HAVEN 2: A Study of Emicizumab Administered Subcutaneously (SC) in Pediatric Participants With Hemophilia A and Factor VIII (FVIII) Inhibitors
Study Details
Study Description
Brief Summary
This non-randomized, multicenter, open-label, Phase III clinical study will evaluate the efficacy, safety, and pharmacokinetics of emicizumab administered subcutaneously initially once weekly (QW) in pediatric participants with hemophilia A with FVIII inhibitors. This study will open two additional non-randomized cohorts to investigate once every 2 weeks (Q2W) and once every 4 weeks (Q4W) regimens in pediatric participants.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Cohort A: 1.5 mg/kg Emicizumab QW Participants will receive emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) QW SC for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurs first. |
Drug: Emicizumab
Emicizumab will be administered as per the schedule specified in the respective arm.
Other Names:
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Experimental: Cohort B: 3 mg/kg Emicizumab Q2W Participants will receive emicizumab at a loading dose of 3 mg/kg QW SC for the first 4 weeks followed by a maintenance dose of 3 mg/kg every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurs first. |
Drug: Emicizumab
Emicizumab will be administered as per the schedule specified in the respective arm.
Other Names:
|
Experimental: Cohort C: 6 mg/kg Emicizumab Q4W Participants will receive emicizumab at a loading dose of 3 mg/kg QW SC for the first 4 weeks followed by a maintenance dose of 6 mg/kg every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurs first. |
Drug: Emicizumab
Emicizumab will be administered as per the schedule specified in the respective arm.
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Cohort A: Model-Based Annualized Bleed Rate (ABR) for Treated Bleeds in Treated Participants <12 Years of Age [From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks.]
The number of treated bleeds over the efficacy period is presented here as a model-based ABR that was analyzed using a negative binomial regression model with efficacy period as an offset to account for the difference in follow-up times. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and the first treatment thereafter and before a new bleed starts, are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded.
- Cohort A: Model-Based Annualized Bleed Rate (ABR) for All Bleeds in Treated Participants <12 Years of Age [From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks.]
The number of all bleeds over the efficacy period is presented here as a model-based ABR that was analyzed using a negative binomial regression model with efficacy period as an offset to account for the difference in followup times (i.e., the time that each participant stays in the study). In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself.
- Cohort A: Model-Based Annualized Bleed Rate (ABR) for Treated Spontaneous Bleeds in Treated Participants <12 Years of Age [From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks.]
The number of treated spontaneous bleeds over the efficacy period is presented here as a model-based ABR that was analyzed using a negative binomial regression model with efficacy period as an offset to account for the difference in follow-up times (i.e., the time that each participant stays in the study). A bleed is classified as "spontaneous" if there is no other known contributing factor such as trauma or procedure/surgery. A "treated spontaneous bleed" is a spontaneous bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Treated bleeds that fulfilled the 72-hour rule were included in the analysis of spontaneous bleeds. Bleeds due to surgery/procedure are excluded.
- Cohort A: Model-Based Annualized Bleed Rate (ABR) for Treated Joint Bleeds in Treated Participants <12 Years of Age [From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks.]
The number of treated joint bleeds over the efficacy period is presented here as a model-based ABR that was analyzed using a negative binomial regression model with efficacy period as an offset to account for the difference in follow-up times (i.e., the time that each participant stays in the study). A "joint bleed" is defined as a bleed with type reported as "joint" and with at least one of the following symptoms: increasing swelling or warmth of the skin over the joint and/or increasing pain, decreased range of motion, or difficulty using the joint compared with baseline. A "treated joint bleed" is a joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Only treated bleeds that fulfilled the 72-hour rule were included in the analysis of treated joint bleeds, excluding bleeds due to surgery/procedure.
- Cohort A: Model-Based Annualized Bleed Rate (ABR) for Treated Target Joint Bleeds in Treated Participants <12 Years of Age [From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks.]
The number of treated target joint bleeds over the efficacy period is presented here as a model-based ABR that was analyzed using a negative binomial regression model with efficacy period as an offset to account for the difference in follow-up times (i.e., the time that each participant stays in the study). A "target joint bleed" is defined as a joint bleed in a target joint, which is a joint location where at least 3 bleeds have occurred over the last 24 weeks prior to study entry. A "treated target joint bleed" is a target joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Bleeds due to surgery/procedure are excluded.
- Cohort A: Mean Calculated Annualized Bleed Rate (ABR) for Treated Bleeds in Treated Participants <12 Years of Age [From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks.]
The number of treated bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and the first treatment thereafter and before a new bleed starts, are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded.
- Cohort A: Mean Calculated Annualized Bleed Rate (ABR) for All Bleeds in Treated Participants <12 Years of Age [From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks.]
The number of all bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself.
- Cohort A: Mean Calculated Annualized Bleed Rate (ABR) for Treated Spontaneous Bleeds in Treated Participants <12 Years of Age [From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks.]
The number of treated spontaneous bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A bleed is classified as "spontaneous" if there is no other known contributing factor such as trauma or procedure/surgery. A "treated spontaneous bleed" is a spontaneous bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Treated bleeds that fulfilled the 72-hour rule were included in the analysis of spontaneous bleeds. Bleeds due to surgery/procedure are excluded.
- Cohort A: Mean Calculated Annualized Bleed Rate (ABR) for Treated Joint Bleeds in Treated Participants <12 Years of Age [From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks.]
The number of treated joint bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A "joint bleed" is defined as a bleed with type reported as "joint" and with at least one of the following symptoms: increasing swelling or warmth of the skin over the joint and/or increasing pain, decreased range of motion, or difficulty using the joint compared with baseline. A "treated joint bleed" is a joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Only treated bleeds that fulfilled the 72-hour rule were included in the analysis of treated joint bleeds, excluding bleeds due to surgery/procedure.
- Cohort A: Mean Calculated Annualized Bleed Rate (ABR) for Treated Target Joint Bleeds in Treated Participants <12 Years of Age [From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks.]
The number of treated target joint bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A "target joint bleed" is defined as a joint bleed in a target joint, which is a joint location where at least 3 bleeds have occurred over the last 24 weeks prior to study entry. A "treated target joint bleed" is a target joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Bleeds due to surgery/procedure are excluded.
- Cohort A: Median Calculated Annualized Bleed Rate (ABR) for Treated Bleeds in Treated Participants <12 Years of Age [From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks.]
The number of treated bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and the first treatment thereafter and before a new bleed starts, are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded.
- Cohort A: Median Calculated Annualized Bleed Rate (ABR) for All Bleeds in Treated Participants <12 Years of Age [From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks.]
The number of all bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself.
- Cohort A: Median Calculated Annualized Bleed Rate (ABR) for Treated Spontaneous Bleeds in Treated Participants <12 Years of Age [From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks.]
The number of treated spontaneous bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A bleed is classified as "spontaneous" if there is no other known contributing factor such as trauma or procedure/surgery. A "treated spontaneous bleed" is a spontaneous bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Treated bleeds that fulfilled the 72-hour rule were included in the analysis of spontaneous bleeds. Bleeds due to surgery/procedure are excluded.
- Cohort A: Median Calculated Annualized Bleed Rate (ABR) for Treated Joint Bleeds in Treated Participants <12 Years of Age [From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks.]
The number of treated joint bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A "joint bleed" is defined as a bleed with type reported as "joint" and with at least one of the following symptoms: increasing swelling or warmth of the skin over the joint and/or increasing pain, decreased range of motion, or difficulty using the joint compared with baseline. A "treated joint bleed" is a joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Only treated bleeds that fulfilled the 72-hour rule were included in the analysis of treated joint bleeds, excluding bleeds due to surgery/procedure.
- Cohort A: Median Calculated Annualized Bleed Rate (ABR) for Treated Target Joint Bleeds in Treated Participants <12 Years of Age [From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks.]
The number of treated target joint bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A "target joint bleed" is defined as a joint bleed in a target joint, which is a joint location where at least 3 bleeds have occurred over the last 24 weeks prior to study entry. A "treated target joint bleed" is a target joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Bleeds due to surgery/procedure are excluded.
- Cohort A: Percentage of Participants by Categorized Number of Treated Bleeds Over the Efficacy Period in Treated Participants <12 Years of Age [From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks.]
The percentage of participants by categorized number of treated bleeds over the efficacy period is presented here. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and the first treatment thereafter and before a new bleed starts, are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded.
- Cohort A: Percentage of Participants by Categorized Number of All Bleeds Over the Efficacy Period in Treated Participants <12 Years of Age [From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks.]
The percentage of participants by categorized number of all bleeds over the efficacy period is presented here. In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself.
- Cohort A: Percentage of Participants by Categorized Number of Treated Spontaneous Bleeds Over the Efficacy Period in Treated Participants <12 Years of Age [From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks.]
The percentage of participants by categorized number of treated spontaneous bleeds over the efficacy period is presented here. A bleed is classified as "spontaneous" if there is no other known contributing factor such as trauma or procedure/surgery. A "treated spontaneous bleed" is a spontaneous bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Treated bleeds that fulfilled the 72-hour rule were included in the analysis of spontaneous bleeds. Bleeds due to surgery/procedure are excluded.
- Cohort A: Percentage of Participants by Categorized Number of Treated Joint Bleeds Over the Efficacy Period in Treated Participants <12 Years of Age [From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks.]
The percentage of participants by categorized number of treated joint bleeds over the efficacy period is presented here. A "joint bleed" is defined as a bleed with type reported as "joint" and with at least one of the following symptoms: increasing swelling or warmth of the skin over the joint and/or increasing pain, decreased range of motion, or difficulty using the joint compared with baseline. A "treated joint bleed" is a joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Only treated bleeds that fulfilled the 72-hour rule were included in the analysis of treated joint bleeds, excluding bleeds due to surgery/procedure.
- Cohort A: Percentage of Participants by Categorized Number of Treated Target Joint Bleeds Over the Efficacy Period in Treated Participants <12 Years of Age [From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks.]
The percentage of participants by categorized number of treated target joint bleeds over the efficacy period is presented here. A "target joint bleed" is defined as a joint bleed in a target joint, which is a joint location where at least 3 bleeds have occurred over the last 24 weeks prior to study entry. A "treated target joint bleed" is a target joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Bleeds due to surgery/procedure are excluded.
Secondary Outcome Measures
- Cohorts B and C: Model-Based Annualized Bleed Rate (ABR) for Treated Bleeds in Treated Participants <12 Years of Age [From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively.]
The number of treated bleeds over the efficacy period is presented as a model-based ABR that was analyzed using a negative binomial regression model with efficacy period as an offset to account for the difference in follow-up times. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and the first treatment thereafter and before a new bleed starts, are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded.
- Cohorts B and C: Model-Based Annualized Bleed Rate (ABR) for All Bleeds in Treated Participants <12 Years of Age [From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively.]
The number of all bleeds over the efficacy period is presented as a model-based ABR that was analyzed using a negative binomial regression model with efficacy period as an offset to account for the difference in follow-up times (i.e., the time that each participant stays in the study). In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself.
- Cohorts B and C: Model-Based Annualized Bleed Rate (ABR) for Treated Spontaneous Bleeds in Treated Participants <12 Years of Age [From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively.]
The number of treated spontaneous bleeds over the efficacy period is presented as a model-based ABR that was analyzed using a negative binomial regression model with efficacy period as an offset to account for the difference in follow-up times (i.e., the time that each participant stays in the study). A bleed is classified as "spontaneous" if there is no other known contributing factor such as trauma or procedure/surgery. A "treated spontaneous bleed" is a spontaneous bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Treated bleeds that fulfilled the 72-hour rule were included in the analysis of spontaneous bleeds. Bleeds due to surgery/procedure are excluded.
- Cohorts B and C: Model-Based Annualized Bleed Rate (ABR) for Treated Joint Bleeds in Treated Participants <12 Years of Age [From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively.]
The number of treated joint bleeds over the efficacy period is presented as a model-based ABR that was analyzed using a negative binomial regression model with efficacy period as an offset to account for the difference in follow-up times (i.e., the time that each participant stays in the study). A "joint bleed" is defined as a bleed with type reported as "joint" and with at least one of the following symptoms: increasing swelling or warmth of the skin over the joint and/or increasing pain, decreased range of motion, or difficulty using the joint compared with baseline. A "treated joint bleed" is a joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Only treated bleeds that fulfilled the 72-hour rule were included in the analysis of treated joint bleeds, excluding bleeds due to surgery/procedure.
- Cohorts B and C: Model-Based Annualized Bleed Rate (ABR) for Treated Target Joint Bleeds in Treated Participants <12 Years of Age [From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively.]
The number of treated target joint bleeds over the efficacy period is presented as a model-based ABR that was analyzed using a negative binomial regression model with efficacy period as an offset to account for the difference in follow-up times (i.e., the time that each participant stays in the study). A "target joint bleed" is defined as a joint bleed in a target joint, which is a joint location where at least 3 bleeds have occurred over the last 24 weeks prior to study entry. A "treated target joint bleed" is a target joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Bleeds due to surgery/procedure are excluded.
- Cohorts B and C: Mean Calculated Annualized Bleed Rate (ABR) for Treated Bleeds in Treated Participants <12 Years of Age [From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively.]
The number of treated bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and the first treatment thereafter and before a new bleed starts, are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded.
- Cohorts B and C: Mean Calculated Annualized Bleed Rate (ABR) for All Bleeds in Treated Participants <12 Years of Age [From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively.]
The number of all bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself.
- Cohorts B and C: Mean Calculated Annualized Bleed Rate (ABR) for Treated Spontaneous Bleeds in Treated Participants <12 Years of Age [From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively.]
The number of treated spontaneous bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A bleed is classified as "spontaneous" if there is no other known contributing factor such as trauma or procedure/surgery. A "treated spontaneous bleed" is a spontaneous bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Treated bleeds that fulfilled the 72-hour rule were included in the analysis of spontaneous bleeds. Bleeds due to surgery/procedure are excluded.
- Cohorts B and C: Mean Calculated Annualized Bleed Rate (ABR) for Treated Joint Bleeds in Treated Participants <12 Years of Age [From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively.]
The number of treated joint bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A "joint bleed" is defined as a bleed with type reported as "joint" and with at least one of the following symptoms: increasing swelling or warmth of the skin over the joint and/or increasing pain, decreased range of motion, or difficulty using the joint compared with baseline. A "treated joint bleed" is a joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Only treated bleeds that fulfilled the 72-hour rule were included in the analysis of treated joint bleeds, excluding bleeds due to surgery/procedure.
- Cohorts B and C: Mean Calculated Annualized Bleed Rate (ABR) for Treated Target Joint Bleeds in Treated Participants <12 Years of Age [From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively.]
The number of treated target joint bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A "target joint bleed" is defined as a joint bleed in a target joint, which is a joint location where at least 3 bleeds have occurred over the last 24 weeks prior to study entry. A "treated target joint bleed" is a target joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Bleeds due to surgery/procedure are excluded.
- Cohorts B and C: Median Calculated Annualized Bleed Rate (ABR) for Treated Bleeds in Treated Participants <12 Years of Age [From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively.]
The number of treated bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and the first treatment thereafter and before a new bleed starts, are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded.
- Cohorts B and C: Median Calculated Annualized Bleed Rate (ABR) for All Bleeds in Treated Participants <12 Years of Age [From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively.]
The number of all bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself.
- Cohorts B and C: Median Calculated Annualized Bleed Rate (ABR) for Treated Spontaneous Bleeds in Treated Participants <12 Years of Age [From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively.]
The number of treated spontaneous bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A bleed is classified as "spontaneous" if there is no other known contributing factor such as trauma or procedure/surgery. A "treated spontaneous bleed" is a spontaneous bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Treated bleeds that fulfilled the 72-hour rule were included in the analysis of spontaneous bleeds. Bleeds due to surgery/procedure are excluded.
- Cohorts B and C: Median Calculated Annualized Bleed Rate (ABR) for Treated Joint Bleeds in Treated Participants <12 Years of Age [From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively.]
The number of treated joint bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A "joint bleed" is defined as a bleed with type reported as "joint" and with at least one of the following symptoms: increasing swelling or warmth of the skin over the joint and/or increasing pain, decreased range of motion, or difficulty using the joint compared with baseline. A "treated joint bleed" is a joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Only treated bleeds that fulfilled the 72-hour rule were included in the analysis of treated joint bleeds, excluding bleeds due to surgery/procedure.
- Cohorts B and C: Median Calculated Annualized Bleed Rate (ABR) for Treated Target Joint Bleeds in Treated Participants <12 Years of Age [From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively.]
The number of treated target joint bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A "target joint bleed" is defined as a joint bleed in a target joint, which is a joint location where at least 3 bleeds have occurred over the last 24 weeks prior to study entry. A "treated target joint bleed" is a target joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Bleeds due to surgery/procedure are excluded.
