An Open-label Safety, Efficacy and Pharmacokinetic Study of a Recombinant FVIII Compared to Recombinant Human Antihemophilic FVIII in Patients With Severe Hemophilia A
This study is currently recruiting participants.
Verified March 2013 by CSL Behring
Sponsor:
CSL Behring
Information provided by (Responsible Party):
CSL Behring
ClinicalTrials.gov Identifier:
NCT01486927
First received: November 19, 2011
Last updated: March 21, 2013
Last verified: March 2013
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Purpose
This is an open-label, non-randomized, efficacy, safety and PK study comparing octocog alfa and CSL627. The study consists of three parts, a PK period (Part 1), a continuation of dosing safety and efficacy period (Part 2) and a safety, efficacy, and repeat PK section (Part 3) including a surgical sub-study for subjects enrolled in Parts 2 and 3.
| Condition | Intervention | Phase |
|---|---|---|
|
Hemophilia A |
Biological: Recombinant Factor VIII (rFVIII) |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase I/III Open-label, Multicenter, Crossover Safety, Efficacy and Pharmacokinetic Study of Recombinant Coagulation Factor VIII (rFVIII) Compared to Recombinant Human Antihaemophilic Factor VIII (rFVIII; INN: Octocog Alfa) in Subjects With Hemophilia A, and a Repeat PK, Safety and Efficacy Study |
Resource links provided by NLM:
Genetics Home Reference related topics:
hemophilia
MedlinePlus related topics:
Hemophilia
U.S. FDA Resources
Further study details as provided by CSL Behring:
Primary Outcome Measures:
- Treatment success [ Time Frame: Approximately 12 months ] [ Designated as safety issue: No ]Subjects will receive treatment for any bleeding episode and the investigator will rate the efficacy of the treatment based on a four point rating scale "excellent, good, moderate or poor/no response".
- Treatment success during the peri-operative surgical sub-study [ Time Frame: From the start of surgery through the post-operative recovery (generally up to 14 days after surgery) ] [ Designated as safety issue: No ]Subjects will receive pre-treatment with rFVIII prior to major surgery. The investigator will rate the efficacy of the treatment based on a four point rating scale of "excellent, good, moderate or poor/no response".
- Inhibitor formation to FVIII [ Time Frame: Approximately 12 months ] [ Designated as safety issue: No ]Number of subjects who develop inhibitors to FVIII
Secondary Outcome Measures:
- AUC0-t [ Time Frame: Before infusion and at up to 12 time points within 5 days of infusion ] [ Designated as safety issue: No ]AUC0-t of a single infusion of octocog alpha and CSL627
- AUC0-∞ [ Time Frame: Before infusion and at up to 12 time points within 5 days of infusion ] [ Designated as safety issue: No ]AUC0-∞ of a single infusion of octocog alpha and CSL627
- Percent of area extrapolated [ Time Frame: Before infusion and at up to 12 time points within 5 days of infusion ] [ Designated as safety issue: No ]Percent of area extrapolated of a single infusion of octocog alpha and CSL627
- Cmax [ Time Frame: Before infusion and at up to 12 time points within 5 days of infusion ] [ Designated as safety issue: No ]Cmax of a single infusion of octocog alpha and CSL627
- Tmax [ Time Frame: Before infusion and at up to 12 time points within 5 days of infusion ] [ Designated as safety issue: No ]Tmax of a single infusion of octocog alpha and CSL627
- Elimination constant [ Time Frame: Before infusion and at up to 12 time points within 5 days of infusion ] [ Designated as safety issue: No ]Elimination constant of a single infusion of octocog alpha and CSL627
- Half-life (t1/2) [ Time Frame: Before infusion and at up to 12 time points within 5 days of infusion ] [ Designated as safety issue: No ]Half-life (t1/2) of a single infusion of octocog alpha and CSL627
- AUMC0-∞ [ Time Frame: Before infusion and at up to 12 time points within 5 days of infusion ] [ Designated as safety issue: No ]AUMC0-∞ of a single infusion of octocog alpha and CSL627
- Mean residence time (MRT) [ Time Frame: Before infusion and at up to 12 time points within 5 days of infusion ] [ Designated as safety issue: No ]Mean residence time (MRT) of a single infusion of octocog alpha and CSL627
- Clearance (Cl) [ Time Frame: Before infusion and at up to 12 time points within 5 days of infusion ] [ Designated as safety issue: No ]Clearance (Cl) of a single infusion of octocog alpha and CSL627
- Volume of distribution at steady-state (Vss) [ Time Frame: Before infusion and at up to 12 time points within 5 days of infusion ] [ Designated as safety issue: No ]Volume of distribution at steady-state (Vss) of a single infusion of octocog alpha and CSL627
- Proportion of bleeding episodes [ Time Frame: Assessed at Months 1, 2, 3, 4, 5, 6, 9, and 12 visit ] [ Designated as safety issue: No ]Proportion of bleeding episodes requiring one, 2, 3 or > 3 infusions of CSL627 to achieve hemostasis
| Estimated Enrollment: | 104 |
| Study Start Date: | December 2011 |
| Estimated Study Completion Date: | March 2014 |
| Estimated Primary Completion Date: | March 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Recombinant Factor VIII (rFVIII) |
Biological: Recombinant Factor VIII (rFVIII)
In Part 1 of the study, subjects will receive a single infusion of 50 IU/kg of octocog alpha followed by a single infusion of 50 IU/kg CSL627. In Parts 2 and 3 of the study, subjects will receive infusions of CSL627 to prevent and treat bleeding (if required), at a dose and frequency determined by their study doctor (based on the subject's underlying bleeding phenotype).
