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Trial · NCT01410227

Pharmacokinetics, Safety and Efficacy of Recombinant Von Willebrand Factor (rVWF) in the Treatment of Bleeding Episodes in Von Willebrand Disease (VWD)

NCT01410227, Phase 3, Completed, Baxalta now part of Shire; results first posted 2016-04-21

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Pharmacokinetics, Safety and Efficacy of Recombinant Von Willebrand Factor (rVWF) in the Treatment of Bleeding Episodes in Von Willebrand Disease (VWD). Trials, record NCT01410227. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01410227

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Pharmacokinetics, Safety and Efficacy of Recombinant Von Willebrand Factor (rVWF) in the Treatment of Bleeding Episodes in Von Willebrand Disease (VWD)
NCT number
NCT01410227
Status
Completed
Phases
Phase 3
Enrollment
49 participants, actual
Lead sponsor
Baxalta now part of Shire
Conditions
Von Willebrand Disease
Interventions
Recombinant von Willebrand factor (rVWF), Placebo, Recombinant factor VIIII (rFVIII)
First posted
2011-08-05
Last updated
2021-05-19
Other registries' IDs
eudract:2010-024108-84
Results first posted
2016-04-21

Source ClinicalTrials.gov

Registered outcomes67

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercentage of Participants With Treatment Success for Treated Bleeding EpisodesFor 12 months after first infusion of rVWF:rFVIII or rVWF
Treatment success was defined as the extent of control of bleeding episodes (BEs) using a mean efficacy rating score of \<2.5 for a participant's BEs treated with study product (recombinant von Willebrand Factor \[rVWF\] with or without recombinant factor VIII \[rFVIII\]) during the study period. Scores used: Excellent = 1 - actual infusions ≤ estimated number of infusions required to treat BE; no additional VWF required (all BEs); Good = 2 - \>1-2 infusions (minor/moderate BEs) or \<1.5 infusions (major BEs) greater than estimated required to control BE; no additional VWF required (all BEs); Moderate = 3 ≥ 3 infusions (minor/moderate BEs) or ≥ 1.5 infusions (major BEs) greater than estimated required to control BE; no additional VWF required (all BEs); None = 4 - severe uncontrolled bleeding or intensity of bleeding not changed; additional VWF required. Included participants with available primary efficacy rating (prospective-excluding gastrointestinal bleeds) in the Full Analysis Set.
SecondaryPercentage of Treated Bleeding Episodes With an Efficacy Rating of "Excellent" or "Good"For 12 months after first infusion of rVWF:rFVIII or rVWF
Efficacy ratings "excellent" or "good" for the control of bleeding episodes (BEs) with study product (recombinant von Willebrand Factor \[rVWF\] with or without recombinant factor VIII \[rFVIII\]) are defined as follows: Excellent - actual infusions ≤ estimated number of infusions required to treat BE; no additional von Willebrand Factor (VWF) required (all BEs); Good - \>1-2 infusions (minor/moderate BEs) or \<1.5 infusions (major BEs) greater than estimated required to control BE; no additional VWF required (all BEs). The data set included prospectively estimated BEs treated with study product with an available efficacy rating from participants in the Full Analysis Set
SecondaryPercentage of Treated Bleeding Episodes With an Efficacy Rating of "Excellent" or "Good", Excluding Gastrointestinal BleedsFor 12 months after first infusion of rVWF:rFVIII or rVWF
Efficacy ratings of "excellent" or "good" for the control of bleeding episodes (BEs) with study product (recombinant von Willebrand Factor \[rVWF\] with or without recombinant factor VIII \[rFVIII\]) are defined as follows: Excellent - actual infusions ≤ estimated number of infusions required to treat BE; no additional von Willebrand Factor (VWF) required (all BEs); Good - \>1-2 infusions (minor/moderate BEs) or \<1.5 infusions (major BEs) greater than estimated required to control BE; no additional VWF required (all BEs). The data set included prospectively estimated BEs excluding gastrointestinal (GI) bleeds treated with study product with an available efficacy rating from participants in the Full Analysis Set.
SecondaryNumber of Infusions of rVWF:rFVIII and/or rVWF Per Bleeding EpisodeFor 12 months after first infusion of rVWF:rFVIII or rVWF
