Trial Outcomes & Findings for Observational Registry of NovoSeven® Used as On-demand Treatment of Bleeds in Patients With Haemophilia A and B With Inhibitors (NCT NCT00703911)

NCT ID: NCT00703911

Last Updated: 2017-01-11

Results Overview

The percentage of bleed treatments successfully resulting in bleed resolution. Analysis only considers the patient's opinion of effectiveness at 9 hours, with a rating of "Effective" considered as successful treatment.

Recruitment status

COMPLETED

Target enrollment

102 participants

Primary outcome timeframe

within 9 hours of first injection

Results posted on

2017-01-11

Participant Flow

Participant milestones

Participant milestones
Measure
Activated Recombinant Human Factor VII
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Overall Study
STARTED
102
Overall Study
COMPLETED
92
Overall Study
NOT COMPLETED
10

Reasons for withdrawal

Reasons for withdrawal
Measure
Activated Recombinant Human Factor VII
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Overall Study
Death
1
Overall Study
Physician Decision
6
Overall Study
Lost to Follow-up
1
Overall Study
Withdrawal by Subject
2

Baseline Characteristics

Observational Registry of NovoSeven® Used as On-demand Treatment of Bleeds in Patients With Haemophilia A and B With Inhibitors

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Activated Recombinant Human Factor VII
n=102 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Age, Continuous
23.3 years
STANDARD_DEVIATION 16.37 • n=5 Participants
Age, Customized
2 - 12 years
35 participants
n=5 Participants
Age, Customized
above 12 - 17 years
14 participants
n=5 Participants
Age, Customized
18 years or above
53 participants
n=5 Participants
Gender
Female
0 Participants
n=5 Participants
Gender
Male
102 Participants
n=5 Participants
Region of Enrollment
Algeria
17 participants
n=5 Participants
Region of Enrollment
Austria
3 participants
n=5 Participants
Region of Enrollment
Belgium
4 participants
n=5 Participants
Region of Enrollment
Czech Republic
1 participants
n=5 Participants
Region of Enrollment
France
16 participants
n=5 Participants
Region of Enrollment
Germany
4 participants
n=5 Participants
Region of Enrollment
Italy
16 participants
n=5 Participants
Region of Enrollment
Netherlands
1 participants
n=5 Participants
Region of Enrollment
Poland
9 participants
n=5 Participants
Region of Enrollment
Portugal
1 participants
n=5 Participants
Region of Enrollment
Saudi Arabia
2 participants
n=5 Participants
Region of Enrollment
South Africa
8 participants
n=5 Participants
Region of Enrollment
Sweden
1 participants
n=5 Participants
Region of Enrollment
Turkey
6 participants
n=5 Participants
Region of Enrollment
United Kingdom
7 participants
n=5 Participants
Region of Enrollment
Venezuela
6 participants
n=5 Participants
Peak inhibitor titre
At least 5 Bethesda Units
91 participants
n=5 Participants
Peak inhibitor titre
Less than 5 Bethesda Units
11 participants
n=5 Participants
Outcome of immune tolerance induction (ITI) treatment
None
66 participants
n=5 Participants
Outcome of immune tolerance induction (ITI) treatment
Unsuccessful
20 participants
n=5 Participants
Outcome of immune tolerance induction (ITI) treatment
Successful, with inhibitor recurrence
5 participants
n=5 Participants
Outcome of immune tolerance induction (ITI) treatment
Ongoing ITI
11 participants
n=5 Participants
Estimated number of bleeds for the 6 months preceding enrolment in registry
None
9 participants
n=5 Participants
Estimated number of bleeds for the 6 months preceding enrolment in registry
1 - 6 (1 or less per month)
65 participants
n=5 Participants
Estimated number of bleeds for the 6 months preceding enrolment in registry
6 - 12 (1 - 2 per month)
13 participants
n=5 Participants
Estimated number of bleeds for the 6 months preceding enrolment in registry
12 - 18 (2 - 3 per month)
12 participants
n=5 Participants
Estimated number of bleeds for the 6 months preceding enrolment in registry
18 (more than 3 per month)
2 participants
n=5 Participants
Estimated number of bleeds for the 6 months preceding enrolment in registry
Data missing
1 participants
n=5 Participants
Primary treatment pattern for the 6 months preceding enrolment in registry
On-demand
88 participants
n=5 Participants
Primary treatment pattern for the 6 months preceding enrolment in registry
Prophylaxis
13 participants
n=5 Participants
Primary treatment pattern for the 6 months preceding enrolment in registry
Data missing
1 participants
n=5 Participants
Primary treatment type and dose for the 6 months preceding enrolment in registry
Multiple dose 90 mcg/kg NovoSeven®
44 participants
n=5 Participants
Primary treatment type and dose for the 6 months preceding enrolment in registry
Single dose 270 mcg/kg NovoSeven®
28 participants
n=5 Participants
Primary treatment type and dose for the 6 months preceding enrolment in registry
Other dose regimen NovoSeven®
17 participants
n=5 Participants
Primary treatment type and dose for the 6 months preceding enrolment in registry
Other bypassing agent (e.g., FEIBA)
13 participants
n=5 Participants