- Cohorts B and C: Percentage of Participants by Categorized Number of Treated Bleeds Over the Efficacy Period in Treated Participants <12 Years of Age [From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively.]
The percentage of participants by categorized number of treated bleeds over the efficacy period is presented here. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and the first treatment thereafter and before a new bleed starts, are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded.
- Cohorts B and C: Percentage of Participants by Categorized Number of All Bleeds Over the Efficacy Period in Treated Participants <12 Years of Age [From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively.]
The percentage of participants by categorized number of all bleeds over the efficacy period is presented here. In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself.
- Cohorts B and C: Percentage of Participants by Categorized Number of Treated Spontaneous Bleeds Over the Efficacy Period in Treated Participants <12 Years of Age [From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively.]
The percentage of participants by categorized number of treated spontaneous bleeds over the efficacy period is presented here. A bleed is classified as "spontaneous" if there is no other known contributing factor such as trauma or procedure/surgery. A "treated spontaneous bleed" is a spontaneous bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Treated bleeds that fulfilled the 72-hour rule were included in the analysis of spontaneous bleeds. Bleeds due to surgery/procedure are excluded.
- Cohorts B and C: Percentage of Participants by Categorized Number of Treated Joint Bleeds Over the Efficacy Period in Treated Participants <12 Years of Age [From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively.]
The percentage of participants by categorized number of treated joint bleeds over the efficacy period is presented here. A "joint bleed" is defined as a bleed with type reported as "joint" and with at least one of the following symptoms: increasing swelling or warmth of the skin over the joint and/or increasing pain, decreased range of motion, or difficulty using the joint compared with baseline. A "treated joint bleed" is a joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Only treated bleeds that fulfilled the 72-hour rule were included in the analysis of treated joint bleeds, excluding bleeds due to surgery/procedure.
- Cohorts B and C: Percentage of Participants by Categorized Number of Treated Target Joint Bleeds Over the Efficacy Period in Treated Participants <12 Years of Age [From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively.]
The percentage of participants by categorized number of treated target joint bleeds over the efficacy period is presented here. A "target joint bleed" is defined as a joint bleed in a target joint, which is a joint location where at least 3 bleeds have occurred over the last 24 weeks prior to study entry. A "treated target joint bleed" is a target joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Bleeds due to surgery/procedure are excluded.
- Cohort A: Intra-Participant Comparison of the Model-Based ABR for Treated Bleeds on Study Versus Pre-Study in Treated Participants <12 Years of Age From the Non-Interventional Study (NIS) Population [Up to 24 weeks in NIS BH29768 (NCT02476942) prior to study entry and from Baseline to 52 weeks on this study; At primary completion date, the median (min-max) duration of the efficacy period in the NIS population was 88.57 (55.9-92.6) weeks.]
This is an intra-participant comparison of the model-based annualized bleeding rate (ABR) for treated bleeds (i.e., number of treated bleeds over efficacy period using negative binomial regression model) on study versus pre-study in the NIS population who had previously participated in study BH29768 (NCT02476942). A "treated bleed" is a bleed directly followed by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and first treatment thereafter are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded.
- Cohort A: Intra-Participant Comparison of the Model-Based ABR for All Bleeds on Study Versus Pre-Study in Treated Participants <12 Years of Age From the NIS Population [Up to 24 weeks in NIS BH29768 (NCT02476942) prior to study entry and from Baseline to 52 weeks on this study; At primary completion date, the median (min-max) duration of the efficacy period in the NIS population was 88.57 (55.9-92.6) weeks.]
This is an intra-participant comparison of the model-based annualized bleeding rate (ABR) for all bleeds (i.e., number of all bleeds over efficacy period using negative binomial regression model) on study versus pre-study in the NIS population who had previously participated in study BH29768 (NCT02476942). In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself.
- Cohort A: Intra-Participant Comparison of the Median Calculated ABR for Treated Bleeds on Study Versus Pre-Study in Treated Participants <12 Years of Age From the NIS Population [Up to 24 weeks in NIS BH29768 (NCT02476942) prior to study entry and from Baseline to 52 weeks on this study; At primary completion date, the median (min-max) duration of the efficacy period in the NIS population was 88.57 (55.9-92.6) weeks.]
This is an intra-participant comparison of the calculated ABR for treated bleeds (annualized per participant using the following formula: ABR = [number of bleeds/number of days during the efficacy period] x 365.25) on study versus pre-study in the NIS population who had previously participated in study BH29768 (NCT02476942). A "treated bleed" is a bleed directly followed by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and first treatment thereafter are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded.
- Cohort A: Intra-Participant Comparison of the Median Calculated ABR for All Bleeds on Study Versus Pre-Study in Treated Participants <12 Years of Age From the NIS Population [Up to 24 weeks in NIS BH29768 (NCT02476942) prior to study entry and from Baseline to 52 weeks on this study; At primary completion date, the median (min-max) duration of the efficacy period in the NIS population was 88.57 (55.9-92.6) weeks.]
This is an intra-participant comparison of the calculated annualized bleeding rate (ABR) for all bleeds (annualized for each participant using the following formula: ABR = [number of bleeds/number of days during the efficacy period] x 365.25) on study versus pre-study in the NIS population who had previously participated in study BH29768 (NCT02476942). In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself.
- Cohort A: Intra-Participant Comparison of Percentage of Participants by Categorized Number of Treated Bleeds on Study Versus Pre-Study in Treated Participants <12 Years of Age From the NIS Population [Up to 24 weeks in NIS BH29768 (NCT02476942) prior to study entry and from Baseline to 52 weeks on this study; At primary completion date, the median (min-max) duration of the efficacy period in the NIS population was 88.57 (55.9-92.6) weeks.]
This is an intra-participant comparison of the percentage of participants by categorized number of treated bleeds over the efficacy period on study versus pre-study in the NIS population who had previously participated in study BH29768 (NCT02476942). A "treated bleed" is a bleed directly followed by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and first treatment thereafter are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded.
- Cohort A: Intra-Participant Comparison of Percentage of Participants by Categorized Number of All Bleeds on Study Versus Pre-Study in Treated Participants <12 Years of Age From the NIS Population [Up to 24 weeks in NIS BH29768 (NCT02476942) prior to study entry and from Baseline to 52 weeks on this study; At primary completion date, the median (min-max) duration of the efficacy period in the NIS population was 88.57 (55.9-92.6) weeks.]
This is an intra-participant comparison of the percentage of participants by categorized number of all bleeds over the efficacy period on study versus pre-study in the NIS population who had previously participated in study BH29768 (NCT02476942). In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself.
- Model-Based Annualized Bleed Rate (ABR) for Treated Bleeds in Treated Participants ≥12 Years of Age and <40 kg Body Weight [From Baseline to 52 weeks]
The number of treated bleeds over the efficacy period is presented here as a model-based ABR that was analyzed using a negative binomial regression model with efficacy period as an offset to account for the difference in follow-up times. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and the first treatment thereafter and before a new bleed starts, are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded.
- Model-Based Annualized Bleed Rate (ABR) for All Bleeds in Treated Participants ≥12 Years of Age and <40 kg Body Weight [From Baseline to 52 weeks]
The number of all bleeds over the efficacy period is presented as a model-based ABR that was analyzed using a negative binomial regression model with efficacy period as an offset to account for the difference in followup times (i.e., the time that each participant stays in the study). In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself.
- Median Calculated Annualized Bleed Rate (ABR) for Treated Bleeds in Treated Participants ≥12 Years of Age and <40 kg Body Weight [From Baseline to 52 weeks]
The number of treated bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and the first treatment thereafter and before a new bleed starts, are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded.
- Median Calculated Annualized Bleed Rate (ABR) for All Bleeds in Treated Participants ≥12 Years of Age and <40 kg Body Weight [From Baseline to 52 weeks]
The number of all bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself.
- Number of Treated Bleeds Over Time in Participants With Dose Up-Titration [From Baseline to study completion (up to at least 52 weeks)]
The number of treated bleeds over time was to be analyzed in participants whose emicizumab maintenance dose was up-titrated to 3 mg/kg QW if they had experienced suboptimal bleeding control on emicizumab at steady-state, per protocol criteria. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and the first treatment thereafter and before a new bleed starts, are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded.
- Number of All Bleeds Over Time in Participants With Dose Up-Titration [From Baseline to study completion (up to at least 52 weeks)]
The number of all bleeds over time was to be analyzed in participants whose emicizumab maintenance dose was up-titrated to 3 mg/kg QW if they had experienced suboptimal bleeding control on emicizumab at steady-state, per protocol criteria. In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself.
- Long-Term Efficacy of Emicizumab in All Cohorts: Model-Based Annualized Bleed Rate (ABR) for Treated Bleeds, All Bleeds, Treated Spontaneous Bleeds, Treated Joint Bleeds, and Treated Target Joint Bleeds in Treated Participants <12 Years of Age [From Baseline to study completion (median [min-max] duration of the efficacy periods in Cohorts A, B, and C were 92.29 [36.1-187.7] weeks, 68.21 [56.7-129.4] weeks, and 69.43 [8.9-144.3] weeks, respectively)]
The number of bleeds over the efficacy period was shown as a model-based ABR that used a negative binomial regression model with efficacy period as an offset to account for the difference in follow-up times. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. "All bleeds" included bleeds irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. Bleeds are classified as "spontaneous" if there is no other known contributing factor such as trauma or procedure/surgery. A "joint bleed" is defined as a bleed occurring in a joint. A "target joint bleed" is defined as a joint bleed in a target joint (≥3 bleeds have occurred over the last 24 weeks prior to study entry).
- Long-Term Efficacy of Emicizumab in All Cohorts: Mean Calculated Annualized Bleed Rate (ABR) for Treated Bleeds, All Bleeds, Treated Spontaneous Bleeds, Treated Joint Bleeds, and Treated Target Joint Bleeds in Treated Participants <12 Years of Age [From Baseline to study completion (median [min-max] duration of the efficacy periods in Cohorts A, B, and C were 92.29 [36.1-187.7] weeks, 68.21 [56.7-129.4] weeks, and 69.43 [8.9-144.3] weeks, respectively)]
The number of treated bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. "All bleeds" included bleeds irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. Bleeds are classified as "spontaneous" if there is no other known contributing factor such as trauma or procedure/surgery. A "joint bleed" is defined as a bleed with type reported as "joint". A "target joint bleed" is defined as a joint bleed in a target joint, which is a joint location where at least 3 bleeds have occurred over the last 24 weeks prior to study entry.
- Long-Term Efficacy of Emicizumab in All Cohorts: Median Calculated Annualized Bleed Rate (ABR) for Treated Bleeds, All Bleeds, Treated Spontaneous Bleeds, Treated Joint Bleeds, and Treated Target Joint Bleeds in Treated Participants <12 Years of Age [From Baseline to study completion (median [min-max] duration of the efficacy periods in Cohorts A, B, and C were 92.29 [36.1-187.7] weeks, 68.21 [56.7-129.4] weeks, and 69.43 [8.9-144.3] weeks, respectively)]
The number of treated bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. "All bleeds" included bleeds irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. Bleeds are classified as "spontaneous" if there is no other known contributing factor such as trauma or procedure/surgery. A "joint bleed" is defined as a bleed with type reported as "joint". A "target joint bleed" is defined as a joint bleed in a target joint, which is a joint location where at least 3 bleeds have occurred over the last 24 weeks prior to study entry.
- Change From Baseline Over Time in the Hemophilia-Specific Quality of Life Short Form (Haemo-QoL-SF) Questionnaire Total Score, as Completed by Treated Participants ≥8 to <12 Years of Age [Baseline (Week 1), Weeks 13, 25, 37, 49, 57, 81, 105, 129, 153, and 177, and at study completion [SC] or early discontinuation [ED] (up to 188 weeks)]
The Haemo-QoL-SF is a self-reported questionnaire for children ≥8 years of age. It contains 35 items, which cover nine domains considered relevant for the children's health-related quality of life: Physical Health, Feelings, View of Yourself, Family, Friends, Other People, Sports and School, Dealing with Hemophilia, and Treatment. Items are rated with five respective response options: never, seldom, sometimes, often, and always. The Total Score is derived from the scores for all domains and ranges from 0 to 100, with a lower score reflective of better health-related quality of life.
- Change From Baseline Over Time in the Haemo-QoL-SF Questionnaire Physical Health Domain Score, as Completed by Treated Participants ≥8 to <12 Years of Age [Baseline (Week 1), Weeks 13, 25, 37, 49, 57, 81, 105, 129, 153, and 177, and at study completion [SC] or early discontinuation [ED] (up to 188 weeks)]
The Haemo-QoL-SF is a self-reported questionnaire for children ≥8 years of age. It contains 35 items, which cover nine domains considered relevant for the children's health-related quality of life: Physical Health, Feelings, View of Yourself, Family, Friends, Other People, Sports and School, Dealing with Hemophilia, and Treatment. The Physical Health domain assesses hemophilia-related symptoms (painful swellings and presence of joint pain) and physical functioning (pain with movement). Items are rated with five respective response options: never, seldom, sometimes, often, and always. The Physical Health domain score ranges from 0 to 100, with a lower score reflective of better physical health.
- Change From Baseline Over Time in Caregiver-Reported Adapted Health-Related Quality of Life for Hemophilia Patients With Inhibitors Including Aspects of Caregiver Burden (Adapted Inhib-QoL) Questionnaire Total Score, Treated Participants <12 Years of Age [Baseline (Week 1), Weeks 13, 25, 37, 49, 57, 81, 105, 129, 153, and 177, and at study completion [SC] or early discontinuation [ED] (up to 188 weeks)]
Proxy assessment of health-related quality of life (HRQoL) and aspects of caregiver burden were assessed using the Adapted Inhib-QoL questionnaire, which comprises two parts with a total of 30 questions. The first part asks the caregiver for his/her opinion on the child's HRQoL and consists of two scales: Physical Health and Treatment. The second part asks the caregiver to rate how the child's situation is for them (i.e., the impact of the child's disease and treatment on the caregiver) and consists of 6 scales (5 if the child does not have siblings): General Condition, Dealing with the Inhibitor, Perceive Treatment, Family life, Siblings, Contact with Others. Items are rated with five respective response options: never, seldom, sometimes, often, and all the time. The Total Score is derived from the individual scores of all of the domains and it ranges from 0 to 100, with lower scores reflective of better HRQoL.
- Change From Baseline Over Time in the Caregiver-Reported Adapted Inhib-QoL Questionnaire Physical Health Domain Score, Treated Participants <12 Years of Age [Baseline (Week 1), Weeks 13, 25, 37, 49, 57, 81, 105, 129, 153, and 177, and at study completion [SC] or early discontinuation [ED] (up to 188 weeks)]
Proxy assessment of health-related quality of life (HRQoL) and aspects of caregiver burden were assessed using the Adapted Inhib-QoL questionnaire, which comprises two parts with a total of 30 questions. The first part asks the caregiver for his/her opinion on the child's HRQoL (proxy HRQoL) and consists of two scales: Physical Health and Treatment. The second part asks the caregiver to rate how the child's situation is for them (i.e., the impact of the child's disease and treatment on the caregiver) and consists of 6 scales (5 if the child does not have siblings): General Condition, Dealing with the Inhibitor, Perceive Treatment, Family Life, Siblings, Contact with Others. Items are rated with five respective response options: never, seldom, sometimes, often, and all the time. A total score is calculated as the sum of all of the items in the scale. The Physical Health domain score ranges from 0 to 100, with lower scores reflective of better physical health.
- Number of Participants With at Least One Adverse Event [From Baseline up to 24 weeks after study drug discontinuation; the median (min-max) observation periods in Cohorts A, B, and C were 96.93 (36.1-188.1) weeks, 68.21 (56.7-129.4) weeks, and 69.43 (38.9-144.3) weeks, respectively.]
The number of participants experiencing at least one adverse event, including all non-serious and serious adverse events, are reported.
- Number of Participants With at Least One Grade ≥3 Adverse Event [From Baseline up to 24 weeks after study drug discontinuation; the median (min-max) observation periods in Cohorts A, B, and C were 96.93 (36.1-188.1) weeks, 68.21 (56.7-129.4) weeks, and 69.43 (38.9-144.3) weeks, respectively.]
The World Health Organization (WHO) toxicity grading scale was used for assessing adverse event severity. For adverse events that are not specifically listed in the WHO toxicity grading scale, a grade 3 adverse event is defined as: severe, marked limitation in activity, some assistance usually required, medical intervention or therapy required, hospitalization possible; and a grade 4 adverse event is defined as: life-threatening, extreme limitation in activity, significant assistance required, significant medical intervention or therapy required, hospitalization or hospice care probable.
- Number of Participants With at Least One Adverse Event Leading to Withdrawal From Treatment [From Baseline up to 24 weeks after study drug discontinuation; the median (min-max) observation periods in Cohorts A, B, and C were 96.93 (36.1-188.1) weeks, 68.21 (56.7-129.4) weeks, and 69.43 (38.9-144.3) weeks, respectively.]
