Trial Outcomes & Findings for BAX 802 in CHA With Inhibitors (NCT NCT02895945)

NCT ID: NCT02895945

Last Updated: 2021-10-20

Results Overview

GHEA score consisted of 3 individual rating scales: (1) Intra-operative Efficacy Assessment Scale, (2) Post-operative Efficacy Assessment Scale, and (3) Overall Peri-operative Efficacy Assessment Scale. Scales 1 and 2 was performed by the operating surgeon on Day 1, and Scale 3 was performed by the investigator on Day 14. Each rating scale was based on 4 points scale ranging from: 3 (Excellent), 2 (Good), 1 (Fair), and 0 (None). Total score ranged from 0 to 9, where scores evaluated as: excellent (7 to 9), good (5 to 7), fair (3 to 4), and none (0 to 2). The scores of 3 individual ratings scales were added together to form a GHEA score. For a GHEA score of 7 to be rated "excellent" with no individual assessment scores less than (\<) 2 and at least 1 assessment score equal to (=) 3; otherwise a score of 7 was rated "good". Percentage of Surgeries With a "Good" or "Excellent" response as measured by the GHEA score were reported.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

8 participants

Primary outcome timeframe

Day 1 up to discharge or Day 14 (whichever was earlier)

Results posted on

2021-10-20

Participant Flow

This study was conducted at 5 sites in Italy, Netherlands, Poland, Germany and Turkey. Study was initiated on 22 December 2016 and terminated on 22 January 2021.

A total of 8 participants planned for Major Surgeries and Minor Surgeries received recombinant porcine factor VIII (rpFVIII) (BAX 802).

Participant milestones

Participant milestones
Measure
Major Surgeries
Male participants with congenital hemophilia A (CHA) with inhibitors to human factor VIII (hFVIII) undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target factor VIII (FVIII) level of greater than or equal to (\>=) 80 percent (%) approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Minor Surgeries
Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Overall Study
STARTED
7
1
Overall Study
SAS
7
1
Overall Study
FAS
7
0
Overall Study
COMPLETED
5
0
Overall Study
NOT COMPLETED
2
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Major Surgeries
Male participants with congenital hemophilia A (CHA) with inhibitors to human factor VIII (hFVIII) undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target factor VIII (FVIII) level of greater than or equal to (\>=) 80 percent (%) approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Minor Surgeries
Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Overall Study
Physician Decision
2
1

Baseline Characteristics

BAX 802 in CHA With Inhibitors

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Major Surgeries
n=7 Participants
Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Minor Surgeries
n=1 Participants
Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Total
n=8 Participants
Total of all reporting groups
Age, Continuous
35.9 years
STANDARD_DEVIATION 14.39 • n=5 Participants
58.0 years
n=7 Participants
38.6 years
STANDARD_DEVIATION 15.45 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
1 Participants
n=7 Participants
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=5 Participants
1 Participants
n=7 Participants
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
6 Participants
n=5 Participants
1 Participants
n=7 Participants
7 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 1 up to discharge or Day 14 (whichever was earlier)

Population: Full analysis set (FAS) comprised of all participants with at least one available hemostatic assessment.

GHEA score consisted of 3 individual rating scales: (1) Intra-operative Efficacy Assessment Scale, (2) Post-operative Efficacy Assessment Scale, and (3) Overall Peri-operative Efficacy Assessment Scale. Scales 1 and 2 was performed by the operating surgeon on Day 1, and Scale 3 was performed by the investigator on Day 14. Each rating scale was based on 4 points scale ranging from: 3 (Excellent), 2 (Good), 1 (Fair), and 0 (None). Total score ranged from 0 to 9, where scores evaluated as: excellent (7 to 9), good (5 to 7), fair (3 to 4), and none (0 to 2). The scores of 3 individual ratings scales were added together to form a GHEA score. For a GHEA score of 7 to be rated "excellent" with no individual assessment scores less than (\<) 2 and at least 1 assessment score equal to (=) 3; otherwise a score of 7 was rated "good". Percentage of Surgeries With a "Good" or "Excellent" response as measured by the GHEA score were reported.

