The classic website will no longer be available as of June 25, 2024. Please use the modernized ClinicalTrials.gov.
Working…
ClinicalTrials.gov
ClinicalTrials.gov Menu

A Study to Evaluate the Efficacy and Safety of Factor IX Gene Therapy With PF-06838435 in Adult Males With Moderately Severe to Severe Hemophilia B (BENEGENE-2)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03861273
Recruitment Status : Active, not recruiting
First Posted : March 4, 2019
Results First Posted : March 27, 2024
Last Update Posted : May 3, 2024
Sponsor:
Information provided by (Responsible Party):
Pfizer

Study Type Interventional
Study Design Allocation: Non-Randomized;   Intervention Model: Single Group Assignment;   Masking: None (Open Label);   Primary Purpose: Treatment
Condition Hemophilia B
Intervention Biological: PF-06838435/ fidanacogene elaparvovec
Enrollment 51
Recruitment Details Participants with moderately severe to severe hemophilia B, who completed a minimum 6 months of routine Factor IX prophylaxis therapy during the lead-in study C0371004 (NCT03587116), were enrolled in this study.
Pre-assignment Details A total of 51 participants were screened in this study and 45 participants received a single dose of PF-06838435 (fidanacogene elaparvovec). Results presented are for primary outcome measures and only those secondary measures whose analysis was complete on a data cutoff date of 16 November 2022 (primary completion date [PCD]).
Arm/Group Title PF-06838435
Hide Arm/Group Description Participants received PF-06838435 infusion on Day 1 at a dose of 5*10^11 vector genomes per kilogram (kg) of body weight. Short term follow-up: Participants were followed up for 52 weeks/Year 1 post infusion. Long term follow-up: Participants were followed up from Year 2 to 6.
Period Title: Screening Phase (3 Weeks)
Started 51
Completed 45
Not Completed 6
Reason Not Completed
Other             1
Screen failure             5
Period Title: Treatment Phase (Day 1)
Started 45
Completed 45
Not Completed 0
Period Title: Follow-up Phase (Year 1)
Started 45
Completed 43
Not Completed 2
Reason Not Completed
Ongoing             2
Period Title: Long-Term Follow-Up (Year 2 to Year 6)
Started 43
Completed 0
Not Completed 43
Reason Not Completed
Ongoing             42
Withdrawal by Subject             1
Arm/Group Title PF-06838435
Hide Arm/Group Description All participants enrolled in the study and who received PF-06838435 infusion.
Overall Number of Baseline Participants 45
Hide Baseline Analysis Population Description
Safety analysis set included all participants enrolled in the study and who received PF-06838435 infusion.
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 45 participants
33.18  (10.947)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 45 participants
Female
0
   0.0%
Male
45
 100.0%
Ethnicity (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 45 participants
Hispanic or Latino
2
   4.4%
Not Hispanic or Latino
35
  77.8%
Unknown or Not Reported
8
  17.8%
Race (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 45 participants
American Indian or Alaska Native
0
   0.0%
Asian
7
  15.6%
Native Hawaiian or Other Pacific Islander
0
   0.0%
Black or African American
1
   2.2%
White
33
  73.3%
More than one race
0
   0.0%
Unknown or Not Reported
4
   8.9%
1.Primary Outcome
Title Annualized Bleeding Rate (ABR) for Total Bleeds (Treated and Untreated) From Week 12 to Month 15
Hide Description ABR = number of total bleeding episodes on study during the given time period) *365.25/ (Date of last day - date of first day +1) in that time period. Surgical procedures were excluded from summary/analyses. Treated Bleed: An event necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding (protocol definition, unless specifically referring to untreated bleed). Untreated Bleed: A bleeding event not necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. This outcome measure compared data collected from lead-in study C0371004 and from current study C0371002. Pre-infusion period = at least 6 months of prospectively collected data while receiving FIX prophylaxis replacement therapy in lead-in study C0371004 up to dosing in current study C0371002.
Time Frame Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)
Hide Outcome Measure Data
Hide Analysis Population Description
Dosed analysis set included all participants enrolled in the study who received PF-06838435 infusion.
Arm/Group Title FIX Prophylaxis PF-06838435
Hide Arm/Group Description:
Participants who received routine Factor IX (FIX) prophylaxis replacement therapy during the lead-in study C0371004. Participants subsequently received PF-06838435 infusion. This reporting arm served as control and it used data from lead-in study C0371004 for comparing data from the current study C0371002.
