-
ABR Based on Bleeding Site
Time frame: Baseline through study completion or ≥50 EDs whichever occurred last (approximately 28 weeks)
ABR= number of unique bleeds during treatment period/(length of treatment period [days]/365.25). ABR for BEs based on bleeding site: joint or non-joint, recorded in the participant's electronic diary and/or recorded in the physician/nurse/study site notes were reported.
-
ABR Based on Bleeding Cause
Time frame: Baseline through study completion or ≥50 EDs whichever occurred last (approximately 28 weeks)
ABR= number of unique bleeds during treatment period/(length of treatment period [days]/365.25). ABR for BEs based on bleeding cause: spontaneous/unknown or injury, recorded in the participant's electronic diary and/or recorded in the physician/nurse/study site notes were reported.
-
Number of Adynovate Infusions Per Week During the Prophylactic Treatment Period
Time frame: Baseline through study completion or ≥50 EDs whichever occurred last (approximately 28 weeks)
-
Number of Adynovate Infusions Per Month During the Prophylactic Treatment Period
Time frame: Baseline through study completion or ≥50 EDs whichever occurred last (approximately 28 weeks)
-
Weight-adjusted Consumption of Adynovate Per Week During the Prophylactic Treatment Period
Time frame: Baseline through study completion or ≥50 EDs whichever occurred last (approximately 28 weeks)
Weight-adjusted consumption (IU/kg) was derived as the total units infused (IU) divided by the last available body weight (kg) prior to the infusion.
-
Weight-adjusted Consumption of Adynovate Per Month During the Prophylactic Treatment Period
Time frame: Baseline through study completion or ≥50 EDs whichever occurred last (approximately 28 weeks)
Weight-adjusted consumption (IU/kg) was derived as the total units infused (IU) divided by the last available body weight (kg) prior to the infusion.
-
Percentage of Participants With Zero Bleeding Episodes During the Study
Time frame: Baseline through study completion or ≥50 EDs whichever occurred last (approximately 28 weeks)
Percentages were rounded off to the nearest single decimal place.
-
Average Time Interval Between Bleeding Episodes (BEs)
Time frame: Baseline through study completion or ≥50 EDs whichever occurred last (approximately 28 weeks)
Average time interval between bleeding episodes (days)= Length of treatment period (days)/ Number of unique bleeds during treatment period. Average time interval was computed for participants with more than 1 unique BEs.
-
Number of Bleeding Events in Each Category of Hemostatic Efficacy Rating at Resolution of Breakthrough Bleeding Episode
Time frame: Baseline through study completion or ≥50 EDs whichever occurred last (approximately 28 weeks)
Hemostatic efficacy for treatment of BEs was rated on 4-point Likert scale as: excellent=full relief of pain and cessation of objective signs of bleeding after a single infusion, no additional infusion is required for the control of bleeding and administration of further infusion to maintain hemostasis would not affect the scoring; good=definite pain relief and/or improvement in signs of bleeding after a single infusion, possibly requires more than 2 infusions for complete resolution and administration of further infusion to maintain hemostasis would not affect the scoring; fair=probable and/or slight relief of pain and slight improvement in signs of bleeding after a single infusion, required multiple infusions for complete resolution; none=no improvement of signs or symptoms or conditions worsen. Missing indicates the number of unique bleeding episodes without any overall hemostatic efficacy rating at resolution of breakthrough bleeding episode.
-
Number of Adynovate Infusions Per Bleeding Episode
Time frame: Baseline through study completion or ≥50 EDs whichever occurred last (approximately 28 weeks)
-
Weight-adjusted Consumption of Adynovate Per Bleeding Episode
Time frame: Baseline through study completion or ≥50 EDs whichever occurred last (approximately 28 weeks)
Weight-adjusted consumption (IU/kg) was derived as the total units infused (IU) divided by the last available body weight (kg) prior to the infusion.
-
Number of Minor Surgeries With Hemostatic Efficacy Based on Global Hemostatic Efficacy Assessment (GHEA) Score as Assessed by the Operating Surgeon/Investigator
Time frame: Baseline through study completion or ≥50 EDs whichever occurred last (approximately 28 weeks)
GHEA score consisted of 3 individual rating scales: (1) Intra-operative Efficacy Assessment Scale, (2) Post-operative Efficacy Assessment Scale, and (3) Peri-operative Efficacy Assessment Scale. Each rating scale is based on 4 points scale ranging from: 3 (Excellent), 2 (Good), 1 (Fair), and 0 (None). The scores of 3 individual ratings scales were added together to form a GHEA score. Total score ranged from 0 to 9, where scores evaluate as: excellent (7 to 9), good (5 to 7), fair (3 to 4), and none (0 to 2). For a GHEA score of 7 to be rated "excellent" no individual assessment scores could be less than (<) 2 and at least 1 assessment score had to be equal to (=) 3; otherwise a score of 7 was rated "good".
-
Volume of Actual and Predicted Intra-operative and Post-operative Blood Loss After the Surgery as Assessed by the Operating Surgeon/Investigator
Time frame: Post-operative: Day 1 and at discharge Week 26
-
Number of Participants Who Required Perioperative Transfusion of Blood, Red Blood Cells, Platelets, and Other Blood Products
Time frame: Baseline through study completion or ≥50 EDs whichever occurred last (approximately 28 weeks)
-
Daily Intra-Operative and Post-Operative Weight-Adjusted Consumption Dose of Adynovate
Time frame: Baseline through study completion or ≥50 EDs whichever occurred last (approximately 28 weeks)
-
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Treatment-emergent Adverse Events (Serious TEAEs)
Time frame: Up to approximately 28 weeks
An adverse event (AE): any untoward medical occurrence in a participant administered a pharmaceutical product; the untoward medical occurrence does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product whether or not it is related to medicinal product. TEAE: any AE either reported for the first time or worsening of a pre-existing event after first dose of study drug and within 30 days of the last administration of study drug. Serious TEAEs: any untoward medical occurrence that: 1) results in death, 2) is life-threatening, 3) requires inpatient hospitalization or prolongation of existing hospitalization, 4) results in persistent or significant disability/incapacity, 5) leads to a congenital anomaly/birth defect in the offspring of the participant or 6) is a medically important.
