Trial Outcomes & Findings for Efficacy and Safety Study of a Recombinant Protein-Free Manufactured Factor VIII (rAHF-PFM) in Previously Untreated Hemophilia A Patients (NCT NCT00157157)

NCT ID: NCT00157157

Last Updated: 2021-05-24

Results Overview

Percentage of treated participants who developed factor VIII inhibitors

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

66 participants

Primary outcome timeframe

Assessed during study period which was to be at least 75 exposure days or 3 years (whichever came first)

Results posted on

2021-05-24

Participant Flow

Recruitment was conducted in the U.S., Canada, and Europe at 24 study sites.

Participants screened for maximum 21 days. Study was not randomized; it was an open-label evaluation. Prior to initial infusion, a minimum washout period of 3 days was required. 11 participants who enrolled did not receive any rAHF-PFM infusions (3 withdrew consent, 6 screen failures, 1 non-compliance with screening, 1 pre-existing low hemoglobin)

Participant milestones

Participant milestones
Measure
Previously Untreated Patients (PUPs)
rAHF-PFM was dosed according to a therapeutic regimen which was determined by the investigator (ie: standard regimen \[25 to 50 IU/kg body weight, 3 to 4 times per week\]; a modified prophylactic regimen \[dose and frequency selected by investigator\] or on-demand treatment \[dose selected by investigator\]). The dosing regimen used to treat bleeding episodes (BEs) was at the discretion of the investigator and in accordance with the institution's standard of care for the type of bleeding episodes diagnosed.
Overall Study
STARTED
55
Overall Study
COMPLETED
44
Overall Study
NOT COMPLETED
11

Reasons for withdrawal

Reasons for withdrawal
Measure
Previously Untreated Patients (PUPs)
rAHF-PFM was dosed according to a therapeutic regimen which was determined by the investigator (ie: standard regimen \[25 to 50 IU/kg body weight, 3 to 4 times per week\]; a modified prophylactic regimen \[dose and frequency selected by investigator\] or on-demand treatment \[dose selected by investigator\]). The dosing regimen used to treat bleeding episodes (BEs) was at the discretion of the investigator and in accordance with the institution's standard of care for the type of bleeding episodes diagnosed.
Overall Study
Withdrawal by Subject
6
Overall Study
Physician Decision
1
Overall Study
Lost to Follow-up
1
Overall Study
Enrolled in another study
1
Overall Study
Met exclusion criteria
1
Overall Study
Inclusion not met- baseline FVIII value
1

Baseline Characteristics

Efficacy and Safety Study of a Recombinant Protein-Free Manufactured Factor VIII (rAHF-PFM) in Previously Untreated Hemophilia A Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PUPs
n=55 Participants
Age, Customized
<6 months
21 Participants
n=39 Participants
Age, Customized
6-12 months
26 Participants
n=39 Participants
Age, Customized
≥13 months
8 Participants
n=39 Participants
Sex: Female, Male
Female
0 Participants
n=39 Participants
Sex: Female, Male
Male
55 Participants
n=39 Participants

PRIMARY outcome

Timeframe: Assessed during study period which was to be at least 75 exposure days or 3 years (whichever came first)

Population: Participants who received at least 1 infusion of rAHF-PFM

Percentage of treated participants who developed factor VIII inhibitors

Outcome measures

Outcome measures
Measure
PUPs
n=55 Participants
PUPs -During On-Demand Treatment
The dosing regimen used to treat BEs was at the discretion of the investigator and in accordance with the institution's standard of care for the type of BE diagnosed.
PUPs -During Perioperative Management
rAHF-PFM was administered intravenously via bolus infusion, or continuous infusion. The dosing regimen used was at the discretion of the investigator and in accordance with the institution's standard of care.
Factor VIII Inhibitor Development
29.1 percentage
Interval 17.1 to 41.1

SECONDARY outcome

Timeframe: Reported during study period which was to be at least 75 exposure days or 3 years (whichever came first)

Population: Participants who received at least 1 infusion of rAHF-PFM for the treatment of bleeding episodes

The number of bleeding episodes treated with 1, 2, 3, or ≥4 infusions of rAHF-PFM to achieve adequate hemostasis

