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临床试验/NCT00952822
NCT00952822已完成1 期

A Phase 1, Prospective, Randomized, Crossover Study to Compare the Pharmacokinetics and Safety of rAHF-PFM Reconstituted in 2 mL Versus 5 mL SWFI in Previously Treated Severe Hemophilia A Patients

Baxalta now part of Shire11 个研究点 分布在 1 个国家目标入组 52 人开始时间: 2008年8月8日最近更新:
适应症

试验速览

阶段
1 期
状态
已完成
发起方
入组人数
52
试验地点
11
主要终点
Area Under the Curve

研究概览

简要总结

The purpose of this study is to determine the pharmacokinetics and safety of Antihemophilic factor, recombinant, manufactured protein-free (rAHF-PFM) reconstituted in 2 mL sterile water for injection (SWFI) and compare with those of rAHF-PFM reconstituted in 5 mL of SWFI.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Crossover
主要目的
Other
盲法
None

入排标准

年龄范围
2 Years 至 65 Years(Child, Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • The subject or subject's legally authorized representative has provided written informed consent
  • The subject has severe hemophilia A as defined by a baseline FVIII activity <= 1% of normal; tested at screening
  • The adolescent/adult subject has a documented history of at least 150 exposure days to FVIII concentrates (either plasma-derived or recombinant), and the pediatric subject has at least 50 exposure days
  • The subject is >= 12 to <= 65 years of age for the complete pharmacokinetic assessment and >= 2 to < 12 years for the incremental recovery assessment The subject has a Karnofsky performance score > 60
  • The subject is human immunodeficiency virus negative (HIV-) or HIV+ with stable CD4 count >= 200 cells/mm³ (CD4 count determined at screening, if necessary)

排除标准

  • The subject has a known hypersensitivity to mouse or hamster proteins or to FVIII concentrates
  • The subject has a history of FVIII inhibitors with titer >=
  • 5 BU (Bethesda Assay) or >= 0.4 BU (Nijmegen modification of the Bethesda Assay) any time prior to screening
  • The subject has a detectable FVIII inhibitor at screening, >= 0.4 BU (Nijmegen modification of the Bethesda Assay), in the central laboratory
  • The subject has severe chronic liver disease as evidenced by, but not limited to, any of the following: International Normalized Ratio (INR) > 1.4, hypoalbuminemia, portal vein hypertension including presence of otherwise unexplained splenomegaly and history of esophageal varices
  • The subject has been diagnosed with an inherited or acquired hemostatic defect other than hemophilia A (e.g. qualitative platelet defect or Von Willebrand Disease)
  • The subject has received another investigational product within 30 days of enrollment
  • The subject's clinical condition may require major or moderate surgery (estimated blood loss > 500 mL) during the period of participation in the study
  • Subjects with clinically significant medical, psychiatric, or cognitive illness, or recreational drug/alcohol use that, in the opinion of the investigator, would affect subject safety or compliance
  • The subject is a female of childbearing potential with a positive pregnancy test at screening

结局指标

主要结局

Area Under the Curve

时间窗: Pharmacokinetic evaluations: 30 minutes pre-infusion up to 48 hours post-infusion

Area under the factor VIII (FVIII) plasma concentration versus time curve (AUC) from 0 to 48 hours estimated using the linear trapezoidal method

次要结局

  • Total Area Under the Curve(Pharmacokinetic evaluations: 30 minutes pre-infusion up to 48 hours post-infusion)
  • Adjusted in Vivo Incremental Recovery(Pharmacokinetic evaluations: 30 minutes pre-infusion to 30 minutes post-infusion)
  • Terminal Half-life(Pharmacokinetic evaluations: 30 minutes pre-infusion up to 48 hours post-infusion)
  • Weight-Adjusted Clearance(Pharmacokinetic evaluations: 30 minutes pre-infusion up to 48 hours post-infusion)
  • Mean Residence Time(Pharmacokinetic evaluations: 30 minutes pre-infusion up to 48 hours post-infusion)
  • Volume of Distribution at Steady State(Pharmacokinetic evaluations: 30 minutes pre-infusion up to 48 hours post-infusion)
  • Maximum Plasma Concentration(Pharmacokinetic evaluations: 30 minutes pre-infusion up to 48 hours post-infusion)
  • Number and Severity of Infusion Site Reactions(Within 5 minutes pre-infusion up to 24 hours post-infusion)
  • Infusion Site Pain(Within 5 minutes post-infusion up to 24 hours post-infusion)

研究者

发起方
Baxalta now part of Shire
申办方类型
Industry
责任方
Sponsor

研究点 (11)

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