-
Number of Participants With Confirmed Inhibitory Antibodies to Factor VIII (FVIII), Binding Immunoglobulin G (IgG) and Immunoglobulin M (IgM) Antibodies to Adynovate and Chinese Hamster Ovary (CHO) Protein
Time frame: Up to approximately 28 weeks
-
FVIII Activity Level in Plasma Assessed by a 1-stage Clotting Assay
Time frame: Day -1 and Week 20: pre-infusion, post-infusion at multiple time-points up to 96 hours
As per planned analysis, data for this outcome measure was collected and reported for initial pharmacokinetic (PK) assessment and second PK assessment. The initial PK assessment was performed prior to the baseline visit at Day -1. The second PK assessment was performed during the Week 20 visit. FVIII activity level reported was corrected for pre-infusion measurement.
-
Incremental Recovery Over Time During Adynovate Prophylactic Treatment
Time frame: Baseline, Week 6, and Study Completion (approximately Week 28)
Incremental recovery (IR) was calculated as IR (international units per deciliter)/(international units per kilogram [(IU/dL)/(IU/kg)] = [PostFVIII (IU/dL)-PreFVIII (IU/dL)]/Weight Adjusted Dose (IU/kg).
-
Pre-dose Level of FVIII Activity in Plasma
Time frame: Baseline, Weeks 2, 6, 12, and Study Completion (approximately Week 28): Within 30 minutes pre-infusion
-
Pre-dose Level of FVIII Antigen in Plasma
Time frame: Baseline, Weeks 2, 6, 12, 20, and Study Completion (approximately Week 28): Within 30 minutes pre-infusion
IU/mL stands for international units per milliliter.
-
Pre-dose Level of Von Willebrand Factor (VWF) Antigen in Plasma
Time frame: Baseline, Weeks 2, 6, 12, 20, and Study Completion (approximately Week 28): Within 30 minutes pre-infusion
-
Clearance (CL) for FVIII Activity Following an Initial Single Dose and Steady-state Dose of Adynovate
Time frame: Day -1 and Week 20: pre-infusion, post-infusion at multiple timepoints up to 96 hours
Clearance reported was calculated based on pre-infusion corrected concentration data. As per planned analysis, data for this outcome measure was collected and reported for initial PK assessment and second PK assessment. The initial PK assessment was performed prior to the baseline visit at Day -1. The second PK assessment was performed during the Week 20 visit. [(dL/h)/kg] stands for deciliters per hour per kilogram.
-
Volume of Distribution for FVIII Activity Following an Initial Single Dose and Steady-state Dose of Adynovate
Time frame: Day -1 and Week 20: pre-infusion, post-infusion at multiple timepoints up to 96 hours
Volume of distribution was calculated based on pre-infusion corrected concentration data. As per planned analysis, data for this outcome measure was collected and reported for initial PK assessment and second PK assessment. The initial PK assessment was performed prior to the baseline visit at Day -1. The second PK assessment was performed during the Week 20 visit.
-
Area Under the Concentration Versus Time Curve From 0 to 96 Hours (AUC0-96) for FVIII Activity Following an Initial Single Dose and Steady-state Dose of Adynovate
Time frame: Day -1 and Week 20: pre-infusion, post-infusion at multiple timepoints up to 96 hours
AUC0-96 was calculated based on pre-infusion corrected concentration data. As per planned analysis, data for this outcome measure was collected and reported for initial PK assessment and second PK assessment. The initial PK assessment was performed prior to the baseline visit at Day -1. The second PK assessment was performed during the Week 20 visit. h*IU/dL stands for hour*international units per deciliter.
-
Maximum Concentration (Cmax) for FVIII Activity Following an Initial Single Dose and Steady-state Dose of Adynovate
Time frame: Day -1 and Week 20: pre-infusion, post-infusion at multiple timepoints up to 96 hours
Cmax was calculated based on pre-infusion corrected concentration data. As per planned analysis, data for this outcome measure was collected and reported for initial PK assessment and second PK assessment. The initial PK assessment was performed prior to the baseline visit at Day -1. The second PK assessment was performed during the Week 20 visit.
-
Pre-dose Concentration (Cpredose) for FVIII Activity Following an Initial Single Dose and Steady-state Dose of Adynovate
Time frame: Day -1 and Week 20: pre-infusion, post-infusion at multiple timepoints up to 96 hours
Cpredose was calculated based on pre-infusion corrected concentration data. As per planned analysis, data for this outcome measure was collected and reported for initial PK assessment and second PK assessment. The initial PK assessment was performed prior to the baseline visit at Day -1. The second PK assessment was performed during the Week 20 visit.
-
Terminal Phase Elimination Half-life (T1/2) for FVIII Activity Following an Initial Single Dose and Steady-state Dose of Adynovate
Time frame: Day -1 and Week 20: pre-infusion, post-infusion at multiple timepoints up to 96 hours
T1/2 was calculated based on pre-infusion corrected concentration data. As per planned analysis, data for this outcome measure was collected and reported for initial PK assessment and second PK assessment. The initial PK assessment was performed prior to the baseline visit at Day -1. The second PK assessment was performed during the Week 20 visit.