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    Clinical Trial Results:
    An open-label, non-investigational product, multi-center, lead-in study to evaluate prospective efficacy and selected safety data of current factor IX (FIX) or factor VIII (FVIII) prophylaxis replacement therapy in the usual care setting of moderately severe to severe adult hemophilia B participants (FIX:C less than or equal to [<=]2percentage [%]) who are negative for neutralizing antibodies to adeno-associated virus vector-spark100 (BENEGENE-1) and moderately severe to severe hemophilia A adult participants (FVIII:C <=1%) who are negative for neutralizing antibodies to adeno-associated virus vector 6 (AAV6), prior to the respective therapeutic phase 3 gene therapy studies.

    Summary
    EudraCT number
    2017-001271-23
    Trial protocol
    SE   GB   IE   DE   FR   ES   NL  
    Global end of trial date
    12 Dec 2024

    Results information
    Results version number
    v1(current)
    This version publication date
    12 Nov 2025
    First version publication date
    12 Nov 2025
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    C0371004
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03587116
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Pfizer Inc.
    Sponsor organisation address
    66 Hudson Boulevard East, New York, United States, NY 10017
    Public contact
    Pfizer ClinicalTrials.gov Call Center, Pfizer Inc., 001 8007181021, ClinicalTrials.gov_Inquiries@pfizer.com
    Scientific contact
    Pfizer ClinicalTrials.gov Call Center, Pfizer Inc., 001 8007181021, ClinicalTrials.gov_Inquiries@pfizer.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    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
    28 Apr 2025
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    12 Dec 2024
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective is to establish prospective efficacy data of FIX or FVIII prophylaxis replacement therapy, in the usual care setting of hemophilia B participants who are negative for neutralizing antibodies (nAb) to adeno-associated virus vector (AAV)-Spark100 or hemophilia A participants who are negative for nAb to AAV6.
    Protection of trial subjects
    The study was in compliance with the ethical principles derived from international guidelines, including the Declaration of Helsinki and Council for International Organizations of Medical Sciences (CIOMS) International Ethical Guidelines; applicable International Council for Harmonization (ICH) Good Clinical Practice (GCP) guidelines; applicable laws and regulations, including applicable privacy laws.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    26 Jul 2018
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Australia: 11
    Country: Number of subjects enrolled
    Canada: 8
    Country: Number of subjects enrolled
    Germany: 10
    Country: Number of subjects enrolled
    Brazil: 11
    Country: Number of subjects enrolled
    France: 22
    Country: Number of subjects enrolled
    Greece: 9
    Country: Number of subjects enrolled
    Italy: 9
    Country: Number of subjects enrolled
    Japan: 11
    Country: Number of subjects enrolled
    Belgium: 2
    Country: Number of subjects enrolled
    Saudi Arabia: 11
    Country: Number of subjects enrolled
    Spain: 4
    Country: Number of subjects enrolled
    Sweden: 6
    Country: Number of subjects enrolled
    Korea, Republic of: 7
    Country: Number of subjects enrolled
    Türkiye: 52
    Country: Number of subjects enrolled
    Israel: 2
    Country: Number of subjects enrolled
    Taiwan: 12
    Country: Number of subjects enrolled
    United States: 19
    Country: Number of subjects enrolled
    United Kingdom: 6
    Worldwide total number of subjects
    212
    EEA total number of subjects
    62
    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)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    212
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    A total of 212 participants were enrolled in this study.

    Pre-assignment
    Screening details
    Participants with moderately severe to severe adult hemophilia B or hemophilia A who received FIX and FVIII standard prophylaxis replacement therapy in the usual care setting were enrolled in the study.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded
    Blinding implementation details
    Not applicable

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Standard of Care FIX Replacement Therapy (Hemophilia B)
    Arm description
    Participants with moderately severe to severe hemophilia B who administered their own current FIX replacement therapy in the usual healthcare setting were included. No investigational product was administered as a part of this study.
    Arm type
    No investigational product

    Investigational medicinal product name
    FIX replacement therapy
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder and solvent for solution for injection/infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Hemophilia B participants remained on their current FIX replacement therapy using their usual prophylaxis regimen.

    Arm title
    Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Arm description
    Participants with moderately severe to severe hemophilia A who administered their own current FVIII replacement therapy in the usual healthcare setting were included. No investigational product was administered as a part of this study.
    Arm type
    No investigational product

    Investigational medicinal product name
    FVIII replacement therapy
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder and solvent for solution for injection/infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Hemophilia A participants remained on their current FVIII replacement therapy using their usual prophylaxis regimen.

    Number of subjects in period 1
    Standard of Care FIX Replacement Therapy (Hemophilia B) Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Started
    111
    101
    Completed
    107
    99
    Not completed
    4
    2
         Consent withdrawn by subject
    4
    -
         No Longer Met Eligibility Criteria
    -
    1
         Lost to follow-up
    -
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Standard of Care FIX Replacement Therapy (Hemophilia B)
    Reporting group description
    Participants with moderately severe to severe hemophilia B who administered their own current FIX replacement therapy in the usual healthcare setting were included. No investigational product was administered as a part of this study.

    Reporting group title
    Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Reporting group description
    Participants with moderately severe to severe hemophilia A who administered their own current FVIII replacement therapy in the usual healthcare setting were included. No investigational product was administered as a part of this study.

    Reporting group values
    Standard of Care FIX Replacement Therapy (Hemophilia B) Standard of Care FVIII Replacement Therapy (Hemophilia A) Total
    Number of subjects
    111 101 212
    Age categorical
    Units: Subjects
        In Utero
    0 0 0
        Preterm newborn infants (gestional age < 37 wks)
    0 0 0
        Newborns (0-27 days)
    0 0 0
        Infants and toddlers (28 days - 23 months)
    0 0 0
        Children (2 - 11 years)
    0 0 0
        12 - 17 years
    0 0 0
        Adults (18 - 64 years)
    111 101 212
        From 65 - 84 years
    0 0 0
        85 years and over
    0 0 0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    32.5 ( 11.25 ) 31.8 ( 11.21 ) -
    Gender categorical
    Units: Subjects
        Male
    111 101 212
        Female
    0 0 0
    Race
    Units: Subjects
        American Indian or Alaska Native
    0 0 0
        Asian
    18 17 35
        Native Hawaiian or Other Pacific Islander
    0 0 0
        Black or African American
    2 6 8
        White
    90 78 168
        More than one race
    1 0 1
        Unknown or Not Reported
    0 0 0
    Ethnicity
    Units: Subjects
        Hispanic or Latino
    4 4 8
        Not Hispanic or Latino
    91 76 167
        Unknown or Not Reported
    16 21 37

    End points

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    End points reporting groups
    Reporting group title
    Standard of Care FIX Replacement Therapy (Hemophilia B)
    Reporting group description
    Participants with moderately severe to severe hemophilia B who administered their own current FIX replacement therapy in the usual healthcare setting were included. No investigational product was administered as a part of this study.

