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Evaluate Efficacy and Safety of Recombinant Factor VIII (rFVIII)Treatment of Severe or Moderately Severe Hemophilia A

An Open-Label, Multicenter Evaluation of Safety, Pharmacokinetics, and Efficacy of rFVIII in the Prevention and Treatment of Bleeding Episodes in Chinese With Hemophilia A

Efficacy, Safety and Pharmacokinetics Study of a rFVIII in Chinese subjects with Hemophilia A.To assess efficacy and safety of rFVIII administered as treatment and as on-demand therapy in adult and adolescent (12-65 years) patients with severe or moderately severe Hemophilia A. To determine the pharmacokinetic (PK) parameters of rFVIII.

調査の概要

研究の種類

介入

入学 (予想される)

60

段階

  • フェーズ 3

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究連絡先

研究場所

    • Anhui
      • Hefei、Anhui、中国、230001
        • 募集
        • Anhui Provincial Hospital
        • コンタクト:
          • Zimin Sun, Doctor
    • Shanghai
      • Shanghai、Shanghai、中国、200025
        • まだ募集していません
        • Ruijin Hospital Shanghai Jiaotong University School of Medicine
        • コンタクト:
          • Xuefeng Wang, Doctor
    • Shanxi
      • Taiyuan、Shanxi、中国、030001
        • まだ募集していません
        • Second Hospital of Shanxi Medical University
        • コンタクト:
          • Linhua Yang, Doctor
    • Tianjin
      • Tianjin、Tianjin、中国、300020
        • 募集
        • Blood Diseases Hospital, Chinese Academy of Medical Science (Institute of Hematology)
        • コンタクト:
          • Lei Zhang, Doctor

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

12年~65年 (子、大人、高齢者)

健康ボランティアの受け入れ

いいえ

受講資格のある性別

全て

説明

Inclusion Criteria:

  • Diagnosis of hemophilia A
  • Age of 12 Years to 65 Years,Diagnosis of severe (defined as <1% FVIII:C documented in medical records) or moderately severe(defined as 1%-5% FVIII:C documented in medical records) hemophilia A .Subjects who(Age of 18 Years to 65 Years) have received or are currently receiving FVIII products (plasma-derived and/or recombinant FVIII) and have had >150 exposure days (EDs) with a FVIII product;The Callan (Age of 12 Years to 17) have received FVIII products and have had>50 EDs a FVIII product.
  • Subjects without a past history of, or current no factor VIII inhibitor. For laboratory-based assessments, any Bethesda inhibitor titer Lower than the laboratory's normal range or <0.6 BU/mL (BU:Bethesda Units ).
  • Liver and kidney function in accordance with the standard
  • Subjects of childbearing potential should agree to use and utilize an adequate method of contraception throughout treatment and for at least 28 days after study is stopped
  • Evidence of a personally or legally acceptable representative (legally acceptable representative is only applicable to Callan subjects) signed and dated informed consent document indicating that the subject has been informed of all pertinent aspects of the study
  • The part one of subjects subjects who are willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures; Subjects must be in a non bleeding state before the administration of rFVIII on Day 1; Subjects should not have received an infusion of any FVIII products for at least 3 days (at least 72 hours) before the administration of rFVIII on Day 1

Exclusion Criteria:

  • Current FVIII inhibitor or history of FVIII inhibitor (>0.6 BU/mL )
  • Diagnosed with any bleeding disorder in addition to hemophilia
  • Documented Human Immunodeficiency Virus (HIV)
  • Subjects anticipating elective surgery or other invasive procedure within 1 month following study entry
  • Treatment with an immunomodulatory within 30 days or 5 half lives preceding Day 1, whichever is longer
  • Subjects with known hypersensitivity to the active substance or to any of the excipients of rFVIII. Subjects with a known hypersensitivity to Chinese Human embryonic kidney cell proteins
  • Subjects with severe anemia requiring blood transfusion
  • Subjects with significant hepatic or renal impairment (alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >5 x ULN, or total bilirubin >2 x ULN or serum creatinine >2 x ULN), prothrombin time >1.5 x ULN, platelet count <80,000 μL. History of sensitivity to heparin or heparin induced thrombocytopenia or others thrombocytopenia
  • Patients with heart surgery history requires anticoagulation therapy; Subjects with severe heart disease, including myocardial infarction or heart failure Grade 3 or higher(NYHA Classification)
  • Blood pressure unable to be controlled ideally(systolic pressure>150 mmHg,diastolic pressure>90 mmHg)
  • Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for entry into this study

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか?