PRIMARY outcome

Timeframe: within 9 hours of first injection

Population: Analysis set is all bleed episodes, regardless of bleed type or initial dose level

The percentage of bleed treatments successfully resulting in bleed resolution. Analysis only considers the patient's opinion of effectiveness at 9 hours, with a rating of "Effective" considered as successful treatment.

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=85 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Percentage of Bleed Treatments Resulting in Effective Bleed Resolution (All Bleed Episodes)
High initial dose, n=211
56.9 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Bleed Resolution (All Bleed Episodes)
Any initial dose, n=494
61.7 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Bleed Resolution (All Bleed Episodes)
Low initial dose, n=156
67.9 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Bleed Resolution (All Bleed Episodes)
Intermediate initial dose, n=127
62.2 percentage of bleed episodes

PRIMARY outcome

Timeframe: within 9 hours of first injection

Population: Analysis set is spontaneous bleed episodes treated with any initial dose

The percentage of bleed treatments successfully resulting in bleed resolution. Analysis only considers the patient's opinion of effectiveness at 9 hours, with a rating of "Effective" considered as successful treatment.

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=85 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Percentage of Bleed Treatments Resulting in Effective Bleed Resolution (Spontaneous Bleed Episodes)
Any initial dose, n=324
59.0 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Bleed Resolution (Spontaneous Bleed Episodes)
Low initial dose, n=92
62.6 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Bleed Resolution (Spontaneous Bleed Episodes)
Intermediate initial dose, n=91
60.4 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Bleed Resolution (Spontaneous Bleed Episodes)
High initial dose, n=141
55.7 percentage of bleed episodes

PRIMARY outcome

Timeframe: within 9 hours of first injection

Population: Analysis set is all bleed episodes, regardless of bleed type or initial dose level

The percentage of participants with effective pain relief. Pain relief was a subjective assessment made by the patient during treatment of a bleed episode.

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=85 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Percentage of Bleed Treatments Resulting in Effective Pain Relief (All Bleed Episodes)
Any initial dose, n=494
71.3 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief (All Bleed Episodes)
Low initial dose, n=156
82.1 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief (All Bleed Episodes)
Intermediate initial dose, n=127
60.6 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief (All Bleed Episodes)
High initial dose, n=211
69.7 percentage of bleed episodes

PRIMARY outcome

Timeframe: within 9 hours of first injection

Population: Analysis set is spontaneous bleed episodes treated with any initial dose

The percentage of participants with effective pain relief. Pain relief was a subjective assessment made by the patient during treatment of a bleed episode.

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=85 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Percentage of Bleed Treatments Resulting in Effective Pain Relief (Spontaneous Bleed Episodes)
Intermediate initial dose, n=91
58.2 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief (Spontaneous Bleed Episodes)
High initial dose, n=141
67.1 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief (Spontaneous Bleed Episodes)
Any initial dose, n=324
68.0 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief (Spontaneous Bleed Episodes)
Low initial dose, n=92
79.1 percentage of bleed episodes

SECONDARY outcome

Timeframe: 1 hour, 3 hours and 6 hours, respectively, after first injection

Population: Analysis set is all bleed episodes, regardless of bleed type or initial dose level

Effective haemostasis at 3 different time points for all bleeds. Patient reported outcomes are reported over 1 hour, 3 hours and 6 hours.

