Pivotal Study (Pharmacokinetics, Efficacy, Safety) of BAX 326 (rFIX) in Hemophilia B Patients

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Baxter Healthcare Corporation
ClinicalTrials.gov Identifier:
NCT01174446
First received: August 2, 2010
Last updated: July 10, 2012
Last verified: July 2012
  Purpose

The purpose of this pivotal Phase 1/3 study is to determine the pharmacokinetic (PK) parameters, the hemostatic efficacy, and the safety of BAX 326, a recombinant factor IX, in previously treated patients (PTPs) with severe and moderately severe hemophilia B.


Condition Intervention Phase
Hemophilia B
Biological: BeneFIX and BAX 326 (Recombinant factor IX)
Biological: BeneFIX (Recombinant factor IX (licensed product))
Phase 3

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Recombinant Factor IX (BAX 326): A Phase 1/3, Prospective, Controlled, Multicenter Study Evaluating Pharmacokinetics, Efficacy, Safety and Immunogenicity in Previously Treated Patients With Severe or Moderately Severe Hemophilia B

Resource links provided by NLM:


Further study details as provided by Baxter Healthcare Corporation:

Primary Outcome Measures:
  • Pharmacokinetic (PK) endpoint [ Time Frame: 72 hours ] [ Designated as safety issue: No ]
    The primary PK endpoint is the area under the plasma concentration versus time curve from 0 to 72 hours.

  • Hemostatic efficacy [ Time Frame: 48 hours (prophylaxis) ] [ Designated as safety issue: No ]

    Treatment of bleeding episodes: number of infusions per bleeding episode, overall hemostatic efficacy rating at resolution of bleed

    Prophylaxis: annualized bleeding rate



Enrollment: 86
Study Start Date: July 2010
Study Completion Date: July 2012
Primary Completion Date: May 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Phase 1/3 Biological: BeneFIX and BAX 326 (Recombinant factor IX)

Parts 1 and 3 (N=27): PK Crossover with BeneFIX (Part 1) / Repeat PK with BAX 326 (Part 3)

Part 2 (N=75-80): Open-label, uncontrolled, Phase 3: Prophylactic treatment with BAX 326 twice weekly as well as treatment of bleeding episodes (60 subjects) + on-demand treatment (15-20 subjects)

Other Name: BAX 326
Biological: BeneFIX (Recombinant factor IX (licensed product))
Part 1 (PK crossover)
Other Name: BeneFIX

  Eligibility

Ages Eligible for Study:   12 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Main Inclusion Criteria:

  • Subject is 12 to 65 years old at the time of screening
  • Subject and/or legal representative has/have provided signed informed consent
  • Subject has severe (factor IX (FIX) level < 1%) or moderately severe (FIX level 1-2%) hemophilia B (based on the one stage activated partial thromboplastin time [aPTT] assay), as tested at screening at the central laboratory
  • Subject is previously treated with plasma-derived or recombinant FIX concentrate(s) for a minimum of 150 exposure days (EDs)(based on the subject's medical records); if a verifiable, documented history is unavailable, the subject can be enrolled if s/he has participated in Study 050901 for at least 50 EDs to Immunine prior to enrollment (not valid for US and Japan).
  • Subject has no evidence of a history of FIX inhibitors

Main Exclusion Criteria:

  • The subject has a history of FIX inhibitors with a titer >= 0.6 Bethesda Units (BU) (as determined by the Nijmegen modification of the Bethesda assay or the assay employed in the respective local laboratory) at any time prior to screening
  • The subject has a detectable FIX inhibitor at screening, with a titer >= 0.6 BU as determined by the Nijmegen modification of the Bethesda assay in the central laboratory
  • The subject's weight is < 35 kg or > 120 kg
  • The subject has a history of allergic reaction, eg, anaphylaxis, following exposure to FIX concentrate(s)
  • The subject has a known hypersensitivity to hamster proteins or rFurin
  • The subject has ongoing or recent evidence of a thrombotic disease, fibrinolysis or DIC
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01174446

  Show 29 Study Locations
Sponsors and Collaborators
Baxter Healthcare Corporation
Investigators
Study Director: Brigitt Abbuehl, MD Baxter Healthcare Corporation
  More Information

No publications provided

Responsible Party: Baxter Healthcare Corporation
ClinicalTrials.gov Identifier: NCT01174446     History of Changes
Other Study ID Numbers: 250901, 2009-016720-31
Study First Received: August 2, 2010
Last Updated: July 10, 2012
Health Authority: Argentina: Administracion Nacional de Medicamentos, Alimentos y Tecnologia Medica
Bulgaria: Bulgarian Drug Agency
Chile: Instituto de Salud Publica de Chile
Colombia: INVIMA Instituto Nacional de Vigilancia de Medicamentos y Alimentos
Czech Republic: State Institute for Drug Control
Germany: Paul-Ehrlich-Institut
Japan: Pharmaceuticals and Medical Devices Agency
Poland: Office for Registration of Medicinal Products, Medical Devices and Biocidal Products
Romania: National Medicines Agency
Russia: FSI Scientific Center of Expertise of Medical Application
Spain: Spanish Agency of Medicines
Sweden: Medical Products Agency
Ukraine: State Pharmacological Center - Ministry of Health
United Kingdom: Medicines and Healthcare Products Regulatory Agency
United States: Food and Drug Administration

Additional relevant MeSH terms:
Hemophilia B
Hemophilia A
Blood Coagulation Disorders, Inherited
Blood Coagulation Disorders
Hematologic Diseases
Coagulation Protein Disorders
Hemorrhagic Disorders
Genetic Diseases, Inborn
Genetic Diseases, X-Linked

ClinicalTrials.gov processed this record on June 17, 2013