Study Evaluating On-Demand Treatment Of Xyntha In Chinese Subjects
An Evaluation Of The Safety And Efficacy Of On-Demand Treatment With Xyntha (B Domain Deleted Recombinant Factor VIII, Albumin Free) In Chinese Subjects With Hemophilia A
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Beijing, China, 100730
- Pfizer Investigational Site
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Guangzhou, China, 510515
- Pfizer Investigational Site
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Shanghai, China, 200025
- Pfizer Investigational Site
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Jiangsu
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Suzhou, Jiangsu, China, 215006
- Pfizer Investigational Site
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Tianjin
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Heping District, Tianjin, China, 300020
- Pfizer Investigational Site
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Zhejiang
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Hangzhou, Zhejiang, China, 310003
- Pfizer Investigational Site
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Subjects equal or more than 6 years of age with mild, moderate or severe hemophilia A (FVIII activity: more than 5%, 1-5%, or less than 1%, respectively)
- Subjects with previous exposure to FVIII replacement therapy
- If human immunodeficiency virus (HIV) positive, documented cluster of differentiation (CD4) count more than 200/µL within 6 months of study entry
Exclusion Criteria:
- Diagnosed with any bleeding disorder in addition to hemophilia A
- Current FVIII inhibitor or history of FVIII inhibitor (defined as positive result of the reporting laboratory)
- Subject has no history of exposure to FVIII products (previously untreated patient [PUP])
- Subject is currently utilizing primary FVIII prophylaxis
- Subjects anticipating elective surgery that may be planned to occur in the 6 months following study entry
- Treated with immunomodulatory therapy within 30 days prior to study entry or planned use for the duration of their study participation
- Participated in another investigational drug or device study within 30 days prior to study entry or planned participation for the duration of their study participation
- Subjects with a known hypersensitivity to hamster protein
- Significant hepatic or renal impairment (alanine aminotransferase [ALT] and aspartate aminotransferase [AST] >5 x upper limit of normal [ULN], bilirubin >2 mg/dL or serum creatinine >1.25 x ULN)
- Prothrombin Time >1.5 x ULN
- Platelet count <80,000 / µL
- Pregnant or breastfeeding women
- Unwilling or unable to follow the terms of the protocol
- Any condition which may compromise the subject's ability to comply with and/or perform study-related activities or that poses a clinical contraindication to study participation, in the opinion of the Investigator or Sponsor
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Xyntha
This trial was an open-label and included assessments of safety, clinical efficacy, and Factor VIII (FVIII) recovery in Chinese subjects with hemophilia A. Subjects received on-demand treatments with Xyntha over a 6-month (calendar day) period.
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Xyntha for on-demand treatment of bleeding episodes were according to investigator prescription during the 6 months observation period.
The recovery assessed by determining the Factor VIII (FVIII) concentration (FVIII:C) levels in individual subjects at the initial and final visits.
The dose of Xyntha for recovery assessments is: single 50 IU/kg (±5 IU/kg) IV bolus infusion.
All Xyntha administrations occurred in the clinic (hospital).
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Investigator Hemostatic Efficacy Assessment 8 Hours Post Infusion
Time Frame: 8 hours post infusion
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The Investigator Hemostatic Efficacy Assessment was based on a 4-point rating scale (Excellent = 1: definite pain relief or improvement in signs of bleeding, with no additional infusion, Good = 2: definite pain relief or improvement in signs of bleeding, Moderate = 3: probable or slight improvement, No Response = 4: no improvement at all between infusions).
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8 hours post infusion
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Investigator Hemostatic Efficacy Assessment 24 Hours Post Infusion
Time Frame: 24 hours post infusion
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The Investigator Hemostatic Efficacy Assessment was based on a 4-point rating scale (Excellent = 1: definite pain relief or improvement in signs of bleeding, with no additional infusion, Good = 2: definite pain relief or improvement in signs of bleeding, Moderate = 3: probable or slight improvement, No Response = 4: no improvement at all between infusions).
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24 hours post infusion
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Number of Participants With Factor VIII (FVIII) Inhibitor Development
Time Frame: Day 1 and Month 6 or Early Termination Visit
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Incidence of FVIII inhibitor was defined as any result determined as positive at local laboratory, and confirmed at central laboratory.
Incidence was stratified by participant exposure history: Minimally Treated Patients (MTPs): those who had received at least 1 prior FVIII infusion, and <= 100 documented Exposure Days (EDs), while Previously Treated Patients (PTPs): those who had received >100 documented prior EDs.
When number of prior EDs for an individual was not known to be at least 100, participants were included in the MTP population.
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Day 1 and Month 6 or Early Termination Visit
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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FVIII Recovery : Change From Baseline in FVIII Concentration
Time Frame: Day 1 and Month 6 or Early Termination Visit
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FVIII recovery was assessed by evaluating the change in FVIII concentration at 6 months compared to baseline.
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Day 1 and Month 6 or Early Termination Visit
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Number of Participants With Less Than Expected Therapeutic Effect (LETE)
Time Frame: 24 hours after each of 2 successive infusion, up to 6 months
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The incidence of LETE, defined for on-demand treatment as no response after each of 2 successive infusions within 24 hours for the same bleeding event in the absence of confounding factors.
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24 hours after each of 2 successive infusion, up to 6 months
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Number of Participants With Thrombosis Allergic-Type Reactions
Time Frame: Baseline up to 6 months
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Baseline up to 6 months
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Number of Participants With Thrombosis
Time Frame: Baseline up to 6 months
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Baseline up to 6 months
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Frequency of Xyntha Infusions Required Per Hemorrhage
Time Frame: Day 1 to Month 6 or Early Termination Visit
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The mean frequency of Xyntha infusions per hemorrhage was calculated as total number of injections throughout the study divided by total number of hemorrhagic events.
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Day 1 to Month 6 or Early Termination Visit
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Average Dose of Xyntha Infusions Required Per Hemorrhage
Time Frame: Day 1 to Month 6 or Early Termination Visit
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The average dose of Xyntha per hemorrhagic event was calculated as total dose of Xyntha throughout the study (in IU) divided by total number of hemorrhage incidence.
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Day 1 to Month 6 or Early Termination Visit
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Pfizer CT.gov Call Center, Pfizer
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 3082B2-3316
- B1831015
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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