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    Clinical Trial Results:
    A Phase 3, Prospective, Randomized, Controlled, Open-Label, Multicenter, 2 Period Crossover Study With a Single Arm Continuation Evaluating the Safety and Efficacy of BAX 930 (rADAMTS13) in the Prophylactic and On-Demand Treatment of Subjects with Severe Congenital Thrombotic Thrombocytopenic Purpura (cTTP, Upshaw-Schulman Syndrome [USS], Hereditary Thrombotic Thrombocytopenic Purpura [hTTP])

    Summary
    EudraCT number
    2017-000858-18
    Trial protocol
    GB   DE   ES   AT   FR   IT   PL   Outside EU/EEA  
    Global end of trial date
    30 May 2024

    Results information
    Results version number
    v2(current)
    This version publication date
    29 Mar 2025
    First version publication date
    13 Dec 2024
    Other versions
    v1
    Version creation reason
    • Correction of full data set
    Updates to AE data

    Trial information

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    Trial identification
    Sponsor protocol code
    281102
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03393975
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Takeda Development Center Americas, Inc.
    Sponsor organisation address
    95 Hayden Avenue, Lexington, Massachusetts, United States, 02421
    Public contact
    Study Director, Takeda, N/A N/A, TrialDisclosures@takeda.com
    Scientific contact
    Study Director, Takeda, N/A N/A, TrialDisclosures@takeda.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    Yes
    EMA paediatric investigation plan number(s)
    EMEA-001160-PIP01-11
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    30 May 2024
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    30 May 2024
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To determine the incidence of acute TTP episodes in subjects with severe cTTP receiving either standard of care (SoC) or BAX 930 as a prophylactic treatment.
    Protection of trial subjects
    Each participant or legally authorized representative signed an informed consent form (ICF) before participating in the study.
    Background therapy
    N/A
    Evidence for comparator
    N/A
    Actual start date of recruitment
    13 Oct 2017
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Germany: 4
    Country: Number of subjects enrolled
    France: 8
    Country: Number of subjects enrolled
    Italy: 1
    Country: Number of subjects enrolled
    Japan: 5
    Country: Number of subjects enrolled
    Spain: 6
    Country: Number of subjects enrolled
    Austria: 1
    Country: Number of subjects enrolled
    Poland: 6
    Country: Number of subjects enrolled
    United Kingdom: 12
    Country: Number of subjects enrolled
    United States: 11
    Worldwide total number of subjects
    54
    EEA total number of subjects
    26
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    9
    Adolescents (12-17 years)
    4
    Adults (18-64 years)
    40
    From 65 to 84 years
    1
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Participants took part in the study at various investigative sites globally from 13 October 2017 to 30 May 2024.

    Pre-assignment
    Screening details
    Participants with a diagnosis of cTTP were enrolled in either prophylaxis/on demand cohorts. All participants received intravenous infusion of TAK-755/standard treatment in Prophylaxis Periods 1&2,&TAK-755 in Prophylaxis Period 3(hereafter Prophylaxis Periods 1, 2,&3 are referred to simply as Periods 1, 2, and 3).

    Period 1
    Period 1 title
    Urgent Treatment Period
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    No

    Arm title
    On Demand Cohort I: TAK-755
    Arm description
    Participants experiencing an acute TTP event who met all other inclusion criteria and entered the study through the TAK-755 cohort of the Urgent Treatment Period received initial dose of IV infusions 40 IU/kg [+/- 4 IU/kg] TAK-755 ORT or TAK-755 SIN on Day 1 followed by a subsequent dose IV infusion of 20 IU/kg [+/- 2 IU/kg] TAK-755 ORT or TAK-755 SIN on Day 2 and an additional daily dose IV infusions of 15 IU/kg [+/- 1.5 IU/kg] TAK-755 on Day 3 until 2 days after the acute event was resolved. Upon resolution of the acute TTP event, participants had the option to either move to the prophylaxis cohort of the study or discontinue entirely.
    Arm type
    Experimental

    Investigational medicinal product name
    TAK-755
    Investigational medicinal product code
    Other name
    BAK-930
    Pharmaceutical forms
    Injection
    Routes of administration
    Intravenous use
    Dosage and administration details
    Daily

    Arm title
    On Demand Cohort II: SoC
    Arm description
    Participants experiencing an acute TTP event who met all other inclusion criteria and entered the study through the SoC cohort of the Urgent Treatment Period received the investigator-recommended SoC and dosing regimen until the acute event was resolved. Upon resolution of the acute TTP event, participants had the option to either move to the prophylaxis cohort of the study or discontinue entirely.
    Arm type
    Experimental

    Investigational medicinal product name
    Standard of care
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Intravenous use
    Dosage and administration details
    Daily

    Number of subjects in period 1
    On Demand Cohort I: TAK-755 On Demand Cohort II: SoC
    Started
    2
    4
    Completed
    2
    3
    Not completed
    0
    1
         Physician decision
    -
    1
    Period 2
    Period 2 title
    Prophylaxis Period 1
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Prophylaxis Cohort I: TAK-755 Then SoC
    Arm description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in Period 1 followed by SoC for 6 months in Period 2. Thereafter participants received TAK-755 SIN dose IV infusion of 40 IU/kg Q2W for 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.
    Arm type
    Experimental

    Investigational medicinal product name
    TAK-755
    Investigational medicinal product code
    Other name
    BAX-930
    Pharmaceutical forms
    Injection
    Routes of administration
    Intravenous use
    Dosage and administration details
    Daily

    Arm title
    Prophylaxis Cohort II: SoC Then TAK-755
    Arm description
    Participants received SoC for 6 months in Period 1 followed by IV infusions of 40 IU/kg dose of TAK-755 ORT Q2W in Period 2 for the next 6 months. Thereafter participants received TAK-755 SIN dose IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.
    Arm type
    Experimental

    Investigational medicinal product name
    Standard of care
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Intravenous use
    Dosage and administration details
    Daily

    Number of subjects in period 2
    Prophylaxis Cohort I: TAK-755 Then SoC Prophylaxis Cohort II: SoC Then TAK-755
    Started
    22
    26
    Completed
    22
    25
    Not completed
    0
    1
         Reason not Specified
    -
    1
    Period 3
    Period 3 title
    Prophylaxis Period 2
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Prophylaxis Cohort I: TAK-755 Then SoC
    Arm description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in Period 1 followed by SoC for 6 months in Period 2. Thereafter participants received TAK-755 SIN dose IV infusion of 40 IU/kg Q2W for 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.
    Arm type
    Experimental

    Investigational medicinal product name
    Standard of care
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Intravenous use
    Dosage and administration details
    Daily

    Arm title
    Prophylaxis Cohort II: SoC Then TAK-755
    Arm description
    Participants received SoC for 6 months in Period 1 followed by IV infusions of 40 IU/kg dose of TAK-755 ORT Q2W in Period 2 for the next 6 months. Thereafter participants received TAK-755 SIN dose IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.
    Arm type
    Experimental

    Investigational medicinal product name
    TAK-755
    Investigational medicinal product code
    Other name
    BAX-930
    Pharmaceutical forms
    Injection
    Routes of administration
    Intravenous use
    Dosage and administration details
    Daily

    Number of subjects in period 3
    Prophylaxis Cohort I: TAK-755 Then SoC Prophylaxis Cohort II: SoC Then TAK-755
    Started
    22
    25
    Completed
    22
    24
    Not completed
    0
    1
         Reason not Specified
    -
    1
    Period 4
    Period 4 title
    Prophylaxis Period 3
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Prophylaxis Cohort I: TAK-755 Then SoC
    Arm description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in Period 1 followed by SoC for 6 months in Period 2. Thereafter participants received TAK-755 SIN dose IV infusion of 40 IU/kg Q2W for 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.
    Arm type
    Experimental

    Investigational medicinal product name
    Tak-755
    Investigational medicinal product code
    Other name
    Bax-930
    Pharmaceutical forms
    Injection
    Routes of administration
    Intravenous use
    Dosage and administration details
    Daily

    Arm title
    Prophylaxis Cohort II: SoC Then TAK-755
    Arm description
    Participants received SoC for 6 months in Period 1 followed by IV infusions of 40 IU/kg dose of TAK-755 ORT Q2W in Period 2 for the next 6 months. Thereafter participants received TAK-755 SIN dose IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.
    Arm type
    Experimental

    Investigational medicinal product name
    TAK-755
    Investigational medicinal product code
    Other name
    BAX-930
    Pharmaceutical forms
    Injection
    Routes of administration
    Intravenous use
    Dosage and administration details
    Daily

    Number of subjects in period 4
    Prophylaxis Cohort I: TAK-755 Then SoC Prophylaxis Cohort II: SoC Then TAK-755
    Started
    22
    24
    Completed
    22
    24

    Baseline characteristics

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    Baseline characteristics reporting groups [1]
    Reporting group title
    On Demand Cohort I: TAK-755
    Reporting group description
    Participants experiencing an acute TTP event who met all other inclusion criteria and entered the study through the TAK-755 cohort of the Urgent Treatment Period received initial dose of IV infusions 40 IU/kg [+/- 4 IU/kg] TAK-755 ORT or TAK-755 SIN on Day 1 followed by a subsequent dose IV infusion of 20 IU/kg [+/- 2 IU/kg] TAK-755 ORT or TAK-755 SIN on Day 2 and an additional daily dose IV infusions of 15 IU/kg [+/- 1.5 IU/kg] TAK-755 on Day 3 until 2 days after the acute event was resolved. Upon resolution of the acute TTP event, participants had the option to either move to the prophylaxis cohort of the study or discontinue entirely.

    Reporting group title
    On Demand Cohort II: SoC
    Reporting group description
    Participants experiencing an acute TTP event who met all other inclusion criteria and entered the study through the SoC cohort of the Urgent Treatment Period received the investigator-recommended SoC and dosing regimen until the acute event was resolved. Upon resolution of the acute TTP event, participants had the option to either move to the prophylaxis cohort of the study or discontinue entirely.

    Notes
    [1] - The number of subjects reported to be in the baseline period is not equal to the worldwide number of subjects enrolled in the trial. It is expected that these numbers will be the same.
    Justification: The arms reported in the baseline period represent only the On Demand cohorts of this study.
    Reporting group values
    On Demand Cohort I: TAK-755 On Demand Cohort II: SoC Total
    Number of subjects
    2 4 6
    Age categorical
    Units: Subjects
        ≥18 years
    2 3 5
        12 to <18 years
    0 0 0
        6 to <12 years
    0 0 0
        <6 years
    0 1 1
    Gender categorical
    Units: Subjects
        Female
    1 1 2
        Male
    1 3 4
    Race (NIH/OMB)
    Units: Subjects
        American Indian or Alaska Native
    0 0 0
        Asian
    1 0 1
        Native Hawaiian or Other Pacific Islander
    0 0 0
        Black or African American
    0 1 1
        White
    1 2 3
        More than one race
    0 1 1
        Unknown or Not Reported
    0 0 0
    Ethnicity (NIH/OMB)
    Units: Subjects
        Hispanic or Latino
    0 0 0
        Not Hispanic or Latino
    2 4 6
        Unknown or Not Reported
    0 0 0

    End points

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    End points reporting groups
    Reporting group title
    On Demand Cohort I: TAK-755
    Reporting group description
    Participants experiencing an acute TTP event who met all other inclusion criteria and entered the study through the TAK-755 cohort of the Urgent Treatment Period received initial dose of IV infusions 40 IU/kg [+/- 4 IU/kg] TAK-755 ORT or TAK-755 SIN on Day 1 followed by a subsequent dose IV infusion of 20 IU/kg [+/- 2 IU/kg] TAK-755 ORT or TAK-755 SIN on Day 2 and an additional daily dose IV infusions of 15 IU/kg [+/- 1.5 IU/kg] TAK-755 on Day 3 until 2 days after the acute event was resolved. Upon resolution of the acute TTP event, participants had the option to either move to the prophylaxis cohort of the study or discontinue entirely.

    Reporting group title
    On Demand Cohort II: SoC
    Reporting group description
    Participants experiencing an acute TTP event who met all other inclusion criteria and entered the study through the SoC cohort of the Urgent Treatment Period received the investigator-recommended SoC and dosing regimen until the acute event was resolved. Upon resolution of the acute TTP event, participants had the option to either move to the prophylaxis cohort of the study or discontinue entirely.
    Reporting group title
    Prophylaxis Cohort I: TAK-755 Then SoC
    Reporting group description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in Period 1 followed by SoC for 6 months in Period 2. Thereafter participants received TAK-755 SIN dose IV infusion of 40 IU/kg Q2W for 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Reporting group title
    Prophylaxis Cohort II: SoC Then TAK-755
    Reporting group description
    Participants received SoC for 6 months in Period 1 followed by IV infusions of 40 IU/kg dose of TAK-755 ORT Q2W in Period 2 for the next 6 months. Thereafter participants received TAK-755 SIN dose IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.
    Reporting group title
    Prophylaxis Cohort I: TAK-755 Then SoC
    Reporting group description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in Period 1 followed by SoC for 6 months in Period 2. Thereafter participants received TAK-755 SIN dose IV infusion of 40 IU/kg Q2W for 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Reporting group title
    Prophylaxis Cohort II: SoC Then TAK-755
    Reporting group description
    Participants received SoC for 6 months in Period 1 followed by IV infusions of 40 IU/kg dose of TAK-755 ORT Q2W in Period 2 for the next 6 months. Thereafter participants received TAK-755 SIN dose IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.
    Reporting group title
    Prophylaxis Cohort I: TAK-755 Then SoC
    Reporting group description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in Period 1 followed by SoC for 6 months in Period 2. Thereafter participants received TAK-755 SIN dose IV infusion of 40 IU/kg Q2W for 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Reporting group title
    Prophylaxis Cohort II: SoC Then TAK-755
    Reporting group description
    Participants received SoC for 6 months in Period 1 followed by IV infusions of 40 IU/kg dose of TAK-755 ORT Q2W in Period 2 for the next 6 months. Thereafter participants received TAK-755 SIN dose IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. Thereafter participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    On Demand Cohort I: TAK-755
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants experiencing an acute TTP event who met all other inclusion criteria and entered the study through the TAK-755 cohort of the Urgent Treatment Period received initial dose of IV infusions 40 IU/kg [+/- 4 IU/kg] TAK-755 ORT or TAK-755 SIN on Day 1 followed by a subsequent dose IV infusions of 20 IU/kg [+/- 2 IU/kg] TAK-755 ORT or TAK-755 SIN on Day 2 and an additional daily dose IV infusions of 15 IU/kg [+/-1.5 IU/kg] TAK-755 on Day 3 until 2 days after the acute event was resolved. Upon resolution of the acute TTP event, participants had the option to either move to the prophylaxis cohort of the study or discontinue entirely.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. Thereafter participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    On Demand Cohort I: TAK-755
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants experiencing an acute TTP event who met all other inclusion criteria and entered the study through the TAK-755 cohort of the Urgent Treatment Period received initial dose of IV infusions 40 IU/kg [+/- 4 IU/kg] TAK-755 ORT or TAK-755 SIN on Day 1 followed by a subsequent dose IV infusion of 20 IU/kg [+/- 2 IU/kg] TAK-755 ORT or TAK-755 SIN on Day 2 and an additional daily dose IV infusions of 15 IU/kg [+/- 1.5 IU/kg] TAK-755 on Day 3 until 2 days after the acute event was resolved. Upon resolution of the acute TTP event, participants had the option to either move to the prophylaxis cohort of the study or discontinue entirely.