Outcome measures

Outcome measures
Measure
Major Surgeries
n=7 surgeries
Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Minor Surgeries
Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Percentage of Surgeries With a "Good" or "Excellent" Response as Measured by the Global Hemostatic Efficacy Assessment (GHEA) Score
GHEA rating: Good
14.3 percentage of surgeries
Percentage of Surgeries With a "Good" or "Excellent" Response as Measured by the Global Hemostatic Efficacy Assessment (GHEA) Score
GHEA rating: Excellent
71.4 percentage of surgeries

SECONDARY outcome

Timeframe: Intra-operative: up to completion of surgery (Day 1), Post-operative: at 24 hours post-surgery, and Peri-operative: at discharge or Day 14 (whichever was earlier)

Population: FAS comprised of all participants with at least one available hemostatic assessment. Here "number analyzed" were participants who were evaluable for the outcome measure at given categories.

Prior to the surgery, the surgeon/investigator predicted and compared the estimated volume (in milliliter \[mL\]) of the expected average blood loss and expected maximum blood loss for the planned surgical intervention in a comparable healthy individual with similar demographic characteristics; for intraoperative, postoperative, and overall perioperative time periods. Intra-operative defined as period from start of surgery to completion of surgical procedure. Post-operative defined as period from completion of surgical procedure till 24 hours post-surgery. Peri-operative defined as period from start of surgical procedure till discharge or 14 days post surgery (whichever was earlier). Actual blood loss, estimated volume of expected average blood loss and expected maximum blood loss during each operative period was reported.

Outcome measures

Outcome measures
Measure
Major Surgeries
n=7 surgeries
Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Minor Surgeries
Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Actual Blood Loss, Estimated Volume of Expected Average Blood Loss and Expected Maximum Blood Loss During Intra-operative, Post-operative and Peri-operative Period
Intra-operative Period: Actual Blood Loss
141.1 milliliter (mL)
Standard Deviation 188.69
Actual Blood Loss, Estimated Volume of Expected Average Blood Loss and Expected Maximum Blood Loss During Intra-operative, Post-operative and Peri-operative Period
Intra-operative Period: Expected Average Blood Loss
221.7 milliliter (mL)
Standard Deviation 286.76
Actual Blood Loss, Estimated Volume of Expected Average Blood Loss and Expected Maximum Blood Loss During Intra-operative, Post-operative and Peri-operative Period
Intra-operative Period: Expected Maximum Blood Loss
414.7 milliliter (mL)
Standard Deviation 546.37
Actual Blood Loss, Estimated Volume of Expected Average Blood Loss and Expected Maximum Blood Loss During Intra-operative, Post-operative and Peri-operative Period
Post-operative Period: Actual Blood Loss
31.0 milliliter (mL)
Standard Deviation 66.56
Actual Blood Loss, Estimated Volume of Expected Average Blood Loss and Expected Maximum Blood Loss During Intra-operative, Post-operative and Peri-operative Period
Post-operative Period: Expected Average Blood Loss
171.4 milliliter (mL)
Standard Deviation 276.17
Actual Blood Loss, Estimated Volume of Expected Average Blood Loss and Expected Maximum Blood Loss During Intra-operative, Post-operative and Peri-operative Period
Post-operative Period: Expected Maximum Blood Loss
378.0 milliliter (mL)
Standard Deviation 570.94
Actual Blood Loss, Estimated Volume of Expected Average Blood Loss and Expected Maximum Blood Loss During Intra-operative, Post-operative and Peri-operative Period
Peri-operative Period: Actual Blood Loss
164.1 milliliter (mL)
Standard Deviation 215.15
Actual Blood Loss, Estimated Volume of Expected Average Blood Loss and Expected Maximum Blood Loss During Intra-operative, Post-operative and Peri-operative Period
Peri-operative Period: Expected Average Blood Loss
465.0 milliliter (mL)
Standard Deviation 744.85
Actual Blood Loss, Estimated Volume of Expected Average Blood Loss and Expected Maximum Blood Loss During Intra-operative, Post-operative and Peri-operative Period
Peri-operative Period: Expected Maximum Blood Loss
842.9 milliliter (mL)
Standard Deviation 1310.01