The actual number of infusions of recombinant von Willebrand factor:recombinant factor VIII (rVWF:rFVIII) and/or rVWF required to treat a bleeding episode (BE). BEs were to be initially treated with an infusion of rVWF:rFVIII and subsequently with rVWF with or without rFVIII, based on FVIII levels, if available. In cases, where no FVIII levels were available, the individual participant's PK data was used to determine the rFVIII dose. The data set included prospectively estimated BEs treated with study product with an available efficacy rating from participants in the Full Analysis Set.
SecondaryNumber of Units of rVWF:rFVIII and/or rVWF Per Bleeding EpisodeFor 12 months after first infusion of rVWF:rFVIII or rVWF
The number of units is provided as the actual dose \[IU/kg\] of recombinant von Willebrand factor:recombinant factor VIII (rVWF:rFVIII) and/or rVWF required to treat a bleeding episode (BE). BEs were to be initially treated with an infusion of rVWF:rFVIII and subsequently with rVWF with or without rFVIII, based on FVIII levels, if available. In cases, where no FVIII levels were available, the individual participant's PK data was used to determine the rFVIII dose. The data set included prospectively estimated BEs treated with study product of known lot number with an available efficacy rating from participants in the Full Analysis Set.
SecondaryPercentage of Participants Who Develop Inhibitory Antibodies to FVIIIFor 12 months after first infusion of rVWF:rFVIII or rVWF
Development of neutralizing antibodies (inhibitors) to factor VIII (FVIII) was assessed by the Nijmegen modification of the Bethesda assay. Positive FVIII inhibitor tests were defined as ≥ 0.4 Bethesda units/mL (BU/mL) by the Nijmegen-modified Bethesda assay that is confirmed by a second test performed on an independent sample obtained 2-4 weeks following the first test. Category title includes number of participants \[N\] who provided data for the category.
SecondaryPercentage of Participants Who Develop Inhibitory Antibodies to VWFAfter signing informed consent until 12 months after first infusion of rVWF:rFVIII or rVWF
Neutralizing antibodies (inhibitors) to Von Willebrand Factor Ristocetin cofactor (VWF:RCo), VWF collagen binding (VWF:CB) and VWF Factor VIII binding (VWF:FVIIIB) activities were measured using Nijmegen modification of the Bethesda assay. One Bethesda Unit (BU) is thereby defined as the amount of inhibitor that decreased the measured activity in the assays to 50% of that of the negative control samples. The assays were validated using human plasma samples from two type 3 VWD patients with low (1-2 BU/mL) and high (\~10 BU/mL) titer inhibitors and plasma samples from non-human primates immunized with human rVWF (\>100 BU/mL). Category title includes number of participants \[N\] who provided data for the category.
SecondaryPercentage of Participants Who Develop Binding Antibodies to VWFAfter signing informed consent until 12 months after first infusion of rVWF:rFVIII or rVWF
The presence of total binding anti-VWF antibodies was determined by an enzyme-linked immunosorbent assay (ELISA) employing polyclonal anti-human immunoglobulin (Ig) antibodies (IgG, IgM and IgA). Category title includes number of participants \[N\] who provided data for the category.
SecondaryPercentage of Participants Who Develop Binding Antibodies to CHOAfter signing informed consent until 12 months after first infusion of rVWF:rFVIII or rVWF
The presence of total binding anti-CHO antibodies was determined by measuring total immunoglobulin (Ig) antibodies (IgG, IgA, IgM) against Chinese Hamster Ovary (CHO) protein using an enzyme-linked immunosorbent assay (ELISA). Category title includes number of participants \[N\] who provided data for the category.
SecondaryPercentage of Participants Who Develop Binding Antibodies to rFurinAfter signing informed consent until 12 months after first infusion of rVWF:rFVIII or rVWF
The presence of total binding anti-rFurin antibodies was determined by measuring total immunoglobulin (Ig) antibodies (IgG, IgA, IgM) against rFurin protein using an enzyme-linked immunosorbent assay (ELISA). Category title includes number of participants \[N\] who provided data for the category.

