Study Investigating a PEGylated Recombinant Factor VIII (BAX 855) for Hemophilia A (PROLONG-ATE Study)
CompletedPhase 2, PHASE3Results postedLast updated 20 May 2021
What this trial tests
Phase 2, PHASE3 trial testing Antihemophilic Factor (Recombinant) - Plasma/Albumin Free Method in Hemophilia A in 159 participants. Completed in 17 July 2014.
Adults 12 to 65, male only, with Hemophilia A. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Annualized Bleeding Rate (ABR)Primary· 9 months
Comparisons between prophylactic and on-demand treatment were based on ABR estimates from a negative binomial regression model, taking into account the treatment regimen, target joints and age at screening, and duration of the observation period for efficacy.
Group
Value
95% CI
Prophylaxis
4.3
3.4 – 5.5
On-demand
43.4
25.2 – 74.8
Rate of Success of BAX 855 for Treatment of Bleeding EpisodesSecondary· At least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm and 6 months (± 2 weeks) for the on-demand arm.
Success in the control of bleeding was defined as a rating of excellent or good using the Efficacy Rating Scale for Treatment of Bleeding Episodes measured 24 hours after initiation of treatment for the bleeding episode. 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 is required for the control of bleeding. Administration of further infusions to maintain hemostasis would not affect this scoring. GOOD: Definite pain reli
Group
Value
95% CI
Participants With a Bleeding Episode
0.96
0.91 – 0.98
Average Number of BAX 855 Infusions Needed for the Treatment of Bleeding EpisodesSecondary· From first exposure to BAX 855 until the end of the study, [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm; and 6 months (± 2 weeks) for the on-demand arm].
Group
Value
95% CI
Prophylaxis
1.37
± 0.80
On-demand
1.21
± 0.35
Number of Participants With ≤1, 2, 3, 4, 5, 6, or >6 Month Time Intervals Between Bleeding Episodes or no Bleeding EpisodesSecondary· From first exposure to BAX 855 until the end of the study, [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm; and 6 months (± 2 weeks) for the on-demand arm].
Interval between Bleeds in months was calculated as: Observation period for efficacy (in days)/(number of bleeds)\*(12/365.2425)
No bleed
Group
Value
95% CI
Prophylaxis
45
On-demand
0
>6 Months
Group
Value
95% CI
Prophylaxis
5
On-demand
0
6 Months
Group
Value
95% CI
Prophylaxis
20
On-demand
0
5 Months
Group
Value
95% CI
Prophylaxis
3
On-demand
0
4 Months
Group
Value
95% CI
Prophylaxis
0
On-demand
0
3 Months
Group
Value
95% CI
Prophylaxis
11
On-demand
0
2 Months
Group
Value
95% CI
Prophylaxis
16
On-demand
0
≤1 Month
Group
Value
95% CI
Prophylaxis
20
On-demand
17
Weight-adjusted Consumption of BAX 855 - Per Prophylactic Infusion and Pharmacokinetic (PK) InfusionSecondary· Prophylactic Infusion: ≥50 exposure days or 6 months (±2 weeks), whichever occurs last. PK Infusion: PK #1 Pre-infusion within 30 minutes; Post-infusion 10 min, and 0.5, 1, 3, 6, 24, 32, 48, 56 hours (h). PK #2 also at Post-infusion 96h
Per Prophylactic Infusion (N= 5941 Infusions)
Group
Value
95% CI
All Study Participants
44.51
± 4.556
Per PK Infusion (N= 50 Infusions)
Group
Value
95% CI
All Study Participants
45.48
± 2.592
Weight-adjusted Consumption of BAX 855 - Per Treatment of Bleeding Episode (BE) and Per BE for Maintenance of HemostasisSecondary· Treatment of Bleeding Episode (BE): Minor/Moderate BE every 12 to 24 hours until bleeding is resolved; Major BE every 8 to 12 hours until bleeding is resolved. Per BE for Maintenance of Hemostasis: within 48 hours after bleeding episode resolution.
Infusions per bleeding episode for maintenance of hemostasis only includes infusions following the resolution of a bleed to maintain hemostasis.
Per Treatment of BE (N= 592 bleeds)
Group
Value
95% CI
All Study Participants
37.44
± 28.105
Per BE for Maintenance of Hemostasis (N=34 bleeds)
Group
Value
95% CI
All Study Participants
39.29
± 34.206
Percentage of Participants With Adverse EventsSecondary· From first exposure to BAX 855 until the end of the study, [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm; and 6 months (± 2 weeks) for the on-demand arm].