Eligible participants enrolled in the current study C0371002 and who received PF-06838435 infusion on Day 1. This reporting arm served as experimental arm.
Overall Number of Participants Analyzed 45 45
Mean (95% Confidence Interval)
Unit of Measure: Total bleeds per year
4.43
(1.81 to 7.05)
1.30
(0.59 to 2.02)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection FIX Prophylaxis, PF-06838435
Comments [Not Specified]
Type of Statistical Test Non-Inferiority
Comments A repeated measure negative binomial regression model was used to do the hypothesis test on non-inferiority with one-sided test.
Statistical Test of Hypothesis P-Value 0.0081
Comments [Not Specified]
Method Generalized linear model (GLM)
Comments The treatment difference and P-value were obtained from a repeated measures GLM with negative binomial distribution and identity link function.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -3.13
Confidence Interval (2-Sided) 95%
-5.44 to -0.81
Estimation Comments [Not Specified]
2.Secondary Outcome
Title ABR for Treated Bleeds From Week 12 to Month 15
Hide Description ABR = number of total bleeding episodes on study during the given time period) *365.25/ (Date of last day - date of first day +1) in that time period. Surgical procedures were excluded from summary/analyses. Treated Bleed: An event necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding (protocol definition, unless specifically referring to untreated bleed). This outcome measure compared data collected from lead-in study C0371004 and from current study C0371002. Pre-infusion period = at least 6 months of prospectively collected data while receiving FIX prophylaxis replacement therapy in lead-in study C0371004 up to dosing in current study C0371002.
Time Frame Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)
Hide Outcome Measure Data
Hide Analysis Population Description
Dosed analysis set included all participants enrolled in the study who received PF-06838435 infusion.
Arm/Group Title FIX Prophylaxis PF-06838435
Hide Arm/Group Description:
Participants who received routine Factor IX (FIX) prophylaxis replacement therapy during the lead-in study (C0371004. Participants subsequently received PF-06838435 infusion. This reporting arm served as control and it used data from lead-in study C0371004 for comparing data from the current study C0371002.
Eligible participants enrolled in the current study C0371002 and who received PF-06838435 infusion on Day 1. This reporting arm served as experimental arm.
Overall Number of Participants Analyzed 45 45
Mean (95% Confidence Interval)
Unit of Measure: Treated bleeds per year
3.35
(1.71 to 4.98)
0.73
(0.25 to 1.21)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection FIX Prophylaxis, PF-06838435
Comments [Not Specified]
Type of Statistical Test Non-Inferiority
Comments A repeated measure negative binomial regression model was used to do the hypothesis test on non-inferiority with one-sided test.
Statistical Test of Hypothesis P-Value 0.0019
Comments [Not Specified]
Method Generalized linear model (GLM)
Comments The treatment difference and P-value were obtained from a repeated measures GLM with negative binomial distribution and identity link function.
Method of Estimation Estimation Parameter Median Difference (Final Values)
Estimated Value -2.62
Confidence Interval (2-Sided) 95%
-4.27 to -0.96
Estimation Comments [Not Specified]
3.Secondary Outcome
Title Annualized Infusion Rate (AIR) of Exogenous FIX From Week 12 to Month 15
Hide Description AIR = number of exogenous infusions (for any reason) received during given time period *365.25/ (Date of last day - date of first day +1) in that time period. This outcome measure compared data collected from lead-in study C0371004 and from current study C0371002. Pre-infusion period = at least 6 months of prospectively collected data while receiving FIX prophylaxis replacement therapy in lead-in study C0371004 up to dosing in current study C0371002.
Time Frame Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)
Hide Outcome Measure Data
Hide Analysis Population Description
Dosed analysis set included all participants enrolled in the study who received PF-06838435 infusion.
Arm/Group Title FIX Prophylaxis PF-06838435
Hide Arm/Group Description:
Participants who received routine Factor IX (FIX) prophylaxis replacement therapy during the lead-in study (C0371004. Participants subsequently received PF-06838435 infusion. This reporting arm served as control and it used data from lead-in study C0371004 for comparing data from the current study C0371002.
Eligible participants enrolled in the current study C0371002 and who received PF-06838435 infusion on Day 1. This reporting arm served as experimental arm.
