Study Evaluating Safety Of Patients Switching To ReFacto AF In Usual Care Settings

This study has been terminated.
(See termination reason in detailed description.)
Sponsor:
Information provided by (Responsible Party):
Pfizer
ClinicalTrials.gov Identifier:
NCT00884390
First received: April 16, 2009
Last updated: April 24, 2013
Last verified: April 2013
  Purpose

The study will be investigating safety in patients who switch to ReFacto AF from ReFacto and other Factor VIII products.


Condition Intervention Phase
Hemophilia A
Drug: moroctocog alfa (AF-CC) (ReFacto AF)
Procedure: Laboratory tests
Phase 4

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: A Postauthorization Safety Surveillance Study Of Patients Switching To ReFacto AF From ReFacto Or Other Factor VIII Products In Usual Care Settings

Resource links provided by NLM:


Further study details as provided by Pfizer:

Primary Outcome Measures:
  • Development of clinically significant factor VIII inhibitors [ Time Frame: 100 exposure days to study medication (approx. 2 years) ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Occurence of adverse events and serious adverse events during the study [ Time Frame: Duration of participation in study ] [ Designated as safety issue: Yes ]
  • Annualized bleed rates [ Time Frame: Duration of participation in study ] [ Designated as safety issue: No ]
  • Response to first on-demand treatment with test article for all new bleeding episodes [ Time Frame: Duration of participation in study ] [ Designated as safety issue: No ]
  • number of test article infusions required for each bleeding episode [ Time Frame: Duration of participation in study ] [ Designated as safety issue: No ]
  • number of breakthrough bleeding episodes within 48 hours of a prophylaxis treatment [ Time Frame: Duration of participation in study ] [ Designated as safety issue: No ]
  • Average infusion dose and the total factor consumption [ Time Frame: Duration of participation in study ] [ Designated as safety issue: No ]
  • Incidence of less-than-expected-therapeutic effect (LETE) [ Time Frame: Duration of participation in study ] [ Designated as safety issue: No ]

Enrollment: 224
Study Start Date: May 2009
Study Completion Date: March 2013
Primary Completion Date: March 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: ReFacto AF Drug: moroctocog alfa (AF-CC) (ReFacto AF)
Providing moroctocog alfa (AF-CC) as test article for use during this study.
Procedure: Laboratory tests
Laboratory samples are collected during study visits, in order to collect safety and efficacy data related to the administration of test article.

Detailed Description:

The trial was terminated prematurely on 28 March 2013, due to the inability to recruit the planned number of subjects. The decision to terminate the trial was not based on any safety or efficacy concerns and agreement to close the study in March 2013 was agreed with EMA prior to closure activity.

  Eligibility

Ages Eligible for Study:   12 Years and older
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Male patients greater than or equal to 12 years of age with severe hemophilia A (FVIII:C less than 1%).
  • Treatment history of greater than 150 EDs to prior recombinant or plasma-derived FVIII replacement products.
  • Transitioning to ReFacto AF from ReFacto or other recombinant or plasma-derived FVIII replacement products.
  • Serum albumin greater than or equal to the lower limit of normal (LLN).
  • Platelet count greater than or equal to 100,000/µL.
  • Prothrombin time (PT) less than or equal to1.25 × ULN, or international normalized ratio (INR) less than or equal to 1.5.
  • HIV positive subjects must have a CD4 count greater than 200/µL and HIV viral load less than 200 particles/µL.

Exclusion Criteria:

  • Presence of any bleeding disorder in addition to hemophilia A.
  • A positive FVIII inhibitor, according to the local laboratory, at screening; or any Bethesda Inhibitor Titer greater than 0.6, regardless of the normal range for the testing laboratory.
  • Treated with immunomodulatory therapy (including Immune Tolerance Induction [ITI]) during the screening period.
  • Prior exposure to moroctocog alfa (AF-CC).
  • Known hypersensitivity to hamster protein.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00884390

