CHAWI: BAX 802 in CHA With Inhibitors

Sponsor
Baxalta now part of Shire (Industry)
Overall Status
Terminated
CT.gov ID
NCT02895945
Collaborator
Baxalta Innovations GmbH, now part of Shire (Industry)
8
24
1
49
0.3
0

Study Details

Study Description

Brief Summary

The purpose of this study is to evaluate the efficacy and safety of BAX 802 in males with congenital hemophilia A (CHA) with inhibitors who are undergoing major or minor elective surgical, dental, or other invasive procedures.

Condition or Disease Intervention/Treatment Phase
  • Biological: Antihemophilic Factor (Recombinant), Porcine Sequence (BAX 802)
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
8 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 3, Multicenter, Open-label Study of the Efficacy and Safety of B-Domain Deleted Recombinant Porcine Factor VIII (BAX 802) in Subjects With Congenital Hemophilia A With Factor VIII Inhibitors Undergoing Surgical or Other Invasive Procedures
Actual Study Start Date :
Dec 22, 2016
Actual Primary Completion Date :
Jan 22, 2021
Actual Study Completion Date :
Jan 22, 2021

Arms and Interventions

Arm Intervention/Treatment
Experimental: BAX 802 in Surgery

Participants who are undergoing major or minor elective surgical, dental, or other invasive procedures.

Biological: Antihemophilic Factor (Recombinant), Porcine Sequence (BAX 802)
In case of major surgery, FVIII target level is ≥80% for major surgeries/ procedures and ≥50% for minor surgeries/ procedures.
Other Names:
  • BAX 802
  • recombinant porcine factor VIII
  • Obizur
  • rpFVIII
  • Outcome Measures

    Primary Outcome Measures

    1. Percentage of Surgeries With a "Good" or "Excellent" Response as Measured by the Global Hemostatic Efficacy Assessment (GHEA) Score [Day 1 up to discharge or Day 14 (whichever was earlier)]

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

    Secondary Outcome Measures

    1. Actual Blood Loss, Estimated Volume of Expected Average Blood Loss and Expected Maximum Blood Loss During Intra-operative, Post-operative and Peri-operative Period [Intra-operative: up to completion of surgery (Day 1), Post-operative: at 24 hours post-surgery, and Peri-operative: at discharge or Day 14 (whichever was earlier)]

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

    2. Ratio of Actual Blood Loss and Estimated Volume of Expected Average Blood Loss During Intra-operative, Post-operative and Peri-operative Period [Intra-operative: up to completion of surgery (Day 1), Post-operative: at 24 hours post-surgery, and Peri-operative: at discharge or Day 14 (whichever was earlier)]

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

    3. Ratio of Actual Blood Loss and Expected Maximum Blood Loss During Intra-operative, Post-operative and Peri-operative Period [Intra-operative: up to completion of surgery (Day 1), Post-operative: at 24 hours post-surgery, and Peri-operative: at discharge or Day 14 (whichever was earlier)]

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

    4. Percentage of Major Surgeries With Good or Excellent Hemostatic Score [Day 1 up to discharge or Day 14 (whichever was earlier)]

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

    5. Average Daily Weight-adjusted Dose of BAX 802 Per Participant During Pre-operative, Intra-operative and Post-operative Period [Pre-operative: before surgery, Intra-operative: up to completion of surgery (Day 1), Post-operative: from completion of surgical procedure till discharge or 14 days post surgery (whichever was earlier)]

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

    6. Total Weight-adjusted Dose of BAX 802 Per Participant During Pre-operative, Intra-operative and Post-operative Period [Pre-operative: before surgery, Intra-operative: up to completion of surgery (Day 1), Post-operative: from completion of surgical procedure till discharge or 14 days post surgery (whichever was earlier)]

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

    7. Volume of Blood Products Transfused [From initiation of the surgery up to discharge or Day 14 (whichever came earlier)]

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

    8. Number of Participants With De Novo Inhibitors [Baseline up end of study (EOS) (up to 44 months)]

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

    9. Number of Participants With Anamnestic Reactions [Baseline up to EOS (up to 44 months)]

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

    10. Mean Change From Baseline up to EOS in Inhibitory and Binding Antibodies to pFVIII [Baseline up to EOS (up to 44 months)]