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=85 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleeds) by Time Point (All Bleed Episodes)
Any initial dose (1 hour), n=494
21.1 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleeds) by Time Point (All Bleed Episodes)
Low initial dose (1 hour), n=156
16.8 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleeds) by Time Point (All Bleed Episodes)
Intermediate initial dose (1 hr), n=127
25.8 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleeds) by Time Point (All Bleed Episodes)
High initial dose (1 hour), n=211
21.5 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleeds) by Time Point (All Bleed Episodes)
Any initial dose (3 hours), n=494
36.9 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleeds) by Time Point (All Bleed Episodes)
Low initial dose (3 hours), n=156
32.5 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleeds) by Time Point (All Bleed Episodes)
Intermediate initial dose (3 hrs), n=127
41.1 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleeds) by Time Point (All Bleed Episodes)
High initial dose (3 hours), n=211
37.6 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleeds) by Time Point (All Bleed Episodes)
Any initial dose (6 hours), n=494
50.8 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleeds) by Time Point (All Bleed Episodes)
Low initial dose (6 hours), n=156
51.3 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleeds) by Time Point (All Bleed Episodes)
Intermediate initial dose (6 hrs), n=127
51.2 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleeds) by Time Point (All Bleed Episodes)
High initial dose (6 hours), n=211
50.2 percentage of bleed episodes

SECONDARY outcome

Timeframe: 1 hour, 3 hours and 6 hours, respectively, after first injection

Population: Analysis set is spontaneous bleed episodes treated with any initial dose

Effective haemostasis at 3 different time points for all bleeds. Patient reported outcomes are reported over 1 hour, 3 hours and 6 hours.

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=85 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleeds) by Time Point (Spontaneous Bleed Episodes)
Any initial dose (1 hour), n=324
19.3 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleeds) by Time Point (Spontaneous Bleed Episodes)
Low initial dose (1 hour), n=92
7.7 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleeds) by Time Point (Spontaneous Bleed Episodes)
Intermediate initial dose (1 hr), n=91
24.4 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleeds) by Time Point (Spontaneous Bleed Episodes)
High initial dose (1 hour), n=141
23.6 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleeds) by Time Point (Spontaneous Bleed Episodes)
Any initial dose (3 hours), n=324
36.9 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleeds) by Time Point (Spontaneous Bleed Episodes)
Low initial dose (3 hours), n=92
27.8 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleeds) by Time Point (Spontaneous Bleed Episodes)
Intermediate initial dose (3 hrs), n=91
40.7 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleeds) by Time Point (Spontaneous Bleed Episodes)
High initial dose (3 hours), n=141
40.3 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleeds) by Time Point (Spontaneous Bleed Episodes)
Any initial dose (6 hours), n=324
48.1 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleeds) by Time Point (Spontaneous Bleed Episodes)
Low initial dose (6 hours), n=92
43.3 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleeds) by Time Point (Spontaneous Bleed Episodes)
Intermediate initial dose (6 hrs), n=91
50.5 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleeds) by Time Point (Spontaneous Bleed Episodes)
High initial dose (6 hours), n=141
49.6 percentage of bleed episodes

SECONDARY outcome

Timeframe: 1 hour, 3 hours and 6 hours, respectively, after first injection

Population: Analysis set is all bleed episodes, regardless of bleed type or initial dose level

Effective pain relief at 3 different time points for all bleeds. Patient reported outcomes are reported over 1 hour, 3 hours and 6 hours.

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=85 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Time Point (All Bleed Episodes)
Any initial dose (1 hour), n=494
27.7 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Time Point (All Bleed Episodes)
Low initial dose (1 hour), n=156
29.9 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Time Point (All Bleed Episodes)
Intermediate initial dose (1 hr), n=127
19.8 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Time Point (All Bleed Episodes)
High initial dose (1 hour), n=211
30.8 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Time Point (All Bleed Episodes)
Any initial dose (3 hours), n=494
53.1 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Time Point (All Bleed Episodes)
Low initial dose (3 hours), n=156
59.7 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Time Point (All Bleed Episodes)
Intermediate initial dose (3 hrs), n=127
47.2 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Time Point (All Bleed Episodes)
High initial dose (3 hours), n=211
51.7 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Time Point (All Bleed Episodes)
Any initial dose (6 hours), n=494
66.0 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Time Point (All Bleed Episodes)
Low initial dose (6 hours), n=156
77.8 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Time Point (All Bleed Episodes)
Intermediate initial dose (6 hrs), n=127
57.7 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Time Point (All Bleed Episodes)
High initial dose (6 hours), n=211
62.3 percentage of bleed episodes

SECONDARY outcome

Timeframe: 1 hour, 3 hours and 6 hours, respectively, after first injection

Population: Analysis set is spontaneous bleed episodes treated with any initial dose

Effective pain relief at 3 different time points for spontaneous bleeds. Patient reported outcomes are reported over 1 hour, 3 hours and 6 hours.

