guardian TM 7: Efficacy and Safety of Turoctocog Alfa for Prophylaxis and Treatment of Bleeding Episodes in Previously Treated Chinese Patients With Haemophilia A
Study Details
Study Description
Brief Summary
This trial is conducted in China. The aim of this trial is to evaluate the clinical efficacy of turoctocog alfa in treatment of bleeding episodes in Chinese patients with severe haemophilia A (FVIII≤1%).
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Prophylactic treatment
|
Drug: turoctocog alfa
The preventative treatment is administered intravenously (i.v.) at specific intervals either every second day or three times a week. Bleeding treatment will be administered if a bleed should occur.
|
Experimental: On-demand treatment
|
Drug: turoctocog alfa
Treatment is administered intravenously (i.v.) during bleeds and occasionally as a preventative treatment (e.g. before physical activity)
|
Outcome Measures
Primary Outcome Measures
- Haemostatic Effect of Turoctocog Alfa (Treatment of Bleeds): 6 Months [Month 0-6]
The haemostatic effect of turoctocog alfa when used for treatment of bleeding episodes in both prophylaxis and on-demand regimen was evaluated during month 0-6. The effect was assessed on a four-point scale for haemostatic response, excellent, good, moderate and none.
Secondary Outcome Measures
- Haemostatic Effect of Turoctocog Alfa (Treatment of Bleeds): 24 Months [Month 0-24]
The haemostatic effect of turoctocog alfa when used for treatment of bleeding episodes in both prophylaxis and on-demand regimen was evaluated during month 0-24. The effect was assessed on a four-point scale for haemostatic response, excellent, good, moderate and none.
- Incidence Rate of Inhibitory Antibodies Against FVIII (≥0.6 BU): 6 Months [Month 0-6]
This endpoint presented 'percentage of participants with inhibitory antibodies against FVIII (≥0.6 BU)' in both prophylaxis and on-demand regimen, evaluated during month 0-6.
- Incidence Rate of Inhibitory Antibodies Against FVIII (≥0.6 BU): 24 Months [Month 0-24]
This endpoint presented 'percentage of participants with inhibitory antibodies against FVIII (≥0.6 BU)' in both prophylaxis and on-demand regimen, evaluated during month 0-24.
- Number of Bleeds (Total Bleeds Assessed as Annual Bleeding Rate) Per Participant: 6 Months [Month 0-6]
Number of bleeds (total bleeds assessed as annual bleeding rate) per participant in the prophylaxis regimen was evaluated during month 0-6. The annualised bleeding rate was analysed by a negative binomial model.
- Number of Bleeds (Total Bleeds Assessed as Annual Bleeding Rate) Per Participant: 24 Months [Month 0-24]
Number of bleeds (total bleeds assessed as annual bleeding rate) per participant in the prophylaxis regimen was evaluated during month 0-24. The annualised bleeding rate was analysed by a negative binomial model.
- Consumption of Turoctocog Alfa for Bleeding Treatment: Average Dose to Treat a Bleed (6 Months) [Month 0-6]
Average dose of turoctocog alfa used to treat a bleed in both prophylaxis and on-demand regimen was evaluated during month 0-6.
- Consumption of Turoctocog Alfa for Bleeding Treatment: Average Dose to Treat a Bleed (24 Months) [Month 0-24]
Average dose of turoctocog alfa used to treat a bleed in both prophylaxis and on-demand regimen was evaluated during month 0-24.
- Consumption of Turoctocog Alfa for Bleeding Treatment: Number of Injections Per Bleed (6 Months) [Month 0-6]
Number of turoctocog alfa injections consumed to treat a bleeding episode in both prophylaxis and on-demand regimen was evaluated during month 0-6.
- Consumption of Turoctocog Alfa for Bleeding Treatment: Number of Injections Per Bleed (24 Months) [Month 0-24]
Number of turoctocog alfa injections consumed to treat a bleeding episode in both prophylaxis and on-demand regimen was evaluated during month 0-24.
- Consumption of Turoctocog Alfa for Bleeding Treatment: IU/kg Per Bleed (6 Months) [Month 0-6]
Consumption of turoctocog alfa IU/kg BW per bleed in both prophylaxis and on-demand regimen was evaluated during month 0-6.
- Consumption of Turoctocog Alfa for Bleeding Treatment: IU/kg Per Bleed (24 Months) [Month 0-24]
Consumption of turoctocog alfa IU/kg BW per bleed in both prophylaxis and on-demand regimen was evaluated during month 0-24.
- Consumption of Turoctocog Alfa During Preventive Treatment Per Participant: Average Preventive Dose (6 Months) [Month 0-6]
Average preventive dose of turoctocog alfa consumed per participant in the prophylaxis regimen was evaluated during month 0-6.
- Consumption of Turoctocog Alfa During Preventive Treatment Per Participant: Average Preventive Dose (24 Months) [Month 0-24]
Average preventive dose of turoctocog alfa consumed per participant in the prophylaxis regimen was evaluated during month 0-24.
- Consumption of Turoctocog Alfa During Preventive Treatment Per Participant: IU/kg Per Month (6 Months) [Month 0-6]
Preventive dose of turoctocog alfa (IU/kg body weight (BW) per month) per participant in the prophylaxis regimen was evaluated during month 0-6.
- Consumption of Turoctocog Alfa During Preventive Treatment Per Participant: IU/kg Per Month (24 Months) [Month 0-24]
Preventive dose of turoctocog alfa (IU/kg body weight (BW) per month) per participant in the prophylaxis regimen was evaluated during month 0-24.
- Consumption of Turoctocog Alfa During Preventive Treatment Per Participant: IU/kg Per Year (6 Months) [Month 0-6]
Preventive dose of turoctocog alfa (IU/kg body weight per year) per participant in the prophylaxis regimen was evaluated during month 0-6.
- Consumption of Turoctocog Alfa During Preventive Treatment Per Participant: IU/kg Per Year (24 Months) [Month 0-24]
Preventive dose of turoctocog alfa (IU/kg body weight (BW) per year) per participant in the prophylaxis regimen was evaluated during month 0-24.
- Total Consumption of Turoctocog Alfa Per Participant: IU/kg Per Month (6 Months) [Month 0-6]
Total consumption of turoctocog alfa (IU/kg body weight per month) per participant in both prophylaxis and on-demand regimen was evaluated during month 0-6.
- Total Consumption of Turoctocog Alfa Per Participant: IU/kg Per Month (24 Months) [Month 0-24]
Total consumption of turoctocog alfa (IU/kg body weight per month) per participant in both prophylaxis and on-demand regimen was evaluated during month 0-24.
- Total Consumption of Turoctocog Alfa Per Participant: IU/kg Per Year (6 Months) [Month 0-6]
Total consumption of turoctocog alfa (IU/kg body weight per year) per participant in both prophylaxis and on-demand regimen was evaluated during month 0-6.
- Total Consumption of Turoctocog Alfa Per Participant: IU/kg Per Year (24 Months) [Month 0-24]
Total consumption of turoctocog alfa (IU/kg body weight per year) per participant in both prophylaxis and on-demand regimen was evaluated during month 0-24.
- Frequency of Adverse Events (6 Months) [Month 0-6]
Frequency of adverse events (AEs) are presented as rate of events, which was calculated as the number of AEs per patient years. All presented AEs are treatment emergent (TEAEs), which were defined as the events reported after trial product administration until the end of the post-treatment follow-up period.
- Frequency of Adverse Events (24 Months) [Month 0-24]
Frequency of adverse events (AEs) are presented as rate of events, which was calculated as the number of AEs per patient years. All presented AEs are treatment emergent (TEAEs), which were defined as the events reported after trial product administration until the end of the post-treatment follow-up period.
- Frequency of Serious Adverse Events (6 Months) [Month 0-6]
Frequency of serious adverse events (SAEs) are presented as rate of events, which was calculated as the number of SAEs per patient years. All presented SAEs are treatment emergent, which were defined as the events reported after trial product administration until the end of the post-treatment follow-up period.
- Frequency of Serious Adverse Events (24 Months) [Month 0-24]
Frequency of serious adverse events (SAEs) are presented as rate of events, which was calculated as the number of SAEs per patient years. All presented SAEs are treatment emergent, which were defined as the events reported after trial product administration until the end of the post-treatment follow-up period.
- Haemostatic Effect of Turoctocog Alfa (Surgery): 6 Months [Month 0-6]
The haemostatic effect of turoctocog alfa when used for surgery was evaluated during month 0-6. The effect was assessed on a four-point scale for haemostatic response (excellent, good, moderate and none) and assessed by the investigator/surgeon on the day of surgery (day 1) and on the last day in the post-operative period the participant was at the trial/surgery site.
- Haemostatic Effect of Turoctocog Alfa (Surgery): 24 Months [Month 0-24]
The haemostatic effect of turoctocog alfa when used for surgery was evaluated during month 0-24. The effect was assessed on a four-point scale for haemostatic response (excellent, good, moderate and none) and assessed by the investigator/surgeon on the day of surgery (day 1) and on the last day in the post-operative period the participant was at the trial/surgery site. Haemostatic response of 'not applicable' indicated that turoctocog alfa was not used.
- Loss of Blood (Surgery): 6 Months [Month 0-6]
Loss of blood was evaluated during month 0-6: on the day of surgery (day 1) and during the post-operative period days 2-7 or until the last day the participant was at the trial/surgery site whatever comes first.
- Loss of Blood (Surgery): 24 Months [Month 0-24]
Loss of blood was evaluated during month 0-24: on the day of surgery (day 1) and during the post-operative period days 2-7 or until the last day the participant was at the trial/surgery site whatever comes first.
- Requirements for Transfusion (Surgery): 6 Months [Month 0-6]
Surgeries required transfusion was evaluated during month 0-6: on the day of surgery (day 1) and during the post-operative period days 2-7 or until the last day the participant was at the trial/surgery site whatever comes first.
- Requirements for Transfusion (Surgery): 24 Months [Month 0-24]
Surgeries required transfusion was evaluated during month 0-24: on the day of surgery (day 1) and during the post-operative period days 2-7 or until the last day the participant was at the trial/surgery site whatever comes first.