Outcome measures

Outcome measures
Measure
PUPs
n=44 Participants
PUPs -During On-Demand Treatment
The dosing regimen used to treat BEs was at the discretion of the investigator and in accordance with the institution's standard of care for the type of BE diagnosed.
PUPs -During Perioperative Management
rAHF-PFM was administered intravenously via bolus infusion, or continuous infusion. The dosing regimen used was at the discretion of the investigator and in accordance with the institution's standard of care.
Bleeding Episodes Treated With 1 to ≥4 Infusions
1 infusion
356 Bleeding episodes
Bleeding Episodes Treated With 1 to ≥4 Infusions
2 infusions
107 Bleeding episodes
Bleeding Episodes Treated With 1 to ≥4 Infusions
3 infusions
35 Bleeding episodes
Bleeding Episodes Treated With 1 to ≥4 Infusions
4 or more infusions
19 Bleeding episodes

SECONDARY outcome

Timeframe: Reported during study period which was to be at least 75 exposure days or 3 years (whichever came first)

Population: Participants who received at least 1 infusion of rAHF-PFM and had at least 1 treated bleeding episode. The 1 rating of "none" was for the first 2 infusions, the last infusion was rated as "good".

Number of rAHF-PFM-treated bleeding episodes with treater assessment of hemostasis (4-point ordinal scale): Excellent: Full pain relief \& bleeding cessation within \~8 hrs of 1 infusion. Additional infusions may have been given to maintain hemostasis; Good: Definite pain relief and/or improvement in bleeding within \~8 hrs after infusion. Possibly requires \>1 infusion for complete resolution; Fair: Probable or slight relief of pain \& slight improvement in bleeding within \~8 hrs after infusion. Requires \>1 infusion for complete resolution; or None: No improvement or condition worsens.

Outcome measures

Outcome measures
Measure
PUPs
n=44 Participants
PUPs -During On-Demand Treatment
The dosing regimen used to treat BEs was at the discretion of the investigator and in accordance with the institution's standard of care for the type of BE diagnosed.
PUPs -During Perioperative Management
rAHF-PFM was administered intravenously via bolus infusion, or continuous infusion. The dosing regimen used was at the discretion of the investigator and in accordance with the institution's standard of care.
Assessment of Hemostasis for Treatment of Bleeding Episodes
Excellent
258 bleeding episodes
Assessment of Hemostasis for Treatment of Bleeding Episodes
Good
177 bleeding episodes
Assessment of Hemostasis for Treatment of Bleeding Episodes
Fair
30 bleeding episodes
Assessment of Hemostasis for Treatment of Bleeding Episodes
None
1 bleeding episodes
Assessment of Hemostasis for Treatment of Bleeding Episodes
Unknown/not assessed
51 bleeding episodes

SECONDARY outcome

Timeframe: Reported during study period which was to be at least 75 exposure days or 3 years (whichever came first)

Population: Participants treated for at least 3 months with investigator-defined on-demand treatment (for dose) or prophylaxis (for dose and infusion frequency) for \>80% of the treatment period

Number of bleeding episodes per subject annualized over 1 year for all etiologies

Outcome measures

Outcome measures
Measure
PUPs
n=43 Participants
PUPs -During On-Demand Treatment
The dosing regimen used to treat BEs was at the discretion of the investigator and in accordance with the institution's standard of care for the type of BE diagnosed.
PUPs -During Perioperative Management
rAHF-PFM was administered intravenously via bolus infusion, or continuous infusion. The dosing regimen used was at the discretion of the investigator and in accordance with the institution's standard of care.
Annualized Rate of Bleeding Episodes
4.95 bleeding episodes per subject per year
Interval 1.01 to 32.7

SECONDARY outcome

Timeframe: Reported during study period which was to be at least 75 exposure days or 3 years (whichever came first)

Population: Participants treated for at least 3 months with investigator-defined on-demand treatment (for dose) or prophylaxis (for dose and infusion frequency) for \>80% of the treatment period

Weight-Adjusted Weekly Dose for Prophylaxis, On-Demand Treatment, and Perioperative Management. rAHF-PFM dose determined by the investigator (ie: standard regimen \[25-50 IU/kg body weight, 3-4 times per week\]; modified prophylactic regimen \[dose and frequency selected by investigator\] or on-demand treatment \[dose selected by investigator\]). Dosing to treat BEs was at investigator's discretion and in accordance with institution's standard of care. rAHF-PFM was administered I.V. via bolus infusion, except for perioperative management when it was given either by continuous or bolus infusion.