Overall Number of Participants Analyzed 45 45
Mean (Standard Deviation)
Unit of Measure: Exogenous infusions per year
58.83  (29.056) 4.46  (10.028)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection FIX Prophylaxis, PF-06838435
Comments The treatment difference (PF-06838435 - FIX Prophylaxis) estimate (95% CI) and p-value were obtained from paired t-test.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <.0001
Comments [Not Specified]
Method Paired t-test
Comments [Not Specified]
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -54.37
Confidence Interval (2-Sided) 95%
-63.64 to -45.10
Estimation Comments [Not Specified]
4.Secondary Outcome
Title Steady State Circulating Factor IX (FIX:C) From Week 12 to Month 15
Hide Description The certified central clinical laboratory analyzed the sample by two one-stage assays and a chromogenic assay. The first one-stage assay was performed on BCSXP analyzer with Actin-FSL reagent. The second one-stage assay used the same analyzer but SynthAsil as reagent. Data reported in this Outcome Measure is the geometric mean of all assessments from week 12 to Month 15.
Time Frame Week 12 to Month 15
Hide Outcome Measure Data
Hide Analysis Population Description
Dosed analysis set included all participants enrolled in the study who received PF-06838435 infusion. The assessments at the visits following participant withdrawal/dropout/FIX prophylaxis resumption were imputed as 1.9%. Here, "Number Analyzed" signifies number of participants evaluable for specified rows of respective arms.
Arm/Group Title PF-06838435
Hide Arm/Group Description:
All participants enrolled in the study and who received PF-06838435 infusion.
Overall Number of Participants Analyzed 45
Geometric Mean (Standard Deviation)
Unit of Measure: Percentage of Normal
Week 12 to Month 15: One-stage Assay (Actin-FSL Reagent) 12.62  (8.92)
Week 12 to Month 15: One-stage Assay (SynthASil Reagent) 25.90  (16.89)
Week 12 to Month 15: Chromogenic Assay 13.49  (10.40)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection PF-06838435
Comments Week 12 to Month 15
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <.0001
Comments P-value from one-sided t-statistic testing the log transformation of the steady state FIX:C > log(5). Cumulative for 3 assays.
Method One-sided t-statistic testing
Comments [Not Specified]
5.Secondary Outcome
Title Circulating Factor IX (FIX:C) at Week 12, Week 24, Week 65
Hide Description The certified central clinical laboratory analyzed the sample by two one-stage assays and a chromogenic assay. The first one-stage assay was performed on BCSXP analyzer with Actin-FSL reagent. The second one-stage assay used the same analyzer but SynthAsil as reagent.
Time Frame Week 12, Week 24, Week 65
Hide Outcome Measure Data
Hide Analysis Population Description
Dosed analysis set: participants enrolled in the study who received PF-06838435 infusion. The assessments at the visits following participant withdrawal/dropout/FIX prophylaxis resumption were imputed as 1.9%. "Number Analyzed": at each row represents the number of participants with valid FIX:C assessments at the respective time points. All participants reported under 'Number of Participants Analyzed' contributed data to the table; however, may not have evaluable data for every row.
Arm/Group Title PF-06838435
Hide Arm/Group Description:
All participants enrolled in the study and who received PF-06838435 infusion.
Overall Number of Participants Analyzed 45
Mean (Standard Deviation)
Unit of Measure: Percentage of Normal
Week 12: One-stage Assay (Actin-FSL Reagent) Number Analyzed 43 participants
13.52  (8.134)
Week 12: One-stage Assay (SynthASil Reagent) Number Analyzed 44 participants
27.79  (15.226)
Week 12: Chromogenic Assay Number Analyzed 44 participants
13.91  (9.302)
Week 24: One-stage Assay (Actin-FSL Reagent) Number Analyzed 41 participants
13.10  (11.144)
Week 24: One-stage Assay (SynthASil Reagent) Number Analyzed 39 participants
27.67  (21.340)
Week 24: Chromogenic Assay Number Analyzed 40 participants
14.83  (12.961)
Week 65: One-stage Assay (Actin-FSL Reagent) Number Analyzed 34 participants
13.10  (12.792)
Week 65: One-stage Assay (SynthASil Reagent) Number Analyzed 35 participants
27.47  (25.739)
Week 65: Chromogenic Assay Number Analyzed 35 participants
15.82  (16.996)
6.Secondary Outcome
Title Annualized Factor IX (FIX) Consumption From Week 12 to Month 15
Hide Description Annualized FIX consumption was reported by International Units per kilogram (IU/kg). This outcome measure compared data collected from lead-in study C0371004 and from current study C0371002. Pre-infusion period = at least 6 months of prospectively collected data while receiving FIX prophylaxis replacement therapy in lead-in study C0371004 up to dosing in current study C0371002. Data reported in this Outcome Measure is average of all assessments from Week 12 to Month 15.