- Number of Participants With at Least One Adverse Event of Local Injection Site Reaction [From Baseline up to 24 weeks after study drug discontinuation; the median (min-max) observation periods in Cohorts A, B, and C were 96.93 (36.1-188.1) weeks, 68.21 (56.7-129.4) weeks, and 69.43 (38.9-144.3) weeks, respectively.]
Local adverse events that occurred within 24 hours after study drug administration and, in the investigator's opinion, were judged to be related to study drug injection, were captured as an "injection-site reaction" on the Adverse Event electronic Case Report Form (eCRF). An injection-related reaction that was localized was marked as a "local injection-site reaction."
- Number of Participants With at Least One Adverse Event of Systemic Hypersensitivity, Anaphylaxis, or Anaphylactoid Reaction [From Baseline up to 24 weeks after study drug discontinuation; the median (min-max) observation periods in Cohorts A, B, and C were 96.93 (36.1-188.1) weeks, 68.21 (56.7-129.4) weeks, and 69.43 (38.9-144.3) weeks, respectively.]
Systemic hypersensitivity, anaphylaxis, or anaphylactoid reactions were identified by the investigator using Sampson's criteria, as defined in the protocol. At the primary completion date, one participant had reported two non-serious adverse events (cough and abdominal pain) that were identified as a potential case based on a Standardised MedDRA Queries (SMQ) search for Sampson's criteria. However, after medical review of the case, it was confirmed that this case was not indicative of a systemic hypersensitivity, anaphylaxis, or anaphylactoid reaction.
- Number of Participants With at Least One Adverse Event of Thromboembolic Event [From Baseline up to 24 weeks after study drug discontinuation; the median (min-max) observation periods in Cohorts A, B, and C were 96.93 (36.1-188.1) weeks, 68.21 (56.7-129.4) weeks, and 69.43 (38.9-144.3) weeks, respectively.]
- Number of Participants With at Least One Adverse Event of Thrombotic Microangiopathy [From Baseline up to 24 weeks after study drug discontinuation; the median (min-max) observation periods in Cohorts A, B, and C were 96.93 (36.1-188.1) weeks, 68.21 (56.7-129.4) weeks, and 69.43 (38.9-144.3) weeks, respectively.]
- Number of Participants Testing Negative or Positive for the Presence of Anti-Drug Antibodies (ADAs), Including Neutralizing ADAs, During the Study [Predose (0 hour) at Weeks 1, 5, 17, 33, 49, 57; then every 12 weeks until study completion (up to 188 weeks)]
'Total ADA Negative' is the sum of all subjects who tested negative for ADA in the 2 following categories: 'ADA Negative', those who are pre-dose ADA negative or are missing pre-dose ADA data and who have all negative post-dose ADA results; and 'ADA Negative (Treatment Unaffected)', a subset who are pre-dose ADA positive but do not have a ≥4-fold increase in post-dose ADA levels compared to baseline measurement. 'Total ADA Positive' is the sum of all subjects who tested positive for ADA in the 2 following categories: 'ADA Positive (Treatment Boosted)', those who are pre-dose ADA positive and have a ≥4-fold increase in post-dose ADA levels compared to baseline measurement; and 'ADA Positive (Treatment Induced)', those who are pre-dose ADA negative or missing data and who have at least one post-dose ADA positive sample. ADA-positive samples were further analyzed for neutralizing capacity using a modified FVIII chromogenic assay; if also positive, they were considered neutralizing ADAs.
- Number of Participants by Hematology Parameter Laboratory Test Results as a Shift From Baseline to Highest WHO Grade Post-Baseline [From Baseline until study completion (up to 188 weeks)]
The World Health Organization (WHO) toxicity grading scale was used for determining the severity of laboratory abnormalities (i.e., test results outside of the reference range) for hematology parameters; Grade 0 is normal and Grades 1 to 4 represent worsening levels of the parameter outside of the normal range in the specified direction of the abnormality (high and low are above and below the range, respectively). Not every laboratory abnormality qualified as an adverse event (AE). A laboratory test result was reported as an AE if it met any of the following criteria: was accompanied by clinical symptoms; resulted in a change in study treatment; resulted in a medical intervention or a change in concomitant therapy; or was clinically significant in the investigator's judgment. Baseline was defined as the last available assessment prior to first receipt of study drug. Abs = absolute count
- Number of Participants by Chemistry Parameter Laboratory Test Results as a Shift From Baseline to Highest WHO Grade Post-Baseline [From Baseline until study completion (up to 188 weeks)]
The World Health Organization (WHO) toxicity grading scale was used for determining the severity of laboratory abnormalities (i.e., test results outside of the reference range) for chemistry parameters; Grade 0 is normal and Grades 1 to 4 represent worsening levels of the parameter outside of the normal range in the specified direction of the abnormality (high and low are above and below the range, respectively). Not every laboratory abnormality qualified as an adverse event (AE). A laboratory test result was reported as an AE if it met any of the following criteria: was accompanied by clinical symptoms; resulted in a change in study treatment; resulted in a medical intervention or a change in concomitant therapy; or was clinically significant in the investigator's judgment. Baseline was defined as the last available assessment prior to first receipt of study drug. SGOT/AST = aspartate aminotransferase; SGPT/ALT = alanine aminotransferase
- Plasma Trough Concentration (Ctrough) of Emicizumab [Predose (0 hour) at Weeks 1, 2, 3, 4, 5, 7, 9, 13, 17, 21, 25, 29, 33, 37, 41, 49, 57, 69, 81, 93, 105, 117, 129, 141, 153, 165, and 177]
Pre-dose (trough) plasma concentrations of emicizumab were analyzed using a validated enzyme-linked immunosorbent assay (ELISA). The lower limit of quantitation was 0.1 micrograms per milliliter (μg/mL).
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Children less than (<) 12 years of age, with allowance for participants 12 to 17 years of age who weigh <40 kilograms (kg) (Cohort A only); and participants <2 years of age will be allowed to participate only after the protocol-defined interim data review criteria are met (Cohort A only)
-
Diagnosis of congenital hemophilia A of any severity and documented history of high-titer inhibitor (that is [i.e.], greater than or equal to [>/=] 5 bethesda units [BU])
-
Requires treatment with bypassing agents
-
Adequate hematologic, hepatic, and renal function
Exclusion Criteria:
-
Inherited or acquired bleeding disorder other than hemophilia A
-
Ongoing (or planning to receive during the study) immune tolerance induction (ITI) therapy or prophylaxis treatment with FVIII
-
Previous (in the past 12 months) or current treatment for thromboembolic disease or signs of thromboembolic disease
-
Other disease that may increase risk of bleeding or thrombosis
-
History of clinically significant hypersensitivity associated with monoclonal antibody therapy or components of the emicizumab injection
-
Known infection with human immunodeficiency virus (HIV) or hepatitis B or C virus
-
Use of systemic immunomodulators at enrollment or planned use during the study period
-
Planned surgery (excluding minor procedures such as tooth extraction or incision and drainage) during the study
-
Inability (or unwillingness by caregiver) to receive (allow receipt of) blood or blood products (or any standard-of-care treatment for a life-threatening condition)
-
Participants who are at high risk for thrombotic microangiopathy (TMA) (e.g., have a previous medical or family history of TMA), in the investigator's judgement
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Children's Hospital Los Angeles | Los Angeles | California | United States | 90010 |
2 | University of Colorado Denver, Children's Hospital | Aurora | Colorado | United States | 80045 |
3 | Children'S Healthcare of Atlanta | Atlanta | Georgia | United States | 30322 |
4 | Rush Medical Center | Chicago | Illinois | United States | 60612 |
5 | Children's Hospital of Michigan; Pediatrics | Detroit | Michigan | United States | 48201 |
6 | North Shore/Long Island Jewish PRIME; Pediatric Hematology/Oncology & Stem Cell Transplantation | New Hyde Park | New York | United States | 11040 |
7 | Oregon Health & Science Uni ; Dept of Pediatrics | Portland | Oregon | United States | 97201 |
8 | Bloodworks Northwest (formerly Puget Sound Blood Center); Hemophilia | Seattle | Washington | United States | 98104 |
9 | ICIC | San Jose | Costa Rica | 1000 | |
10 | Hopital Cardio-vasculaire Louis Pradel; Hemostase clinique | Bron | France | 69677 | |
11 | CH de Bicetre; Centre de Traitement d' Hemophilie | Le Kremlin Bicetre | France | 94275 | |
12 | Groupe Hospitalier Necker Enfants Malades | Paris | France | 75015 | |
13 | Universitätsklinikum Bonn; Institut für Experimentelle Hämatologie und Transfusionsmedizin | Bonn | Germany | 53127 | |
14 | IRCCS Ca' Granda Ospedale Maggiore Policlinico; Centro Emofilia e Trombosi "Angelo Bianchi e Bonomi" | Milano | Lombardia | Italy | 20122 |
15 | Nagoya University Hospital | Aichi | Japan | 466-8560 | |
16 | Hospital of the University of Occupational and Environmental Health,Japan | Kitakyushu-shi | Japan | 807-8556 | |
17 | Nara Medical University Hospital | Nara | Japan | 634-8522 | |
18 | Shizuoka Children's Hospital | Shizuoka | Japan | 420-8660 | |
19 | Ogikubo Hospital | Tokyo | Japan | 167-0035 | |
20 | Charlotte Maxeke Johannesburg Hospital; Haemophilia Comprehensive Care Center | Johannesburg | South Africa | 2193 | |
21 | Hospital Universitario la Paz; Servicio de Hematologia | Madrid | Spain | 28046 | |
22 | Hospital Universitario Virgen del Rocio; Servicio de Hematologia | Sevilla | Spain | 41013 | |
23 | Hospital Universitario la Fe; Servicio de Hematologia | Valencia | Spain | 46026 | |
24 | Adana Acibadem Hospital; Pediatric Hematology | Adana | Turkey | 01130 | |
25 | Istanbul Uni Istanbul Medical Faculty | Istanbul | Turkey | 34093 | |
26 | Istanbul University, Cerrahpasa Medical Faculty; Pediatrics Department | Istanbul | Turkey | 34098 | |
27 | Ege University, School of Medicine; Pediatrics Department | Izmir | Turkey | 35100 | |
28 | Great Ormond street Hospital for Children NHS Foundation Trust; Haemophilia Centre | London | United Kingdom | WC1N 3HR |
Sponsors and Collaborators
- Hoffmann-La Roche
- Chugai Pharmaceutical
Investigators
- Study Director: Clinical Trials, Hoffmann-La Roche
Study Documents (Full-Text)
More Information
Publications
None provided.- BH29992
- 2016-000073-21
Study Results
Participant Flow
Recruitment Details | Following completion of accrual to Cohort A: 1.5 mg/kg Emicizumab QW, enrollment was opened to Cohort B: 3 mg/kg Emicizumab Q2W and Cohort C: 6 mg/kg Emicizumab Q4W. Of note, enrollment remained open to Cohort A only for participants who were <2 years old, and enrollment to Cohorts B and C was limited to participants who were 2-11 years old. |
---|---|
Pre-assignment Detail |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Period Title: Overall Study | |||
STARTED | 68 | 10 | 10 |
Received at Least One Dose of Emicizumab | 68 | 10 | 10 |
Dose Up-Titrated to 3 mg/kg QW | 0 | 0 | 3 |
Completed 52 Weeks in Study | 67 | 10 | 9 |
COMPLETED | 67 | 10 | 10 |
NOT COMPLETED | 1 | 0 | 0 |
Baseline Characteristics
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W | Total |
---|---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Total of all reporting groups |
Overall Participants | 68 | 10 | 10 | 88 |
Age (years) [Mean (Standard Deviation) ] | ||||
Mean (Standard Deviation) [years] |
6.2
(3.6)
|
6.9
(3.2)
|
7.9
(3.0)
|
6.5
(3.5)
|
Age, Customized (Count of Participants) | ||||
0 to <2 Years Old |
8
11.8%
|
0
0%
|
0
0%
|
8
9.1%
|
2 to <6 Years Old |
19
27.9%
|
3
30%
|
2
20%
|
24
27.3%
|
6 to <12 Years Old |
38
55.9%
|
7
70%
|
8
80%
|
53
60.2%
|
≥12 Years Old |
3
4.4%
|
0
0%
|
0
0%
|
3
3.4%
|
Sex: Female, Male (Count of Participants) | ||||
Female |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Male |
68
100%
|
10
100%
|
10
100%
|
88
100%
|
Ethnicity (NIH/OMB) (Count of Participants) | ||||
Hispanic or Latino |
5
7.4%
|
1
10%
|
1
10%
|
7
8%
|
Not Hispanic or Latino |
61
89.7%
|
9
90%
|
9
90%
|
79
89.8%
|
Unknown or Not Reported |
2
2.9%
|
0
0%
|
0
0%
|
2
2.3%
|
Race (NIH/OMB) (Count of Participants) | ||||
American Indian or Alaska Native |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Asian |
10
14.7%
|
1
10%
|
2
20%
|
13
14.8%
|
Native Hawaiian or Other Pacific Islander |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Black or African American |
11
16.2%
|
1
10%
|
0
0%
|
12
13.6%
|
White |
39
57.4%
|
7
70%
|
8
80%
|
54
61.4%
|
More than one race |
2
2.9%
|
0
0%
|
0
0%
|
2
2.3%
|
Unknown or Not Reported |
6
8.8%
|
1
10%
|
0
0%
|
7
8%
|
Number of Participants with 0, 1, or >1 Target Joint in the Last 24 Weeks Prior to Study Entry (Count of Participants) | ||||
0 Target Joints |
44
64.7%
|
3
30%
|
7
70%
|
54
61.4%
|
1 Target Joint |
9
13.2%
|
6
60%
|
1
10%
|
16
18.2%
|
>1 Target Joint |
15
22.1%
|
1
10%
|
2
20%
|
18
20.5%
|
Outcome Measures
Title | Cohort A: Model-Based Annualized Bleed Rate (ABR) for Treated Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated bleeds over the efficacy period is presented here as a model-based ABR that was analyzed using a negative binomial regression model with efficacy period as an offset to account for the difference in follow-up times. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and the first treatment thereafter and before a new bleed starts, are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohort A who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW |
---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 |
Number (95% Confidence Interval) [treated bleed rate per year] |
0.3
|
Title | Cohort A: Model-Based Annualized Bleed Rate (ABR) for All Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of all bleeds over the efficacy period is presented here as a model-based ABR that was analyzed using a negative binomial regression model with efficacy period as an offset to account for the difference in followup times (i.e., the time that each participant stays in the study). In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself. |
Time Frame | From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohort A who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW |
---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 |
Number (95% Confidence Interval) [all bleed rate per year] |
3.2
|
Title | Cohort A: Model-Based Annualized Bleed Rate (ABR) for Treated Spontaneous Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated spontaneous bleeds over the efficacy period is presented here as a model-based ABR that was analyzed using a negative binomial regression model with efficacy period as an offset to account for the difference in follow-up times (i.e., the time that each participant stays in the study). A bleed is classified as "spontaneous" if there is no other known contributing factor such as trauma or procedure/surgery. A "treated spontaneous bleed" is a spontaneous bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Treated bleeds that fulfilled the 72-hour rule were included in the analysis of spontaneous bleeds. Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohort A who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW |
---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 |
Number (95% Confidence Interval) [treated spontaneous bleed rate per year] |
0.0
|
Title | Cohort A: Model-Based Annualized Bleed Rate (ABR) for Treated Joint Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated joint bleeds over the efficacy period is presented here as a model-based ABR that was analyzed using a negative binomial regression model with efficacy period as an offset to account for the difference in follow-up times (i.e., the time that each participant stays in the study). A "joint bleed" is defined as a bleed with type reported as "joint" and with at least one of the following symptoms: increasing swelling or warmth of the skin over the joint and/or increasing pain, decreased range of motion, or difficulty using the joint compared with baseline. A "treated joint bleed" is a joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Only treated bleeds that fulfilled the 72-hour rule were included in the analysis of treated joint bleeds, excluding bleeds due to surgery/procedure. |
Time Frame | From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohort A who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW |
---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 |
Number (95% Confidence Interval) [treated joint bleed rate per year] |
0.2
|
Title | Cohort A: Model-Based Annualized Bleed Rate (ABR) for Treated Target Joint Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated target joint bleeds over the efficacy period is presented here as a model-based ABR that was analyzed using a negative binomial regression model with efficacy period as an offset to account for the difference in follow-up times (i.e., the time that each participant stays in the study). A "target joint bleed" is defined as a joint bleed in a target joint, which is a joint location where at least 3 bleeds have occurred over the last 24 weeks prior to study entry. A "treated target joint bleed" is a target joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohort A who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW |
---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 |
Number (95% Confidence Interval) [treated target joint bleed rate per year] |
NA
|
Title | Cohort A: Mean Calculated Annualized Bleed Rate (ABR) for Treated Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and the first treatment thereafter and before a new bleed starts, are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohort A who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW |
---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 |
Mean (95% Confidence Interval) [treated bleed rate per year] |
0.3
|
Title | Cohort A: Mean Calculated Annualized Bleed Rate (ABR) for All Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of all bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself. |
Time Frame | From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohort A who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW |
---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 |
Mean (95% Confidence Interval) [all bleed rate per year] |
3.2
|
Title | Cohort A: Mean Calculated Annualized Bleed Rate (ABR) for Treated Spontaneous Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated spontaneous bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A bleed is classified as "spontaneous" if there is no other known contributing factor such as trauma or procedure/surgery. A "treated spontaneous bleed" is a spontaneous bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Treated bleeds that fulfilled the 72-hour rule were included in the analysis of spontaneous bleeds. Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohort A who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW |
---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 |
Mean (95% Confidence Interval) [treated spontaneous bleed rate per year] |
0.0
|
Title | Cohort A: Mean Calculated Annualized Bleed Rate (ABR) for Treated Joint Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated joint bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A "joint bleed" is defined as a bleed with type reported as "joint" and with at least one of the following symptoms: increasing swelling or warmth of the skin over the joint and/or increasing pain, decreased range of motion, or difficulty using the joint compared with baseline. A "treated joint bleed" is a joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Only treated bleeds that fulfilled the 72-hour rule were included in the analysis of treated joint bleeds, excluding bleeds due to surgery/procedure. |
Time Frame | From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohort A who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW |
---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 |
Mean (95% Confidence Interval) [treated joint bleed rate per year] |
0.2
|
Title | Cohort A: Mean Calculated Annualized Bleed Rate (ABR) for Treated Target Joint Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated target joint bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A "target joint bleed" is defined as a joint bleed in a target joint, which is a joint location where at least 3 bleeds have occurred over the last 24 weeks prior to study entry. A "treated target joint bleed" is a target joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohort A who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW |
---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 |
Mean (95% Confidence Interval) [treated target joint bleed rate per year] |
0.1
|
Title | Cohort A: Median Calculated Annualized Bleed Rate (ABR) for Treated Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and the first treatment thereafter and before a new bleed starts, are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohort A who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW |
---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 |
Median (Inter-Quartile Range) [treated bleed rate per year] |
0.0
|
Title | Cohort A: Median Calculated Annualized Bleed Rate (ABR) for All Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of all bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself. |
Time Frame | From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohort A who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW |
---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 |
Median (Inter-Quartile Range) [all bleed rate per year] |
0.6
|
Title | Cohort A: Median Calculated Annualized Bleed Rate (ABR) for Treated Spontaneous Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated spontaneous bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A bleed is classified as "spontaneous" if there is no other known contributing factor such as trauma or procedure/surgery. A "treated spontaneous bleed" is a spontaneous bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Treated bleeds that fulfilled the 72-hour rule were included in the analysis of spontaneous bleeds. Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohort A who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW |
---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 |
Median (Inter-Quartile Range) [treated spontaneous bleed rate per year] |
0.0
|
Title | Cohort A: Median Calculated Annualized Bleed Rate (ABR) for Treated Joint Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated joint bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A "joint bleed" is defined as a bleed with type reported as "joint" and with at least one of the following symptoms: increasing swelling or warmth of the skin over the joint and/or increasing pain, decreased range of motion, or difficulty using the joint compared with baseline. A "treated joint bleed" is a joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Only treated bleeds that fulfilled the 72-hour rule were included in the analysis of treated joint bleeds, excluding bleeds due to surgery/procedure. |
Time Frame | From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohort A who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW |
---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 |
Median (Inter-Quartile Range) [treated joint bleed rate per year] |
0.0
|
Title | Cohort A: Median Calculated Annualized Bleed Rate (ABR) for Treated Target Joint Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated target joint bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A "target joint bleed" is defined as a joint bleed in a target joint, which is a joint location where at least 3 bleeds have occurred over the last 24 weeks prior to study entry. A "treated target joint bleed" is a target joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohort A who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW |
---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 |
Median (Inter-Quartile Range) [treated target joint bleed rate per year] |
0.0
|
Title | Cohort A: Percentage of Participants by Categorized Number of Treated Bleeds Over the Efficacy Period in Treated Participants <12 Years of Age |
---|---|
Description | The percentage of participants by categorized number of treated bleeds over the efficacy period is presented here. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and the first treatment thereafter and before a new bleed starts, are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohort A who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW |
---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 |
0 Bleeds |
76.9
113.1%
|
0-3 Bleeds |
100.0
147.1%
|
0-10 Bleeds |
100.0
147.1%
|
>10 Bleeds |
0.0
0%
|
Title | Cohort A: Percentage of Participants by Categorized Number of All Bleeds Over the Efficacy Period in Treated Participants <12 Years of Age |
---|---|
Description | The percentage of participants by categorized number of all bleeds over the efficacy period is presented here. In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself. |
Time Frame | From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohort A who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW |
---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 |
0 Bleeds |
49.2
72.4%
|
0-3 Bleeds |
72.3
106.3%
|
0-10 Bleeds |
92.3
135.7%
|
>10 Bleeds |
7.7
11.3%
|
Title | Cohort A: Percentage of Participants by Categorized Number of Treated Spontaneous Bleeds Over the Efficacy Period in Treated Participants <12 Years of Age |
---|---|
Description | The percentage of participants by categorized number of treated spontaneous bleeds over the efficacy period is presented here. A bleed is classified as "spontaneous" if there is no other known contributing factor such as trauma or procedure/surgery. A "treated spontaneous bleed" is a spontaneous bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Treated bleeds that fulfilled the 72-hour rule were included in the analysis of spontaneous bleeds. Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohort A who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW |
---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 |
0 Bleeds |
96.9
142.5%
|
0-3 Bleeds |
100.0
147.1%
|
0-10 Bleeds |
100.0
147.1%
|
>10 Bleeds |
0.0
0%
|
Title | Cohort A: Percentage of Participants by Categorized Number of Treated Joint Bleeds Over the Efficacy Period in Treated Participants <12 Years of Age |
---|---|
Description | The percentage of participants by categorized number of treated joint bleeds over the efficacy period is presented here. A "joint bleed" is defined as a bleed with type reported as "joint" and with at least one of the following symptoms: increasing swelling or warmth of the skin over the joint and/or increasing pain, decreased range of motion, or difficulty using the joint compared with baseline. A "treated joint bleed" is a joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Only treated bleeds that fulfilled the 72-hour rule were included in the analysis of treated joint bleeds, excluding bleeds due to surgery/procedure. |
Time Frame | From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohort A who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW |
---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 |
0 Bleeds |
84.6
124.4%
|
0-3 Bleeds |
100.0
147.1%
|
0-10 Bleeds |
100.0
147.1%
|
>10 Bleeds |
0.0
0%
|
Title | Cohort A: Percentage of Participants by Categorized Number of Treated Target Joint Bleeds Over the Efficacy Period in Treated Participants <12 Years of Age |
---|---|
Description | The percentage of participants by categorized number of treated target joint bleeds over the efficacy period is presented here. A "target joint bleed" is defined as a joint bleed in a target joint, which is a joint location where at least 3 bleeds have occurred over the last 24 weeks prior to study entry. A "treated target joint bleed" is a target joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 52 weeks; At the primary completion date, the median (min-max) duration of the efficacy period in Cohort A was 57.57 (17.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohort A who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW |
---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 |
0 Bleeds |
95.4
140.3%
|
0-3 Bleeds |
100.0
147.1%
|
0-10 Bleeds |
100.0
147.1%
|
>10 Bleeds |
0.0
0%
|
Title | Cohorts B and C: Model-Based Annualized Bleed Rate (ABR) for Treated Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated bleeds over the efficacy period is presented as a model-based ABR that was analyzed using a negative binomial regression model with efficacy period as an offset to account for the difference in follow-up times. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and the first treatment thereafter and before a new bleed starts, are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohorts B and C who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 10 | 10 |
Number (95% Confidence Interval) [treated bleed rate per year] |
0.2
|
2.2
|
Title | Cohorts B and C: Model-Based Annualized Bleed Rate (ABR) for All Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of all bleeds over the efficacy period is presented as a model-based ABR that was analyzed using a negative binomial regression model with efficacy period as an offset to account for the difference in follow-up times (i.e., the time that each participant stays in the study). In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself. |
Time Frame | From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohorts B and C who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 10 | 10 |
Number (95% Confidence Interval) [all bleed rate per year] |
1.5
|
3.8
|
Title | Cohorts B and C: Model-Based Annualized Bleed Rate (ABR) for Treated Spontaneous Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated spontaneous bleeds over the efficacy period is presented as a model-based ABR that was analyzed using a negative binomial regression model with efficacy period as an offset to account for the difference in follow-up times (i.e., the time that each participant stays in the study). A bleed is classified as "spontaneous" if there is no other known contributing factor such as trauma or procedure/surgery. A "treated spontaneous bleed" is a spontaneous bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Treated bleeds that fulfilled the 72-hour rule were included in the analysis of spontaneous bleeds. Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohorts B and C who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 10 | 10 |
Number (95% Confidence Interval) [treated spontaneous bleed rate per year] |
NA
|
0.8
|
Title | Cohorts B and C: Model-Based Annualized Bleed Rate (ABR) for Treated Joint Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated joint bleeds over the efficacy period is presented as a model-based ABR that was analyzed using a negative binomial regression model with efficacy period as an offset to account for the difference in follow-up times (i.e., the time that each participant stays in the study). A "joint bleed" is defined as a bleed with type reported as "joint" and with at least one of the following symptoms: increasing swelling or warmth of the skin over the joint and/or increasing pain, decreased range of motion, or difficulty using the joint compared with baseline. A "treated joint bleed" is a joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Only treated bleeds that fulfilled the 72-hour rule were included in the analysis of treated joint bleeds, excluding bleeds due to surgery/procedure. |
Time Frame | From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohorts B and C who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 10 | 10 |
Number (95% Confidence Interval) [treated joint bleed rate per year] |
0.2
|
1.7
|
Title | Cohorts B and C: Model-Based Annualized Bleed Rate (ABR) for Treated Target Joint Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated target joint bleeds over the efficacy period is presented as a model-based ABR that was analyzed using a negative binomial regression model with efficacy period as an offset to account for the difference in follow-up times (i.e., the time that each participant stays in the study). A "target joint bleed" is defined as a joint bleed in a target joint, which is a joint location where at least 3 bleeds have occurred over the last 24 weeks prior to study entry. A "treated target joint bleed" is a target joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohorts B and C who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 10 | 10 |
Number (95% Confidence Interval) [treated target joint bleed rate per year] |
0.2
|
0.5
|
Title | Cohorts B and C: Mean Calculated Annualized Bleed Rate (ABR) for Treated Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and the first treatment thereafter and before a new bleed starts, are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohorts B and C who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 10 | 10 |
Mean (95% Confidence Interval) [treated bleed rate per year] |
0.2
|
2.5
|
Title | Cohorts B and C: Mean Calculated Annualized Bleed Rate (ABR) for All Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of all bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself. |
Time Frame | From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohorts B and C who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 10 | 10 |
Mean (95% Confidence Interval) [all bleed rate per year] |
1.5
|
4.0
|
Title | Cohorts B and C: Mean Calculated Annualized Bleed Rate (ABR) for Treated Spontaneous Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated spontaneous bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A bleed is classified as "spontaneous" if there is no other known contributing factor such as trauma or procedure/surgery. A "treated spontaneous bleed" is a spontaneous bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Treated bleeds that fulfilled the 72-hour rule were included in the analysis of spontaneous bleeds. Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohorts B and C who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 10 | 10 |
Mean (95% Confidence Interval) [treated spontaneous bleed rate per year] |
0.0
|
0.8
|