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=85 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Time Point (Spontaneous Bleed Episodes)
Any initial dose (1 hour), n=324
24.7 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Time Point (Spontaneous Bleed Episodes)
Low initial dose (1 hour), n=92
24.4 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Time Point (Spontaneous Bleed Episodes)
Intermediate initial dose (1 hr), n=91
18.7 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Time Point (Spontaneous Bleed Episodes)
High initial dose (1 hour), n=141
28.8 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Time Point (Spontaneous Bleed Episodes)
Any initial dose (3 hours), n=324
49.1 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Time Point (Spontaneous Bleed Episodes)
Low initial dose (3 hours), n=92
55.6 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Time Point (Spontaneous Bleed Episodes)
Intermediate initial dose (3 hrs), n=91
44.0 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Time Point (Spontaneous Bleed Episodes)
High initial dose (3 hours), n=141
48.2 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Time Point (Spontaneous Bleed Episodes)
Any initial dose (6 hours), n=324
62.8 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Time Point (Spontaneous Bleed Episodes)
Low initial dose (6 hours), n=92
77.5 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Time Point (Spontaneous Bleed Episodes)
Intermediate initial dose (6 hrs), n=91
55.6 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Time Point (Spontaneous Bleed Episodes)
High initial dose (6 hours), n=141
58.0 percentage of bleed episodes

SECONDARY outcome

Timeframe: individual bleed episode

Population: Analysis set is all bleed episodes, regardless of bleed type or initial dose level

The median number of injections required to treat individual bleed episodes.

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=85 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Total Number of Injections (All Bleed Episodes)
Any initial dose, n=494
2 injections
Interval 1.0 to 3.0
Total Number of Injections (All Bleed Episodes)
Low dose, n=156
2 injections
Interval 2.0 to 3.0
Total Number of Injections (All Bleed Episodes)
Intermediate dose, n=127
2 injections
Interval 1.0 to 3.0
Total Number of Injections (All Bleed Episodes)
High dose, n=211
1 injections
Interval 1.0 to 2.0

SECONDARY outcome

Timeframe: individual bleed episode

Population: Analysis set is spontaneous bleed episodes treated with any initial dose

The median number of injections required to treat individual bleed episodes.

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=85 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Total Number of Injections (Spontaneous Bleed Episodes)
Any initial dose, n=324
2 injections
Interval 1.0 to 3.0
Total Number of Injections (Spontaneous Bleed Episodes)
Low dose, n=92
2 injections
Interval 2.0 to 3.0
Total Number of Injections (Spontaneous Bleed Episodes)
Intermediate dose, n=91
2 injections
Interval 1.0 to 3.0
Total Number of Injections (Spontaneous Bleed Episodes)
High dose, n=141
1 injections
Interval 1.0 to 2.0

SECONDARY outcome

Timeframe: individual bleed episode

Population: Analysis set is all bleed episodes, regardless of bleed type or initial dose level. Excludes bleeds episodes with greater than 24 hours between 1st and 2nd rFVII dose where total cumulative dose recorded likely reflects treatment of re-bleeding or prophylactic/maintenance dosing

The median total cumulative dose required to treat individual bleed episodes.

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=85 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Total Exposure (Cumulative Dose) to Activated Recombinant Human Factor VII (All Bleed Episodes)
Any initial dose, n=494
270 mcg/kg
Interval 43.0 to 2160.0
Total Exposure (Cumulative Dose) to Activated Recombinant Human Factor VII (All Bleed Episodes)
Low dose, n=156
267 mcg/kg
Interval 43.0 to 1632.0
Total Exposure (Cumulative Dose) to Activated Recombinant Human Factor VII (All Bleed Episodes)
Intermediate dose, n=127
256 mcg/kg
Interval 123.0 to 2160.0
Total Exposure (Cumulative Dose) to Activated Recombinant Human Factor VII (All Bleed Episodes)
High dose, n=211
270 mcg/kg
Interval 250.0 to 1822.0

SECONDARY outcome

Timeframe: individual bleed episode

Population: Analysis set is spontaneous bleed episodes. Excludes bleeds episodes with \> 24 hours between 1st and 2nd rFVII dose where total cumulative dose recorded likely reflects treatment of re-bleeding or prophylactic/maintenance dosing, and 2 bleed episodes categorised as CNS that would not meet criteria of mild to moderate spontaneous bleed episodes

The median total cumulative dose required to treat individual bleed episodes.

