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Completed

NCT Number: NCT01488994

BAX 326 Pediatric Study

The purpose of this study is to assess BAX 326 pharmacokinetic parameters, to evaluate its hemostatic efficacy, safety, immunogenicity, and changes in health-related quality of life in pediatric patients.

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Key information

Age range

Up to 12 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2 / Phase 3

Primary location

LNJP Maulana Azad Medical College & Associated Hospitals, New Delhi, India

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About this study

The secondary outcome measure: Area Under the Plasma Concentration Versus Time Curve From 0 to 72 Hours (h) Post-infusion analysis was not done due to the different time-points for the last PK blood sample, AUC0-72 h was redundant and only total AUC was included in the PK analysis.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Main Inclusion Criteria:

  • Participant and/or legal representative has/have voluntarily provided signed informed consent
  • Participant has severe (FIX level < 1%) or moderately severe (FIX level ≤ 2%) hemophilia B
  • Participant is < 12 years old at the time of screening
  • Participant has no evidence of a history of FIX inhibitors (based on the participant's medical records)
  • Participant is immunocompetent as evidenced by a CD4 count ≥ 200 cells/mm^3

Main Exclusion Criteria:

  • Participant has a detectable FIX inhibitor at screening, with a titer ≥ 0.6 Bethesda Unit (BU)
  • Participant has a history of allergic reaction, e.g. anaphylaxis, following exposure to FIX concentrate(s)
  • Participant has evidence of an ongoing or recent thrombotic disease
  • Participant has an inherited or acquired hemostatic defect other than hemophilia B

Treatment and study plan

BAX326

Biological

All participants underwent a pharmacokinetic evaluation with BAX326 (recombinant Factor IX) followed by twice weekly prophylactic treatment for 6 months or for at least 50 exposure days, whichever occurred last.

Other names: BAX 326, RIXUBIS

Primary outcomes

  1. Adverse Events (AEs) Possibly or Probably Related to BAX326

    Time frame: Throughout study period (approximately 17 months)

Secondary outcomes

  1. Pharmacokinetics (PK): Total Area Under the Plasma Concentration Versus Time Curve From 0 to 72 Hours Post-infusion Per Dose (AUC 0-72h/Dose)

    Time frame: Within 30 mins pre-infusion and 4 post-infusion timepoints

  2. Pharmacokinetics (PK): Total Area Under the Plasma Concentration Versus Time Curve From 0 to Infinity Post-infusion Per Dose (Total AUC/Dose)

    Time frame: Within 30 mins pre-infusion and 4 post-infusion timepoints. Refer to Population Description below for more details.

  3. Pharmacokinetics (PK): Mean Residence Time (MRT)

    Time frame: Within 30 mins pre-infusion and 4 post-infusion timepoints. Refer to Population Description below for more details.

    Computed as total area under the first moment curve (total AUMC) divided by the total area under the concentration versus time curve (total AUC)

  4. Pharmacokinetics (PK): Factor IX (FIX) Clearance (CL)

    Time frame: Within 30 mins pre-infusion and 4 post-infusion timepoints. Refer to Population Description below for more details.

    Computed as the dose divided by total Area under the curve (AUC)

  5. Pharmacokinetics (PK): Incremental Recovery (IR)

    Time frame: Within 30 mins pre-infusion and 30 mins post-infusion

    The rise in FIX activity in IU/dL per unit dose administered in IU/kg. Calculated as follows: (FIX activity at post-infusion minus FIX activity at pre-infusion) divided by weight-adjusted dose

  6. Pharmacokinetics (PK): Elimination Phase Half-life (T 1/2)

    Time frame: Within 30 mins pre-infusion and 4 post-infusion timepoints. Refer to Population Description below for more details.

    Calculated as log_e2/λ, where λ is the regression slope in the terminal phase of the least absolute deviations regression model

  7. Pharmacokinetics (PK): Volume of Distribution at Steady State (Vss)

    Time frame: Within 30 mins pre-infusion and 4 post-infusion timepoints. Refer to Population Description below for more details.

    Computed as Clearance (CL) * Mean residence time (MRT)

  8. Pharmacokinetics (PK): Incremental Recovery (IR) Over Time

    Time frame: Within 30 mins pre-infusion and 30 mins post-infusion at baseline, Week 5, Week 13 and Week 26.