Title | Cohorts B and C: Mean Calculated Annualized Bleed Rate (ABR) for Treated Joint Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated joint bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A "joint bleed" is defined as a bleed with type reported as "joint" and with at least one of the following symptoms: increasing swelling or warmth of the skin over the joint and/or increasing pain, decreased range of motion, or difficulty using the joint compared with baseline. A "treated joint bleed" is a joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Only treated bleeds that fulfilled the 72-hour rule were included in the analysis of treated joint bleeds, excluding bleeds due to surgery/procedure. |
Time Frame | From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohorts B and C who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 10 | 10 |
Mean (95% Confidence Interval) [treated joint bleed rate per year] |
0.2
|
1.9
|
Title | Cohorts B and C: Mean Calculated Annualized Bleed Rate (ABR) for Treated Target Joint Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated target joint bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A "target joint bleed" is defined as a joint bleed in a target joint, which is a joint location where at least 3 bleeds have occurred over the last 24 weeks prior to study entry. A "treated target joint bleed" is a target joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohorts B and C who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 10 | 10 |
Mean (95% Confidence Interval) [treated target joint bleed rate per year] |
0.2
|
0.5
|
Title | Cohorts B and C: Median Calculated Annualized Bleed Rate (ABR) for Treated Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and the first treatment thereafter and before a new bleed starts, are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohorts B and C who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 10 | 10 |
Median (Inter-Quartile Range) [treated bleed rate per year] |
0.0
|
0.0
|
Title | Cohorts B and C: Median Calculated Annualized Bleed Rate (ABR) for All Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of all bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself. |
Time Frame | From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohorts B and C who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 10 | 10 |
Median (Inter-Quartile Range) [all bleed rate per year] |
0.0
|
1.6
|
Title | Cohorts B and C: Median Calculated Annualized Bleed Rate (ABR) for Treated Spontaneous Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated spontaneous bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A bleed is classified as "spontaneous" if there is no other known contributing factor such as trauma or procedure/surgery. A "treated spontaneous bleed" is a spontaneous bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Treated bleeds that fulfilled the 72-hour rule were included in the analysis of spontaneous bleeds. Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohorts B and C who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 10 | 10 |
Median (Inter-Quartile Range) [treated spontaneous bleed rate per year] |
0.0
|
0.0
|
Title | Cohorts B and C: Median Calculated Annualized Bleed Rate (ABR) for Treated Joint Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated joint bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A "joint bleed" is defined as a bleed with type reported as "joint" and with at least one of the following symptoms: increasing swelling or warmth of the skin over the joint and/or increasing pain, decreased range of motion, or difficulty using the joint compared with baseline. A "treated joint bleed" is a joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Only treated bleeds that fulfilled the 72-hour rule were included in the analysis of treated joint bleeds, excluding bleeds due to surgery/procedure. |
Time Frame | From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohorts B and C who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 10 | 10 |
Median (Inter-Quartile Range) [treated joint bleed rate per year] |
0.0
|
0.0
|
Title | Cohorts B and C: Median Calculated Annualized Bleed Rate (ABR) for Treated Target Joint Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated target joint bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A "target joint bleed" is defined as a joint bleed in a target joint, which is a joint location where at least 3 bleeds have occurred over the last 24 weeks prior to study entry. A "treated target joint bleed" is a target joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohorts B and C who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 10 | 10 |
Median (Inter-Quartile Range) [treated target joint bleed rate per year] |
0.0
|
0.0
|
Title | Cohorts B and C: Percentage of Participants by Categorized Number of Treated Bleeds Over the Efficacy Period in Treated Participants <12 Years of Age |
---|---|
Description | The percentage of participants by categorized number of treated bleeds over the efficacy period is presented here. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and the first treatment thereafter and before a new bleed starts, are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohorts B and C who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 10 | 10 |
0 Bleeds |
90.0
132.4%
|
60.0
600%
|
0-3 Bleeds |
100.0
147.1%
|
100.0
1000%
|
0-10 Bleeds |
100.0
147.1%
|
100.0
1000%
|
>10 Bleeds |
0.0
0%
|
0.0
0%
|
Title | Cohorts B and C: Percentage of Participants by Categorized Number of All Bleeds Over the Efficacy Period in Treated Participants <12 Years of Age |
---|---|
Description | The percentage of participants by categorized number of all bleeds over the efficacy period is presented here. In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself. |
Time Frame | From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohorts B and C who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 10 | 10 |
0 Bleeds |
60.0
88.2%
|
50.0
500%
|
0-3 Bleeds |
100.0
147.1%
|
90.0
900%
|
0-10 Bleeds |
100.0
147.1%
|
100.0
1000%
|
>10 Bleeds |
0.0
0%
|
0.0
0%
|
Title | Cohorts B and C: Percentage of Participants by Categorized Number of Treated Spontaneous Bleeds Over the Efficacy Period in Treated Participants <12 Years of Age |
---|---|
Description | The percentage of participants by categorized number of treated spontaneous bleeds over the efficacy period is presented here. A bleed is classified as "spontaneous" if there is no other known contributing factor such as trauma or procedure/surgery. A "treated spontaneous bleed" is a spontaneous bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Treated bleeds that fulfilled the 72-hour rule were included in the analysis of spontaneous bleeds. Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohorts B and C who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 10 | 10 |
0 Bleeds |
100.0
147.1%
|
90.0
900%
|
0-3 Bleeds |
100.0
147.1%
|
100.0
1000%
|
0-10 Bleeds |
100.0
147.1%
|
100.0
1000%
|
>10 Bleeds |
0.0
0%
|
0.0
0%
|
Title | Cohorts B and C: Percentage of Participants by Categorized Number of Treated Joint Bleeds Over the Efficacy Period in Treated Participants <12 Years of Age |
---|---|
Description | The percentage of participants by categorized number of treated joint bleeds over the efficacy period is presented here. A "joint bleed" is defined as a bleed with type reported as "joint" and with at least one of the following symptoms: increasing swelling or warmth of the skin over the joint and/or increasing pain, decreased range of motion, or difficulty using the joint compared with baseline. A "treated joint bleed" is a joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Only treated bleeds that fulfilled the 72-hour rule were included in the analysis of treated joint bleeds, excluding bleeds due to surgery/procedure. |
Time Frame | From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohorts B and C who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 10 | 10 |
0 Bleeds |
90.0
132.4%
|
60.0
600%
|
0-3 Bleeds |
100.0
147.1%
|
100.0
1000%
|
0-10 Bleeds |
100.0
147.1%
|
100.0
1000%
|
>10 Bleeds |
0.0
0%
|
0.0
0%
|
Title | Cohorts B and C: Percentage of Participants by Categorized Number of Treated Target Joint Bleeds Over the Efficacy Period in Treated Participants <12 Years of Age |
---|---|
Description | The percentage of participants by categorized number of treated target joint bleeds over the efficacy period is presented here. A "target joint bleed" is defined as a joint bleed in a target joint, which is a joint location where at least 3 bleeds have occurred over the last 24 weeks prior to study entry. A "treated target joint bleed" is a target joint bleed that also fulfills the conditions of a treated bleed (see ABR for Treated Bleeds for the definition). Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 24 weeks; At the primary completion date, the median (min-max) duration of the efficacy periods in Cohorts B and C were 21.29 (18.6-24.1) weeks and 19.86 (8.9-24.1) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohorts B and C who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 10 | 10 |
0 Bleeds |
90.0
132.4%
|
90.0
900%
|
0-3 Bleeds |
100.0
147.1%
|
100.0
1000%
|
0-10 Bleeds |
100.0
147.1%
|
100.0
1000%
|
>10 Bleeds |
0.0
0%
|
0.0
0%
|
Title | Cohort A: Intra-Participant Comparison of the Model-Based ABR for Treated Bleeds on Study Versus Pre-Study in Treated Participants <12 Years of Age From the Non-Interventional Study (NIS) Population |
---|---|
Description | This is an intra-participant comparison of the model-based annualized bleeding rate (ABR) for treated bleeds (i.e., number of treated bleeds over efficacy period using negative binomial regression model) on study versus pre-study in the NIS population who had previously participated in study BH29768 (NCT02476942). A "treated bleed" is a bleed directly followed by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and first treatment thereafter are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded. |
Time Frame | Up to 24 weeks in NIS BH29768 (NCT02476942) prior to study entry and from Baseline to 52 weeks on this study; At primary completion date, the median (min-max) duration of the efficacy period in the NIS population was 88.57 (55.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
Treated participants <12 years of age who had participated in NIS BH29768 (NCT02476942) prior to enrollment in this study and were on the same dose of emicizumab for at least 12 weeks in this study |
Arm/Group Title | Cohort A NIS Population (<12 Years): Bypassing Agents | Cohort A NIS Population (<12 Years): 1.5 mg/kg Emicizumab QW |
---|---|---|
Arm/Group Description | This group includes historical data from participants <12 years old who had participated in the non-interventional study (NIS) BH29768 (NCT02476942) in which they had received prophylactic or episodic treatment with bypassing agents and had been followed for a minimum of 24 weeks on the NIS prior to enrollment in Cohort A of this study (BH29992). | Participants <12 years old who had previously received prophylactic or episodic treatment with bypassing agents in NIS BH29768 (NCT02476942) and were enrolled in Cohort A of this study (BH29992) received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg emicizumab QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 18 | 18 |
Number (95% Confidence Interval) [treated bleed rate per year] |
19.9
|
0.2
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Cohort A: 1.5 mg/kg Emicizumab QW, Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|
Comments | ||
Type of Statistical Test | Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | ABR Ratio |
Estimated Value | 0.01 | |
Confidence Interval |
(2-Sided) 95% 0.006 to 0.023 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | Emicizumab QW is the numerator and Prophylactic/Episodic Bypassing Agent is the denominator. |
Title | Cohort A: Intra-Participant Comparison of the Model-Based ABR for All Bleeds on Study Versus Pre-Study in Treated Participants <12 Years of Age From the NIS Population |
---|---|
Description | This is an intra-participant comparison of the model-based annualized bleeding rate (ABR) for all bleeds (i.e., number of all bleeds over efficacy period using negative binomial regression model) on study versus pre-study in the NIS population who had previously participated in study BH29768 (NCT02476942). In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself. |
Time Frame | Up to 24 weeks in NIS BH29768 (NCT02476942) prior to study entry and from Baseline to 52 weeks on this study; At primary completion date, the median (min-max) duration of the efficacy period in the NIS population was 88.57 (55.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
Treated participants <12 years of age who had participated in NIS BH29768 (NCT02476942) prior to enrollment in this study and were on the same dose of emicizumab for at least 12 weeks in this study |
Arm/Group Title | Cohort A NIS Population (<12 Years): Bypassing Agents | Cohort A NIS Population (<12 Years): 1.5 mg/kg Emicizumab QW |
---|---|---|
Arm/Group Description | This group includes historical data from participants <12 years old who had participated in the non-interventional study (NIS) BH29768 (NCT02476942) in which they had received prophylactic or episodic treatment with bypassing agents and had been followed for a minimum of 24 weeks on the NIS prior to enrollment in Cohort A of this study (BH29992). | Participants <12 years old who had previously received prophylactic or episodic treatment with bypassing agents in NIS BH29768 (NCT02476942) and were enrolled in Cohort A of this study (BH29992) received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg emicizumab QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 18 | 18 |
Number (95% Confidence Interval) [all bleed rate per year] |
31.9
|
3.3
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Cohort A: 1.5 mg/kg Emicizumab QW, Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|
Comments | ||
Type of Statistical Test | Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | |
Comments | ||
Method | ||
Comments | ||
Method of Estimation | Estimation Parameter | ABR Ratio |
Estimated Value | 0.10 | |
Confidence Interval |
(2-Sided) 95% 0.051 to 0.210 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments | Emicizumab QW is the numerator and Prophylactic/Episodic Bypassing Agent is the denominator. |
Title | Cohort A: Intra-Participant Comparison of the Median Calculated ABR for Treated Bleeds on Study Versus Pre-Study in Treated Participants <12 Years of Age From the NIS Population |
---|---|
Description | This is an intra-participant comparison of the calculated ABR for treated bleeds (annualized per participant using the following formula: ABR = [number of bleeds/number of days during the efficacy period] x 365.25) on study versus pre-study in the NIS population who had previously participated in study BH29768 (NCT02476942). A "treated bleed" is a bleed directly followed by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and first treatment thereafter are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded. |
Time Frame | Up to 24 weeks in NIS BH29768 (NCT02476942) prior to study entry and from Baseline to 52 weeks on this study; At primary completion date, the median (min-max) duration of the efficacy period in the NIS population was 88.57 (55.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
Treated participants <12 years of age who had participated in NIS BH29768 (NCT02476942) prior to enrollment in this study and were on the same dose of emicizumab for at least 12 weeks in this study |
Arm/Group Title | Cohort A NIS Population (<12 Years): Bypassing Agents | Cohort A NIS Population (<12 Years): 1.5 mg/kg Emicizumab QW |
---|---|---|
Arm/Group Description | This group includes historical data from participants <12 years old who had participated in the non-interventional study (NIS) BH29768 (NCT02476942) in which they had received prophylactic or episodic treatment with bypassing agents and had been followed for a minimum of 24 weeks on the NIS prior to enrollment in Cohort A of this study (BH29992). | Participants <12 years old who had previously received prophylactic or episodic treatment with bypassing agents in NIS BH29768 (NCT02476942) and were enrolled in Cohort A of this study (BH29992) received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg emicizumab QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 18 | 18 |
Median (Inter-Quartile Range) [treated bleed rate per year] |
16.2
|
0.0
|
Title | Cohort A: Intra-Participant Comparison of the Median Calculated ABR for All Bleeds on Study Versus Pre-Study in Treated Participants <12 Years of Age From the NIS Population |
---|---|
Description | This is an intra-participant comparison of the calculated annualized bleeding rate (ABR) for all bleeds (annualized for each participant using the following formula: ABR = [number of bleeds/number of days during the efficacy period] x 365.25) on study versus pre-study in the NIS population who had previously participated in study BH29768 (NCT02476942). In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself. |
Time Frame | Up to 24 weeks in NIS BH29768 (NCT02476942) prior to study entry and from Baseline to 52 weeks on this study; At primary completion date, the median (min-max) duration of the efficacy period in the NIS population was 88.57 (55.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
Treated participants <12 years of age who had participated in NIS BH29768 (NCT02476942) prior to enrollment in this study and were on the same dose of emicizumab for at least 12 weeks in this study |