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

    11. Mean Change From Baseline up to EOS in Inhibitory and Binding Antibodies to hFVIII [Baseline up to EOS (up to 44 months)]

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

    12. Number of Participants With Clinically Significant Change From Baseline in Binding Antibodies to Baby Hamster Kidney (BHK) Proteins [Baseline up to EOS (up to 44 months)]

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

    13. Number of Participants With Thromboembolic Events [Baseline up to EOS (up to 44 months)]

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

    14. Number of Participants With Severe Allergic Reactions [Baseline up to EOS (up to 44 months)]

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

    15. Number of Participants With Investigational Product (IP) Related Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs [Baseline up to EOS (up to 44 months)]

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

    16. Number of Participants With Clinically Significant Change From Baseline in Vital Sign [Baseline up to EOS (up to 44 months)]

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

    17. Number of Participants With Clinically Significant Change From Baseline in Clinical Laboratory Values [Baseline up to EOS (up to 44 months)]

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

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    12 Years to 75 Years
    Sexes Eligible for Study:
    Male
    Accepts Healthy Volunteers:
    No

    Inclusion Criteria

    1. Participant requires a major or minor elective surgical, dental or other invasive procedure

    2. Participant is male and ≥ 12 to ≤ 75 years old at the time of screening

    3. Participant has provided signed informed consent (and assent for adolescent participants, as applicable) in accordance with local regulatory requirements

    4. Participant has severe (factor VIII (FVIII) level < 1%) or moderately severe (FVIII level ≤ 2%) congenital hemophilia A (CHA) with inhibitors to human factor VIII (hFVIII) of ≥ 0.6 Bethesda units (BU), as tested at screening at the central laboratory

    5. Participant is not currently receiving or has recently received (< 30 days) immune tolerance induction (ITI) therapy

    6. Participant has a Karnofsky performance score of ≥ 60 at screening

    7. Participant is human immunodeficiency virus negative (HIV-); or HIV+ with stable disease and CD4+ count ≥ 200 cells/mm^3 at screening

    8. Participant is hepatitis C virus negative (HCV-) by antibody or polymerase chain reaction (PCR) testing; or HCV+ with chronic stable hepatitis disease. Positive serologies will be confirmed by PCR testing.

    9. Participant is willing and able to comply with the requirements of the protocol.

    Exclusion Criteria

    1. The participant requires emergency surgery

    2. Severe chronic liver dysfunction or disease (e.g., ≥ 5 × upper limit of normal [ULN] alanine aminotransferase [ALT], as confirmed by central laboratory at screening or a documented prothrombin time/international normalized ratio [PT/INR] > 1.5)

    3. Clinically symptomatic renal disease (serum creatinine > 2.0 mg/dL), as confirmed by central laboratory at screening

    4. Anti-porcine factor VIII (pFVIII) inhibitor > 10 BU prior to surgery

    5. Platelet count < 100,000/μL at screening

    6. Participant has another active coagulation disorder, other than hemophilia A, as per the medical history

    7. Planned use of α-interferon with or without ribavirin for HCV infected patients or planned use of a protease inhibitor for HIV infected patients. Patients currently taking any of these medications for ≥ 30 days are eligible

    8. Known hypersensitivity to recombinant porcine factor VIII (rpFVIII), or hamster or murine proteins

    9. Participant has an ongoing or recent (within 3 months of screening) thrombo-embolic disease, fibrinolysis or disseminated intravascular coagulation (DIC)

    10. Participant has been exposed to an IP within 30 days prior to enrollment or is scheduled to participate in another clinical study involving an investigational product (IP) or investigational device during the course of this study

