Unknown

Dataset Information

0

Switching to nonacog beta pegol in hemophilia B: Outcomes from a Canadian real-world, multicenter, retrospective study.


ABSTRACT:

Background

The Canadian Bleeding Disorders Registry (CBDR) captures data from 24 hemophilia treatment centers and patients directly. Nonacog beta pegol (N9-GP) was approved in Canada in 2018.

Objectives

To assess treatment outcomes following switching to N9-GP in a real-world setting.

Methods

CBDR data for Canadian male patients (aged 7-72 years) with hemophilia B receiving prophylactic N9-GP for ≥6 months as of March 31, 2021, were included. To allow comparison with the previously used products, only patients for whom data were available in the CBDR for at least 6 months before the switch to N9-GP were included in this retrospective analysis.

Results

Forty-two patients were included in the analysis (total observation period: 148.0 patient-years). The distribution of disease severity was 62% severe, 36% moderate, 2% mild, with 62% of patients previously receiving recombinant factor IX-Fc-fusion protein (rFIXFc) and 38% previously receiving standard half-life (SHL) recombinant factor IX (rFIX). During a median follow-up period of 2.3 years on N9-GP prophylaxis, 232 bleeds were reported in 30 patients, 29% of patients reported zero bleeds. The median overall annualized bleeding rate on N9-GP was 0.73 for patients switching from rFIXFc (previously 1.44) and 2.10 for patients switching from SHL rFIX (previously 6.06). Median total annualized factor consumption (IU/kg) was lower with N9-GP than with previous SHL rFIX (2152 vs 3018) and previous rFIXFc (1766 vs 2278).

Conclusions

Results from this first real-world study of N9-GP in patients with hemophilia B suggest optimal bleeding control with low factor consumption after switching to N9-GP, irrespective of the previous product.

SUBMITTER: Matino D 

PROVIDER: S-EPMC8971162 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature

altmetric image

Publications

Switching to nonacog beta pegol in hemophilia B: Outcomes from a Canadian real-world, multicenter, retrospective study.

Matino Davide D   Iorio Alfonso A   Keepanasseril Arun A   Germini Federico F   Caillaud Alexandre A   Carcao Manuel M   Hews-Girard Julia J   Iserman Emma E   James Paula P   Lee Adrienne A   Phua Chai W CW   Sun Haowei Linda HL   Teitel Jerome J   Poon Man-Chiu MC  

Research and practice in thrombosis and haemostasis 20220331 3


<h4>Background</h4>The Canadian Bleeding Disorders Registry (CBDR) captures data from 24 hemophilia treatment centers and patients directly. Nonacog beta pegol (N9-GP) was approved in Canada in 2018.<h4>Objectives</h4>To assess treatment outcomes following switching to N9-GP in a real-world setting.<h4>Methods</h4>CBDR data for Canadian male patients (aged 7-72 years) with hemophilia B receiving prophylactic N9-GP for ≥6 months as of March 31, 2021, were included. To allow comparison with the pr  ...[more]

Similar Datasets

| S-EPMC6061421 | biostudies-literature
| S-EPMC6462750 | biostudies-literature
| S-EPMC10955654 | biostudies-literature
| S-EPMC7590314 | biostudies-literature
| S-EPMC11612364 | biostudies-literature
| S-EPMC10088003 | biostudies-literature
| S-EPMC8947433 | biostudies-literature
| S-EPMC9218621 | biostudies-literature
| S-EPMC11664537 | biostudies-literature
| S-EPMC10235575 | biostudies-literature