Outcome measures

Outcome measures
Measure
PUPs
n=36 Participants
PUPs -During On-Demand Treatment
n=47 Participants
The dosing regimen used to treat BEs was at the discretion of the investigator and in accordance with the institution's standard of care for the type of BE diagnosed.
PUPs -During Perioperative Management
n=25 Participants
rAHF-PFM was administered intravenously via bolus infusion, or continuous infusion. The dosing regimen used was at the discretion of the investigator and in accordance with the institution's standard of care.
Weekly rAHF-PFM Utilization
87.1 IU/kg
Interval 6.5 to 352.3
12.5 IU/kg
Interval 2.4 to 176.8
606.4 IU/kg
Interval 256.5 to 1951.0

SECONDARY outcome

Timeframe: 30 minutes pre-infusion to 30 minutes post-infusion

Population: Participants who received pharmacokinetic rAHF-PFM infusions, did not develop inhibitors, and had assessments

Change in factor VIII concentration from pre- to post-infusion at initial and termination study visits.

Outcome measures

Outcome measures
Measure
PUPs
n=4 Participants
PUPs -During On-Demand Treatment
n=12 Participants
The dosing regimen used to treat BEs was at the discretion of the investigator and in accordance with the institution's standard of care for the type of BE diagnosed.
PUPs -During Perioperative Management
rAHF-PFM was administered intravenously via bolus infusion, or continuous infusion. The dosing regimen used was at the discretion of the investigator and in accordance with the institution's standard of care.
In Vivo Incremental Recovery
1.81 IU/dL per IU/kg
Interval 0.74 to 1.92
1.71 IU/dL per IU/kg
Interval 1.32 to 2.11

SECONDARY outcome

Timeframe: Assessed at the time of discharge from recovery room

Population: Number of participants who underwent a surgical procedure with an intraoperative assessment of hemostatic efficacy

Number of surgical procedures managed with rAHF-PFM and with surgeon's assessment of hemostasis based on a 4-point ordinal scale: Excellent: ≤ average predicted blood loss for matched procedures in healthy individuals Good: \> average predicted blood loss, but ≤ maximal predicted blood loss for matched procedures in healthy individuals Fair: \> maximal predicted blood loss for matched procedures in healthy individuals, and hemostasis was achieved None: uncontrolled hemostasis with proper dosing, necessitating a change in treatment regimen

Outcome measures

Outcome measures
Measure
PUPs
n=22 Participants
PUPs -During On-Demand Treatment
The dosing regimen used to treat BEs was at the discretion of the investigator and in accordance with the institution's standard of care for the type of BE diagnosed.
PUPs -During Perioperative Management
rAHF-PFM was administered intravenously via bolus infusion, or continuous infusion. The dosing regimen used was at the discretion of the investigator and in accordance with the institution's standard of care.
Assessment of Intra-operative Hemostasis
Excellent
18 Procedures
Assessment of Intra-operative Hemostasis
Good
4 Procedures
Assessment of Intra-operative Hemostasis
Not Applicable
0 Procedures
Assessment of Intra-operative Hemostasis
Not Done
0 Procedures

SECONDARY outcome

Timeframe: Assessed at the time of discharge from hospital or clinic

Population: Number of participants who underwent a surgical procedure with a postoperative assessment of hemostatic efficacy

Number of surgical procedures managed with rAHF-PFM and with investigator's assessment of hemostasis based on a 4-point ordinal scale: Excellent: hemostasis was as good as or better than other licensed factor VIII products for matched procedure Good: hemostasis was probably as good as other licensed factor VIII products for matched procedure Fair: hemostasis was clearly \< optimal for matched procedure, without need to change regimen None: bleeding from inadequate response with proper dosing, necessitating a change in regimen

Outcome measures

Outcome measures
Measure
PUPs
n=27 Participants
PUPs -During On-Demand Treatment
The dosing regimen used to treat BEs was at the discretion of the investigator and in accordance with the institution's standard of care for the type of BE diagnosed.
PUPs -During Perioperative Management
rAHF-PFM was administered intravenously via bolus infusion, or continuous infusion. The dosing regimen used was at the discretion of the investigator and in accordance with the institution's standard of care.
Assessment of Postoperative Hemostasis
Excellent
23 Procedures
Assessment of Postoperative Hemostasis
Good
2 Procedures
Assessment of Postoperative Hemostasis
Not Applicable
1 Procedures
Assessment of Postoperative Hemostasis
Not Done
1 Procedures