    11. Participant is unable to tolerate quantity of blood to be drawn for protocol procedures

    12. Participant is a family member or employee of the Investigator.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Bleeding and Clotting Disorders Institute Peoria Illinois United States 61615
    2 Wake Forest University Baptist Medical Center Winston-Salem North Carolina United States 27157
    3 Case Western Reserve University Cleveland Ohio United States 44106-7284
    4 UMHAT 'Tsaritsa Yoanna - ISUL', EAD Sofia Bulgaria 1527
    5 UMHATEM 'N.I. Pirogov', EAD Sofia Bulgaria 1606
    6 Hopital Maisonneuve-Rosemont d/b/a CIUSSS de l'Est-de-l'Île-de-Montréal Montréal Quebec Canada H1T 2M4
    7 Universitaetsklinikum Bonn AoeR Bonn Germany 53127
    8 Zentrum für Hämostaseologie, Universitätsklinikum Leipzig AöR Leipzig Germany 04103
    9 Presidio Ospedaliero di Castelfranco Veneto Castelfranco Veneto Treviso Italy 31033
    10 Azienda Ospedaliera Universitaria Careggi Firenze Italy 50134
    11 Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milano Italy 20122
    12 Azienda Ospedaliera di Padova Padova Italy 35128
    13 UMC Utrecht Utrecht Netherlands 3584 CX
    14 Oslo Universitetssykehus - Rikshospitalet Oslo Norway 0372
    15 Instytut Hematologii i Transfuzjologii-1-1Y7-1347 Warszawa Poland 02-776
    16 FSBI of Science "Kirov Scientific and Research Institute of Hematology and Blood Transfusion of FMBA. Kirov Russian Federation 610027
    17 Bleeding Disorders Unit and Clinical Haematology Service at Charlotte Maxeke JHB Academic Hospital Johannesburg South Africa 2193
    18 Hospital Universitari i Politecnic La Fe Valencia Comunidad Valenciana Spain 46026
    19 Complejo Hospitalario Universitario A Coruña La Coruña Spain 15006
    20 Hospital Universitario La Paz Madrid Spain 28046
    21 Ankara University Medical Faculty Ankara Turkey 6590
    22 Ege University Medical Faculty Izmir Turkey 35040
    23 Ege University Medical Faculty Izmir Turkey 35100
    24 Kocaeli University Medical Faculty Kocaeli Turkey 41300

    Sponsors and Collaborators

    • Baxalta now part of Shire
    • Baxalta Innovations GmbH, now part of Shire

    Investigators

    • Study Director: Study Director, Shire

    Study Documents (Full-Text)

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Baxalta now part of Shire
    ClinicalTrials.gov Identifier:
    NCT02895945
    Other Study ID Numbers:
    • 241502
    • 2015-005521-39
    First Posted:
    Sep 12, 2016
    Last Update Posted:
    Oct 20, 2021
    Last Verified:
    Oct 1, 2021
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details This study was conducted at 5 sites in Italy, Netherlands, Poland, Germany and Turkey. Study was initiated on 22 December 2016 and terminated on 22 January 2021.
    Pre-assignment Detail A total of 8 participants planned for Major Surgeries and Minor Surgeries received recombinant porcine factor VIII (rpFVIII) (BAX 802).
    Arm/Group Title Major Surgeries Minor Surgeries
    Arm/Group Description Male participants with congenital hemophilia A (CHA) with inhibitors to human factor VIII (hFVIII) undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target factor VIII (FVIII) level of greater than or equal to (>=) 80 percent (%) approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement. Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
    Period Title: Overall Study
    STARTED 7 1
    SAS 7 1
    FAS 7 0
    COMPLETED 5 0
    NOT COMPLETED 2 1

    Baseline Characteristics

    Arm/Group Title Major Surgeries Minor Surgeries Total
    Arm/Group Description Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement. Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement. Total of all reporting groups
    Overall Participants 7 1 8
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    35.9
    (14.39)
    58.0
    38.6
    (15.45)
    Sex: Female, Male (Count of Participants)
    Female
    0
    0%
    0
    0%
    0
    0%
    Male
    7
    100%
    1
    100%
    8
    100%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    0
    0%
    0
    0%
    0
    0%
    Not Hispanic or Latino
    7
    100%
    1
    100%
    8
    100%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    0
    0%
    0
    0%
    0
    0%
    Asian
    1
    14.3%
    0
    0%
    1
    12.5%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    0
    0%
    0
    0%
    Black or African American
    0
    0%
    0
    0%
    0
    0%
    White
    6
    85.7%
    1
    100%
    7
    87.5%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%

