A Study to Evaluate the Pharmacokinetics of Recombinant Human Coagulation Factor VIII-Fc Fusion Protein for Injection
A Phase I, Multicentre, Open-label, Self-control Study to Evaluate the Pharmacokinetics of Recombinant Human Coagulation Factor VIII-Fc Fusion Protein for Injection in Adolescent and Adult Patients With Hemophilia A
Primary objective: To assess the pharmacokinetics of Recombinant Human Coagulation Factor VIII-Fc fusion protein for Injection at two dose levels in patients with hemophilia A.
Secondary objectives: To assess Safety and Tolerability by monitoring FVIII recovery and adverse events in patients with hemophilia A.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Contacts and Locations
Study Locations
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Beijing, China, 100045
- Hematology Department, Beijing Children's Hospital, Capital Medical University
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Fujian
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Fuzhou, Fujian, China, 350000
- Fujian Medical University Union Hospital
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Guangzhou
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Guangzhou, Guangzhou, China, 510515
- Southern Medical University Nanfang Hospital
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Shandong
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Jinan, Shandong, China, 250013
- Jinan Central Hospital
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Tianjin
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Tianjin, Tianjin, China, 300020
- Institute of Hematology & Blood Diseases Hospital Chinese Academy of Medical Sciences & Peking Union Medical College
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- 12 years to 60 years, male.
- The activity of the coagulation factor VIII (FVIII:C) < 2%, and previously treated with FVIII concentrate (s) for a minimum of 150 exposure days (EDs) prior to study entry.
- Non-immune deficiency (CD4 > 200/μL).
- Non-acute hemorrhagic state.
- No history of a positive inhibitor test (< 0.6 BU) or clinical signs of decreased response to FVIII administrations. No Family history of inhibitors.
- Platelet count > 100,000 platelets/μL.
- Normal prothrombin time or INR < 1.3.
- Normal thrombin time (TT).
- Normal previous results of vWF antigen examination.
- Negative lupus anticoagulant .
- Capable of understanding and willing to comply with the conditions of the protocol have read (patient and/or guardian).
Exclusion Criteria:
- Hypersensitive to any of the excipients of the test materials (e.g. allergic to murine or hamster origin heterologous proteins).
- History of hypersensitivity or anaphylaxis associated with any FVIII or IgG2 administration.
- Current FVIII inhibitor-positive or history of FVIII inhibitor-positive.
- Other coagulation disorder(s) in addition to hemophilia A.
- Infusion of any products containing FVIII within 4 days prior screening or within 72 h prior to administration.
- Patients with severe heart disease, including myocardial infarction, heart failure (III or higher level).
- Clinically significant of other systematic diseases: alcoholism, drug abuse, mental disorders and mental retardation.
- Significant hepatic or renal impairment (ALT and AST > 2×ULN; serum bilirubin level > 3 × upper limit of normal (ULN) , BUN > 2×ULN, Cr > 2.0 mg/dL).
- One or more clinically significant tests for Human Immunodeficiency Virus (HIV), Antisyphilitic spirulina (TPHA) and Hepatitis C Virus (HCV) Antibody.
- Patients who received any anticoagulant or antiplatelet therapy within one week prior screening or need to receive an anticoagulant or antiplatelet therapy during the period of clinical trials.
- Patients having major surgery or receiving blood or bood components transfusion within 4 weeks prior screening or having planned major surgery schedule during the study.
- Patients who previously participated in the other clinical trials within 1 month prior screening.
- Any life-threatening disease or condition which, according to the investigator's judgment, could not benefit from the trial participation.
- Patient who is considered by the other investigators not suitable for clinical study.
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Cross-Sectional
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Arm 1
Participants will receive a single intravenous (i.v.) injection of ADVATE followed by a single intravenous (i.v.) injection of Recombinant Human Coagulation Factor VIII-Fc fusion protein for Injection (FRSW107) at a low dose.
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Patients will be administered a single dose of ADVATE.
Patients will be administered a single dose of FRSW107 for Injection.
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Arm 2
Participants will receive a single intravenous (i.v.) injection of ADVATE followed by a single intravenous (i.v.) injection of Recombinant Human Coagulation Factor VIII-Fc fusion protein for Injection (FRSW107) at a high dose.
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Patients will be administered a single dose of ADVATE.
Patients will be administered a single dose of FRSW107 for Injection.
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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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Maximum measured concentration of FVIII:C (Cmax).
Time Frame: Pre-dose and post dose of FRSW107 up to 10 days.
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Measured by the One-stage aPTT Clotting Assay.
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Pre-dose and post dose of FRSW107 up to 10 days.
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Time required for the concentration of the drug to reach half of its original value (T1/2).
Time Frame: Pre-dose and post dose of FRSW107 up to 10 days.
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Measured by the One-stage aPTT Clotting Assay.
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Pre-dose and post dose of FRSW107 up to 10 days.
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Area Under the Curve to Infinity (AUC).
Time Frame: Pre-dose and post dose of FRSW107 up to 10 days.
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Measured by the One-stage aPTT Clotting Assay.
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Pre-dose and post dose of FRSW107 up to 10 days.
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The measure of the efficiency of the body to remove the drug and the unit is the volume of the plasma or blood cleared of drug per unit time (CL).
Time Frame: Pre-dose and post dose of FRSW107 up to 10 days.
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Measured by the One-stage aPTT Clotting Assay.
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Pre-dose and post dose of FRSW107 up to 10 days.
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of participants with treatment-related adverse events as assessed by CTCAE V5.0.
Time Frame: Post dose of FRSW107 up to 28.
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Adverse events related to Recombinant Human Coagulation Factor VIII-Fc fusion protein for Injection according to Common Terminology Criteria for Adverse Events (CTCAE) NCI.V5.0.
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Post dose of FRSW107 up to 28.
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Development of Inhibitor.
Time Frame: Pre-dose and post dose of FRSW107 up to 28 days.
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Measured by the Nijmegen-Modified Bethesda Assay.
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Pre-dose and post dose of FRSW107 up to 28 days.
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Renchi Yang, PhD, Institute of Hematology & Blood Diseases Hospital Chinese Academy of Medical Sciences & Peking Union Medical College
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CTR20182090
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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