Study of Recombinant Factor IX Product, IB1001, in Previously Treated Subjects With Hemophilia B

Phase 3

Withdrawn

• Conditions: Hemophilia B
• Interventions: Biological: IB1001

• Registration Number: NCT02048111
• Lead Sponsor: Cangene Corporation

Brief Summary

To evaluate the safety (acute adverse effects associated with infusions, and inhibitor development), pharmacokinetics (PK), and efficacy with respect to breakthrough bleeding and control of hemorrhaging during prophylaxis of IB1001 in subjects with hemophilia B.

Detailed Description

Primary Objectives:

* to evaluate safety of IB1001 within the first 50 exposure days,

* to determine IB1001 pharmacokinetics (PK), and

* to assess efficacy of IB1001 prophylaxis with respect to breakthrough bleeding and with respect to control of hemorrhaging in subjects with severe hemophilia B within the first 50 exposure days

Secondary Objectives:

* to evaluate long-term safety of IB1001; and

* to evaluate long term efficacy of IB1001.

Exploratory Objectives:

* to evaluate markers of thrombogenicity during the first 24 hours post-infusion \[thrombogenicity markers will include at a minimum D-dimer test; however should there be a clinical reason (e.g., three consecutive elevations in D-dimer levels, a possible clinical thrombogenic episode), sufficient samples will be collected to also evaluate levels of fragment 1+2 (F1+2) and thrombin-antithrombin III complex (TAT)\]

* to evaluate IB1001 immunogenicity response (development of inhibitory and non-inhibitory factor IX binding antibodies and antibodies to host cell proteins)

Study Timeline

• Study First Submitted: 2013-11-14
• Study First Submitted QC: 2014-01-27
• Study First Posted: 2014-01-29
• Study Start: 2014-03
• Primary Completion: 2015-10
• Study Completion: 2015-11
• Status Verified: 2016-08
• Last Update Submitted: 2016-08-19
• Last Update Posted: 2016-08-23

Recruitment & Eligibility

• Status: WITHDRAWN
• Sex: All
• Target Recruitment: Not specified

Inclusion Criteria

1. Age of at least 12 years
2. Body Mass Index of ≤ 29, with a minimum body weight of 40 kg
3. Written Institutional Review Board (IRB)/ Ethics Committee (EC)-approved informed consent form (ICF)
4. Willingness to make the required study visits, and follow instructions while enrolled in the study (up to 12 months)
5. Severe (factor IX activity ≤2 U/dL) hemophilia B patients with a minimum of 3 bleeding episodes over the preceding 6 months or 6 bleeding episodes over the preceding 12 months or in the event the subject is on prophylaxis, a minimum of 3 bleeding episodes over the preceding 6 months or 6 bleeding episodes over the preceding 12 months prior to being placed on prophylaxis
6. Subjects must be on prophylaxis or switch to a prophylaxis regimen for the duration of the PK and Treatment/Continuation Phase of the study
7. Previously treated patients with a minimum of 150 exposure days to a factor IX preparation
8. Willingness to adhere to the 5-day washout of any factor IX replacement therapy prior to PK evaluations
9. Immunocompetent (CD4 count >400/mm3) and not receiving immune modulating or chemotherapeutic agents
10. Platelet count at least 150,000/mm3
11. Liver function: alanine transaminase (ALT) and aspartate transaminase (AST) ≤2 times the upper limit of the normal range
12. Total bilirubin ≤1.5 times the upper limit of the normal range
13. Renal function: serum creatinine ≤1.25 times the upper limit of the normal range
14. Hemoglobin ≥7 g/dL at the time of the blood draw

Exclusion Criteria

1. History of factor IX inhibitor ≥0.6 BU (Bethesda units)
2. Existence of another coagulation disorder
3. Evidence of thrombotic disease, fibrinolysis or disseminated intravascular coagulation (DIC)
4. Use of an investigational drug within 30 days prior to study entry
5. Previous use of IB1001
6. Use of medications that could impact hemostasis, such as aspirin
7. Hypersensitivity to the active substance or to any of the excipients in the investigational products
8. Known allergic reaction to hamster proteins
9. History of poor compliance, a serious medical or social condition, or any other circumstance that, in the opinion of the investigator, would interfere with participation or compliance with the study protocol
10. History of adverse reaction to either plasma-derived factor IX or recombinant factor IX that interfered with the subject's ability to treat bleeding episodes with a factor IX product

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
IB1001	IB1001	-

Primary Outcome Measures

Name	Time	Method
Number of study subjects with adverse events	Within 6 months	Information on adverse events is collected after each infusion of study drug by a study subject. Assessment of adverse events is then performed by an investigator after 5 infusions of study drug, 1 month, 2 months, 3 months and 6 months of study drug treatment.

Secondary Outcome Measures

Name	Time	Method
Number of bleeding episodes divided by number of months of observation	Within 12 months