- Adverse Events (Surgery): 6 Months [Month 0-6]
TEAEs during surgery were recorded during month 0-6: on the day of surgery (day 1) and during the post-operative period days 2-7 or until the last day the participant was at the trial/surgery site whatever comes first. TEAEs were defined as the events reported after trial product administration until the end of the post-treatment follow-up period.
- Adverse Events (Surgery): 24 Months [Month 0-24]
TEAEs during surgery were recorded during month 0-24: on the day of surgery (day 1) and during the post-operative period days 2-7 or until the last day the participant was at the trial/surgery site whatever comes first. TEAEs were defined as the events reported after trial product administration until the end of the post-treatment follow-up period.
- Serious Adverse Events (Surgery): 6 Months [Month 0-6]
Treatment emergent serious adverse events occurred during surgery were recorded from month 0 to month 6: on the day of surgery (day 1) and during the post-operative period days 2-7 or until the last day the participant is at the trial/surgery site whatever comes first. Treatment emergent events were defined as the events reported after trial product administration until the end of the post-treatment follow-up period.
- Serious Adverse Events (Surgery): 24 Months [Month 0-24]
Treatment emergent serious adverse events occurred during surgery were recorded from month 0 to month 24: on the day of surgery (day 1) and during the post-operative period days 2-7 or until the last day the participant is at the trial/surgery site whatever comes first. Treatment emergent events were defined as the events reported after trial product administration until the end of the post-treatment follow-up period.
- Change in Total Scores for Reported Health-related Quality of Life (for Participants): Month 6 [Month 0, Month 6]
Reported results are baseline (month 0) and change from baseline (at month 6) of end of disease and age specific HRQOL. HRQOL was collected through use of the patient reported outcome (PRO) instruments, HAEMO-QOL (for children (8-12 years)/adolescents (13-16 years)) and HAEM-A-QOL (for adults (>=17 years)). HAEMO-QOL assessment included questions on physical health, feeling, view of yourself, family, friends, perceived support, other persons, sports and school, dealing with haemophilia, treatment, future, and relationships. HAEM-A-QOL assessment included questions on physical health, feeling, view of yourself, sports and leisure, work and school, dealing with haemophilia, treatment, future, family planning, and partnership and sexuality. Scores range for each question was 0-100, with a lower score indicating better quality of life related to haemophilia. Observed mean of the means of all the questions for HAEMO-QOL and HAEM-A-QOL, respectively are presented.
- Change in Total Scores for Reported Health-related Quality of Life (for Participants): Month 24 [Month 0, Month 24]
Reported results are baseline (month 0) and change from baseline (at month 24) of end of disease and age specific HRQOL. HRQOL was collected through use of the patient reported outcome (PRO) instruments, HAEM-A-QOL (for adults (>=17 years)) and HAEMO-QOL (for children (8-12 years)/adolescents (13-16 years)). HAEM-A-QOL assessment included questions on physical health, feeling, view of yourself, sports and leisure, work and school, dealing with haemophilia, treatment, future, family planning, and partnership and sexuality. HAEMO-QOL assessment included questions on physical health, feeling, view of yourself, family, friends, perceived support, other persons, sports and school, dealing with haemophilia, treatment, future, and relationships. Scores range for each question was 0-100, with a lower score indicating better quality of life related to haemophilia. Observed mean of the means of all the questions for HAEM-A-QOL and HAEMO-QOL, respectively are presented.
- Change in Total Scores for Reported Health-related Quality of Life (for Parents): Month 6 [Month 0, Month 6]
Reported results are baseline (month 0) and change from baseline (at month 6) of end of disease and age specific health related quality of life (HRQOL). HRQOL was collected through use of the PRO instrument, HAEMO-QOL (for parents of the children (4-7 years and 8-12 years)/adolescents (13-16 years)). HAEMO-QOL assessment included questions on physical health, feeling, view of himself, family, friends, perceived support, other persons, nursery School or Kindergarten, sports and school, dealing with haemophilia, treatment, future, and relationships. Scores range for each question was 0-100, with a lower score indicating better quality of life related to haemophilia. Observed mean of the means of all the questions for HAEMO-QOL are presented.
- Change in Total Scores for Reported Health-related Quality of Life (for Parents): Month 24 [Month 0, Month 24]
Reported results are baseline (month 0) and change from baseline (at month 24) of end of disease and age specific health related quality of life (HRQOL). HRQOL was collected through use of the PRO instrument, HAEMO-QOL (for parents of the children (4-7 years and 8-12 years)/adolescents (13-16 years)). HAEMO-QOL assessment included questions on physical health, feeling, view of himself, family, friends, perceived support, other persons, nursery School or Kindergarten, sports and school, dealing with haemophilia, treatment, future, and relationships. Scores range for each question was 0-100, with a lower score indicating better quality of life related to haemophilia. Observed mean of the means of all the questions for HAEMO-QOL are presented.
- Incremental Recovery of FVIII [Days 1-2]
Blood samples for the evaluation of incremental recovery of FVIII were taken during a period of 48 hours post-dosing for participants 12 years and older and 24 hours post-dosing for participants below the age of 12 years. The incremental recovery was calculated as (FVIII: coagulant (C) activity measured in plasma 30 minutes after dosing - FVIII:C activity measured in plasma immediately before dosing)/(dose injected at time 0 minute), where the dose was expressed as IU FVIII product per kg body weight. The results are based on the chromogenic assay.
- Area Under the Curve (AUC0-inf) [Days 1-2]
Blood samples for the evaluation of AUC0-inf were taken during a period of 48 hours post-dosing for participants 12 years and older and 24 hours post-dosing for participants below the age of 12 years. AUC0-inf was defined as the area under the concentration versus time from time curve zero to infinity. The results are based on the chromogenic assay.
- Half-life (t½) [Days 1-2]
Blood samples for the evaluation of t½ were taken during a period of 48 hours post-dosing for participants 12 years and older and 24 hours post-dosing for participants below the age of 12 years. The results are based on the chromogenic assay.
- Clearance (CL) [Days 1-2]
Blood samples for the evaluation of CL were taken during a period of 48 hours post-dosing for participants 12 years and older and 24 hours post-dosing for participants below the age of 12 years. The results are based on the chromogenic assay.
- Highest Measured FVIII Activity in the Profile (Cmax) [Days 1-2]
Blood samples for the evaluation of Cmax were taken during a period of 48 hours post-dosing for participants 12 years and older and 24 hours post-dosing for participants below the age of 12 years. The results are based on the chromogenic assay.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Male patients
-
Age from 0 years
-
With the diagnosis of severe congenital haemophilia A (FVIII≤1%)
-
History of exposure days (ED) to any FVIII products fulfilling the criteria of previously treated patients:
-
Patients of 12 years or above: 100 exposures days (ED) or more
-
Patients below 12 years: 50 exposure days (ED) or more
Exclusion Criteria:
-
Inhibitors to factor VIII (≥0.6 BU) at screening as assessed by central laboratory
-
Known history of FVIII inhibitors
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Novo Nordisk Investigational Site | Beijing | Beijing | China | 100045 |
2 | Novo Nordisk Investigational Site | Chonqqing | Chongqing | China | 400014 |
3 | Novo Nordisk Investigational Site | Fuzhou | Fujian | China | 350001 |
4 | Novo Nordisk Investigational Site | Guangzhou | Guangdong | China | 510515 |
5 | Novo Nordisk Investigational Site | Guiyang | Guizhou | China | 550004 |
6 | Novo Nordisk Investigational Site | Wuhan | Hubei | China | 430030 |
7 | Novo Nordisk Investigational Site | Xining | Qinghai | China | 810007 |
8 | Novo Nordisk Investigational Site | Shanghai | Shanghai | China | 200025 |
9 | Novo Nordisk Investigational Site | Tianjing | Tianjin | China | 300020 |
10 | Novo Nordisk Investigational Site | Kunming | Yunnan | China | 650032 |
11 | Novo Nordisk Investigational Site | Hangzhou | Zhejiang | China | 310003 |
Sponsors and Collaborators
- Novo Nordisk A/S
Investigators
None specified.Study Documents (Full-Text)
More Information
Publications
None provided.- NN7008-4028
- U1111-1150-0765
- CTR20160811
- 2013-004791-35
Study Results
Participant Flow
Recruitment Details | The trial was conducted at 10 sites in mainland China. |
---|---|
Pre-assignment Detail | Study design: This was an open-label and non-randomised trial. Participants with severe haemophilia A were administered a prophylaxis (preventive) or on-demand regimen of turoctocog alfa (trial product) at the investigator's discretion. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. Participants who completed 6 months of treatment (prophylaxis or on-demand) in the main phase, were to continue the same treatment for up to approximately 18 months (extension phase). Participants were allowed to switch between treatments in the 'extension phase'. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Period Title: Overall Study | ||||
STARTED | 9 | 33 | 11 | 15 |
Exposed to Prophylaxis Regimen | 9 | 31 | 11 | 12 |
Exposed to On-demand Regimen | 1 | 7 | 1 | 8 |
COMPLETED | 9 | 32 | 11 | 10 |
NOT COMPLETED | 0 | 1 | 0 | 5 |
Baseline Characteristics
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) | Total |
---|---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. Participants who completed 6 months of treatment (prophylaxis or on-demand) in the main phase, were to continue the same treatment for up to approximately 18 months (extension phase). Participants were allowed to switch between treatments in the 'extension phase'. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Total of all reporting groups |
Overall Participants | 9 | 33 | 11 | 15 | 68 |
Age (Years) [Mean (Standard Deviation) ] | |||||
Mean (Standard Deviation) [Years] |
4.00
(1.12)
|
8.70
(1.91)
|
14.55
(1.92)
|
31.00
(11.20)
|
13.94
(10.99)
|
Sex: Female, Male (Count of Participants) | |||||
Female |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Male |
9
100%
