BAX 326 (Recombinant Factor IX): Evaluation of Safety, Immunogenicity, and Hemostatic Efficacy in Previously Treated Patients With Severe (FIX Level < 1%) or Moderately Severe (FIX Level <= 2%) Hemophilia B - A Continuation Study
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 发起方
- 入组人数
- 117
- 试验地点
- 80
- 主要终点
- Adverse Events Possibly or Probably Related to the Investigational Product
研究概览
简要总结
The purpose of this BAX 326 Continuation Study is to further investigate incremental recovery over time, the hemostatic efficacy, the safety, immunogenicity, and health-related quality of life (HR QoL) of BAX 326 in previously treated patients (PTPs) with severe and moderately severe hemophilia B who participated in BAX 326 pivotal study 250901 or BAX 326 pediatric study 251101.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- — 至 65 Years(Child, Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Main Inclusion Criteria:
- •Subject and/or legal representative has/have voluntarily provided signed informed consent
- •Subject has completed Baxter clinical study 250901 (pivotal study) or Baxter clinical study 251101 (pediatric study)
- •Subject was 12 to 65 years old at the time of screening for Study 250901 or < 12 years old at the time of screening for Study 251101
- •Subject has severe (FIX level < 1%) or moderately severe (FIX level 1-2%) hemophilia B (based on the one stage activated partial thromboplastin time (aPTT) assay), as tested at screening at the central laboratory
- •Subject has not developed an inhibitory FIX antibody during Baxter Pivotal Study 250901 or Pediatric Study 251101
排除标准
- •Subject received factor IX product(s) other than BAX 326 upon completion of Baxter Pivotal Study 250901 or Pediatric Study 251101
- •Subject has been diagnosed with an acquired hemostatic defect other than hemophilia B
- •For subjects transferring from Pivotal Study 250901: Subject's weight is < 35 kg or > 120 kg
- •Subject is planned to take part in any other clinical study, with the exception of BAX 326 Surgery study as described in this protocol, during the course of the Continuation Study
结局指标
主要结局
Adverse Events Possibly or Probably Related to the Investigational Product
时间窗: Assessed (based on patient diary) every 3 months until study completion (when BAX326 is licensed in the respective country or the participant has accumulated approximately 100 exposure days to BAX 326, whichever is last).
Possibly or probably related adverse events that occurred during or after first BAX326 infusion.
次要结局
- Annualized Bleed Rate During Prophylaxis Treatment(For prophylactic treatment the period from first to last prophylactic infusion is considered.)
- Development of Antibodies to Chinese Hamster Ovary Proteins (CHO Proteins) and rFurin(Laboratory assessment for immunology were done at screening, at exposure day 1, at week 4 (± 1 week), at month 3 (±1 week), thereafter, every 3 months (± 1 week) and at study completion/termination.)
- Consumption of BAX 326: Weight Adjusted Consumption Per Month and Per Year(Throughout the study from screening to study completion (when BAX326 is licensed in the respective country or the participant has accumulated approximately 100 exposure days to BAX 326, whichever is last).)
- Treatment of Bleeding Episodes: Overall Hemostatic Efficacy Rating at Resolution of Bleed(Throughout the study from screening to study completion (when BAX326 is licensed in the respective country or the participant has accumulated approximately 100 exposure days to BAX 326, whichever is last).)
- Consumption of BAX 326: Number of Infusions Per Month and Per Year(Throughout the study from screening to study completion (when BAX326 is licensed in the respective country or the participant has accumulated approximately 100 exposure days to BAX 326, whichever is last).)
- Treatment of Bleeding Episodes: Number of Infusions Per Bleeding Episode Required Until Bleed Resolution(Throughout the study from screening to study completion (when BAX326 is licensed in the respective country or the participant has accumulated approximately 100 exposure days to BAX 326, whichever is last).)
- Occurrence of Severe Allergic Reactions and Thrombotic Events(Throughout the study from screening to study completion (when BAX326 is licensed in the respective country or the participant has accumulated approximately 100 exposure days to BAX 326, whichever is last).)
- Pharmacokinetics: Area Under the Plasma Concentration Versus Time Curve From Time 0 to Infinity (AUC 0-∞)(PK assessments were done within 30 minutes pre-infusion and post-infusion at 30 (± 5) minutes, 9 hours (± 30 minutes), 24 (± 2) hours, 48 (± 2) hours and 72 (± 2) hours)
- Pharmacokinetics: Volume of Distribution at Steady State (Vss)(PK assessments were done within 30 minutes pre-infusion and post-infusion at 30 (± 5) minutes, 9 hours (± 30 minutes), 24 (± 2) hours, 48 (± 2) hours and 72 (± 2) hours)
- Pharmacokinetics: Elimination Phase Half-life (T1/2)(PK assessments were done within 30 minutes pre-infusion and post-infusion at 30 (± 5) minutes, 9 hours (± 30 minutes), 24 (± 2) hours, 48 (± 2) hours and 72 (± 2) hours)
- Consumption of BAX326: Weight Adjusted Consumption Per Bleeding Episode(Throughout the study from screening to study completion (when BAX326 is licensed in the respective country or the participant has accumulated approximately 100 exposure days to BAX 326, whichever is last).)
- Development of Inhibitory and Total Binding Antibodies to Factor IX(Laboratory assessment for immunology were done at screening, at exposure day 1, at week 4 (± 1 week), at month 3 (±1 week), thereafter, every 3 months (± 1 week) and at study completion/termination.)
- Clinical Significant Changes in Routine Laboratory Parameters and Vital Signs(Measurements at screening and at study completion/termination are included in the analysis.)
- Pharmacokinetics: Incremental Recovery (IR) Over Time(IR over time was measured as Baseline and at Completion/Termination visit within 30 minutes pre-infusion and at 30 (± 5) minutes post-infusion.)
- Changes in Health Related Quality of Life (HR QoL) Based on Questionnaire SF-36(Baseline at exposure day 1 and at study completion/termination.)
- Pharmacokinetics: Mean Residence Time (MRT)(PK assessments were done within 30 minutes pre-infusion and post-infusion at 30 (± 5) minutes, 9 hours (± 30 minutes), 24 (± 2) hours, 48 (± 2) hours and 72 (± 2) hours)
- Pharmacokinetics: Systemic Clearance (CL)(PK assessments were done within 30 minutes pre-infusion and post-infusion at 30 (± 5) minutes, 9 hours (± 30 minutes), 24 (± 2) hours, 48 (± 2) hours and 72 (± 2) hours)
- Pharmacokinetics: Incremental Recovery (IR)(PK assessments were done within 30 minutes pre-infusion and post-infusion at 30 (± 5) minutes, 9 hours (± 30 minutes), 24 (± 2) hours, 48 (± 2) hours and 72 (± 2) hours.)
- Changes in Health Related Quality of Life (HR QoL) Based on Questionnaire Haemo-QoL and Haem-A-QoL(Baseline at exposure day 1 and at study completion/termination.)
- Changes in Health Related Quality of Life Using the Peds QL(Baseline at exposure day 1 and at study completion/termination.)
- Changes in Health Related Quality of Life (HR QoL) Based on Questionnaire EQ-5D and Pain Score.(Baseline at exposure day 1 and at study completion/termination.)
