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FEIBA

Phase 3

Hemophilia A or B With Inhibitors | Monoclonal antibody | Hematology |Takeda Pharmaceutical Company Limited|Last Updated: Feb 14, 2023

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLEDBiomarker
Total Trials1
Total Enrollment45
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02764489FEIBA Reconstitution Volume Reduction and Faster Infusion Study (FEIBA STAR)PHASE3 COMPLETED 45Feb 12, 2019Dec 27, 2021Feb 14, 20233 Croatia, North Macedonia +1
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Study Endpoints
Primary Endpoints
Number of Participants With Any Treatment Emergent Adverse Event (TEAE)
From first dose of study drug up to 7 days after the end of infusion (up to Day 41)

An adverse event (AE) is any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment.

Number of Participants With Any Hypersensitivity Reaction
From first dose of study drug up to 7 days after the end of infusion (up to Day 41)

Number of participants with AEs particular to allergic-type hypersensitivity reactions were assessed. Clinical manifestations of hypersensitivity reactions included, but was not limited to skin rash, pruritus (itching), urticaria (hives), angioedema (for example, swelling of the lips and/or tongue) and anaphylactic reaction.

Number of Participants With Any Thromboembolic Event
From first dose of study drug up to 7 days after the end of infusion (up to Day 41)

Participants with adverse events related to thromboembolic event were reported. Clinical manifestations of thromboembolic events included, but was not limited to myocardial infarction, deep vein thrombosis, pulmonary embolism, stroke and transitory ischemic attack.

Number of Participants With Any Infusion Site Reaction
From first dose of study drug up to 7 days after the end of infusion (up to Day 41)

Infusion sites were monitored for pain, tenderness, erythema, and swelling. Infusion site evaluations were made by clinical staff or by the participant or caregiver.

Number of Participants With AEs Leading to Study Discontinuation
From first dose of study drug up to 7 days after the end of infusion (up to Day 41)
Number of Participants With Vital Signs Considered as AEs
From first dose of study drug up to 7 days after the end of infusion (up to Day 41)

Number of participants with vital signs considered as AEs were assessed. Vital signs included body temperature (degree Celsius or degrees Fahrenheit \[°C or °F\]), respiratory rate (breaths/min), pulse rate (beats/min), and systolic and diastolic blood pressure (millimeter of mercury \[mmHg\]).

Number of Participants With Laboratory Assessments Considered as AEs
From first dose of study drug up to 7 days after the end of infusion (up to Day 41)

Number of participants with Laboratory Assessments considered as AEs were assessed. Laboratory assessments included hematology, clinical chemistry, coagulation testing, serological testing, pregnancy testing, cluster differentiation 4 (CD4).

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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part 1:FEIBA 85±15 U/kg at Regular Volume Then 50% Reduced Volume at 2 U/kg/min Rate or Vice VersaEXPERIMENTALParticipants who were eligible were randomized to receive: 3 infusions (infusions 1, 2 and 3) of factor eight inhibitor bypassing activity (FEIBA) 85 ± 15 U/kg, reconstituted in regular volume sterile water for injection (SWFI) followed by 3 infusions (infusions 4, 5 and 6) of FEIBA 85 ± 15 U/kg reconstituted in 50% reduced volume SWFI (Sequence A) or: 3 infusions (infusions 1, 2 and 3) of FEIBA 85 ± 15 U/kg, reconstituted in 50% reduced volume SWFI, followed by 3 infusions of FEIBA 85 ± 15 U/kg, reconstituted in regular volume SWFI (Sequence B). All infusions in Part 1 were given at the standard infusion rate of 2 U/kg/min.
Part 2:FEIBA 85±15U/kg 50% Reduced Volume at 4U/kg/min Rate Then at 10U/kg/min RateEXPERIMENTALParticipants who completed Part 1, received FEIBA 85 ± 15 U/kg, reconstituted in 50% reduced volume SWFI at an increased rate of 4 U/kg/min for infusions 7, 8, and 9, followed by FEIBA 85 ± 15 U/kg, reconstituted in 50% reduced volume SWFI at an increased rate of 10 U/kg/min for infusions 10, 11, and 12.
Interventions
NameTypeDescription
FEIBABIOLOGICALAnti-inhibitor Coagulant Complex Nanofiltered (activated prothrombin complex concentrate \[APCC\]), FEIBA NF.
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Eligibility Criteria
Age Range18 Years — 65 Years
SexALL
Healthy VolunteersNo
Study Sites3

Inclusion Criteria: 1. Greater than or equal to (\> or =) 18 to less than or equal to (\< or =) 65 years old at the time of screening. 2. Hemophilia A or B of any severity, with a documented \> or = 3 months history of inhibitors (\> or = 0.6 Bethesda units \[BU\]) requiring the use of bypassing ag...

Countries:CroatiaNorth MacedoniaUkraine
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