|
33
100%
|
11
100%
|
15
100%
|
68
100%
|
Ethnicity (NIH/OMB) (Count of Participants) | |||||
Hispanic or Latino |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Not Hispanic or Latino |
9
100%
|
33
100%
|
11
100%
|
15
100%
|
68
100%
|
Unknown or Not Reported |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Race (NIH/OMB) (Count of Participants) | |||||
American Indian or Alaska Native |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Asian |
9
100%
|
33
100%
|
11
100%
|
15
100%
|
68
100%
|
Native Hawaiian or Other Pacific Islander |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Black or African American |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
White |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
More than one race |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Unknown or Not Reported |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Outcome Measures
Title | Haemostatic Effect of Turoctocog Alfa (Treatment of Bleeds): 6 Months |
---|---|
Description | The haemostatic effect of turoctocog alfa when used for treatment of bleeding episodes in both prophylaxis and on-demand regimen was evaluated during month 0-6. The effect was assessed on a four-point scale for haemostatic response, excellent, good, moderate and none. |
Time Frame | Month 0-6 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants with bleeding episodes, from both prophylaxis and on-demand regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 6 | 20 | 6 | 15 |
Measure Bleeding episodes | 48 | 245 | 28 | 290 |
Excellent |
35
|
156
|
20
|
190
|
Good |
12
|
73
|
8
|
87
|
Moderate |
1
|
15
|
0
|
13
|
None |
0
|
0
|
0
|
0
|
Missing |
0
|
1
|
0
|
0
|
Title | Haemostatic Effect of Turoctocog Alfa (Treatment of Bleeds): 24 Months |
---|---|
Description | The haemostatic effect of turoctocog alfa when used for treatment of bleeding episodes in both prophylaxis and on-demand regimen was evaluated during month 0-24. The effect was assessed on a four-point scale for haemostatic response, excellent, good, moderate and none. |
Time Frame | Month 0-24 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants with bleeding episodes, from both prophylaxis and on-demand regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 7 | 24 | 8 | 15 |
Measure Bleeding episodes | 65 | 405 | 53 | 402 |
Excellent |
45
|
275
|
42
|
272
|
Good |
18
|
103
|
11
|
116
|
Moderate |
2
|
26
|
0
|
14
|
None |
0
|
0
|
0
|
0
|
Missing |
0
|
1
|
0
|
0
|
Title | Incidence Rate of Inhibitory Antibodies Against FVIII (≥0.6 BU): 6 Months |
---|---|
Description | This endpoint presented 'percentage of participants with inhibitory antibodies against FVIII (≥0.6 BU)' in both prophylaxis and on-demand regimen, evaluated during month 0-6. |
Time Frame | Month 0-6 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants, from both prophylaxis and on-demand regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 9 | 33 | 11 | 15 |
Number [Percentage of participants] |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Title | Incidence Rate of Inhibitory Antibodies Against FVIII (≥0.6 BU): 24 Months |
---|---|
Description | This endpoint presented 'percentage of participants with inhibitory antibodies against FVIII (≥0.6 BU)' in both prophylaxis and on-demand regimen, evaluated during month 0-24. |
Time Frame | Month 0-24 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants, from both prophylaxis and on-demand regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. Participants who completed 6 months of treatment (prophylaxis or on-demand) in the main phase, were to continue the same treatment for up to approximately 18 months (extension phase). Participants were allowed to switch between treatments in the 'extension phase'. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 9 | 33 | 11 | 15 |
Number [Percentage of participants] |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Title | Number of Bleeds (Total Bleeds Assessed as Annual Bleeding Rate) Per Participant: 6 Months |
---|---|
Description | Number of bleeds (total bleeds assessed as annual bleeding rate) per participant in the prophylaxis regimen was evaluated during month 0-6. The annualised bleeding rate was analysed by a negative binomial model. |
Time Frame | Month 0-6 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants from the prophylaxis regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 8 | 26 | 10 | 7 |
Number (95% Confidence Interval) [Bleeding episodes/year] |
4.36
|
4.11
|
2.34
|
10.67
|
Title | Number of Bleeds (Total Bleeds Assessed as Annual Bleeding Rate) Per Participant: 24 Months |
---|---|
Description | Number of bleeds (total bleeds assessed as annual bleeding rate) per participant in the prophylaxis regimen was evaluated during month 0-24. The annualised bleeding rate was analysed by a negative binomial model. |
Time Frame | Month 0-24 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants from the prophylaxis regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. Participants who completed 6 months of treatment (prophylaxis or on-demand) in the main phase, were to continue the same treatment for up to approximately 18 months (extension phase). Participants were allowed to switch between treatments in the 'extension phase'. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 9 | 31 | 11 | 12 |
Number (95% Confidence Interval) [Bleeding episodes/year] |
2.28
|
2.63
|
1.97
|
4.97
|
Title | Consumption of Turoctocog Alfa for Bleeding Treatment: Average Dose to Treat a Bleed (6 Months) |
---|---|
Description | Average dose of turoctocog alfa used to treat a bleed in both prophylaxis and on-demand regimen was evaluated during month 0-6. |
Time Frame | Month 0-6 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants with bleeding episodes, from both prophylaxis and on-demand regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 6 | 20 | 6 | 15 |
Measure doses | 69 | 361 | 60 | 400 |
Mean (Standard Deviation) [IU/kg BW] |
42.96
(5.35)
|
36.69
(14.04)
|
46.79
(5.31)
|
20.29
(6.48)
|
Title | Consumption of Turoctocog Alfa for Bleeding Treatment: Average Dose to Treat a Bleed (24 Months) |
---|---|
Description | Average dose of turoctocog alfa used to treat a bleed in both prophylaxis and on-demand regimen was evaluated during month 0-24. |
Time Frame | Month 0-24 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants with bleeding episodes, from both prophylaxis and on-demand regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. Participants who completed 6 months of treatment (prophylaxis or on-demand) in the main phase, were to continue the same treatment for up to approximately 18 months (extension phase). Participants were allowed to switch between treatments in the 'extension phase'. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 7 | 24 | 8 | 15 |
Measure doses | 94 | 624 | 95 | 565 |
Mean (Standard Deviation) [IU/kg BW] |
43.99
(6.95)
|
36.00
(12.32)
|
43.58
(6.93)
|
21.07
(7.49)
|
Title | Consumption of Turoctocog Alfa for Bleeding Treatment: Number of Injections Per Bleed (6 Months) |
---|---|
Description | Number of turoctocog alfa injections consumed to treat a bleeding episode in both prophylaxis and on-demand regimen was evaluated during month 0-6. |
Time Frame | Month 0-6 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants with bleeding episodes, from both prophylaxis and on-demand regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 6 | 20 | 6 | 15 |
Measure bleeding episodes | 48 | 245 | 28 | 290 |
Mean (Standard Deviation) [Injections] |
1.31
(0.59)
|
1.22
(0.61)
|
1.07
(0.26)
|
1.29
(0.89)
|
Title | Consumption of Turoctocog Alfa for Bleeding Treatment: Number of Injections Per Bleed (24 Months) |
---|---|
Description | Number of turoctocog alfa injections consumed to treat a bleeding episode in both prophylaxis and on-demand regimen was evaluated during month 0-24. |
Time Frame | Month 0-24 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants with bleeding episodes, from both prophylaxis and on-demand regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. Participants who completed 6 months of treatment (prophylaxis or on-demand) in the main phase, were to continue the same treatment for up to approximately 18 months (extension phase). Participants were allowed to switch between treatments in the 'extension phase'. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 7 | 24 | 8 | 15 |
Measure bleeding episodes | 65 | 405 | 53 | 402 |
Mean (Standard Deviation) [Injections] |
1.34
(0.62)
|
1.30
(0.88)
|
1.09
(0.30)
|
1.33
(1.21)
|
Title | Consumption of Turoctocog Alfa for Bleeding Treatment: IU/kg Per Bleed (6 Months) |
---|---|
Description | Consumption of turoctocog alfa IU/kg BW per bleed in both prophylaxis and on-demand regimen was evaluated during month 0-6. |
Time Frame | Month 0-6 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants with bleeding episodes, from both prophylaxis and on-demand regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 6 | 20 | 6 | 15 |
Measure bleeding episodes | 48 | 245 | 28 | 290 |
Mean (Standard Deviation) [IU/kg BW] |
56.60
(25.32)
|
42.37
(26.54)
|
48.82
(15.05)
|
26.20
(17.55)
|
Title | Consumption of Turoctocog Alfa for Bleeding Treatment: IU/kg Per Bleed (24 Months) |
---|---|
Description | Consumption of turoctocog alfa IU/kg BW per bleed in both prophylaxis and on-demand regimen was evaluated during month 0-24. |
Time Frame | Month 0-24 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants with bleeding episodes, from both prophylaxis and on-demand regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. Participants who completed 6 months of treatment (prophylaxis or on-demand) in the main phase, were to continue the same treatment for up to approximately 18 months (extension phase). Participants were allowed to switch between treatments in the 'extension phase'. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 7 | 24 | 8 | 15 |
Measure bleeding episodes | 65 | 405 | 53 | 402 |
Mean (Standard Deviation) [IU/kg BW] |
59.01
(28.61)
|
44.75
(34.15)
|
45.07
(15.33)
|
27.44
(22.52)
|
Title | Consumption of Turoctocog Alfa During Preventive Treatment Per Participant: Average Preventive Dose (6 Months) |
---|---|
Description | Average preventive dose of turoctocog alfa consumed per participant in the prophylaxis regimen was evaluated during month 0-6. |
Time Frame | Month 0-6 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants from the prophylaxis regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 8 | 26 | 10 | 7 |
Measure doses | 530 | 1689 | 661 | 484 |
Mean (Standard Deviation) [IU/kg BW] |
47.05
(9.21)
|
39.46
(7.12)
|
35.40
(7.41)
|
37.28
(5.22)
|
Title | Consumption of Turoctocog Alfa During Preventive Treatment Per Participant: Average Preventive Dose (24 Months) |
---|---|
Description | Average preventive dose of turoctocog alfa consumed per participant in the prophylaxis regimen was evaluated during month 0-24. |
