A Prospective, Randomized, Cross-over Study of an Activated Prothrombin Complex Concentrate for Secondary Prophylaxis in Patients With Hemophilia A and Inhibitors
Overview
- Phase
- Phase 2
- Intervention
- activated prothrombin complex concentrate (FEIBA)
- Conditions
- Hemophilia A With Inhibitors
- Sponsor
- Tulane University School of Medicine
- Enrollment
- 34
- Locations
- 1
- Primary Endpoint
- Number of Bleeds During 6 Month Treatment Period
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
The objective of this study is to assess whether prophylactic therapy with an activated prothrombin complex concentrate (FEIBA)will result in a significant reduction in the number of bleeds in patients with hemophilia and persistent high responding inhibitors.
Investigators
Eligibility Criteria
Inclusion Criteria
- •hemophilia A, any severity, with documented history of high-titer inhibitor (\>5BU); current use of bypassing agents (PCCs, aPCCs or rFVIIa) for treatment of bleeds; \>/= 6 bleeds requiring bypassing therapy in the previous 6 months
Exclusion Criteria
- •concomitant immune tolerance therapy; clinically symptomatic liver disease, platelet count less than 100,000
Arms & Interventions
On-demand first
Patients receive 6 months of on-demand therapy with study drug followed by 6 months of prophylaxis therapy with study drug
Intervention: activated prothrombin complex concentrate (FEIBA)
Prophylaxis first
Patients receive 6 months of prophylaxis therapy with study drug followed by 6 months on-demand therapy with study drug
Intervention: activated prothrombin complex concentrate (FEIBA)
Outcomes
Primary Outcomes
Number of Bleeds During 6 Month Treatment Period
Time Frame: 6 months