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=85 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Total Exposure (Cumulative Dose) to Activated Recombinant Human Factor VII (Spontaneous Bleed Episodes)
Any initial dose, n=324
184 mcg/kg
Interval 90.0 to 1632.0
Total Exposure (Cumulative Dose) to Activated Recombinant Human Factor VII (Spontaneous Bleed Episodes)
Low dose, n=92
284 mcg/kg
Interval 123.0 to 2160.0
Total Exposure (Cumulative Dose) to Activated Recombinant Human Factor VII (Spontaneous Bleed Episodes)
Intermediate dose, n=91
270 mcg/kg
Interval 250.0 to 1822.0
Total Exposure (Cumulative Dose) to Activated Recombinant Human Factor VII (Spontaneous Bleed Episodes)
High dose, n=141
270 mcg/kg
Interval 90.0 to 2160.0

SECONDARY outcome

Timeframe: duration of bleed episode

Population: Analysis set is all bleed episodes, regardless of bleed type or initial dose level

Patient rate of satisfaction with symptom relief for the bleed episode overall on a 7-point Likert scale. Completion of questionnaire was voluntary. A Likert scale is an ordered, multiple choice questionnaire from which respondents choose one option that best aligns with their view of the particular outcome being measured. Scale answers ranged from extremely satisfied to extremely dissatisfied. The percentage of bleed episodes for which patients reported "extremely satisfied", "very satisfied" or "satisfied" is presented.

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=85 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Percentage of Patients Reporting Satisfaction With Symptom Relief (All Bleed Episodes)
Any dose, n=494
72.7 percentage of bleed episodes
Percentage of Patients Reporting Satisfaction With Symptom Relief (All Bleed Episodes)
Low dose, n=156
82.1 percentage of bleed episodes
Percentage of Patients Reporting Satisfaction With Symptom Relief (All Bleed Episodes)
Intermediate dose, n=127
69.3 percentage of bleed episodes
Percentage of Patients Reporting Satisfaction With Symptom Relief (All Bleed Episodes)
High dose, n=211
67.8 percentage of bleed episodes

SECONDARY outcome

Timeframe: duration of bleed episode

Population: Analysis set is spontaneous bleed episodes treated with any initial dose

Patient rate of satisfaction with symptom relief for the bleed episode overall on a 7-point Likert scale. Completion of questionnaire was voluntary. A Likert scale is an ordered, multiple choice questionnaire from which respondents choose one option that best aligns with their view of the particular outcome being measured. Scale answers ranged from extremely satisfied to extremely dissatisfied. The percentage of bleed episodes for which patients reported "extremely satisfied", "very satisfied" or "satisfied" is presented.

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=85 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Percentage of Bleed Treatments Resulting in Patient Satisfaction With Symptom Relief (Spontaneous Bleed Episodes)
Any dose, n=324
68.2 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Patient Satisfaction With Symptom Relief (Spontaneous Bleed Episodes)
Low dose, n=92
75.0 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Patient Satisfaction With Symptom Relief (Spontaneous Bleed Episodes)
Intermediate dose, n=91
69.2 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Patient Satisfaction With Symptom Relief (Spontaneous Bleed Episodes)
High dose, n=141
63.1 percentage of bleed episodes

SECONDARY outcome

Timeframe: duration of bleed episode

Population: Analysis set is all bleed episodes, regardless of bleed type or initial dose level

Rate of ease of use related to activated recombinant human factor VII on a 7-point Likert scale. Completion of questionnaire was voluntary. A Likert scale is an ordered, multiple choice questionnaire from which respondents choose one option that best aligns with their view of the particular outcome being measured. Scale answers ranged from extremely difficult to extremely easy. The percentage of bleed episodes for which patients reported "extremely easy", "very easy" or "easy" is presented.

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=85 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Percentage of Bleed Treatments Resulting in Patient Satisfaction With Ease of Use (All Bleed Episodes)
Any dose, n=494
74.9 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Patient Satisfaction With Ease of Use (All Bleed Episodes)
Low dose, n=156
84.6 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Patient Satisfaction With Ease of Use (All Bleed Episodes)
Intermediate dose, n=127
74.8 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Patient Satisfaction With Ease of Use (All Bleed Episodes)
High dose, n=211
67.8 percentage of bleed episodes

SECONDARY outcome

Timeframe: duration of bleed episode

Population: Analysis set is spontaneous bleed episodes treated with any initial dose

Rate of ease of use related to activated recombinant human factor VII on a 7-point Likert scale. Completion of questionnaire was voluntary. A Likert scale is an ordered, multiple choice questionnaire from which respondents choose one option that best aligns with their view of the particular outcome being measured. Scale answers ranged from extremely difficult to extremely easy. The percentage of bleed episodes for which patients reported "extremely easy", "very easy" or "easy" is presented.