    Reporting group title
    Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Reporting group description
    Participants with moderately severe to severe hemophilia A who administered their own current FVIII replacement therapy in the usual healthcare setting were included. No investigational product was administered as a part of this study.

    Primary: Annualized Bleeding Rate (ABR) for Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia B Participants: Efficacy Analysis set

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    End point title
    Annualized Bleeding Rate (ABR) for Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia B Participants: Efficacy Analysis set [1] [2]
    End point description
    ABR per participant calculated as number of bleeds over number of days from baseline visit (Day 1 of study) to end of study*365.25 days. All bleeds=treated and untreated bleeds. Treated bleed: event necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. Untreated bleed: event not necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. Efficacy analysis set included participants who signed an informed consent form (ICF), had their blood sample collected and assayed for bioengineered AAV capsid, derived from a naturally occurring AAV serotype (AAV-Spark100) or adeno-associated virus 6(AAV6) immunity testing, who were subsequently identified as nAb negative(negative for nAb to AAV-Spark100 for hemophilia B cohort), met inclusion/exclusion criteria and who participated in prospective data collection phase as part of their usual healthcare setting.
    End point type
    Primary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 1269 days])
    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 descriptive data was planned to be analyzed for this endpoint.
    [2] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FIX Replacement Therapy (Hemophilia B)
    Number of subjects analysed
    110
    Units: Bleeds per year
    arithmetic mean (standard deviation)
        Treated bleeds
    3.61 ( 7.634 )
        All bleeds
    4.46 ( 9.446 )
    No statistical analyses for this end point

    Primary: ABR for Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia B Participants: Per-protocol Analysis set

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    End point title
    ABR for Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia B Participants: Per-protocol Analysis set [3] [4]
    End point description
    ABR per participant was calculated as number of bleeds over number of days from baseline visit (Day 1 of the study) to end of study *365.25 days. All bleeds included treated and untreated bleeds. A treated bleed was defined as an event necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. An untreated bleed was defined as an event not necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. Per-Protocol analysis set included all participants who signed an ICF, had their blood sample collected and assayed for AAV-Spark100 or AAV6 immunity testing, who were subsequently identified as nAb negative (negative for nAb to AAV-Spark100 for hemophilia B cohort), met inclusion/ exclusion criteria and who participated and completed at least 6 months of prospective data collection phase as part of their usual healthcare setting.
    End point type
    Primary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 1269 days])
    Notes
    [3] - 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 descriptive data was planned to be analyzed for this endpoint.
    [4] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FIX Replacement Therapy (Hemophilia B)
    Number of subjects analysed
    107
    Units: Bleeds per year
    arithmetic mean (standard deviation)
        Treated bleeds
    3.71 ( 7.717 )
        All bleeds
    4.56 ( 9.557 )
    No statistical analyses for this end point

    Primary: ABR for Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia B Participants: Protocol Amendment 5 Analysis set

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    End point title
    ABR for Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia B Participants: Protocol Amendment 5 Analysis set [5] [6]
    End point description
    ABR per participant was calculated as number of bleeds over number of days from baseline visit (Day 1 of the study) to end of study*365.25 days. All bleeds included treated and untreated bleeds. A treated bleed was defined as an event necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. An untreated bleed was defined as an event not necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. In this outcome measure, ABR for all and treated bleeds during prospective data collection period in hemophilia B participants per protocol amendment 5 analysis set was reported. Protocol Amendment 5 analysis set included all participants enrolled under Protocol Amendment 5 and afterwards, who fulfilled the inclusion/exclusion criteria and had retrospective and prospective data collected.
    End point type
    Primary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 1269 days])
    Notes
    [5] - 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 descriptive data was planned to be analyzed for this endpoint.
    [6] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FIX Replacement Therapy (Hemophilia B)
    Number of subjects analysed
    39
    Units: Bleeds per year
    arithmetic mean (standard deviation)
        Treated bleeds
    4.21 ( 10.609 )
        All bleeds
    4.78 ( 10.887 )
    No statistical analyses for this end point

    Primary: ABR for Treated Bleeds and All Bleeds During Retrospective Data Collection Period in Hemophilia B Participants: Protocol Amendment 5 Analysis set

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    End point title
    ABR for Treated Bleeds and All Bleeds During Retrospective Data Collection Period in Hemophilia B Participants: Protocol Amendment 5 Analysis set [7] [8]
    End point description
    ABR per participant was calculated as number of bleeds over number of days from baseline visit (Day 1 of the study) to end of study*365.25 days. All bleeds included treated and untreated bleeds. A treated bleed was defined as an event necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. An untreated bleed was defined as an event not necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. In this outcome measure, ABR for all and treated bleeds during retrospective data collection period in hemophilia B participants per protocol amendment 5 analysis set was reported. Protocol Amendment 5 analysis set included all participants enrolled under Protocol Amendment 5 and afterwards, who fulfilled the inclusion/exclusion criteria and had retrospective and prospective data collected. Here, “Subjects Analyzed” signifies number of participants evaluable for this outcome measure.
    End point type
    Primary
    End point timeframe
    During retrospective data collection period (12 months before screening collected in the hemophilia history case report form [CRF])
    Notes
    [7] - 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 descriptive data was planned to be analyzed for this endpoint.
    [8] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FIX Replacement Therapy (Hemophilia B)
    Number of subjects analysed
    38
    Units: Bleeds per year
    arithmetic mean (standard deviation)
        Treated bleeds
    5.42 ( 8.163 )
        All bleeds
    6.79 ( 10.390 )
    No statistical analyses for this end point

    Primary: ABR for Treated Bleeds and All Bleeds From the Combined Retrospective and Prospective Data Collection Period in Hemophilia B Participants: Protocol Amendment 5 Analysis set

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    End point title
    ABR for Treated Bleeds and All Bleeds From the Combined Retrospective and Prospective Data Collection Period in Hemophilia B Participants: Protocol Amendment 5 Analysis set [9] [10]
    End point description
    ABR per participant was calculated as number of bleeds over number of days from baseline visit (Day 1 of the study) to end of study*365.25 days. All bleeds included treated and untreated bleeds. A treated bleed was defined as an event necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. An untreated bleed was defined as an event not necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. In this outcome measure, ABR for all and treated bleeds during retrospective and prospective data collection period in hemophilia B participants per protocol amendment 5 analysis set was reported. Protocol Amendment 5 analysis set included all participants enrolled under Protocol Amendment 5 and afterwards, who fulfilled the inclusion/exclusion criteria and had retrospective and prospective data collected. Here, "Subjects Analyzed” signifies number of participants evaluable for this outcome measure.
    End point type
    Primary
    End point timeframe
    From start of retrospective data collection period (12 months before screening collected in hemophilia history CRF) up to end of prospective data collection follow-up of period (maximum follow-up:1269 days), for a total of approximately 4.5 years
    Notes
    [9] - 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 descriptive data was planned to be analyzed for this endpoint.
    [10] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FIX Replacement Therapy (Hemophilia B)
    Number of subjects analysed
    38
    Units: Bleeds per year
    arithmetic mean (standard deviation)
        Treated bleeds
    4.65 ( 7.589 )
        All bleeds
    5.48 ( 8.284 )
    No statistical analyses for this end point