Time Frame | Month 0-24 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants from the prophylaxis regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. Participants who completed 6 months of treatment (prophylaxis or on-demand) in the main phase, were to continue the same treatment for up to approximately 18 months (extension phase). Participants were allowed to switch between treatments in the 'extension phase'. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 9 | 31 | 11 | 12 |
Measure doses | 2314 | 6729 | 2794 | 1999 |
Mean (Standard Deviation) [IU/kg BW] |
47.97
(8.00)
|
40.33
(7.05)
|
36.20
(7.15)
|
38.13
(7.51)
|
Title | Consumption of Turoctocog Alfa During Preventive Treatment Per Participant: IU/kg Per Month (6 Months) |
---|---|
Description | Preventive dose of turoctocog alfa (IU/kg body weight (BW) per month) per participant in the prophylaxis regimen was evaluated during month 0-6. |
Time Frame | Month 0-6 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants from the prophylaxis regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 8 | 26 | 10 | 7 |
Mean (Standard Deviation) [IU/kg BW/month/participant] |
600.3
(112.6)
|
522.5
(87.59)
|
454.5
(92.79)
|
500.7
(84.39)
|
Title | Consumption of Turoctocog Alfa During Preventive Treatment Per Participant: IU/kg Per Month (24 Months) |
---|---|
Description | Preventive dose of turoctocog alfa (IU/kg body weight (BW) per month) per participant in the prophylaxis regimen was evaluated during month 0-24. |
Time Frame | Month 0-24 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants from the prophylaxis regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. Participants who completed 6 months of treatment (prophylaxis or on-demand) in the main phase, were to continue the same treatment for up to approximately 18 months (extension phase). Participants were allowed to switch between treatments in the 'extension phase'. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 9 | 31 | 11 | 12 |
Mean (Standard Deviation) [IU/kg BW/month/participant] |
606.3
(118.5)
|
533.0
(82.90)
|
467.6
(91.40)
|
490.8
(115.7)
|
Title | Consumption of Turoctocog Alfa During Preventive Treatment Per Participant: IU/kg Per Year (6 Months) |
---|---|
Description | Preventive dose of turoctocog alfa (IU/kg body weight per year) per participant in the prophylaxis regimen was evaluated during month 0-6. |
Time Frame | Month 0-6 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants from the prophylaxis regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 8 | 26 | 10 | 7 |
Mean (Standard Deviation) [IU/kg BW/year/participant] |
7204
(1351)
|
6270
(1051)
|
5454
(1113)
|
6009
(1013)
|
Title | Consumption of Turoctocog Alfa During Preventive Treatment Per Participant: IU/kg Per Year (24 Months) |
---|---|
Description | Preventive dose of turoctocog alfa (IU/kg body weight (BW) per year) per participant in the prophylaxis regimen was evaluated during month 0-24. |
Time Frame | Month 0-24 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants from the prophylaxis regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. Participants who completed 6 months of treatment (prophylaxis or on-demand) in the main phase, were to continue the same treatment for up to approximately 18 months (extension phase). Participants were allowed to switch between treatments in the 'extension phase'. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 9 | 31 | 11 | 12 |
Mean (Standard Deviation) [IU/kg BW/year/participant] |
7276
(1422)
|
6396
(994.7)
|
5611
(1097)
|
5890
(1388)
|
Title | Total Consumption of Turoctocog Alfa Per Participant: IU/kg Per Month (6 Months) |
---|---|
Description | Total consumption of turoctocog alfa (IU/kg body weight per month) per participant in both prophylaxis and on-demand regimen was evaluated during month 0-6. |
Time Frame | Month 0-6 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants from both prophylaxis and on-demand regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 9 | 33 | 11 | 15 |
Mean (Standard Deviation) [IU/kg BW/month/participant] |
603.5
(141.2)
|
496.0
(146.7)
|
479.6
(103.9)
|
377.2
(218.9)
|
Title | Total Consumption of Turoctocog Alfa Per Participant: IU/kg Per Month (24 Months) |
---|---|
Description | Total consumption of turoctocog alfa (IU/kg body weight per month) per participant in both prophylaxis and on-demand regimen was evaluated during month 0-24. |
Time Frame | Month 0-24 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants from both prophylaxis and on-demand regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. Participants who completed 6 months of treatment (prophylaxis or on-demand) in the main phase, were to continue the same treatment for up to approximately 18 months (extension phase). Participants were allowed to switch between treatments in the 'extension phase'. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 9 | 33 | 11 | 15 |
Mean (Standard Deviation) [IU/kg BW/month/participant] |
615.3
(123.8)
|
516.7
(121.1)
|
477.0
(94.37)
|
429.1
(192.7)
|
Title | Total Consumption of Turoctocog Alfa Per Participant: IU/kg Per Year (6 Months) |
---|---|
Description | Total consumption of turoctocog alfa (IU/kg body weight per year) per participant in both prophylaxis and on-demand regimen was evaluated during month 0-6. |
Time Frame | Month 0-6 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants from both prophylaxis and on-demand regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 9 | 33 | 11 | 15 |
Mean (Standard Deviation) [IU/kg BW/year/participant] |
7242
(1695)
|
5951
(1760)
|
5756
(1247)
|
4527
(2627)
|
Title | Total Consumption of Turoctocog Alfa Per Participant: IU/kg Per Year (24 Months) |
---|---|
Description | Total consumption of turoctocog alfa (IU/kg body weight per year) per participant in both prophylaxis and on-demand regimen was evaluated during month 0-24. |
Time Frame | Month 0-24 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants from both prophylaxis and on-demand regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. Participants who completed 6 months of treatment (prophylaxis or on-demand) in the main phase, were to continue the same treatment for up to approximately 18 months (extension phase). Participants were allowed to switch between treatments in the 'extension phase'. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 9 | 33 | 11 | 15 |
Mean (Standard Deviation) [IU/kg BW/year/participant] |
7384
(1486)
|
6201
(1453)
|
5724
(1132)
|
5149
(2312)
|
Title | Frequency of Adverse Events (6 Months) |
---|---|
Description | Frequency of adverse events (AEs) are presented as rate of events, which was calculated as the number of AEs per patient years. All presented AEs are treatment emergent (TEAEs), which were defined as the events reported after trial product administration until the end of the post-treatment follow-up period. |
Time Frame | Month 0-6 |
Outcome Measure Data
Analysis Population Description |
---|
The safety analysis set included participants who received at least one dose of the trial product. "Overall Number of Participants Analyzed" = number of participants from both prophylaxis and on-demand regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 9 | 33 | 11 | 15 |
Number [Events per person-year] |
4.908
|
2.093
|
2.325
|
1.922
|
Title | Frequency of Adverse Events (24 Months) |
---|---|
Description | Frequency of adverse events (AEs) are presented as rate of events, which was calculated as the number of AEs per patient years. All presented AEs are treatment emergent (TEAEs), which were defined as the events reported after trial product administration until the end of the post-treatment follow-up period. |
Time Frame | Month 0-24 |
Outcome Measure Data
Analysis Population Description |
---|
The safety analysis set included participants who received at least one dose of the trial product. "Overall Number of Participants Analyzed" = number of participants from both prophylaxis and on-demand regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. Participants who completed 6 months of treatment (prophylaxis or on-demand) in the main phase, were to continue the same treatment for up to approximately 18 months (extension phase). Participants were allowed to switch between treatments in the 'extension phase'. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 9 | 33 | 11 | 15 |
Number [Events per person-year] |
2.941
|
1.210
|
1.074
|
1.123
|
Title | Frequency of Serious Adverse Events (6 Months) |
---|---|
Description | Frequency of serious adverse events (SAEs) are presented as rate of events, which was calculated as the number of SAEs per patient years. All presented SAEs are treatment emergent, which were defined as the events reported after trial product administration until the end of the post-treatment follow-up period. |
Time Frame | Month 0-6 |
Outcome Measure Data
Analysis Population Description |
---|
The safety analysis set included participants who received at least one dose of the trial product. "Overall Number of Participants Analyzed" = number of participants from both prophylaxis and on-demand regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 9 | 33 | 11 | 15 |
Number [Events per person-year] |
0
|
0
|
0.634
|
0
|
Title | Frequency of Serious Adverse Events (24 Months) |
---|---|
Description | Frequency of serious adverse events (SAEs) are presented as rate of events, which was calculated as the number of SAEs per patient years. All presented SAEs are treatment emergent, which were defined as the events reported after trial product administration until the end of the post-treatment follow-up period. |
Time Frame | Month 0-24 |
Outcome Measure Data
Analysis Population Description |
---|
The safety analysis set included participants who received at least one dose of the trial product. "Overall Number of Participants Analyzed" = number of participants from both prophylaxis and on-demand regimen. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. Participants who completed 6 months of treatment (prophylaxis or on-demand) in the main phase, were to continue the same treatment for up to approximately 18 months (extension phase). Participants were allowed to switch between treatments in the 'extension phase'. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 9 | 33 | 11 | 15 |
Number [Events per person-year] |
0.065
|
0
|
0.161
|
0
|
Title | Haemostatic Effect of Turoctocog Alfa (Surgery): 6 Months |
---|---|
Description | The haemostatic effect of turoctocog alfa when used for surgery was evaluated during month 0-6. The effect was assessed on a four-point scale for haemostatic response (excellent, good, moderate and none) and assessed by the investigator/surgeon on the day of surgery (day 1) and on the last day in the post-operative period the participant was at the trial/surgery site. |
