Recombinant factor IX Fc prophylaxis reduces pain and increases levels of physical activity, with sustained, long-term improvements in patients with hemophilia B: analysis of phase III trials using patient-reported outcomes.

Journal: Therapeutic advances in hematology

Volume: 14

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Translational Medicine, Lund University, JanWaldenströms gata , SE- Malmö, Sweden. Division of Haematology, Haemostasis and Thrombosis Unit, Saint-Luc University Hospital, Université Catholique de Louvain (UCLouvain), Brussels, Belgium. Putnam PHMR, Les Berges du lac, Tunisia. Putnam PHMR, Lyon, France. Swedish Orphan Biovitrum AB, Stockholm, Sweden.

Abstract summary 

Pain is a common symptom of hemophilia that may adversely affect patients' quality of life (QoL). Previous analyses of prophylaxis with recombinant factor IX Fc fusion protein (rFIXFc) have been published for adults and adolescents, demonstrating improvements in health-related QoL (HRQoL) when assessed by the haemophilia-specific QoL (HaemAQoL) questionnaire.To describe in depth the evolution of QoL, pain- and activity-related domains and questions for pediatric, adolescent, and adult patients with hemophilia B treated with rFIXFc prophylaxis.A analysis of data from a series of clinical trials.This , long-term analysis assessed patient-reported outcomes (PROs) from the Kids B-LONG (NCT01440946: pediatric) and B-LONG (NCT01027364: adults and adolescents) parent studies and the B-YOND (NCT01425723: all age groups) extension study.Ninety-two adult and adolescent patients that started in the B-LONG study were assessed, with a median (range) duration of follow-up of 58.9 (0.0-78.4) months. The Haem-A-QoL total score was significantly reduced from baseline by 4.45 ( ⩽ 0.01), as were the subdomains 'physical health' (9.10;  = 0.001), 'sports and leisure' (11.25;  ⩽ 0.01), 'treatment' (2.69;  = 0.05), and 'view of self' (5.81;  = 0.002). Thirty pediatric patients that started in the Kids B-LONG study were assessed, with a median (min-max) duration of follow-up of 36.7 (9.0-59.9) months. The high level of satisfaction demonstrated by the PROs at baseline was maintained.rFIXFc prophylaxis reduced perceived pain and increased levels of physical activity with sustained, long-term improvements in QoL in adult and adolescent patients with hemophilia B and maintained high QoL scores in pediatric patients.

Authors & Co-authors:  Astermark Jan J Hermans Cédric C Ezzalfani Monia M Sidhom Alaeddine A Barbier Sylvaine S Kragh Nana N Falk Aletta A Eriksson Daniel D

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Nolan B, Klukowska A, Shapiro A, et al.. Final results of PUPs B-LONG study: evaluating safety and efficacy of rFIXFc in previously untreated patients with haemophilia B. Blood Adv 2020; 13: 2732–2739.
Authors :  8
Identifiers
Doi : 20406207231170701
SSN : 2040-6207
Study Population
Male,Female
Mesh Terms
Other Terms
factor IX;hemophilia B;pain;patient-reported outcome measures;physical activity;quality of life;rFIXFc protein
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
England