    Primary: ABR for Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia A Participants: Efficacy Analysis set

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    End point title
    ABR for Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia A Participants: Efficacy Analysis set [11] [12]
    End point description
    ABR per participant was calculated as number of bleeds over number of days from baseline visit (Day 1 of the study) to end of study*365.25 days. All bleeds=treated and untreated bleeds. A treated bleed was defined as an event necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. An untreated bleed was defined as an event not necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. Efficacy analysis set included participants who signed an ICF, had their blood sample collected and assayed for AAV-Spark100 or AAV6 immunity testing, who were subsequently identified as nAb negative (negative for nAb to AAV6 for the hemophilia A cohort), met the inclusion/ exclusion criteria and who participated in the prospective data collection phase as part of their usual healthcare setting.
    End point type
    Primary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 948 days])
    Notes
    [11] - 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 descriptive data was planned to be analyzed for this endpoint.
    [12] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Number of subjects analysed
    96
    Units: Bleeds per year
    arithmetic mean (standard deviation)
        Treated bleeds
    4.87 ( 7.246 )
        All bleeds
    6.10 ( 10.578 )
    No statistical analyses for this end point

    Primary: ABR for Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia A Participants: Per-protocol Analysis set

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    End point title
    ABR for Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia A Participants: Per-protocol Analysis set [13] [14]
    End point description
    ABR per participant was calculated as number of bleeds over number of days from baseline visit (Day 1 of the study) to end of study*365.25 days. All bleeds included treated and untreated bleeds. A treated bleed was defined as an event necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. An untreated bleed was defined as an event not necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. Per-Protocol analysis set included all participants who signed an ICF, had their blood sample collected and assayed for AAV-Spark100 or AAV6 immunity testing, who were subsequently identified as nAb negative (negative for nAb to AAV6 for the hemophilia A cohort), met the inclusion/ exclusion criteria and who participated and completed at least 6 months of the prospective data collection phase as part of their usual healthcare setting.
    End point type
    Primary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 948 days])
    Notes
    [13] - 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 descriptive data was planned to be analyzed for this endpoint.
    [14] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Number of subjects analysed
    81
    Units: Bleeds per year
    arithmetic mean (standard deviation)
        Treated bleeds
    3.82 ( 5.665 )
        All bleeds
    4.33 ( 6.700 )
    No statistical analyses for this end point

    Primary: ABR for Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia A Participants: Protocol Amendment 5 Analysis set

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    End point title
    ABR for Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia A Participants: Protocol Amendment 5 Analysis set [15] [16]
    End point description
    ABR per participant was calculated as number of bleeds over number of days from baseline visit (Day 1 of the study) to end of study*365.25 days. All bleeds included treated and untreated bleeds. A treated bleed was defined as an event necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. An untreated bleed was defined as an event not necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. In this outcome measure, ABR for all and treated bleeds during prospective data collection period in hemophilia A participants per protocol amendment 5 analysis set was reported. Protocol Amendment 5 analysis set included all participants enrolled under Protocol Amendment 5 and afterwards, who fulfilled the inclusion/exclusion criteria and had retrospective and prospective data collected.
    End point type
    Primary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 948 days])
    Notes
    [15] - 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 descriptive data was planned to be analyzed for this endpoint.
    [16] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Number of subjects analysed
    24
    Units: Bleeds per year
    arithmetic mean (standard deviation)
        Treated bleeds
    7.62 ( 9.907 )
        All bleeds
    10.86 ( 16.692 )
    No statistical analyses for this end point

    Primary: ABR for Treated Bleeds and All Bleeds During Retrospective Data Collection Period in Hemophilia A Participants: Protocol Amendment 5 Analysis set

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    End point title
    ABR for Treated Bleeds and All Bleeds During Retrospective Data Collection Period in Hemophilia A Participants: Protocol Amendment 5 Analysis set [17] [18]
    End point description
    ABR per participant was calculated as number of bleeds over number of days from baseline visit (Day 1 of the study) to end of study*365.25 days. All bleeds included treated and untreated bleeds. A treated bleed was defined as an event necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. An untreated bleed was defined as an event not necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. In this outcome measure, ABR for all and treated bleeds during retrospective data collection period in hemophilia A participants per protocol amendment 5 analysis set was reported. Protocol Amendment 5 analysis set included all participants enrolled under Protocol Amendment 5 and afterwards, who fulfilled the inclusion/exclusion criteria and had retrospective and prospective data collected.
    End point type
    Primary
    End point timeframe
    During retrospective data collection period (12 months before screening collected in the hemophilia history CRF)
    Notes
    [17] - 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 descriptive data was planned to be analyzed for this endpoint.
    [18] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Number of subjects analysed
    24
    Units: Bleeds per year
    arithmetic mean (standard deviation)
        Treated bleeds
    9.83 ( 13.656 )
        All bleeds
    14.29 ( 18.208 )
    No statistical analyses for this end point

    Primary: ABR for Treated Bleeds and All Bleeds From the Combined Retrospective and Prospective Data Collection Period in Hemophilia A Participants: Protocol Amendment 5 Analysis set

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    End point title
    ABR for Treated Bleeds and All Bleeds From the Combined Retrospective and Prospective Data Collection Period in Hemophilia A Participants: Protocol Amendment 5 Analysis set [19] [20]
    End point description
    ABR per participant was calculated as number of bleeds over number of days from baseline visit (Day 1 of the study) to end of study*365.25 days. All bleeds included treated and untreated bleeds. A treated bleed was defined as an event necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. An untreated bleed was defined as an event not necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. In this outcome measure, ABR for all and treated bleeds during retrospective and prospective data collection period in hemophilia A participants per protocol amendment 5 analysis set was reported. Protocol Amendment 5 analysis set included all participants enrolled under Protocol Amendment 5 and afterwards, who fulfilled the inclusion/exclusion criteria and had retrospective and prospective data collected.
    End point type
    Primary
    End point timeframe
    From start of retrospective data collection period (12 months before screening collected in hemophilia history CRF) up to end of prospective data collection follow-up of period (maximum follow-up:948 days), for a total of approximately 3.6 years
    Notes
    [19] - 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 descriptive data was planned to be analyzed for this endpoint.
    [20] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Number of subjects analysed
    24
    Units: Bleeds per year
    arithmetic mean (standard deviation)
        Treated bleeds
    9.01 ( 11.908 )
        All bleeds
    12.77 ( 16.290 )
    No statistical analyses for this end point

    Secondary: Annualized Infusion Rate (AIR) During Prospective Data Collection Period in Hemophilia B Participants: Efficacy Analysis set