SECONDARY outcome

Timeframe: Intra-operative: up to completion of surgery (Day 1), Post-operative: at 24 hours post-surgery, and Peri-operative: at discharge or Day 14 (whichever was earlier)

Population: FAS comprised of all participants with at least one available hemostatic assessment. Here "number analyzed" were participants who were evaluable for the outcome measure at given categories.

Prior to the surgery, the surgeon/investigator predicted and compared the estimated volume (mL) of the expected average blood loss and expected maximum blood loss for the planned surgical intervention in a comparable healthy individual with similar demographic characteristics; for intraoperative, postoperative, and overall perioperative time periods. Intra-operative defined as period from start of surgery to completion of surgical procedure. Post-operative defined as period from completion of surgical procedure till 24 hours post-surgery. Peri-operative defined as period from start of surgical procedure till discharge or 14 days post surgery (whichever was earlier). Ratio of actual blood loss and estimated volume of expected average blood loss during each operative period was reported.

Outcome measures

Outcome measures
Measure
Major Surgeries
n=7 surgeries
Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Minor Surgeries
Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Ratio of Actual Blood Loss and Estimated Volume of Expected Average Blood Loss During Intra-operative, Post-operative and Peri-operative Period
Intra-operative Period
0.970 ratio
Standard Deviation 0.9486
Ratio of Actual Blood Loss and Estimated Volume of Expected Average Blood Loss During Intra-operative, Post-operative and Peri-operative Period
Post-operative Period
0.150 ratio
Standard Deviation 0.2236
Ratio of Actual Blood Loss and Estimated Volume of Expected Average Blood Loss During Intra-operative, Post-operative and Peri-operative Period
Peri-operative Period
0.545 ratio
Standard Deviation 0.3448

SECONDARY outcome

Timeframe: Intra-operative: up to completion of surgery (Day 1), Post-operative: at 24 hours post-surgery, and Peri-operative: at discharge or Day 14 (whichever was earlier)

Population: FAS comprised of all participants with at least one available hemostatic assessment. Here "number analyzed" were participants who were evaluable for the outcome measure at given categories.

Prior to the surgery, the surgeon/investigator predicted and compared the estimated volume (mL) of the expected average blood loss and expected maximum blood loss for the planned surgical intervention in a comparable healthy individual with similar demographic characteristics; for intraoperative, postoperative, and overall perioperative time periods. Intra-operative defined as period from start of surgery to completion of surgical procedure. Post-operative defined as period from completion of surgical procedure till 24 hours post-surgery. Peri-operative defined as period from start of surgical procedure till discharge or 14 days post surgery (whichever was earlier). Ratio of actual blood loss and expected maximum blood loss during each operative period was reported.

Outcome measures

Outcome measures
Measure
Major Surgeries
n=7 surgeries
Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Minor Surgeries
Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Ratio of Actual Blood Loss and Expected Maximum Blood Loss During Intra-operative, Post-operative and Peri-operative Period
Intra-operative Period
0.555 ratio
Standard Deviation 0.6517
Ratio of Actual Blood Loss and Expected Maximum Blood Loss During Intra-operative, Post-operative and Peri-operative Period
Post-operative Period
0.058 ratio
Standard Deviation 0.0846
Ratio of Actual Blood Loss and Expected Maximum Blood Loss During Intra-operative, Post-operative and Peri-operative Period
Peri-operative Period
0.306 ratio
Standard Deviation 0.1962

SECONDARY outcome

Timeframe: Day 1 up to discharge or Day 14 (whichever was earlier)

Population: FAS comprised of all participants with at least one available hemostatic assessment. As planned, this outcome measure was only analyzed for major surgeries. There were 7 participants analyzed for major surgeries and all the 7 participants underwent 7 surgeries.

