Pivotal Study (Pharmacokinetics, Efficacy, Safety) of BAX 326 (rFIX) in Hemophilia B Patients
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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 |
- 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 |
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
Show 29 Study Locations| 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 May 16, 2013