Adverse Events (AEs) and Serious Adverse Events (SAEs)
SAE, Moderate, Unrelated
Group
Value
95% CI
All Study Participants
0.7
SAE, Severe, Unrelated
Group
Value
95% CI
All Study Participants
2.9
nSAE, Mild, Unrelated
Group
Value
95% CI
All Study Participants
40.1
nSAE, Mild, Related
Group
Value
95% CI
All Study Participants
3.6
nSAE, Moderate, Unrelated
Group
Value
95% CI
All Study Participants
19.0
nSAE, Moderate, Related
Group
Value
95% CI
All Study Participants
1.5
nSAE, Unknown Severity, Unrelated
Group
Value
95% CI
All Study Participants
0.7
nSAE, Severe, Unrelated
Group
Value
95% CI
All Study Participants
1.5
Immunogenicity - Number of Participants With Positive Inhibitory Antibodies to FVIII, Binding Antibodies to FVIII, PEG-VIII, PEG and Anti-CHO Antibodies at Study Completion/TerminationSecondary· From first exposure to BAX 855 until the end of the study, [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm; and 6 months (± 2 weeks) for the on-demand arm].
Number of participants who received BAX855, with immunogenicity data from study completion/termination visit. FVIII = factor VIII; PEG-VIII = polyethylene glycol-factor VIII; Anti-CHO = Anti-Chinese hamster ovary
Inhibitory Antibodies to FVIII (N= 112, 14)
Group
Value
95% CI
Prophylaxis
0
On-demand
0
IgG: Binding Antibodies FVIII (N= 117, 15)
Group
Value
95% CI
Prophylaxis
0
On-demand
0
IgM: Binding Antibodies FVIII (N= 117, 15)
Group
Value
95% CI
Prophylaxis
0
On-demand
0
IgG: Binding Antibodies PEG (N= 117, 15)
Group
Value
95% CI
Prophylaxis
0
On-demand
0
IgM: Binding Antibodies PEG (N= 117, 15)
Group
Value
95% CI
Prophylaxis
0
On-demand
0
IgG: Binding Antibodies PEG-FVIII (N= 117, 15)
Group
Value
95% CI
Prophylaxis
0
On-demand
1
IgM: Binding Antibodies PEG-FVIII (N= 117, 15)
Group
Value
95% CI
Prophylaxis
0
On-demand
0
CHO-Protein Antibodies (N= 117, 15)
Group
Value
95% CI
Prophylaxis
0
On-demand
0
Patient Reported Outcomes: Haemo-SYM Questionnaire, Change in Score From Baseline to End of StudySecondary· Baseline; and end of study visit [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm and 6 months (± 2 weeks) for the on-demand arm].
The HAEMO-SYM has two subscales: pain and bleeds. HAEMO-SYM subscale scores are calculated by taking the mean of the items in each subscale and transforming them to a 0 (none or absent) to 100 (very severe) scale. Given that higher scores indicate more severe symptoms on the Haemo-SYM and that the change scores were calculated as the value at study completion minus the value at baseline, a negative change score indicates an improvement (reduction in symptoms). Conversely, a positive change score indicates worsening symptoms.
Bleed Severity Total Score
Group
Value
95% CI
Prophylaxis
-4.17
± 17.05
On-demand
-4.24
± 15.71
Pain Severity Total Score
Group
Value
95% CI
Prophylaxis
-1.22
± 12.50
On-demand
-0.17
± 11.88
Patient Reported Outcomes - Short Form (SF)-36, Change From Baseline to End of StudySecondary· Baseline; and end of study visit [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm and 6 months (± 2 weeks) for the on-demand arm]
Change from Baseline to End of Study for SF-36 Questionnaire is provided. Scores for individual SF-36 categories range from 0 to 100 with higher scores representing better health. Given that higher scores indicate better health-related quality of life (HRQoL) and that the change scores were calculated as the value at study completion minus the value at baseline, a negative change score indicates a worsening of HRQoL.
Physical Functioning (N= 97, 12)
Group
Value
95% CI
Prophylaxis
0.49
± 5.27
On-demand
-2.46
± 4.29
Role-physical (N= 97, 12)
Group
Value
95% CI
Prophylaxis
1.31
± 7.36
On-demand
-3.67
± 9.01
Bodily Pain (N= 97, 12)
Group
Value
95% CI
Prophylaxis
2.08
± 8.19
On-demand
0.60
± 4.44
General Health (N= 96, 12)
Group
Value
95% CI
Prophylaxis
0.40
± 6.43
On-demand
-0.28
± 9.04
Vitality (N= 96, 12)
Group
Value
95% CI
Prophylaxis
-0.38
± 7.43
On-demand
0.26
± 9.36
Social Functioning (N= 97, 12)
Group
Value
95% CI
Prophylaxis
0.90
± 7.54
On-demand
-3.18
± 6.35
Role Emotional (N= 97, 12)
Group
Value
95% CI
Prophylaxis
-0.20
± 8.46
On-demand
0.65
± 7.92
Mental Health (N= 96, 12)
Group
Value
95% CI
Prophylaxis
0.09
± 7.26
On-demand
-3.29
± 7.95
Pharmacokinetics (Pk) - Plasma Half-life (One-stage Clotting Assay)Secondary· Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Terminal half-life calculated as log\_e2/λz where λz is the terminal elimination rate constant. Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).