Percentage of major surgeries with good or excellent hemostatic score was analyzed by GHEA score. It consisted of 3 individual ratings: (1) Intra-operative Efficacy Assessment Scale, (2) Post-operative Efficacy Assessment Scale, (3) Postoperative Efficacy Assessment Scale. Ratings 1 and 2 was performed by the operating surgeon on Day 1, and Rating 3 was performed by the investigator on Day 14. Each rating scale was based on 4 point scale ranging from: 3 (Excellent), 2 (Good), 1 (Fair), and 0 (None). The scores of each of the 3 individual ratings scales, was added together to form a GHEA score. Total score ranged from 0 to 9 where scores evaluated as excellent (7 to 9), good (5 to 7), fair (3 to 4), and none (0 to 2). Hemostatic efficacy success was defined as "excellent" or "good "outcome for \>=70% of hemostatic efficacy assessments. Percentage of major surgeries with good or excellent hemostatic score were reported.

Outcome measures

Outcome measures
Measure
Major Surgeries
n=7 surgeries
Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Minor Surgeries
Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Percentage of Major Surgeries With Good or Excellent Hemostatic Score
85.7 percentage of surgeries
Interval 42.1 to 99.6

SECONDARY outcome

Timeframe: Pre-operative: before surgery, Intra-operative: up to completion of surgery (Day 1), Post-operative: from completion of surgical procedure till discharge or 14 days post surgery (whichever was earlier)

Population: SAS comprised of all participants who received any amount of BAX 802. Here "number analyzed" were participants who were evaluable for the outcome measure at given categories.

Body-weight adjusted dose equals to amount infused/body-weight (kilogram \[kg\]), where amount infused as amount of drug infused (International Units \[IU\]) and body-weight as the last available body-weight (kg) prior to the infusion. Pre-operative defined as period prior to surgery. Intra-operative defined as period from start of surgery to completion of surgical procedure. Post-operative defined as period from completion of surgical procedure till discharge or 14 days post surgery (whichever was earlier). Average daily weight-adjusted dose of BAX 802 per participant during each operative period was reported.

Outcome measures

Outcome measures
Measure
Major Surgeries
n=7 Participants
Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Minor Surgeries
n=1 Participants
Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Average Daily Weight-adjusted Dose of BAX 802 Per Participant During Pre-operative, Intra-operative and Post-operative Period
Pre-operative
162.471 International Units per kilogram (IU/kg)
Standard Deviation 125.7051
208.779 International Units per kilogram (IU/kg)
Average Daily Weight-adjusted Dose of BAX 802 Per Participant During Pre-operative, Intra-operative and Post-operative Period
Intra-operative
76.083 International Units per kilogram (IU/kg)
Standard Deviation 35.1339
Average Daily Weight-adjusted Dose of BAX 802 Per Participant During Pre-operative, Intra-operative and Post-operative Period
Post-operative
43.549 International Units per kilogram (IU/kg)
Standard Deviation 56.0039

SECONDARY outcome

Timeframe: Pre-operative: before surgery, Intra-operative: up to completion of surgery (Day 1), Post-operative: from completion of surgical procedure till discharge or 14 days post surgery (whichever was earlier)

Population: SAS comprised of all participants who received any amount of BAX 802. Here "number analyzed" were participants who were evaluable for the outcome measure at given categories.

Body-weight adjusted dose equals to amount infused/body-weight (kg), where amount infused as amount of drug infused (IU) and body-weight as the last available body-weight (kg) prior to the infusion. Pre-operative defined as period prior to surgery. Intra-operative defined as period from start of surgery to completion of surgical procedure. Post-operative defined as period from completion of surgical procedure till discharge or 14 days post surgery (whichever was earlier). Total weight-adjusted dose of BAX 802 per participant during each operative period was reported.