    Outcome Measures

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

    Outcome Measure Data

    Analysis Population Description
    Full analysis set (FAS) comprised of all participants with at least one available hemostatic assessment.
    Arm/Group Title Major Surgeries Minor Surgeries
    Arm/Group Description Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement. Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
    Measure Participants 7 0
    Measure surgeries 7 0
    GHEA rating: Good
    14.3
    GHEA rating: Excellent
    71.4
    2. Secondary Outcome
    Title Actual Blood Loss, Estimated Volume of Expected Average Blood Loss and Expected Maximum Blood Loss During Intra-operative, Post-operative and Peri-operative Period
    Description Prior to the surgery, the surgeon/investigator predicted and compared the estimated volume (in milliliter [mL]) of the expected average blood loss and expected maximum blood loss for the planned surgical intervention in a comparable healthy individual with similar demographic characteristics; for intraoperative, postoperative, and overall perioperative time periods. Intra-operative defined as period from start of surgery to completion of surgical procedure. Post-operative defined as period from completion of surgical procedure till 24 hours post-surgery. Peri-operative defined as period from start of surgical procedure till discharge or 14 days post surgery (whichever was earlier). Actual blood loss, estimated volume of expected average blood loss and expected maximum blood loss during each operative period was reported.
    Time Frame Intra-operative: up to completion of surgery (Day 1), Post-operative: at 24 hours post-surgery, and Peri-operative: at discharge or Day 14 (whichever was earlier)

    Outcome Measure Data

    Analysis Population Description
    FAS comprised of all participants with at least one available hemostatic assessment. Here "number analyzed" were participants who were evaluable for the outcome measure at given categories.
    Arm/Group Title Major Surgeries Minor Surgeries
    Arm/Group Description Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement. Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
    Measure Participants 7 0
    Measure surgeries 7 0
    Intra-operative Period: Actual Blood Loss
    141.1
    (188.69)
    Intra-operative Period: Expected Average Blood Loss
    221.7
    (286.76)
    Intra-operative Period: Expected Maximum Blood Loss
    414.7
    (546.37)
    Post-operative Period: Actual Blood Loss
    31.0
    (66.56)
    Post-operative Period: Expected Average Blood Loss
    171.4
    (276.17)
    Post-operative Period: Expected Maximum Blood Loss
    378.0
    (570.94)
    Peri-operative Period: Actual Blood Loss
    164.1
    (215.15)
    Peri-operative Period: Expected Average Blood Loss
    465.0
    (744.85)
    Peri-operative Period: Expected Maximum Blood Loss
    842.9
    (1310.01)
    3. Secondary Outcome
    Title Ratio of Actual Blood Loss and Estimated Volume of Expected Average Blood Loss During Intra-operative, Post-operative and Peri-operative Period
    Description Prior to the surgery, the surgeon/investigator predicted and compared the estimated volume (mL) of the expected average blood loss and expected maximum blood loss for the planned surgical intervention in a comparable healthy individual with similar demographic characteristics; for intraoperative, postoperative, and overall perioperative time periods. Intra-operative defined as period from start of surgery to completion of surgical procedure. Post-operative defined as period from completion of surgical procedure till 24 hours post-surgery. Peri-operative defined as period from start of surgical procedure till discharge or 14 days post surgery (whichever was earlier). Ratio of actual blood loss and estimated volume of expected average blood loss during each operative period was reported.
    Time Frame Intra-operative: up to completion of surgery (Day 1), Post-operative: at 24 hours post-surgery, and Peri-operative: at discharge or Day 14 (whichever was earlier)

    Outcome Measure Data

    Analysis Population Description
    FAS comprised of all participants with at least one available hemostatic assessment. Here "number analyzed" were participants who were evaluable for the outcome measure at given categories.
    Arm/Group Title Major Surgeries Minor Surgeries
    Arm/Group Description Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement. Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
    Measure Participants 7 0
    Measure surgeries 7 0
    Intra-operative Period
    0.970
    (0.9486)
    Post-operative Period
    0.150
    (0.2236)
    Peri-operative Period
    0.545
    (0.3448)
    4. Secondary Outcome
    Title Ratio of Actual Blood Loss and Expected Maximum Blood Loss During Intra-operative, Post-operative and Peri-operative Period
    Description Prior to the surgery, the surgeon/investigator predicted and compared the estimated volume (mL) of the expected average blood loss and expected maximum blood loss for the planned surgical intervention in a comparable healthy individual with similar demographic characteristics; for intraoperative, postoperative, and overall perioperative time periods. Intra-operative defined as period from start of surgery to completion of surgical procedure. Post-operative defined as period from completion of surgical procedure till 24 hours post-surgery. Peri-operative defined as period from start of surgical procedure till discharge or 14 days post surgery (whichever was earlier). Ratio of actual blood loss and expected maximum blood loss during each operative period was reported.
    Time Frame Intra-operative: up to completion of surgery (Day 1), Post-operative: at 24 hours post-surgery, and Peri-operative: at discharge or Day 14 (whichever was earlier)