    Subject analysis set title
    On Demand Cohort II: SoC
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants experiencing an acute TTP event who met all other inclusion criteria and entered the study through the SoC cohort of the Urgent Treatment Period received the investigator-recommended SoC and dosing regimen until the acute event was resolved. Upon resolution of the acute TTP event, participants had the option to either move to the prophylaxis cohort of the study or discontinue entirely.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 SIN
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 SIN could also be given in Periods 1 and 2 depending on availability of TAK-755 ORT and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 SIN
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 SIN could also be given in Periods 1 and 2 depending on availability of TAK-755 ORT and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: SoC (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: SoC (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: SoC (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: SoC (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: SoC (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: SoC (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: SoC (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: SoC (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort I: TAK-755 SIN
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN prophylactic dose of IV infusions of 40 IU/kg for another 6 months in Period 3.

    Subject analysis set title
    Prophylaxis Cohort I: TAK-755 SIN
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN prophylactic dose of IV infusions of 40 IU/kg for another 6 months in Period 3.

    Subject analysis set title
    Prophylaxis Cohort I: TAK-755 SIN
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN prophylactic dose of IV infusions of 40 IU/kg for another 6 months in Period 3.

    Subject analysis set title
    Prophylaxis Cohort I: TAK-755 ORT
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT once Q2W for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort I: TAK-755 SIN
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN prophylactic dose of IV infusions of 40 IU/kg for another 6 months in Period 3.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755-ORT
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. TAK-755 ORT could also be continued in Period 3 depending on availability of TAK-755 SIN and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755-SIN
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 SIN could also be given in Periods 1 and 2 depending on availability of TAK-755 ORT and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755-ORT
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. TAK-755 ORT could also be continued in Period 3 depending on availability of TAK-755 SIN and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755-SIN
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 SIN could also be given in Periods 1 and 2 depending on availability of TAK-755 ORT and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. Thereafter participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. Thereafter participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 ORT
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. TAK-755 ORT could also be continued in Period 3 depending on availability of TAK-755 SIN and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2. (except for PK-II where they did not receive SoC).

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 ORT
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. TAK-755 ORT could also be continued in Period 3 depending on availability of TAK-755 SIN and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 ORT
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. TAK-755 ORT could also be continued in Period 3 depending on availability of TAK-755 SIN and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 SIN
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 SIN could also be given in Periods 1 and 2 depending on availability of TAK-755 ORT and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755-ORT
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. TAK-755 ORT could also be continued in Period 3 depending on availability of TAK-755 SIN and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 SIN
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 SIN could also be given in Periods 1 and 2 depending on availability of TAK-755 ORT and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755-ORT
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. TAK-755 ORT could also be continued in Period 3 depending on availability of TAK-755 SIN and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 SIN
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 SIN could also be given in Periods 1 and 2 depending on availability of TAK-755 ORT and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755-ORT
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2..TAK-755 ORT could also be continued in Period 3 depending on availability of TAK-755 SIN and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 SIN
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 SIN could also be given in Periods 1 and 2 depending on availability of TAK-755 ORT and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755-ORT
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. TAK-755 ORT could also be continued in Period 3 depending on availability of TAK-755 SIN and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 SIN
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 SIN could also be given in Periods 1 and 2 depending on availability of TAK-755 ORT and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755-ORT
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. TAK-755 ORT could also be continued in Period 3 depending on availability of TAK-755 SIN and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 SIN
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 SIN could also be given in Periods 1 and 2 depending on availability of TAK-755 ORT and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755-ORT
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. TAK-755 ORT could also be continued in Period 3 depending on availability of TAK-755 SIN and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 SIN
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 SIN could also be given in Periods 1 and 2 depending on availability of TAK-755 ORT and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    \tParticipants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 (Period 3)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 (Period 3)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 (Period 3)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 (Period 3)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 (Period 3)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 (Period 3)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 (Period 3)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 (Period 3)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 (Period 3)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC (Periods 1 and 2)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort I: TAK-755 Then SoC
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in Period 1 followed by SoC for 6 months in Period 2. Thereafter participants received TAK-755 SIN dose IV infusion of 40 IU/kg Q2W for 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort II: SoC Then TAK-755
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in Period 1 followed by IV infusions of 40 IU/kg dose of TAK-755 ORT Q2W in Period 2 for the next 6 months. Thereafter participants received TAK-755 SIN dose IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort I: TAK-755 Then SoC
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in Period 1 followed by SoC for 6 months in Period 2. Thereafter participants received TAK-755 SIN dose IV infusion of 40 IU/kg Q2W for 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort II: SoC Then TAK-755
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in Period 1 followed by IV infusions of 40 IU/kg dose of TAK-755 ORT Q2W in Period 2 for the next 6 months. Thereafter participants received TAK-755 SIN dose IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort I: TAK-755 Then SoC
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in Period 1 followed by SoC for 6 months in Period 2. Thereafter participants received TAK-755 SIN dose IV infusion of 40 IU/kg Q2W for 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort II: SoC Then TAK-755
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in Period 1 followed by IV infusions of 40 IU/kg dose of TAK-755 ORT Q2W in Period 2 for the next 6 months. Thereafter participants received TAK-755 SIN dose IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 ORT
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. TAK-755 ORT could also be continued in Period 3 depending on availability of TAK-755 SIN and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755 SIN
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 SIN could also be given in Periods 1 and 2 depending on availability of TAK-755 ORT and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. Thereafter participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    On Demand Cohort I: TAK-755
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants experiencing an acute TTP event who met all other inclusion criteria and entered the study through the TAK-755 cohort of the Urgent Treatment Period received initial dose of IV infusions 40 IU/kg [+/- 4 IU/kg] TAK-755 ORT or TAK-755 SIN on Day 1 followed by a subsequent dose IV infusions of 20 IU/kg [+/- 2 IU/kg] TAK-755 ORT or TAK-755 SIN on Day 2 and an additional daily dose IV infusions of 15 IU/kg [+/- 1.5 IU/kg] TAK-755 on Day 3 until 2 days after the acute event was resolved. Upon resolution of the acute TTP event, participants had the option to either move to the prophylaxis cohort of the study or discontinue entirely.

    Subject analysis set title
    On Demand Cohort II: SoC
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants experiencing an acute TTP event who met all other inclusion criteria and entered the study through the SoC cohort of the Urgent Treatment Period received the investigator-recommended SoC and dosing regimen until the acute event was resolved.

    Subject analysis set title
    On Demand Cohort I: TAK-755
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants experiencing an acute TTP event who met all other inclusion criteria and entered the study through the TAK-755 cohort of the Urgent Treatment Period received initial dose of IV infusions 40 IU/kg [+/- 4 IU/kg] TAK-755 ORT or TAK-755 SIN on Day 1 followed by a subsequent dose IV infusions of 20 IU/kg [+/- 2 IU/kg] TAK-755 ORT or TAK-755 SIN on Day 2 and an additional daily dose IV infusions of 15 IU/kg [+/- 1.5 IU/kg] TAK-755 on Day 3 until 2 days after the acute event was resolved. Upon resolution of the acute TTP event, participants had the option to either move to the prophylaxis cohort of the study or discontinue entirely.

    Subject analysis set title
    On Demand Cohort II: SoC
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants experiencing an acute TTP event who met all other inclusion criteria and entered the study through the SoC cohort of the Urgent Treatment Period received the investigator-recommended SoC and dosing regimen until the acute event was resolved. Upon resolution of the acute TTP event, participants had the option to either move to the prophylaxis cohort of the study or discontinue entirely.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. Thereafter participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755-ORT
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. TAK-755 ORT could also be continued in Period 3 depending on availability of TAK-755 SIN and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755-SIN
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN prophylactic dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 SIN could also be given in Periods 1 and 2 depending on availability of TAK-755 ORT and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755-ORT
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. TAK-755 ORT could also be continued in Period 3 depending on availability of TAK-755 SIN and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: TAK-755-SIN
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 SIN could also be given in Periods 1 and 2 depending on availability of TAK-755 ORT and other criteria.

    Subject analysis set title
    Prophylaxis Cohort: SoC
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Primary: Number of Participants With Acute Thrombotic Thrombocytopenic Purpura (TTP) Events During Prophylactic Treatment

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    End point title
    Number of Participants With Acute Thrombotic Thrombocytopenic Purpura (TTP) Events During Prophylactic Treatment [1]
    End point description
    As per planned analysis, data for this outcome measure were collected and reported only for the prophylaxis cohorts, in a combined manner for Periods 1 and 2 for TAK-755 and SoC treatments respectively, and separately for Period 3 in which all participants received TAK-755. Modified FAS.
    End point type
    Primary
    End point timeframe
    Up to 74.5 months
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only one event was observed under SOC. Due to the sparseness of data, only summary analysis was provided.
    End point values
    Prophylaxis Cohort: TAK-755 (Periods 1 and 2) Prophylaxis Cohort: TAK-755 (Period 3) Prophylaxis Cohort: SoC (Periods 1 and 2)
    Number of subjects analysed
    45
    45
    46
    Units: participants
    0
    0
    1
    No statistical analyses for this end point

    Secondary: Percentage of Acute Thrombotic Thrombocytopenic Purpura (TTP) Events Responding to TAK-755

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    End point title
    Percentage of Acute Thrombotic Thrombocytopenic Purpura (TTP) Events Responding to TAK-755
    End point description
    Percentage of acute TTP events responding to TAK-755, was defined as not requiring the use of another human disintegrin and metalloprotease with a thrombospondin type 1 motif, member 13 (ADAMTS13)-containing agent. As per planned analysis, data for this outcome measure were collected and reported only for the TAK-755 treatment arm of both the prophylaxis (irrespective of the prophylaxis periods) and on demand cohorts. Modified Full Analysis Set (MFAS)
    End point type
    Secondary
    End point timeframe
    Up to 79.6 months
    End point values
    Prophylaxis Cohort: TAK-755 On Demand Cohort I: TAK-755
    Number of subjects analysed
    0 [2]
    1
    Units: percentage of events
        number (not applicable)
    100
    Notes
    [2] - No participants were available for analysis.
    No statistical analyses for this end point

    Secondary: Time to Resolution of Acute TTP Events

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    End point title
    Time to Resolution of Acute TTP Events
    End point description
    Time to resolution of acute TTP events following initiation of treatment with TAK-755 or SoC agent was assessed. Acute TPP events were considered resolved when: (a) Platelet count was >150,000 per microliter (μL) or drop of platelet count was within 25 percent (%) of baseline, whichever occurred first, and (b) Elevation of lactate dehydrogenase (LDH) <1.5 x baseline or <1.5 x upper limit of normal (ULN). As per planned analysis, data for this outcome measure were collected and reported in a combined manner irrespective of the prophylaxis treatment Periods, partitioned per treatment received (TAK-755 and SoC) for the on demand and prophylactic cohorts. '0.999' and '999' indicates that 95% confidence interval was not estimable due to censoring in the specified category. Modified FAS.
    End point type
    Secondary
    End point timeframe
    Up to 79.6 months
    End point values
    Prophylaxis Cohort: TAK-755 Prophylaxis Cohort: SoC On Demand Cohort I: TAK-755 On Demand Cohort II: SoC
    Number of subjects analysed
    0 [3]
    1
    1
    1
    Units: days
        median (confidence interval 95%)
    ( to )
    14.8 (0.999 to 999)
    3.0 (0.999 to 999)
    1.5 (0.99999 to 99999)
    Notes
    [3] - No participants were available for analysis.
    No statistical analyses for this end point

    Secondary: Number of Participants With Thrombocytopenia During Prophylactic Treatment

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    End point title
    Number of Participants With Thrombocytopenia During Prophylactic Treatment
    End point description
    Thrombocytopenia was defined as a decrease in platelet count ≥25 % of baseline or a platelet count <150,000/μL, reported by treatment arm for the prophylactic cohort. As per planned analysis, data for this outcome measure were collected and reported only for the prophylaxis cohorts, in a combined manner for Periods 1 and 2 for TAK-755 and SoC treatments respectively, and separately for Period 3 in which all participants received TAK-755. Modified FAS included all FAS participants with the exclusion of those enrolled prior to November 2017 who were treated with SoC instead of the randomized treatment of TAK-755 in period 1 because TAK-755 was not available. For participants enrolled prior to November 2017, only the first 6 months of SoC treatment in period 1 was included in the analysis. Subjects analysed indicates the number of participants with data available for analyses.
    End point type
    Secondary
    End point timeframe
    Up to 79.6 months
    End point values
    Prophylaxis Cohort: TAK-755 (Periods 1 and 2) Prophylaxis Cohort: TAK-755 (Period 3) Prophylaxis Cohort: SoC (Periods 1 and 2)
    Number of subjects analysed
    45
    45
    46
    Units: participants
    13
    11
    22
    No statistical analyses for this end point

    Secondary: Number of Participants With Microangiopathic Hemolytic Anemia During Prophylactic Treatment

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    End point title
    Number of Participants With Microangiopathic Hemolytic Anemia During Prophylactic Treatment
    End point description
    Microangiopathic hemolytic anemia was defined as an elevation of LDH >1.5* of baseline or >1.5*ULN (with a possible evidence of schistocytes on blood smear) and was reported by treatment arm for the prophylactic cohort. As per planned analysis, data for this outcome measure were collected and reported only for the prophylaxis cohorts, in a combined manner for Periods 1 and 2 for TAK-755 and SoC treatments respectively, and separately for Period 3 in which all participants received TAK-755. Modified FAS included all FAS participants with the exclusion of those enrolled prior to November 2017 who were treated with SoC instead of the randomized treatment of TAK-755 in period 1 because TAK-755 was not available. For participants enrolled prior to November 2017, only the first 6 months of SoC treatment in period 1 was included in the analysis. Subjects analysed indicates the number of participants with data available for analyses.
    End point type
    Secondary
    End point timeframe
    Up to 79.6 months
    End point values
    Prophylaxis Cohort: TAK-755 (Periods 1 and 2) Prophylaxis Cohort: TAK-755 (Period 3) Prophylaxis Cohort: SoC (Periods 1 and 2)
    Number of subjects analysed
    45
    45
    46
    Units: participants
    8
    13
    12
    No statistical analyses for this end point

    Secondary: Number of Participants With Neurological symptoms During Prophylactic Treatment

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    End point title
    Number of Participants With Neurological symptoms During Prophylactic Treatment
    End point description
    Neurological symptoms (TTP related) (e.g., confusion, dysphonia, dysarthria, focal or general motor symptoms including seizures), were reported by treatment arm for the prophylactic cohort. As per planned analysis, data for this outcome measure were collected and reported only for the prophylaxis cohorts, in a combined manner for Periods 1 and 2 for TAK-755 and SoC treatments respectively, and separately for Period 3 in which all participants received TAK-755. Modified FAS included all FAS participants with the exclusion of those enrolled prior to November 2017 who were treated with SoC instead of the randomized treatment of TAK-755 in period 1 because TAK-755 was not available. For participants enrolled prior to November 2017, only the first 6 months of SoC treatment in period 1 was included in the analysis. Subjects analysed indicates the number of participants with data available for analyses.
    End point type
    Secondary
    End point timeframe
    Up to 79.6 months
    End point values
    Prophylaxis Cohort: TAK-755 (Periods 1 and 2) Prophylaxis Cohort: TAK-755 (Period 3) Prophylaxis Cohort: SoC (Periods 1 and 2)
    Number of subjects analysed
    45
    45
    46
    Units: participants
    4
    9
    7
    No statistical analyses for this end point