Other Name: CSL627
|
Eligibility| Ages Eligible for Study: | 12 Years to 65 Years |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Diagnosis of severe hemophilia A defined as <1% FVIII:C documented in medical records.
- Males between 18 and 65 years of age (Parts 1 and 2).
- Males between 12 and 65 years of age (Part 3).
- Subjects who have received or are currently receiving FVIII products (plasma-derived and/or recombinant FVIII) and have had >150 exposure days (EDs) with a FVIII product
- Written informed consent for study participation obtained before undergoing any study specific procedures.
Exclusion Criteria:
- Any history of or current FVIII inhibitors
- Any first order family history of FVIII inhibitors
- Use of an Investigational Medicinal Product within 30 days prior to the first rFVIII administration.
- Administration of any cryoprecipitate, whole blood or plasma within 30 days prior to screening and 4 days prior to administration of rFVIII or reference product.
- Known hypersensitivity (allergic reaction or anaphylaxis) to any FVIII product or hamster protein.
- Any known congenital or acquired coagulation disorder other than congenital FVIII deficiency.
- Platelet count < 100,000/µL at screening.
- HIV positive subjects with a CD4 count < 200/mm3, in their medical history or at screening if available results are older than one year. (HIV positive subjects may participate in the study and antiviral therapy are permitted, at the discretion of the Investigator).
- Subject currently receiving IV immunomodulating agents such as immunoglobulin or chronic systemic corticosteroid treatment.
- Subject with serum aspartate aminotransferase (AST) or serum alanine aminotransferase (ALT) values > 5 times (x) the upper limit of normal (ULN) at Screening.
- Subjects with serum creatinine values > 2 x ULN at Screening.
- Evidence of thrombosis, including deep vein thrombosis, stroke, pulmonary embolism, myocardial infarction and arterial embolus within 3 months prior to Day 1.
- Experienced life-threatening bleeding episode or had major surgery or an orthopedic surgical procedure during the 3 months prior to Day 1.
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01486927
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Contacts
| Contact: Clinical Trial Registration Coordinator | clinicaltrials@cslbehring.com |
Hide Study LocationsLocations
| United States, California | |
| Study Site | Recruiting |
| Sacramento, California, United States, 95817 | |
| Contact: Use central contact | |
| Principal Investigator: Jerry Powell, MD | |
| United States, Connecticut | |
| Study Site | Not yet recruiting |
| Hartford, Connecticut, United States, 06106 | |
| Contact: Use central contact | |
| Principal Investigator: Nathan Hagstrom | |
| United States, Florida | |
| Study Site | Recruiting |
| Miami, Florida, United States, 33136 | |
| Contact: Use central contact | |
| Principal Investigator: Joanna Davis, MD | |
| United States, Illinois | |
| Study Site | Recruiting |
| Chicago, Illinois, United States, 60612-3833 | |
| Contact: Use central contact | |
| Principal Investigator: Len Valentino, MD | |
| United States, Louisiana | |
| Study Site | Recruiting |
| New Orleans, Louisiana, United States, 70112 | |
| Contact: Use central contact | |
| Principal Investigator: Cindy A Leissinger, MD | |
| United States, Missouri | |
| Study Site | Not yet recruiting |
| Columbia, Missouri, United States, 65212 | |
| Contact: Use central contact | |
| Principal Investigator: Thomas Loew, MD | |
| United States, Nevada | |
| Study Site | Recruiting |
| Las Vegas, Nevada, United States, 89109-2294 | |
| Contact: Use central contact | |
| Principal Investigator: Jonathan Bernstein, Dr. | |
| United States, Texas | |
| Study Site | Not yet recruiting |
| Houston, Texas, United States, 70030 | |
