The primary purpose of this study is to describe the outcome of Immune Tolerance Induction (ITI) treatment performed with rFVIIIFc within a timeframe of 60 weeks in patients with haemophilia A who have failed previous attempts at tolerization.
This is an open-label, single-arm, interventional multi-center study designed to explore ITI performed with recombinant coagulation factor VIII Fc fusion protein (rFVIIIFc) within a timeframe of 60 weeks in patients with severe haemophilia A, who have failed previous attempts at tolerization including use of immunosuppressants.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
16
rFVIIIFc 200 IU/kg/day during ITI Period and thereafter adjusted according to the Investigator's judgement administered intravenously.
Swedish Orphan Biovitrum Research Site
Washington D.C., District of Columbia, United States
Swedish Orphan Biovitrum Research Site
Hamilton, Canada
Swedish Orphan Biovitrum Research Site
Vancouver, Canada
ITI Success
Number of patients who achieve ITI success where ITI success is defined as achieving all 3 of the following criteria: * Negative titer for inhibitor (\<0.6 Bethesda units/mL by the Nijmegen-modified Bethesda assay) at 2 consecutive visits * FVIII incremental recovery (IR) \>66% of the expected IR at 2 consecutive visits * FVIII half-life (t½) ≥7 hours
Time frame: up to 60 weeks
Time to ITI Success
Time to the patient reaches ITI success according to the pre-defined criteria For the subset of patients who were classified as partial success at the end of the ITI period, the time to fulfillment of the criteria for partial success was also analyzed descriptively.
Time frame: up to 60 weeks
Occurrence of Relapse During a 48-week Period Following Successful ITI Treatment
Relapse was defined as a positive inhibitor (≥0.6 BU/mL) on 2 consecutive assessments and incremental recovery ≤66 % of the expected incremental recovery on 2 consecutive assessments
Time frame: Up to 48 weeks
Number of Bleedings During ITI Treatment
Only bleeds requiring treatment with rFVIIIFc or bypassing agents should be registered. A bleeding episode starts from the first sign of a bleed and ends no more than 72 hours after the last injection of bypassing agents or rFVIIIFc to treat the bleeding episode.
Time frame: up to 60 weeks
Bleeding Rate During a 48-week Period Following Successful ITI Treatment
Only bleeds requiring treatment with rFVIIIFc or bypassing agents should be registered. A bleeding episode starts from the first sign of a bleed and ends no more than 72 hours after the last injection of bypassing agents or rFVIIIFc to treat the bleeding episode.
Time frame: up to 48 weeks
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Swedish Orphan Biovitrum Research Site
Bonn, Germany
Swedish Orphan Biovitrum Research Site
Frankfurt am Main, Germany
Swedish Orphan Biovitrum Research Site
Mörfelden-Walldorf, Germany
Swedish Orphan Biovitrum Research site
Dublin, Ireland
Swedish Orphan Biovitrum Research Site
Ljubljana, Slovenia
Swedish Orphan Biovitrum Research site
Gothenburg, Sweden
Swedish Orphan Biovitrum Research Site
Birmingham, United Kingdom
...and 2 more locations
Adverse Events (AEs)
All observed adverse events as a measure of tolerability. (AE=adverse event, SAE=serious adverse event, TEAE=treatment emergent adverse event)
Time frame: SAEs - approx 166 weeks AEs - approx 110 weeks
Consumption of rFVIIIFc
Consumption will be assessed based on amount of administered study treatment during the ITI period.
Time frame: Up to 60 weeks
Number of Days Missed School or Work During ITI Treatment
Days missed school or work will be registered by the patients in an electronic diary
Time frame: up to 60 weeks
Number of Days Missed School or Work During a 48-week Period Following Successful ITI Treatment
Days missed school or work will be registered by the patients in an electronic diary
Time frame: up to 48 weeks
Number of Hospitalizations During ITI Treatment
Days of hospitalization will be collected by the Investigator at the study visits
Time frame: up to 60 weeks
Number of Hospitalizations During a 48-week Period Following Successful ITI Treatment
Days of hospitalization will be collected by the Investigator at the study visits
Time frame: Up to 48 weeks
Adherence
Defined as percentage of administered doses versus planned doses
Time frame: up to 108 weeks