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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT01425723
Other study ID # 9HB01EXT
Secondary ID 2011-003075-11
Status Completed
Phase Phase 3
First received
Last updated
Start date December 8, 2011
Est. completion date October 2017

Study information

Verified date November 2018
Source Sanofi
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The primary objective of the study is to evaluate the long-term safety of rFIXFc in participants with hemophilia B. The secondary objective of this study is to evaluate the efficacy of rFIXFc in the prevention and treatment of bleeding episodes.


Description:

Participants will follow either a prophylaxis or on-demand regimen. The starting dose in this study will be determined by the clinical profile of the patient in the preceding studies, B-LONG 998HB102 (NCT01027364) and Kids B-LONG study 9HB02PED (NCT01440946)


Recruitment information / eligibility

Status Completed
Enrollment 120
Est. completion date October 2017
Est. primary completion date October 2017
Accepts healthy volunteers No
Gender Male
Age group N/A and older
Eligibility Key Inclusion Criteria: - Subjects who have completed studies 998HB102 (NCT01027364) or 9HB02PED (NCT01440946) or other studies with rFIXFc - Ability to understand the purposes & risks of the study and provide signed and dated informed consent. Key Exclusion Criteria: - High-titer inhibitor (>/=5.00 BU/mL) NOTE: Other protocol defined Inclusion/ Exclusion criteria may apply.

Study Design


Related Conditions & MeSH terms


Intervention

Biological:
rFIXFc
Administered as specified in the treatment arm.

Locations

Country Name City State
Australia Research Site Adelaide South Australia
Australia Research site Murdoch Western Australia
Australia Research site Parkville Victoria
Australia Research Site Perth Western Australia
Belgium Research Site Bruxelles
Belgium Research Site Leuven
Brazil Research Site Campinas Sao Paulo
Canada Research Site Montreal Quebec
Canada Research Site Toronto Ontario
China Research Site Beijing Beijingshì
China Research Site Guangzhou Guangdongsheng
China Research Site Shanghai Shànghaishì
China Research Site Tianjing Tianjinshì
France Research Site Marseille Bouches-Du-Rhône
Germany Research Site Bonn North Rhine-westphalia
Hong Kong Research Site Hong Kong New Territories
Hong Kong Research site Hong Kong
India Research Site Bangalore Karnataka
India Research Site Pune Maharashtra
India Research Site Vellore Tamil Nadu
Ireland Research Site Dublin
Italy Research Site Florence
Italy Research Site Milano
Japan Research Site Kashihara-shi Nara-Ken
Japan Research Site Kawasaki Kanagawa-Ken
Japan Research Site Kitakyushu Fukuoka-Ken
Japan Research Site Nagoya-Shi Aichi-Ken
Japan Research Site Shinjuku-ku Tokyo-To
Japan Research Site Tokyo Tokyo-To
Netherlands Research Site Utrecht
Poland Research Site Lodz
South Africa Research Site Cape Town Western Cape
South Africa Research Site Johannesburg Gauteng
Sweden Research Site Malmö
Sweden Research Site Stockholm
United Kingdom Research Site Basingstoke Hampshire
United Kingdom Research Site Cambridge Cambridgeshire
United Kingdom Research Site London Greater London
United Kingdom Research site London Greater London
United States Research Site Atlanta Georgia
United States Research Site Aurora Colorado
United States Research Site East Lansing Michigan
United States Research Site Honolulu Hawaii
United States Research Site Indianapolis Indiana
United States Research Site New Orleans Louisiana
United States Research Site Phoenix Arizona
United States Research Site Pittsburgh Pennsylvania
United States Research Site Sacramento California
United States Research Site Seattle Washington

Sponsors (1)

Lead Sponsor Collaborator
Bioverativ Therapeutics Inc.