    Outcome Measure Data

    Analysis Population Description
    FAS comprised of all participants with at least one available hemostatic assessment. Here "number analyzed" were participants who were evaluable for the outcome measure at given categories.
    Arm/Group Title Major Surgeries Minor Surgeries
    Arm/Group Description Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement. Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
    Measure Participants 7 0
    Measure surgeries 7 0
    Intra-operative Period
    0.555
    (0.6517)
    Post-operative Period
    0.058
    (0.0846)
    Peri-operative Period
    0.306
    (0.1962)
    5. Secondary Outcome
    Title Percentage of Major Surgeries With Good or Excellent Hemostatic Score
    Description Percentage of major surgeries with good or excellent hemostatic score was analyzed by GHEA score. It consisted of 3 individual ratings: (1) Intra-operative Efficacy Assessment Scale, (2) Post-operative Efficacy Assessment Scale, (3) Postoperative Efficacy Assessment Scale. Ratings 1 and 2 was performed by the operating surgeon on Day 1, and Rating 3 was performed by the investigator on Day 14. Each rating scale was based on 4 point scale ranging from: 3 (Excellent), 2 (Good), 1 (Fair), and 0 (None). The scores of each of the 3 individual ratings scales, was added together to form a GHEA score. Total score ranged from 0 to 9 where scores evaluated as excellent (7 to 9), good (5 to 7), fair (3 to 4), and none (0 to 2). Hemostatic efficacy success was defined as "excellent" or "good "outcome for >=70% of hemostatic efficacy assessments. Percentage of major surgeries with good or excellent hemostatic score were reported.
    Time Frame Day 1 up to discharge or Day 14 (whichever was earlier)

    Outcome Measure Data

    Analysis Population Description
    FAS comprised of all participants with at least one available hemostatic assessment. As planned, this outcome measure was only analyzed for major surgeries. There were 7 participants analyzed for major surgeries and all the 7 participants underwent 7 surgeries.
    Arm/Group Title Major Surgeries
    Arm/Group Description Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
    Measure Participants 7
    Measure surgeries 7
    Number (95% Confidence Interval) [percentage of surgeries]
    85.7
    6. Secondary Outcome
    Title Average Daily Weight-adjusted Dose of BAX 802 Per Participant During Pre-operative, Intra-operative and Post-operative Period
    Description Body-weight adjusted dose equals to amount infused/body-weight (kilogram [kg]), where amount infused as amount of drug infused (International Units [IU]) and body-weight as the last available body-weight (kg) prior to the infusion. Pre-operative defined as period prior to surgery. Intra-operative defined as period from start of surgery to completion of surgical procedure. Post-operative defined as period from completion of surgical procedure till discharge or 14 days post surgery (whichever was earlier). Average daily weight-adjusted dose of BAX 802 per participant during each operative period was reported.
    Time Frame Pre-operative: before surgery, Intra-operative: up to completion of surgery (Day 1), Post-operative: from completion of surgical procedure till discharge or 14 days post surgery (whichever was earlier)

    Outcome Measure Data

    Analysis Population Description
    SAS comprised of all participants who received any amount of BAX 802. Here "number analyzed" were participants who were evaluable for the outcome measure at given categories.
    Arm/Group Title Major Surgeries Minor Surgeries
    Arm/Group Description Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement. Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
    Measure Participants 7 1
    Pre-operative
    162.471
    (125.7051)
    208.779
    Intra-operative
    76.083
    (35.1339)
    Post-operative
    43.549
    (56.0039)
    7. Secondary Outcome
    Title Total Weight-adjusted Dose of BAX 802 Per Participant During Pre-operative, Intra-operative and Post-operative Period
    Description Body-weight adjusted dose equals to amount infused/body-weight (kg), where amount infused as amount of drug infused (IU) and body-weight as the last available body-weight (kg) prior to the infusion. Pre-operative defined as period prior to surgery. Intra-operative defined as period from start of surgery to completion of surgical procedure. Post-operative defined as period from completion of surgical procedure till discharge or 14 days post surgery (whichever was earlier). Total weight-adjusted dose of BAX 802 per participant during each operative period was reported.
    Time Frame Pre-operative: before surgery, Intra-operative: up to completion of surgery (Day 1), Post-operative: from completion of surgical procedure till discharge or 14 days post surgery (whichever was earlier)