Time Frame | Month 0-6 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants who underwent surgeries, from both prophylaxis and on-demand regimen. |
Arm/Group Title | Minor Surgery | Major Surgery |
---|---|---|
Arm/Group Description | Participants who underwent minor surgery (including tooth extraction) during month 0-6 (main phase), were treated with turoctocog alfa according to WFH recommendations and were to maintain FVIII activity levels at 30-60 IU/dL. Minor surgery: Any invasive operative procedure in which only skin, mucous membranes, or superficial connective tissue was manipulated. Examples of minor surgery: vascular cutdown for catheter/fistula placement, implanting pumps or central venous access device (CVAD) in subcutaneous tissue, biopsies or placement of probes, leads, or catheters requiring the entry into a body cavity only through a needle/guidewire. | Participants who underwent major surgery during month 0-6 (main phase), were treated with turoctocog alfa according to WFH recommendations and were to maintain FVIII activity levels at 80-100 IU/dL pre- and postoperatively. Major surgery: Any invasive operative procedure where any one or more of the following occurred: 1) A body cavity was entered. 2) A mesenchymal barrier (e.g. pleura, peritoneum or dura) was crossed. 3) A fascial plane was opened. 4) An organ was removed. 5) Normal anatomy was operatively altered. |
Measure Participants | 3 | 3 |
Measure surgeries | 3 | 3 |
During surgery: Excellent |
2
|
1
|
During surgery: Good |
1
|
2
|
During surgery: Moderate |
0
|
0
|
During surgery: None |
0
|
0
|
After surgery: Excellent |
3
|
2
|
After surgery: Good |
0
|
1
|
After surgery: Moderate |
0
|
0
|
After surgery: None |
0
|
0
|
Title | Haemostatic Effect of Turoctocog Alfa (Surgery): 24 Months |
---|---|
Description | The haemostatic effect of turoctocog alfa when used for surgery was evaluated during month 0-24. The effect was assessed on a four-point scale for haemostatic response (excellent, good, moderate and none) and assessed by the investigator/surgeon on the day of surgery (day 1) and on the last day in the post-operative period the participant was at the trial/surgery site. Haemostatic response of 'not applicable' indicated that turoctocog alfa was not used. |
Time Frame | Month 0-24 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants who underwent surgeries, from both prophylaxis and on-demand regimen. |
Arm/Group Title | Minor Surgery | Major Surgery |
---|---|---|
Arm/Group Description | Participants who underwent minor surgery (including tooth extraction) during month 0-6 (main phase), were treated with turoctocog alfa according to WFH recommendations and were to maintain FVIII activity levels at 30-60 IU/dL. Minor surgery: Any invasive operative procedure in which only skin, mucous membranes, or superficial connective tissue was manipulated. Examples of minor surgery: vascular cutdown for catheter/fistula placement, implanting pumps or central venous access device (CVAD) in subcutaneous tissue, biopsies or placement of probes, leads, or catheters requiring the entry into a body cavity only through a needle/guidewire. | Participants who underwent major surgery during month 0-6 (main phase), were treated with turoctocog alfa according to WFH recommendations and were to maintain FVIII activity levels at 80-100 IU/dL pre- and postoperatively. Major surgery: Any invasive operative procedure where any one or more of the following occurred: 1) A body cavity was entered. 2) A mesenchymal barrier (e.g. pleura, peritoneum or dura) was crossed. 3) A fascial plane was opened. 4) An organ was removed. 5) Normal anatomy was operatively altered. |
Measure Participants | 5 | 3 |
Measure surgeries | 6 | 4 |
During surgery: Excellent |
3
|
1
|
During surgery: Good |
1
|
3
|
During surgery: Moderate |
0
|
0
|
During surgery: None |
0
|
0
|
During surgery: Not applicable |
2
|
0
|
After surgery: Excellent |
5
|
2
|
After surgery: Good |
0
|
2
|
After surgery: Moderate |
0
|
0
|
After surgery: None |
0
|
0
|
After surgery: Not applicable |
1
|
0
|
Title | Loss of Blood (Surgery): 6 Months |
---|---|
Description | Loss of blood was evaluated during month 0-6: on the day of surgery (day 1) and during the post-operative period days 2-7 or until the last day the participant was at the trial/surgery site whatever comes first. |
Time Frame | Month 0-6 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants who underwent surgeries, from both prophylaxis and on-demand regimen. "Overall Number of Units Analyzed" = number of surgeries where blood loss happened. |
Arm/Group Title | Minor Surgery | Major Surgery |
---|---|---|
Arm/Group Description | Participants who underwent minor surgery (including tooth extraction) during month 0-6 (main phase), were treated with turoctocog alfa according to WFH recommendations and were to maintain FVIII activity levels at 30-60 IU/dL. Minor surgery: Any invasive operative procedure in which only skin, mucous membranes, or superficial connective tissue was manipulated. Examples of minor surgery: vascular cutdown for catheter/fistula placement, implanting pumps or central venous access device (CVAD) in subcutaneous tissue, biopsies or placement of probes, leads, or catheters requiring the entry into a body cavity only through a needle/guidewire. | Participants who underwent major surgery during month 0-6 (main phase), were treated with turoctocog alfa according to WFH recommendations and were to maintain FVIII activity levels at 80-100 IU/dL pre- and postoperatively. Major surgery: Any invasive operative procedure where any one or more of the following occurred: 1) A body cavity was entered. 2) A mesenchymal barrier (e.g. pleura, peritoneum or dura) was crossed. 3) A fascial plane was opened. 4) An organ was removed. 5) Normal anatomy was operatively altered. |
Measure Participants | 3 | 3 |
Measure surgeries with blood loss | 2 | 3 |
Mean (Standard Deviation) [mL] |
2.0
(1.4)
|
106.7
(90.2)
|
Title | Loss of Blood (Surgery): 24 Months |
---|---|
Description | Loss of blood was evaluated during month 0-24: on the day of surgery (day 1) and during the post-operative period days 2-7 or until the last day the participant was at the trial/surgery site whatever comes first. |
Time Frame | Month 0-24 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants who underwent surgeries, from both prophylaxis and on-demand regimen. "Overall Number of Units Analyzed" = number of surgeries where blood loss happened. |
Arm/Group Title | Minor Surgery | Major Surgery |
---|---|---|
Arm/Group Description | Participants who underwent minor surgery (including tooth extraction) during month 0-6 (main phase), were treated with turoctocog alfa according to WFH recommendations and were to maintain FVIII activity levels at 30-60 IU/dL. Minor surgery: Any invasive operative procedure in which only skin, mucous membranes, or superficial connective tissue was manipulated. Examples of minor surgery: vascular cutdown for catheter/fistula placement, implanting pumps or central venous access device (CVAD) in subcutaneous tissue, biopsies or placement of probes, leads, or catheters requiring the entry into a body cavity only through a needle/guidewire. | Participants who underwent major surgery during month 0-6 (main phase), were treated with turoctocog alfa according to WFH recommendations and were to maintain FVIII activity levels at 80-100 IU/dL pre- and postoperatively. Major surgery: Any invasive operative procedure where any one or more of the following occurred: 1) A body cavity was entered. 2) A mesenchymal barrier (e.g. pleura, peritoneum or dura) was crossed. 3) A fascial plane was opened. 4) An organ was removed. 5) Normal anatomy was operatively altered. |
Measure Participants | 5 | 3 |
Measure surgeries with blood loss | 2 | 4 |
Mean (Standard Deviation) [mL] |
2.0
(1.4)
|
81.3
(89.5)
|
Title | Requirements for Transfusion (Surgery): 6 Months |
---|---|
Description | Surgeries required transfusion was evaluated during month 0-6: on the day of surgery (day 1) and during the post-operative period days 2-7 or until the last day the participant was at the trial/surgery site whatever comes first. |
Time Frame | Month 0-6 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants who underwent surgeries, from both prophylaxis and on-demand regimen. |
Arm/Group Title | Minor Surgery | Major Surgery |
---|---|---|
Arm/Group Description | Participants who underwent minor surgery (including tooth extraction) during month 0-6 (main phase), were treated with turoctocog alfa according to WFH recommendations and were to maintain FVIII activity levels at 30-60 IU/dL. Minor surgery: Any invasive operative procedure in which only skin, mucous membranes, or superficial connective tissue was manipulated. Examples of minor surgery: vascular cutdown for catheter/fistula placement, implanting pumps or central venous access device (CVAD) in subcutaneous tissue, biopsies or placement of probes, leads, or catheters requiring the entry into a body cavity only through a needle/guidewire. | Participants who underwent major surgery during month 0-6 (main phase), were treated with turoctocog alfa according to WFH recommendations and were to maintain FVIII activity levels at 80-100 IU/dL pre- and postoperatively. Major surgery: Any invasive operative procedure where any one or more of the following occurred: 1) A body cavity was entered. 2) A mesenchymal barrier (e.g. pleura, peritoneum or dura) was crossed. 3) A fascial plane was opened. 4) An organ was removed. 5) Normal anatomy was operatively altered. |
Measure Participants | 3 | 3 |
Measure surgeries | 3 | 3 |
Number [Surgeries] |
0
|
0
|
Title | Requirements for Transfusion (Surgery): 24 Months |
---|---|
Description | Surgeries required transfusion was evaluated during month 0-24: on the day of surgery (day 1) and during the post-operative period days 2-7 or until the last day the participant was at the trial/surgery site whatever comes first. |
Time Frame | Month 0-24 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants who underwent surgeries, from both prophylaxis and on-demand regimen. |
Arm/Group Title | Minor Surgery | Major Surgery |
---|---|---|
Arm/Group Description | Participants who underwent minor surgery (including tooth extraction) during month 0-6 (main phase), were treated with turoctocog alfa according to WFH recommendations and were to maintain FVIII activity levels at 30-60 IU/dL. Minor surgery: Any invasive operative procedure in which only skin, mucous membranes, or superficial connective tissue was manipulated. Examples of minor surgery: vascular cutdown for catheter/fistula placement, implanting pumps or central venous access device (CVAD) in subcutaneous tissue, biopsies or placement of probes, leads, or catheters requiring the entry into a body cavity only through a needle/guidewire. | Participants who underwent major surgery during month 0-6 (main phase), were treated with turoctocog alfa according to WFH recommendations and were to maintain FVIII activity levels at 80-100 IU/dL pre- and postoperatively. Major surgery: Any invasive operative procedure where any one or more of the following occurred: 1) A body cavity was entered. 2) A mesenchymal barrier (e.g. pleura, peritoneum or dura) was crossed. 3) A fascial plane was opened. 4) An organ was removed. 5) Normal anatomy was operatively altered. |