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    End point title
    Annualized Infusion Rate (AIR) During Prospective Data Collection Period in Hemophilia B Participants: Efficacy Analysis set [21]
    End point description
    AIR per participant was calculated as the number of infusions received over number of days from baseline visit (Day 1) to end of study * 365.25 days. Efficacy analysis set included participants who signed an ICF, had their blood sample collected and assayed for AAV-Spark100 or AAV6 immunity testing, who were subsequently identified as nAb negative (negative for nAb to AAV-Spark100 for the hemophilia B cohort), met the inclusion/ exclusion criteria and who participated in the prospective data collection phase as part of their usual healthcare setting.
    End point type
    Secondary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 1269 days])
    Notes
    [21] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FIX Replacement Therapy (Hemophilia B)
    Number of subjects analysed
    110
    Units: Infusions per year
        arithmetic mean (standard deviation)
    62.81 ( 33.250 )
    No statistical analyses for this end point

    Secondary: AIR During Prospective Data Collection Period in Hemophilia B Participants: Per-protocol Analysis set

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    End point title
    AIR During Prospective Data Collection Period in Hemophilia B Participants: Per-protocol Analysis set [22]
    End point description
    AIR per participant was calculated as the number of infusions received over number of days from baseline visit (Day 1) to end of study * 365.25 days. Per-Protocol analysis set included all participants who signed an ICF, had their blood sample collected and assayed for AAV-Spark100 or AAV6 immunity testing, who were subsequently identified as nAb negative (negative for nAb to AAV-Spark100 for the hemophilia B cohort), met the inclusion/ exclusion criteria and who participated and completed at least 6 months of the prospective data collection phase as part of their usual healthcare setting.
    End point type
    Secondary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 1269 days])
    Notes
    [22] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FIX Replacement Therapy (Hemophilia B)
    Number of subjects analysed
    107
    Units: Infusions per year
        arithmetic mean (standard deviation)
    62.82 ( 33.213 )
    No statistical analyses for this end point

    Secondary: AIR During Prospective Data Collection Period in Hemophilia B Participants: Protocol Amendment 5 Analysis set

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    End point title
    AIR During Prospective Data Collection Period in Hemophilia B Participants: Protocol Amendment 5 Analysis set [23]
    End point description
    AIR per participant was calculated as the number of infusions received over number of days from baseline visit (Day 1) to end of study * 365.25 days. Protocol Amendment 5 analysis set included all participants enrolled under Protocol Amendment 5 and afterwards, who fulfilled the inclusion/exclusion criteria and had retrospective and prospective data collected.
    End point type
    Secondary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 1269 days])
    Notes
    [23] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FIX Replacement Therapy (Hemophilia B)
    Number of subjects analysed
    39
    Units: Infusions per year
        arithmetic mean (standard deviation)
    56.97 ( 20.987 )
    No statistical analyses for this end point

    Secondary: AIR During Retrospective Data Collection Period in Hemophilia B Participants: Protocol Amendment 5 Analysis set

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    End point title
    AIR During Retrospective Data Collection Period in Hemophilia B Participants: Protocol Amendment 5 Analysis set [24]
    End point description
    AIR per participant was calculated as the number of infusions received over number of days from baseline visit (Day 1) to end of study * 365.25 days. Protocol Amendment 5 analysis set included all participants enrolled under Protocol Amendment 5 and afterwards, who fulfilled the inclusion/exclusion criteria and had retrospective and prospective data collected.
    End point type
    Secondary
    End point timeframe
    During retrospective data collection period (12 months before screening collected in the hemophilia history CRF)
    Notes
    [24] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FIX Replacement Therapy (Hemophilia B)
    Number of subjects analysed
    39
    Units: Infusions per year
        arithmetic mean (standard deviation)
    66.97 ( 30.535 )
    No statistical analyses for this end point

    Secondary: AIR From the Combined Retrospective and Prospective Data Collection Period in Hemophilia B Participants: Protocol Amendment 5 Analysis set

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    End point title
    AIR From the Combined Retrospective and Prospective Data Collection Period in Hemophilia B Participants: Protocol Amendment 5 Analysis set [25]
    End point description
    AIR combining retrospective and prospective data was calculated as (number of infusions from baseline visit (Day 1) to end of study + number of infusions collected in the Hemophilia History form) / (number of days from baseline visit (Day 1) to end of study + 365.25) / 365.25. Protocol Amendment 5 analysis set included all participants enrolled under Protocol Amendment 5 and afterwards, who fulfilled the inclusion/exclusion criteria and had retrospective and prospective data collected.
    End point type
    Secondary
    End point timeframe
    From start of retrospective data collection period (12 months before screening collected in hemophilia history CRF) up to end of prospective data collection follow-up of period (maximum follow-up:1269 days), for a total of approximately 4.5 years
    Notes
    [25] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FIX Replacement Therapy (Hemophilia B)
    Number of subjects analysed
    39
    Units: Infusions per year
        arithmetic mean (standard deviation)
    60.98 ( 23.130 )
    No statistical analyses for this end point

    Secondary: AIR During Prospective Data Collection Period in Hemophilia A Participants: Efficacy Analysis set

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    End point title
    AIR During Prospective Data Collection Period in Hemophilia A Participants: Efficacy Analysis set [26]
    End point description
    AIR per participant was calculated as the number of infusions received over number of days from baseline visit (Day 1) to end of study * 365.25 days. Efficacy analysis set included participants who signed an ICF, had their blood sample collected and assayed for AAV-Spark100 or AAV6 immunity testing, who were subsequently identified as nAb negative (negative for nAb to AAV6 for the hemophilia A cohort), met the inclusion/ exclusion criteria and who participated in the prospective data collection phase as part of their usual healthcare setting.
    End point type
    Secondary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 948 days])
    Notes
    [26] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Number of subjects analysed
    96
    Units: Infusions per year
        arithmetic mean (standard deviation)
    127.07 ( 51.784 )
    No statistical analyses for this end point

    Secondary: AIR During Prospective Data Collection Period in Hemophilia A Participants: Per-protocol Analysis set

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    End point title
    AIR During Prospective Data Collection Period in Hemophilia A Participants: Per-protocol Analysis set [27]
    End point description
    AIR per participant was calculated as the number of infusions received over number of days from baseline visit (Day 1) to end of study * 365.25 days. Per-Protocol analysis set included all participants who signed an ICF, had their blood sample collected and assayed for AAV-Spark100 or AAV6 immunity testing, who were subsequently identified as nAb negative (negative for nAb to AAV6 for the hemophilia A cohort), met the inclusion/ exclusion criteria and who participated and completed at least 6 months of the prospective data collection phase as part of their usual healthcare setting.
    End point type
    Secondary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 948 days])
    Notes
    [27] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Number of subjects analysed
    81
    Units: Infusions per year
        arithmetic mean (standard deviation)
    127.12 ( 55.418 )
    No statistical analyses for this end point

    Secondary: AIR During Prospective Data Collection Period in Hemophilia A Participants: Protocol Amendment 5 Analysis set