Countries where clinical trial is conducted

United States,  Australia,  Belgium,  Brazil,  Canada,  China,  France,  Germany,  Hong Kong,  India,  Ireland,  Italy,  Japan,  Netherlands,  Poland,  South Africa,  Sweden,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Number of Participants With Any Positive Inhibitor Development An inhibitor test result greater than or equal to (>=)0.6 Bethesda units per milliliter (BU/mL), confirmed on 2 separate samples drawn 2 to 4 weeks apart, was considered positive. Both tests were to be performed by the central laboratory using the Nijmegen-modified Bethesda Assay. Data was summarized by treatment regimen for participants from Study 998HB102 and by age cohort (<6 years and 6 to <12 years old) and treatment regimen for participants from Study 9HB02PED per planned analysis. Participants were included in summary of more than 1 treatment regimen if their regimen changed during study. Approximately 5 years
Secondary Annualized Bleeding Rate (ABR) ABR is annualized number of bleeding episodes per participant per year. Bleeding episodes were classified as spontaneous if participant records bleeding event when there is no known contributing factor such as definite trauma/antecedent strenuous activity and classified as traumatic if participant records bleeding event when there is known reason for bleed. ABR=(Number of bleeding episodes during efficacy period/number of days during efficacy period)*365.25. Efficacy period reflects sum of all intervals of time during which participants were treated with rFIXFc per treatment regimen excluding major and minor surgical/rehabilitation periods and large injection intervals. ABR was summarized by treatment regimen for participants from study 998HB102 and by age cohort (<6 years and 6 to <12 years old) and treatment regimen for participants from study 9HB02PED per planned analysis. Participants were included in summary of more than 1 treatment regimen if their regimen changed during study. Approximately 5 years
Secondary Annualized Spontaneous Joint Bleeding Episodes Bleeding episodes were classified as spontaneous if participant records a bleeding event when there is no known contributing factor such as definite trauma/antecedent strenuous activity. In addition, location of bleed (joint, internal, skin/mucosa or muscle) were also collected. Annualized spontaneous joint bleeding episodes=(Number of spontaneous joint bleeding episodes during efficacy period/number of days during efficacy period)*365.25. Efficacy period reflects sum of all intervals of time during which participants were treated with rFIXFc per treatment regimen excluding major and minor surgical/rehabilitation periods and large injection intervals. Bleeding episodes were summarized by treatment regimen for participants from study 998HB102 and by age cohort (<6 years and 6 to <12 years old) and treatment regimen for participants from study 9HB02PED as per planned analysis. Participants were included in summary of more than 1 treatment regimen if their regimen changed during study. Approximately 5 years
Secondary Total Number of Exposure Days (EDs) An exposure day is a 24-hour period in which one or more rFIXFc injections are given. The total number of days of exposure to rFIXFc were summarized by treatment regimen for participants from study 998HB102 and by age cohort (<6 years and 6 to <12 years old) and treatment regimen for participants from study 9HB02PED as per planned analysis. Participants were included in summary of more than 1 treatment regimen if their regimen changed during study. Approximately 5 years
Secondary Annualized rFIXFc Consumption (International Units Per Kilogram [IU/kg]) Annualized consumption = (total international unit per kilogram [IU/kg] of study treatment received during the efficacy period / total number of days during the efficacy period) multiplied by 365.25. Efficacy period reflects sum of all intervals of time during which participants were treated with rFIXFc per treatment regimen excluding major and minor surgical/rehabilitation periods and large injection intervals. Annualized consumption was summarized by treatment regimen for participants from study 998HB102 and by age cohort (<6 years and 6 to <12 years old) and treatment regimen for participants from study 9HB02PED as per planned analysis. Participants were included in summary of more than 1 treatment regimen if their regimen changed during study. Approximately 5 years
Secondary Physicians' Global Assessment of Participant's Response to rFIXFc Regimen Using a 4-Point Scale Participants were assessed for response to their rFIXFc regimen using following 4-point scale: 1=Excellent: bleeding episodes responded to less than or equal to (<=)usual number of injections or dose of rFIXFc or rate of breakthrough bleeding during prophylaxis was <= that usually observed; 2=Effective: most bleeding episodes responded to same number of injections and dose, but some required more injections or higher doses, or there was minor increase in rate of breakthrough; 3=Partially Effective: bleeding episodes most often required more injections and/or higher doses than expected or adequate breakthrough bleeding prevention during prophylaxis required more frequent injections and/or higher doses and 4=Ineffective: routine failure to control hemostasis/hemostatic control require additional agents. Total number of scale responses =total count of scale responses for all participants; multiple responses per participant including those at scheduled and unscheduled visits are counted. Approximately 5 years
Secondary Participant's Assessment of Response (Excellent or Good Response) to rFIXFc Injections for the Treatment of Bleeding Episodes Using a 4-Point Scale Using eDiary, participant received rating for treatment response to any bleeding episode (BE) using 4-point scale- 1=Excellent: Abrupt pain relief and/or improvement in signs of bleeding within approximately (approx.) 8 hours (h) after initial injection (inj.); 2=Good: Definite pain relief and/or improvement in signs of bleeding within approx. 8h after an injection, but possibly requiring more than 1 injection after 24-48h for complete resolution; 3=Moderate: Probable/slight beneficial effect within 8h after initial injection and requires more than 1 injection and 4=None: No improvement, or condition worsens within approx. 8h after initial injection. This assessment was to be made approx. 8 to 12h from time the injection was given to treat BE and prior to any additional doses of rFIXFc given for same bleeding episode. Percentages are based on the number of bleeding episodes for which a response (excellent or good) was provided for the first injection during the efficacy period. Approximately 5 years
See also
  Status Clinical Trial Phase
Completed NCT01027364 - Study of Recombinant Factor IX Fc Fusion Protein (rFIXFc) in Participants With Hemophilia B Phase 3