Time Frame Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)
Hide Outcome Measure Data
Hide Analysis Population Description
Dosed analysis set included all participants enrolled in the study who received PF-06838435 infusion.
Arm/Group Title FIX Prophylaxis PF-06838435
Hide Arm/Group Description:
Participants who received routine Factor IX (FIX) prophylaxis replacement therapy during the lead-in study (C0371004. Participants subsequently received PF-06838435 infusion. This reporting arm served as control and it used data from lead-in study C0371004 for comparing data from the current study C0371002.
Eligible participants enrolled in the current study C0371002 and who received PF-06838435 infusion on Day 1. This reporting arm served as experimental arm.
Overall Number of Participants Analyzed 45 45
Mean (Standard Deviation)
Unit of Measure: IU/kg per year
3170.74  (1634.753) 235.04  (538.977)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection FIX Prophylaxis, PF-06838435
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <.0001
Comments [Not Specified]
Method Paired t-test
Comments [Not Specified]
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -2935.70
Confidence Interval (2-Sided) 95%
-3403.10 to -2468.30
Estimation Comments [Not Specified]
7.Secondary Outcome
Title ABR for Spontaneous Bleeds From Week 12 to Month 15
Hide Description ABR = number of total bleeding episodes on study during the given time period) *365.25/ (Date of last day - date of first day +1) in that time period. Surgical procedures were excluded from summary/analyses. Surgical procedures were excluded from summary/analyses. Spontaneous Bleeds: Bleeding for no apparent/known reason particularly into the joints, muscles, and soft tissues. This outcome measure compared data collected from lead-in study C0371004 and from current study C0371002. Pre-infusion period = at least 6 months of prospectively collected data while receiving FIX prophylaxis replacement therapy in lead-in study C0371004 up to dosing in current study C0371002.
Time Frame Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)
Hide Outcome Measure Data
Hide Analysis Population Description
Dosed analysis set included all participants enrolled in the study who received PF-06838435 infusion.
Arm/Group Title FIX Prophylaxis PF-06838435
Hide Arm/Group Description:
Participants who received routine Factor IX (FIX) prophylaxis replacement therapy during the lead-in study (C0371004. Participants subsequently received PF-06838435 infusion. This reporting arm served as control and it used data from lead-in study C0371004 for comparing data from the current study C0371002.
Eligible participants enrolled in the current study C0371002 and who received PF-06838435 infusion on Day 1. This reporting arm served as experimental arm.
Overall Number of Participants Analyzed 45 45
Mean (95% Confidence Interval)
Unit of Measure: Spontaneous bleeds per year
3.24
(0.92 to 5.56)
0.69
(0.19 to 1.20)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection FIX Prophylaxis, PF-06838435
Comments [Not Specified]
Type of Statistical Test Non-Inferiority
Comments The treatment difference and P-value were obtained from a repeated measures GLM with negative binomial distribution and identity link function.
Statistical Test of Hypothesis P-Value 0.0191
Comments [Not Specified]
Method Generalized linear model (GLM)
Comments [Not Specified]
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -2.55
Confidence Interval (2-Sided) 95%
-4.67 to -0.42
Estimation Comments [Not Specified]
8.Secondary Outcome
Title ABR for Traumatic Bleeds From Week 12 to Month 15
Hide Description ABR = number of total bleeding episodes on study during the given time period) *365.25/ (Date of last day - date of first day +1) in that time period. Surgical procedures were excluded from summary/analyses. Surgical procedures were excluded from summary/analyses. Traumatic Bleeds: Bleeding event occurring for an apparent/known reason. This outcome measure compared data collected from lead-in study C0371004 and from current study C0371002. Pre-infusion period = at least 6 months of prospectively collected data while receiving FIX prophylaxis replacement therapy in lead-in study C0371004 up to dosing in current study C0371002.
Time Frame Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)
Hide Outcome Measure Data
Hide Analysis Population Description
Dosed analysis set included all participants enrolled in the study who received PF-06838435 infusion.
Arm/Group Title FIX Prophylaxis PF-06838435
Hide Arm/Group Description:
Participants who received routine Factor IX (FIX) prophylaxis replacement therapy during the lead-in study (C0371004. Participants subsequently received PF-06838435 infusion. This reporting arm served as control and it used data from lead-in study C0371004 for comparing data from the current study C0371002.