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    End point title
    AIR During Prospective Data Collection Period in Hemophilia A Participants: Protocol Amendment 5 Analysis set [28]
    End point description
    AIR per participant was calculated as the number of infusions received over number of days from baseline visit (Day 1) to end of study * 365.25 days. Protocol Amendment 5 analysis set included all participants enrolled under Protocol Amendment 5 and afterwards, who fulfilled the inclusion/exclusion criteria and had retrospective and prospective data collected.
    End point type
    Secondary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 948 days])
    Notes
    [28] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Number of subjects analysed
    24
    Units: Infusions per year
        arithmetic mean (standard deviation)
    133.19 ( 56.725 )
    No statistical analyses for this end point

    Secondary: Annualized Total Factor IX Replacement Therapy Consumption During Prospective Data Collection Period in Hemophilia B Participants: Efficacy Analysis set

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    End point title
    Annualized Total Factor IX Replacement Therapy Consumption During Prospective Data Collection Period in Hemophilia B Participants: Efficacy Analysis set [29]
    End point description
    Annualized factor consumption was calculated as the total factor replacement therapy consumption (in international unit [IU] and dose) *365.25 days/number of days during the observation time period while the participant received factor prophylaxis replacement therapy in the usual care setting from baseline visit (Day 1) to end of study. Efficacy analysis set included participants who signed an ICF, had their blood sample collected and assayed for AAV-Spark100 or AAV6 immunity testing, who were subsequently identified as nAb negative (negative for nAb to AAV-Spark100 for the hemophilia B cohort), met the inclusion/ exclusion criteria and who participated in the prospective data collection phase as part of their usual healthcare setting.
    End point type
    Secondary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 1269 days])
    Notes
    [29] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FIX Replacement Therapy (Hemophilia B)
    Number of subjects analysed
    110
    Units: International units per year
        arithmetic mean (standard deviation)
    238312 ( 127817 )
    No statistical analyses for this end point

    Secondary: AIR From the Combined Retrospective and Prospective Data Collection Period in Hemophilia A Participants: Protocol Amendment 5 Analysis set

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    End point title
    AIR From the Combined Retrospective and Prospective Data Collection Period in Hemophilia A Participants: Protocol Amendment 5 Analysis set [30]
    End point description
    AIR combining retrospective and prospective data was calculated as (number of infusions from baseline visit (Day 1) to end of study + number of infusions collected in the Hemophilia History form) / (number of days from baseline visit (Day 1) to end of study + 365.25) / 365.25. Protocol Amendment 5 analysis set included all participants enrolled under Protocol Amendment 5 and afterwards, who fulfilled the inclusion/exclusion criteria and had retrospective and prospective data collected.
    End point type
    Secondary
    End point timeframe
    From start of retrospective data collection period (12 months before screening collected in hemophilia history CRF) up to end of prospective data collection follow-up of period (maximum follow-up:948 days), for a total of approximately 3.6 years
    Notes
    [30] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Number of subjects analysed
    24
    Units: Infusions per year
        arithmetic mean (standard deviation)
    139.88 ( 52.490 )
    No statistical analyses for this end point

    Secondary: AIR During Retrospective Data Collection Period in Hemophilia A Participants: Protocol Amendment 5 Analysis set

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    End point title
    AIR During Retrospective Data Collection Period in Hemophilia A Participants: Protocol Amendment 5 Analysis set [31]
    End point description
    AIR per participant was calculated as the number of infusions received over number of days from baseline visit (Day 1) to end of study * 365.25 days. Protocol Amendment 5 analysis set included all participants enrolled under Protocol Amendment 5 and afterwards, who fulfilled the inclusion/exclusion criteria and had retrospective and prospective data collected.
    End point type
    Secondary
    End point timeframe
    During retrospective data collection period (12 months before screening collected in the hemophilia history CRF)
    Notes
    [31] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Number of subjects analysed
    24
    Units: Infusions per year
        arithmetic mean (standard deviation)
    141.88 ( 50.487 )
    No statistical analyses for this end point

    Secondary: Annualized Total Factor IX Replacement Therapy Consumption During Prospective Data Collection Period in Hemophilia B Participants: Per-protocol Analysis set

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    End point title
    Annualized Total Factor IX Replacement Therapy Consumption During Prospective Data Collection Period in Hemophilia B Participants: Per-protocol Analysis set [32]
    End point description
    Annualized factor consumption was calculated as the total factor replacement therapy consumption (in IU and dose) *365.25 days/number of days during the observation time period while the participant received factor prophylaxis replacement therapy in the usual care setting from baseline visit (Day 1) to end of study. Per-Protocol analysis set included all participants who signed an ICF, had their blood sample collected and assayed for AAV-Spark100 or AAV6 immunity testing, who were subsequently identified as nAb negative (negative for nAb to AAV-Spark100 for the hemophilia B cohort), met the inclusion/ exclusion criteria and who participated and completed at least 6 months of the prospective data collection phase as part of their usual healthcare setting.
    End point type
    Secondary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 1269 days])
    Notes
    [32] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FIX Replacement Therapy (Hemophilia B)
    Number of subjects analysed
    107
    Units: International units per year
        arithmetic mean (standard deviation)
    240501 ( 128676 )
    No statistical analyses for this end point

    Secondary: Annualized Total Factor IX Replacement Therapy Consumption During Prospective Data Collection Period in Hemophilia B Participants: Protocol Amendment 5 Analysis set

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    End point title
    Annualized Total Factor IX Replacement Therapy Consumption During Prospective Data Collection Period in Hemophilia B Participants: Protocol Amendment 5 Analysis set [33]
    End point description
    Annualized factor consumption was calculated as the total factor replacement therapy consumption (in IU and dose) *365.25 days/number of days during the observation time period while the participant received factor prophylaxis replacement therapy in the usual care setting from baseline visit (Day 1) to end of study. Protocol Amendment 5 analysis set included all participants enrolled under Protocol Amendment 5 and afterwards, who fulfilled the inclusion/exclusion criteria and had retrospective and prospective data collected.
    End point type
    Secondary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 1269 days])
    Notes
    [33] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FIX Replacement Therapy (Hemophilia B)
    Number of subjects analysed
    39
    Units: International units per year
        arithmetic mean (standard deviation)
    223408 ( 85995 )
    No statistical analyses for this end point

    Secondary: Annualized Total Factor IX Replacement Therapy Consumption During Prospective Data Collection Period in Hemophilia A Participants: Efficacy Analysis set

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    End point title
    Annualized Total Factor IX Replacement Therapy Consumption During Prospective Data Collection Period in Hemophilia A Participants: Efficacy Analysis set [34]
    End point description
    Annualized factor consumption was calculated as the total factor replacement therapy consumption (in IU and dose) *365.25 days/number of days during the observation time period while the participant received factor prophylaxis replacement therapy in the usual care setting from baseline visit (Day 1) to end of study. Efficacy analysis set included participants who signed an ICF, had their blood sample collected and assayed for AAV-Spark100 or AAV6 immunity testing, who were subsequently identified as nAb negative (negative for nAb to AAV6 for the hemophilia A cohort), met the inclusion/ exclusion criteria and who participated in the prospective data collection phase as part of their usual healthcare setting.
    End point type
    Secondary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 948 days])
    Notes
    [34] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Number of subjects analysed
    96
    Units: International units per year
        arithmetic mean (standard deviation)
    304998 ( 153932 )
    No statistical analyses for this end point