Arm/Group Title | Cohort A NIS Population (<12 Years): Bypassing Agents | Cohort A NIS Population (<12 Years): 1.5 mg/kg Emicizumab QW |
---|---|---|
Arm/Group Description | This group includes historical data from participants <12 years old who had participated in the non-interventional study (NIS) BH29768 (NCT02476942) in which they had received prophylactic or episodic treatment with bypassing agents and had been followed for a minimum of 24 weeks on the NIS prior to enrollment in Cohort A of this study (BH29992). | Participants <12 years old who had previously received prophylactic or episodic treatment with bypassing agents in NIS BH29768 (NCT02476942) and were enrolled in Cohort A of this study (BH29992) received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg emicizumab QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 18 | 18 |
Median (Inter-Quartile Range) [all bleed rate per year] |
21.3
|
1.1
|
Title | Cohort A: Intra-Participant Comparison of Percentage of Participants by Categorized Number of Treated Bleeds on Study Versus Pre-Study in Treated Participants <12 Years of Age From the NIS Population |
---|---|
Description | This is an intra-participant comparison of the percentage of participants by categorized number of treated bleeds over the efficacy period on study versus pre-study in the NIS population who had previously participated in study BH29768 (NCT02476942). A "treated bleed" is a bleed directly followed by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and first treatment thereafter are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded. |
Time Frame | Up to 24 weeks in NIS BH29768 (NCT02476942) prior to study entry and from Baseline to 52 weeks on this study; At primary completion date, the median (min-max) duration of the efficacy period in the NIS population was 88.57 (55.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
Treated participants <12 years of age who had participated in NIS BH29768 (NCT02476942) prior to enrollment in this study and were on the same dose of emicizumab for at least 12 weeks in this study |
Arm/Group Title | Cohort A NIS Population (<12 Years): Bypassing Agents | Cohort A NIS Population (<12 Years): 1.5 mg/kg Emicizumab QW |
---|---|---|
Arm/Group Description | This group includes historical data from participants <12 years old who had participated in the non-interventional study (NIS) BH29768 (NCT02476942) in which they had received prophylactic or episodic treatment with bypassing agents and had been followed for a minimum of 24 weeks on the NIS prior to enrollment in Cohort A of this study (BH29992). | Participants <12 years old who had previously received prophylactic or episodic treatment with bypassing agents in NIS BH29768 (NCT02476942) and were enrolled in Cohort A of this study (BH29992) received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg emicizumab QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 18 | 18 |
0 Bleeds |
5.6
8.2%
|
72.2
722%
|
0-3 Bleeds |
16.7
24.6%
|
100.0
1000%
|
0-10 Bleeds |
66.7
98.1%
|
100.0
1000%
|
>10 Bleeds |
33.3
49%
|
0.0
0%
|
Title | Cohort A: Intra-Participant Comparison of Percentage of Participants by Categorized Number of All Bleeds on Study Versus Pre-Study in Treated Participants <12 Years of Age From the NIS Population |
---|---|
Description | This is an intra-participant comparison of the percentage of participants by categorized number of all bleeds over the efficacy period on study versus pre-study in the NIS population who had previously participated in study BH29768 (NCT02476942). In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself. |
Time Frame | Up to 24 weeks in NIS BH29768 (NCT02476942) prior to study entry and from Baseline to 52 weeks on this study; At primary completion date, the median (min-max) duration of the efficacy period in the NIS population was 88.57 (55.9-92.6) weeks. |
Outcome Measure Data
Analysis Population Description |
---|
Treated participants <12 years of age who had participated in NIS BH29768 (NCT02476942) prior to enrollment in this study and were on the same dose of emicizumab for at least 12 weeks in this study |
Arm/Group Title | Cohort A NIS Population (<12 Years): Bypassing Agents | Cohort A NIS Population (<12 Years): 1.5 mg/kg Emicizumab QW |
---|---|---|
Arm/Group Description | This group includes historical data from participants <12 years old who had participated in the non-interventional study (NIS) BH29768 (NCT02476942) in which they had received prophylactic or episodic treatment with bypassing agents and had been followed for a minimum of 24 weeks on the NIS prior to enrollment in Cohort A of this study (BH29992). | Participants <12 years old who had previously received prophylactic or episodic treatment with bypassing agents in NIS BH29768 (NCT02476942) and were enrolled in Cohort A of this study (BH29992) received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg emicizumab QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 18 | 18 |
0 Bleeds |
0.0
0%
|
33.3
333%
|
0-3 Bleeds |
11.1
16.3%
|
72.2
722%
|
0-10 Bleeds |
44.4
65.3%
|
83.3
833%
|
>10 Bleeds |
55.6
81.8%
|
16.7
167%
|
Title | Model-Based Annualized Bleed Rate (ABR) for Treated Bleeds in Treated Participants ≥12 Years of Age and <40 kg Body Weight |
---|---|
Description | The number of treated bleeds over the efficacy period is presented here as a model-based ABR that was analyzed using a negative binomial regression model with efficacy period as an offset to account for the difference in follow-up times. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and the first treatment thereafter and before a new bleed starts, are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 52 weeks |
Outcome Measure Data
Analysis Population Description |
---|
All participants who received at least one dose of emicizumab and were ≥12 years old and weighed <40 kg at the time of informed consent; none of the participants enrolled in Cohorts B and C fit these criteria. |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 3 | 0 | 0 |
Number (95% Confidence Interval) [treated bleed rate per year] |
0.8
|
Title | Model-Based Annualized Bleed Rate (ABR) for All Bleeds in Treated Participants ≥12 Years of Age and <40 kg Body Weight |
---|---|
Description | The number of all bleeds over the efficacy period is presented as a model-based ABR that was analyzed using a negative binomial regression model with efficacy period as an offset to account for the difference in followup times (i.e., the time that each participant stays in the study). In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself. |
Time Frame | From Baseline to 52 weeks |
Outcome Measure Data
Analysis Population Description |
---|
All participants who received at least one dose of emicizumab and were ≥12 years old and weighed <40 kg at the time of informed consent; none of the participants enrolled in Cohorts B and C fit these criteria. |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 3 | 0 | 0 |
Number (95% Confidence Interval) [all bleed rate per year] |
1.4
|
Title | Median Calculated Annualized Bleed Rate (ABR) for Treated Bleeds in Treated Participants ≥12 Years of Age and <40 kg Body Weight |
---|---|
Description | The number of treated bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and the first treatment thereafter and before a new bleed starts, are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to 52 weeks |
Outcome Measure Data
Analysis Population Description |
---|
All participants who received at least one dose of emicizumab and were ≥12 years old and weighed <40 kg at the time of informed consent; none of the participants enrolled in Cohorts B and C fit these criteria. |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 3 | 0 | 0 |
Median (Inter-Quartile Range) [treated bleed rate per year] |
0.9
|
Title | Median Calculated Annualized Bleed Rate (ABR) for All Bleeds in Treated Participants ≥12 Years of Age and <40 kg Body Weight |
---|---|
Description | The number of all bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself. |
Time Frame | From Baseline to 52 weeks |
Outcome Measure Data
Analysis Population Description |
---|
All participants who received at least one dose of emicizumab and were ≥12 years old and weighed <40 kg at the time of informed consent; none of the participants enrolled in Cohorts B and C fit these criteria. |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 3 | 0 | 0 |
Median (Inter-Quartile Range) [all bleed rate per year] |
0.9
|
Title | Number of Treated Bleeds Over Time in Participants With Dose Up-Titration |
---|---|
Description | The number of treated bleeds over time was to be analyzed in participants whose emicizumab maintenance dose was up-titrated to 3 mg/kg QW if they had experienced suboptimal bleeding control on emicizumab at steady-state, per protocol criteria. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. A bleed and the first treatment thereafter and before a new bleed starts, are considered to be pairs, with the following exception: if multiple bleeds occur on the same calendar day, the subsequent treatment is considered to apply for each of these multiple bleeds. The 72-hour rule was implemented: two bleeds of the same type and at the same anatomical location are counted as one bleed if the second bleed occurs within 72 hours from the last treatment for the first bleed. Bleeds due to surgery/procedure are excluded. |
Time Frame | From Baseline to study completion (up to at least 52 weeks) |
Outcome Measure Data
Analysis Population Description |
---|
All participants with emicizumab dose up-titration; At study completion, 0 participants in Cohorts A and B and 3 participants in Cohort C had their emicizumab dose up-titrated over the course of this clinical trial. Data were not aggregated for this outcome measure because it was not part of the pre-specified analysis plan and because of the limited sample size. The results will not be disclosed on an individual patient level because of data privacy concerns. |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 0 | 0 | 0 |
Title | Number of All Bleeds Over Time in Participants With Dose Up-Titration |
---|---|
Description | The number of all bleeds over time was to be analyzed in participants whose emicizumab maintenance dose was up-titrated to 3 mg/kg QW if they had experienced suboptimal bleeding control on emicizumab at steady-state, per protocol criteria. In this outcome measure, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. As "all bleeds" comprises both treated and non-treated bleeds, the 72-hour rule was implemented separately for treated and non-treated bleeds. For treated bleeds, the 72-hour rule was implemented exactly as defined for the "treated bleeds" outcome measure. For non-treated bleeds, the 72-hour rule was implemented by calculating a treatment-free period of 72 hours from the bleed itself. |
Time Frame | From Baseline to study completion (up to at least 52 weeks) |
Outcome Measure Data
Analysis Population Description |
---|
All participants with emicizumab dose up-titration; At study completion, 0 participants in Cohorts A and B and 3 participants in Cohort C had their emicizumab dose up-titrated over the course of this clinical trial. Data were not aggregated for this outcome measure because it was not part of the pre-specified analysis plan and because of the limited sample size. The results will not be disclosed on an individual patient level because of data privacy concerns. |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 0 | 0 | 0 |
Title | Long-Term Efficacy of Emicizumab in All Cohorts: Model-Based Annualized Bleed Rate (ABR) for Treated Bleeds, All Bleeds, Treated Spontaneous Bleeds, Treated Joint Bleeds, and Treated Target Joint Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of bleeds over the efficacy period was shown as a model-based ABR that used a negative binomial regression model with efficacy period as an offset to account for the difference in follow-up times. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. "All bleeds" included bleeds irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. Bleeds are classified as "spontaneous" if there is no other known contributing factor such as trauma or procedure/surgery. A "joint bleed" is defined as a bleed occurring in a joint. A "target joint bleed" is defined as a joint bleed in a target joint (≥3 bleeds have occurred over the last 24 weeks prior to study entry). |
Time Frame | From Baseline to study completion (median [min-max] duration of the efficacy periods in Cohorts A, B, and C were 92.29 [36.1-187.7] weeks, 68.21 [56.7-129.4] weeks, and 69.43 [8.9-144.3] weeks, respectively) |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohorts A, B, and C who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 | 10 | 10 |
Treated Bleeds |
0.3
|
0.2
|
1.8
|
All Bleeds |
3.0
|
0.8
|
2.4
|
Treated Spontaneous Bleeds |
0.01
|
NA
|
0.9
|
Treated Joint Bleeds |
0.2
|
0.2
|
1.3
|
Treated Target Joint Bleeds |
0.1
|
0.1
|
0.5
|
Title | Long-Term Efficacy of Emicizumab in All Cohorts: Mean Calculated Annualized Bleed Rate (ABR) for Treated Bleeds, All Bleeds, Treated Spontaneous Bleeds, Treated Joint Bleeds, and Treated Target Joint Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. "All bleeds" included bleeds irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. Bleeds are classified as "spontaneous" if there is no other known contributing factor such as trauma or procedure/surgery. A "joint bleed" is defined as a bleed with type reported as "joint". A "target joint bleed" is defined as a joint bleed in a target joint, which is a joint location where at least 3 bleeds have occurred over the last 24 weeks prior to study entry. |
Time Frame | From Baseline to study completion (median [min-max] duration of the efficacy periods in Cohorts A, B, and C were 92.29 [36.1-187.7] weeks, 68.21 [56.7-129.4] weeks, and 69.43 [8.9-144.3] weeks, respectively) |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohorts A, B, and C who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 | 10 | 10 |
Treated Bleeds |
0.3
|
0.2
|
2.2
|
All Bleeds |
3.0
|
0.8
|
3.0
|
Treated Spontaneous Bleeds |
0.0
|
0.0
|
1.0
|
Treated Joint Bleeds |
0.1
|
0.2
|
1.6
|
Treated Target Joint Bleeds |
0.1
|
0.1
|
0.5
|
Title | Long-Term Efficacy of Emicizumab in All Cohorts: Median Calculated Annualized Bleed Rate (ABR) for Treated Bleeds, All Bleeds, Treated Spontaneous Bleeds, Treated Joint Bleeds, and Treated Target Joint Bleeds in Treated Participants <12 Years of Age |
---|---|
Description | The number of treated bleeds over the efficacy period is presented here as a calculated ABR that was annualized for each participant using the following formula: ABR = (number of bleeds/number of days during the efficacy period) x 365.25. A bleed is considered a "treated bleed" if it is directly followed (i.e., no intervening bleed) by a hemophilia medication reported to be a "treatment for bleed", irrespective of time between treatment and the preceding bleed. "All bleeds" included bleeds irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. Bleeds are classified as "spontaneous" if there is no other known contributing factor such as trauma or procedure/surgery. A "joint bleed" is defined as a bleed with type reported as "joint". A "target joint bleed" is defined as a joint bleed in a target joint, which is a joint location where at least 3 bleeds have occurred over the last 24 weeks prior to study entry. |
Time Frame | From Baseline to study completion (median [min-max] duration of the efficacy periods in Cohorts A, B, and C were 92.29 [36.1-187.7] weeks, 68.21 [56.7-129.4] weeks, and 69.43 [8.9-144.3] weeks, respectively) |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants in Cohorts A, B, and C who were on the same dose of emicizumab for at least 12 weeks and were <12 years of age |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 | 10 | 10 |
Treated Bleeds |
0.0
|
0.0
|
0.0
|
All Bleeds |
0.7
|
0.8
|
0.6
|
Treated Spontaneous Bleeds |
0.0
|
0.0
|
0.0
|
Treated Joint Bleeds |
0.0
|
0.0
|
0.0
|
Treated Target Joint Bleeds |
0.0
|
0.0
|
0.0
|
Title | Change From Baseline Over Time in the Hemophilia-Specific Quality of Life Short Form (Haemo-QoL-SF) Questionnaire Total Score, as Completed by Treated Participants ≥8 to <12 Years of Age |
---|---|
Description | The Haemo-QoL-SF is a self-reported questionnaire for children ≥8 years of age. It contains 35 items, which cover nine domains considered relevant for the children's health-related quality of life: Physical Health, Feelings, View of Yourself, Family, Friends, Other People, Sports and School, Dealing with Hemophilia, and Treatment. Items are rated with five respective response options: never, seldom, sometimes, often, and always. The Total Score is derived from the scores for all domains and ranges from 0 to 100, with a lower score reflective of better health-related quality of life. |
Time Frame | Baseline (Week 1), Weeks 13, 25, 37, 49, 57, 81, 105, 129, 153, and 177, and at study completion [SC] or early discontinuation [ED] (up to 188 weeks) |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants ≥8 to <12 years of age; at each timepoint, the number analyzed is the number of participants who completed a sufficient number of questionnaire items. |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 22 | 6 | 6 |
Baseline (value at visit) |
33.37
|
25.60