  Hide Study Locations
Locations
Austria
Pfizer Investigational Site
Wien, Austria, 1090
Belgium
Pfizer Investigational Site
Brussels, Belgium, 1020
Pfizer Investigational Site
Bruxelles, Belgium, 1200
Pfizer Investigational Site
Leuven, Belgium, 3000
Denmark
Pfizer Investigational Site
Copenhagen, Denmark, 2100
Finland
Pfizer Investigational Site
Helsinki, Finland, 00029 HUS
Pfizer Investigational Site
Kuopio, Finland, 70211
France
Pfizer Investigational Site
Chambray Les Tours Cedex, France, 37170
Pfizer Investigational Site
Clermont Ferrand Cedex 1, France, 63003
Pfizer Investigational Site
Clermont-Ferrand Cedex 1, France, 63003
Pfizer Investigational Site
Le Chesnay, France, 78157
Pfizer Investigational Site
Le Kremlin Bicetre Cedex, France, 94275
Pfizer Investigational Site
Limoges Cedex 1, France, 87042
Pfizer Investigational Site
Lyon Cedex 03, France, 69437
Pfizer Investigational Site
Marseille Cedex 05, France, 13385
Pfizer Investigational Site
Montmorency, France, 95160
Pfizer Investigational Site
Montpellier Cedex 5, France, 34295
Pfizer Investigational Site
Nantes, France, 44093
Pfizer Investigational Site
Paris Cedex 15, France, 75743
Germany
Pfizer Investigational Site
Berlin, Germany, 10249
Pfizer Investigational Site
Bonn, Germany, 53127
Pfizer Investigational Site
Bremen, Germany, 28177
Pfizer Investigational Site
Dresden, Germany, 01307
Pfizer Investigational Site
Frankfurt am Main, Germany, 60596
Pfizer Investigational Site
Fulda, Germany, 36043
Pfizer Investigational Site
Halle, Germany, 06120
Pfizer Investigational Site
Hamburg, Germany, 20246
Pfizer Investigational Site
Heidelberg, Germany, 69123
Pfizer Investigational Site
Homburg, Germany, 66421
Pfizer Investigational Site
Leipzig, Germany, 04103
Pfizer Investigational Site
Leipzig, Germany, 04289
Pfizer Investigational Site
Magdeburg, Germany, 39112
Pfizer Investigational Site
Muenchen, Germany, 80337
Pfizer Investigational Site
Muenchen, Germany, 80336
Pfizer Investigational Site
Muenster, Germany, 48143
Pfizer Investigational Site
Rostock, Germany, 18059
Pfizer Investigational Site
Stuttgart, Germany, 70176
Pfizer Investigational Site
Wiesbaden, Germany, 65191
Greece
Pfizer Investigational Site
Athens, Greece, 11527
Hungary
Pfizer Investigational Site
Budapest, Hungary, 1134
Italy
Pfizer Investigational Site
Treviso, Castelfranco Veneto, Italy, 31033
Pfizer Investigational Site
Firenze, Italy, 50134
Pfizer Investigational Site
Ivrea, Italy, 10015
Pfizer Investigational Site
Milano, Italy, 20122
Pfizer Investigational Site
Napoli, Italy, 80131
Pfizer Investigational Site
Pavia, Italy, 27100
Pfizer Investigational Site
Perugia, Italy, 06156
Pfizer Investigational Site
Udine, Italy, 33100
Netherlands
Pfizer Investigational Site
Amsterdam, Netherlands, 1105 AZ
Pfizer Investigational Site
Groningen, Netherlands, 9713 GZ
Pfizer Investigational Site
Utrecht, Netherlands, 3584 CX
Romania
Pfizer Investigational Site
Bucharest, Romania, 011155
Spain
Pfizer Investigational Site
Puerto Real, Cadiz, Spain, 11510
Pfizer Investigational Site
Palma de Mallorca, Islas Baleares, Spain, 07010
Pfizer Investigational Site
A Coruna, Spain, 15006
Pfizer Investigational Site
Almeria, Spain, 4009
Pfizer Investigational Site
Avila, Spain, 05004
Pfizer Investigational Site
Barcelona, Spain, 08035
Pfizer Investigational Site
Caceres, Spain, 10003
Pfizer Investigational Site
Cadiz, Spain, 11300
Pfizer Investigational Site
Granada, Spain, 18012
Pfizer Investigational Site
Madrid, Spain, 28046
Pfizer Investigational Site
Malaga, Spain, 29010
Pfizer Investigational Site
Malaga, Spain, 29011
Pfizer Investigational Site
Valencia, Spain, 46009
Pfizer Investigational Site
Valladolid, Spain, 47012
Pfizer Investigational Site
Zaragoza, Spain, 50009
Sweden
Pfizer Investigational Site
Goteborg, Sweden, 41345
Pfizer Investigational Site
Malmo, Sweden, 205 02
Pfizer Investigational Site
Stockholm, Sweden, 17176
United Kingdom
Pfizer Investigational Site
Birmingham, England, United Kingdom, B4 6NH
Pfizer Investigational Site
London, England, United Kingdom, NW3 2QG
Pfizer Investigational Site
Edinburgh, Scotland, United Kingdom, EH3 9YW
Pfizer Investigational Site
Bangor, Wales, United Kingdom, LL57 2PW
Pfizer Investigational Site
Manchester, United Kingdom, M13 9WL
Sponsors and Collaborators
Pfizer
Investigators
Study Director: Pfizer CT.gov Call Center Pfizer
  More Information

Additional Information:
No publications provided

Responsible Party: Pfizer
ClinicalTrials.gov Identifier: NCT00884390     History of Changes
Other Study ID Numbers: 3082B2-4432
Study First Received: April 16, 2009
Last Updated: April 24, 2013
Health Authority: European Union: European Medicines Agency

Keywords provided by Pfizer:
Hemophilia A

Additional relevant MeSH terms:
Hemophilia A
Blood Coagulation Disorders, Inherited
Blood Coagulation Disorders
Hematologic Diseases
Coagulation Protein Disorders
Hemorrhagic Disorders
Genetic Diseases, Inborn
Factor VIII
Coagulants
Hematologic Agents
Therapeutic Uses
Pharmacologic Actions

ClinicalTrials.gov processed this record on June 17, 2013