    IR calculated as follows: (FIX activity at post-infusion minus FIX activity at pre-infusion) divided by weight-adjusted dose. IR is determined at baseline (PK analysis), Week 5, Week 13 and Week 26 timepoints. Number of participants contributing data (N) for this outcome measure is included in the category title in the order: pediatric participants > 6 years of age; pediatric participants 6 to <12 years of age; pharmacokinetic Full Analysis Set (PKFAS).

  9. Hemostatic Efficacy: Treatment of Bleeding Episodes: Number of Infusions Per Bleeding Episode

    Time frame: Throughout study period (approximately 17 months)

  10. Hemostatic Efficacy: Treatment of Bleeding Episodes: Overall Hemostatic Efficacy Rating at Resolution of Bleed

    Time frame: Throughout study period (approximately 17 months)

    Rating Scale for Treatment of bleeding episodes (4-point ordinal scale): - Excellent: Full relief of pain and cessation of objective signs of bleeding (eg, swelling, tenderness, and decreased range of motion in the case of musculoskeletal hemorrhage) after a single infusion. No additional infusion required for the control of bleeding. Administration of further infusions to maintain hemostasis did not affect this scoring. - Good: Definite pain relief and/or improvement in signs of bleeding after a single infusion. Possibly requires more than 1 infusion for complete resolution. - Fair: Probable and/or slight relief of pain and slight improvement in signs of bleeding after single infusion. Required more than 1 infusion for complete resolution. - None: No improvement or condition worsens.

  11. Hemostatic Efficacy: Prophylaxis: Annualized Bleeding Rate (ABR)

    Time frame: Throughout study period (approximately 17 months)

    The annualized bleeding rate (ABR) during prophylaxis was calculated only for participants who had adequate treatment time for bleeding rate assessment (i.e., more than 3 months of prophylaxis treatment). The observation period for prophylaxis was to be the time between the first and the last prophylactic infusions. The treatment period for surgery was to be excluded from the bleed rate calculation. ABR calculated as (Number of bleeding episodes/observed treatment period in days) * 365.25.

  12. Consumption of BAX326: Number of Infusions Per Month

    Time frame: Throughout study period (approximately 17 months)

  13. Consumption of BAX326: Number of Infusions Per Year

    Time frame: Throughout study period (approximately 17 months)

  14. Consumption of BAX326: Weight-adjusted Consumption Per Month

    Time frame: Throughout study period (approximately 17 months)

  15. Consumption of BAX326: Weight-adjusted Consumption Per Year (Annualized)

    Time frame: Throughout study period (approximately 17 months)

  16. Consumption of BAX326: Weight-adjusted Consumption Per Event

    Time frame: Throughout study period (approximately 17 months)

    Event includes prophylactic infusions of study product and infusions of study product for treatment of bleeding episodes (BEs).

  17. Safety and Immunogenicity: Number of Participants Who Developed Inhibitory Antibodies to Factor IX (FIX)

    Time frame: Throughout study period (approximately 17 months)

  18. Safety and Immunogenicity: Number of Participants Who Developed Total Binding Antibodies to Factor IX (FIX)

    Time frame: Throughout study period (approximately 17 months)

    If more than 2-dilution increase as compared to pre-study level at screening and titers verified for specificity in the confirmatory assay. AB=antibodies in category for outcome measure data.

  19. Safety: Number of Participants With Severe Allergic Reactions, e.g. Anaphylaxis

    Time frame: Throughout study period (approximately 17 months)

  20. Safety: Number of Participants With Thrombotic Events

    Time frame: Throughout study period (approximately 17 months)

  21. Safety: Number of Participants With Clinically Significant Changes in Routine Laboratory Parameters (Haematology and Clinical Chemistry), and Vital Signs

    Time frame: Throughout study period (approximately 17 months)

    Categories consist of Clinically Significant (CS) changes in haemaotology parameters, clinical chemistry parameters and vital signs. Abbreviations in categories; Clin=clinical; params=parameters

  22. Safety: Number of Participants Who Developed Antibodies to Chinese Hamster Ovary (CHO) Proteins and Recombinant Furin (rFurin)

    Time frame: Throughout study period (approximately 17 months)

    If more than 2-dilution increase as compared to pre-study level at screening and titers verified for specificity in the confirmatory assay.