    Secondary: Annualized Total Factor IX Replacement Therapy Consumption During Prospective Data Collection Period in Hemophilia A Participants: Per-protocol Analysis set

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    End point title
    Annualized Total Factor IX Replacement Therapy Consumption During Prospective Data Collection Period in Hemophilia A Participants: Per-protocol Analysis set [35]
    End point description
    Annualized factor consumption was calculated as the total factor replacement therapy consumption (in IU and dose) *365.25 days/number of days during the observation time period while the participant received factor prophylaxis replacement therapy in the usual care setting from baseline visit (Day 1) to end of study. Per-Protocol analysis set included all participants who signed an ICF, had their blood sample collected and assayed for AAV-Spark100 or AAV6 immunity testing, who were subsequently identified as nAb negative (negative for nAb to AAV6 for the hemophilia A cohort), met the inclusion/ exclusion criteria and who participated and completed at least 6 months of the prospective data collection phase as part of their usual healthcare setting.
    End point type
    Secondary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 948 days])
    Notes
    [35] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Number of subjects analysed
    81
    Units: International units per year
        arithmetic mean (standard deviation)
    314195 ( 163786 )
    No statistical analyses for this end point

    Secondary: Annualized Total Factor IX Replacement Therapy Consumption During Prospective Data Collection Period in Hemophilia A Participants: Protocol Amendment 5 Analysis set

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    End point title
    Annualized Total Factor IX Replacement Therapy Consumption During Prospective Data Collection Period in Hemophilia A Participants: Protocol Amendment 5 Analysis set [36]
    End point description
    Annualized factor consumption was calculated as the total factor replacement therapy consumption (in IU and dose) *365.25 days/number of days during the observation time period while the participant received factor prophylaxis replacement therapy in the usual care setting from baseline visit (Day 1) to end of study. Protocol Amendment 5 analysis set included all participants enrolled under Protocol Amendment 5 and afterwards, who fulfilled the inclusion/exclusion criteria and had retrospective and prospective data collected.
    End point type
    Secondary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 948 days])
    Notes
    [36] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Number of subjects analysed
    24
    Units: International units per year
        arithmetic mean (standard deviation)
    235097 ( 67977 )
    No statistical analyses for this end point

    Secondary: ABR for Spontaneous Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia B Participants: Efficacy Analysis set

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    End point title
    ABR for Spontaneous Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia B Participants: Efficacy Analysis set [37]
    End point description
    ABR per participant was calculated as number of bleeds over number of days from baseline visit (Day 1) to end of study*365.25 days. Spontaneous bleeds: bleeding for no apparent or known reason particularly into the joints, muscles, and soft tissues. All bleeds included treated and untreated bleeds. Treated bleed: event necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. Untreated bleed: event not necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. Efficacy analysis set included participants who signed an ICF, had their blood sample collected and assayed for AAV-Spark100 or AAV6 immunity testing, who were subsequently identified as nAb negative (negative for nAb to AAV-Spark100 for hemophilia B cohort), met inclusion/ exclusion criteria and who participated in prospective data collection phase as part of their usual healthcare setting.
    End point type
    Secondary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 1269 days])
    Notes
    [37] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FIX Replacement Therapy (Hemophilia B)
    Number of subjects analysed
    110
    Units: Bleeds per year
    arithmetic mean (standard deviation)
        Treated bleeds
    2.11 ( 3.835 )
        All bleeds
    2.79 ( 6.411 )
    No statistical analyses for this end point

    Secondary: ABR for Traumatic Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia B Participants: Efficacy Analysis set

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    End point title
    ABR for Traumatic Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia B Participants: Efficacy Analysis set [38]
    End point description
    ABR per participant was calculated as number of bleeds over number of days from baseline visit (Day 1 of the study) to end of study*365.25 days. Traumatic bleeds were defined as bleeding event occurring for an apparent or known reason. All bleeds included treated and untreated bleeds. Treated bleed: event necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. Untreated bleed: event not necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. Efficacy analysis set included participants who signed an ICF, had their blood sample collected and assayed for AAV-Spark100 or AAV6 immunity testing, who were subsequently identified as nAb negative (negative for nAb to AAV-Spark100 for hemophilia B cohort), met inclusion/exclusion criteria and who participated in prospective data collection phase as part of their usual healthcare setting.
    End point type
    Secondary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 1269 days])
    Notes
    [38] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FIX Replacement Therapy (Hemophilia B)
    Number of subjects analysed
    110
    Units: Bleeds per year
    arithmetic mean (standard deviation)
        Treated bleeds
    1.50 ( 6.380 )
        All bleeds
    1.68 ( 6.623 )
    No statistical analyses for this end point

    Secondary: ABR for Spontaneous Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia B Participants: Per-protocol Analysis set

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    End point title
    ABR for Spontaneous Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia B Participants: Per-protocol Analysis set [39]
    End point description
    ABR per participant calculated as number of bleeds over number of days from baseline visit (Day 1) to end of study*365.25days. Spontaneous bleeds: bleeding for no apparent or known reason particularly into joints, muscles, soft tissues. All bleeds=treated and untreated bleeds. Treated bleed:event necessitating administration of coagulation factor within 72hours of signs or symptoms of bleeding. Untreated bleed:event not necessitating administration of coagulation factor within 72hours of signs or symptoms of bleeding. Per-Protocol analysis set: all participants who signed an ICF, had their blood sample collected and assayed for AAV-Spark100 or AAV6 immunity testing, who were subsequently identified as nAb negative(negative for nAb to AAV-Spark100 for hemophilia B cohort),met inclusion/exclusion criteria and who participated and completed at least 6 months of prospective data collection phase as part of their usual healthcare setting.
    End point type
    Secondary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 1269 days])
    Notes
    [39] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FIX Replacement Therapy (Hemophilia B)
    Number of subjects analysed
    107
    Units: Bleeds per year
    arithmetic mean (standard deviation)
        Treated bleeds
    2.17 ( 3.872 )
        All bleeds
    2.84 ( 6.490 )
    No statistical analyses for this end point

    Secondary: ABR for Traumatic Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia B Participants: Per-protocol Analysis set