Eligible participants enrolled in the current study C0371002 and who received PF-06838435 infusion on Day 1. This reporting arm served as experimental arm.
Overall Number of Participants Analyzed 45 45
Mean (95% Confidence Interval)
Unit of Measure: Traumatic bleeds per year
1.16
(0.34 to 1.98)
0.59
(0.26 to 0.92)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection FIX Prophylaxis, PF-06838435
Comments [Not Specified]
Type of Statistical Test Non-Inferiority
Comments The treatment difference and P-value were obtained from a repeated measures GLM with negative binomial distribution and identity link function.
Statistical Test of Hypothesis P-Value 0.1528
Comments [Not Specified]
Method Generalized linear model (GLM)
Comments [Not Specified]
Method of Estimation Estimation Parameter Median Difference (Final Values)
Estimated Value -0.57
Confidence Interval (2-Sided) 95%
-1.35 to 0.21
Estimation Comments [Not Specified]
9.Secondary Outcome
Title ABR for Untreated Bleeds From Week 12 to Month 15
Hide Description ABR = number of total bleeding episodes on study during the given time period) *365.25/ (Date of last day - date of first day +1) in that time period. Surgical procedures were excluded from summary/analyses. Surgical procedures were excluded from summary/analyses. Untreated Bleed: A bleeding event not necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. This outcome measure compared data collected from lead-in study C0371004 and from current study C0371002. Pre-infusion period = at least 6 months of prospectively collected data while receiving FIX prophylaxis replacement therapy in lead-in study C0371004 up to dosing in current study C0371002.
Time Frame Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)
Hide Outcome Measure Data
Hide Analysis Population Description
Dosed analysis set included all participants enrolled in the study who received PF-06838435 infusion.
Arm/Group Title FIX Prophylaxis PF-06838435
Hide Arm/Group Description:
Participants who received routine Factor IX (FIX) prophylaxis replacement therapy during the lead-in study (C0371004. Participants subsequently received PF-06838435 infusion. This reporting arm served as control and it used data from lead-in study C0371004 for comparing data from the current study C0371002.
Eligible participants enrolled in the current study C0371002 and who received PF-06838435 infusion on Day 1. This reporting arm served as experimental arm.
Overall Number of Participants Analyzed 45 45
Mean (95% Confidence Interval)
Unit of Measure: Untreated bleeds per year
1.07
(-0.32 to 2.47)
0.57
(0.14 to 1.00)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection FIX Prophylaxis, PF-06838435
Comments [Not Specified]
Type of Statistical Test Non-Inferiority
Comments The treatment difference and P-value were obtained from a repeated measures GLM with negative binomial distribution and identity link function.
Statistical Test of Hypothesis P-Value 0.3738
Comments [Not Specified]
Method Generalized linear model (GLM)
Comments [Not Specified]
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.51
Confidence Interval (2-Sided) 95%
-1.63 to 0.61
Estimation Comments [Not Specified]
10.Secondary Outcome
Title Number of Target Joint Bleeds From Week 12 to Month 15
Hide Description Target Joint: Defined as a major joint (e.g., hip, elbow, wrist, shoulder, knee, and ankle) into which repeated bleeds occurred (three or more spontaneous bleeds into a single joint within a consecutive 6-month period). A target joint was considered resolved when there were =<2 bleeds into the joint within a 12-month period. Joint Bleed: A bleeding episode characterized by rapid loss of range of motion as compared with baseline that was associated with any combination of the following: pain or an unusual sensation in the joint, palpable swelling, and warmth of the skin over the joint. This outcome measure compared data collected from lead-in study C0371004 and from current study C0371002. Pre-infusion period = at least 6 months of prospectively collected data while receiving FIX prophylaxis replacement therapy in lead-in study C0371004 up to dosing in current study C0371002.
Time Frame Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)
Hide Outcome Measure Data
Hide Analysis Population Description
Dosed analysis set included all participants enrolled in the study who received PF-06838435 infusion.
Arm/Group Title FIX Prophylaxis PF-06838435
Hide Arm/Group Description:
Participants who received routine Factor IX (FIX) prophylaxis replacement therapy during the lead-in study (C0371004. Participants subsequently received PF-06838435 infusion. This reporting arm served as control and it used data from lead-in study C0371004 for comparing data from the current study C0371002.
Eligible participants enrolled in the current study C0371002 and who received PF-06838435 infusion on Day 1. This reporting arm served as experimental arm.