    Outcome Measure Data

    Analysis Population Description
    SAS comprised of all participants who received any amount of BAX 802. Here "number analyzed" were participants who were evaluable for the outcome measure at given categories.
    Arm/Group Title Major Surgeries Minor Surgeries
    Arm/Group Description Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement. Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
    Measure Participants 7 1
    Pre-operative
    162.471
    (125.7051)
    208.779
    Intra-operative
    76.083
    (35.1339)
    Post-operative
    625.520
    (399.4913)
    8. Secondary Outcome
    Title Volume of Blood Products Transfused
    Description The volume (in mL) of blood products transfused from initiation of the intervention to discharge or Day 14 (whichever came earlier) was reported.
    Time Frame From initiation of the surgery up to discharge or Day 14 (whichever came earlier)

    Outcome Measure Data

    Analysis Population Description
    FAS comprised of all participants with at least one available hemostatic assessment. Here "overall number of participants analyzed" were participants who were evaluable for this outcome measure.
    Arm/Group Title Major Surgeries Minor Surgeries
    Arm/Group Description Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement. Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
    Measure Participants 2 0
    Mean (Standard Deviation) [mL]
    950.0
    (70.71)
    9. Secondary Outcome
    Title Number of Participants With De Novo Inhibitors
    Description De novo inhibitor was defined as a post-baseline inhibitor titer to FVIII (hFVIII or porcine factor VIII [pFVIII])of >=0.6 Bethesda units per milliliter (BU/mL) given a baseline of <0.6 BU/mL. Number of participants with de novo inhibitors were reported.
    Time Frame Baseline up end of study (EOS) (up to 44 months)

    Outcome Measure Data

    Analysis Population Description
    SAS comprised of all participants who received any amount of BAX 802.
    Arm/Group Title Major Surgeries Minor Surgeries
    Arm/Group Description Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement. Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
    Measure Participants 7 1
    hFVIII
    0
    0%
    0
    0%
    pFVIII
    3
    42.9%
    0
    0%
    10. Secondary Outcome
    Title Number of Participants With Anamnestic Reactions
    Description An anamnestic reaction was defined as an increase from a measurable baseline (>0.6 BU/mL) in the inhibitor titer to FVIII (human or porcine) of >=10 BU/mL. Number of participants with anamnestic reactions were reported.
    Time Frame Baseline up to EOS (up to 44 months)

    Outcome Measure Data

    Analysis Population Description
    SAS comprised of all participants who received any amount of BAX 802.
    Arm/Group Title Major Surgeries Minor Surgeries
    Arm/Group Description Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement. Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
    Measure Participants 7 1
    hFVIII
    5
    71.4%
    0
    0%
    pFVIII
    3
    42.9%
    0
    0%
    11. Secondary Outcome
    Title Mean Change From Baseline up to EOS in Inhibitory and Binding Antibodies to pFVIII
    Description The assessment of inhibitory antibodies (immunoglobulin G [IgG] and immunoglobulin M [IgM]) to pFVIII was determined using Bethesda assay, and assessment of binding antibodies (IgG and IgM) to pFVIII was determined using validated enzyme-linked immunosorbent assays (ELISAs). Mean change from baseline in inhibitory and binding antibodies to pFVIII was reported.
    Time Frame Baseline up to EOS (up to 44 months)