PK-1: ADVATE
Group
Value
95% CI
Pharmacokinetic Analysis Participants
10.40
± 2.244
PK-2: BAX 855
Group
Value
95% CI
Pharmacokinetic Analysis Participants
14.30
± 3.838
PK-3: BAX 855, After ≥50 Exposure Days (N=22)
Group
Value
95% CI
Pharmacokinetic Analysis Participants
16.02
± 4.922
Pharmacokinetics (Pk) - Mean Residence Time (One-stage Clotting Assay)Secondary· Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
The mean residence time (MRT) w as calculated as total area under the moment curve divided by the total area under the curve starting from the begin of infusion (or the end of infusion if start time is not available). Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysi
PK-1: ADVATE
Group
Value
95% CI
Pharmacokinetic Analysis Participants
12.86
± 3.044
PK-2: BAX 855
Group
Value
95% CI
Pharmacokinetic Analysis Participants
19.56
± 5.315
PK-3: BAX 855, After ≥50 Exposure Days (N=22)
Group
Value
95% CI
Pharmacokinetic Analysis Participants
20.65
± 4.821
Adverse events — posted to ClinicalTrials.gov
Time frame: From first exposure to BAX 855 until the end of the study, [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm; and 6 months (± 2 weeks) for the on-demand arm]..
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
All Study Participants
Serious: 5/137 (4%)
Deaths: —
Serious adverse events (5 terms)
Reaction
System
All Study Participants
HERPES ZOSTER INFECTION NEUROLOGICAL
Infections and infestations
—
HUMERUS FRACTURE
Injury, poisoning and procedural complications
—
MUSCLE HAEMORRHAGE
Musculoskeletal and connective tissue disorders
—
OSTEOARTHRITIS
Musculoskeletal and connective tissue disorders
—
NEUROENDOCRINE CARCINOMA
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
To assess efficacy and safety, including immunogenicity of BAX 855 administered as prophylaxis and as on-demand therapy in adult and adolescent (12-65 years) previously treated patients (PTPs) with severe hemophilia A To determine the pharmacokinetic (PK) parameters of BAX 855.
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
NCT07416526 — A Clinical Study to Evaluate the Effects of NXT007 Compared to Factor VIII Prophylaxis in Participants With Hemophilia A
· Phase 3
· recruiting
NCT07416604 — A Clinical Study to Evaluate the Effects of NXT007 Compared to Emicizumab Prophylaxis in People With Hemophilia A
· Phase 3
· recruiting
NCT07523399 — Joint Health, Balance and Quality of Life in Adults With Hemophilia A
· recruiting
NCT06833983 — To Evaluate the Clinical Study of GS1191-0445 Injection in the Treatment of Hemophilia A
· Phase 3
· recruiting
NCT06579144 — Pharmacokinetic Comparison of Efanesoctocog Alfa vs Other EHL-rFVIII Products in Participants With Severe Haemophilia A
· Phase 1
· recruiting
Other Baxalta now part of Shire trials
Trials by the same sponsor.
NCT04985682 — A Study of ADVATE in People With Hemophilia A in India
· Phase 4
· completed
NCT04578535 — A Study to Assess the Tolerability, Safety, and Pharmacokinetics of Subcutaneous Immune Globulin Infusion 10% (Human) Wi
· Phase 1
· completed
NCT04346108 — A Study of Immune Globulin Subcutaneous (Human), 20% Solution (IGSC, 20%) in Japanese Participants With Primary Immunode
· Phase 3
· completed
NCT04158934 — A Long-term Study of ADYNOVI/ADYNOVATE in Participants With Haemophilia A
· active not recruiting
NCT04394286 — A Phase 1/2 Study of SHP648, an Adeno-Associated Viral Vector for Gene Transfer in Hemophilia B Subjects
· Phase 1, PHASE2
· terminated
Publications: Europe PMC API search by NCT ID, retrieved 9 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Baxalta now part of Shire
Last refreshed: 20 May 2021
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01736475.