    Secondary: Number of Participants With Renal Dysfunction During Prophylactic Treatment

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    End point title
    Number of Participants With Renal Dysfunction During Prophylactic Treatment
    End point description
    Renal dysfunction was defined as an increase in serum creatinine >1.5*baseline. Number of participants with renal dysfunction were reported by treatment arm for the prophylactic cohort. As per planned analysis, data for this outcome measure were collected and reported only for the prophylaxis cohorts, in a combined manner for Periods 1 and 2 for TAK-755 and SoC treatments respectively, and separately for Period 3 in which all participants received TAK-755. Modified FAS included all FAS participants with the exclusion of those enrolled prior to November 2017 who were treated with SoC instead of the randomized treatment of TAK-755 in period 1 because TAK-755 was not available. For participants enrolled prior to November 2017, only the first 6 months of SoC treatment in period 1 was included in the analysis. Subjects analysed indicates the number of participants with data available for analyses.
    End point type
    Secondary
    End point timeframe
    Up to 79.6 months
    End point values
    Prophylaxis Cohort: TAK-755 (Periods 1 and 2) Prophylaxis Cohort: TAK-755 (Period 3) Prophylaxis Cohort: SoC (Periods 1 and 2)
    Number of subjects analysed
    45
    45
    46
    Units: participants
    5
    4
    2
    No statistical analyses for this end point

    Secondary: Number of Participants With Abdominal Pain During Prophylactic Treatment

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    End point title
    Number of Participants With Abdominal Pain During Prophylactic Treatment
    End point description
    Number of participants with abdominal pain (TTP related) were reported by treatment arm for the prophylaxis cohort. As per planned analysis, data for this outcome measure were collected and reported only for the prophylaxis cohorts, in a combined manner for Periods 1 and 2 for TAK-755 and SoC treatments respectively, and separately for Period 3 in which all participants received TAK-755. Modified FAS included all FAS participants with the exclusion of those enrolled prior to November 2017 who were treated with SoC instead of the randomized treatment of TAK-755 in period 1 because TAK-755 was not available. For participants enrolled prior to November 2017, only the first 6 months of SoC treatment in period 1 was included in the analysis. Subjects analysed indicates the number of participants with data available for analyses.
    End point type
    Secondary
    End point timeframe
    Up to 79.6 months
    End point values
    Prophylaxis Cohort: TAK-755 (Periods 1 and 2) Prophylaxis Cohort: TAK-755 (Period 3) Prophylaxis Cohort: SoC (Periods 1 and 2)
    Number of subjects analysed
    45
    45
    46
    Units: participants
    2
    2
    6
    No statistical analyses for this end point

    Secondary: Number of Participants With Dose Modification Not Prompted by an Acute TTP Event During Prophylactic Treatment

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    End point title
    Number of Participants With Dose Modification Not Prompted by an Acute TTP Event During Prophylactic Treatment
    End point description
    Number of participants with dose modification not prompted by an acute TTP event were reported by treatment for the prophylactic cohort. As per planned analysis, data for this outcome measure were collected and reported only for the prophylaxis cohorts, in a combined manner for Periods 1 and 2 for TAK-755 and SoC treatments respectively, and separately for Period 3 in which all participants received TAK-755. Modified FAS included all FAS participants with the exclusion of those enrolled prior to November 2017 who were treated with SoC instead of the randomized treatment of TAK-755 in period 1 because TAK-755 was not available. For participants enrolled prior to November 2017, only the first 6 months of SoC treatment in period 1 was included in the analysis. Subjects analysed indicates the number of participants with data available for analyses.
    End point type
    Secondary
    End point timeframe
    Up to 79.6 months
    End point values
    Prophylaxis Cohort: TAK-755 (Periods 1 and 2) Prophylaxis Cohort: TAK-755 (Period 3) Prophylaxis Cohort: SoC (Periods 1 and 2)
    Number of subjects analysed
    45
    45
    46
    Units: participants
    0
    1
    3
    No statistical analyses for this end point

    Secondary: Number of Supplemental Doses Prompted by Subacute TTP Event During Prophylactic Treatment

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    End point title
    Number of Supplemental Doses Prompted by Subacute TTP Event During Prophylactic Treatment
    End point description
    Number of supplemental doses prompted by subacute TTP events were reported by treatment for the prophylactic cohort. As per planned analysis, data for this outcome measure were collected and reported only for the prophylaxis cohorts, in a combined manner for Periods 1 and 2 for TAK-755 and SoC treatments respectively, and separately for Period 3 in which all participants received TAK-755. Modified FAS included all FAS participants with the exclusion of those enrolled prior to November 2017 who were treated with SoC instead of the randomized treatment of TAK-755 in period 1 because TAK-755 was not available. For participants enrolled prior to November 2017, only the first 6 months of SoC treatment in period 1 was included in the analysis. Subjects analysed indicates the number of participants with data available for analyses.
    End point type
    Secondary
    End point timeframe
    Up to 79.6 months
    End point values
    Prophylaxis Cohort: TAK-755 (Periods 1 and 2) Prophylaxis Cohort: TAK-755 (Period 3) Prophylaxis Cohort: SoC (Periods 1 and 2)
    Number of subjects analysed
    45
    45
    46
    Units: supplemental doses
        number (not applicable)
    0
    5
    9
    No statistical analyses for this end point

    Secondary: Number of Participants With Acute TTP Events on Their Final Dose

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    End point title
    Number of Participants With Acute TTP Events on Their Final Dose
    End point description
    Number of participants with acute TTP events on their final dose and dosing regimen for the prophylactic cohort were reported. As per planned analysis, data for this outcome measure were collected and reported only for the prophylaxis cohorts, in a combined manner for Periods 1 and 2 for TAK-755 and SoC treatments respectively, and separately for Period 3 in which all participants received TAK-755. Modified FAS included all FAS participants with the exclusion of those enrolled prior to November 2017 who were treated with SoC instead of the randomized treatment of TAK-755 in period 1 because TAK-755 was not available. For participants enrolled prior to November 2017, only the first 6 months of SoC treatment in period 1 was included in the analysis. Subjects analysed indicates the number of participants with data available for analyses.
    End point type
    Secondary
    End point timeframe
    Up to 79.6 months
    End point values
    Prophylaxis Cohort: TAK-755 (Periods 1 and 2) Prophylaxis Cohort: TAK-755 (Period 3) Prophylaxis Cohort: SoC (Periods 1 and 2)
    Number of subjects analysed
    45
    45
    46
    Units: participants
    0
    0
    1
    No statistical analyses for this end point

    Secondary: Number of Participants with Treatment emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (Serious TEAEs)

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    End point title
    Number of Participants with Treatment emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (Serious TEAEs)
    End point description
    AE: Any untoward medical occurrence in participants administered IP that does not necessarily have a causal relationship with treatment. TEAE: AE that has start date-time on/after start date-time of first dose of treatment participant is taking on that assessment/period or if it has start date-time before start date-time of first dose but increases in severity on/after start date-time of the first dose of treatment. SAE: An untoward medical occurrence that at any dose meets 1 or more of following criteria: death; initial/prolonged in-patient hospitalization; life threatening experience; persistent/significant disability/incapacity; congenital anomaly, medically important event (may not be immediately life threatening or result in death or require hospitalization but may require medical or surgical intervention to prevent 1 of the other outcomes). Vital signs, clinical chemistry, hematology as assessed by the investigator were reported as AE.
    End point type
    Secondary
    End point timeframe
    Up to 79.6 months
    End point values
    Prophylaxis Cohort: TAK-755 Prophylaxis Cohort: SoC On Demand Cohort I: TAK-755 On Demand Cohort II: SoC
    Number of subjects analysed
    47
    48
    2
    4
    Units: participants
        TEAES
    42
    44
    0
    3
        Serious TEAEs
    6
    8
    0
    1
    No statistical analyses for this end point

    Secondary: Number of Participants With Inhibitory Antibodies to ADAMTS13

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    End point title
    Number of Participants With Inhibitory Antibodies to ADAMTS13
    End point description
    Number of participants with inhibitory antibodies to ADAMTS13 were reported. As per planned analysis, data for this outcome measure were collected and reported in a combined manner irrespective of the Prophylaxis Periods and partitioned as per the treatment received during the course of the study, presented for the prophylaxis cohorts only. The Safety Analysis Set included all participants treated with at least 1 dose of TAK-755 or SoC treatment after randomization. Subjects analysed indicates the number of participants with data available for analyses.
    End point type
    Secondary
    End point timeframe
    Up to 79.6 months
    End point values
    Prophylaxis Cohort: TAK-755 Prophylaxis Cohort: SoC
    Number of subjects analysed
    6
    4
    Units: participants
    1
    0
    No statistical analyses for this end point

    Secondary: Total Quantity of ADAMTS13 Administered During the Treatment of Acute TTP Events in Participants in TAK-755 Treatment Arm

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    End point title
    Total Quantity of ADAMTS13 Administered During the Treatment of Acute TTP Events in Participants in TAK-755 Treatment Arm
    End point description
    Total quantity of ADAMTS13 administered during the treatment of acute TTP events (all acute TTP events irrespective of central lab confirmation were included) was assessed. Acute TTP events typically require 3 to 4 days of intensified treatment. As per planned analysis, data for this outcome measure were collected and reported only for the TAK-755 treatment arm of both the prophylaxis (irrespective of the prophylaxis periods) and on demand cohorts. The Safety Analysis Set.
    End point type
    Secondary
    End point timeframe
    Up to 79.6 months
    End point values
    Prophylaxis Cohort: TAK-755 On Demand Cohort I: TAK-755
    Number of subjects analysed
    0 [4]
    2
    Units: IU
        arithmetic mean (standard deviation)
    ( )
    5720.25 ( 189.858 )
    Notes
    [4] - No participants were analyzed.
    No statistical analyses for this end point

    Secondary: Incremental Recovery (IR) of ADAMTS13 Activity for SoC Agent and TAK-755 in Plasma During Prophylactic Treatment

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    End point title
    Incremental Recovery (IR) of ADAMTS13 Activity for SoC Agent and TAK-755 in Plasma During Prophylactic Treatment
    End point description
    ADAMTS13 activity measured by fluorescent resonance energy transfer (FRETS) assay.IR:body weight normalized maximum increase in plasma ADAMTS13 activity level.IR of ADAMTS13 activity for SoC agent and TAK-755 in plasma was assessed.(IU/mL)/(IU/kg) is (International units per milliliter)/(International units per kilogram).PK-I,PK-II,&PK-III denote crossover PK evaluation of a maximum of 14 days at start of Prophylaxis Treatment Period 1,end of Prophylaxis Treatment Periods 2 and 3 respectively.Per planned analysis,data for this outcome measure was collected&reported as per treatment(intervention)received(rADAMTS13 manufactured in Orth, Austria[TAK-755 ORT],rADAMTS13 manufactured in Singapore[TAK-755 SIN],or SoC)during course of study,only for prophylaxis cohorts.'9999':mean&SD were not estimable due to values below lower limit of quantification.‘99999’:no participants were analysed in specified category.No participants received SoC in PK-II and PK-III thus there is no data for same.
    End point type
    Secondary
    End point timeframe
    PK-I (Month 1:Day 1 up to 12), PK-II (Month 12:Day 1 up to 12), and PK-III (Month 19:Day 1 up to 12): Pre-infusion and at multiple timepoints post-infusion up to 288 hours
    End point values
    Prophylaxis Cohort: TAK-755 SIN Prophylaxis Cohort: TAK-755 ORT Prophylaxis Cohort: SoC
    Number of subjects analysed
    23
    36
    22
    Units: (IU/mL)/(IU/kg)
    arithmetic mean (standard deviation)
        PK-I: ADAMTS13 Activity
    9999 ( 9999 )
    0.025 ( 0.00592 )
    0.0212 ( 0.0267 )
        PK-II: ADAMTS13 Activity
    0.0292 ( 0.00611 )
    0.0283 ( 0.00644 )
    99999 ( 99999 )
        PK-III: ADAMTS13 Activity
    0.0279 ( 0.00649 )
    99999 ( 99999 )
    99999 ( 99999 )
    No statistical analyses for this end point

    Secondary: IR of ADAMTS13 Antigen for SoC Agent and TAK-755 in Plasma During Prophylactic Treatment

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    End point title
    IR of ADAMTS13 Antigen for SoC Agent and TAK-755 in Plasma During Prophylactic Treatment
    End point description
    ADAMTS13 antigen measured using commercial ADAMTS13 enzyme-linked immunosorbent assay(ELISA)using ADAMTS13 antigen.IR:body weight normalized maximum increase in plasma ADAMTS13 antigen.IR of ADAMTS13 antigen for SoC agent&TAK-755 in plasma was assessed.(µg/mL)/ (µg/kg)is(microgram per milliliter)/(microgram per kilogram).PK-I,PK-II,&PK-III denote crossover PK evaluation of a maximum of 14 days at start of Prophylaxis Treatment Period 1,end of Prophylaxis Treatment Periods 2 and 3 respectively.Per planned analysis,data for this outcome measure was collected&reported as per treatment(intervention)received(rADAMTS13 manufactured in Orth,Austria[TAK-755 ORT],rADAMTS13 manufactured in Singapore[TAK-755 SIN],or SoC)during course of study,only for prophylaxis cohorts.'9999':mean&SD were not estimable due to values below lower limit of quantification.‘99999’:no participants analysed in specified category.No participants received SoC in PK-II and PK-III thus there is no data for same.
    End point type
    Secondary
    End point timeframe
    PK-I (Month 1:Day 1 up to 12), PK-II (Month 12:Day 1 up to 12), and PK-III (Month 19:Day 1 up to 12): Pre-infusion and at multiple timepoints post-infusion up to 288 hours
    End point values
    Prophylaxis Cohort: TAK-755 SIN Prophylaxis Cohort: TAK-755 ORT Prophylaxis Cohort: SoC
    Number of subjects analysed
    24
    37
    22
    Units: (µg/mL)/ (µg/kg)
    arithmetic mean (standard deviation)
        PK-I: ADAMTS13 Antigen
    9999 ( 9999 )
    0.0300 ( 0.00636 )
    0.0187 ( 0.00619 )
        PK-II: ADAMTS13 Antigen
    0.0324 ( 0.00666 )
    0.0327 ( 0.0105 )
    99999 ( 99999 )
        PK-III: ADAMTS13 Antigen
    0.0299 ( 0.00730 )
    99999 ( 99999 )
    99999 ( 99999 )
    No statistical analyses for this end point

    Secondary: Area Under the Plasma Curve [AUC]all of ADAMTS13 Activity for SoC Agent and TAK-755 in Plasma During Prophylactic Treatment

