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NCT02283268

Recombinant Von Willebrand Factor in Subjects With Severe Von Willebrand Disease Undergoing Surgery

Completed Phase 3 Results posted Last updated 19 May 2021
What this trial tests

Phase 3 trial testing Recombinant von Willebrand Factor (rVWF) in Von Willebrand Disease in 24 participants. Completed in 6 July 2016.

Timeline
1 April 2015
Primary endpoint
6 July 2016
6 July 2016

Quick facts

Lead sponsorBaxalta now part of Shire
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment24
Start date1 April 2015
Primary completion6 July 2016
Estimated completion6 July 2016
Sites34 locations across Italy, Netherlands, Russia, Ukraine, Austria, Taiwan, United Kingdom, Germany

Drugs / interventions tested

Conditions studied

Sponsor

Baxalta now part of Shire — full company profile →

Who can join

18 and older, any sex, with Von Willebrand Disease. 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.

Overall Hemostatic Efficacy as Assessed by the Investigator (Hemophilia Physician) Primary · 24 hours after last peri-operative infusion or at completion of Day 14 (± 2 days) visit, whichever occurs earlier

Hemostatic efficacy will be rated on a scale of excellent - good - moderate - none. Excellent: Intra-, and postoperative hemostasis achieved with rVWF with our without ADVATE was as good or better than that expected for the type of surgical procedure performed in a hemostatically normal subject. Good: Intra-, and postoperative hemostasis achieved with rVWF with or without ADVATE was probably as good as that expected for the type of surgical procedure performed in a hemostatically normal subject. Moderate: Intra-, and postoperative hemostasis with rVWF with or without ADVATE was clearly less th

GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)11
Minor Surgery4
Major Surgery7
Oral Surgery0
Von Willebrand Disease Type 12
Von Willebrand Disease Type 2A1
Von Willebrand Disease Type 2B1
Von Willebrand Disease Type 2M0
Von Willebrand Disease Type 37
Recombinant Von Willebrand Factor (rVWF)4
Minor Surgery0
Major Surgery3
Oral Surgery1
Von Willebrand Disease Type 11
Von Willebrand Disease Type 2A1
Von Willebrand Disease Type 2B0
Von Willebrand Disease Type 2M1
Von Willebrand Disease Type 31
Recombinant Von Willebrand Factor (rVWF)0
Minor Surgery0
Major Surgery0
Oral Surgery0
Von Willebrand Disease Type 10
Von Willebrand Disease Type 2A0
Von Willebrand Disease Type 2B0
Von Willebrand Disease Type 2M0
Von Willebrand Disease Type 30
Recombinant Von Willebrand Factor (rVWF)0
Minor Surgery0
Major Surgery0
Oral Surgery0
Von Willebrand Disease Type 10
Von Willebrand Disease Type 2A0
Von Willebrand Disease Type 2B0
Von Willebrand Disease Type 2M0
Von Willebrand Disease Type 30
Intraoperative Actual Versus Predicted Blood Loss as Assessed by the Operating Surgeon Secondary · Day 0 (at completion of surgery)

The predicted blood loss will be estimated preoperatively by the operating surgeon based on a hemostatically normal individual of the same sex, age, stature and co-morbidities as the participant. The actual blood loss will be assessed consisting of the estimated blood loss, including into swabs, towels and suction during the procedure, per the anesthesiologist's record.

Actual blood loss
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)94.3± 177.88
Minor Surgery0.0± 0.00
Major Surgery127.0± 209.27
Oral Surgery145.0± NA
Von Willebrand Disease Type 1115.0± 103.32
Von Willebrand Disease Type 2A42.5± 53.03
Von Willebrand Disease Type 2B50.0± NA
Von Willebrand Disease Type 2M50.0± NA
Von Willebrand Disease Type 3110.6± 240.87
Predicted blood loss
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)106.1± 161.82
Minor Surgery2.5± 5.00
Major Surgery152.8± 186.33
Oral Surgery100.0± NA
Von Willebrand Disease Type 1100.0± 100.00
Von Willebrand Disease Type 2A10.0± NA
Von Willebrand Disease Type 2B50.0± NA
Von Willebrand Disease Type 2M50.0± NA
Von Willebrand Disease Type 3134.4± 206.46
Intraoperative Actual Blood Loss Relative to Predicted Blood Loss Secondary · Day 0 (at completion of surgery)

Actual blood loss relative to predicted blood loss will be calculated as \[Actual Blood loss (mL)\] divided by \[Predicted Blood Loss (mL) multiplied by 100.

GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)69.6± 44.77
Minor Surgery0.0± NA
Major Surgery68.9± 34.48
Oral Surgery145.0± NA
Von Willebrand Disease Type 1122.5± 31.82
Von Willebrand Disease Type 2A50.0± NA
Von Willebrand Disease Type 2B100.0± NA
Von Willebrand Disease Type 2M100.0± NA
Von Willebrand Disease Type 345.0± 38.92
Intraoperative Actual Versus Predicted Blood Loss Score as Assessed by the Operating Surgeon Secondary · Day 0 (at completion of surgery)

Hemostatic efficacy will be rated on a scale of excellent - good - moderate - none. Excellent: Intraoperative blood loss was less than or equal to the maximum blood loss expected for the type of procedure performed in a hemostatically normal subject (≤ 100%). Good: Intraoperative blood loss was up to 50% more than the maximum expected blood loss for the type of procedure performed in a hemostatically normal subject (101-150%) Moderate: Intraoperative blood loss was more than 50% of the maximum expected blood loss for the type of procedure performed in a hemostatically normal subject (\>150%).

GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)13
Minor Surgery4
Major Surgery8
Oral Surgery1
Von Willebrand Disease Type 13
Von Willebrand Disease Type 2A1
Von Willebrand Disease Type 2B1
Von Willebrand Disease Type 2M1
Von Willebrand Disease Type 37
Recombinant Von Willebrand Factor (rVWF)2
Minor Surgery0
Major Surgery2
Oral Surgery0
Von Willebrand Disease Type 10
Von Willebrand Disease Type 2A1
Von Willebrand Disease Type 2B0
Von Willebrand Disease Type 2M0
Von Willebrand Disease Type 31
Recombinant Von Willebrand Factor (rVWF)0
Minor Surgery0
Major Surgery0
Oral Surgery0
Von Willebrand Disease Type 10
Von Willebrand Disease Type 2A0
Von Willebrand Disease Type 2B0
Von Willebrand Disease Type 2M0
Von Willebrand Disease Type 30
Recombinant Von Willebrand Factor (rVWF)0
Minor Surgery0
Major Surgery0
Oral Surgery0
Von Willebrand Disease Type 10
Von Willebrand Disease Type 2A0
Von Willebrand Disease Type 2B0
Von Willebrand Disease Type 2M0
Von Willebrand Disease Type 30
Intraoperative Hemostatic Efficacy Score as Assessed by the Operating Surgeon Secondary · Day 0 (at completion of surgery)

Hemostatic efficacy will be rated on a scale of excellent - good - moderate - none. Excellent: Intraoperative hemostasis achieved with rVWF with our without ADVATE was as good or better than that expected for the type of surgical procedure performed in a hemostatically normal subject. Good: Intraoperative hemostasis achieved with rVWF with or without ADVATE was probably as good as that expected for the type of surgical procedure performed in a hemostatically normal subject. Moderate: Intraoperative hemostasis with rVWF with or without ADVATE was clearly less than optimal for the type of proced

GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)13
Minor Surgery4
Major Surgery8
Oral Surgery1
Von Willebrand Disease Type 13
Von Willebrand Disease Type 2A1
Von Willebrand Disease Type 2B1
Von Willebrand Disease Type 2M1
Von Willebrand Disease Type 37
Recombinant Von Willebrand Factor (rVWF)2
Minor Surgery0
Major Surgery2
Oral Surgery0
Von Willebrand Disease Type 10
Von Willebrand Disease Type 2A1
Von Willebrand Disease Type 2B0
Von Willebrand Disease Type 2M0
Von Willebrand Disease Type 31
Recombinant Von Willebrand Factor (rVWF)0
Minor Surgery0
Major Surgery0
Oral Surgery0
Von Willebrand Disease Type 10
Von Willebrand Disease Type 2A0
Von Willebrand Disease Type 2B0
Von Willebrand Disease Type 2M0
Von Willebrand Disease Type 30
Recombinant Von Willebrand Factor (rVWF)0
Minor Surgery0
Major Surgery0
Oral Surgery0
Von Willebrand Disease Type 10
Von Willebrand Disease Type 2A0
Von Willebrand Disease Type 2B0
Von Willebrand Disease Type 2M0
Von Willebrand Disease Type 30
Daily Intra- and Postoperative Weight-adjusted Dose of rVWF With or Without ADVATE Secondary · Daily, from day of surgery through postoperative Day 14 (± 2 days)
intraoperative
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)18.118.1 – 18.1
postoperative day 1
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)23.516.9 – 47.2
postoperative day 2
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)42.323.2 – 50.6
postoperative day 3
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)28.620.6 – 48.9
postoperative day 4
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)33.923.2 – 44.3
postoperative day 5
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)31.518.8 – 47.2
postoperative day 6
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)23.218.8 – 23.6
postoperative day 7
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)23.823.6 – 50.8
Occurrence of Adverse Events Secondary · From first infusion of investigational product through study completion (ie, 14 (± 2) days post surgery)

Treatment emergent adverse events (TEAEs) and treatment emergent serious adverse events (TESAEs) will be evaluated.

Treatment emergent Adverse Events (TEAEs)
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)12
Severe TEAEs
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)1
TEAEs related to rVWF
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)0
TEAEs related to ADVATE
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)0
TEAEs related to both rVWF and ADVATE
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)0
Treatment emergent Serious Adverse Events (TESAEs)
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)2
TESAEs related to rVWF
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)0
TESAEs related to ADVATE
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)0
Occurrence of Thrombotic Events Secondary · From first infusion of investigational product through study completion (ie, 14 (± 2) days post surgery)

Treatment emergent adverse events (TEAEs) and treatment emergent serious adverse events (TESAEs) will be evaluated for thrombotic events.

Thrombotic TEAEs
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)2
Thrombotic TESAEs
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)1
Occurrence of Severe Allergic Reactions (eg, Anaphylaxis) Secondary · From first infusion of investigational product through study completion (ie, 14 (± 2) days post surgery)

Treatment emergent adverse events (TEAEs) and treatment emergent serious adverse events (TESAEs) will be evaluated for severe allergic reactions.

Severe allergic reaction TEAEs
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)0
Severe allergic reaction TESAEs
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)0
Number of Participants Who Developed Inhibitory and Total Binding Antibodies to Von Willebrand Factor (VWF) and Inhibitory Antibodies to Factor VIII (FVIII) Secondary · Testing occurred throughout the study at screening, prior PK infusion, pre-surgery, post surgery in case of excessive bleeding or unexplained bleeding, at postoperative day 7 and at study completion visit (ie. 14 (± 2) days post surgery).

Participants were treated with recombinant van Willebrand Factor (rVWF) with or without ADVATE.

Development of inhibitory antibodies to VWF
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)0
Development of total binding antibodies to VWF
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)1
Development of inhibitory antibodies to FVIII
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)0
Number of Participants Who Developed Antibodies to Chinese Hamster Ovary (CHO) Proteins, Mouse Immunoglobulin G (IgG) or Recombinant Furin (rFurin) Secondary · Testing occurred throughout the study at screening, prior PK infusion, pre-surgery, post surgery in case of excessive bleeding or unexplained bleeding, at postoperative day 7 and at study completion visit (ie. 14 (± 2) days post surgery).

Participants were treated with recombinant van Willebrand Factor (rVWF) with or without ADVATE.

GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)0
Pharmacokinetics: Area Under the Plasma Concentration Versus Time Curve From 0 to 72 Hours Post-infusion (AUC 0-72 h/Dose) Secondary · PK measurements were done within 30 minutes pre-infusion, and post infusion at 30 (± 5) minutes, 60 (± 5) minutes, 6 (± 1) hours, 12 (± 1) hours, 24 (± 2) hours, 48 (± 2) hours and 72 (± 2) hours.