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=85 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Percentage of Bleed Treatments Resulting in Patient Satisfaction With Ease of Use (Spontaneous Bleed Episodes)
Any dose, n=324
69.1 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Patient Satisfaction With Ease of Use (Spontaneous Bleed Episodes)
Low dose, n=92
81.5 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Patient Satisfaction With Ease of Use (Spontaneous Bleed Episodes)
Intermediate dose, n=91
69.2 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Patient Satisfaction With Ease of Use (Spontaneous Bleed Episodes)
High dose, n=141
61.0 percentage of bleed episodes

SECONDARY outcome

Timeframe: duration of bleed episode

Population: Analysis set is all bleed episodes, regardless of bleed type or initial dose level

Median time to achievement of haemostasis/bleed cessation calculated using Kaplan Meier life table methods. If approximately 50% or less of bleeds achieved the endpoint in a given initial dose subgroup, the median cannot be calculated and it is reported as not applicable

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=85 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Overall Time to Cessation of Bleed/Achievement of Haemostasis (All Bleed Episodes)
Low dose, n=156
720 minutes
Interval 540.0 to 1430.0
Overall Time to Cessation of Bleed/Achievement of Haemostasis (All Bleed Episodes)
Any dose, n=494
1200 minutes
Interval 720.0 to
Using Kaplan-Meier methods to calculate the median time to event takes into account the censoring of data at the upper part of the distribution. If the upper limit falls to the right of the censoring time, then it will be missing
Overall Time to Cessation of Bleed/Achievement of Haemostasis (All Bleed Episodes)
Intermediate dose, n=127
NA minutes
Since 50% or less of bleeds achieved the endpoint in the intermediate dose subgroup, the median cannot be calculated and it is reported as "not applicable" (NA)
Overall Time to Cessation of Bleed/Achievement of Haemostasis (All Bleed Episodes)
High dose, n=211
1200 minutes
Interval 660.0 to
Using Kaplan-Meier methods to calculate the median time to event takes into account the censoring of data at the upper part of the distribution. If the upper limit falls to the right of the censoring time, then it will be missing

SECONDARY outcome

Timeframe: duration of bleed episode

Population: Analysis set is spontaneous bleed episodes treated with any initial dose

Median time to achievement of haemostasis/bleed cessation calculated using Kaplan Meier life table methods. If approximately 50% or less of bleeds achieved the endpoint in a given initial dose subgroup, the median cannot be calculated and it is reported as not applicable

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=85 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Overall Time to Cessation of Bleed/Achievement of Haemostasis (Spontaneous Bleed Episodes)
Low dose, n=92
600 minutes
Interval 540.0 to
Using Kaplan-Meier methods to calculate the median time to event takes into account the censoring of data at the upper part of the distribution. If the upper limit falls to the right of the censoring time, then it will be missing
Overall Time to Cessation of Bleed/Achievement of Haemostasis (Spontaneous Bleed Episodes)
Any dose, n=324
1200 minutes
Interval 600.0 to
Using Kaplan-Meier methods to calculate the median time to event takes into account the censoring of data at the upper part of the distribution. If the upper limit falls to the right of the censoring time, then it will be missing
Overall Time to Cessation of Bleed/Achievement of Haemostasis (Spontaneous Bleed Episodes)
Intermediate dose, n=91
NA minutes
Since 50% or less of bleeds achieved the endpoint in the intermediate dose subgroup, the median cannot be calculated and it is reported as "not applicable" (NA)
Overall Time to Cessation of Bleed/Achievement of Haemostasis (Spontaneous Bleed Episodes)
High dose, n=141
1200 minutes
Interval 540.0 to
Using Kaplan-Meier methods to calculate the median time to event takes into account the censoring of data at the upper part of the distribution. If the upper limit falls to the right of the censoring time, then it will be missing

SECONDARY outcome

Timeframe: duration of bleed episode

Population: Analysis set is spontaneous bleed episodes treated with any initial dose, excluding bleed episodes treated with more than one dose for which \> 24 hours between the 1st and 2nd dose was reported (bleed episodes with \> 24 hours between 1st and 2nd rFVIIa dose likely reflects treatment of re-bleeding or prophylactic/maintenance dosing)

Median time to achievement of haemostasis/bleed cessation calculated using Kaplan Meier life table methods. If approximately 50% or less of bleeds achieved the endpoint in a given initial dose subgroup, the median cannot be calculated and it is reported as not applicable.

