PMID- 33277961 OWN - NLM STAT- MEDLINE DCOM- 20210924 LR - 20210924 IS - 1365-2516 (Electronic) IS - 1351-8216 (Linking) VI - 27 IP - 1 DP - 2021 Jan TI - Safety and efficacy of nonacog alfa for the treatment of haemophilia B in children younger than 6 years of age in a routine clinical care setting: the EUREKIX registry study. PG - e60-e68 LID - 10.1111/hae.14215 [doi] AB - INTRODUCTION: European regulatory authorities request postmarketing safety and efficacy data for factor IX (FIX) products. AIM: Collect additional clinical data from routine nonacog alfa use in children aged <6 years with haemophilia B. METHODS: The EUREKIX registry included retrospective and prospective data collection phases. Safety was assessed via adverse drug reactions (ADRs)/adverse events (AEs) and events of special interest (ESIs) as the primary objective; efficacy was evaluated via annualised bleeding rates (ABRs). RESULTS: The retrospective phase comprised 37 subjects. Of these, 25 had severe haemophilia B. One subject experienced 2 ADRs; another experienced 4 ESIs of hypersensitivity. Median ABR in subjects receiving a predominantly on-demand regimen (prophylaxis <50% of time; n = 11) was 2.0; median ABR was 3.8 in those receiving predominantly prophylactic treatment (prophylaxis >/=50% of time; n = 24). Joint bleeding was infrequent (median ABR, 0.4; n = 35). The prospective phase included 26 subjects, with 17 continuing from the retrospective phase. A total of 20 subjects had severe haemophilia B. Three subjects experienced 7 treatment-related AEs; 3 experienced 4 ESIs. Median ABR was 4.5 and 1.1 in subjects who received predominantly on-demand (n = 5) or prophylactic treatment (n = 19), respectively; the overall median ABR for joint bleeding events was 0.0. CONCLUSIONS: Overall, nonacog alfa treatment effectively controlled bleeding events, with no new safety signals identified. These data support the safety and efficacy of nonacog alfa in routine clinical settings in children aged <6 years. CI - (c) 2020 John Wiley & Sons Ltd. FAU - Liesner, Ri AU - Liesner R AUID- ORCID: 0000-0001-5659-554X AD - Great Ormond Street Hospital for Children, London, UK. FAU - Andersson, Nadine G AU - Andersson NG AUID- ORCID: 0000-0001-6058-8350 AD - Department for Thrombosis and Haemostasis, Skane University Hospital, Malmo, Sweden. FAU - Frisk, Tony AU - Frisk T AD - Karolinska University Hospital, Stockholm, Sweden. FAU - Santagostino, Elena AU - Santagostino E AUID- ORCID: 0000-0001-9639-6422 AD - Foundation IRCCS Ca Granda, Maggiore Hospital Policlinico, Angelo Bianchi Bonomi Haemophilia and Thrombosis Centre, Milan, Italy. FAU - Schulz, Martin AU - Schulz M AD - Pfizer Pharma GmbH, Berlin, Germany. FAU - Young, Lisa AU - Young L AD - Pfizer Innovative Health, Walton Oaks, UK. FAU - Giordano, Paola AU - Giordano P AD - Department of Biomedical Science and Human Oncology, University of Bari "Aldo Moro", Bari, Italy. FAU - Tagliaferri, Annarita AU - Tagliaferri A AUID- ORCID: 0000-0003-3529-6334 AD - Regional Reference Center for Inherited Bleeding Disorders, University Hospital of Parma, Parma, Italy. LA - eng GR - Pfizer/ PT - Journal Article DEP - 20201205 PL - England TA - Haemophilia JT - Haemophilia : the official journal of the World Federation of Hemophilia JID - 9442916 RN - 9001-28-9 (Factor IX) SB - IM MH - Child MH - Factor IX/therapeutic use MH - *Hemophilia A MH - *Hemophilia B/drug therapy MH - Hemorrhage/etiology/prevention & control MH - Humans MH - Registries MH - Retrospective Studies OTO - NOTNLM OT - Europe OT - factor IX OT - haematology OT - haemorrhage OT - observational study OT - paediatrics EDAT- 2020/12/06 06:00 MHDA- 2021/09/25 06:00 CRDT- 2020/12/05 08:33 PHST- 2020/02/26 00:00 [received] PHST- 2020/10/26 00:00 [revised] PHST- 2020/11/09 00:00 [accepted] PHST- 2020/12/06 06:00 [pubmed] PHST- 2021/09/25 06:00 [medline] PHST- 2020/12/05 08:33 [entrez] AID - 10.1111/hae.14215 [doi] PST - ppublish SO - Haemophilia. 2021 Jan;27(1):e60-e68. doi: 10.1111/hae.14215. Epub 2020 Dec 5.