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Hemophilia BPhase 2/3NCT01488994

BAX 326 Pediatric Study

A Phase 2/3 study testing BAX326 in people with Hemophilia B, run by Baxalta now part of Shire at 11 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

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

Who is it for?
Ages Up to 12 years
Conditions the study is for
Hemophilia B
What is being tested?
BAX326
Could I receive a placebo?
No, everyone receives an active treatment
How many people
23 participants
Where
11 sitesin 6 countries
Study dates
20 Dec 2011to 14 May 2013
Phase
Phase 2/3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Up to 12 years
  • All sexes
  • No healthy volunteers
  • Child

Main Inclusion Criteria:

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

Main Exclusion Criteria:

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

Trial locations and contacts

11 sites in 6 countries.

11 sites in 6 countries

Poland3 sites
  • University Pediatric Hospital

    Krakow, 30-663

  • Stanislaw Popowski Provincial Specialist Pediatric Hospital

    Olsztyn, 10-561

  • Professor Tadeusz Sokolowski Independent Public Teaching Hospital of the Pomeranian Medical University in Szczecin

    Szczecin, 71-252

Other trials in Poland

Russia3 sites
  • Pediatric Regional Clinical Hospital, Hematology Department

    Krasnodar, 350007

  • Republican Center for Hemophilia Treatment

    Saint Petersburg, 195213

  • Regional Clinical Hospital

    Yekaterinburg, 620149

Other trials in Russia

Romania2 sites
  • S.C. Sanador SRL

    Bucharest, 11156

  • Louis Turcanu Emergency Children's Hospital

    Timișoara, 300011

Other trials in Romania

India1 site
  • LNJP Maulana Azad Medical College & Associated Hospitals

    New Delhi, 110002

Other trials in India

Ukraine1 site
  • State Institution "Institute of Blood Pathology and Transfusion Medicine of the Academy of Medical Sciences of Ukraine"

    Lviv, 79044

Other trials in Ukraine

United Kingdom1 site
  • Manchester Children´s Hospital

    Manchester, M13 9WL

Other trials in United Kingdom

About this study

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

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

Read the detailed description

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

Conditions
Hemophilia B
Being tested
BAX326
Medical subject headings
Hemophilia B

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BAX326Biological

    Also called BAX 326, RIXUBIS

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

Study groups in NCT01488994
Study groupRoleWhat they receive
BAX326 < 6 years of ageExperimentalNot described
Receives: Biological: BAX326
BAX326 6 to <12 years of ageExperimentalNot described
Receives: Biological: BAX326

What is being measured

The primary outcome is the main question the study is designed to answer.

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

    Measured: Throughout study period (approximately 17 months)

Secondary outcomes (29)
  1. Pharmacokinetics (PK): Total Area Under the Plasma Concentration Versus Time Curve From 0 to 72 Hours Post-infusion Per Dose (AUC 0-72h/Dose)

    Measured: Within 30 mins pre-infusion and 4 post-infusion timepoints

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

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

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

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

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

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

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

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

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

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

    Measured: Within 30 mins pre-infusion and 30 mins post-infusion

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

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

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

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

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

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

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

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

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

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

    Measured: Throughout study period (approximately 17 months)

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

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

    Measured: Throughout study period (approximately 17 months)

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

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

    Measured: Throughout study period (approximately 17 months)

  12. Consumption of BAX326: Number of Infusions Per Month

    Measured: Throughout study period (approximately 17 months)

  13. Consumption of BAX326: Number of Infusions Per Year

    Measured: Throughout study period (approximately 17 months)

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

    Measured: Throughout study period (approximately 17 months)

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

    Measured: Throughout study period (approximately 17 months)

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

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

    Measured: Throughout study period (approximately 17 months)

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

    Measured: Throughout study period (approximately 17 months)

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

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

    Measured: Throughout study period (approximately 17 months)

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

    Measured: Throughout study period (approximately 17 months)

  20. Safety: Number of Participants With Thrombotic Events

    Measured: Throughout study period (approximately 17 months)

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

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

    Measured: Throughout study period (approximately 17 months)

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

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

    Measured: Throughout study period (approximately 17 months)

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

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

    Measured: Baseline and 6 months

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

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

    Measured: Baseline and 6 months

  25. Health Resource Use: Number of Hospitalizations

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

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

  26. Health Resource Use: Length of Hospitalization

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

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

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

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

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

  28. Health Resource Use: Emergency Room Visits

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

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

  29. Health Resource Use: Days Lost From School

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

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

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Dec 2011 (estimated)
  2. Study start20 Dec 2011
  3. Primary completion14 May 2013
  4. Study completion14 May 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
23 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01488994
Sponsor's protocol ID
251101
Other IDs
2011-002437-19
Status last verified
Apr 2021
First submitted
6 Dec 2011
Last updated
20 May 2021
Data monitoring committee
Yes

Publications

  • Urasinski T, Stasyshyn O, Andreeva T, Rusen L, Perina FG, Oh MS, Chapman M, Pavlova BG, Valenta-Singer B, Abbuehl BE. Recombinant factor IX (BAX326) in previously treated paediatric patients with haemophilia B: a prospective clinical trial. Haemophilia. 2015 Mar;21(2):196-203. doi: 10.1111/hae.12548. Epub 2014 Dec 11.

    PubMed 25495591

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing BAX326 in people with Hemophilia B, run by Baxalta now part of Shire at 11 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 May 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in Poland, Russia, Romania, India, Ukraine and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 1 Sep 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Adverse Events (AEs) Possibly or Probably Related to BAX326 (time frame: Throughout study period (approximately 17 months)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01488994, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 May 2021; AzTrials last refreshed its copy on 29 Oct 2026.

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