Outcome measures

Outcome measures
Measure
Major Surgeries
n=7 Participants
Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Minor Surgeries
n=1 Participants
Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Total Weight-adjusted Dose of BAX 802 Per Participant During Pre-operative, Intra-operative and Post-operative Period
Pre-operative
162.471 IU/kg
Standard Deviation 125.7051
208.779 IU/kg
Total Weight-adjusted Dose of BAX 802 Per Participant During Pre-operative, Intra-operative and Post-operative Period
Intra-operative
76.083 IU/kg
Standard Deviation 35.1339
Total Weight-adjusted Dose of BAX 802 Per Participant During Pre-operative, Intra-operative and Post-operative Period
Post-operative
625.520 IU/kg
Standard Deviation 399.4913

SECONDARY outcome

Timeframe: From initiation of the surgery up to discharge or Day 14 (whichever came earlier)

Population: FAS comprised of all participants with at least one available hemostatic assessment. Here "overall number of participants analyzed" were participants who were evaluable for this outcome measure.

The volume (in mL) of blood products transfused from initiation of the intervention to discharge or Day 14 (whichever came earlier) was reported.

Outcome measures

Outcome measures
Measure
Major Surgeries
n=2 Participants
Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Minor Surgeries
Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Volume of Blood Products Transfused
950.0 mL
Standard Deviation 70.71

SECONDARY outcome

Timeframe: Baseline up end of study (EOS) (up to 44 months)

Population: SAS comprised of all participants who received any amount of BAX 802.

De novo inhibitor was defined as a post-baseline inhibitor titer to FVIII (hFVIII or porcine factor VIII \[pFVIII\])of \>=0.6 Bethesda units per milliliter (BU/mL) given a baseline of \<0.6 BU/mL. Number of participants with de novo inhibitors were reported.

Outcome measures

Outcome measures
Measure
Major Surgeries
n=7 Participants
Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Minor Surgeries
n=1 Participants
Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Number of Participants With De Novo Inhibitors
hFVIII
0 Participants
0 Participants
Number of Participants With De Novo Inhibitors
pFVIII
3 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline up to EOS (up to 44 months)

Population: SAS comprised of all participants who received any amount of BAX 802.

An anamnestic reaction was defined as an increase from a measurable baseline (\>0.6 BU/mL) in the inhibitor titer to FVIII (human or porcine) of \>=10 BU/mL. Number of participants with anamnestic reactions were reported.

Outcome measures

Outcome measures
Measure
Major Surgeries
n=7 Participants
Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Minor Surgeries
n=1 Participants
Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Number of Participants With Anamnestic Reactions
hFVIII
5 Participants
0 Participants
Number of Participants With Anamnestic Reactions
pFVIII
3 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline up to EOS (up to 44 months)

Population: SAS comprised of all participants who received any amount of BAX 802. Here "overall number of participants analyzed" were participants who were evaluable for this outcome measure.

The assessment of inhibitory antibodies (immunoglobulin G \[IgG\] and immunoglobulin M \[IgM\]) to pFVIII was determined using Bethesda assay, and assessment of binding antibodies (IgG and IgM) to pFVIII was determined using validated enzyme-linked immunosorbent assays (ELISAs). Mean change from baseline in inhibitory and binding antibodies to pFVIII was reported.

Outcome measures

Outcome measures
Measure
Major Surgeries
n=6 Participants
Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Minor Surgeries
n=1 Participants
Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Mean Change From Baseline up to EOS in Inhibitory and Binding Antibodies to pFVIII
111.15 BU/mL
Standard Deviation 149.072
-0.20 BU/mL

SECONDARY outcome

Timeframe: Baseline up to EOS (up to 44 months)

Population: SAS comprised of all participants who received any amount of BAX 802. Here "overall number of participants analyzed" were participants who were evaluable for this outcome measure.