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    End point title
    ABR for Traumatic Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia B Participants: Per-protocol Analysis set [40]
    End point description
    ABR per participant was calculated as number of bleeds over number of days from baseline visit (Day 1) to end of study*365.25 days. Traumatic bleeds were defined as bleeding event occurring for an apparent or known reason. All bleeds=treated and untreated bleeds. Treated bleed: event necessitating administration of coagulation factor within 72hours of signs or symptoms of bleeding. Untreated bleed: event not necessitating administration of coagulation factor within 72hours of signs or symptoms of bleeding. Per-Protocol analysis set included all participants who signed an ICF, had their blood sample collected and assayed for AAV-Spark100 or AAV6 immunity testing, who were subsequently identified as nAb negative(negative for nAb to AAV-Spark100 for hemophilia B cohort),met inclusion/exclusion criteria and who participated and completed at least 6 months of prospective data collection phase as part of their usual healthcare setting.
    End point type
    Secondary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 1269 days])
    Notes
    [40] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FIX Replacement Therapy (Hemophilia B)
    Number of subjects analysed
    107
    Units: Bleeds per year
    arithmetic mean (standard deviation)
        Treated bleeds
    1.54 ( 6.465 )
        All bleeds
    1.72 ( 6.710 )
    No statistical analyses for this end point

    Secondary: ABR for Spontaneous Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia A Participants: Efficacy Analysis set

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    End point title
    ABR for Spontaneous Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia A Participants: Efficacy Analysis set [41]
    End point description
    ABR per participant was calculated as number of bleeds over number of days from baseline visit (Day 1) to end of study*365.25 days. Spontaneous bleeds: bleeding for no apparent or known reason particularly into the joints, muscles, and soft tissues. All bleeds included treated and untreated bleeds. Treated bleed: event necessitating administration of coagulation factor within 72hours of signs or symptoms of bleeding. Untreated bleed: event not necessitating administration of coagulation factor within 72hours of signs or symptoms of bleeding. Efficacy analysis set included participants who signed an ICF, had their blood sample collected and assayed for AAV-Spark100 or AAV6 immunity testing, who were subsequently identified as nAb negative (negative for nAb to AAV6 for hemophilia A cohort), met inclusion/ exclusion criteria and who participated in prospective data collection phase as part of their usual healthcare setting.
    End point type
    Secondary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 948 days])
    Notes
    [41] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Number of subjects analysed
    96
    Units: Bleeds per year
    arithmetic mean (standard deviation)
        Treated bleeds
    3.15 ( 5.948 )
        All bleeds
    3.89 ( 7.552 )
    No statistical analyses for this end point

    Secondary: ABR for Traumatic Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia A Participants: Efficacy Analysis set

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    End point title
    ABR for Traumatic Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia A Participants: Efficacy Analysis set [42]
    End point description
    ABR per participant was calculated as number of bleeds over number of days from baseline visit (Day 1) to end of study*365.25 days. Traumatic bleeds were defined as bleeding event occurring for an apparent or known reason. All bleeds included treated and untreated bleeds. A treated bleed: event necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. An untreated bleed was defined as an event not necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. Efficacy analysis set included participants who signed an ICF, had their blood sample collected and assayed for AAV-Spark100 or AAV6 immunity testing, who were subsequently identified as nAb negative (negative for nAb to AAV6 for hemophilia A cohort), met inclusion/exclusion criteria and who participated in prospective data collection phase as part of their usual healthcare setting.
    End point type
    Secondary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 948 days])
    Notes
    [42] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Number of subjects analysed
    96
    Units: Bleeds per year
    arithmetic mean (standard deviation)
        Treated bleeds
    1.78 ( 3.893 )
        All bleeds
    2.27 ( 5.503 )
    No statistical analyses for this end point

    Secondary: ABR for Spontaneous Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia A Participants: Per-protocol Analysis set

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    End point title
    ABR for Spontaneous Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia A Participants: Per-protocol Analysis set [43]
    End point description
    ABR per participant calculated as number of bleeds over number of days from baseline visit (Day 1) to end of study*365.25days. Spontaneous bleeds: bleeding for no apparent or known reason particularly into joints,muscles, soft tissues. All bleeds=treated and untreated bleeds. Treated bleed: event necessitating administration of coagulation factor within 72hours of signs or symptoms of bleeding. Untreated bleed: event not necessitating administration of coagulation factor within 72hours of signs or symptoms of bleeding. Per-Protocol analysis set: all participants who signed an ICF,had their blood sample collected and assayed for AAV-Spark100 or AAV6 immunity testing,who were subsequently identified as nAb negative(negative for nAb to AAV6 for hemophilia A cohort),met inclusion/exclusion criteria and who participated and completed at least 6 months of prospective data collection phase as part of their usual healthcare setting.
    End point type
    Secondary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 948 days])
    Notes
    [43] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Number of subjects analysed
    81
    Units: Bleeds per year
    arithmetic mean (standard deviation)
        Treated bleeds
    2.37 ( 4.101 )
        All bleeds
    2.73 ( 5.143 )
    No statistical analyses for this end point

    Secondary: ABR for Traumatic Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia A Participants: Per-protocol Analysis set

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    End point title
    ABR for Traumatic Treated Bleeds and All Bleeds During Prospective Data Collection Period in Hemophilia A Participants: Per-protocol Analysis set [44]
    End point description
    ABR per participant was calculated as number of bleeds over number of days from baseline visit (Day 1) to end of study*365.25 days. Traumatic bleeds were defined as bleeding event occurring for an apparent or known reason. All bleeds=treated and untreated bleeds. Treated bleed: event necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. Untreated bleed: event not necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. Per-Protocol analysis set included all participants who signed an ICF, had their blood sample collected and assayed for AAV-Spark100 or AAV6 immunity testing, who were subsequently identified as nAb negative (negative for nAb to AAV6 for hemophilia A cohort), met inclusion/exclusion criteria and who participated and completed at least 6 months of prospective data collection phase as part of their usual healthcare setting.
    End point type
    Secondary
    End point timeframe
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 948 days])
    Notes
    [44] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was planned to be analysed only for the specified reporting arms.
    End point values
    Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Number of subjects analysed
    81
    Units: Bleeds per year
    arithmetic mean (standard deviation)
        Treated bleeds
    1.45 ( 3.467 )
        All bleeds
    1.60 ( 3.608 )
    No statistical analyses for this end point

    Other pre-specified: Number of Participants With Serious Adverse Events (SAEs)

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    End point title
    Number of Participants With Serious Adverse Events (SAEs)
    End point description
    An adverse event (AE) was any untoward medical occurrence in a study participant administered a product or medical device; the event need not necessarily have a causal relationship with the treatment or usage. An SAE was any untoward medical occurrence at any dose that met 1 of the following criteria: resulted in death; was life-threatening; required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/ incapacity; resulted in congenital anomaly/birth defect; other important medical events per protocol of the study. Safety analysis set (SAS) included all enrolled participants (negative for nAb to AAV-Spark100 for the hemophilia B cohort, or negative for nAb to AAV6 for the hemophilia A cohort) who entered the prospective data collection phase.
    End point type
    Other pre-specified
    End point timeframe
    During prospective data collection period: Day 1 through end of study visit (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 1269 days])
    End point values
    Standard of Care FIX Replacement Therapy (Hemophilia B) Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Number of subjects analysed
    111
    101
    Units: Participants
    9
    4
    No statistical analyses for this end point

    Other pre-specified: Number of Participants With Adverse Events of Special Interest (AESIs)