| Contact: Use central contact | |
| Principal Investigator: Miguel Escobar, MD | |
| United States, Wisconsin | |
| Study Site | Recruiting |
| Milwaukee, Wisconsin, United States, 53226 | |
| Contact: Use central contact | |
| Principal Investigator: Joan Gill, MD | |
| Austria | |
| Study Site | Recruiting |
| Graz, Austria, 8036 | |
| Contact: Use central conact | |
| Principal Investigator: Peter Neumeister, MD | |
| Study Site | Recruiting |
| Vienna, Austria, 1090 | |
| Contact: Use central contact | |
| Principal Investigator: Ingrid Pabinger-Fasching, Prof. | |
| Belgium | |
| Study Site | Not yet recruiting |
| Gent, Belgium, 9000 | |
| Contact: Use central contact | |
| Principal Investigator: Anna Vantilborgh, MD | |
| Study Site | Withdrawn |
| Liège, Belgium, 4000 | |
| France | |
| Study Site | Not yet recruiting |
| Lille, France, 59037 | |
| Contact: Use central contact | |
| Principal Investigator: Jenny Goudemand, Prof. | |
| Study Site | Not yet recruiting |
| Lyon, France, 69437 | |
| Contact: Use central contact | |
| Principal Investigator: Claude Negrier, MD | |
| Germany | |
| Study Site | Recruiting |
| Berlin, Germany, 10249 | |
| Contact: Use central contact | |
| Principal Investigator: Robert Klamroth, Dr. | |
| Study Site | Recruiting |
| Hamburg, Germany, 20095 | |
| Contact: Use central contact | |
| Principal Investigator: Wolfgang Zeller, MD | |
| Study Site | Recruiting |
| Hannover, Germany, 30625 | |
| Contact: Use central contact | |
| Principal Investigator: Mario von Depka Prondzinski, MD | |
| Study Site | Recruiting |
| Heidelberg, Germany, 69123 | |
| Contact: Use central contact | |
| Principal Investigator: Angela Huth-Kuehne, Dr. | |
| Italy | |
| Study Site | Recruiting |
| Florence, Italy, 50134 | |
| Contact: Use central contact | |
| Principal Investigator: Massimo Morfini, MD | |
| Study Site | Recruiting |
| Milan, Italy, 20122 | |
| Contact: Use central contact | |
| Principal Investigator: Elena Santagostino, MD | |
| Study Site | Not yet recruiting |
| Padova, Italy, 35123 | |
| Contact: Use central contact | |
| Principal Investigator: Ezio Zanon, MD | |
| Poland | |
| Study Site | Not yet recruiting |
| Gdansk, Poland, 80-952 | |
| Contact: Use central contact | |
| Principal Investigator: Andrzej Hellmann, Prof. | |
| Study Site | Not yet recruiting |
| Wroclaw, Poland, 50-367 | |
| Contact: Use central contact | |
| Principal Investigator: Kazimierz Kuliczkowski, Prof. | |
| Russian Federation | |
| Study Site | Withdrawn |
| Barnaul, Russian Federation, 656099 | |
| Study Site | Not yet recruiting |
| Kirov, Russian Federation, 610027 | |
| Contact: Use central contact | |
| Principal Investigator: Tatiana Chernova, MD | |
| Sweden | |
| Study Site | Recruiting |
| Malmoe, Sweden, 20502 | |
| Contact: Use central contact | |
| Principal Investigator: Erik Berntorp, MD | |
Sponsors and Collaborators
CSL Behring
Investigators
| Study Director: | Program Director | CSL Behring |
More Information
No publications provided
| Responsible Party: | CSL Behring |
| ClinicalTrials.gov Identifier: | NCT01486927 History of Changes |
| Other Study ID Numbers: | CSL627_1001, 2011-002393-23 |
| Study First Received: | November 19, 2011 |
| Last Updated: | March 21, 2013 |
| Health Authority: | United States: Food and Drug Administration Germany: Paul-Ehrlich-Institut Austria: Agency for Health and Food Safety Austria: Federal Office for Safety in Health Care Sweden: Medical Products Agency Italy: Ministry of Health Belgium: Federal Agency for Medicinal Products and Health Products Canada: Health Canada France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) Poland: Ministry of Health Russia: Ministry of Health of the Russian Federation Japan: Pharmaceuticals and Medical Devices Agency |
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 May 16, 2013