The assessment of inhibitory antibodies (IgG and IgM) to hFVIII was determined using Bethesda assay, and assessment of binding antibodies (IgG and IgM) to hFVIII was determined using ELISA. Mean change from baseline in inhibitory and binding antibodies to hFVIII was reported.

Outcome measures

Outcome measures
Measure
Major Surgeries
n=6 Participants
Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Minor Surgeries
n=1 Participants
Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Mean Change From Baseline up to EOS in Inhibitory and Binding Antibodies to hFVIII
198.67 BU/mL
Standard Deviation 317.254
-0.20 BU/mL

SECONDARY outcome

Timeframe: Baseline up to EOS (up to 44 months)

Population: SAS comprised of all participants who received any amount of BAX 802.

The assessment of binding antibodies to BHK proteins was determined using ELISA. Clinical significance was judged by the investigator. Number of participants with clinically significant change from baseline in binding antibodies to BHK proteins were reported.

Outcome measures

Outcome measures
Measure
Major Surgeries
n=7 Participants
Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Minor Surgeries
n=1 Participants
Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Number of Participants With Clinically Significant Change From Baseline in Binding Antibodies to Baby Hamster Kidney (BHK) Proteins
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline up to EOS (up to 44 months)

Population: SAS comprised of all participants who received any amount of BAX 802.

Thromboembolism defined as formation in a blood vessel of a clot (thrombus) that breaks loose and carried by the blood stream to plug another vessel. Number of participants with thromboembolic events was reported.

Outcome measures

Outcome measures
Measure
Major Surgeries
n=7 Participants
Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Minor Surgeries
n=1 Participants
Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Number of Participants With Thromboembolic Events
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline up to EOS (up to 44 months)

Population: SAS comprised of all participants who received any amount of BAX 802.

Number of participants with severe allergic reaction (example: anaphylaxis) after administration of study drug were reported.

Outcome measures

Outcome measures
Measure
Major Surgeries
n=7 Participants
Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Minor Surgeries
n=1 Participants
Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Number of Participants With Severe Allergic Reactions
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline up to EOS (up to 44 months)

Population: SAS comprised of all participants who received any amount of BAX 802.

An adverse event (AE) is any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. Serious AE was any untoward medical occurrence (whether considered to be related to study assigned treatment or not) that at any dose resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, resulted in a congenital abnormality/birth defect, or was an important medical event. TEAEs was defined as any adverse events (classified by preferred term) that had a start date on or after the first dose of study treatment or that had a start date before the date of first dose of study treatment, but increased in severity after the first dose of study treatment. TEAEs included both serious and non-serious TEAEs.

Outcome measures

Outcome measures
Measure
Major Surgeries
n=7 Participants
Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Minor Surgeries
n=1 Participants
Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Number of Participants With Investigational Product (IP) Related Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs
IP related TEAEs
4 Participants
0 Participants
Number of Participants With Investigational Product (IP) Related Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs
IP related serious TEAEs
4 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline up to EOS (up to 44 months)

Population: SAS comprised of all participants who received any amount of BAX 802.

Vital sign parameters included: temperature, pulse rate, respiration rate, systolic and diastolic blood pressure. Any changes in vital signs which were deemed clinically significant was judged by the investigator. Number of participants with clinically significant change from baseline in vital signs were reported.

Outcome measures

Outcome measures
Measure
Major Surgeries
n=7 Participants
Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Minor Surgeries
n=1 Participants
Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Number of Participants With Clinically Significant Change From Baseline in Vital Sign
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline up to EOS (up to 44 months)

Population: SAS comprised of all participants who received any amount of BAX 802.

Clinical laboratory assessment included hematology and clinical chemistry. Any changes in clinical laboratory results which were deemed clinically significant was judged by the investigator. Number of participants with clinical significant change from baseline in clinical laboratory values were reported.