    Outcome Measure Data

    Analysis Population Description
    SAS comprised of all participants who received any amount of BAX 802. Here "overall number of participants analyzed" were participants who were evaluable for this outcome measure.
    Arm/Group Title Major Surgeries Minor Surgeries
    Arm/Group Description Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement. Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
    Measure Participants 6 1
    Mean (Standard Deviation) [BU/mL]
    111.15
    (149.072)
    -0.20
    12. Secondary Outcome
    Title Mean Change From Baseline up to EOS in Inhibitory and Binding Antibodies to hFVIII
    Description The assessment of inhibitory antibodies (IgG and IgM) to hFVIII was determined using Bethesda assay, and assessment of binding antibodies (IgG and IgM) to hFVIII was determined using ELISA. Mean change from baseline in inhibitory and binding antibodies to hFVIII was reported.
    Time Frame Baseline up to EOS (up to 44 months)

    Outcome Measure Data

    Analysis Population Description
    SAS comprised of all participants who received any amount of BAX 802. Here "overall number of participants analyzed" were participants who were evaluable for this outcome measure.
    Arm/Group Title Major Surgeries Minor Surgeries
    Arm/Group Description Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement. Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
    Measure Participants 6 1
    Mean (Standard Deviation) [BU/mL]
    198.67
    (317.254)
    -0.20
    13. Secondary Outcome
    Title Number of Participants With Clinically Significant Change From Baseline in Binding Antibodies to Baby Hamster Kidney (BHK) Proteins
    Description The assessment of binding antibodies to BHK proteins was determined using ELISA. Clinical significance was judged by the investigator. Number of participants with clinically significant change from baseline in binding antibodies to BHK proteins were reported.
    Time Frame Baseline up to EOS (up to 44 months)

    Outcome Measure Data

    Analysis Population Description
    SAS comprised of all participants who received any amount of BAX 802.
    Arm/Group Title Major Surgeries Minor Surgeries
    Arm/Group Description Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement. Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
    Measure Participants 7 1
    Count of Participants [Participants]
    0
    0%
    0
    0%
    14. Secondary Outcome
    Title Number of Participants With Thromboembolic Events
    Description Thromboembolism defined as formation in a blood vessel of a clot (thrombus) that breaks loose and carried by the blood stream to plug another vessel. Number of participants with thromboembolic events was reported.
    Time Frame Baseline up to EOS (up to 44 months)

    Outcome Measure Data

    Analysis Population Description
    SAS comprised of all participants who received any amount of BAX 802.
    Arm/Group Title Major Surgeries Minor Surgeries
    Arm/Group Description Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement. Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
    Measure Participants 7 1
    Count of Participants [Participants]
    0
    0%
    0
    0%
    15. Secondary Outcome
    Title Number of Participants With Severe Allergic Reactions
    Description Number of participants with severe allergic reaction (example: anaphylaxis) after administration of study drug were reported.
    Time Frame Baseline up to EOS (up to 44 months)

    Outcome Measure Data

    Analysis Population Description
    SAS comprised of all participants who received any amount of BAX 802.
    Arm/Group Title Major Surgeries Minor Surgeries
    Arm/Group Description Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement. Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
    Measure Participants 7 1
    Count of Participants [Participants]
    0
    0%
    0
    0%
    16. Secondary Outcome
    Title Number of Participants With Investigational Product (IP) Related Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs
    Description An adverse event (AE) is any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. Serious AE was any untoward medical occurrence (whether considered to be related to study assigned treatment or not) that at any dose resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, resulted in a congenital abnormality/birth defect, or was an important medical event. TEAEs was defined as any adverse events (classified by preferred term) that had a start date on or after the first dose of study treatment or that had a start date before the date of first dose of study treatment, but increased in severity after the first dose of study treatment. TEAEs included both serious and non-serious TEAEs.
    Time Frame Baseline up to EOS (up to 44 months)

    Outcome Measure Data

    Analysis Population Description
    SAS comprised of all participants who received any amount of BAX 802.
    Arm/Group Title Major Surgeries Minor Surgeries
    Arm/Group Description Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement. Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
    Measure Participants 7 1
    IP related TEAEs
    4
    57.1%
    0
    0%
    IP related serious TEAEs
    4
    57.1%
    0
    0%
    17. Secondary Outcome
    Title Number of Participants With Clinically Significant Change From Baseline in Vital Sign
    Description Vital sign parameters included: temperature, pulse rate, respiration rate, systolic and diastolic blood pressure. Any changes in vital signs which were deemed clinically significant was judged by the investigator. Number of participants with clinically significant change from baseline in vital signs were reported.
    Time Frame Baseline up to EOS (up to 44 months)

