- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02020369
Phase III Study of Coagulation FVIIa (Recombinant) in Congenital Hemophilia A or B Patients With Inhibitors
A Phase III Study on the Safety, Pharmacokinetics and Efficacy of Coagulation Factor VIIa (Recombinant) in Congenital Hemophilia A or B Patients With Inhibitors to Factor VIII or IX
Study Overview
Status
Intervention / Treatment
Detailed Description
This was a global, multicenter, Phase III, prospective, open-label, randomized, crossover study. After obtaining informed consent and performance of screening procedures, patients who met all inclusion and exclusion criteria were randomized to one of two treatment regimens as follows:
- 75 µg/kg treatment regimen
- 225 µg/kg treatment regimen
For each treatment regimen there were two phases:
- Phase A (Initial phase)
- Phase B (Treatment phase)
The assigned treatment regimen was the dose administered in Phase A and was the starting dose in Phase B.
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Gomel, Belarus
- Republican Research Center for Radiation Medicine and Human Ecology
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Sofia, Bulgaria
- Specialized Hospital for Active Treatment of Hematological Diseases
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Tbilisi, Georgia
- LTD HEMA
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Ramat Gan, Israel, 5261
- Chaim Sheba Medical Center, Tel-hashomer hospital
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Warsaw, Poland
- Institute of Hematology and Transfusion Medicine
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Bucharest, Romania
- Sandor SRL
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Kirov, Russian Federation
- Kirov Research Institute of Hematology and Blood Transfusion
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Moscow, Russian Federation
- Hematology Research Center
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Saint-Petersburg, Russian Federation
- City Outpatient Clinic #37
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Kyiv, Ukraine
- Kyiv City Clinical Hospital #9
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Lviv, Ukraine
- Institute of Blood Pathology and Transfusion Medicine of Academy of Medical Sciences of Ukraine
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Basingstoke, United Kingdom
- Basingstoke and North Hampshire Hospital, Hemophilia, Hemostasis and Thrombosis Center
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California
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Los Angeles, California, United States, 90007
- Orthopaedic Hemophilia Treatment Center
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Sacramento, California, United States, 95817
- University of California Davis Comprehensive Cancer Center
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Colorado
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Aurora, Colorado, United States, 80045
- University of Colorado Hemophilia and Thrombosis Center
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Illinois
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Chicago, Illinois, United States, 60612
- Rush University Medical Center
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Minnesota
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Minneapolis, Minnesota, United States, 55455
- University of Minnesota Medical Center Fairview
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- be male with a diagnosis of congenital hemophilia A and/or B of any severity
- have one of the following:
- a positive inhibitor test Bethesda Unit (BU) ≥ 5 (as confirmed at screening by the institutional lab), OR
- a BU<5 but expected to have a high anamnestic response to FVIII or FIX, as demonstrated from the subject's medical history, precluding the use of Factor VIII or IX products to treat bleedings, OR
- a BU<5 but expected to be refractory to increased dosing of FVIII or FIX, as demonstrated from the subject's medical history, precluding the use of Factor VIII or IX products to treat bleedings
- be 12 years or older, up to and including 75 years of age (NOTE: different age restrictions may apply per local regulation and/or ethical considerations)
- have at least 3 bleeding episodes of any severity in the past 6 months be capable of understanding and willing to comply with the conditions of the protocol
- have read, understood and provided written informed consent (patient and/or parent(s)/legal guardian(s) if <18 years of age)
Exclusion Criteria:
- have any coagulation disorder other than hemophilia A or B
- be immuno-suppressed (i.e., the patient should not be receiving systemic immunosuppressive medication, cluster of differentiation 4 (CD4) counts at screening should be >200/µl)
- have a known allergy or hypersensitivity to rabbits
- have platelet count <100,000/mL
- have had within one month prior to first administration of the study drug in this study a major surgical procedure (e.g. orthopedic, abdominal)
- have received an investigational drug within 30 days of the first study drug administration, or is expected to receive such drug during participation in this study
- have a clinically relevant hepatic (AST and/or alanine aminotransferase (ALT) >3 times the upper limit of normal) and/or renal impairment (creatinine >2 times the upper limit of normal)
- have a history of arterial and/or venous thromboembolic events (such as myocardial infarction, ischemic strokes, transient ischemic attacks, deep venous thrombosis or pulmonary embolism) within 2 years prior to first dose of study drug, or current New York Heart Association (NYHA) functional classification score of stage II -IV
- have an active malignancy (those with non-melanoma skin cancer are allowed)
- have any life-threatening disease or other disease or condition which, according to the investigator's judgment, could imply a potential hazard to the patient, interfere with the trial participation or trial outcome (e.g., a history of non-responsiveness to bypassing products).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: CROSSOVER
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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EXPERIMENTAL: FVIIa: 75 µg/kg first, then 225 µg/kg
Coagulation Factor VIIa (Recombinant): First Intervention (3 months), Second Intervention (3 months), repeat cycle until study completion.