デザインの詳細

  • 主な目的:処理
  • 割り当て:非ランダム化
  • 介入モデル:並列代入
  • マスキング:なし(オープンラベル)

武器と介入

参加者グループ / アーム
介入・治療
実験的:Pharmacokinetic parameters
Pharmacokinetic parameters of rFVIII measured in subset of 10 participants, consisting of:18 Years to 65 Years. In Part 1 of the study, subjects received a single intravenous infusion of 50 IU/kg rFVIII preceded by a 72 hours washout period.
実験的:On-demand treatment
On-demand treatment with rFVIII for 6 months age 12 Years to 65 Years. In Parts 2 of the study, subjects received repeat injections of rFVIII either as an on-demand or prophylaxis regimen at a dose and frequency determined by their study doctor.

この研究は何を測定していますか?

主要な結果の測定

結果測定
メジャーの説明
時間枠
Recovery rate = (change actual value of rFVIII activity before and after infusion )/(change expected value of rFVIII activity before and after infusion)*100%
時間枠:At 15 and 60 minutes after the first infusion
At 15 and 60 minutes after the first infusion
Investigator Hemostatic Efficacy Assessment 6 Hours Post Infusion
時間枠:6 hours post infusion
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).
6 hours post infusion

二次結果の測定

結果測定
時間枠
The proportion of subjects who achieved the expected effect after the first infusion of the rFVIII
時間枠:At 15 minutes after the first infusion
At 15 minutes after the first infusion
change actual value of rFVIII activity before and after infusion levels
時間枠:At 15 and 60 minutes after the first infusion
At 15 and 60 minutes after the first infusion
FVIII Maximum Plasma Concentration
時間枠:Time Frame: Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 6, 9, 24,36,and 48 hours post-dose
Time Frame: Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 6, 9, 24,36,and 48 hours post-dose
Time to Reach Maximum Observed Plasma Concentration
時間枠:Time Frame: Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 6, 9, 24,36,and 48 hours post-dose
Time Frame: Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 6, 9, 24,36,and 48 hours post-dose
Area Under the Plasma Concentration Versus Time Curve From 0 to 48 Hours
時間枠:Time Frame: Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 6, 9, 24,36,and 48 hours post-dose
Time Frame: Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 6, 9, 24,36,and 48 hours post-dose
Terminal Elimination Half-Life (t1/2)
時間枠:Time Frame: Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 6, 9, 24,36,and 48 hours post-dose
Time Frame: Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 6, 9, 24,36,and 48 hours post-dose
Time to Reach Maximum Observed Plasma Concentration (Tmax)
時間枠:Time Frame: Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 6, 9, 24,36,and 48 hours post-dose
Time Frame: Pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 6, 9, 24,36,and 48 hours post-dose

その他の成果指標

結果測定
メジャーの説明
時間枠
Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)
時間枠:Up to 28 days after last dose
An AE was any untoward medical occurrence in a participant who received study drug. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 28 days after last dose after last dose that were absent before treatment or that worsened relative to pre-treatment state. AEs included both SAEs and non-SAEs.
Up to 28 days after last dose

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始

2016年8月1日

一次修了 (予想される)

2017年10月1日

研究の完了 (予想される)

2017年12月1日

試験登録日

最初に提出

2016年9月9日

QC基準を満たした最初の提出物

2016年10月11日

最初の投稿 (見積もり)

2016年10月12日

学習記録の更新

投稿された最後の更新 (見積もり)

2016年10月12日

QC基準を満たした最後の更新が送信されました

2016年10月11日

最終確認日

2016年10月1日

詳しくは

本研究に関する用語

個々の参加者データ (IPD) の計画

個々の参加者データ (IPD) を共有する予定はありますか?

未定

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血友病Aの臨床試験

Recombinant Factor VIII (50 IU/kg)の臨床試験

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