SECONDARY outcome

Timeframe: Predicted volumes preoperatively estimated and actual volumes intraoperatively recorded

Population: Number of participants who underwent a surgical procedure with blood loss assessments

Percentage of actual intraoperative blood loss compared to preoperatively predicted average and maximal blood loss in hemostatically normal matched individuals (from institutional blood bank records)

Outcome measures

Outcome measures
Measure
PUPs
n=27 Participants
PUPs -During On-Demand Treatment
The dosing regimen used to treat BEs was at the discretion of the investigator and in accordance with the institution's standard of care for the type of BE diagnosed.
PUPs -During Perioperative Management
rAHF-PFM was administered intravenously via bolus infusion, or continuous infusion. The dosing regimen used was at the discretion of the investigator and in accordance with the institution's standard of care.
Assessment of Blood Loss During Surgical Procedures
Blood loss as percentage of predicted average
50.0 Percentage Blood Loss
Interval 0.0 to 250.0
Assessment of Blood Loss During Surgical Procedures
Blood loss as percentage of predicted maximal
20.0 Percentage Blood Loss
Interval 0.0 to 100.0

SECONDARY outcome

Timeframe: Reported during the study period which was to be at least 75 exposure days or 3 years (whichever came first)

Population: Participants who received at least 1 infusion of rAHF-PFM

Percentage of participants who reported AEs deemed related to treatment with rAHF-PFM

Outcome measures

Outcome measures
Measure
PUPs
n=55 Participants
PUPs -During On-Demand Treatment
The dosing regimen used to treat BEs was at the discretion of the investigator and in accordance with the institution's standard of care for the type of BE diagnosed.
PUPs -During Perioperative Management
rAHF-PFM was administered intravenously via bolus infusion, or continuous infusion. The dosing regimen used was at the discretion of the investigator and in accordance with the institution's standard of care.
Adverse Events Deemed Related to Treatment
36.4 Percentage of Participants

SECONDARY outcome

Timeframe: Assessed at baseline, throughout the duration of the study, which was to be at least 75 exposure days or 3 years (whichever came first), and at the termination visit.

Population: Participants who received at least 1 infusion of rAHF-PFM and had assessments of heterologous antibodies

Percentage of treated participants who developed antibodies to heterologous proteins (ie, Chinese Hamster Ovary Cell Protein, Murine IgG, or Recombinant Human VWF)

Outcome measures

Outcome measures
Measure
PUPs
n=55 Participants
PUPs -During On-Demand Treatment
The dosing regimen used to treat BEs was at the discretion of the investigator and in accordance with the institution's standard of care for the type of BE diagnosed.
PUPs -During Perioperative Management
rAHF-PFM was administered intravenously via bolus infusion, or continuous infusion. The dosing regimen used was at the discretion of the investigator and in accordance with the institution's standard of care.
Development of Antibodies to Heterologous Proteins
Antibodies to Chinese Hamster Ovary Cell Protein
0.00 Percentage of Participants
Development of Antibodies to Heterologous Proteins
Antibodies to Murine IgG
0.00 Percentage of Participants
Development of Antibodies to Heterologous Proteins
Antibodies to Recombinant Human VWF (n=54)
0.00 Percentage of Participants

POST_HOC outcome

Timeframe: Duration of study which was to be at least 75 exposure days or 3 years (whichever came first)

Population: Immunogenicity Analysis Set- Participants who developed an inhibitor or who were inhibitor-free with ≥10 exposure days to rAHF-PFM

Number of treated participants who developed an inhibitor

Outcome measures

Outcome measures
Measure
PUPs
n=34 Participants
PUPs -During On-Demand Treatment
n=16 Participants
The dosing regimen used to treat BEs was at the discretion of the investigator and in accordance with the institution's standard of care for the type of BE diagnosed.
PUPs -During Perioperative Management
rAHF-PFM was administered intravenously via bolus infusion, or continuous infusion. The dosing regimen used was at the discretion of the investigator and in accordance with the institution's standard of care.
Factor VIII Inhibitor Risk Factor: Genetic Risk Factor- Family History of Inhibitors
Has Family History of Inhibitors
6 Participants
8 Participants
Factor VIII Inhibitor Risk Factor: Genetic Risk Factor- Family History of Inhibitors
Unknown Family History of Inhibitors
2 Participants
1 Participants
Factor VIII Inhibitor Risk Factor: Genetic Risk Factor- Family History of Inhibitors
No Family History of Inhibitors
26 Participants
7 Participants