This assessment is only required for subjects undergoing major surgery. Subjects will receive a PK infusion at a dose of 50±5 IU/kg rVWF:RCo within 42 days prior to surgery. The area under the plasma concentration/time curve from 0 to 72 hours post-infusion will be computed using the linear trapezoidal rule. For the calculation of AUC(0-72h) the levels at 72 hours will be linearly interpolated/extrapolated from the 2 nearest sampling time points. PK analysis was performed for the following analytes: VWF Ristocetin Cofactor Activity (VWF:RCo), VWF Antigen Activity (VWF:Ag), VWF Collagen Binding

VWF:RCo
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)31.91± 37.5
VWF:Ag
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)57.08± 25.6
VWF:CB
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)63.91± 29.4
VWF:Ac
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)54.61± 28.1
FVIII:C
GroupValue95% CI
Recombinant Von Willebrand Factor (rVWF)67.49± 31.1

Adverse events — posted to ClinicalTrials.gov

Time frame: Throughout the study period (from the first exposure to investigational product until study completion or discontinuation date). Total study duration: 1 year and 3 months. Per participant: up to 58 days.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Recombinant Von Willebrand Factor (rVWF)
Serious: 2/15 (13%)
Deaths: 0/15

Serious adverse events (2 terms)

ReactionSystemRecombinant Von Willebrand…
DiverticulitisInfections and infestations
Deep vein thrombosisVascular disorders
Other adverse events (10 terms — click to expand)

ReactionSystemRecombinant Von Willebrand…
AcneSkin and subcutaneous tissue disorders
Dry skinSkin and subcutaneous tissue disorders
Iron deficiency anaemiaBlood and lymphatic system disorders
Peripheral swellingGeneral disorders
NasopharyngitisInfections and infestations
Joint swellingMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
HeadacheNervous system disorders
Pelvic painReproductive system and breast disorders
Deep vein thrombosisVascular disorders

Most-reported serious reactions: Diverticulitis, Deep vein thrombosis.

Data from ClinicalTrials.gov NCT02283268 adverse events section.

Sponsor's own description

The purpose of the study is to assess the efficacy and safety of recombinant von Willebrand factor (rVWF) with or without ADVATE in major and minor elective surgical procedures in adult patients with hereditary severe von Willebrand disease (VWD).

Publications & conference data

6 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Phase 3 study of recombinant von Willebrand factor in patients with severe von Willebrand disease who are undergoing elective surgery.
    Peyvandi F, Mamaev A, Wang JD, Stasyshyn O, et al · · 2019 · cited 53× · PMID 30362288 · DOI 10.1111/jth.14313
  2. Pharmacokinetic-Pharmacodynamic Comparison of Recombinant and Plasma-Derived von Willebrand Factor in Patients with von Willebrand Disease Type 3.
    Bauer A, Friberg-Hietala S, Smania G, Wolfsegger M. · · 2023 · cited 5× · PMID 37332615 · DOI 10.2147/jbm.s395845
  3. Exposure-Response Relationship between VWF/FVIII Activity and Spontaneous Bleeding Events Following Recombinant VWF Prophylaxis in Severe VWD.
    Leebeek FWG, Castaman G, Marier JF, Özen G, et al · · 2024 · cited 1× · PMID 38938750 · DOI 10.1055/s-0044-1787815
  4. Recombinant von Willebrand factor for von Willebrand disease: mechanism of action and clinical application.
    Hua Z, Miao W, Zhang P, Yang R. · · 2026 · PMID 41695782 · DOI 10.1177/20406207261419941
  5. Bridging the Evidence Gap in von Willebrand Disease: A Call to Action for Equitable, Evidence-Based Care.
    Uminski K, James P, Connell N, Khalife R. · · 2025 · PMID 40898807 · DOI 10.1111/hae.70123
  6. Abstracts
    · 2020

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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/NCT02283268.

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