No Factor VIII inhibitors were detected during the XTEND-Kids study1*
Primary endpoint: Incidence of neutralizing antibodies to Factor VIII2
![0-2.png](https://pro.campus.sanofi/dam/jcr:a6bd4d06-d13a-4fdc-8e20-9ab512735654/0-2.png)
0.0% (95% Cl: 0.0-4.9)2
Formation of inhibitors to Factor VIII is possible following administration of ALTUVIIIO.1
* Defined as an inhibitor of ≥0.6 BU/mL and confirmed by a second test result from a separate sample drawn 2 to 4 weeks following the date of the original sample.2
Effective bleed protection with a once-weekly infusion1
In the XTEND-Kids trial:
ALTUVIIIO demonstrated proven bleed protection in children <12 years (n=72)*
![img_ped_efficacy_00.png](https://pro.campus.sanofi/dam/jcr:d6c5d774-dfea-469c-922c-6c9b24cdb9a2/img_ped_efficacy_00.png)
0.0 Median ABR
(Q1, Q3: 0.0, 1.0)
![img_ped_efficacy_06.png](https://pro.campus.sanofi/dam/jcr:6d00b902-c69c-46c8-ba4e-2275446f39db/img_ped_efficacy_06.png)
0.6 Mean ABR
(95% Cl: 0.4-0.9)
* Based on treated bleeds.
Most patients experienced zero bleeds when treated with ALTUVIIIO prophylaxis1
In the XTEND-Kids trial*:
![img_ped_efficacy_639png.png](https://pro.campus.sanofi/dam/jcr:2dac7ad0-d2b2-4aa1-9e9c-3080e96e69cb/img_ped_efficacy_639png.png)
Zero bleeds
63.9% of patients (n=46/72) had zero bleeds
![img_ped_efficacy_875.png](https://pro.campus.sanofi/dam/jcr:0142881a-73db-4fc5-82bb-bf20a7d7941e/img_ped_efficacy_875.png)
Zero spontaneous bleeds
87.5% of patients (n=63/72) had zero spontaneous bleeds
![img_ped_efficacy_833.png](https://pro.campus.sanofi/dam/jcr:8b9d5397-d461-4189-bcbe-b91263b4cc60/img_ped_efficacy_833.png)
Zero joint bleeds
83.3% of patients (n=60/72) had zero joint bleeds
* Based on treated bleeds.
Effective on-demand bleed management with only 1 infusion1
Treatment of bleeding episodes in the XTEND-Kids trial1,2
![To be filled](https://pro.campus.sanofi/.imaging/mte/portal/3840/dam/Portal/US/product/altuviiio/Pediatric-Results/067a5ac66edbe90559b92c973ed2de46.png/jcr:content/067a5ac66edbe90559b92c973ed2de46.png)
95.3% of bleeds* resolved with 1 infusion (n=41/43)
* Percentage based on the number of treated bleeding episodes in the sensitivity analysis set, which excluded two patients.1,2
Excellent perioperative response across both XTEND-1 and XTEND-Kids trials1
The hemostatic response of ALTUVIIIO was deemed “Excellent/Good*” by the investigator surgeon in:
![To be filled.](https://pro.campus.sanofi/.imaging/mte/portal/3840/dam/Portal/US/product/altuviiio/Pediatric-Results/100-2.png0/jcr:content/100-2.png)
100% of major surgeries†‡ (n=14/14)
14 major surgeries in 13 subjects (10 adults and 3 children)
* Hemostatic response during major surgery was assessed using the International Society on Thrombosis and Haemostasis (ISTH) 4-point response scale: excellent, good, moderate, or poor/none. Based on pooled data from XTEND-1 and XTEND-Kids.1
† Defined as any surgical procedure, either elective or emergent, that usually involves general anesthesia and/or respiratory assistance, in which a major body cavity is penetrated and exposed, or a substantial impairment of physical or physiological functions is produced. Major surgeries include major orthopedic procedures such as arthroplasties; joint replacements of the knee, hip, and elbow; joint revisions; and ankle fusions. Other major surgeries include molar-tooth extractions, dental restoration and tooth extraction, circumcision, and rhinoplasty/mentoplasty.1,2
‡ Median preoperative dose per surgery was 50 IU/kg (range: 12.7-61.9).1
ABR=annualized bleed rate; BU=Bethesda unit; CI=confidence interval; IU=international unit; Q1=25th percentile; Q3=75th percentile.
References: 1. ALTUVIIIO Prescribing Information. Bioverativ Therapeutics Inc. Waltham, MA. 2. Malec L, et al. Efanesoctocog Alfa Prophylaxis for Previously Treated Patients <12 Years of Age With Severe Hemophilia A. Oral presentation at: 2023 International Society on Thrombosis and Haemostasis (ISTH); June, 2023; Montreal, Canada.