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=85 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Overall Time to Cessation/Achievement of Haemostasis (Spontaneous Bleed Episodes)
Low dose, n=87
600 minutes
Interval 540.0 to
Using Kaplan-Meier methods to calculate the median time to event takes into account the censoring of data at the upper part of the distribution. If the upper limit falls to the right of the censoring time, then it will be missing
Overall Time to Cessation/Achievement of Haemostasis (Spontaneous Bleed Episodes)
Any dose, n=270
600 minutes
Interval 480.0 to 780.0
Overall Time to Cessation/Achievement of Haemostasis (Spontaneous Bleed Episodes)
Intermediate dose, n=80
NA minutes
Since 50% or less of bleeds achieved the endpoint in the intermediate dose subgroup, the median cannot be calculated and it is reported as "not applicable" (NA)
Overall Time to Cessation/Achievement of Haemostasis (Spontaneous Bleed Episodes)
High dose, n=103
480 minutes
Interval 330.0 to 720.0

SECONDARY outcome

Timeframe: Baseline (week 0) and and registry discontinuation (up to 28 months)

Population: A subset of paediatric subjects age 4 to 16 (inclusive) included in the study that completed the questionnaire at baseline and/or at discontinuation

The Haemo-QoL is a specific multidimensional validated and reliable questionnaire used to assess quality of life in patients with haemophilia. Scores are reported on a 0 to 100 scale-higher scores indicate more impairment.

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=7 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Childrens' Health Related Quality of Life (Haemo-QoL): Overall Score
Baseline, n=7
47.49 scores on a scale
Standard Deviation 11.08
Childrens' Health Related Quality of Life (Haemo-QoL): Overall Score
Discontinuation, n=7
54.12 scores on a scale
Standard Deviation 10.19

SECONDARY outcome

Timeframe: Baseline (week 0) and and registry discontinuation (up to 28 months)

Population: A subset of adult subjects above 16 years included in the study that completed the questionnaire at baseline and/or at discontinuation

The adult Haemo-QoL-A is a specific multidimensional validated and reliable questionnaire used to assess quality of life in patients with haemophilia. Scores are reported on a 0 to 100 scale-higher scores indicate more impairment.

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=11 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Adults' Health Related Quality of Life (Haemo-QoL-A): Overall Score
Baseline, n=11
35.31 scores on a scale
Standard Deviation 9.69
Adults' Health Related Quality of Life (Haemo-QoL-A): Overall Score
Discontinuation, n=10
34.46 scores on a scale
Standard Deviation 12.14

OTHER_PRE_SPECIFIED outcome

Timeframe: within 9 hours after first injection

Population: Analysis set is all bleed episodes, regardless of bleed type or initial dose level

Percentage of bleeds with effective haemostasis within 9 hours of first injection of activated recombinant human factor VII. Patient reported assessments were sorted into 3 sub-categories: "effective" = bleed resolved or substantially improved; "partially effective" = bleed with some improvement; "ineffective" = bleed with no change or with worsening.

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=85 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleed) by Dose Level (All Bleed Episodes)
Any, effective
61.7 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleed) by Dose Level (All Bleed Episodes)
Any, partially effective
26.7 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleed) by Dose Level (All Bleed Episodes)
Any, ineffective
11.7 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleed) by Dose Level (All Bleed Episodes)
Low, effective
67.5 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleed) by Dose Level (All Bleed Episodes)
Low, partially effective
21.2 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleed) by Dose Level (All Bleed Episodes)
Low, ineffective
11.3 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleed) by Dose Level (All Bleed Episodes)
Intermediate, effective
62.1 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleed) by Dose Level (All Bleed Episodes)
Intermediate, partially effective
31.5 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleed) by Dose Level (All Bleed Episodes)
Intermediate, ineffective
6.5 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleed) by Dose Level (All Bleed Episodes)
High, effective
57.1 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleed) by Dose Level (All Bleed Episodes)
High, partially effective
27.8 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleed) by Dose Level (All Bleed Episodes)
High, ineffective
15.1 percentage of bleed episodes

OTHER_PRE_SPECIFIED outcome

Timeframe: within 9 hours after first injection

Population: Analysis set is spontaneous bleed episodes treated with any initial dose

Percentage of bleeds with effective haemostasis within 9 hours of first injection of activated recombinant human factor VII. Patient reported assessments were sorted into 3 sub-categories: "effective" = bleed resolved or substantially improved; "partially effective" = bleed with some improvement; "ineffective" = bleed with no change or with worsening.