|
25.12
|
Change from Baseline at Week 13 |
-7.02
|
-9.17
|
0.29
|
Change from Baseline at Week 25 |
-9.17
|
-13.21
|
-14.64
|
Change from Baseline at Week 37 |
-11.64
|
-15.48
|
-17.86
|
Change from Baseline at Week 49 |
-9.62
|
-15.14
|
-16.43
|
Change from Baseline at Week 57 |
-11.13
|
-16.43
|
-25.00
|
Change from Baseline at Week 81 |
-11.79
|
-14.52
|
|
Change from Baseline at Week 105 |
-18.57
|
-14.76
|
|
Change from Baseline at Week 129 |
-14.90
|
||
Change from Baseline at Week 153 |
-14.46
|
||
Change from Baseline at Week 177 |
-5.36
|
||
Change from Baseline at SC or ED |
-13.05
|
-21.43
|
-28.21
|
Title | Change From Baseline Over Time in the Haemo-QoL-SF Questionnaire Physical Health Domain Score, as Completed by Treated Participants ≥8 to <12 Years of Age |
---|---|
Description | The Haemo-QoL-SF is a self-reported questionnaire for children ≥8 years of age. It contains 35 items, which cover nine domains considered relevant for the children's health-related quality of life: Physical Health, Feelings, View of Yourself, Family, Friends, Other People, Sports and School, Dealing with Hemophilia, and Treatment. The Physical Health domain assesses hemophilia-related symptoms (painful swellings and presence of joint pain) and physical functioning (pain with movement). Items are rated with five respective response options: never, seldom, sometimes, often, and always. The Physical Health domain score ranges from 0 to 100, with a lower score reflective of better physical health. |
Time Frame | Baseline (Week 1), Weeks 13, 25, 37, 49, 57, 81, 105, 129, 153, and 177, and at study completion [SC] or early discontinuation [ED] (up to 188 weeks) |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants ≥8 to <12 years of age; at each timepoint, the number analyzed is the number of participants who completed a sufficient number of questionnaire items. |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 22 | 6 | 6 |
Baseline (value at visit) |
29.51
|
30.21
|
19.79
|
Change from Baseline at Week 13 |
-18.40
|
-23.96
|
3.75
|
Change from Baseline at Week 25 |
-18.40
|
-17.71
|
-17.19
|
Change from Baseline at Week 37 |
-21.32
|
-25.00
|
-22.92
|
Change from Baseline at Week 49 |
-15.44
|
-23.75
|
-25.00
|
Change from Baseline at Week 57 |
-17.19
|
-23.44
|
-25.00
|
Change from Baseline at Week 81 |
-14.06
|
-16.67
|
|
Change from Baseline at Week 105 |
-16.67
|
-20.83
|
|
Change from Baseline at Week 129 |
-12.50
|
||
Change from Baseline at Week 153 |
-21.88
|
||
Change from Baseline at Week 177 |
6.25
|
||
Change from Baseline at SC or ED |
-23.30
|
-29.17
|
-40.63
|
Title | Change From Baseline Over Time in Caregiver-Reported Adapted Health-Related Quality of Life for Hemophilia Patients With Inhibitors Including Aspects of Caregiver Burden (Adapted Inhib-QoL) Questionnaire Total Score, Treated Participants <12 Years of Age |
---|---|
Description | Proxy assessment of health-related quality of life (HRQoL) and aspects of caregiver burden were assessed using the Adapted Inhib-QoL questionnaire, which comprises two parts with a total of 30 questions. The first part asks the caregiver for his/her opinion on the child's HRQoL and consists of two scales: Physical Health and Treatment. The second part asks the caregiver to rate how the child's situation is for them (i.e., the impact of the child's disease and treatment on the caregiver) and consists of 6 scales (5 if the child does not have siblings): General Condition, Dealing with the Inhibitor, Perceive Treatment, Family life, Siblings, Contact with Others. Items are rated with five respective response options: never, seldom, sometimes, often, and all the time. The Total Score is derived from the individual scores of all of the domains and it ranges from 0 to 100, with lower scores reflective of better HRQoL. |
Time Frame | Baseline (Week 1), Weeks 13, 25, 37, 49, 57, 81, 105, 129, 153, and 177, and at study completion [SC] or early discontinuation [ED] (up to 188 weeks) |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants <12 years of age, as completed by their caregivers; at each timepoint, the number analyzed is the number of participants who completed a sufficient number of questionnaire items. |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 | 10 | 10 |
Baseline (value at visit) |
43.10
|
40.56
|
31.45
|
Change from Baseline at Week 13 |
-19.76
|
-21.46
|
-9.24
|
Change from Baseline at Week 25 |
-21.67
|
-26.11
|
-13.93
|
Change from Baseline at Week 37 |
-21.79
|
-24.62
|
-12.55
|
Change from Baseline at Week 49 |
-22.12
|
-24.57
|
-18.18
|
Change from Baseline at Week 57 |
-20.86
|
-24.37
|
-20.28
|
Change from Baseline at Week 81 |
-22.29
|
-24.95
|
-14.84
|
Change from Baseline at Week 105 |
-18.04
|
-21.82
|
-15.82
|
Change from Baseline at Week 129 |
-15.43
|
||
Change from Baseline at Week 153 |
-11.68
|
||
Change from Baseline at Week 177 |
-22.41
|
||
Change from Baseline at SC or ED |
-23.59
|
-25.83
|
-13.73
|
Title | Change From Baseline Over Time in the Caregiver-Reported Adapted Inhib-QoL Questionnaire Physical Health Domain Score, Treated Participants <12 Years of Age |
---|---|
Description | Proxy assessment of health-related quality of life (HRQoL) and aspects of caregiver burden were assessed using the Adapted Inhib-QoL questionnaire, which comprises two parts with a total of 30 questions. The first part asks the caregiver for his/her opinion on the child's HRQoL (proxy HRQoL) and consists of two scales: Physical Health and Treatment. The second part asks the caregiver to rate how the child's situation is for them (i.e., the impact of the child's disease and treatment on the caregiver) and consists of 6 scales (5 if the child does not have siblings): General Condition, Dealing with the Inhibitor, Perceive Treatment, Family Life, Siblings, Contact with Others. Items are rated with five respective response options: never, seldom, sometimes, often, and all the time. A total score is calculated as the sum of all of the items in the scale. The Physical Health domain score ranges from 0 to 100, with lower scores reflective of better physical health. |
Time Frame | Baseline (Week 1), Weeks 13, 25, 37, 49, 57, 81, 105, 129, 153, and 177, and at study completion [SC] or early discontinuation [ED] (up to 188 weeks) |
Outcome Measure Data
Analysis Population Description |
---|
All treated participants <12 years of age, as completed by their caregivers; at each timepoint, the number analyzed is the number of participants who completed a sufficient number of questionnaire items. |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 65 | 10 | 10 |
Baseline (value at visit) |
37.13
|
34.64
|
20.00
|
Change from Baseline at Week 13 |
-31.10
|
-30.00
|
-6.35
|
Change from Baseline at Week 25 |
-30.73
|
-29.64
|
-17.86
|
Change from Baseline at Week 37 |
-31.20
|
-31.07
|
-21.94
|
Change from Baseline at Week 49 |
-28.76
|
-29.37
|
-22.96
|
Change from Baseline at Week 57 |
-27.79
|
-32.65
|
-26.19
|
Change from Baseline at Week 81 |
-31.36
|
-23.21
|
-13.39
|
Change from Baseline at Week 105 |
-27.86
|
-18.75
|
-16.96
|
Change from Baseline at Week 129 |
-27.01
|
||
Change from Baseline at Week 153 |
-30.10
|
||
Change from Baseline at Week 177 |
-32.14
|
||
Change from Baseline at SC or ED |
-30.29
|
-35.12
|
-21.43
|
Title | Number of Participants With at Least One Adverse Event |
---|---|
Description | The number of participants experiencing at least one adverse event, including all non-serious and serious adverse events, are reported. |
Time Frame | From Baseline up to 24 weeks after study drug discontinuation; the median (min-max) observation periods in Cohorts A, B, and C were 96.93 (36.1-188.1) weeks, 68.21 (56.7-129.4) weeks, and 69.43 (38.9-144.3) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All participants who received at least one dose of emicizumab |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 68 | 10 | 10 |
Count of Participants [Participants] |
64
94.1%
|
9
90%
|
10
100%
|
Title | Number of Participants With at Least One Grade ≥3 Adverse Event |
---|---|
Description | The World Health Organization (WHO) toxicity grading scale was used for assessing adverse event severity. For adverse events that are not specifically listed in the WHO toxicity grading scale, a grade 3 adverse event is defined as: severe, marked limitation in activity, some assistance usually required, medical intervention or therapy required, hospitalization possible; and a grade 4 adverse event is defined as: life-threatening, extreme limitation in activity, significant assistance required, significant medical intervention or therapy required, hospitalization or hospice care probable. |
Time Frame | From Baseline up to 24 weeks after study drug discontinuation; the median (min-max) observation periods in Cohorts A, B, and C were 96.93 (36.1-188.1) weeks, 68.21 (56.7-129.4) weeks, and 69.43 (38.9-144.3) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All participants who received at least one dose of emicizumab |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 68 | 10 | 10 |
Count of Participants [Participants] |
15
22.1%
|
1
10%
|
3
30%
|
Title | Number of Participants With at Least One Adverse Event Leading to Withdrawal From Treatment |
---|---|
Description | |
Time Frame | From Baseline up to 24 weeks after study drug discontinuation; the median (min-max) observation periods in Cohorts A, B, and C were 96.93 (36.1-188.1) weeks, 68.21 (56.7-129.4) weeks, and 69.43 (38.9-144.3) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All participants who received at least one dose of emicizumab |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 68 | 10 | 10 |
Count of Participants [Participants] |
0
0%
|
0
0%
|
1
10%
|
Title | Number of Participants With at Least One Adverse Event of Local Injection Site Reaction |
---|---|
Description | Local adverse events that occurred within 24 hours after study drug administration and, in the investigator's opinion, were judged to be related to study drug injection, were captured as an "injection-site reaction" on the Adverse Event electronic Case Report Form (eCRF). An injection-related reaction that was localized was marked as a "local injection-site reaction." |
Time Frame | From Baseline up to 24 weeks after study drug discontinuation; the median (min-max) observation periods in Cohorts A, B, and C were 96.93 (36.1-188.1) weeks, 68.21 (56.7-129.4) weeks, and 69.43 (38.9-144.3) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All participants who received at least one dose of emicizumab |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 68 | 10 | 10 |
Count of Participants [Participants] |
23
33.8%
|
2
20%
|
6
60%
|
Title | Number of Participants With at Least One Adverse Event of Systemic Hypersensitivity, Anaphylaxis, or Anaphylactoid Reaction |
---|---|
Description | Systemic hypersensitivity, anaphylaxis, or anaphylactoid reactions were identified by the investigator using Sampson's criteria, as defined in the protocol. At the primary completion date, one participant had reported two non-serious adverse events (cough and abdominal pain) that were identified as a potential case based on a Standardised MedDRA Queries (SMQ) search for Sampson's criteria. However, after medical review of the case, it was confirmed that this case was not indicative of a systemic hypersensitivity, anaphylaxis, or anaphylactoid reaction. |
Time Frame | From Baseline up to 24 weeks after study drug discontinuation; the median (min-max) observation periods in Cohorts A, B, and C were 96.93 (36.1-188.1) weeks, 68.21 (56.7-129.4) weeks, and 69.43 (38.9-144.3) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All participants who received at least one dose of emicizumab |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 68 | 10 | 10 |
Count of Participants [Participants] |
1
1.5%
|
0
0%
|
0
0%
|
Title | Number of Participants With at Least One Adverse Event of Thromboembolic Event |
---|---|
Description | |
Time Frame | From Baseline up to 24 weeks after study drug discontinuation; the median (min-max) observation periods in Cohorts A, B, and C were 96.93 (36.1-188.1) weeks, 68.21 (56.7-129.4) weeks, and 69.43 (38.9-144.3) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All participants who received at least one dose of emicizumab |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 68 | 10 | 10 |
Count of Participants [Participants] |
0
0%
|
0
0%
|
0
0%
|
Title | Number of Participants With at Least One Adverse Event of Thrombotic Microangiopathy |
---|---|
Description | |
Time Frame | From Baseline up to 24 weeks after study drug discontinuation; the median (min-max) observation periods in Cohorts A, B, and C were 96.93 (36.1-188.1) weeks, 68.21 (56.7-129.4) weeks, and 69.43 (38.9-144.3) weeks, respectively. |
Outcome Measure Data
Analysis Population Description |
---|
All participants who received at least one dose of emicizumab |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 68 | 10 | 10 |
Count of Participants [Participants] |
0
0%
|
0
0%
|
0
0%
|
Title | Number of Participants Testing Negative or Positive for the Presence of Anti-Drug Antibodies (ADAs), Including Neutralizing ADAs, During the Study |
---|---|
Description | 'Total ADA Negative' is the sum of all subjects who tested negative for ADA in the 2 following categories: 'ADA Negative', those who are pre-dose ADA negative or are missing pre-dose ADA data and who have all negative post-dose ADA results; and 'ADA Negative (Treatment Unaffected)', a subset who are pre-dose ADA positive but do not have a ≥4-fold increase in post-dose ADA levels compared to baseline measurement. 'Total ADA Positive' is the sum of all subjects who tested positive for ADA in the 2 following categories: 'ADA Positive (Treatment Boosted)', those who are pre-dose ADA positive and have a ≥4-fold increase in post-dose ADA levels compared to baseline measurement; and 'ADA Positive (Treatment Induced)', those who are pre-dose ADA negative or missing data and who have at least one post-dose ADA positive sample. ADA-positive samples were further analyzed for neutralizing capacity using a modified FVIII chromogenic assay; if also positive, they were considered neutralizing ADAs. |
Time Frame | Predose (0 hour) at Weeks 1, 5, 17, 33, 49, 57; then every 12 weeks until study completion (up to 188 weeks) |
Outcome Measure Data
Analysis Population Description |
---|
All participants who received at least one dose of emicizumab |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 68 | 10 | 10 |
Total ADA Negative (Neg + Neg Unaffected) |
63
92.6%
|
10
100%
|
9
90%
|
ADA Negative |
59
86.8%
|
10
100%
|
9
90%
|
ADA Negative (Treatment Unaffected) |
4
5.9%
|
0
0%
|
0
0%
|
Total ADA Positive (Boosted + Induced) |
5
7.4%
|
0
0%
|
1
10%
|
ADA Positive (Treatment Boosted) |
0
0%
|
0
0%
|
0
0%
|
ADA Positive (Treatment Induced) |
5
7.4%
|
0
0%
|
1
10%
|
ADA Positive with Neutralizing ADAs |
2
2.9%
|
0
0%
|
1
10%
|
Title | Number of Participants by Hematology Parameter Laboratory Test Results as a Shift From Baseline to Highest WHO Grade Post-Baseline |
---|---|
Description | The World Health Organization (WHO) toxicity grading scale was used for determining the severity of laboratory abnormalities (i.e., test results outside of the reference range) for hematology parameters; Grade 0 is normal and Grades 1 to 4 represent worsening levels of the parameter outside of the normal range in the specified direction of the abnormality (high and low are above and below the range, respectively). Not every laboratory abnormality qualified as an adverse event (AE). A laboratory test result was reported as an AE if it met any of the following criteria: was accompanied by clinical symptoms; resulted in a change in study treatment; resulted in a medical intervention or a change in concomitant therapy; or was clinically significant in the investigator's judgment. Baseline was defined as the last available assessment prior to first receipt of study drug. Abs = absolute count |
Time Frame | From Baseline until study completion (up to 188 weeks) |
Outcome Measure Data
Analysis Population Description |
---|
All participants who received at least one dose of emicizumab |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 68 | 10 | 10 |
Hemoglobin, Low - Grade 0 to 0 |
53
77.9%
|
10
100%
|
9
90%
|
Hemoglobin, Low - Grade 0 to 1 |
3
4.4%
|
0
0%
|
1
10%
|
Hemoglobin, Low - Grade 0 to 2 |
4
5.9%
|
0
0%
|
0
0%
|
Hemoglobin, Low - Grade 1 to 0 |
3
4.4%
|
0
0%
|
0
0%
|
Hemoglobin, Low - Grade 1 to 1 |
4
5.9%
|
0
0%
|
0
0%
|
Hemoglobin, Low - Grade 2 to 2 |
1
1.5%
|
0
0%
|
0
0%
|
Neutrophils (Total, Abs), Low - Grade 0 to 0 |
39
57.4%
|
7
70%
|
9
90%
|
Neutrophils (Total, Abs), Low - Grade 0 to 1 |
14
20.6%
|
1
10%
|
1
10%
|
Neutrophils (Total, Abs), Low - Grade 0 to 2 |
5
7.4%
|
2
20%
|
0
0%
|
Neutrophils (Total, Abs), Low - Grade 0 to 3 |
3
4.4%
|
0
0%
|
0
0%
|
Neutrophils (Total, Abs), Low - Grade 0 to 4 |
1
1.5%
|
0
0%
|
0
0%
|
Neutrophils (Total, Abs), Low - Grade 1 to 1 |
4
5.9%
|
0
0%
|
0
0%
|
Neutrophils (Total, Abs), Low - Grade 1 to 2 |
1
1.5%
|
0
0%
|
0
0%
|
Neutrophils (Total, Abs), Low - Grade 1 to 3 |
1
1.5%
|
0
0%
|
0
0%
|
Platelets, Low - Grade 0 to 0 |
68
100%
|
8
80%
|
10
100%
|
Platelets, Low - Grade 0 to 1 |
0
0%
|
2
20%
|
0
0%
|
Title | Number of Participants by Chemistry Parameter Laboratory Test Results as a Shift From Baseline to Highest WHO Grade Post-Baseline |
---|---|