POST_HOC outcome

Timeframe: Duration of study which was to be at least 75 exposure days or 3 years (whichever came first)

Population: Immunogenicity Analysis Set- Participants who developed an inhibitor or who were inhibitor-free with ≥10 exposure days to rAHF-PFM

Number of treated participants who developed an inhibitor

Outcome measures

Outcome measures
Measure
PUPs
n=34 Participants
PUPs -During On-Demand Treatment
n=16 Participants
The dosing regimen used to treat BEs was at the discretion of the investigator and in accordance with the institution's standard of care for the type of BE diagnosed.
PUPs -During Perioperative Management
rAHF-PFM was administered intravenously via bolus infusion, or continuous infusion. The dosing regimen used was at the discretion of the investigator and in accordance with the institution's standard of care.
Factor VIII Inhibitor Risk Factor: Race
Non-Caucasian
8 Participants
9 Participants
Factor VIII Inhibitor Risk Factor: Race
Caucasian
26 Participants
7 Participants

POST_HOC outcome

Timeframe: Duration of study which was to be at least 75 exposure days or 3 years (whichever came first)

Population: Immunogenicity Analysis Set- Participants who developed an inhibitor or who were inhibitor-free with ≥10 exposure days to rAHF-PFM

Immunogenicity Analysis Set- Participants with 5 consecutive study days of a mean infusion dose of FVIII \>50 IU/kg within ≤20 EDs who developed an inhibitor

Outcome measures

Outcome measures
Measure
PUPs
n=34 Participants
PUPs -During On-Demand Treatment
n=16 Participants
The dosing regimen used to treat BEs was at the discretion of the investigator and in accordance with the institution's standard of care for the type of BE diagnosed.
PUPs -During Perioperative Management
rAHF-PFM was administered intravenously via bolus infusion, or continuous infusion. The dosing regimen used was at the discretion of the investigator and in accordance with the institution's standard of care.
Factor VIII Inhibitor Risk Factor: Number of Participants With Intensive Treatment and High Dose (≤20 Exposure Days (EDs))
Received intensive treatment & high dose
4 Participants
6 Participants
Factor VIII Inhibitor Risk Factor: Number of Participants With Intensive Treatment and High Dose (≤20 Exposure Days (EDs))
No intensive treatment & high dose
30 Participants
10 Participants

Adverse Events

PUPs

Serious events: 28 serious events
Other events: 52 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
PUPs
n=55 participants at risk
Blood and lymphatic system disorders
Factor VIII inhibition
29.1%
16/55 • Number of events 16 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Blood and lymphatic system disorders
Coagulopathy
3.6%
2/55 • Number of events 3 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Injury, poisoning and procedural complications
Mouth injury
3.6%
2/55 • Number of events 2 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
General disorders
Pyrexia
3.6%
2/55 • Number of events 2 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Infections and infestations
Bacteraemia
1.8%
1/55 • Number of events 1 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Respiratory, thoracic and mediastinal disorders
Bronchial hyperreactivity
1.8%
1/55 • Number of events 3 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Infections and infestations
Bronchitis
1.8%
1/55 • Number of events 1 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Infections and infestations
Catheter bacteraemia
1.8%
1/55 • Number of events 1 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Infections and infestations
Catheter related infection
1.8%
1/55 • Number of events 3 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
General disorders
Catheter site haematoma
1.8%
1/55 • Number of events 1 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Injury, poisoning and procedural complications
Contusion
1.8%
1/55 • Number of events 1 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Respiratory, thoracic and mediastinal disorders
Cough
1.8%
1/55 • Number of events 2 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Metabolism and nutrition disorders
Dehydration
1.8%
1/55 • Number of events 1 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Musculoskeletal and connective tissue disorders
Haemarthrosis
1.8%
1/55 • Number of events 1 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Vascular disorders
Haematoma
1.8%
1/55 • Number of events 1 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Injury, poisoning and procedural complications
Head injury
1.8%
1/55 • Number of events 1 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Infections and infestations
Pneumonia
1.8%
1/55 • Number of events 1 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Infections and infestations
Respiratory syncytial virus infection
1.8%
1/55 • Number of events 1 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Injury, poisoning and procedural complications
Skin laceration
1.8%
1/55 • Number of events 1 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Injury, poisoning and procedural complications
Tongue injury
1.8%
1/55 • Number of events 1 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Respiratory, thoracic and mediastinal disorders
Wheezing
1.8%
1/55 • Number of events 2 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.