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    End point title
    Area Under the Plasma Curve [AUC]all of ADAMTS13 Activity for SoC Agent and TAK-755 in Plasma During Prophylactic Treatment
    End point description
    h*IU/mL denotes for hours*international units per milliliters. PK-I, PK-II, and PK-III denote the crossover PK evaluation of a maximum of 14 days at the start of Prophylaxis Treatment Period 1 and end of Prophylaxis Treatment Periods 2 and 3 respectively. As per planned analysis, data for this outcome measure were collected and reported as per the treatment (intervention) received (rADAMTS13 manufactured in Orth, Austria [TAK-755 ORT], rADAMTS13 manufactured in Singapore [TAK-755 SIN], or SoC) during the course of the study, only for the prophylaxis cohorts. No participants received SoC in PK-II and PK-III thus there is no data for the same. ‘99999’ indicates that no participants were analysed in the specified category. PK Analysis Set. Number of subjects analysed was variable for each category.
    End point type
    Secondary
    End point timeframe
    PK-I (Month 1:Day 1 up to 12), PK-II (Month 12:Day 1 up to 12), and PK-III (Month 19:Day 1 up to 12): Pre-infusion and at multiple timepoints post-infusion up to 288 hours
    End point values
    Prophylaxis Cohort: TAK-755 SIN Prophylaxis Cohort: TAK-755 ORT Prophylaxis Cohort: SoC
    Number of subjects analysed
    23
    33
    31
    Units: h*IU/mL
    arithmetic mean (standard deviation)
        PK-I: ADAMTS13 Activity
    99999 ( 99999 )
    44.15 ( 11.197 )
    10.56 ( 8.263 )
        PK-II: ADAMTS13 Activity
    53.37 ( 13.183 )
    52.83 ( 11.940 )
    99999 ( 99999 )
        PK-III: ADAMTS13 Activity
    62.69 ( 26.763 )
    99999 ( 99999 )
    99999 ( 99999 )
    No statistical analyses for this end point

    Secondary: AUCall of ADAMTS13 Antigen for SoC Agent and TAK-755 in Plasma During Prophylactic Treatment

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    End point title
    AUCall of ADAMTS13 Antigen for SoC Agent and TAK-755 in Plasma During Prophylactic Treatment
    End point description
    h*µg/mL denotes for hours*microgram per milliliters. PK-I, PK-II, and PK-III denote the crossover PK evaluation of a maximum of 14 days at the start of Prophylaxis Treatment Period 1 and end of Prophylaxis Treatment Periods 2 and 3 respectively. As per planned analysis, data for this outcome measure were collected and reported as per the treatment (intervention) received (rADAMTS13 manufactured in Orth, Austria [TAK-755 ORT], rADAMTS13 manufactured in Singapore [TAK-755 SIN], or SoC) during the course of the study, only for the prophylaxis cohorts. No participants received SoC in PK-II and PK-III thus there is no data for the same. ‘99999’ indicates that no participants were analysed in the specified category. PK Analysis Set. Number of subjects analysed was variable for each category.
    End point type
    Secondary
    End point timeframe
    PK-I (Month 1:Day 1 up to 12), PK-II (Month 12:Day 1 up to 12), and PK-III (Month 19:Day 1 up to 12): Pre-infusion and at multiple timepoints post-infusion up to 288 hours
    End point values
    Prophylaxis Cohort: TAK-755 SIN Prophylaxis Cohort: TAK-755 ORT Prophylaxis Cohort: SoC
    Number of subjects analysed
    21
    31
    28
    Units: h*µg/mL
    arithmetic mean (standard deviation)
        PK-I: ADAMTS13 Antigen
    99999 ( 99999 )
    34.19 ( 9.953 )
    6.899 ( 4.779 )
        PK-II: ADAMTS13 Antigen
    39.94 ( 11.569 )
    39.26 ( 8.790 )
    99999 ( 99999 )
        PK-III: ADAMTS13 Antigen
    49.74 ( 19.147 )
    99999 ( 99999 )
    99999 ( 99999 )
    No statistical analyses for this end point

    Secondary: Terminal Half-Life (t1/2) of ADAMTS13 Activity and ADAMTS13 Antigen for SoC Agent and TAK-755 in Plasma During Prophylactic Treatment

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    End point title
    Terminal Half-Life (t1/2) of ADAMTS13 Activity and ADAMTS13 Antigen for SoC Agent and TAK-755 in Plasma During Prophylactic Treatment
    End point description
    PK-I, PK-II, and PK-III denote the crossover PK evaluation of a maximum of 14 days at the start of Prophylaxis Treatment Period 1 and end of Prophylaxis Treatment Periods 2 and 3 respectively. As per planned analysis, data for this outcome measure were collected and reported as per the treatment (intervention) received (rADAMTS13 manufactured in Orth, Austria [TAK-755 ORT], rADAMTS13 manufactured in Singapore [TAK-755 SIN], or SoC) during the course of the study, only for the prophylaxis cohorts. No participants received SoC in PK-II and PK-III thus there is no data for the same. ‘99999’ indicates that no participants were analysed in the specified category. PK Analysis Set. Number of subjects analysed were variable for each category.
    End point type
    Secondary
    End point timeframe
    PK-I (Month 1:Day 1 up to 12), PK-II (Month 12:Day 1 up to 12), and PK-III (Month 19:Day 1 up to 12): Pre-infusion and at multiple timepoints post-infusion up to 288 hours
    End point values
    Prophylaxis Cohort: TAK-755 ORT Prophylaxis Cohort: TAK-755 SIN Prophylaxis Cohort: SoC
    Number of subjects analysed
    33
    24
    22
    Units: hours
    arithmetic mean (standard deviation)
        PK-I: ADAMTS13 Activity
    47.14 ( 11.573 )
    99999 ( 99999 )
    62.88 ( 28.927 )
        PK-I: ADAMTS13 Antigen
    53.65 ( 13.557 )
    99999 ( 99999 )
    58.70 ( 23.575 )
        PK-II: ADAMTS13 Activity
    52.51 ( 15.579 )
    45.77 ( 9.996 )
    99999 ( 99999 )
        PK-II: ADAMTS13 Antigen
    54.04 ( 16.899 )
    49.72 ( 15.942 )
    99999 ( 99999 )
        PK-III: ADAMTS13 Activity
    99999 ( 99999 )
    35.38 ( 5.286 )
    99999 ( 99999 )
        PK-III: ADAMTS13 Antigen
    99999 ( 99999 )
    39.85 ( 3.243 )
    99999 ( 99999 )
    No statistical analyses for this end point

    Secondary: Mean Residence Time Extrapolated to Infinity (MRT0-inf) of ADAMTS13 Activity and ADAMTS13 Antigen for SoC Agent and TAK-755 in Plasma During Prophylactic Treatment

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    End point title
    Mean Residence Time Extrapolated to Infinity (MRT0-inf) of ADAMTS13 Activity and ADAMTS13 Antigen for SoC Agent and TAK-755 in Plasma During Prophylactic Treatment
    End point description
    PK-I, PK-II, and PK-III denote the crossover PK evaluation of a maximum of 14 days at the start of Prophylaxis Treatment Period 1 and end of Prophylaxis Treatment Periods 2 and 3 respectively. As per planned analysis, data for this outcome measure were collected and reported as per the treatment (intervention) received (rADAMTS13 manufactured in Orth, Austria [TAK-755 ORT], rADAMTS13 manufactured in Singapore [TAK-755 SIN], or SoC) during the course of the study, only for the prophylaxis cohorts. No participants received SoC in PK-II and PK-III thus there is no data for the same. '9999' indicates that Mean & SD were not estimable as values were below lower limit of quantification. ‘99999’ indicates that no participants were analysed in the specified category. PK Analysis Set. Number of subjects analysed was variable for each category.
    End point type
    Secondary
    End point timeframe
    PK-I (Month 1:Day 1 up to 12), PK-II (Month 12:Day 1 up to 12), and PK-III (Month 19:Day 1 up to 12): Pre-infusion and at multiple timepoints post-infusion up to 288 hours
    End point values
    Prophylaxis Cohort: TAK-755-ORT Prophylaxis Cohort: TAK-755 SIN Prophylaxis Cohort: SoC
    Number of subjects analysed
    31
    23
    2
    Units: hours
    arithmetic mean (standard deviation)
        PK-I: ADAMTS13 Activity
    64.35 ( 17.498 )
    99999 ( 99999 )
    9999 ( 9999 )
        PK-I: ADAMTS13 Antigen
    71.20 ( 16.538 )
    99999 ( 99999 )
    9999 ( 9999 )
        PK-II: ADAMTS13 Activity
    65.89 ( 13.472 )
    61.46 ( 11.488 )
    99999 ( 99999 )
        PK-II: ADAMTS13 Antigen
    72.03 ( 19.611 )
    66.30 ( 18.738 )
    99999 ( 99999 )
        PK-III: ADAMTS13 Activity
    99999 ( 99999 )
    41.67 ( 6.171 )
    99999 ( 99999 )
        PK-III: ADAMTS13 Antigen
    99999 ( 99999 )
    48.63 ( 6.867 )
    99999 ( 99999 )
    No statistical analyses for this end point

    Secondary: Clearance (CL) of ADAMTS13 Activity and ADAMTS13 Antigen for SoC Agent and TAK-755 in Plasma During Prophylactic Treatment

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    End point title
    Clearance (CL) of ADAMTS13 Activity and ADAMTS13 Antigen for SoC Agent and TAK-755 in Plasma During Prophylactic Treatment
    End point description
    PK-I, PK-II, and PK-III denote the crossover PK evaluation of a maximum of 14 days at the start of Prophylaxis Treatment Period 1 and end of Prophylaxis Treatment Periods 2 and 3 respectively. As per planned analysis, data for this outcome measure were collected and reported as per the treatment (intervention) received (rADAMTS13 manufactured in Orth, Austria [TAK-755 ORT], rADAMTS13 manufactured in Singapore [TAK-755 SIN], or SoC) during the course of the study, only for the prophylaxis cohorts. No participants received SoC in PK-II and PK-III thus there is no data for the same. '9999' indicates that Mean & SD were not estimable as values were below lower limit of quantification. ‘99999’ indicates that no participants were analysed in the specified category. PK Analysis Set. Number of subjects analysed was variable for each category.
    End point type
    Secondary
    End point timeframe
    PK-I (Month 1:Day 1 up to 12), PK-II (Month 12:Day 1 up to 12), and PK-III (Month 19:Day 1 up to 12): Pre-infusion and at multiple timepoints post-infusion up to 288 hours
    End point values
    Prophylaxis Cohort: TAK-755-ORT Prophylaxis Cohort: TAK-755 SIN Prophylaxis Cohort: SoC
    Number of subjects analysed
    31
    23
    2
    Units: liters per hour (L/h)
    arithmetic mean (standard deviation)
        PK-I: ADAMTS13 Activity
    0.0618 ( 0.0143 )
    99999 ( 99999 )
    9999 ( 9999 )
        PK-I: ADAMTS13 Antigen
    0.0453 ( 0.0119 )
    99999 ( 99999 )
    99999 ( 99999 )
        PK-II: ADAMTS13 Activity
    0.0530 ( 0.0134 )
    0.0553 ( 0.0115 )
    99999 ( 99999 )
        PK-II: ADAMTS13 Antigen
    0.0409 ( 0.0111 )
    0.0480 ( 0.0133 )
    99999 ( 99999 )
        PK-III: ADAMTS13 Activity
    99999 ( 99999 )
    0.0553 ( 0.0177 )
    99999 ( 99999 )
        PK-III: ADAMTS13 Antigen
    99999 ( 99999 )
    0.0444 ( 0.0108 )
    99999 ( 99999 )
    No statistical analyses for this end point

    Secondary: Volume at Steady State (Vss) of ADAMTS13 Activity and ADAMTS13 Antigen for SoC Agent and TAK-755 in Plasma During Prophylactic Treatment

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    End point title
    Volume at Steady State (Vss) of ADAMTS13 Activity and ADAMTS13 Antigen for SoC Agent and TAK-755 in Plasma During Prophylactic Treatment
    End point description
    PK-I, PK-II, and PK-III denote the crossover PK evaluation of a maximum of 14 days at the start of Prophylaxis Treatment Period 1 and end of Prophylaxis Treatment Periods 2 and 3 respectively. As per planned analysis, data for this outcome measure were collected and reported as per the treatment (intervention) received (rADAMTS13 manufactured in Orth, Austria [TAK-755 ORT], rADAMTS13 manufactured in Singapore [TAK-755 SIN], or SoC) during the course of the study, only for the prophylaxis cohorts. No participants received SoC in PK-II and PK-III thus there is no data for the same. '9999' indicates that Mean &SD were not estimable as values were below lower limit of quantification. ‘99999’ indicates that no participants were analysed in the specified category. PK Analysis Set. Number of subjects analysed was variable for each category.
    End point type
    Secondary
    End point timeframe
    PK-I (Month 1:Day 1 up to 12), PK-II (Month 12:Day 1 up to 12), and PK-III (Month 19:Day 1 up to 12): Pre-infusion and at multiple timepoints post-infusion up to 288 hours
    End point values
    Prophylaxis Cohort: TAK-755-ORT Prophylaxis Cohort: TAK-755 SIN Prophylaxis Cohort: SoC
    Number of subjects analysed
    31
    23
    2
    Units: liters
    arithmetic mean (standard deviation)
        PK-I: ADAMTS13 Activity
    3.855 ( 0.911 )
    99999 ( 99999 )
    9999 ( 9999 )
        PK-I: ADAMTS13 Antigen
    3.120 ( 0.657 )
    99999 ( 99999 )
    9999 ( 9999 )
        PK-II: ADAMTS13 Activity
    3.401 ( 0.715 )
    3.328 ( 0.631 )
    99999 ( 99999 )
        PK-II: ADAMTS13 Antigen
    2.791 ( 0.480 )
    3.009 ( 0.614 )
    99999 ( 99999 )
        PK-III: ADAMTS13 Activity
    99999 ( 99999 )
    2.265 ( 0.669 )
    99999 ( 99999 )
        PK-III: ADAMTS13 Antigen
    99999 ( 99999 )
    2.164 ( 0.625 )
    99999 ( 99999 )
    No statistical analyses for this end point

    Secondary: Maximum Concentration (Cmax) of ADAMTS13 Activity for SoC Agent and TAK-755 in Plasma During Prophylactic Treatment

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    End point title
    Maximum Concentration (Cmax) of ADAMTS13 Activity for SoC Agent and TAK-755 in Plasma During Prophylactic Treatment
    End point description
    IU/mL stands for International units per milliliter. PK-I, PK-II, and PK-III denote the crossover PK evaluation of a maximum of 14 days at the start of Prophylaxis Treatment Period 1 and end of Prophylaxis Treatment Periods 2 and 3 respectively. As per planned analysis, data for this outcome measure were collected and reported as per the treatment (intervention) received (rADAMTS13 manufactured in Orth,Austria [TAK-755 ORT], rADAMTS13 manufactured in Singapore [TAK-755 SIN], or SoC) during the course of the study, only for the prophylaxis cohorts. No participants received SoC in PK-II and PK-III thus there is no data for the same. '9999' indicates that Mean & SD were not estimable as values were below lower limit of quantification. ‘99999’ indicates that no participants were analysed in the specified category. PK Analysis Set. Number of subjects analysed was variable for each category.
    End point type
    Secondary
    End point timeframe
    PK-I (Month 1:Day 1 up to 12), PK-II (Month 12:Day 1 up to 12), and PK-III (Month 19:Day 1 up to 12): Pre-infusion and at multiple timepoints post-infusion up to 288 hours
    End point values
    Prophylaxis Cohort: TAK-755-ORT Prophylaxis Cohort: TAK-755 SIN Prophylaxis Cohort: SoC
    Number of subjects analysed
    36
    23
    41
    Units: IU/mL
    arithmetic mean (standard deviation)
        PK-I: ADAMTS13 Activity
    1.003 ( 0.235 )
    9999 ( 9999 )
    0.192 ( 0.102 )
        PK-II: ADAMTS13 Activity
    1.130 ( 0.253 )
    1.167 ( 0.246 )
    99999 ( 99999 )
        PK-III: ADAMTS13 Activity
    99999 ( 99999 )
    1.114 ( 0.263 )
    99999 ( 99999 )
    No statistical analyses for this end point