  23. Health-related Quality of Life (HRQoL): PedsQL™ Change From Baseline in Total Score

    Time frame: Baseline and 6 months

    For this study, the PedsQL™ questionnaires for participants 2 to 7 years of age (parent-proxy versions for age groups 2-4 years and 5-7 years) and PedsQL™ Child version for participants 8 to 12 years of age were used. The Peds-QL is a generic Health-Related Quality of Life (HR QoL) instrument designed specifically for a pediatric population. It captures the following domains: general health/activities, feelings/emotional, social functioning, school functioning. A 5-point score is used for each domain: from 0 (never) to 4 (almost always). Items are reversed scored and linearly transformed to a 0-100 scale as follows: 0=100, 1=75, 2=50, 3=25, 4=0 so that higher scores indicate better quality of life (QoL). The total score is the mean (average) of all scores from the 4 domains. The change from baseline in total score is reported- a positive score indicates a better QoL compared to baseline and a negative score indicates a poorer QoL compared to baseline.

  24. Health-related Quality of Life (HRQoL): Haemo-QoL, Change From Baseline in Total Score

    Time frame: Baseline and 6 months

    The Haemo-QoL is a quality of life (QoL) assessment instrument for children and adolescents with haemophilia. As a hemophilia-specific instrument, this measure assesses very specific aspects of dealing with hemophilia. For the Haemo-QoL, higher scores indicate a worse quality of life. Scores on a scale range between 0 and 100.

  25. Health Resource Use: Number of Hospitalizations

    Time frame: Baseline (Pharmacokinetic [PK] assessment), Week 5, Week 13 and Week 26

    The number of hospitalizations per participant. Number of participants contributing data (N) for this outcome measure is included in the category title in the order: pediatric participants < 6 years of age; pediatric participants 6 to <12 years of age; Full Analysis Set.

  26. Health Resource Use: Length of Hospitalization

    Time frame: Baseline (Pharmacokinetic [PK] assessment), Week 5, Week 13 and Week 26

    The length of hospitalization per participant. Number of participants contributing data (N) for this outcome measure is included in the category title in the order: pediatric participants < 6 years of age; pediatric participants 6 to <12 years of age; Full Analysis Set.

  27. Health Resource Use: Unscheduled Doctor's Office Visits

    Time frame: Baseline (Pharmacokinetic [PK] assessment), Week 5, Week 13 and Week 26

    The number of unscheduled doctor's Office visits per participant. Number of participants contributing data (N) for this outcome measure is included in the category title in the order: pediatric participants < 6 years of age; pediatric participants 6 to <12 years of age; Full Analysis Set.

  28. Health Resource Use: Emergency Room Visits

    Time frame: Baseline (Pharmacokinetic [PK] assessment), Week 5, Week 13 and Week 26

    The number of Emergency Room visits per participant. Number of participants contributing data (N) for this outcome measure is included in the category title in the order: pediatric participants < 6 years of age; pediatric participants 6 to <12 years of age; Full Analysis Set.

  29. Health Resource Use: Days Lost From School

    Time frame: Baseline (Pharmacokinetic [PK] assessment), Week 5, Week 13 and Week 26

    The number of days lost from school per participant. Number of participants contributing data (N) for this outcome measure is included in the category title in the order: pediatric participants < 6 years of age; pediatric participants 6 to <12 years of age; Full Analysis Set.

Sponsors and collaborators

Lead sponsor

Baxalta now part of Shire

Industry

Registry information

Official study title

BAX 326 (Recombinant Factor IX): A Phase 2/3 Prospective, Uncontrolled, Multicenter Study Evaluating Pharmacokinetics, Efficacy, Safety, and Immunogenicity in Previously Treated Pediatric Patients With Severe (FIX Level < 1%) or Moderately Severe (FIX Level 1-2%) Hemophilia B

Important dates

Study start
2011
Primary completion
2013
Study completion
2013
First posted
Dec 9, 2011
Registry last updated
May 20, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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