This study will examine the long-term safety and efficacy of rIX-FP for the control and prevention of bleeding episodes in children and adults with severe hemophilia B. The study will include subjects who have not previously been treated with Factor IX products, subjects who previously completed a CSL-sponsored rIX-FP lead-in study and subjects requiring major non-emergency surgery who have not previously completed a CSL-sponsored rIX-FP lead-in study. A surgical prophylaxis substudy will examine the efficacy of rIX-FP in subjects with hemophilia B who are undergoing non-emergency major or minor surgery. An additional substudy will examine the safety and PK of subcutaneous (SC) administration of rIX-FP.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
97
Recombinant Fusion Protein Linking Coagulation Factor IX with Albumin (rIX-FP)
University of Colorado
Aurora, Colorado, United States
Indiana Hemophilia & Thrombosis Center Inc.
Indianapolis, Indiana, United States
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, United States
University of Utah
Salt Lake City, Utah, United States
Royal Children's Hospital
Parkville, Victoria, Australia
Total Number of Participants Who Developed Inhibitors Against Factor IX (FIX)
Time frame: For PTPs: up to 5 years or the time it takes to achieve 100 exposure days (EDs). For PUPs: up to 3 years or the time it takes to achieve 50 EDs.
Mean Incremental Recovery of a 50 IU/kg Dose of CSL654 in Previously Untreated Patients (PUPs)
Incremental Recovery: The increase in plasma concentration per IU/kg of factor administered.
Time frame: Approximately 30 minutes after infusion of CSL654
Total Annualized Bleeding Rate (ABR) by Prophylaxis Regimen in Previously Treated Patients (PTPs)
Time frame: For PTPs: up to 5 years or the time it takes to achieve 100 exposure days (EDs).
Spontaneous ABR by Prophylaxis Regimen in PTPs
Time frame: For PTPs: up to 5 years or the time it takes to achieve 100 exposure days (EDs).
Average Amount of CSL654 (rIX-FP) Consumed Per Month Per Subject During Routine Prophylaxis Treatment.
Time frame: For PTPs: up to 5 years or the time it takes to achieve 100 exposure days (EDs). For PUPs: up to 3 years or the time it takes to achieve 50 EDs.
Percentage of Participants With at Least One Treatment Emergent Adverse Event (TEAE) and the Percentage of Participants With at Least One CSL654-related TEAE
Time frame: For PTPs: up to 5 years or the time it takes to achieve 100 exposure days (EDs). For PUPs: up to 3 years or the time it takes to achieve 50 EDs.
Number of Participants With Investigator's Overall Clinical Assessment of Hemostatic Efficacy for the Treatment of Major Bleeding Events With CSL654 in PUPs
The investigator will rate the efficacy of the rIX-FP treatment based on a hemostatic efficacy four point rating scale of excellent, good, moderate, or poor/no response.
Time frame: Up to 3 years or the time it takes to achieve 50 EDs
Total ABR for On-demand Regimen vs. 14-Day Regimen in PTPs
Time frame: For PTPs: up to 5 years or the time it takes to achieve 100 exposure days (EDs).
Spontaneous ABR for On-demand Regimen vs. 14-Day Regimen in PTPs
Time frame: For PTPs: up to 5 years or the time it takes to achieve 100 exposure days (EDs).
Total ABR for Subjects >=12 Years: 7-Day Regimen vs. 14-Day Regimen in PTPs
Time frame: For PTPs: up to 5 years or the time it takes to achieve 100 exposure days (EDs).
Spontaneous ABR for Subjects >=12 Years: 7-Day Regimen vs. 14-Day Regimen in PTPs
Time frame: For PTPs: up to 5 years or the time it takes to achieve 100 exposure days (EDs).
Total ABR for Subjects >=12 Years: 7-Day Regimen vs. (10 or 14)-Day Regimen in PTPs
Time frame: For PTPs: up to 5 years or the time it takes to achieve 100 exposure days (EDs).
Spontaneous ABR for Subjects >=12 Years: 7-Day Regimen vs. (10 or 14)-Day Regimen in PTPs
Time frame: For PTPs: up to 5 years or the time it takes to achieve 100 exposure days (EDs).
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The Children's Hospital Westmead
Westmead, Victoria, Australia
Department of Pediatrics, Medical University of Vienna
Vienna, Austria
Medical University of Vienna, Vienna General Hospital
Vienna, Austria
SHAT "Joan Pavel" ODD [Hemorrhagic Diathesis & Anemia]
Sofia, Bulgaria
McMaster University
Hamilton, Ontario, Canada
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