    Secondary: Cmax of ADAMTS13 Antigen for SoC Agent and TAK-755 in Plasma During Prophylactic Treatment

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    End point title
    Cmax of ADAMTS13 Antigen for SoC Agent and TAK-755 in Plasma During Prophylactic Treatment
    End point description
    µg/mL stands for microgram per milliliter. PK-I, PK-II, and PK-III denote the crossover PK evaluation of a maximum of 14 days at the start of Prophylaxis Treatment Period 1 and end of Prophylaxis Treatment Periods 2 and 3 respectively. As per planned analysis, data for this outcome measure were collected and reported as per the treatment (intervention) received (rADAMTS13 manufactured in Orth, Austria [TAK-755 ORT], rADAMTS13 manufactured in Singapore [TAK-755 SIN], or SoC) during the course of the study, only for the prophylaxis cohorts. No participants received SoC in PK-II and PK-III thus there is no data for the same.'9999' indicates that Mean & SD were not estimable as values were below lower limit of quantification. ‘99999’ indicates that no participants were analysed in the specified category. PK Analysis Set. Number of subjects analysed was variable for each category.
    End point type
    Secondary
    End point timeframe
    PK-I (Month 1:Day 1 up to 12), PK-II (Month 12:Day 1 up to 12), and PK-III (Month 19:Day 1 up to 12): Pre-infusion and at multiple timepoints post-infusion up to 288 hours
    End point values
    Prophylaxis Cohort: TAK-755-ORT Prophylaxis Cohort: TAK-755 SIN Prophylaxis Cohort: SoC
    Number of subjects analysed
    36
    24
    39
    Units: µg/mL
    arithmetic mean (standard deviation)
        PK-I: ADAMTS13 Antigen
    0.713 ( 0.147 )
    9999 ( 9999 )
    0.134 ( 0.0648 )
        PK-II: ADAMTS13 Antigen
    0.807 ( 0.188 )
    0.844 ( 0.168 )
    99999 ( 99999 )
        PK-III: ADAMTS13 Antigen
    99999 ( 99999 )
    0.775 ( 0.202 )
    99999 ( 99999 )
    No statistical analyses for this end point

    Secondary: Change from Baseline in Assessment of Von Willebrand Factor:Antigen (VWF:Ag) During Prophylactic Treatment

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    End point title
    Change from Baseline in Assessment of Von Willebrand Factor:Antigen (VWF:Ag) During Prophylactic Treatment
    End point description
    VWF:Ag is a measure of total VWF protein & was assessed using a sandwich ELISA employing polyclonal anti-human-VWF antibodies. Assessments of VWF:Ag at baseline and following infusion of SoC agent and TAK-755 treatment during initial PK assessment were reported. PK-I, PK-II, and PK-III denote crossover PK evaluation of a maximum of 14 days at the start of Prophylaxis Treatment Period 1 and end of Prophylaxis Treatment Periods 2 and 3 respectively. As per planned analysis, data for this outcome measure were collected and reported as per the treatment (intervention) received (rADAMTS13 manufactured in Orth, Austria [TAK-755 ORT], rADAMTS13 manufactured in Singapore [TAK-755 SIN], or SoC) during the course of the study, only for prophylaxis cohorts. No participants received SoC in PK-II and PK-III thus there is no data for the same. ‘99999’ indicates that no participants were analysed in the specified category. PD Analysis Set. Number of subjects analysed was variable for each category.
    End point type
    Secondary
    End point timeframe
    PK-I (Month 1:Day 12), PK-II (Month 12:Day 12), and PK-III (Month 19:Day 12): Post-infusion at 288 hours
    End point values
    Prophylaxis Cohort: TAK-755-ORT Prophylaxis Cohort: TAK-755 SIN Prophylaxis Cohort: SoC
    Number of subjects analysed
    23
    21
    19
    Units: percentage of VWF:Ag
    arithmetic mean (standard deviation)
        VWF:Ag : PK-I
    -0.11 ( 17.064 )
    99999 ( 99999 )
    3.67 ( 19.705 )
        VWF:Ag : PK-II
    0.48 ( 34.798 )
    -1.31 ( 22.259 )
    99999 ( 99999 )
        VWF:Ag : PK-III
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    No statistical analyses for this end point

    Secondary: Change from Baseline in Assessment of Von Willebrand Factor:Ristocetin Cofactor Activity (VWF:RCo) During Prophylactic Treatment

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    End point title
    Change from Baseline in Assessment of Von Willebrand Factor:Ristocetin Cofactor Activity (VWF:RCo) During Prophylactic Treatment
    End point description
    VWF:RCo provides a measure of ability of VWF to bind platelet glycoprotein Ib. Stabilized platelets are agglutinated in presence of VWF & antibiotic Ristocetin. Assessments of VWF:RCo at baseline & following infusion of SoC agent &TAK-755 treatment during initial PK assessment was reported. PK-I, PK-II, & PK-III denote crossover PK evaluation of a maximum of 14 days at start of Prophylaxis Treatment Period 1 & end of Prophylaxis Treatment Periods 2 & 3 respectively. As per planned analysis, data for this outcome measure were collected & reported as per treatment (intervention) received (rADAMTS13 manufactured in Orth, Austria [TAK-755 ORT], rADAMTS13 manufactured in Singapore [TAK-755 SIN], or SoC) during course of study, only for prophylaxis cohorts. No participants received SoC in PK-II and PK-III thus there is no data for same. ‘99999’ indicates that no participants were analysed in specified category. PD Analysis Set. Number of subjects analysed was variable for each category.
    End point type
    Secondary
    End point timeframe
    PK-I (Month 1:Day 12), PK-II (Month 12:Day 12), and PK-III (Month 19:Day 12): Post-infusion at 288 hours
    End point values
    Prophylaxis Cohort: TAK-755-ORT Prophylaxis Cohort: TAK-755 SIN Prophylaxis Cohort: SoC
    Number of subjects analysed
    23
    21
    24
    Units: percentage of VWF:RCo
    arithmetic mean (standard deviation)
        VWF:RCo- PK-I
    3.63 ( 42.178 )
    99999 ( 99999 )
    9.99 ( 33.230 )
        VWF:RCo- PK-II
    7.45 ( 31.917 )
    3.60 ( 30.678 )
    99999 ( 99999 )
        VWF:RCo- PK-III
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    No statistical analyses for this end point

    Secondary: Assessment of ADAMTS13 Activity Expressed as Pre-Infusion ADAMTS13 Levels

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    End point title
    Assessment of ADAMTS13 Activity Expressed as Pre-Infusion ADAMTS13 Levels
    End point description
    PK-I, PK-II, and PK-III denote the crossover PK evaluation of a maximum of 14 days at the start of Prophylaxis Treatment Period 1 and end of Prophylaxis Treatment Periods 2 and 3 respectively. As per planned analysis, data for this outcome measure were collected and reported as per the treatment (intervention) received (rADAMTS13 manufactured in Orth, Austria [TAK-755 ORT], rADAMTS13 manufactured in Singapore [TAK-755 SIN], or SoC) during the course of the study, only for the prophylaxis cohorts. No participants received SoC in PK-II and PK-III thus there is no data for the same. '9999' indicates that Mean & SD were not estimable as values were below lower limit of quantification. ‘99999’ indicates that no participants were analysed in the specified category. PD Analysis Set. Number of subjects analysed was variable for each category.
    End point type
    Secondary
    End point timeframe
    PK-I (Month 1:Day 1), PK-II (Month 12:Day 1), and PK-III (Month 19:Day 1): Pre-infusion (within 1 hour)
    End point values
    Prophylaxis Cohort: TAK-755 ORT Prophylaxis Cohort: TAK-755 SIN Prophylaxis Cohort: SoC
    Number of subjects analysed
    36
    22
    44
    Units: IU/mL
    arithmetic mean (standard deviation)
        ADAMTS13 Activity: PK-I
    9999 ( 9999 )
    9999 ( 9999 )
    9999 ( 9999 )
        ADAMTS13 Activity: PK-II
    9999 ( 9999 )
    9999 ( 9999 )
    99999 ( 99999 )
        ADAMTS13 Activity: PK-III
    99999 ( 99999 )
    9999 ( 9999 )
    99999 ( 99999 )
    No statistical analyses for this end point

    Secondary: Assessment of Select VWF Parameters Expressed as Pre-Infusion Levels of VWF:RCo

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    End point title
    Assessment of Select VWF Parameters Expressed as Pre-Infusion Levels of VWF:RCo
    End point description
    PK-I, PK-II, and PK-III denote the crossover PK evaluation of a maximum of 14 days at the start of Prophylaxis Treatment Period 1 and end of Prophylaxis Treatment Periods 2 and 3 respectively. As per planned analysis, data for this outcome measure were collected and reported as per the treatment (intervention) received (rADAMTS13 manufactured in Orth, Austria [TAK-755 ORT], rADAMTS13 manufactured in Singapore [TAK-755 SIN], or SoC) during the course of the study, only for the prophylaxis cohorts. No participants received SoC in PK-II and PK-III thus there is no data for the same. ‘99999’ indicates that no participants were analysed in the specified category. PD Analysis Set. Number of subjects analysed was variable for each category.
    End point type
    Secondary
    End point timeframe
    PK-I (Month 1:Day 1), PK-II (Month 12:Day 1), and PK-III (Month 19:Day 1): Pre-infusion (within 1 hour)
    End point values
    Prophylaxis Cohort: TAK-755-ORT Prophylaxis Cohort: TAK-755-SIN Prophylaxis Cohort: SoC
    Number of subjects analysed
    36
    25
    43
    Units: percentage of VWF:RCo
    arithmetic mean (standard deviation)
        PK-I: VWF:RCo
    145.54 ( 54.698 )
    137.62 ( 52.978 )
    148.46 ( 51.415 )
        PK-II: VWF:RCo
    155.76 ( 63.032 )
    154.98 ( 74.444 )
    99999 ( 99999 )
        PK-III: VWF:RCo
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    No statistical analyses for this end point

    Secondary: Assessment of Select VWF Parameters Expressed as Pre-Infusion Levels of VWF:Ag

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    End point title
    Assessment of Select VWF Parameters Expressed as Pre-Infusion Levels of VWF:Ag
    End point description
    PK-I, PK-II, and PK-III denote the crossover PK evaluation of a maximum of 14 days at the start of Prophylaxis Treatment Period 1 and end of Prophylaxis Treatment Periods 2 and 3 respectively. As per planned analysis, data for this outcome measure were collected and reported as per the treatment (intervention) received (rADAMTS13 manufactured in Orth, Austria [TAK-755 ORT], rADAMTS13 manufactured in Singapore [TAK-755 SIN], or SoC) during the course of the study, only for the prophylaxis cohorts. No participants received SoC in PK-II and PK-III thus there is no data for the same. '9999' indicates that Mean &SD were not estimable as values were below lower limit of quantification. ‘99999’ indicates that no participants were analysed in the specified category. PD Analysis Set. Number of subjects analysed was variable for each category.
    End point type
    Secondary
    End point timeframe
    PK-I (Month 1:Day 1), PK-II (Month 12:Day 1), and PK-III (Month 19:Day 1): Pre-infusion (within 1 hour)
    End point values
    Prophylaxis Cohort: TAK-755-ORT Prophylaxis Cohort: TAK-755-SIN Prophylaxis Cohort: SoC
    Number of subjects analysed
    37
    25
    35
    Units: percentage of VWF:Ag
    arithmetic mean (standard deviation)
        PK-I: VWF:Ag
    110.38 ( 45.205 )
    9999 ( 9999 )
    105.07 ( 40.539 )
        PK-II: VWF:Ag
    120.48 ( 49.224 )
    116.66 ( 60.338 )
    99999 ( 99999 )
        PK-III: VWF:Ag
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    No statistical analyses for this end point

    Secondary: Assessment of Select VWF Parameters Expressed as Pre-Infusion Levels of VWF:mm Low Resolution (Res.) Intermediate

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    End point title
    Assessment of Select VWF Parameters Expressed as Pre-Infusion Levels of VWF:mm Low Resolution (Res.) Intermediate
    End point description
    PK-I, PK-II, and PK-III denote the crossover PK evaluation of a maximum of 14 days at the start of Prophylaxis Treatment Period 1 and end of Prophylaxis Treatment Periods 2 and 3 respectively. As per planned analysis, data for this outcome measure were collected and reported as per the treatment (intervention) received (rADAMTS13 manufactured in Orth, Austria [TAK-755 ORT], rADAMTS13 manufactured in Singapore [TAK-755 SIN], or SoC) during the course of the study, only for the prophylaxis cohorts. No participants received SoC in PK-II and PK-III thus there is no data for the same. '9999' indicates that Mean &SD were not estimable as values were below lower limit of quantification. ‘99999’ indicates that no participants were analysed in the specified category. PD Analysis Set. Number of subjects analysed was variable for each category.
    End point type
    Secondary
    End point timeframe
    PK-I (Month 1:Day 1), PK-II (Month 12:Day 1), and PK-III (Month 19:Day 1): Pre-infusion (within 1 hour)
    End point values
    Prophylaxis Cohort: TAK-755-ORT Prophylaxis Cohort: TAK-755-SIN Prophylaxis Cohort: SoC
    Number of subjects analysed
    38
    25
    39
    Units: % of VWF:mm Low Res.Intermediate
    arithmetic mean (standard deviation)
        PK-I: VWF:mm Low Res. Intermediate
    32.14 ( 3.375 )
    9999 ( 9999 )
    31.22 ( 2.955 )
        PK-II: VWF:mm Low Res. Intermediate
    30.87 ( 3.754 )
    31.10 ( 3.616 )
    99999 ( 99999 )
        PK-III: VWF:mm Low Res. Intermediate
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    No statistical analyses for this end point

    Secondary: Assessment of Select VWF Parameters Expressed as Pre-Infusion Levels of VWF:mm Low Res. Large

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    End point title
    Assessment of Select VWF Parameters Expressed as Pre-Infusion Levels of VWF:mm Low Res. Large
    End point description
    PK-I, PK-II, and PK-III denote the crossover PK evaluation of a maximum of 14 days at the start of Prophylaxis Treatment Period 1 and end of Prophylaxis Treatment Periods 2 and 3 respectively. As per planned analysis, data for this outcome measure were collected and reported as per the treatment (intervention) received (rADAMTS13 manufactured in Orth, Austria [TAK-755 ORT], rADAMTS13 manufactured in Singapore [TAK-755 SIN], or SoC) during the course of the study, only for the prophylaxis cohorts. No participants received SoC in PK-II and PK-III thus there is no data for the same. '9999' indicates that Mean &SD were not estimable as values were below lower limit of quantification. ‘99999’ indicates that no participants were analysed in the specified category. PD Analysis Set. Number of subjects analysed was variable for each category.
    End point type
    Secondary
    End point timeframe
    PK-I (Month 1:Day 1), PK-II (Month 12:Day 1), and PK-III (Month 19:Day 1): Pre-infusion (within 1 hour)
    End point values
    Prophylaxis Cohort: TAK-755-ORT Prophylaxis Cohort: TAK-755-SIN Prophylaxis Cohort: SoC
    Number of subjects analysed
    38
    25
    39
    Units: % of VWF:mm Low Res. Large
    arithmetic mean (standard deviation)
        PK-I: VWF:mm Low Res. Large
    45.98 ( 5.920 )
    9999 ( 9999 )
    46.03 ( 5.043 )
        PK-II: VWF:mm Low Res. Large
    46.17 ( 5.670 )
    44.93 ( 7.319 )
    99999 ( 99999 )
        PK-III: VWF:mm Low Res. Large
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    No statistical analyses for this end point

