The FEIBA NovoSeven Comparative Study

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00166309
Recruitment Status : Completed
First Posted : September 14, 2005
Last Update Posted : April 19, 2007
Information provided by:
Skane University Hospital

Brief Summary:
FENOC is a prospective, open-label, randomized, cross-over, multi-center study to investigate and compare the hemostatic effect and cost-efficacy of two different by-passing agents in the treatment of joint hemorrhages in subjects with severe hemophilia A and inhibitors. The study is designed as a clinical equivalency trial.

Condition or disease Intervention/treatment Phase
Severe Hemophilia A With an Inhibitor Drug: FEIBA and NovoSeven Not Applicable

Detailed Description:
The incidence of inhibitors among people with severe hemophilia A has been documented as approximately 20-30% in several prospective studies. In such patients acute hemorrhages frequently occur and profoundly jeopardize health, with subsequent development of arthropathy. A common way of treating such bleeding episodes is to use bypassing agents. Among these agents the prothrombin complex concentrate FEIBA has been widely used for many years. More recently, recombinant factor VIIa (NovoSeven) has been added to the therapeutic options. While both products have been found effective in treating hemorrhages, the number of injections given for a bleeding episode has ranged widely, and it is so far unknown whether one of the products might have a better effect in certain patients.

Study Type : Interventional  (Clinical Trial)
Enrollment : 60 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: FENOC: The FEIBA NovoSeven Comparative Study
Study Start Date : July 2000
Actual Study Completion Date : June 2005

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Hemophilia

Primary Outcome Measures :
  1. -The hemostatic effect of treatment with a single dose of FEIBA with that of two doses of NovoSeven on joint hemorrhages after 6 hours.

Secondary Outcome Measures :
  1. The hemostatic effect of treatment after 2, 12, 24 36, and 48 hours.
  2. The difference in pain, rated using the 100 mm visual analog scale (VAS) before treatment and after 2 (before the second dose of NovoSeven, 6, 12, 24, 36, and 48 hours.
  3. The number of infusions required of each concentrate to stop the bleeding.
  4. The use of analgesics.
  5. Cost-efficacy, analyzed on the basis of clinical response.
  6. Correlation between thrombin generation in vitro with each concentrate and the in vivo clinical response.

Information from the National Library of Medicine

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Ages Eligible for Study:   2 Years and older   (Child, Adult, Older Adult)
Sexes Eligible for Study:   Male
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Congenital hemophilia A with an inhibitor and the need for by-passing agents in the case of joint bleeding.
  • An expected bleeding frequency of >=3 joint bleeds per year.
  • Informed consent given.
  • Age of two or older.

Exclusion Criteria:

  • Other congenital and acquired bleeding disorders.
  • Symptomatic liver disease.
  • Life expectancy <12 months.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00166309

Malmo University Hospital
Malmo, Sweden, SE-205 02
Sponsors and Collaborators
Skane University Hospital
Principal Investigator: Erik Berntorp, MD, PhD Skane University Hospital

Publications of Results: Identifier: NCT00166309     History of Changes
Other Study ID Numbers: FENOC
First Posted: September 14, 2005    Key Record Dates
Last Update Posted: April 19, 2007
Last Verified: April 2007

Keywords provided by Skane University Hospital:
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