Description | The World Health Organization (WHO) toxicity grading scale was used for determining the severity of laboratory abnormalities (i.e., test results outside of the reference range) for chemistry parameters; Grade 0 is normal and Grades 1 to 4 represent worsening levels of the parameter outside of the normal range in the specified direction of the abnormality (high and low are above and below the range, respectively). Not every laboratory abnormality qualified as an adverse event (AE). A laboratory test result was reported as an AE if it met any of the following criteria: was accompanied by clinical symptoms; resulted in a change in study treatment; resulted in a medical intervention or a change in concomitant therapy; or was clinically significant in the investigator's judgment. Baseline was defined as the last available assessment prior to first receipt of study drug. SGOT/AST = aspartate aminotransferase; SGPT/ALT = alanine aminotransferase |
Time Frame | From Baseline until study completion (up to 188 weeks) |
Outcome Measure Data
Analysis Population Description |
---|
All participants who received at least one dose of emicizumab |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 68 | 10 | 10 |
Alkaline Phosphatase, High - Grade 0 to 0 |
49
72.1%
|
8
80%
|
6
60%
|
Alkaline Phosphatase, High - Grade 0 to 1 |
4
5.9%
|
1
10%
|
0
0%
|
Alkaline Phosphatase, High - Grade 0 to 2 |
2
2.9%
|
0
0%
|
0
0%
|
Alkaline Phosphatase, High - Grade 1 to 1 |
6
8.8%
|
1
10%
|
2
20%
|
Alkaline Phosphatase, High - Grade 1 to 2 |
3
4.4%
|
0
0%
|
1
10%
|
Alkaline Phosphatase, High - Grade 2 to 1 |
1
1.5%
|
0
0%
|
0
0%
|
Alkaline Phosphatase, High - Grade 2 to 2 |
1
1.5%
|
0
0%
|
0
0%
|
Alkaline Phosphatase, High - Missing to Grade 0 |
0
0%
|
0
0%
|
1
10%
|
Alkaline Phosphatase, High - Missing to Grade 3 |
2
2.9%
|
0
0%
|
0
0%
|
Bilirubin, High - Grade 0 to 0 |
62
91.2%
|
10
100%
|
10
100%
|
Bilirubin, High - Grade 0 to 1 |
1
1.5%
|
0
0%
|
0
0%
|
Bilirubin, High - Grade 0 to 2 |
2
2.9%
|
0
0%
|
0
0%
|
Bilirubin, High - Missing to Grade 0 |
3
4.4%
|
0
0%
|
0
0%
|
Blood Urea Nitrogen, High - Grade 0 to 0 |
58
85.3%
|
10
100%
|
9
90%
|
Blood Urea Nitrogen, High - Grade 0 to 1 |
3
4.4%
|
0
0%
|
1
10%
|
Blood Urea Nitrogen, High - Grade 1 to 1 |
3
4.4%
|
0
0%
|
0
0%
|
Blood Urea Nitrogen, High - Missing to Grade 0 |
1
1.5%
|
0
0%
|
0
0%
|
Blood Urea Nitrogen, High - Missing to Grade 1 |
1
1.5%
|
0
0%
|
0
0%
|
Blood Urea Nitrogen, High - Missing to Grade 2 |
2
2.9%
|
0
0%
|
0
0%
|
Calcium (Corrected), Low - Grade 0 to 0 |
54
79.4%
|
7
70%
|
9
90%
|
Calcium (Corrected), Low - Grade 0 to 1 |
5
7.4%
|
3
30%
|
0
0%
|
Calcium (Corrected), Low - Grade 0 to 2 |
2
2.9%
|
0
0%
|
0
0%
|
Calcium (Corrected), Low - Grade 0 to 4 |
1
1.5%
|
0
0%
|
0
0%
|
Calcium (Corrected), Low - Missing to Grade 0 |
5
7.4%
|
0
0%
|
1
10%
|
Calcium (Corrected), Low - Missing to Grade 2 |
1
1.5%
|
0
0%
|
0
0%
|
Calcium (Corrected), High - Grade 0 to 0 |
61
89.7%
|
10
100%
|
9
90%
|
Calcium (Corrected), High - Grade 2 to 0 |
1
1.5%
|
0
0%
|
0
0%
|
Calcium (Corrected), High - Missing to Grade 0 |
6
8.8%
|
0
0%
|
1
10%
|
Creatinine, High - Grade 0 to 0 |
62
91.2%
|
9
90%
|
9
90%
|
Creatinine, High - Grade 0 to 1 |
5
7.4%
|
1
10%
|
0
0%
|
Creatinine, High - Grade 1 to 1 |
1
1.5%
|
0
0%
|
1
10%
|
Glucose, Low - Grade 0 to 0 |
57
83.8%
|
8
80%
|
8
80%
|
Glucose, Low - Grade 0 to 1 |
6
8.8%
|
2
20%
|
1
10%
|
Glucose, Low - Grade 0 to 2 |
1
1.5%
|
0
0%
|
0
0%
|
Glucose, Low - Grade 0 to 3 |
1
1.5%
|
0
0%
|
0
0%
|
Glucose, Low - Grade 1 to 0 |
0
0%
|
0
0%
|
1
10%
|
Glucose, Low - Grade 2 to 0 |
1
1.5%
|
0
0%
|
0
0%
|
Glucose, Low - Missing to Grade 0 |
1
1.5%
|
0
0%
|
0
0%
|
Glucose, Low - Missing to Grade 1 |
1
1.5%
|
0
0%
|
0
0%
|
Glucose, High - Grade 0 to 0 |
31
45.6%
|
5
50%
|
4
40%
|
Glucose, High - Grade 0 to 1 |
28
41.2%
|
3
30%
|
6
60%
|
Glucose, High - Grade 0 to 2 |
4
5.9%
|
0
0%
|
0
0%
|
Glucose, High - Grade 1 to 0 |
1
1.5%
|
1
10%
|
0
0%
|
Glucose, High - Grade 1 to 1 |
1
1.5%
|
0
0%
|
0
0%
|
Glucose, High - Grade 2 to 1 |
1
1.5%
|
0
0%
|
0
0%
|
Glucose, High - Grade 2 to 3 |
0
0%
|
1
10%
|
0
0%
|
Glucose, High - Missing to Grade 0 |
1
1.5%
|
0
0%
|
0
0%
|
Glucose, High - Missing to Grade 1 |
1
1.5%
|
0
0%
|
0
0%
|
Magnesium, Low - Grade 0 to 0 |
57
83.8%
|
9
90%
|
9
90%
|
Magnesium, Low - Grade 0 to 1 |
6
8.8%
|
1
10%
|
1
10%
|
Magnesium, Low - Grade 4 to 1 |
1
1.5%
|
0
0%
|
0
0%
|
Magnesium, Low - Missing to Grade 0 |
3
4.4%
|
0
0%
|
0
0%
|
Magnesium, Low - Missing to Grade 2 |
1
1.5%
|
0
0%
|
0
0%
|
Phosphorus, Low - Grade 0 to 0 |
64
94.1%
|
10
100%
|
10
100%
|
Phosphorus, Low - Missing to Grade 0 |
4
5.9%
|
0
0%
|
0
0%
|
Potassium, Low - Grade 0 to 0 |
61
89.7%
|
9
90%
|
10
100%
|
Potassium, Low - Grade 0 to 1 |
5
7.4%
|
1
10%
|
0
0%
|
Potassium, Low - Grade 0 to 2 |
1
1.5%
|
0
0%
|
0
0%
|
Potassium, Low - Grade 1 to 0 |
1
1.5%
|
0
0%
|
0
0%
|
Potassium, High - Grade 0 to 0 |
66
97.1%
|
10
100%
|
10
100%
|
Potassium, High - Grade 0 to 1 |
1
1.5%
|
0
0%
|
0
0%
|
Potassium, High - Grade 0 to 4 |
1
1.5%
|
0
0%
|
0
0%
|
SGOT/AST, High - Grade 0 to 0 |
54
79.4%
|
8
80%
|
9
90%
|
SGOT/AST, High - Grade 0 to 1 |
9
13.2%
|
1
10%
|
1
10%
|
SGOT/AST, High - Grade 0 to 2 |
1
1.5%
|
0
0%
|
0
0%
|
SGOT/AST, High - Grade 1 to 1 |
3
4.4%
|
0
0%
|
0
0%
|
SGOT/AST, High - Missing to Grade 1 |
1
1.5%
|
1
10%
|
0
0%
|
SGPT/ALT, High - Grade 0 to 0 |
52
76.5%
|
10
100%
|
9
90%
|
SGPT/ALT, High - Grade 0 to 1 |
8
11.8%
|
0
0%
|
0
0%
|
SGPT/ALT, High - Grade 0 to 2 |
4
5.9%
|
0
0%
|
0
0%
|
SGPT/ALT, High - Grade 0 to 3 |
1
1.5%
|
0
0%
|
0
0%
|
SGPT/ALT, High - Grade 1 to 1 |
2
2.9%
|
0
0%
|
1
10%
|
SGPT/ALT, High - Missing to Grade 0 |
1
1.5%
|
0
0%
|
0
0%
|
Sodium, Low - Grade 0 to 0 |
45
66.2%
|
8
80%
|
8
80%
|
Sodium, Low - Grade 0 to 1 |
18
26.5%
|
1
10%
|
0
0%
|
Sodium, Low - Grade 0 to 2 |
2
2.9%
|
0
0%
|
0
0%
|
Sodium, Low - Grade 1 to 0 |
0
0%
|
0
0%
|
2
20%
|
Sodium, Low - Grade 1 to 1 |
2
2.9%
|
1
10%
|
0
0%
|
Sodium, Low - Grade 1 to 2 |
1
1.5%
|
0
0%
|
0
0%
|
Sodium, High - Grade 0 to 0 |
58
85.3%
|
9
90%
|
10
100%
|
Sodium, High - Grade 0 to 1 |
8
11.8%
|
1
10%
|
0
0%
|
Sodium, High - Grade 0 to 2 |
1
1.5%
|
0
0%
|
0
0%
|
Sodium, High - Grade 0 to 4 |
1
1.5%
|
0
0%
|
0
0%
|
Title | Plasma Trough Concentration (Ctrough) of Emicizumab |
---|---|
Description | Pre-dose (trough) plasma concentrations of emicizumab were analyzed using a validated enzyme-linked immunosorbent assay (ELISA). The lower limit of quantitation was 0.1 micrograms per milliliter (μg/mL). |
Time Frame | Predose (0 hour) at Weeks 1, 2, 3, 4, 5, 7, 9, 13, 17, 21, 25, 29, 33, 37, 41, 49, 57, 69, 81, 93, 105, 117, 129, 141, 153, 165, and 177 |
Outcome Measure Data
Analysis Population Description |
---|
Participants who received at least one dose of emicizumab and had at least one post-dose emicizumab plasma concentration result available |
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W |
---|---|---|---|
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. |
Measure Participants | 68 | 10 | 10 |
Week 1 |
NA
(NA)
|
NA
(NA)
|
NA
(NA)
|
Week 2 |
18.2
(5.5)
|
17.0
(3.9)
|
17.2
(4.1)
|
Week 3 |
31.6
(5.6)
|
31.7
(6.8)
|
33.9
(5.8)
|
Week 4 |
42.9
(8.0)
|
42.4
(9.5)
|
44.7
(7.0)
|
Week 5 |
53.3
(10.6)
|
51.8
(10.5)
|
56.4
(12.3)
|
Week 7 |
51.2
(10.5)
|
51.5
(9.6)
|
59.9
(24.6)
|
Week 9 |
49.9
(9.7)
|
51.9
(11.2)
|
39.3
(16.7)
|
Week 13 |
48.3
(13.3)
|
45.3
(10.8)
|
37.1
(10.6)
|
Week 17 |
46.1
(11.2)
|
48.7
(10.4)
|
36.3
(6.1)
|
Week 21 |
45.2
(11.1)
|
43.9
(11.0)
|
36.2
(12.4)
|
Week 25 |
46.9
(11.7)
|
41.9
(8.5)
|
33.7
(8.9)
|
Week 29 |
47.9
(13.0)
|
46.7
(5.1)
|
34.4
(9.0)
|
Week 33 |
51.3
(13.8)
|
51.0
(6.8)
|
34.7
(11.2)
|
Week 37 |
51.0
(15.3)
|
50.4
(6.4)
|
35.9
(9.1)
|
Week 41 |
48.5
(14.2)
|
55.3
(10.7)
|
38.1
(9.9)
|
Week 49 |
49.4
(12.6)
|
48.6
(9.2)
|
32.4
(7.5)
|
Week 57 |
46.2
(15.9)
|
46.4
(9.8)
|
28.5
(10.7)
|
Week 69 |
46.4
(16.0)
|
54.7
(11.5)
|
41.1
(5.2)
|
Week 81 |
45.6
(14.2)
|
38.0
(5.3)
|
35.7
(21.2)
|
Week 93 |
44.3
(13.8)
|
41.2
(6.6)
|
41.6
(26.8)
|
Week 105 |
46.9
(15.9)
|
43.4
(5.7)
|
34.2
(14.4)
|
Week 117 |
37.8
(12.3)
|
46.6
(10.2)
|
37.1
(12.9)
|
Week 129 |
39.7
(13.8)
|
||
Week 141 |
46.5
(17.2)
|
||
Week 153 |
39.5
(15.6)
|
||
Week 165 |
39.9
(17.8)
|
||
Week 177 |
38.9
(19.0)
|
Adverse Events
Time Frame | From Baseline up to 24 weeks after study drug discontinuation; the median (min-max) observation periods in Cohorts A, B, and C were 96.93 (36.1-188.1) weeks, 68.21 (56.7-129.4) weeks, and 69.43 (38.9-144.3) weeks, respectively. | |||||
---|---|---|---|---|---|---|
Adverse Event Reporting Description | ||||||
Arm/Group Title | Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W | |||
Arm/Group Description | Participants received emicizumab at a loading dose of 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 1.5 mg/kg QW SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 3 mg/kg once every 2 weeks (Q2W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | Participants received emicizumab at a loading dose of 3 mg/kg QW subcutaneously (SC) for the first 4 weeks followed by a maintenance dose of 6 mg/kg once every 4 weeks (Q4W) SC for a minimum of 52 weeks, or until unacceptable toxicity, discontinuation from the study due to any cause, or other criteria set forth in the protocol, whichever occurred first. | |||
All Cause Mortality |
||||||
Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W | ||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 0/68 (0%) | 0/10 (0%) | 0/10 (0%) | |||
Serious Adverse Events |
||||||
Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W | ||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 23/68 (33.8%) | 1/10 (10%) | 3/10 (30%) | |||
Gastrointestinal disorders | ||||||
Mouth haemorrhage | 1/68 (1.5%) | 1 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
General disorders | ||||||
Catheter site haematoma | 1/68 (1.5%) | 1 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Infections and infestations | ||||||
Appendicitis | 1/68 (1.5%) | 1 | 0/10 (0%) | 0 | 1/10 (10%) | 1 |
Bronchiolitis | 1/68 (1.5%) | 1 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Epididymitis | 1/68 (1.5%) | 1 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Acute sinusitis | 1/68 (1.5%) | 1 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Bronchitis | 1/68 (1.5%) | 1 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Peritonsillar abscess | 1/68 (1.5%) | 1 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Tonsillitis | 1/68 (1.5%) | 1 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Vascular device infection | 3/68 (4.4%) | 3 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Injury, poisoning and procedural complications | ||||||
Clavicle fracture | 1/68 (1.5%) | 1 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Fall | 1/68 (1.5%) | 1 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Head injury | 1/68 (1.5%) | 1 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Ligament sprain | 1/68 (1.5%) | 1 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Mouth injury | 1/68 (1.5%) | 1 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Traumatic haematoma | 1/68 (1.5%) | 1 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Investigations | ||||||
Neutralising antibodies positive | 0/68 (0%) | 0 | 0/10 (0%) | 0 | 1/10 (10%) | 1 |
Metabolism and nutrition disorders | ||||||
Ketoacidosis | 0/68 (0%) | 0 | 1/10 (10%) | 1 | 0/10 (0%) | 0 |
Musculoskeletal and connective tissue disorders | ||||||
Haemarthrosis | 2/68 (2.9%) | 2 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Haematoma muscle | 3/68 (4.4%) | 3 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Nervous system disorders | ||||||
Headache | 1/68 (1.5%) | 1 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Respiratory, thoracic and mediastinal disorders | ||||||
Asthma | 1/68 (1.5%) | 2 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Vascular disorders | ||||||
Haemorrhage | 2/68 (2.9%) | 2 | 0/10 (0%) | 0 | 1/10 (10%) | 1 |
Haematoma | 2/68 (2.9%) | 2 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Other (Not Including Serious) Adverse Events |
||||||
Cohort A: 1.5 mg/kg Emicizumab QW | Cohort B: 3 mg/kg Emicizumab Q2W | Cohort C: 6 mg/kg Emicizumab Q4W | ||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 64/68 (94.1%) | 9/10 (90%) | 10/10 (100%) | |||
Blood and lymphatic system disorders | ||||||
Anaemia | 2/68 (2.9%) | 2 | 0/10 (0%) | 0 | 1/10 (10%) | 1 |
Ear and labyrinth disorders | ||||||
Middle ear effusion | 0/68 (0%) | 0 | 0/10 (0%) | 0 | 1/10 (10%) | 1 |
Gastrointestinal disorders | ||||||
Abdominal pain | 4/68 (5.9%) | 4 | 2/10 (20%) | 2 | 0/10 (0%) | 0 |
Abdominal pain upper | 4/68 (5.9%) | 6 | 0/10 (0%) | 0 | 1/10 (10%) | 1 |
Constipation | 4/68 (5.9%) | 4 | 1/10 (10%) | 1 | 0/10 (0%) | 0 |
Diarrhoea | 12/68 (17.6%) | 16 | 3/10 (30%) | 5 | 0/10 (0%) | 0 |
Nausea | 3/68 (4.4%) | 3 | 1/10 (10%) | 2 | 1/10 (10%) | 1 |
Vomiting | 13/68 (19.1%) | 15 | 2/10 (20%) | 2 | 0/10 (0%) | 0 |
Dental caries | 5/68 (7.4%) | 7 | 1/10 (10%) | 1 | 0/10 (0%) | 0 |
General disorders | ||||||
Injection site reaction | 22/68 (32.4%) | 44 | 2/10 (20%) | 6 | 6/10 (60%) | 19 |
Pain | 0/68 (0%) | 0 | 1/10 (10%) | 1 | 0/10 (0%) | 0 |
Pyrexia | 21/68 (30.9%) | 44 | 6/10 (60%) | 8 | 4/10 (40%) | 5 |
Swelling face | 1/68 (1.5%) | 1 | 1/10 (10%) | 1 | 0/10 (0%) | 0 |
Peripheral swelling | 2/68 (2.9%) | 2 | 0/10 (0%) | 0 | 1/10 (10%) | 1 |
Vaccination site erythema | 3/68 (4.4%) | 3 | 0/10 (0%) | 0 | 1/10 (10%) | 1 |
Immune system disorders | ||||||
Seasonal allergy | 4/68 (5.9%) | 4 | 1/10 (10%) | 1 | 0/10 (0%) | 0 |
Infections and infestations | ||||||
Bronchitis | 7/68 (10.3%) | 10 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Conjunctivitis | 3/68 (4.4%) | 7 | 0/10 (0%) | 0 | 1/10 (10%) | 2 |
Ear infection | 4/68 (5.9%) | 4 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Gastroenteritis | 8/68 (11.8%) | 9 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Influenza | 8/68 (11.8%) | 13 | 1/10 (10%) | 2 | 0/10 (0%) | 0 |
Nasopharyngitis | 29/68 (42.6%) | 53 | 3/10 (30%) | 11 | 4/10 (40%) | 10 |
Otitis media | 7/68 (10.3%) | 8 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Rhinitis | 3/68 (4.4%) | 4 | 0/10 (0%) | 0 | 1/10 (10%) | 1 |
Sinusitis | 2/68 (2.9%) | 2 | 0/10 (0%) | 0 | 1/10 (10%) | 2 |
Tinea versicolour | 0/68 (0%) | 0 | 1/10 (10%) | 1 | 0/10 (0%) | 0 |
Tonsilitis | 7/68 (10.3%) | 13 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Tracheitis | 1/68 (1.5%) | 1 | 1/10 (10%) | 1 | 0/10 (0%) | 0 |
Upper respiratory tract infection | 23/68 (33.8%) | 44 | 0/10 (0%) | 0 | 2/10 (20%) | 2 |
Varicella | 4/68 (5.9%) | 4 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Gastrointestinal infection | 4/68 (5.9%) | 4 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Paronychia | 1/68 (1.5%) | 2 | 0/10 (0%) | 0 | 1/10 (10%) | 1 |
Pharyngitis | 4/68 (5.9%) | 7 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Injury, poisoning and procedural complications | ||||||
Contusion | 11/68 (16.2%) | 70 | 0/10 (0%) | 0 | 1/10 (10%) | 2 |
Fall | 10/68 (14.7%) | 21 | 1/10 (10%) | 1 | 1/10 (10%) | 1 |
Head injury | 3/68 (4.4%) | 3 | 1/10 (10%) | 1 | 0/10 (0%) | 0 |
Joint injury | 3/68 (4.4%) | 4 | 1/10 (10%) | 1 | 0/10 (0%) | 0 |
Skin laceration | 5/68 (7.4%) | 6 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Ligament sprain | 8/68 (11.8%) | 11 | 0/10 (0%) | 0 | 1/10 (10%) | 1 |
Limb injury | 6/68 (8.8%) | 6 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Skin abrasion | 8/68 (11.8%) | 15 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Investigations | ||||||
Indeterminable ABO blood type | 1/68 (1.5%) | 1 | 1/10 (10%) | 1 | 1/10 (10%) | 1 |
Metabolism and nutrition disorders | ||||||
Diabetes mellitus | 0/68 (0%) | 0 | 1/10 (10%) | 1 | 0/10 (0%) | 0 |
Iron deficiency | 3/68 (4.4%) | 3 | 0/10 (0%) | 0 | 1/10 (10%) | 2 |
Musculoskeletal and connective tissue disorders | ||||||
Arthralgia | 8/68 (11.8%) | 19 | 2/10 (20%) | 2 | 2/10 (20%) | 13 |
Groin pain | 0/68 (0%) | 0 | 0/10 (0%) | 0 | 1/10 (10%) | 1 |
Limb discomfort | 0/68 (0%) | 0 | 0/10 (0%) | 0 | 1/10 (10%) | 1 |
Neck pain | 0/68 (0%) | 0 | 0/10 (0%) | 0 | 1/10 (10%) | 1 |
Pain in extremity | 6/68 (8.8%) | 6 | 0/10 (0%) | 0 | 3/10 (30%) | 5 |
Arthropathy | 0/68 (0%) | 0 | 1/10 (10%) | 1 | 0/10 (0%) | 0 |
Synovitis | 0/68 (0%) | 0 | 1/10 (10%) | 1 | 0/10 (0%) | 0 |
Nervous system disorders | ||||||
Headache | 12/68 (17.6%) | 17 | 1/10 (10%) | 10 | 2/10 (20%) | 2 |
Product Issues | ||||||
Device breakage | 0/68 (0%) | 0 | 1/10 (10%) | 1 | 0/10 (0%) | 0 |
Device malfunction | 0/68 (0%) | 0 | 0/10 (0%) | 0 | 1/10 (10%) | 1 |
Psychiatric disorders | ||||||
Anxiety | 0/68 (0%) | 0 | 0/10 (0%) | 0 | 1/10 (10%) | 1 |
Respiratory, thoracic and mediastinal disorders | ||||||
Cough | 21/68 (30.9%) | 28 | 4/10 (40%) | 4 | 0/10 (0%) | 0 |
Oropharyngeal pain | 5/68 (7.4%) | 8 | 2/10 (20%) | 4 | 0/10 (0%) | 0 |
Rhinorrhoea | 5/68 (7.4%) | 5 | 1/10 (10%) | 1 | 0/10 (0%) | 0 |
Skin and subcutaneous tissue disorders | ||||||
Erythema | 2/68 (2.9%) | 3 | 0/10 (0%) | 0 | 1/10 (10%) | 3 |
Rash | 5/68 (7.4%) | 6 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Rash pruritic | 1/68 (1.5%) | 1 | 1/10 (10%) | 1 | 0/10 (0%) | 0 |
Seborrhoeic dermatitis | 0/68 (0%) | 0 | 1/10 (10%) | 1 | 0/10 (0%) | 0 |
Urticaria | 4/68 (5.9%) | 5 | 0/10 (0%) | 0 | 0/10 (0%) | 0 |
Limitations/Caveats
More Information
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
Results Point of Contact
Name/Title | Medical Communications |
---|---|
Organization | Hoffmann-La Roche |
Phone | 800-821-8590 |
genentech@druginfo.com |
- BH29992
- 2016-000073-21