Overall Number of Participants Analyzed 45 45
Mean (Standard Deviation)
Unit of Measure: Target joint bleeds
2.9  (7.81) 0.3  (1.02)
11.Secondary Outcome
Title Percentage of the Participants Without Bleeds From Week 12 to Month 15
Hide Description Percentage of participants without bleeds (total bleeds and treated bleeds) were summarized by type from Week 12 to Month 15.
Time Frame Week 12 to Month 15
Hide Outcome Measure Data
Hide Analysis Population Description
Dosed analysis set included all participants enrolled in the study who received PF-06838435 infusion.
Arm/Group Title PF-06838435
Hide Arm/Group Description:
All participants enrolled in the study and who received PF-06838435 infusion.
Overall Number of Participants Analyzed 45
Measure Type: Number
Unit of Measure: Percentage of participants
Without treated bleeds 73.3
Without treated and untreated bleeds 64.4
12.Secondary Outcome
Title Change From Baseline in Joint Health as Measured by the Hemophilia Joint Health Score (HJHS) Instrument at Month 12
Hide Description A qualified healthcare professional assessed six joints (left ankle, right ankle, left elbow, right elbow, left knee, right knee) scored from 0 to 20 based on: duration of swelling, muscle atrophy, crepitus, flexion loss, extension loss, instability, joint pain, and strength. Gait was scored (0 to 4) based on walking, stairs, running, hopping on one leg. Total score = sum of scores from all joints + gait score ranged from 0 to 124, with the higher the number equating to more severe joint damage.
Time Frame Baseline, Month 12
Hide Outcome Measure Data
Hide Analysis Population Description
Dosed analysis set included all participants enrolled in the study who received PF-06838435 infusion. Here, "Number of Participants Analyzed" signifies number of participants evaluable for this outcome measure and "Number Analyzed" signifies number of participants evaluable for specified rows of respective arms.
Arm/Group Title PF-06838435
Hide Arm/Group Description:
All participants enrolled in the study and who received PF-06838435 infusion.
Overall Number of Participants Analyzed 44
Mean (95% Confidence Interval)
Unit of Measure: Units on a scale
Baseline Number Analyzed 44 participants
17.8
(13.1 to 22.5)
Change at Month 12 Number Analyzed 36 participants
-2.6
(-4.7 to -0.6)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection PF-06838435
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0117
Comments [Not Specified]
Method Paired t-test
Comments [Not Specified]
13.Secondary Outcome
Title Change From Baseline in Hemophilia Quality of Life (Haem A QoL) Physical Health Domain at Month 12
Hide Description The Haem-A-QoL questionnaire contained 46 items with ten domains that assessed health in the following areas: Physical Health; Feelings; View of Self; Sports and Leisure; Work and School; Dealing with Haemophilia; Treatment; Future; Family Planning; and Partnership and Sexuality. The physical health domain was considered as the primary domain in this questionnaire, had a transformed score range from 0 to 100, with lower scores representing higher quality of life. In this Outcome Measure Physical Health domain scores of Haem A QoL are reported.
Time Frame Baseline, Month 12
Hide Outcome Measure Data
Hide Analysis Population Description
Dosed analysis set included all participants enrolled in the study who received PF-06838435 infusion. Here, "Number of Participants Analyzed" signifies number of participants evaluable for this outcome measure and "Number Analyzed" signifies number of participants evaluable for specified rows of respective arms.
Arm/Group Title PF-06838435
Hide Arm/Group Description:
All participants enrolled in the study and who received PF-06838435 infusion.
Overall Number of Participants Analyzed 40
Mean (95% Confidence Interval)
Unit of Measure: Units on a scale
Baseline Number Analyzed 40 participants
31.00
(23.02 to 38.98)
Change at Month 12 Number Analyzed 37 participants
-7.70
(-12.95 to -2.45)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection PF-06838435
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0052
Comments [Not Specified]
Method Paired t-test
Comments [Not Specified]
14.Secondary Outcome
Title Change From Baseline in Hemophilia Activities List (HAL) Complex Lower Extremity Activities Component Score at Month 12
Hide Description The HAL was a multiple domain measure of the impact of hemophilia on functional abilities in adults. The 7 domains of this instrument contained 42 items in total, as follows: lying/sitting/kneeling/standing; lower (leg) functioning; upper (arm) functioning; transportation; self-care; household tasks; and sports/leisure. Selected items from five of the domains were used to create three components: upper extremity; basic lower extremity; and complex lower extremity activities. The component score of "complex lower extremity activities" was the most important in this questionnaire, had a transformed score range from 0 to 100, higher values indicated less functional limitations in performing tasks.
