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Clinical Trials/NCT01757405
NCT01757405CompletedPhase 3

A PHASE 3, PROSPECTIVE, OPEN-LABEL, RANDOMIZED STUDY TO EVALUATE SAFETY AND EFFICACY OF RECOMBINANT ACTIVATED FVII BI (rFVIIa BI) IN THE TREATMENT OF ACUTE BLEEDING EPISODES PER AN ON-DEMAND REGIMEN IN PATIENTS WITH HEMOPHILIA A OR B WITH INHIBITORS

Baxalta now part of Shire31 sites in 9 countries40 target enrollmentStarted: February 20, 2013Last updated:
Conditions

Trial Snapshot

Phase
Phase 3
Status
Completed
Sponsor
Enrollment
40
Locations
31
Primary Endpoint
Percentage of Bleeding Episode With "Treatment Success"

Study Overview

Brief Summary

The purpose of the study is to determine the efficacy and safety of rFVIIa BI as part of a six-month on-demand treatment regimen in hemophilia A or B subjects with inhibitors.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Single Group
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
12 Years to 65 Years (Child, Adult, Older Adult)
Sex
Male
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Main Inclusion Criteria:
  • Participant is male with hemophilia A or B with inhibitors, with a high titer (≥5 Bethesda unit (BU)) or a historical high anamnestic response.
  • Participant is 12 to 65 years old at the time of screening.
  • Participant is currently using or has used bypassing agents for treatment of bleeding episodes.
  • Participant has an annualized bleed rate of 5 or more bleeding episodes per year on average over the 2 years prior to the Screening visit.
  • Participant has a Karnofsky Performance Score ≥
  • Participant is hepatitis C virus negative (HCV-) either by antibody testing or polymerase chain reaction (PCR); or hepatitis C virus positive (HCV+) with stable hepatic disease.
  • Participant is human immunodeficiency virus negative (HIV-) or HIV+ with stable disease, CD4+ count ≥200 cells/mm^3 at screening.
  • Participant is willing and able to comply with the requirements of the protocol.

Exclusion Criteria

  • Participant is not willing to go on an on-demand treatment scheme.
  • Participant is positive for a FVII inhibitor at screening.
  • Participant has clinically symptomatic liver disease.
  • Participant has a platelet count <100,000/µL.
  • The use of α-interferon with or without ribavirin is planned for an HCV-infected participant or the use of a protease inhibitor is planned for an HIV-infected participant.
  • Participants currently taking any of these medications for ≥30 days are eligible.
  • Participant has a known hypersensitivity to rFVIIa, hamster or murine proteins, or Tween
  • Participant has a known history of being non-responsive to rFVIIa treatment of bleeding episodes.
  • Participant has a prior history of thromboembolic event or diagnosis of other diseases that may increase the participant's risk of thromboembolic complications.
  • Participant has participated in another clinical study involving an investigational product (IP) or investigational device within 30 days prior to enrollment or is scheduled to participate in another clinical study involving an IP or investigational device during the course of this study.
  • Participant is a family member or employee of the investigator.
  • Participant is scheduled for surgery during the study period.

Outcomes

Primary Outcomes

Percentage of Bleeding Episode With "Treatment Success"

Time Frame: within 12 hours of first dose

No additional hemostatic product required within 12 hours of first dose other than the prescribed dosing regimen.

Secondary Outcomes

  • Safety and Tolerability of Treatment Regimens by Clinical Assessment of Percentage of Participants With Adverse Events (AEs)(6 months (throughout study period))
  • Percentage of Clinical Responders (Sustained Bleeding Control) for All Acute Bleeding Episodes(24 hours post infusion)
  • Treatment Response for Each Bleeding Episode(within 24 hours of infusion)
  • Safety and Tolerability of Treatment Regimens by Clinical Assessment of Adverse Events (AEs)(6 months (throughout study period))
  • Percentage of Participants With Inhibitor Development to FVII(6 months (throughout study period))

Investigators

Sponsor
Baxalta now part of Shire
Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (31)

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