Measure Participants | 5 | 3 |
Measure surgeries | 6 | 4 |
Number [Surgeries] |
0
|
0
|
Title | Adverse Events (Surgery): 6 Months |
---|---|
Description | TEAEs during surgery were recorded during month 0-6: on the day of surgery (day 1) and during the post-operative period days 2-7 or until the last day the participant was at the trial/surgery site whatever comes first. TEAEs were defined as the events reported after trial product administration until the end of the post-treatment follow-up period. |
Time Frame | Month 0-6 |
Outcome Measure Data
Analysis Population Description |
---|
The safety analysis set included participants who received at least one dose of the trial product. "Overall Number of Participants Analyzed" = number of participants who underwent surgeries, from both prophylaxis and on-demand regimen. |
Arm/Group Title | Minor Surgery | Major Surgery |
---|---|---|
Arm/Group Description | Participants who underwent minor surgery (including tooth extraction) during month 0-6 (main phase), were treated with turoctocog alfa according to WFH recommendations and were to maintain FVIII activity levels at 30-60 IU/dL. Minor surgery: Any invasive operative procedure in which only skin, mucous membranes, or superficial connective tissue was manipulated. Examples of minor surgery: vascular cutdown for catheter/fistula placement, implanting pumps or central venous access device (CVAD) in subcutaneous tissue, biopsies or placement of probes, leads, or catheters requiring the entry into a body cavity only through a needle/guidewire. | Participants who underwent major surgery during month 0-6 (main phase), were treated with turoctocog alfa according to WFH recommendations and were to maintain FVIII activity levels at 80-100 IU/dL pre- and postoperatively. Major surgery: Any invasive operative procedure where any one or more of the following occurred: 1) A body cavity was entered. 2) A mesenchymal barrier (e.g. pleura, peritoneum or dura) was crossed. 3) A fascial plane was opened. 4) An organ was removed. 5) Normal anatomy was operatively altered. |
Measure Participants | 3 | 3 |
Number [Events] |
1
|
1
|
Title | Adverse Events (Surgery): 24 Months |
---|---|
Description | TEAEs during surgery were recorded during month 0-24: on the day of surgery (day 1) and during the post-operative period days 2-7 or until the last day the participant was at the trial/surgery site whatever comes first. TEAEs were defined as the events reported after trial product administration until the end of the post-treatment follow-up period. |
Time Frame | Month 0-24 |
Outcome Measure Data
Analysis Population Description |
---|
The safety analysis set included participants who received at least one dose of the trial product. "Overall Number of Participants Analyzed" = number of participants who underwent surgeries, from both prophylaxis and on-demand regimen. |
Arm/Group Title | Minor Surgery | Major Surgery |
---|---|---|
Arm/Group Description | Participants who underwent minor surgery (including tooth extraction) during month 0-6 (main phase), were treated with turoctocog alfa according to WFH recommendations and were to maintain FVIII activity levels at 30-60 IU/dL. Minor surgery: Any invasive operative procedure in which only skin, mucous membranes, or superficial connective tissue was manipulated. Examples of minor surgery: vascular cutdown for catheter/fistula placement, implanting pumps or central venous access device (CVAD) in subcutaneous tissue, biopsies or placement of probes, leads, or catheters requiring the entry into a body cavity only through a needle/guidewire. | Participants who underwent major surgery during month 0-6 (main phase), were treated with turoctocog alfa according to WFH recommendations and were to maintain FVIII activity levels at 80-100 IU/dL pre- and postoperatively. Major surgery: Any invasive operative procedure where any one or more of the following occurred: 1) A body cavity was entered. 2) A mesenchymal barrier (e.g. pleura, peritoneum or dura) was crossed. 3) A fascial plane was opened. 4) An organ was removed. 5) Normal anatomy was operatively altered. |
Measure Participants | 5 | 3 |
Number [Events] |
4
|
1
|
Title | Serious Adverse Events (Surgery): 6 Months |
---|---|
Description | Treatment emergent serious adverse events occurred during surgery were recorded from month 0 to month 6: on the day of surgery (day 1) and during the post-operative period days 2-7 or until the last day the participant is at the trial/surgery site whatever comes first. Treatment emergent events were defined as the events reported after trial product administration until the end of the post-treatment follow-up period. |
Time Frame | Month 0-6 |
Outcome Measure Data
Analysis Population Description |
---|
The safety analysis set included participants who received at least one dose of the trial product. "Overall Number of Participants Analyzed" = number of participants who underwent surgeries, from both prophylaxis and on-demand regimen. |
Arm/Group Title | Minor Surgery | Major Surgery |
---|---|---|
Arm/Group Description | Participants who underwent minor surgery (including tooth extraction) during month 0-6 (main phase), were treated with turoctocog alfa according to WFH recommendations and were to maintain FVIII activity levels at 30-60 IU/dL. Minor surgery: Any invasive operative procedure in which only skin, mucous membranes, or superficial connective tissue was manipulated. Examples of minor surgery: vascular cutdown for catheter/fistula placement, implanting pumps or central venous access device (CVAD) in subcutaneous tissue, biopsies or placement of probes, leads, or catheters requiring the entry into a body cavity only through a needle/guidewire. | Participants who underwent major surgery during month 0-6 (main phase), were treated with turoctocog alfa according to WFH recommendations and were to maintain FVIII activity levels at 80-100 IU/dL pre- and postoperatively. Major surgery: Any invasive operative procedure where any one or more of the following occurred: 1) A body cavity was entered. 2) A mesenchymal barrier (e.g. pleura, peritoneum or dura) was crossed. 3) A fascial plane was opened. 4) An organ was removed. 5) Normal anatomy was operatively altered. |
Measure Participants | 3 | 3 |
Number [Events] |
0
|
0
|
Title | Serious Adverse Events (Surgery): 24 Months |
---|---|
Description | Treatment emergent serious adverse events occurred during surgery were recorded from month 0 to month 24: on the day of surgery (day 1) and during the post-operative period days 2-7 or until the last day the participant is at the trial/surgery site whatever comes first. Treatment emergent events were defined as the events reported after trial product administration until the end of the post-treatment follow-up period. |
Time Frame | Month 0-24 |
Outcome Measure Data
Analysis Population Description |
---|
The safety analysis set included participants who received at least one dose of the trial product. "Overall Number of Participants Analyzed" = number of participants who underwent surgeries, from both prophylaxis and on-demand regimen. |
Arm/Group Title | Minor Surgery | Major Surgery |
---|---|---|
Arm/Group Description | Participants who underwent minor surgery (including tooth extraction) during month 0-6 (main phase), were treated with turoctocog alfa according to WFH recommendations and were to maintain FVIII activity levels at 30-60 IU/dL. Minor surgery: Any invasive operative procedure in which only skin, mucous membranes, or superficial connective tissue was manipulated. Examples of minor surgery: vascular cutdown for catheter/fistula placement, implanting pumps or central venous access device (CVAD) in subcutaneous tissue, biopsies or placement of probes, leads, or catheters requiring the entry into a body cavity only through a needle/guidewire. | Participants who underwent major surgery during month 0-6 (main phase), were treated with turoctocog alfa according to WFH recommendations and were to maintain FVIII activity levels at 80-100 IU/dL pre- and postoperatively. Major surgery: Any invasive operative procedure where any one or more of the following occurred: 1) A body cavity was entered. 2) A mesenchymal barrier (e.g. pleura, peritoneum or dura) was crossed. 3) A fascial plane was opened. 4) An organ was removed. 5) Normal anatomy was operatively altered. |
Measure Participants | 5 | 3 |
Number [Events] |
0
|
0
|
Title | Change in Total Scores for Reported Health-related Quality of Life (for Participants): Month 6 |
---|---|
Description | Reported results are baseline (month 0) and change from baseline (at month 6) of end of disease and age specific HRQOL. HRQOL was collected through use of the patient reported outcome (PRO) instruments, HAEMO-QOL (for children (8-12 years)/adolescents (13-16 years)) and HAEM-A-QOL (for adults (>=17 years)). HAEMO-QOL assessment included questions on physical health, feeling, view of yourself, family, friends, perceived support, other persons, sports and school, dealing with haemophilia, treatment, future, and relationships. HAEM-A-QOL assessment included questions on physical health, feeling, view of yourself, sports and leisure, work and school, dealing with haemophilia, treatment, future, family planning, and partnership and sexuality. Scores range for each question was 0-100, with a lower score indicating better quality of life related to haemophilia. Observed mean of the means of all the questions for HAEMO-QOL and HAEM-A-QOL, respectively are presented. |
Time Frame | Month 0, Month 6 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants from both prophylaxis and on-demand regimen. "Number Analyzed" = number of participants with available data. |
Arm/Group Title | Older Children (8 to 12 Years) | Adolescents (12 to <18 Years) | Adults (17 and Older) |
---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg (for <12 years participants) and 25 IU/kg (for 12 years participants). Prophylaxis doses ranged from 25-50 IU/kg (for <12 years participants) and 20-40 IU/kg (for 12 years participants) with every-second-day treatment, or 25-60 IU/kg (for <12 years participants) and 20-50 IU/kg (for 12 years participants) with 3-times-weekly treatment. Bleeds and surgeries were treated in the same way as for the other two treatment groups (adolescents (13 to 16 years) and adults (17 and older)). | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 22 | 6 | 18 |