Time Frame Baseline, Month 12
Hide Outcome Measure Data
Hide Analysis Population Description
Dosed analysis set included all participants enrolled in the study who received PF-06838435 infusion. Here, "Number of Participants Analyzed" signifies number of participants evaluable for this outcome measure and "Number Analyzed" signifies number of participants evaluable for specified rows of respective arms.
Arm/Group Title PF-06838435
Hide Arm/Group Description:
All participants enrolled in the study and who received PF-06838435 infusion.
Overall Number of Participants Analyzed 40
Mean (95% Confidence Interval)
Unit of Measure: Units on a scale
Baseline Number Analyzed 40 participants
67.06
(59.10 to 75.02)
Change at Month 12 Number Analyzed 37 participants
7.59
(1.07 to 14.11)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection PF-06838435
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0237
Comments [Not Specified]
Method Paired t-test
Comments [Not Specified]
15.Secondary Outcome
Title Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs
Hide Description Results would be posted at secondary completion date.
Time Frame Maximum up to 6 years (Week 312) after PF-06838435 infusion
Outcome Measure Data Not Reported
16.Secondary Outcome
Title Number of Participants With Adverse Events of Special Interest
Hide Description Results would be posted at secondary completion date.
Time Frame Maximum up to 6 years (Week 312) after PF-06838435 infusion
Outcome Measure Data Not Reported
17.Secondary Outcome
Title Number of Participants With Positive Neutralizing Antibody (nAb) to Adeno-associated Virus Vector (AAV) and Anti-Drug Antibody (ADA)
Hide Description Results would be posted at secondary completion date.
Time Frame Maximum up to 6 years (Week 312) after PF-06838435 infusion
Outcome Measure Data Not Reported
18.Secondary Outcome
Title ABR for Total Bleeds (Treated and Untreated) Through the Study
Hide Description Results would be posted at secondary completion date.
Time Frame Maximum up to 6 years (Week 312) after PF-06838435 infusion
Outcome Measure Data Not Reported
19.Secondary Outcome
Title ABR for Treated Bleeds Through the Study
Hide Description Results would be posted at secondary completion date.
Time Frame Maximum up to 6 years (Week 312) after PF-06838435 infusion
Outcome Measure Data Not Reported
20.Secondary Outcome
Title AIR of Exogenous Factor IX Through the Study
Hide Description Results would be posted at secondary completion date.
Time Frame Maximum up to 6 years (Week 312) after PF-06838435 infusion
Outcome Measure Data Not Reported
21.Secondary Outcome
Title FIX: C Level Through the Study
Hide Description Results would be posted at secondary completion date.
Time Frame Maximum up to 6 years (Week 312) after PF-06838435 infusion
Outcome Measure Data Not Reported
22.Secondary Outcome
Title Annualized Factor IX Consumption Through the Study
Hide Description Results would be posted at secondary completion date.
Time Frame Maximum up to 6 years (Week 312) after PF-06838435 infusion
Outcome Measure Data Not Reported
23.Secondary Outcome
Title ABR for Spontaneous and Traumatic, and Untreated Bleeds Through the Study
Hide Description Results would be posted at secondary completion date.
Time Frame Maximum up to 6 years (Week 312) after PF-06838435 infusion
Outcome Measure Data Not Reported
24.Secondary Outcome
Title Change From Baseline in Joint Health as Measured by the HJHS Instrument Through the Study
Hide Description Results would be posted at secondary completion date.
Time Frame Baseline, 6 years
Outcome Measure Data Not Reported
25.Secondary Outcome
Title Number of Target Joint Bleeds Through the Study
Hide Description Results would be posted at secondary completion date.
Time Frame Maximum up to 6 years (Week 312) after PF-06838435 infusion
Outcome Measure Data Not Reported
26.Secondary Outcome
Title Change From Baseline in Haem A QoL Physical Health Domain Through the Study
Hide Description Results would be posted at secondary completion date.
Time Frame Baseline, Maximum up to 6 years (Week 312) after PF-06838435 infusion
Outcome Measure Data Not Reported
27.Secondary Outcome
Title Change From Baseline in HAL Complex Lower Extremity Activities Component Score Through the Study
Hide Description Results would be posted at secondary completion date.