    Secondary: Assessment of Select VWF Parameters Expressed as Pre-Infusion Levels of VWF:mm Low Res. Small

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    End point title
    Assessment of Select VWF Parameters Expressed as Pre-Infusion Levels of VWF:mm Low Res. Small
    End point description
    PK-I, PK-II, and PK-III denote the crossover PK evaluation of a maximum of 14 days at the start of Prophylaxis Treatment Period 1 and end of Prophylaxis Treatment Periods 2 and 3 respectively. As per planned analysis, data for this outcome measure were collected and reported as per the treatment (intervention) received (rADAMTS13 manufactured in Orth, Austria [TAK-755 ORT], rADAMTS13 manufactured in Singapore [TAK-755 SIN], or SoC) during the course of the study, only for the prophylaxis cohorts. No participants received SoC in PK-II and PK-III thus there is no data for the same. '9999' indicates that Mean & SD were not estimable as values were below lower limit of quantification. ‘99999’ indicates that no participants were analysed in the specified category. PD Analysis Set. Number of subjects analysed was variable for each category.
    End point type
    Secondary
    End point timeframe
    PK-I (Month 1:Day 1), PK-II (Month 12:Day 1), and PK-III (Month 19:Day 1): Pre-infusion (within 1 hour)
    End point values
    Prophylaxis Cohort: TAK-755-ORT Prophylaxis Cohort: TAK-755-SIN Prophylaxis Cohort: SoC
    Number of subjects analysed
    38
    25
    39
    Units: % of VWF:mm Low Res. Small
    arithmetic mean (standard deviation)
        PK-I: VWF:mm Low Res. Small
    21.66 ( 4.230 )
    9999 ( 9999 )
    22.77 ( 5.161 )
        PK-II: VWF:mm Low Res. Small
    22.96 ( 3.047 )
    23.96 ( 5.320 )
    99999 ( 99999 )
        PK-III: VWF:mm Low Res. Small
    99999 ( 99999 )
    99999 ( 99999 )
    99999 ( 99999 )
    No statistical analyses for this end point

    Secondary: Number of Participants With Total Binding Antibodies to ADAMTS13 During Prophylactic Treatment

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    End point title
    Number of Participants With Total Binding Antibodies to ADAMTS13 During Prophylactic Treatment
    End point description
    Total binding antibodies to ADAMTS13 were measured by an ELISA-based assay, detecting total immunoglobulins (IgG, IgA, and IgM). As per planned analysis, data for this outcome measure were collected and reported per sequence (Prophylaxis Cohort I: TAK-755 Then SoC and Prophylaxis Cohort II: SoC Then TAK-755) for the prophylaxis cohorts only. The Safety Analysis Set.
    End point type
    Secondary
    End point timeframe
    Up to 79.6 months
    End point values
    Prophylaxis Cohort I: TAK-755 Then SoC Prophylaxis Cohort II: SoC Then TAK-755
    Number of subjects analysed
    21
    27
    Units: participants
    0
    2
    No statistical analyses for this end point

    Secondary: Number of Participants With Neutralizing Antibodies to ADAMTS13 During Prophylactic Treatment

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    End point title
    Number of Participants With Neutralizing Antibodies to ADAMTS13 During Prophylactic Treatment
    End point description
    Neutralizing antibodies were measured by a Bethesda method with Nijmegen modification using the ADAMTS13 FRETS-VWF73 activity assay. As per planned analysis, data for this outcome measure were collected and reported per sequence (Prophylaxis Cohort I: TAK-755 Then SoC and Prophylaxis Cohort II: SoC Then TAK-755) for the prophylaxis cohorts only.. The Safety Analysis Set.
    End point type
    Secondary
    End point timeframe
    Up to 79.6 months
    End point values
    Prophylaxis Cohort I: TAK-755 Then SoC Prophylaxis Cohort II: SoC Then TAK-755
    Number of subjects analysed
    21
    27
    Units: participants
    0
    1
    No statistical analyses for this end point

    Secondary: Number of Participants With Anti-Chinese Hamster Ovary (Anti-CHO) Protein Antibodies During Prophylactic Treatment

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    End point title
    Number of Participants With Anti-Chinese Hamster Ovary (Anti-CHO) Protein Antibodies During Prophylactic Treatment
    End point description
    Total immunoglobulin antibodies (Immunoglobulin G [IgG], A [IgA], and M [IgM]) against CHO protein were analyzed using ELISA assay. As per planned analysis, data for this outcome measure were collected and reported per sequence (Prophylaxis Cohort I: TAK-755 Then SoC and Prophylaxis Cohort II: SoC Then TAK-755) for the prophylaxis cohorts only. The Safety Analysis Set.
    End point type
    Secondary
    End point timeframe
    Up to 79.6 months
    End point values
    Prophylaxis Cohort I: TAK-755 Then SoC Prophylaxis Cohort II: SoC Then TAK-755
    Number of subjects analysed
    21
    27
    Units: participants
    0
    2
    No statistical analyses for this end point

    Secondary: Health Related Quality of Life (HRQoL) Assessed as Change From Baseline in cTTP-Patient Experience Questionnaire (cTTP-PEQ) Total Score

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    End point title
    Health Related Quality of Life (HRQoL) Assessed as Change From Baseline in cTTP-Patient Experience Questionnaire (cTTP-PEQ) Total Score
    End point description
    cTTP-PEQ has 26 questions that assess participant’s experience of fatigue,joint,muscle,abdominal&chest pain in previous 24 hours,neurologic manifestations,bruising,feelings of depression&mood alterations,&activity limitation in past 7 days,&participant’s attitudes,experienced side effects,work/school absences&travel impact associated with treatment received for TTP during previous 2 weeks.cTTP PEQ is focused on measuring symptoms&impacts of disease.Total scores range:0 to 162.Higher score indicates greater burden&poor quality of life.Per planned analysis,for prophylaxis cohorts data for this outcome measure was collected&reported by categorizing as per Prophylaxis Periods and per age groups,≥12years,12-18years,≥18years for both on demand&prophylaxis cohorts.'999999':SD was not estimable for a single participant.‘99999’:no participants were analysed in specified category.No participants in OD Cohorts had cTTP-PEQ data available for analysis at scheduled post-baseline visit.
    End point type
    Secondary
    End point timeframe
    Baseline, Urgent Treatment Period: Day 7, End of Period 1 (Month 6), End of Period 2 (Month 12), and End of Period 3. Modified FAS. Number of subjects analysed was variable for each category.
    End point values
    Prophylaxis Cohort: TAK-755 Prophylaxis Cohort: SoC On Demand Cohort I: TAK-755 On Demand Cohort II: SoC
    Number of subjects analysed
    23
    13
    0 [5]
    0 [6]
    Units: score on a scale
    arithmetic mean (standard deviation)
        ≥12 years: Total Score, End of Period 1
    -2.6 ( 24.17 )
    -1.8 ( 12.00 )
    ( )
    ( )
        ≥12 years: Total Score, End of Period 2
    -9.4 ( 17.75 )
    -1.4 ( 18.38 )
    ( )
    ( )
        ≥12 years: Total Score, End of Period 3
    -10.0 ( 13.14 )
    99999 ( 99999 )
    ( )
    ( )
        12 to < 18 years: Total Score, End of Period 1
    99999 ( 99999 )
    12.0 ( 999999 )
    ( )
    ( )
        12 to < 18 years: Total Score, End of Period 2
    13.0 ( 999999 )
    99999 ( 99999 )
    ( )
    ( )
        12 to < 18 years: Total Score, End of Period 3
    -6.0 ( 996999 )
    99999 ( 99999 )
    ( )
    ( )
        ≥18 years: Total Score, End of Period 1
    -2.6 ( 24.17 )
    -3.0 ( 11.76 )
    ( )
    ( )
        ≥18 years: Total Score, End of Period 2
    -11.3 ( 17.16 )
    -1.4 ( 18.38 )
    ( )
    ( )
        ≥18 years: Total Score, End of Period 3
    -10.2 ( 13.42 )
    99999 ( 99999 )
    ( )
    ( )
        ≥12 years: Total Score, Urgent Treatment Period Da
    99999 ( 99999 )
    99999 ( 99999 )
    ( )
    ( )
        ≥18years:Total Score,Urgent Treatment Period Day7
    99999 ( 99999 )
    99999 ( 99999 )
    ( )
    ( )
        12 to < 18 years: Total Score, Urgent Treatment D7
    99999 ( 99999 )
    99999 ( 99999 )
    ( )
    ( )
    Notes
    [5] - No participants in the on demand cohorts had post-baseline data.
    [6] - No participants in the on demand cohorts had post-baseline data.
    No statistical analyses for this end point

    Secondary: Health Related Quality of Life (HRQoL) Assessed as Change From Baseline in Physical and Mental Component Scores of the 36-Item Short Form Health Survey Version 2 (SF-36v2)

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    End point title
    Health Related Quality of Life (HRQoL) Assessed as Change From Baseline in Physical and Mental Component Scores of the 36-Item Short Form Health Survey Version 2 (SF-36v2)
    End point description
    SF-36v2:questionnaire to evaluate participant’s health related quality of life,has 36 questions related to 8 health dimensions:physical functioning,role-physical(role limitations due to physical health problems),bodily pain,general health,vitality(energy/fatigue),social functioning,role-emotional(role limitations due to emotional problems),&mental health.Physical component score(between 0 &100)was generated using physical functioning,role-physical,bodily pain,general health scales.Higher scores=better quality of life.Mental component score(between 0-100)was generated using vitality,social functioning,role-emotional,&mental health scales.Higher scores=better quality of life.Per planned analysis,prophylaxis cohorts data was collected&reported by categorizing as per Prophylaxis Periods&per component scores for both on demand&prophylaxis cohorts.‘99999’:no participants analysed in specified category.Modified FAS.No post-baseline SF-36v2 data was available for OD Cohort participants.
    End point type
    Secondary
    End point timeframe
    Baseline, Urgent Treatment Period: Day 7, End of Period 1 (Month 6), End of Period 2 (Month 12), and End of Period 3 (Month 19)
    End point values
    Prophylaxis Cohort I: TAK-755 Then SoC Prophylaxis Cohort II: SoC Then TAK-755 On Demand Cohort I: TAK-755 On Demand Cohort II: SoC
    Number of subjects analysed
    22
    12
    0 [7]
    0 [8]
    Units: score on a scale
    arithmetic mean (standard deviation)
        Physical Component Score: End of Period 1
    3.934 ( 10.1098 )
    -0.197 ( 5.2511 )
    ( )
    ( )
        Physical Component Score: End of Period 2
    3.112 ( 6.0506 )
    2.625 ( 6.4219 )
    ( )
    ( )
        Physical Component Score: End of Period 3
    0.715 ( 4.9878 )
    99999 ( 99999 )
    ( )
    ( )
        Mental Component Score: End of Period 1
    -7.263 ( 7.4244 )
    5.001 ( 5.0039 )
    ( )
    ( )
        Mental Component Score: End of Period 2
    1.481 ( 7.1315 )
    -4.853 ( 9.9302 )
    ( )
    ( )
        Mental Component Score: End of Period 3
    3.766 ( 7.2392 )
    99999 ( 99999 )
    ( )
    ( )
        Physical Component Score: Urgent Treatment D7
    99999 ( 99999 )
    99999 ( 99999 )
    ( )
    ( )
        Mental Component Score: Urgent Treatment D7
    99999 ( 99999 )
    99999 ( 99999 )
    ( )
    ( )
    Notes
    [7] - No participants in the on demand cohorts had post-baseline data.
    [8] - No participants in the on demand cohorts had post-baseline data.
    No statistical analyses for this end point

    Secondary: Health Related Quality of Life (HRQoL) Assessed as Change From Baseline in Abbreviated 9-item Treatment Satisfaction Questionnaire for Medication (TSQM-9) Domain Scores

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    End point title
    Health Related Quality of Life (HRQoL) Assessed as Change From Baseline in Abbreviated 9-item Treatment Satisfaction Questionnaire for Medication (TSQM-9) Domain Scores
    End point description
    TSQM is a treatment satisfaction measure used to assess the overall level of participant’s satisfaction or dissatisfaction with their medications. TSQM-9 is a 9-item, validated, self-administered instrument used to assess participant’s satisfaction with medication. The three domains assessed are treatment effectiveness, convenience, and global satisfaction. The score of each of the 3 domains is based on an algorithm to create a score of 0 to 100. Higher score indicates greater satisfaction in that domain. As per planned analysis, for the prophylaxis cohorts data for this outcome measure were collected and reported by categorizing as per Prophylaxis Periods and per domain scores for both on demand and prophylaxis cohorts. ‘99999’ indicates that no participants were analysed in the specified category. Modified FAS. Number of subjects analysed was variable for each category. No participants in the OD Cohorts had TSQM-9 data available for analysis at scheduled post-baseline visits.
    End point type
    Secondary
    End point timeframe
    Baseline, Urgent Treatment Period: Day 7, End of Period 1 (Month 6), End of Period 2 (Month 12), and End of Period 3 (Month 19)
    End point values
    Prophylaxis Cohort I: TAK-755 Then SoC Prophylaxis Cohort: SoC On Demand Cohort I: TAK-755 On Demand Cohort II: SoC
    Number of subjects analysed
    20
    11
    0 [9]
    0 [10]
    Units: score on a scale
    arithmetic mean (standard deviation)
        Treatment Effectiveness Score: End of Period 1
    26.8519 ( 36.07548 )
    3.5354 ( 13.21072 )
    ( )
    ( )
        Treatment Effectiveness Score: End of Period 2
    23.2323 ( 17.53624 )
    12.9630 ( 17.09330 )
    ( )
    ( )
        Treatment Effectiveness Score: End of Period 3
    21.6667 ( 19.73673 )
    99999 ( 99999 )
    ( )
    ( )
        Convenience Score: End of Period 1
    36.1111 ( 16.75900 )
    1.5152 ( 10.85565 )
    ( )
    ( )
        Convenience Score: End of Period 2
    27.2727 ( 14.58363 )
    14.8148 ( 27.81479 )
    ( )
    ( )
        Convenience Score: End of Period 3
    21.3889 ( 28.74204 )
    99999 ( 99999 )
    ( )
    ( )
        Global Satisfaction Score: End of Period 1
    28.5714 ( 9.03508 )
    4.5455 ( 16.05880 )
    ( )
    ( )
        Global Satisfaction Score: End of Period 2
    22.0779 ( 16.73763 )
    14.2857 ( 21.66536 )
    ( )
    ( )
        Global Satisfaction Score: End of Period 3
    22.5000 ( 15.76462 )
    99999 ( 99999 )
    ( )
    ( )
        Treatment Effectiveness Score: Urgent Treatment D7
    99999 ( 99999 )
    99999 ( 99999 )
    ( )
    ( )
        Convenience Score: Urgent Treatment Period Day 7
    99999 ( 99999 )
    99999 ( 99999 )
    ( )
    ( )
        Global Satisfaction Score: Urgent Treatment D7
    99999 ( 99999 )
    99999 ( 99999 )
    ( )
    ( )
    Notes
    [9] - No participants in the on demand cohorts had post-baseline data.
    [10] - No participants in the on demand cohorts had post-baseline data.
    No statistical analyses for this end point

