Table 4

Inhibitor risk according to the type of recombinant FVIII (rFVIII) product (primary analysis)

No. of EDsUnadjusted analysisMultivariate analysis
Crude HR95% CIPAdjusted HR95% CIP
All inhibitors    .025*   .221* 
 Product E 4995 1.00   1.00   
 Product D 4749 1.61 1.04-2.47 .031 1.55 0.97-2.49 .069 
 Product A 2074 0.69 0.34-1.40 .300 0.97 0.40-2.37 .952 
 Product C 1412 0.93 0.43-2.02 .864 1.20 0.47-3.08 .705 
High-titer inhibitors    .489*   .547* 
 Product E 4995 1.00   1.00   
 Product D 4749 1.42 0.79-2.52 .240 1.56 0.82-2.98 .177 
 Product A 2074 0.83 0.35-1.97 .673 1.87 0.59-5.89 .286 
 Product C 1412 1.02 0.38-2.74 .963 1.94 0.54-6.91 .307 
Inhibitors subsequently treated with a bypassing agent and/or ITI    .019*   .165* 
 Product E 4995 1.00   1.00   
 Product D 4749 1.61 1.01-2.56 .046 1.58 0.94-2.64 .082 
 Product A 2074 0.49 0.20-1.17 .108 0.81 0.28-2.35 .705 
 Product C 1412 1.11 0.50-2.43 .799 1.67 0.62-4.51 .311 
No. of EDsUnadjusted analysisMultivariate analysis
Crude HR95% CIPAdjusted HR95% CIP
All inhibitors    .025*   .221* 
 Product E 4995 1.00   1.00   
 Product D 4749 1.61 1.04-2.47 .031 1.55 0.97-2.49 .069 
 Product A 2074 0.69 0.34-1.40 .300 0.97 0.40-2.37 .952 
 Product C 1412 0.93 0.43-2.02 .864 1.20 0.47-3.08 .705 
High-titer inhibitors    .489*   .547* 
 Product E 4995 1.00   1.00   
 Product D 4749 1.42 0.79-2.52 .240 1.56 0.82-2.98 .177 
 Product A 2074 0.83 0.35-1.97 .673 1.87 0.59-5.89 .286 
 Product C 1412 1.02 0.38-2.74 .963 1.94 0.54-6.91 .307 
Inhibitors subsequently treated with a bypassing agent and/or ITI    .019*   .165* 
 Product E 4995 1.00   1.00   
 Product D 4749 1.61 1.01-2.56 .046 1.58 0.94-2.64 .082 
 Product A 2074 0.49 0.20-1.17 .108 0.81 0.28-2.35 .705 
 Product C 1412 1.11 0.50-2.43 .799 1.67 0.62-4.51 .311 

Population: boys with severe HA (FVIII activity <0.01 IU/mL) first treated with rFVIII and treated with Products A, C, D, or E within the first 75 EDs (n = 287). Products B and F were used only in 10 and 10 boys and 331 and 483 EDs, respectively, so their effect on inhibitor development was not studied. Main studied factor: type of rFVIII product received during the first 75 EDs (time-varying factor). Statistical method: Cox proportional hazards model with ED as observational time. aHR took into account the following cofactors: 4 fixed factors (F8 gene defect, family history of hemophilia and inhibitor, ethnic origin, and age at first infusion of rFVIII) and 7 time-varying factors (calendar period, regular prophylaxis initiation, interval between EDs calculated over the last 5 EDs, mean dose of rFVIII product calculated over the last 5 EDs, history of peak treatment episodes ≥5 consecutive EDs, history of peak treatment episodes ≥10 consecutive EDs, and history of severe bleeding episodes).

*

P value for global test.

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