Outcomes67

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants With Treatment Success for Treated Bleeding EpisodesFor 12 months after first infusion of rVWF:rFVIII or rVWFPercent of participantsNUMBER
SECONDARYPercentage of Treated Bleeding Episodes With an Efficacy Rating of Excellent or GoodFor 12 months after first infusion of rVWF:rFVIII or rVWFPercent of bleeding episodesNUMBER
SECONDARYPercentage of Treated Bleeding Episodes With an Efficacy Rating of Excellent or Good, Excluding Gastrointestinal BleedsFor 12 months after first infusion of rVWF:rFVIII or rVWFPercent of bleeding episodesGEOMETRIC_MEAN
SECONDARYNumber of Infusions of rVWF:rFVIII and/or rVWF Per Bleeding EpisodeFor 12 months after first infusion of rVWF:rFVIII or rVWFNumber of infusionsMEDIAN
SECONDARYNumber of Units of rVWF:rFVIII and/or rVWF Per Bleeding EpisodeFor 12 months after first infusion of rVWF:rFVIII or rVWFIU/kgMEDIAN
SECONDARYPercentage of Participants Who Develop Inhibitory Antibodies to FVIIIFor 12 months after first infusion of rVWF:rFVIII or rVWFPercent of participantsNUMBER
SECONDARYPercentage of Participants Who Develop Inhibitory Antibodies to VWFAfter signing informed consent until 12 months after first infusion of rVWF:rFVIII or rVWFPercent of participantsNUMBER
SECONDARYPercentage of Participants Who Develop Binding Antibodies to VWFAfter signing informed consent until 12 months after first infusion of rVWF:rFVIII or rVWFPercent of participantsNUMBER
SECONDARYPercentage of Participants Who Develop Binding Antibodies to CHOAfter signing informed consent until 12 months after first infusion of rVWF:rFVIII or rVWFPercent of participantsNUMBER
SECONDARYPercentage of Participants Who Develop Binding Antibodies to rFurinAfter signing informed consent until 12 months after first infusion of rVWF:rFVIII or rVWFPercent of participantsNUMBER

Results by group148

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With Treatment Success for Treated Bleeding EpisodesFull Analysis Set100.090% Confidence Interval 84.7 to 100.0Percent of participants
Percentage of Treated Bleeding Episodes With an Efficacy Rating of Excellent or GoodFull Analysis Set100.090% Confidence Interval 97.7 to 100.0Percent of bleeding episodes
Percentage of Treated Bleeding Episodes With an Efficacy Rating of Excellent or Good, Excluding Gastrointestinal BleedsFull Analysis Set100.090% Confidence Interval 97.7 to 100.0Percent of bleeding episodes
Number of Infusions of rVWF:rFVIII and/or rVWF Per Bleeding EpisodeFull Analysis Set1.090% Confidence Interval 1.0 to 1.0Number of infusions
Number of Units of rVWF:rFVIII and/or rVWF Per Bleeding EpisodeFull Analysis Set48.290% Confidence Interval 43.9 to 50.2IU/kg
Percentage of Participants Who Develop Inhibitory Antibodies to FVIIISafety Analysis SetBefore 1st treatment with study product [N=37]0Percent of participants
Percentage of Participants Who Develop Inhibitory Antibodies to FVIIISafety Analysis SetDuring 1st treatment until study end [N=27]0Percent of participants
Percentage of Participants Who Develop Inhibitory Antibodies to FVIIISafety Analysis SetAt final study visit [N=24]0Percent of participants
Percentage of Participants Who Develop Inhibitory Antibodies to VWFSafety Analysis SetBefore 1st treatment with study product [N=37]0Percent of participants
Percentage of Participants Who Develop Inhibitory Antibodies to VWFSafety Analysis SetDuring 1st treatment until study end [N=27]0Percent of participants

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDArm 1: PK50 + Treatment8
Overall StudySTARTEDArm 2: PK50 Only8
Overall StudySTARTEDArm 3: PK80 + Treatment15
Overall StudySTARTEDArm 4: Treatment Only6
Overall StudyCOMPLETEDArm 1: PK50 + Treatment4
Overall StudyCOMPLETEDArm 2: PK50 Only8
Overall StudyCOMPLETEDArm 3: PK80 + Treatment13
Overall StudyCOMPLETEDArm 4: Treatment Only5
Overall StudyNOT COMPLETEDArm 1: PK50 + Treatment4
Overall StudyNOT COMPLETEDArm 2: PK50 Only0

Adverse events21

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersSafety Analysis Set2372
otherIron deficiency anaemiaBlood and lymphatic system disordersSafety Analysis Set3374
otherVertigoEar and labyrinth disordersSafety Analysis Set2373
otherNauseaGastrointestinal disordersSafety Analysis Set2372
otherVomitingGastrointestinal disordersSafety Analysis Set3374
otherInfusion site paraesthesiaGeneral disordersSafety Analysis Set2372
otherUpper respiratory tract infectionInfections and infestationsSafety Analysis Set3375
otherContusionInjury, poisoning and procedural complicationsSafety Analysis Set2372
otherLacerationInjury, poisoning and procedural complicationsSafety Analysis Set2374
otherArthralgiaMusculoskeletal and connective tissue disordersSafety Analysis Set33716

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitySafety Analysis Set
Total, other adverse eventsSafety Analysis Set1437
Total, serious adverse eventsSafety Analysis Set737

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
26239086RESULT

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

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