    Outcome Measure Data

    Analysis Population Description
    SAS comprised of all participants who received any amount of BAX 802.
    Arm/Group Title Major Surgeries Minor Surgeries
    Arm/Group Description Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement. Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
    Measure Participants 7 1
    Count of Participants [Participants]
    0
    0%
    0
    0%
    18. Secondary Outcome
    Title Number of Participants With Clinically Significant Change From Baseline in Clinical Laboratory Values
    Description Clinical laboratory assessment included hematology and clinical chemistry. Any changes in clinical laboratory results which were deemed clinically significant was judged by the investigator. Number of participants with clinical significant change from baseline in clinical laboratory values were reported.
    Time Frame Baseline up to EOS (up to 44 months)

    Outcome Measure Data

    Analysis Population Description
    SAS comprised of all participants who received any amount of BAX 802.
    Arm/Group Title Major Surgeries Minor Surgeries
    Arm/Group Description Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement. Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
    Measure Participants 7 1
    Count of Participants [Participants]
    0
    0%
    0
    0%

    Adverse Events

    Time Frame Baseline up to EOS (up to 44 months)
    Adverse Event Reporting Description
    Arm/Group Title Major Surgeries Minor Surgeries
    Arm/Group Description Male participants with CHA with inhibitors to hFVIII undergone major surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=80% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement. Male participants with CHA with inhibitors to hFVIII undergone minor surgical invasive procedures initially received loading dose BAX 802 infusion, intravenously to maintain a minimum target FVIII level of >=50% approximately 1 to 2 hours prior to the surgery. Subsequent dosing was based on participant's FVIII activity levels, body weight and investigator's clinical judgement.
    All Cause Mortality
    Major Surgeries Minor Surgeries
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/7 (0%) 0/1 (0%)
    Serious Adverse Events
    Major Surgeries Minor Surgeries
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 6/7 (85.7%) 0/1 (0%)
    Immune system disorders
    Anamnestic reaction 1/7 (14.3%) 1 0/1 (0%) 0
    Infections and infestations
    Bacterial infection 1/7 (14.3%) 1 0/1 (0%) 0
    Investigations
    Anti factor VIII antibody increased 2/7 (28.6%) 2 0/1 (0%) 0
    Anti factor VIII antibody positive 3/7 (42.9%) 3 0/1 (0%) 0
    Musculoskeletal and connective tissue disorders
    Haemarthrosis 1/7 (14.3%) 1 0/1 (0%) 0
    Other (Not Including Serious) Adverse Events
    Major Surgeries Minor Surgeries
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 3/7 (42.9%) 0/1 (0%)
    Blood and lymphatic system disorders
    Anaemia 1/7 (14.3%) 1 0/1 (0%) 0
    Cardiac disorders
    Tachycardia 1/7 (14.3%) 1 0/1 (0%) 0
    General disorders
    Pyrexia 1/7 (14.3%) 1 0/1 (0%) 0
    Infections and infestations
    Oral herpes 1/7 (14.3%) 1 0/1 (0%) 0
    Injury, poisoning and procedural complications
    Anaemia postoperative 1/7 (14.3%) 3 0/1 (0%) 0
    Musculoskeletal and connective tissue disorders
    Pain in extremity 1/7 (14.3%) 1 0/1 (0%) 0
    Skin and subcutaneous tissue disorders
    Pruritus 1/7 (14.3%) 1 0/1 (0%) 0
    Skin irritation 1/7 (14.3%) 1 0/1 (0%) 0
    Vascular disorders
    Hypertension 1/7 (14.3%) 1 0/1 (0%) 0

    Limitations/Caveats

    Study was discontinued as Takeda determined that the benefit/risk profile did not support continuation of the surgery study for this specific Congenital Hemophilia A with Inhibitors participant population.

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

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

    Results Point of Contact

    Name/Title Study Director
    Organization Takeda
    Phone +1-877-825-3327
    Email TrialDisclosures@takeda.com
    Responsible Party:
    Baxalta now part of Shire
    ClinicalTrials.gov Identifier:
    NCT02895945
    Other Study ID Numbers:
    • 241502
    • 2015-005521-39
    First Posted:
    Sep 12, 2016
    Last Update Posted:
    Oct 20, 2021
    Last Verified:
    Oct 1, 2021