    Secondary: Health Related Quality of Life (HRQoL) Assessed as Change From Baseline in EuroQoL 5 Dimensions Questionnaire 3-Level (EQ-5D-3L) Domain Scores

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    End point title
    Health Related Quality of Life (HRQoL) Assessed as Change From Baseline in EuroQoL 5 Dimensions Questionnaire 3-Level (EQ-5D-3L) Domain Scores
    End point description
    EQ-5D-3L health questionnaire is a participant-answered questionnaire scoring 5 dimensions(domains) - mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension is scored on an ordinal scale with 3 available levels of response and scores ranging from 1 to 3, “no problems,” “some problems,” and “extreme problems,” respectively. Lower scores for the domains in the EQ-5D-3L indicate improvement. As per planned analysis, for the prophylaxis cohorts data for this outcome measure were collected and reported by categorizing as per Prophylaxis Periods and per domain scores for both on demand and prophylaxis cohorts. ‘99999’ indicates that no participants were analysed in the specified category. Modified FAS. Number of subjects analysed was variable for each category. No participants in the OD Cohorts had EQ-5D-3L data available for analysis at scheduled post-baseline visits.
    End point type
    Secondary
    End point timeframe
    Baseline, Urgent Treatment Period: Day 7, End of Period 1 (Month 6), End of Period 2 (Month 12), and End of Period 3 (Month 19)
    End point values
    Prophylaxis Cohort I: TAK-755 Then SoC Prophylaxis Cohort: SoC On Demand Cohort I: TAK-755 On Demand Cohort II: SoC
    Number of subjects analysed
    20
    11
    0 [11]
    0 [12]
    Units: score on a scale
    arithmetic mean (standard deviation)
        Mobility: End of Period 1
    0.3 ( 0.46 )
    -0.1 ( 0.30 )
    ( )
    ( )
        Mobility: End of Period 2
    -0.1 ( 0.29 )
    0.0 ( 0.00 )
    ( )
    ( )
        Mobility: End of Period 3
    -0.1 ( 0.22 )
    99999 ( 99999 )
    ( )
    ( )
        Self-Care: End of Period 1
    0.1 ( 0.35 )
    0.0 ( 0.00 )
    ( )
    ( )
        Self-Care: End of Period 2
    0.0 ( 0.00 )
    0.0 ( 0.00 )
    ( )
    ( )
        Self-Care: End of Period 3
    -0.1 ( 0.22 )
    99999 ( 99999 )
    ( )
    ( )
        Usual Activities: End of Period 1
    0.0 ( 0.53 )
    -0.2 ( 0.40 )
    ( )
    ( )
        Usual Activities: End of Period 2
    0.0 ( 0.43 )
    0.0 ( 0.63 )
    ( )
    ( )
        Usual Activities: End of Period 3
    -0.1 ( 0.39 )
    99999 ( 99999 )
    ( )
    ( )
        Pain/Discomfort: End of Period 1
    0.3 ( 0.46 )
    -0.1 ( 0.70 )
    ( )
    ( )
        Pain/Discomfort: End of Period 2
    -0.3 ( 0.62 )
    0.2 ( 0.41 )
    ( )
    ( )
        Pain/Discomfort: End of Period 3
    -0.2 ( 0.59 )
    99999 ( 99999 )
    ( )
    ( )
        Anxiety/Depression: End of Period 1
    0.1 ( 0.64 )
    0.0 ( 0.00 )
    ( )
    ( )
        Anxiety/Depression: End of Period 2
    -0.1 ( 0.29 )
    0.0 ( 0.00 )
    ( )
    ( )
        Anxiety/Depression: End of Period 3
    -0.1 ( 0.45 )
    99999 ( 99999 )
    ( )
    ( )
        Mobility: Urgent Treatment Period Day 7
    99999 ( 99999 )
    99999 ( 99999 )
    ( )
    ( )
        Self-Care: Urgent Treatment Period Day 7
    99999 ( 99999 )
    99999 ( 99999 )
    ( )
    ( )
        Usual Activities: Urgent Treatment Period Day 7
    99999 ( 99999 )
    99999 ( 99999 )
    ( )
    ( )
        Pain/Discomfort: Urgent Treatment Period Day 7
    99999 ( 99999 )
    99999 ( 99999 )
    ( )
    ( )
        Anxiety/Depression: Urgent Treatment Period Day 7
    99999 ( 99999 )
    99999 ( 99999 )
    ( )
    ( )
    Notes
    [11] - No participants in the on demand cohorts had post-baseline data.
    [12] - No participants in the on demand cohorts had post-baseline data.
    No statistical analyses for this end point

    Secondary: Health Related Quality of Life (HRQoL) Assessed as Change From Baseline in EQ-5D-youth (EQ-5D-Y) Domain Scores

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    End point title
    Health Related Quality of Life (HRQoL) Assessed as Change From Baseline in EQ-5D-youth (EQ-5D-Y) Domain Scores
    End point description
    EQ-5D-Y:health questionnaire;participant aged from 8 to 16 years answered on 5 dimensions (domains)-mobility,self-care,usual activities,pain/discomfort&anxiety/depression.EQ-5D-Y:includes 5 descriptive items:Mobility,self-care,doing usual activities,having pain/discomfort,& feeling anxiety/depressed.Each dimension is scored at 3 levels:1=No problems,2=some problems,&3=a lot of problems.Lower scores indicate improvement.As per planned analysis,for prophylaxis cohorts data for this outcome measure was collected&reported by categorizing as per Prophylaxis Periods per domain scores for both on demand&prophylaxis cohorts.'999999':SD was not estimable for a single participant.‘99999’:no participants were analysed in specified category.Modified FAS.Number of subjects analysed was variable for each category.No participants in OD Cohorts had EQ-5D-Y data available for analysis at scheduled post-baseline visits.
    End point type
    Secondary
    End point timeframe
    Baseline, Urgent Treatment Period: Day 7, End of Period 1 (Month 6), End of Period 2 (Month 12), and End of Period 3 (Month 19)
    End point values
    Prophylaxis Cohort I: TAK-755 Then SoC Prophylaxis Cohort: SoC On Demand Cohort I: TAK-755 On Demand Cohort II: SoC
    Number of subjects analysed
    4
    3
    0 [13]
    0 [14]
    Units: score on a scale
    arithmetic mean (standard deviation)
        Mobility: End of Period 1
    0.0 ( 999999 )
    0.0 ( 0.00 )
    ( )
    ( )
        Mobility: End of Period 2
    0.0 ( 0.00 )
    0.0 ( 999999 )
    ( )
    ( )
        Mobility: End of Period 3
    0.0 ( 0.00 )
    99999 ( 99999 )
    ( )
    ( )
        Self-Care: End of Period 1
    0.0 ( 999999 )
    0.0 ( 0.00 )
    ( )
    ( )
        Self-Care: End of Period 2
    0.0 ( 0.00 )
    0.0 ( 999999 )
    ( )
    ( )
        Self-Care: End of Period 3
    0.0 ( 0.00 )
    99999 ( 99999 )
    ( )
    ( )
        Usual Activities: End of Period 1
    0.0 ( 999999 )
    0.0 ( 0.00 )
    ( )
    ( )
        Usual Activities: End of Period 2
    0.0 ( 0.00 )
    0.0 ( 999999 )
    ( )
    ( )
        Usual Activities: End of Period 3
    0.0 ( 0.00 )
    99999 ( 99999 )
    ( )
    ( )
        Pain/Discomfort: End of Period 1
    1.0 ( 999999 )
    -0.7 ( 0.58 )
    ( )
    ( )
        Pain/Discomfort: End of Period 2
    -0.7 ( 0.58 )
    0.0 ( 999999 )
    ( )
    ( )
        Pain/Discomfort: End of Period 3
    -0.3 ( 0.96 )
    99999 ( 99999 )
    ( )
    ( )
        Anxiety/Depression: End of Period 1
    0.0 ( 999999 )
    0.0 ( 0.00 )
    ( )
    ( )
        Anxiety/Depression: End of Period 2
    0.3 ( 0.58 )
    0.0 ( 999999 )
    ( )
    ( )
        Anxiety/Depression: End of Period 3
    0.0 ( 0.00 )
    99999 ( 99999 )
    ( )
    ( )
        Mobility: Urgent Treatment Period Day 7
    99999 ( 99999 )
    99999 ( 99999 )
    ( )
    ( )
        Self-Care: Urgent Treatment Period Day 7
    99999 ( 99999 )
    99999 ( 99999 )
    ( )
    ( )
        Usual Activities: Urgent Treatment Period Day 7
    99999 ( 99999 )
    99999 ( 99999 )
    ( )
    ( )
        Pain/Discomfort: Urgent Treatment Period Day 7
    99999 ( 99999 )
    99999 ( 99999 )
    ( )
    ( )
        Anxiety/Depression: Urgent Treatment Period Day 7
    99999 ( 99999 )
    99999 ( 99999 )
    ( )
    ( )
    Notes
    [13] - No participants in the on demand cohorts had post-baseline data.
    [14] - No participants in the on demand cohorts had post-baseline data.
    No statistical analyses for this end point

    Secondary: Health Related Quality of Life (HRQoL) Assessed as Change From Baseline in Pediatric Quality of Life Inventory (Peds QL) Scale Total Scores

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    End point title
    Health Related Quality of Life (HRQoL) Assessed as Change From Baseline in Pediatric Quality of Life Inventory (Peds QL) Scale Total Scores
    End point description
    PedsQL:generic health related quality of life instrument designed specifically for pediatric population&captures domains like physical functioning,emotional functioning,social functioning,school functioning,psychosocial summary,physical health&total score.Peds-QL total score consists 23 items of all domains.This modular instrument uses 5-point scale: 0(never)-4(almost always).Items are reversed scored&linearly transformed to 0-100 scale as follows:0=100,1=75,2=50,3=25,4=0.Higher scores:better quality of life.Per planned analysis,prophylaxis cohorts data for this outcome measure were collected&reported by categorizing as per Prophylaxis Periods&per age groups,2-<5years,5-<8years,8-<13years,&13-<18years,for both on demand&prophylaxis cohorts.'999999':SD was not estimable for a single participant.‘99999’:no participants were analysed in specified category.No participants in OD Cohorts had Peds QL data available for analysis at scheduled post-baseline visits.
    End point type
    Secondary
    End point timeframe
    Baseline, Urgent Treatment Period: Day 7, End of Period 1 (Month 6), End of Period 2 (Month 12), and End of Period 3 (Month 19)
    End point values
    Prophylaxis Cohort I: TAK-755 Then SoC Prophylaxis Cohort: SoC On Demand Cohort I: TAK-755 On Demand Cohort II: SoC
    Number of subjects analysed
    7
    5
    0 [15]
    0 [16]
    Units: score on a scale
    arithmetic mean (standard deviation)
        2 to< 5 years,End of Period 1
    25.0000 ( 47.14045 )
    99999 ( 99999 )
    ( )
    ( )
        2 to< 5 years, End of Period 2
    99999 ( 99999 )
    27.3810 ( 47.14045 )
    ( )
    ( )
        2 to< 5 years, End of Period 3
    24.4048 ( 49.66583 )
    99999 ( 99999 )
    ( )
    ( )
        5 to< 8 years, End of Period 1
    29.3478 ( 999999 )
    -16.3043 ( 999999 )
    ( )
    ( )
        5 to< 8 years, End of Period 2
    -6.5217 ( 999999 )
    32.6087 ( 999999 )
    ( )
    ( )
        5 to< 8 years, End of Period 3
    17.9348 ( 19.21486 )
    99999 ( 99999 )
    ( )
    ( )
        8 to< 13 years, End of Period 1
    -2.1739 ( 999999 )
    15.2174 ( 13.83470 )
    ( )
    ( )
        8 to < 13 years, End of Period 2
    8.6957 ( 23.05783 )
    1.0870 ( 999999 )
    ( )
    ( )
        8 to< 13 years, End of Period 3
    5.7971 ( 7.39876 )
    99999 ( 99999 )
    ( )
    ( )
        13 to< 18 years, End of Period 1
    99999 ( 99999 )
    99999 ( 99999 )
    ( )
    ( )
        13 to< 18 years, End of Period 2
    99999 ( 99999 )
    99999 ( 99999 )
    ( )
    ( )
        13 to< 18 years, End of Period 3
    99999 ( 99999 )
    99999 ( 99999 )
    ( )
    ( )
        2 to < 5 years: Urgent Treatment Period Day 7
    99999 ( 99999 )
    99999 ( 99999 )
    ( )
    ( )
        5 to< 8 years: Urgent Treatment Period Day 7
    99999 ( 99999 )
    99999 ( 99999 )
    ( )
    ( )
        8 to < 13 years: Urgent Treatment Period Day 7
    99999 ( 99999 )
    99999 ( 99999 )
    ( )
    ( )
    Notes
    [15] - No participants in the on demand cohorts had post-baseline data.
    [16] - No participants in the on demand cohorts had post-baseline data.
    No statistical analyses for this end point

    Secondary: Resource Utilization: Annualized Length of Hospital Stay for Acute TTP Events for Prophylaxis Cohorts

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    End point title
    Resource Utilization: Annualized Length of Hospital Stay for Acute TTP Events for Prophylaxis Cohorts
    End point description
    The annualized number of days participants stayed in hospital for acute TTP events were assessed. As per planned analysis, data for this outcome measure were collected and reported only for the prophylaxis cohorts in a combined manner for Periods 1 and 2 for SoC treatment and for Periods 1, 2, and 3 for TAK-755 treatment respectively. Modified FAS.
    End point type
    Secondary
    End point timeframe
    Up to 79.6 months
    End point values
    Prophylaxis Cohort: TAK-755 Prophylaxis Cohort: SoC
    Number of subjects analysed
    45
    46
    Units: days/year
        median (full range (min-max))
    0.00 (0.0 to 0.0)
    0.00 (0.0 to 3.4)
    No statistical analyses for this end point

    Secondary: Resource Utilization: Annualized Number of Acute Care Visits for Prophylaxis Cohorts

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    End point title
    Resource Utilization: Annualized Number of Acute Care Visits for Prophylaxis Cohorts
    End point description
    Annualized number of acute care visits was calculated as the number of acute care visits × 365.25/(End date - treatment start date + 1). As per planned analysis, data for this outcome measure were collected and reported only for the prophylaxis cohorts in a combined manner for Periods 1 and 2 for SoC treatment and for Periods 1, 2, and 3 for TAK-755 treatment respectively. Modified FAS.
    End point type
    Secondary
    End point timeframe
    Up to 79.6 months
    End point values
    Prophylaxis Cohort: TAK-755 Prophylaxis Cohort: SoC
    Number of subjects analysed
    45
    46
    Units: acute care visits per year
        arithmetic mean (standard deviation)
    0.59 ( 1.378 )
    0.14 ( 0.493 )
    No statistical analyses for this end point

    Secondary: Resource Utilization: Annualized Number of Days Missed From School or Work for Prophylaxis Cohorts

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    End point title
    Resource Utilization: Annualized Number of Days Missed From School or Work for Prophylaxis Cohorts
    End point description
    Annualized number of days missed from school or work were assessed. As per planned analysis, data for this outcome measure were collected and reported only for the prophylaxis cohorts in a combined manner for Periods 1 and 2 for SoC treatment and for Periods 1, 2, and 3 for TAK-755 treatment respectively. Modified FAS.
    End point type
    Secondary
    End point timeframe
    Up to 79.6 months
    End point values
    Prophylaxis Cohort: TAK-755 Prophylaxis Cohort: SoC
    Number of subjects analysed
    45
    46
    Units: days/year
        median (full range (min-max))
    0.00 (0.0 to 180.3)
    0.00 (0.0 to 294.5)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    From first dose of study drug up to end of study (79.6 months)
    Adverse event reporting additional description
    Safety Analysis Set=all participants treated with at least 1 dose of TAK-755/SoC treatment after randomization.As per planned analysis,data for AEs were collected & reported in a combined manner irrespective of Prophylaxis Periods & partitioned as per treatment received during course of study,presented for on demand & prophylaxis cohorts.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    26.1
    Reporting groups
    Reporting group title
    Prophylaxis Cohort: TAK-755
    Reporting group description
    Participants received a single IV infusion of 40 IU/kg TAK-755 ORT Q2W for 6 months in either Period 1 or Period 2. Thereafter participants received TAK-755 SIN dose of IV infusions of 40 IU/kg Q2W for another 6 months in Period 3. TAK-755 ORT could be replaced with TAK-755 SIN and vice versa depending on availability and other criteria.