Baseline |
41.3
(16.4)
|
42.2
(12.8)
|
47.2
(13.8)
|
Change from baseline |
-6.8
(14.5)
|
-3.5
(3.6)
|
-3.4
(12.8)
|
Title | Change in Total Scores for Reported Health-related Quality of Life (for Participants): Month 24 |
---|---|
Description | Reported results are baseline (month 0) and change from baseline (at month 24) of end of disease and age specific HRQOL. HRQOL was collected through use of the patient reported outcome (PRO) instruments, HAEM-A-QOL (for adults (>=17 years)) and HAEMO-QOL (for children (8-12 years)/adolescents (13-16 years)). HAEM-A-QOL assessment included questions on physical health, feeling, view of yourself, sports and leisure, work and school, dealing with haemophilia, treatment, future, family planning, and partnership and sexuality. HAEMO-QOL assessment included questions on physical health, feeling, view of yourself, family, friends, perceived support, other persons, sports and school, dealing with haemophilia, treatment, future, and relationships. Scores range for each question was 0-100, with a lower score indicating better quality of life related to haemophilia. Observed mean of the means of all the questions for HAEM-A-QOL and HAEMO-QOL, respectively are presented. |
Time Frame | Month 0, Month 24 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants from both prophylaxis and on-demand regimen. "Number Analyzed" = number of participants with available data. |
Arm/Group Title | Older Children (8 to 12 Years) | Adolescents (13 to 16 Years) | Adults (17 and Older) |
---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. Participants who completed 6 months of treatment (prophylaxis or on-demand) in the main phase, were to continue the same treatment for up to approximately 18 months (extension phase). Participants were allowed to switch between treatments in the 'extension phase'. The recommended prophylaxis starting dose was 30 IU/kg (for <12 years participants) and 25 IU/kg (for 12 years participants). Prophylaxis doses ranged from 25-50 IU/kg (for <12 years participants) and 20-40 IU/kg (for 12 years participants) with every-second-day treatment, or 25-60 IU/kg (for <12 years participants) and 20-50 IU/kg (for 12 years participants) with 3-times-weekly treatment. Bleeds and surgeries were treated in the same way as for the other two treatment groups (adolescents (13 to 16 years) and adults (17 and older)). | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. Participants who completed 6 months of treatment (prophylaxis or on-demand) in the main phase, were to continue the same treatment for up to approximately 18 months (extension phase). Participants were allowed to switch between treatments in the 'extension phase'. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. Participants who completed 6 months of treatment (prophylaxis or on-demand) in the main phase, were to continue the same treatment for up to approximately 18 months (extension phase). Participants were allowed to switch between treatments in the 'extension phase'. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 22 | 6 | 18 |
Baseline |
41.3
(16.4)
|
42.2
(12.8)
|
47.2
(13.8)
|
Change from baseline |
-10.1
(15.0)
|
-4.9
(8.8)
|
-6.3
(9.7)
|
Title | Change in Total Scores for Reported Health-related Quality of Life (for Parents): Month 6 |
---|---|
Description | Reported results are baseline (month 0) and change from baseline (at month 6) of end of disease and age specific health related quality of life (HRQOL). HRQOL was collected through use of the PRO instrument, HAEMO-QOL (for parents of the children (4-7 years and 8-12 years)/adolescents (13-16 years)). HAEMO-QOL assessment included questions on physical health, feeling, view of himself, family, friends, perceived support, other persons, nursery School or Kindergarten, sports and school, dealing with haemophilia, treatment, future, and relationships. Scores range for each question was 0-100, with a lower score indicating better quality of life related to haemophilia. Observed mean of the means of all the questions for HAEMO-QOL are presented. |
Time Frame | Month 0, Month 6 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants from both prophylaxis and on-demand regimen. "Number Analyzed" = number of participants with available data. |
Arm/Group Title | Small Children (4 to 7 Years) | Older Children (8 to 12 Years) | Adolescents (12 to <18 Years) |
---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg (for <12 years participants) and 25 IU/kg (for 12 years participants). Prophylaxis doses ranged from 25-50 IU/kg (for <12 years participants) and 20-40 IU/kg (for 12 years participants) with every-second-day treatment, or 25-60 IU/kg (for <12 years participants) and 20-50 IU/kg (for 12 years participants) with 3-times-weekly treatment. Bleeds and surgeries were treated in the same way as for the other two treatment groups (small children (4 to 7 years) and adolescents (13 to 16 years)). | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 19 | 22 | 6 |
Baseline |
45.7
(15.2)
|
48.3
(14.1)
|
40.8
(11.7)
|
Change from baseline |
-6.2
(7.7)
|
-9.9
(8.7)
|
-1.5
(7.2)
|
Title | Change in Total Scores for Reported Health-related Quality of Life (for Parents): Month 24 |
---|---|
Description | Reported results are baseline (month 0) and change from baseline (at month 24) of end of disease and age specific health related quality of life (HRQOL). HRQOL was collected through use of the PRO instrument, HAEMO-QOL (for parents of the children (4-7 years and 8-12 years)/adolescents (13-16 years)). HAEMO-QOL assessment included questions on physical health, feeling, view of himself, family, friends, perceived support, other persons, nursery School or Kindergarten, sports and school, dealing with haemophilia, treatment, future, and relationships. Scores range for each question was 0-100, with a lower score indicating better quality of life related to haemophilia. Observed mean of the means of all the questions for HAEMO-QOL are presented. |
Time Frame | Month 0, Month 24 |
Outcome Measure Data
Analysis Population Description |
---|
The full analysis set included all dosed participants with data after dosing. "Overall Number of Participants Analyzed" = number of participants from both prophylaxis and on-demand regimen. "Number Analyzed" = number of participants with available data. |
Arm/Group Title | Small Children (4 to 7 Years) | Older Children (8 to 12 Years) | Adolescents (13 to 16 Years) |
---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. Participants who completed 6 months of treatment (prophylaxis or on-demand) in the main phase, were to continue the same treatment for up to approximately 18 months (extension phase). Participants were allowed to switch between treatments in the 'extension phase'. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. Participants who completed 6 months of treatment (prophylaxis or on-demand) in the main phase, were to continue the same treatment for up to approximately 18 months (extension phase). Participants were allowed to switch between treatments in the 'extension phase'. The recommended prophylaxis starting dose was 30 IU/kg (for <12 years participants) and 25 IU/kg (for 12 years participants). Prophylaxis doses ranged from 25-50 IU/kg (for <12 years participants) and 20-40 IU/kg (for 12 years participants) with every-second-day treatment, or 25-60 IU/kg (for <12 years participants) and 20-50 IU/kg (for 12 years participants) with 3-times-weekly treatment. Bleeds and surgeries were treated in the same way as for the other two treatment groups (small children (4 to 7 years) and adolescents (13 to 16 years)). | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. Participants who completed 6 months of treatment (prophylaxis or on-demand) in the main phase, were to continue the same treatment for up to approximately 18 months (extension phase). Participants were allowed to switch between treatments in the 'extension phase'. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 19 | 22 | 6 |
Baseline |
45.7
(15.2)
|
48.3
(14.1)
|
40.8
(11.7)
|
Change from baseline |
-6.7
(11.5)
|
-11.3
(10.7)
|
-3.1
(3.9)
|
Title | Incremental Recovery of FVIII |
---|---|
Description | Blood samples for the evaluation of incremental recovery of FVIII were taken during a period of 48 hours post-dosing for participants 12 years and older and 24 hours post-dosing for participants below the age of 12 years. The incremental recovery was calculated as (FVIII: coagulant (C) activity measured in plasma 30 minutes after dosing - FVIII:C activity measured in plasma immediately before dosing)/(dose injected at time 0 minute), where the dose was expressed as IU FVIII product per kg body weight. The results are based on the chromogenic assay. |
Time Frame | Days 1-2 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set excluding outliers. The full analysis set included all dosed participants with data after dosing. Exceptional outlier pharmacokinetic (PK) profiles and/or individual plasma concentrations were excluded from the analysis. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 4 | 6 | 3 | 4 |
Mean (Standard Deviation) [(IU/mL)/(IU/kg BW)] |
0.022
(0.003)
|
0.026
(0.005)
|
0.014
(0.007)
|
0.026
(0.004)
|
Title | Area Under the Curve (AUC0-inf) |
---|---|
Description | Blood samples for the evaluation of AUC0-inf were taken during a period of 48 hours post-dosing for participants 12 years and older and 24 hours post-dosing for participants below the age of 12 years. AUC0-inf was defined as the area under the concentration versus time from time curve zero to infinity. The results are based on the chromogenic assay. |
Time Frame | Days 1-2 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set excluding outliers. The full analysis set included all dosed participants with data after dosing. Exceptional outlier PK profiles and/or individual plasma concentrations were excluded from the analysis. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 3 | 6 | 3 | 4 |
Mean (Standard Deviation) [IU*h/mL] |
16.4
(3.5)
|
17.7
(7.3)
|
11.2
(4.7)
|
16.9
(1.5)
|
Title | Half-life (t½) |
---|---|
Description | Blood samples for the evaluation of t½ were taken during a period of 48 hours post-dosing for participants 12 years and older and 24 hours post-dosing for participants below the age of 12 years. The results are based on the chromogenic assay. |
Time Frame | Days 1-2 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set excluding outliers. The full analysis set included all dosed participants with data after dosing. Exceptional outlier PK profiles and/or individual plasma concentrations were excluded from the analysis. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 3 | 6 | 3 | 4 |
Mean (Standard Deviation) [Hour (h)] |
8.5
(1.4)
|
8.3
(3.1)
|
11.6
(0.6)
|
8.4
(1.9)
|
Title | Clearance (CL) |
---|---|