Outcome measures

Outcome measures
Measure
Major Surgeries
n=7 Participants
Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Minor Surgeries
n=1 Participants
Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Number of Participants With Clinically Significant Change From Baseline in Clinical Laboratory Values
0 Participants
0 Participants

Adverse Events

Major Surgeries

Serious events: 6 serious events
Other events: 3 other events
Deaths: 0 deaths

Minor Surgeries

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

Serious adverse events

Serious adverse events
Measure
Major Surgeries
n=7 participants at risk
Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Minor Surgeries
n=1 participants at risk
Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Immune system disorders
Anamnestic reaction
14.3%
1/7 • Number of events 1 • Baseline up to EOS (up to 44 months)
0.00%
0/1 • Baseline up to EOS (up to 44 months)
Infections and infestations
Bacterial infection
14.3%
1/7 • Number of events 1 • Baseline up to EOS (up to 44 months)
0.00%
0/1 • Baseline up to EOS (up to 44 months)
Investigations
Anti factor VIII antibody increased
28.6%
2/7 • Number of events 2 • Baseline up to EOS (up to 44 months)
0.00%
0/1 • Baseline up to EOS (up to 44 months)
Investigations
Anti factor VIII antibody positive
42.9%
3/7 • Number of events 3 • Baseline up to EOS (up to 44 months)
0.00%
0/1 • Baseline up to EOS (up to 44 months)
Musculoskeletal and connective tissue disorders
Haemarthrosis
14.3%
1/7 • Number of events 1 • Baseline up to EOS (up to 44 months)
0.00%
0/1 • Baseline up to EOS (up to 44 months)

Other adverse events

Other adverse events
Measure
Major Surgeries
n=7 participants at risk
Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Minor Surgeries
n=1 participants at risk
Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of \>=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
Blood and lymphatic system disorders
Anaemia
14.3%
1/7 • Number of events 1 • Baseline up to EOS (up to 44 months)
0.00%
0/1 • Baseline up to EOS (up to 44 months)
Cardiac disorders
Tachycardia
14.3%
1/7 • Number of events 1 • Baseline up to EOS (up to 44 months)
0.00%
0/1 • Baseline up to EOS (up to 44 months)
General disorders
Pyrexia
14.3%
1/7 • Number of events 1 • Baseline up to EOS (up to 44 months)
0.00%
0/1 • Baseline up to EOS (up to 44 months)
Infections and infestations
Oral herpes
14.3%
1/7 • Number of events 1 • Baseline up to EOS (up to 44 months)
0.00%
0/1 • Baseline up to EOS (up to 44 months)
Injury, poisoning and procedural complications
Anaemia postoperative
14.3%
1/7 • Number of events 3 • Baseline up to EOS (up to 44 months)
0.00%
0/1 • Baseline up to EOS (up to 44 months)
Musculoskeletal and connective tissue disorders
Pain in extremity
14.3%
1/7 • Number of events 1 • Baseline up to EOS (up to 44 months)
0.00%
0/1 • Baseline up to EOS (up to 44 months)
Skin and subcutaneous tissue disorders
Pruritus
14.3%
1/7 • Number of events 1 • Baseline up to EOS (up to 44 months)
0.00%
0/1 • Baseline up to EOS (up to 44 months)
Skin and subcutaneous tissue disorders
Skin irritation
14.3%
1/7 • Number of events 1 • Baseline up to EOS (up to 44 months)
0.00%
0/1 • Baseline up to EOS (up to 44 months)
Vascular disorders
Hypertension
14.3%
1/7 • Number of events 1 • Baseline up to EOS (up to 44 months)
0.00%
0/1 • Baseline up to EOS (up to 44 months)

Additional Information

Study Director

Takeda

Phone: +1-877-825-3327

Results disclosure agreements

  • Principal investigator is a sponsor employee If a multicenter publication is not submitted within twelve (12) months after conclusion, abandonment or termination of the Study at all sites, or after Sponsor confirms there shall be no multicenter Study publication, the Institution and/or such Principal Investigator may publish the results from the Institution site individually.
  • Publication restrictions are in place

Restriction type: OTHER