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A cross over design to assess the efficacy of 2 separate dose regimens (75µg/kg and 225 µg/kg) of Coagulation Factor VIIa (Recombinant) for the treatment of bleeding episodes in hemophilia A or B patients with inhibitors to Factor VIII/IX
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EXPERIMENTAL: FVIIa: 225 µg/kg first, then 75 µg/kg
Coagulation Factor VIIa (Recombinant): First Intervention (3 months), Second Intervention (3 months), repeat cycle until study completion.
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A cross over design to assess the efficacy of 2 separate dose regimens (75µg/kg and 225 µg/kg) of Coagulation Factor VIIa (Recombinant) for the treatment of bleeding episodes in hemophilia A or B patients with inhibitors to Factor VIII/IX
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Proportion of Successfully Treated Mild/Moderate Bleeding Episodes
Time Frame: 12 hours after first administration of study drug
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For the primary efficacy endpoint, successful treatment of a bleeding episode was defined as a combination of the following:
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12 hours after first administration of study drug
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Proportion of Mild/Moderate Bleeding Episodes With Patient (Pt)-Reported "Good" or "Excellent" Responses at 12 Hours
Time Frame: at 12 hours
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Based on Patient-Reported "Good" or "Excellent" responses as per the below descriptions: Good: Symptoms of bleed (e.g., swelling, tenderness, and decreased range of motion in the case of musculoskeletal haemorrhage) had largely been reduced by the treatment, but had not completely disappeared. Symptoms had improved enough to not require more infusions of the study drug. Excellent: Full relief of pain and cessation of objective signs of bleed (e.g., swelling, tenderness, and decreased range of motion in the case of musculoskeletal haemorrhage). No additional infusion of study drug was required. |
at 12 hours
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Time to Assessment of a "Good" or "Excellent" Response of Mild/Moderate Bleeding Episodes by the Patient
Time Frame: Within 24 hours of Bleeding Episode
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Categories of Response to Treatment are Described as Follows: None: No noticeable effect of the treatment on the bleed or worsening of patient's condition. Continuation of treatment with the study drug was needed. Moderate: Some effect of the treatment on the bleed was noticed, e.g., pain decreased or bleeding signs improved, but bleed continued and required continued treatment with the study drug. Good: Symptoms of bleed (e.g., swelling, tenderness, and decreased range of motion in the case of musculoskeletal haemorrhage) had largely been reduced by the treatment, but had not completely disappeared. Symptoms had improved enough to not require more infusions of the study drug. Excellent: Full relief of pain and cessation of objective signs of bleed (e.g., swelling, tenderness, and decreased range of motion in the case of musculoskeletal haemorrhage). No additional infusion of study drug was required. |
Within 24 hours of Bleeding Episode
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Number of Administrations of Study Drug Per Mild/Moderate Bleeding Episode
Time Frame: Within 24 hours of Bleeding Episode
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Within 24 hours of Bleeding Episode
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Total Amount of Study Drug Administered Per Mild/Moderate Bleeding Episode
Time Frame: Through study completion
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Through study completion
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Jean Francois Schved, MD, Saint Eloi Hospital
Study record dates
Study Major Dates
Study Start
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- RB-FVIIa-006-13
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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