Description | Blood samples for the evaluation of CL were taken during a period of 48 hours post-dosing for participants 12 years and older and 24 hours post-dosing for participants below the age of 12 years. The results are based on the chromogenic assay. |
Time Frame | Days 1-2 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set excluding outliers. The full analysis set included all dosed participants with data after dosing. Exceptional outlier PK profiles and/or individual plasma concentrations were excluded from the analysis. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 3 | 6 | 3 | 4 |
Mean (Standard Deviation) [mL/h/kg] |
3.7
(0.9)
|
3.5
(1.2)
|
5.5
(2.2)
|
3.5
(0.3)
|
Title | Highest Measured FVIII Activity in the Profile (Cmax) |
---|---|
Description | Blood samples for the evaluation of Cmax were taken during a period of 48 hours post-dosing for participants 12 years and older and 24 hours post-dosing for participants below the age of 12 years. The results are based on the chromogenic assay. |
Time Frame | Days 1-2 |
Outcome Measure Data
Analysis Population Description |
---|
Full analysis set excluding outliers. The full analysis set included all dosed participants with data after dosing. Exceptional outlier PK profiles and/or individual plasma concentrations were excluded from the analysis. |
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) |
---|---|---|---|---|
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. |
Measure Participants | 4 | 6 | 3 | 4 |
Mean (Standard Deviation) [IU/mL] |
1.2
(0.2)
|
1.4
(0.3)
|
0.9
(0.5)
|
1.6
(0.2)
|
Adverse Events
Time Frame | All presented AEs are treatment emergent (TEAEs), which was defined as the events reported after trial product administration (day 1) until the end of the post-treatment follow-up period (i.e. month 24 + 14 days). | |||||||
---|---|---|---|---|---|---|---|---|
Adverse Event Reporting Description | The safety analysis set included participants who received at least one dose of the trial product. | |||||||
Arm/Group Title | Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) | ||||
Arm/Group Description | Participants were to receive turoctocog alfa intravenous (i.v.) injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the World Federation of Haemophilia (WFH) guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their coagulation factor VIII (FVIII) activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 30 IU/kg. Prophylaxis doses ranged from 25-50 IU/kg (once every-second-day), or 25-60 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance, and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | Participants were to receive turoctocog alfa i.v. injections for at least 6 months (main phase) as either prophylaxis or on-demand treatment at investigator's discretion. Participants who completed 6 months of treatment (prophylaxis or on-demand) in the main phase, were to continue the same treatment for up to approximately 18 months (extension phase). Participants were allowed to switch between treatments in the 'extension phase'. The recommended prophylaxis starting dose was 25 IU/kg. Prophylaxis doses ranged from 20-40 IU/kg (once every-second-day), or 20-50 IU/kg (3-times-weekly). Bleeds were treated with one or more turoctocog alfa i.v. bolus injections as determined by the investigator and based on the WFH guidance. Participants who underwent surgery were treated with turoctocog alfa according to WFH guidance and their FVIII activity levels were to be maintained as per the following guidance: Minor surgery: 30-60 IU/dL. Major surgery: 80-100 IU/dL pre- and postoperatively. | ||||
All Cause Mortality |
||||||||
Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) | |||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 0/9 (0%) | 0/33 (0%) | 0/11 (0%) | 0/15 (0%) | ||||
Serious Adverse Events |
||||||||
Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) | |||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 1/9 (11.1%) | 0/33 (0%) | 2/11 (18.2%) | 0/15 (0%) | ||||
Infections and infestations | ||||||||
Hand-foot-and-mouth disease | 1/9 (11.1%) | 1 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Lung infection | 0/9 (0%) | 0 | 0/33 (0%) | 0 | 1/11 (9.1%) | 1 | 0/15 (0%) | 0 |
Injury, poisoning and procedural complications | ||||||||
Femur fracture | 0/9 (0%) | 0 | 0/33 (0%) | 0 | 1/11 (9.1%) | 1 | 0/15 (0%) | 0 |
Respiratory, thoracic and mediastinal disorders | ||||||||
Asthma | 0/9 (0%) | 0 | 0/33 (0%) | 0 | 1/11 (9.1%) | 1 | 0/15 (0%) | 0 |
Other (Not Including Serious) Adverse Events |
||||||||
Small Children (0 to <6 Years) | Older Children (6 to <12 Years) | Adolescents (12 to <18 Years) | Adults (>=18 Years) | |||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 8/9 (88.9%) | 18/33 (54.5%) | 7/11 (63.6%) | 10/15 (66.7%) | ||||
Eye disorders | ||||||||
Xerophthalmia | 0/9 (0%) | 0 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 1/15 (6.7%) | 1 |
Gastrointestinal disorders | ||||||||
Abdominal pain upper | 0/9 (0%) | 0 | 1/33 (3%) | 1 | 0/11 (0%) | 0 | 1/15 (6.7%) | 1 |
Constipation | 1/9 (11.1%) | 1 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Dental caries | 1/9 (11.1%) | 1 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Diarrhoea | 1/9 (11.1%) | 1 | 2/33 (6.1%) | 2 | 1/11 (9.1%) | 1 | 1/15 (6.7%) | 1 |
Gastritis | 1/9 (11.1%) | 1 | 1/33 (3%) | 1 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Loose tooth | 0/9 (0%) | 0 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 1/15 (6.7%) | 1 |
Tooth development disorder | 1/9 (11.1%) | 1 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Gastrointestinal disorder | 1/9 (11.1%) | 1 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Nausea | 0/9 (0%) | 0 | 0/33 (0%) | 0 | 1/11 (9.1%) | 1 | 0/15 (0%) | 0 |
Toothache | 0/9 (0%) | 0 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 1/15 (6.7%) | 1 |
Vomiting | 1/9 (11.1%) | 1 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
General disorders | ||||||||
Chest pain | 0/9 (0%) | 0 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 1/15 (6.7%) | 1 |
Puncture site reaction | 0/9 (0%) | 0 | 0/33 (0%) | 0 | 1/11 (9.1%) | 1 | 0/15 (0%) | 0 |
Pyrexia | 4/9 (44.4%) | 7 | 2/33 (6.1%) | 2 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Hepatobiliary disorders | ||||||||
Hepatic function abnormal | 0/9 (0%) | 0 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 2/15 (13.3%) | 2 |
Immune system disorders | ||||||||
Drug hypersensitivity | 0/9 (0%) | 0 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 1/15 (6.7%) | 1 |
Infections and infestations | ||||||||
Conjunctivitis | 1/9 (11.1%) | 1 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Fungal skin infection | 0/9 (0%) | 0 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 1/15 (6.7%) | 1 |
Gastroenteritis | 1/9 (11.1%) | 1 | 1/33 (3%) | 1 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Gastrointestinal fungal infection | 0/9 (0%) | 0 | 0/33 (0%) | 0 | 1/11 (9.1%) | 1 | 0/15 (0%) | 0 |
Nasopharyngitis | 1/9 (11.1%) | 1 | 6/33 (18.2%) | 7 | 2/11 (18.2%) | 2 | 1/15 (6.7%) | 1 |
Oral herpes | 1/9 (11.1%) | 1 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Otitis externa | 0/9 (0%) | 0 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 1/15 (6.7%) | 1 |
Pharyngitis | 1/9 (11.1%) | 1 | 1/33 (3%) | 1 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Pneumonia | 1/9 (11.1%) | 1 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Respiratory tract infection | 0/9 (0%) | 0 | 2/33 (6.1%) | 3 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Tonsillitis | 1/9 (11.1%) | 2 | 2/33 (6.1%) | 6 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Upper respiratory tract infection | 7/9 (77.8%) | 12 | 7/33 (21.2%) | 9 | 2/11 (18.2%) | 3 | 3/15 (20%) | 3 |
Viral rash | 0/9 (0%) | 0 | 0/33 (0%) | 0 | 1/11 (9.1%) | 1 | 0/15 (0%) | 0 |
Bronchitis | 1/9 (11.1%) | 1 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Gastrointestinal infection | 1/9 (11.1%) | 1 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Laryngitis | 0/9 (0%) | 0 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 1/15 (6.7%) | 1 |
Mumps | 1/9 (11.1%) | 1 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Rhinitis | 0/9 (0%) | 0 | 2/33 (6.1%) | 3 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Tinea manuum | 1/9 (11.1%) | 1 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Injury, poisoning and procedural complications | ||||||||
Wound | 0/9 (0%) | 0 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 2/15 (13.3%) | 2 |
Investigations | ||||||||
Antiphospholipid antibodies positive | 0/9 (0%) | 0 | 0/33 (0%) | 0 | 1/11 (9.1%) | 1 | 0/15 (0%) | 0 |
Platelet count increased | 0/9 (0%) | 0 | 0/33 (0%) | 0 | 1/11 (9.1%) | 1 | 0/15 (0%) | 0 |
Alanine aminotransferase increased | 0/9 (0%) | 0 | 0/33 (0%) | 0 | 1/11 (9.1%) | 1 | 0/15 (0%) | 0 |
Aspartate aminotransferase increased | 0/9 (0%) | 0 | 0/33 (0%) | 0 | 1/11 (9.1%) | 1 | 0/15 (0%) | 0 |
Metabolism and nutrition disorders | ||||||||
Malnutrition | 0/9 (0%) | 0 | 1/33 (3%) | 1 | 1/11 (9.1%) | 1 | 0/15 (0%) | 0 |
Musculoskeletal and connective tissue disorders | ||||||||
Muscle spasms | 0/9 (0%) | 0 | 0/33 (0%) | 0 | 1/11 (9.1%) | 1 | 0/15 (0%) | 0 |
Nervous system disorders | ||||||||
Neuralgia | 0/9 (0%) | 0 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 1/15 (6.7%) | 1 |
Renal and urinary disorders | ||||||||
Urethral disorder | 1/9 (11.1%) | 1 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Reproductive system and breast disorders | ||||||||
Balanoposthitis | 1/9 (11.1%) | 1 | 0/33 (0%) | 0 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Respiratory, thoracic and mediastinal disorders | ||||||||
Cough | 1/9 (11.1%) | 2 | 1/33 (3%) | 1 | 1/11 (9.1%) | 1 | 0/15 (0%) | 0 |
Oropharyngeal pain | 0/9 (0%) | 0 | 2/33 (6.1%) | 2 | 0/11 (0%) | 0 | 1/15 (6.7%) | 1 |
Rhinorrhoea | 0/9 (0%) | 0 | 3/33 (9.1%) | 3 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Skin and subcutaneous tissue disorders | ||||||||
Dermatitis allergic | 1/9 (11.1%) | 1 | 1/33 (3%) | 1 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Urticaria papular | 1/9 (11.1%) | 1 | 1/33 (3%) | 1 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Urticaria | 0/9 (0%) | 0 | 2/33 (6.1%) | 2 | 0/11 (0%) | 0 | 0/15 (0%) | 0 |
Limitations/Caveats
More Information
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
At the end of the trial, one or more scientific publications may be prepared collaboratively by the investigator(s) and Novo Nordisk. Novo Nordisk reserves the right to postpone publication and/or communication for up to 60 days to protect intellectual property.
Results Point of Contact
Name/Title | Clinical Reporting Anchor and Disclosure (1452) |
---|---|
Organization | Novo Nordisk A/S |
Phone | (+1) 866-867-7178 |
clinicaltrials@novonordisk.com |
- NN7008-4028
- U1111-1150-0765
- CTR20160811
- 2013-004791-35