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A Study of Fitusiran (ALN-AT3SC) in Severe Hemophilia A and B Patients With Inhibitors

Phase 3
Completed
Conditions
Hemophilia A, Hemophilia B
Registration Number
JPRN-jRCT2080224128
Lead Sponsor
Sanofi K.K.
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
completed
Sex
Male
Target Recruitment
54
Inclusion Criteria

Inclusion Criteria:
- Males, >=12 years of age
- Severe hemophilia A or B with inhibitors
(Severity confirmed by a central laboratory where FVIII level is <1% or FIX level is <= 2% at Screening; Inhibitors defined as inhibitor titer of >= 0.6 BU/mL or as evidenced by medical records)
- A minimum of 6 bleeding episodes requiring bypassing agent treatment within the last 6 months prior to Screening
- Willing and able to comply with the study requirements and to provide written informed consent and assent

Exclusion Criteria

Exclusion Criteria:
- Known co-existing bleeding disorders other than hemophilia A or B
- Antithrombin (AT) activity <60% at Screening
- Co-existing thrombophilic disorder
- Clinically significant liver disease
- Active HCV infection
- HIV positive with a CD4 count of <200 cells/microL
- History of arterial or venous thromboembolism
- Inadequate renal function
- History of multiple drug allergies or history of allergic reaction to an oligonucleotide or N-Acetylgalactosamine (GalNAc)
- History of intolerance to SC injection(s)
- Any other conditions or comorbidities that would make the patient unsuitable for enrollment or could interfere with participation in or completion of the study, per Investigator judgement

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
efficacy<br>1.Annualized bleeding rate(ABR) <br>[Time Frame: 8 months (efficacy period: day 29 to Month 9)]
Secondary Outcome Measures
NameTimeMethod
efficacy<br>1.Annualized bleeding rate (ABR)<br>[Time Frame: At 1 month (onset period), 9 months (treatment period:<br>1 month onset period + efficacy period of 8 months)]<br>efficacy<br>2.Annualized spontaneous bleeding rate <br>[Time Frame: 8 months (efficacy period: day 29 to Month 9)]<br>efficacy<br>3.Annualized joint bleeding rate<br>[Time Frame: 8 months (efficacy period: day 29 to Month 9)] <br>efficacy<br>4.Quality of Life (QOL) as measured by Haem-A-QOL Questionnaire score on a scale of 1-100 with higher scores representing greater impairment. <br>[Time Frame: 9 months (treatment period: 1 month onset period + efficacy period of 8 months)]<br>safety<br>5. Number of participants reported with treatment-emergent adverse<br>events<br>[Time Frame: 15 months (9 months treatment + 6 months follow up)]
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