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    End point title
    Number of Participants With Adverse Events of Special Interest (AESIs)
    End point description
    An AE was any untoward medical occurrence in a study participant administered a product or medical device; the event need not necessarily have a causal relationship with the treatment or usage. Adverse events of special interest were FIX/FVIII inhibitor development, thrombotic events, and FIX hypersensitivity events for this study. SAS included all enrolled participants (negative for nAb to AAV-Spark100 for the hemophilia B cohort, or negative for nAb to AAV6 for the hemophilia A cohort) who entered the prospective data collection phase.
    End point type
    Other pre-specified
    End point timeframe
    During prospective data collection period: Day 1 through end of study visit (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 1269 days])
    End point values
    Standard of Care FIX Replacement Therapy (Hemophilia B) Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Number of subjects analysed
    111
    101
    Units: Participants
    2
    0
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    During prospective data collection period (from baseline visit of the study [Day 1] up to end of study follow-up [maximum follow-up: 1269 days])
    Adverse event reporting additional description
    Same event may occur as both non-SAE and SAE but are distinct events. An event may be categorised as serious in 1 participant and non-serious in another, or a participant may have experienced both SAE and non-SAE. Safety analysis set was evaluated.
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    27.1
    Reporting groups
    Reporting group title
    Standard of Care FIX Replacement Therapy (Hemophilia B)
    Reporting group description
    Participants with moderately severe to severe hemophilia B who administered their own current FIX replacement therapy in the usual healthcare setting were included. No investigational product was administered as a part of this study.

    Reporting group title
    Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Reporting group description
    Participants with moderately severe to severe hemophilia A who administered their own current FVIII replacement therapy in the usual healthcare setting were included. No investigational product was administered as a part of this study.

    Serious adverse events
    Standard of Care FIX Replacement Therapy (Hemophilia B) Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Total subjects affected by serious adverse events
         subjects affected / exposed
    9 / 111 (8.11%)
    4 / 101 (3.96%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    0
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    B-cell lymphoma
    Additional description: MedDRA v27.1 was used for Hemophilia B cohort. MedDRA v26.0 was used for Hemophilia A cohort.
         subjects affected / exposed
    0 / 111 (0.00%)
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Joint injury
    Additional description: MedDRA v27.1 was used for Hemophilia B cohort. MedDRA v26.0 was used for Hemophilia A cohort.
         subjects affected / exposed
    1 / 111 (0.90%)
    0 / 101 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ligament rupture
    Additional description: MedDRA v27.1 was used for Hemophilia B cohort. MedDRA v26.0 was used for Hemophilia A cohort.
         subjects affected / exposed
    1 / 111 (0.90%)
    0 / 101 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ligament sprain
    Additional description: MedDRA v27.1 was used for Hemophilia B cohort. MedDRA v26.0 was used for Hemophilia A cohort.
         subjects affected / exposed
    1 / 111 (0.90%)
    0 / 101 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Tooth fracture
    Additional description: MedDRA v27.1 was used for Hemophilia B cohort. MedDRA v26.0 was used for Hemophilia A cohort.
         subjects affected / exposed
    1 / 111 (0.90%)
    0 / 101 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Enteritis
    Additional description: MedDRA v27.1 was used for Hemophilia B cohort. MedDRA v26.0 was used for Hemophilia A cohort.
         subjects affected / exposed
    1 / 111 (0.90%)
    0 / 101 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal haemorrhage
    Additional description: MedDRA v27.1 was used for Hemophilia B cohort. MedDRA v26.0 was used for Hemophilia A cohort.
         subjects affected / exposed
    2 / 111 (1.80%)
    0 / 101 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Haemorrhoidal haemorrhage
    Additional description: MedDRA v27.1 was used for Hemophilia B cohort. MedDRA v26.0 was used for Hemophilia A cohort.
         subjects affected / exposed
    0 / 111 (0.00%)
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Upper gastrointestinal haemorrhage
    Additional description: MedDRA v27.1 was used for Hemophilia B cohort. MedDRA v26.0 was used for Hemophilia A cohort.
         subjects affected / exposed
    0 / 111 (0.00%)
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Pneumonitis
    Additional description: MedDRA v27.1 was used for Hemophilia B cohort. MedDRA v26.0 was used for Hemophilia A cohort.
         subjects affected / exposed
    1 / 111 (0.90%)
    0 / 101 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Haemophilic arthropathy
    Additional description: MedDRA v27.1 was used for Hemophilia B cohort. MedDRA v26.0 was used for Hemophilia A cohort.
         subjects affected / exposed
    1 / 111 (0.90%)
    0 / 101 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Arthropathy
    Additional description: MedDRA v27.1 was used for Hemophilia B cohort. MedDRA v26.0 was used for Hemophilia A cohort.
         subjects affected / exposed
    1 / 111 (0.90%)
    0 / 101 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Appendicitis
    Additional description: MedDRA v27.1 was used for Hemophilia B cohort. MedDRA v26.0 was used for Hemophilia A cohort.
         subjects affected / exposed
    1 / 111 (0.90%)
    0 / 101 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Wound infection
    Additional description: MedDRA v27.1 was used for Hemophilia B cohort. MedDRA v26.0 was used for Hemophilia A cohort.
         subjects affected / exposed
    0 / 111 (0.00%)
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 1%
    Non-serious adverse events
    Standard of Care FIX Replacement Therapy (Hemophilia B) Standard of Care FVIII Replacement Therapy (Hemophilia A)
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    4 / 111 (3.60%)
    0 / 101 (0.00%)
    Vascular disorders
    Haematoma
    Additional description: MedDRA v27.1 was used for Hemophilia B cohort. MedDRA v26.0 was used for Hemophilia A cohort.
         subjects affected / exposed
    2 / 111 (1.80%)
    0 / 101 (0.00%)
         occurrences all number
    2
    0
    Musculoskeletal and connective tissue disorders
    Arthralgia
    Additional description: MedDRA v27.1 was used for Hemophilia B cohort. MedDRA v26.0 was used for Hemophilia A cohort.
         subjects affected / exposed
    2 / 111 (1.80%)
    0 / 101 (0.00%)
         occurrences all number
    2
    0

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    27 Jun 2019
    Including an additional cohort (hemophilia A population) as part of the 6-month lead-in study, to support the initiation of the hemophilia A gene therapy Phase 3 study. Incorporate administrative changes from the 6 previous protocol administrative change letters (PACLs).
    17 May 2022
    Clarified that participant with a history of a neoplasm (including hepatic malignancy) that required treatment (e.g., chemotherapy, radiotherapy, immunotherapy), is excluded, except for adequately treated basal or squamous cell carcinoma of the skin or a surgically removed benign neoplasm not requiring chemotherapy, radiotherapy and/or immunotherapy. Any other neoplasm that has been cured by resection should be discussed between the investigator and sponsor. Clarified that participants with conditions associated with increased thromboembolic risk such as known inherited or acquired thrombophilia, or a history of thrombotic events, including venous thromboembolism, should be excluded so that it is not open to investigator discretion.

    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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