Other adverse events

Other adverse events
Measure
PUPs
n=55 participants at risk
General disorders
Pyrexia
70.9%
39/55 • Number of events 137 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Infections and infestations
Nasopharyngitis
50.9%
28/55 • Number of events 80 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Respiratory, thoracic and mediastinal disorders
Cough
41.8%
23/55 • Number of events 65 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
40.0%
22/55 • Number of events 54 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Gastrointestinal disorders
Diarrhea
36.4%
20/55 • Number of events 31 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Infections and infestations
Ear infection
36.4%
20/55 • Number of events 44 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Gastrointestinal disorders
Vomiting
30.9%
17/55 • Number of events 29 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Infections and infestations
Upper respiratory tract infection
29.1%
16/55 • Number of events 35 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Respiratory, thoracic and mediastinal disorders
Nasal congestion
27.3%
15/55 • Number of events 48 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Skin and subcutaneous tissue disorders
Rash
23.6%
13/55 • Number of events 18 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Blood and lymphatic system disorders
Anaemia
18.2%
10/55 • Number of events 13 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Eye disorders
Conjuctivitis
16.4%
9/55 • Number of events 12 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Injury, poisoning and procedural complications
Procedural pain
16.4%
9/55 • Number of events 11 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Skin and subcutaneous tissue disorders
Dermatitis diaper
12.7%
7/55 • Number of events 8 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Infections and infestations
Otitis media
12.7%
7/55 • Number of events 13 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Respiratory, thoracic and mediastinal disorders
Wheezing
10.9%
6/55 • Number of events 10 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Infections and infestations
Hand-foot-and-mouth disease
9.1%
5/55 • Number of events 5 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Blood and lymphatic system disorders
Iron deficiency anaemia
9.1%
5/55 • Number of events 8 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Skin and subcutaneous tissue disorders
Urticaria
9.1%
5/55 • Number of events 5 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Injury, poisoning and procedural complications
Arthropod bite
7.3%
4/55 • Number of events 5 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Infections and infestations
Bronchitis
7.3%
4/55 • Number of events 10 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Infections and infestations
Influenza
7.3%
4/55 • Number of events 8 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
General disorders
Pain
7.3%
4/55 • Number of events 6 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Infections and infestations
Pharyngitis
7.3%
4/55 • Number of events 4 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Infections and infestations
Rhinitis
7.3%
4/55 • Number of events 14 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Infections and infestations
Varicella
7.3%
4/55 • Number of events 4 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Gastrointestinal disorders
Abdominal pain
5.5%
3/55 • Number of events 5 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Musculoskeletal and connective tissue disorders
Arthralgia
5.5%
3/55 • Number of events 4 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Infections and infestations
Croup infectious
5.5%
3/55 • Number of events 3 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Ear and labyrinth disorders
Ear pain
5.5%
3/55 • Number of events 3 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Infections and infestations
Gasteroenteritis
5.5%
3/55 • Number of events 3 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Injury, poisoning and procedural complications
Mouth injury
5.5%
3/55 • Number of events 4 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
5.5%
3/55 • Number of events 4 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Injury, poisoning and procedural complications
Skin laceration
5.5%
3/55 • Number of events 3 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.
Infections and infestations
Viral infection
5.5%
3/55 • Number of events 5 • Study period was to be at least 75 exposure days or 3 years (whichever came first)
Median days on study was 498 (range: 82 to 1360) days. Median days of rAHF-PFM exposure was 76 (range: 1 to 414) exposure days.

Additional Information

Study Director

Shire

Phone: +1 866 842 5335

Results disclosure agreements

  • Principal investigator is a sponsor employee Baxter's agreements with PIs vary per individual PI, but contain common elements. For this study, PIs are restricted from independently publishing results until the earlier of the primary multicenter publication or 1 year after study completion. Baxter requires a review of results communications (e.g., for confidential information) 30 days prior to submission or communication. Baxter may request an additional delay of up to 90 days (e.g., to allow for intellectual property protection).
  • Publication restrictions are in place

Restriction type: OTHER