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ABSTRACT: Introduction
In clinical trials, recombinant factor IX fusion protein (rFIXFc) has demonstrated safety, efficacy and prolonged activity with extended dosing intervals for treatment of haemophilia B.Aim
To assess the real-world clinical utility of rFIXFc in a variable patient population and routine clinical practice.Methods
A multicentre, retrospective chart review was conducted of patients with haemophilia B who had received rFIXFc prophylaxis or on-demand treatment for ?6 months across six sites in the United States.Results
Sixty-four eligible patients were identified who had a median (range) duration on rFIXFc of 2.7 (0.5-5.0) years. Of 32 patients on rFIXFc prophylaxis who switched from prophylaxis with another factor treatment (ie pre-rFIXFc) and had a known pre-rFIXFc dosing interval, the initial dosing interval was lengthened for 26 (81%) patients and maintained for the remaining 6 (19%) patients. Most (n = 48 [91%]) patients who received rFIXFc prophylaxis from the beginning to the end of the chart review period (n = 53) maintained or lengthened the dosing interval from first through last dose of rFIXFc. For patients receiving rFIXFc prophylaxis, there was an approximate 50% reduction in weekly factor consumption compared with pre-rFIXFc prophylaxis. Overall annualized bleed rates, annualized spontaneous bleed rates and annualized joint bleed rates decreased after switching to rFIXFc prophylaxis (n = 24 with bleed data). Compliance to recommended treatment improved or remained stable in most patients with available data (30/31).Conclusion
Recombinant factor IX fusion protein prophylaxis improved bleed control, reduced overall consumption, reduced frequency of infusion and improved compliance for patients with haemophilia B in a real-world setting.
SUBMITTER: Shapiro A
PROVIDER: S-EPMC7821220 | biostudies-literature | 2020 Nov
REPOSITORIES: biostudies-literature
Shapiro Amy A Chaudhury Ateefa A Wang Michael M Escobar Miguel M Tsao Elisa E Barnowski Christopher C Feng Jing J Jain Nisha N Quon Doris V DV
Haemophilia : the official journal of the World Federation of Hemophilia 20201004 6
<h4>Introduction</h4>In clinical trials, recombinant factor IX fusion protein (rFIXFc) has demonstrated safety, efficacy and prolonged activity with extended dosing intervals for treatment of haemophilia B.<h4>Aim</h4>To assess the real-world clinical utility of rFIXFc in a variable patient population and routine clinical practice.<h4>Methods</h4>A multicentre, retrospective chart review was conducted of patients with haemophilia B who had received rFIXFc prophylaxis or on-demand treatment for ≥ ...[more]