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=85 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleed) by Dose Level (Spontaneous Bleed Episodes)
Any, effective
59.0 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleed) by Dose Level (Spontaneous Bleed Episodes)
Any, partially effective
29.3 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleed) by Dose Level (Spontaneous Bleed Episodes)
Any, ineffective
11.7 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleed) by Dose Level (Spontaneous Bleed Episodes)
Low, effective
62.1 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleed) by Dose Level (Spontaneous Bleed Episodes)
Low, partially effective
21.8 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleed) by Dose Level (Spontaneous Bleed Episodes)
Low, ineffective
16.1 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleed) by Dose Level (Spontaneous Bleed Episodes)
Intermediate, effective
60.4 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleed) by Dose Level (Spontaneous Bleed Episodes)
Intermediate, partially effective
36.3 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleed) by Dose Level (Spontaneous Bleed Episodes)
Intermediate, ineffective
3.3 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleed) by Dose Level (Spontaneous Bleed Episodes)
High, effective
56.1 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleed) by Dose Level (Spontaneous Bleed Episodes)
High, partially effective
29.5 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Haemostasis (Cessation of Bleed) by Dose Level (Spontaneous Bleed Episodes)
High, ineffective
14.4 percentage of bleed episodes

OTHER_PRE_SPECIFIED outcome

Timeframe: within 9 hours after first injection

Population: Analysis set is all bleed episodes, regardless of bleed type or initial dose level

Percentage of bleeds with effective pain relief within 9 hours of first injection of activated recombinant human factor VII. Patient reported assessments were sorted into 3 sub-categories: "Better" = pain resolved or decreased substantially; "Same" = no change; "Worsened" = pain worsening.

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=85 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Initial Dose (All Bleed Episodes)
Any, better
71.3 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Initial Dose (All Bleed Episodes)
Any, same
25.6 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Initial Dose (All Bleed Episodes)
Any, worsened
3.1 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Initial Dose (All Bleed Episodes)
Low, better
60.0 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Initial Dose (All Bleed Episodes)
Low, same
39.2 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Initial Dose (All Bleed Episodes)
Low, worsened
0.8 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Initial Dose (All Bleed Episodes)
Intermediate, better
82.4 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Initial Dose (All Bleed Episodes)
Intermediate, same
15.0 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Initial Dose (All Bleed Episodes)
Intermediate, worsened
2.6 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Initial Dose (All Bleed Episodes)
High, better
69.9 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Initial Dose (All Bleed Episodes)
High, same
25.2 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Initial Dose (All Bleed Episodes)
High, worsened
4.9 percentage of bleed episodes

OTHER_PRE_SPECIFIED outcome

Timeframe: within 9 hours after first injection

Population: Analysis set is spontaneous bleed episodes treated with any initial dose

Percentage of bleeds with effective pain relief within 9 hours of first injection of activated recombinant human factor VII. Patient reported assessments were sorted into 3 sub-categories: "Better" = pain resolved or decreased substantially; "Same" = no change; "Worsened" = pain worsening.

Outcome measures

Outcome measures
Measure
Activated Recombinant Human Factor VII
n=85 Participants
Male patients above 2 years of age with haemophilia A or B who have developed inhibitors and have been prescribed on-demand treatment of activated recombinant human factor VII at any dose for treatment of mild to moderate spontaneous bleeds
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Initial Dose (Spontaneous Bleed Episodes)
Any, better
68.1 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Initial Dose (Spontaneous Bleed Episodes)
Any, same
28.7 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Initial Dose (Spontaneous Bleed Episodes)
Any, worsened
3.2 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Initial Dose (Spontaneous Bleed Episodes)
Low, better
79.8 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Initial Dose (Spontaneous Bleed Episodes)
Low, same
16.9 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Initial Dose (Spontaneous Bleed Episodes)
Low, worsened
3.4 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Initial Dose (Spontaneous Bleed Episodes)
Intermediate, better
58.2 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Initial Dose (Spontaneous Bleed Episodes)
Intermediate, same
40.7 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Initial Dose (Spontaneous Bleed Episodes)
Intermediate, worsened
1.1 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Initial Dose (Spontaneous Bleed Episodes)
High, better
67.2 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Initial Dose (Spontaneous Bleed Episodes)
High, same
28.5 percentage of bleed episodes
Percentage of Bleed Treatments Resulting in Effective Pain Relief by Initial Dose (Spontaneous Bleed Episodes)
High, worsened
4.4 percentage of bleed episodes

Adverse Events

Activated Recombinant Human Factor VII

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Public Access to Clinical Trials

Novo Nordisk A/S

Results disclosure agreements

  • Principal investigator is a sponsor employee If an investigator wishes to publish information from the study, a copy of the manuscript must be provided to Novo Nordisk for review at least 60 days before submission for publication or presentation. The investigator will recognize the integrity of a multi-centre study by not publishing data derived from the individual site until the combined results from the completed registry have been published in full, or the sponsor confirms there will be no multi-centre registry publication.
  • Publication restrictions are in place

Restriction type: OTHER