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临床试验/NL-OMON54973
NL-OMON54973已完成3 期

Protocol EFC16293: A Phase 3 Open-Label, Multicenter Study of the Safety, Efficacy, and Pharmacokinetics of Intravenous Recombinant Coagulation Factor VIII Fc von Willebrand Factor XTEN Fusion Protein (rFVIIIFc VWF XTEN; BIVV001) in Previously Treated Patients *12 Years of Age With Severe Hemophilia A. - XTEND-1

Sanofi-aventis0 个研究点目标入组 3 人开始时间: 待定最近更新:

试验速览

阶段
3 期
状态
已完成
入组人数
3

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
16 至 99(—)

入选标准

  • Participants are eligible to be included in the study only if all of the
  • following criteria apply:
  • 01. Participant must be equal to or greater than 12 years of age inclusive, at
  • the time of signing the informed consent.
  • 02. Severe hemophilia A, defined as <1 IU/dL (<1%) endogenous FVIII activity as
  • documented either by central laboratory testing at Screening or in historical
  • medical records from a clinical laboratory demonstrating <1% FVIII coagulant
  • activity (FVIII:C) or a documented genotype
  • known to produce severe hemophilia A.
  • 03. Previous treatment for hemophilia A (prophylaxis or on demand) with any
  • recombinant and/or plasma-derived FVIII, or cryoprecipitate for at least 150
  • 04. Current regimen includes one of the following: * Prophylactic treatment
  • regimen with a marketed FVIII product or prophylactic emicizumab therapy for at
  • least 6 months during the previous 12 months. Appropriate washout time needs to
  • be taken into account. * On-demand regimen with a marketed FVIII product with a
  • history of at least 12 bleeding episodes in the previous 12 months or at least
  • 6 bleeding episodes in the previous 6 months prior to study enrollment. -
  • On-demand participant is accepting to move to a prophylaxis treatment regimen
  • after 26-week on-demand period.
  • 05. Platelet count *100,000 cells/*L at Screening.
  • 06. A participant known to be human immunodeficiency virus (HIV) antibody
  • positive, either previously documented or identified from screening
  • assessments, must have the following results prior to enrollment.
  • a. CD4 lymphocyte count >200 cells/mm³
  • b. Viral load of <400 copies/mL
  • Documented results of CD4 lymphocyte count and viral load will be accepted if
  • samples were collected within 26 weeks prior to Screening or if samples were
  • collected during Screening and evaluated by the central laboratory.
  • Participants who have previously tested negative for HIV must have a repeat
  • test by the central laboratory during Screening
  • 07. Willingness and ability of the participant or surrogate (a caregiver or a
  • family member *18 years of age) to complete training in the use of the study
  • electronic Patient Diary (ePD) and to use the ePD throughout the study.
  • 08. Male or Female
  • Contraceptive use by men or women should be consistent with local regulations
  • regarding the methods of contraception for those participating in clinical
  • studies. a) Male participants - No contraceptive measures required for this
  • study. b) Female participants - A female participant is eligible to participate
  • if she is not pregnant or breastfeeding, and at least one of the following
  • conditions applies: - Is not a woman of childbearing potential (WOCBP), as
  • defined in Section 10.4
  • or - Is a WOCBP and using an acceptable contraceptive method as described
  • Section 10.4 during the intervention period (at a minimum until Safety
  • Follow-up Call or Visit). The investigator should evaluate the effectiveness of
  • the contraceptive method in relationship to the first dose of study
  • intervention. and - A WOCBP must have a negative highly sensitive pregnancy
  • test before the first dose of study intervention as described in Section 10.2.
  • A serum pregnancy test should be performed at screening. For all other time
  • points, serum or urine pregnancy testing may be performed at the discretion of

排除标准

  • Participants are excluded from the study if any of the following criteria
  • Medical conditions
  • 01. Any concurrent clinically significant liver disease that, in the opinion of
  • the Investigator, would make the participant unsuitable for enrollment. This
  • may include, but is not limited to cirrhosis, portal hypertension, and acute
  • 02. Serious active bacterial or viral infection (other than chronic hepatitis
  • or HIV) present within 30 days of Screening.
  • 03. Other known coagulation disorder(s) in addition to hemophilia A.
  • 04. History of hypersensitivity or anaphylaxis associated with any FVIII
  • 05. History of a positive inhibitor test defined as *0.6 BU/mL, or any value
  • greater than or equal to the lower sensitivity cut-off for laboratories with
  • cut-offs for inhibitor detection between 0.7 and 1.0 BU/mL, or clinical signs
  • or symptoms of decreased response to FVIII administrations. Family history of
  • inhibitors will not exclude the participant.
  • 06. Positive inhibitor result, defined as *0.6 BU/mL at Screening.
  • 07. Abnormal renal function, defined as serum creatinine >2.0 mg/dL taken at
  • 08. Serum alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >5
  • x upper limit of normal (ULN) taken at Screening.
  • 09. Serum total bilirubin >3 x ULN, taken at Screening.
  • Prior/concomitant therapy
  • 10. Vaccination within 30 days of Screening
  • 11. Treatment with acetylsalicylic acid (ASA) within 2 weeks prior to screening
  • 12. Treatment with non-steroidal anti-inflammatory drugs (NSAIDs) above the
  • maximum dose specified in the regional prescribing information within 2 weeks
  • prior to Screening.
  • 13. Systemic treatment within 12 weeks prior to Screening with chemotherapy
  • and/or other immunosuppressive drugs (except for the treatment of hepatitis C
  • virus [HCV] or HIV). Use of corticosteroids is allowed, except for systemic
  • corticosteroid treatment given daily or on alternate days for >14 days. Local,
  • topical, and/or inhaled steroid use is permitted.
  • Prior/concurrent clinical study experience
  • 14. Emicizumab use within the 20 weeks prior to Screening
  • 15. Previous enrolment in this study; participants who fail Screening may
  • 6. Treatment with an investigational product within 30 days or 5.5 half-lives
  • prior to Screening, whichever is longer. For investigational products with a
  • pharmacodynamic effect that persists longer than the half-life, the maximal
  • pharmacodynamic effect must return to baseline prior to Screening.
  • Other exclusions
  • 17. Major surgery within 8 weeks prior to Screening. Major surgery is defined
  • as any surgical procedure (elective or emergent) that usually, but not always,
  • involves general anesthesia and/or respiratory assistance, in which a major
  • body cavity is penetrated and exposed, or a substantial impairment of physical
  • or physiological functions is produced (eg, laparotomy, thoracotomy,
  • craniotomy, joint replacement, or limb amputation).
  • 18. Individuals accommodated in an institution because of regulatory or legal
  • order; prisoners or participants who are legally institutionalized
  • 19. Any country-related specific regulation that would prevent the participant
  • from entering the study * see Appendix 10 (Section 10.10) (country specific
  • requirements)
  • 20. Partic

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