    Reporting group title
    Prophylaxis Cohort: SoC
    Reporting group description
    Participants received SoC for 6 months in either Period 1 or Period 2.

    Reporting group title
    On Demand Cohort I: TAK-755
    Reporting group description
    Participants experiencing an acute TTP event who met all other inclusion criteria and entered the study through the TAK-755 cohort of the Urgent Treatment Period received initial dose of IV infusions 40 IU/kg [+/- 4 IU/kg] TAK-755 ORT or TAK-755 SIN infusion on Day 1 followed by a subsequent dose IV infusions of 20 IU/kg [+/- 2 IU/kg] TAK-755 ORT or TAK-755 SIN on Day 2 and an additional daily dose IV infusions of 15 IU/kg [+/- 1.5 IU/kg] TAK-755 on Day 3 until 2 days after the acute event was resolved. Upon resolution of the acute TTP event, participants had the option to either move to the prophylaxis cohort of the study or discontinue entirely.

    Reporting group title
    On Demand Cohort II: SoC
    Reporting group description
    Participants experiencing an acute TTP event who met all other inclusion criteria and entered the study through the SoC cohort of the Urgent Treatment Period received the investigator-recommended SoC and dosing regimen until the acute event was resolved. Upon resolution of the acute TTP event, participants had the option to either move to the prophylaxis cohort of the study or discontinue entirely.

    Serious adverse events
    Prophylaxis Cohort: TAK-755 Prophylaxis Cohort: SoC On Demand Cohort I: TAK-755 On Demand Cohort II: SoC
    Total subjects affected by serious adverse events
         subjects affected / exposed
    6 / 47 (12.77%)
    8 / 48 (16.67%)
    0 / 2 (0.00%)
    1 / 4 (25.00%)
         number of deaths (all causes)
    0
    0
    0
    0
         number of deaths resulting from adverse events
    0
    0
    0
    0
    Investigations
    Platelet count decreased
         subjects affected / exposed
    0 / 47 (0.00%)
    1 / 48 (2.08%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Shoulder fracture
         subjects affected / exposed
    0 / 47 (0.00%)
    1 / 48 (2.08%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Road traffic accident
         subjects affected / exposed
    0 / 47 (0.00%)
    1 / 48 (2.08%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    Tachycardia
         subjects affected / exposed
    1 / 47 (2.13%)
    0 / 48 (0.00%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    Headache
         subjects affected / exposed
    0 / 47 (0.00%)
    1 / 48 (2.08%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Thrombocytopenia
         subjects affected / exposed
    0 / 47 (0.00%)
    2 / 48 (4.17%)
    0 / 2 (0.00%)
    1 / 4 (25.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Thrombotic thrombocytopenic purpura
         subjects affected / exposed
    1 / 47 (2.13%)
    0 / 48 (0.00%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Pyrexia
         subjects affected / exposed
    0 / 47 (0.00%)
    1 / 48 (2.08%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Immune system disorders
    Seasonal allergy
         subjects affected / exposed
    0 / 47 (0.00%)
    1 / 48 (2.08%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    1 / 47 (2.13%)
    0 / 48 (0.00%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Reproductive system and breast disorders
    Ovarian cyst
         subjects affected / exposed
    1 / 47 (2.13%)
    0 / 48 (0.00%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Adnexal torsion
         subjects affected / exposed
    1 / 47 (2.13%)
    0 / 48 (0.00%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Sinus disorder
         subjects affected / exposed
    0 / 47 (0.00%)
    1 / 48 (2.08%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Endocrine disorders
    Hyperthyroidism
         subjects affected / exposed
    1 / 47 (2.13%)
    0 / 48 (0.00%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Pneumonia
         subjects affected / exposed
    1 / 47 (2.13%)
    0 / 48 (0.00%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastroenteritis clostridial
         subjects affected / exposed
    1 / 47 (2.13%)
    0 / 48 (0.00%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Prophylaxis Cohort: TAK-755 Prophylaxis Cohort: SoC On Demand Cohort I: TAK-755 On Demand Cohort II: SoC
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    39 / 47 (82.98%)
    37 / 48 (77.08%)
    0 / 2 (0.00%)
    3 / 4 (75.00%)
    Vascular disorders
    Hypertension
         subjects affected / exposed
    3 / 47 (6.38%)
    0 / 48 (0.00%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    3
    0
    0
    0
    Haematoma
         subjects affected / exposed
    3 / 47 (6.38%)
    2 / 48 (4.17%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    4
    3
    0
    0
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    3 / 47 (6.38%)
    1 / 48 (2.08%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    3
    1
    0
    0
    Fatigue
         subjects affected / exposed
    5 / 47 (10.64%)
    7 / 48 (14.58%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    5
    10
    0
    0
    Malaise
         subjects affected / exposed
    3 / 47 (6.38%)
    2 / 48 (4.17%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    3
    2
    0
    0
    Pyrexia
         subjects affected / exposed
    6 / 47 (12.77%)
    2 / 48 (4.17%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    11
    4
    0
    0
    Immune system disorders
    Seasonal allergy
         subjects affected / exposed
    3 / 47 (6.38%)
    1 / 48 (2.08%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    4
    1
    0
    0
    Respiratory, thoracic and mediastinal disorders
    Oropharyngeal pain
         subjects affected / exposed
    5 / 47 (10.64%)
    4 / 48 (8.33%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    8
    6
    0
    0
    Rhinorrhoea
         subjects affected / exposed
    5 / 47 (10.64%)
    0 / 48 (0.00%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    5
    0
    0
    0
    Cough
         subjects affected / exposed
    8 / 47 (17.02%)
    3 / 48 (6.25%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    10
    3
    0
    0
    Epistaxis
         subjects affected / exposed
    3 / 47 (6.38%)
    4 / 48 (8.33%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    4
    8
    0
    0
    Investigations
    Platelet count decreased
         subjects affected / exposed
    4 / 47 (8.51%)
    5 / 48 (10.42%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    7
    8
    0
    0
    Blood lactate dehydrogenase increased
         subjects affected / exposed
    4 / 47 (8.51%)
    1 / 48 (2.08%)
    0 / 2 (0.00%)
    1 / 4 (25.00%)
         occurrences all number
    4
    1
    0
    2
    Injury, poisoning and procedural complications
    Immunisation reaction
         subjects affected / exposed
    3 / 47 (6.38%)
    1 / 48 (2.08%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    4
    2
    0
    0
    Allergic transfusion reaction
         subjects affected / exposed
    0 / 47 (0.00%)
    7 / 48 (14.58%)
    0 / 2 (0.00%)
    1 / 4 (25.00%)
         occurrences all number
    0
    8
    0
    1
    Cardiac disorders
    Tachycardia
         subjects affected / exposed
    1 / 47 (2.13%)
    3 / 48 (6.25%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    1
    3
    0
    0
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    5 / 47 (10.64%)
    0 / 48 (0.00%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    13
    0
    0
    0
    Headache
         subjects affected / exposed
    15 / 47 (31.91%)
    10 / 48 (20.83%)
    0 / 2 (0.00%)
    1 / 4 (25.00%)
         occurrences all number
    106
    70
    0
    1
    Hypoaesthesia
         subjects affected / exposed
    4 / 47 (8.51%)
    0 / 48 (0.00%)
    0 / 2 (0.00%)
    1 / 4 (25.00%)
         occurrences all number
    4
    0
    0
    1
    Lethargy
         subjects affected / exposed
    5 / 47 (10.64%)
    3 / 48 (6.25%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    12
    6
    0
    0
    Migraine
         subjects affected / exposed
    7 / 47 (14.89%)
    2 / 48 (4.17%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    18
    4
    0
    0
    Paraesthesia
         subjects affected / exposed
    1 / 47 (2.13%)
    2 / 48 (4.17%)
    0 / 2 (0.00%)
    1 / 4 (25.00%)
         occurrences all number
    1
    4
    0
    1
    Syncope
         subjects affected / exposed
    4 / 47 (8.51%)
    1 / 48 (2.08%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    4
    1
    0
    0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    3 / 47 (6.38%)
    2 / 48 (4.17%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    3
    2
    0
    0
    Thrombocytopenia
         subjects affected / exposed
    3 / 47 (6.38%)
    3 / 48 (6.25%)
    0 / 2 (0.00%)
    1 / 4 (25.00%)
         occurrences all number
    5
    9
    0
    1
    Ear and labyrinth disorders
    Ear pain
         subjects affected / exposed
    3 / 47 (6.38%)
    0 / 48 (0.00%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    3
    0
    0
    0
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    8 / 47 (17.02%)
    6 / 48 (12.50%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    16
    7
    0
    0
    Vomiting
         subjects affected / exposed
    8 / 47 (17.02%)
    6 / 48 (12.50%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    8
    8
    0
    0
    Nausea
         subjects affected / exposed
    8 / 47 (17.02%)
    2 / 48 (4.17%)
    0 / 2 (0.00%)
    1 / 4 (25.00%)
         occurrences all number
    15
    4
    0
    1
    Diarrhoea
         subjects affected / exposed
    9 / 47 (19.15%)
    2 / 48 (4.17%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    14
    3
    0
    0
    Skin and subcutaneous tissue disorders
    Petechiae
         subjects affected / exposed
    0 / 47 (0.00%)
    0 / 48 (0.00%)
    0 / 2 (0.00%)
    1 / 4 (25.00%)
         occurrences all number
    0
    0
    0
    1
    Rash
         subjects affected / exposed
    2 / 47 (4.26%)
    4 / 48 (8.33%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    2
    5
    0
    0
    Pruritus
         subjects affected / exposed
    2 / 47 (4.26%)
    3 / 48 (6.25%)
    0 / 2 (0.00%)
    1 / 4 (25.00%)
         occurrences all number
    3
    5
    0
    1
    Urticaria
         subjects affected / exposed
    2 / 47 (4.26%)
    7 / 48 (14.58%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    2
    9
    0
    0
    Musculoskeletal and connective tissue disorders
    Myalgia
         subjects affected / exposed
    2 / 47 (4.26%)
    3 / 48 (6.25%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    2
    3
    0
    0
    Arthralgia
         subjects affected / exposed
    3 / 47 (6.38%)
    3 / 48 (6.25%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    5
    4
    0
    0
    Infections and infestations
    COVID-19
         subjects affected / exposed
    8 / 47 (17.02%)
    3 / 48 (6.25%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    8
    3
    0
    0
    Influenza
         subjects affected / exposed
    3 / 47 (6.38%)
    0 / 48 (0.00%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    5
    0
    0
    0
    Nasopharyngitis
         subjects affected / exposed
    8 / 47 (17.02%)
    6 / 48 (12.50%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    18
    13
    0
    0
    Upper respiratory tract infection
         subjects affected / exposed
    6 / 47 (12.77%)
    3 / 48 (6.25%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    7
    3
    0
    0
    Tooth abscess
         subjects affected / exposed
    1 / 47 (2.13%)
    0 / 48 (0.00%)
    0 / 2 (0.00%)
    1 / 4 (25.00%)
         occurrences all number
    1
    0
    0
    1
    Rhinitis
         subjects affected / exposed
    7 / 47 (14.89%)
    2 / 48 (4.17%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    8
    2
    0
    0
    Pharyngitis
         subjects affected / exposed
    3 / 47 (6.38%)
    0 / 48 (0.00%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    3
    0
    0
    0
    Oral herpes
         subjects affected / exposed
    3 / 47 (6.38%)
    1 / 48 (2.08%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    5
    1
    0
    0
    Viral infection
         subjects affected / exposed
    4 / 47 (8.51%)
    2 / 48 (4.17%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    5
    2
    0
    0
    Metabolism and nutrition disorders
    Iron deficiency
         subjects affected / exposed
    3 / 47 (6.38%)
    2 / 48 (4.17%)
    0 / 2 (0.00%)
    0 / 4 (0.00%)
         occurrences all number
    3
    2
    0
    0

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    15 Mar 2017
    The following changes were made as per Amendment 1: 1. Replaced hereditary thrombotic thrombocytopenic purpura (hTTP) with congenital thrombotic thrombocytopenic purpura (cTTP). 2. Adapted pharmacokinetic (PK) infusion numbers. 3. Removed PK test from dosing visits.
    09 May 2017
    The following changes were made as per Amendment 2: 1. ADAMTS13 trough levels were re-defined as pre-infusion ADAMTS13. 2. Defined severe TTP signs. 3. Specified that participants enrolling in the on-demand cohort and moving to the prophylaxis cohort were analysed separately and were not counted towards the 40 participants cap on the prophylaxis cohort. 4. Updated criteria for enrolling adolescent participants.
    06 Dec 2018
    The following changes were made as per Amendment 5: 1. Changed hereditary TTP to congenital TTP. 2. Added SHP655, as the new namegiven to BAX 930. 3. Numbers of participants for planned enrolment (i.e., sample size changed from 60 to 62), enrolment of pediatric participants, duration of time for participants in the prophylaxis cohort, and planned study period dates and study duration were amended. 4. PK/PD points were added to reflect the PK comparability study. 5. Period 3 treatment phase was added.
    06 Mar 2020
    The following changes were made as per Amendment 9: 1. Added TAK-755, as the new name given to SHP655. 2. 6 more participants were added to the study, in the prophylaxis cohort. 3. Health Related Quality of Life and Resource Utilization were included under secondary objectives.
    23 Feb 2021
    The following changes were made as per Amendment 11: 1. The estimated study completion date was changed from June 2023 to January2024. 2. The total duration of the study was increased from 60 months to 70 months. 3. After 30 September 2021, screened participants in the prophylactic cohort could initiate the study with TAK-755 SIN. 4. Secondary efficacy outcome measures text was changed from “number and incidence of acute TTP episodes…” to “proportion of acute TTP episodes…”.
    18 Apr 2021
    The following changes were made as per Amendment 13: 1. Participants receiving a COVID-19 vaccination during the study period were monitored frequently by telephonic health checks and for thrombocytopenia for 14 consecutive days following vaccination, as deemed appropriate by the investigator.
    18 Nov 2021
    The following changes were made as per Amendment 15: 1. Study completion dates were updated as: Study Primary Completion date changed from Feb 2023 to Nov 2023 and Study Completion from Jan 2024 to Mar 2024. 2. Sentence was removed: "Participants who switch from the on-demand to the prophylaxis cohort upon resolution of the acute event will be excluded from the primary efficacy analysis." 3. Secondary outcome measure 8 was revised to "Incidence of supplemental doses prompted by subacute TTP events".

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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