Time Frame Baseline, 6 years
Outcome Measure Data Not Reported
Time Frame Day 1 up to analysis data cut-off 16-Nov-2022 (approximately 3 years 3 months)
Adverse Event Reporting Description Same event may appear as both non-SAE and a serious AE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study. All participants enrolled in the study and who received PF-06838435 infusion.
 
Arm/Group Title PF-06838435
Hide Arm/Group Description All participants enrolled in the study and who received PF-06838435 infusion and have no significant interruption of efficacy measurement
All-Cause Mortality
PF-06838435
Affected / at Risk (%)
Total   0/45 (0.00%) 
Hide Serious Adverse Events
PF-06838435
Affected / at Risk (%)
Total   7/45 (15.56%) 
Blood and lymphatic system disorders   
Anaemia * 1  2/45 (4.44%) 
Gastrointestinal disorders   
Duodenal ulcer * 1  1/45 (2.22%) 
Duodenal ulcer haemorrhage * 1  1/45 (2.22%) 
Upper gastrointestinal haemorrhage * 1  1/45 (2.22%) 
Hepatobiliary disorders   
Drug-induced liver injury * 1  1/45 (2.22%) 
Infections and infestations   
COVID-19 * 1  1/45 (2.22%) 
COVID-19 pneumonia * 1  1/45 (2.22%) 
Pilonidal disease * 1  1/45 (2.22%) 
Injury, poisoning and procedural complications   
Alcohol poisoning * 1  1/45 (2.22%) 
Femoral neck fracture * 1  1/45 (2.22%) 
Investigations   
Coagulation factor IX level decreased * 1  1/45 (2.22%) 
Metabolism and nutrition disorders   
Hypokalaemia * 1  1/45 (2.22%) 
Nervous system disorders   
Seizure * 1  1/45 (2.22%) 
1
Term from vocabulary, MedDRA v25.1
*
Indicates events were collected by non-systematic assessment
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 5%
PF-06838435
Affected / at Risk (%)
Total   37/45 (82.22%) 
Gastrointestinal disorders   
Abdominal pain * 1  3/45 (6.67%) 
Abdominal pain upper * 1  3/45 (6.67%) 
Hepatobiliary disorders   
Hepatic function abnormal * 1  6/45 (13.33%) 
Hepatic steatosis * 1  3/45 (6.67%) 
Infections and infestations   
COVID-19 * 1  5/45 (11.11%) 
Nasopharyngitis * 1  8/45 (17.78%) 
Upper respiratory tract infection * 1  4/45 (8.89%) 
Investigations   
Alanine aminotransferase increased * 1  12/45 (26.67%) 
Aspartate aminotransferase increased * 1  3/45 (6.67%) 
Hepatic enzyme increased * 1  3/45 (6.67%) 
SARS-CoV-2 test positive * 1  3/45 (6.67%) 
Transaminases increased * 1  3/45 (6.67%) 
Musculoskeletal and connective tissue disorders   
Arthralgia * 1  8/45 (17.78%) 
Joint swelling * 1  3/45 (6.67%) 
Nervous system disorders   
Headache * 1  6/45 (13.33%) 
Psychiatric disorders   
Insomnia * 1  3/45 (6.67%) 
Skin and subcutaneous tissue disorders   
Acne * 1  3/45 (6.67%) 
Vascular disorders   
Hypertension * 1  3/45 (6.67%) 
1
Term from vocabulary, MedDRA v25.1
*
Indicates events were collected by non-systematic assessment
C0371004 lead-in ongoing study: did not involve any investigational intervention; designed to collect bleed, infusion data while participants were on their prophylaxis FIX therapy for a minimum of 6 months; data served as within participant comparison group for C0371002; participant flow and AEs are missing as the study has not concluded yet (some participants in the C0371004 are ongoing and supporting a different study NCT04370054) and data will be provided at conclusion of the lead-in study.
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Pfizer ClinicalTrials.gov Call Center
Organization: Pfizer Inc.
Phone: 1-800-718-1021
EMail: ClinicalTrials.gov_Inquiries@pfizer.com
Layout table for additonal information
Responsible Party: Pfizer
ClinicalTrials.gov Identifier: NCT03861273    
Other Study ID Numbers: C0371002
2018-003086-33 ( EudraCT Number )
2022-502844-11-00 ( Other Identifier: EU CT )
First Submitted: March 1, 2019
First Posted: March 4, 2019
Results First Submitted: November 1, 2023
Results First Posted: March 27, 2024
Last Update Posted: May 3, 2024