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Study of Biostate for Treatment of Children With Hemophilia A Complicated by Antibody Development

This study has been terminated.
Information provided by (Responsible Party):
CSL Behring Identifier:
First received: September 30, 2011
Last updated: May 7, 2014
Last verified: May 2014
This is a clinical study to investigate how well Biostate works in treatment of male patients below the age of 12 years who have a clotting factor deficiency that is aggravated by the development of antibodies. The antibodies are directed against the clotting factor that is given for replacement therapy and usually make therapy unsuccessful. The treatment used in this study is called immune tolerance therapy.

Condition Intervention Phase
Hemophilia A Biological: Biostate Phase 3

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Multicentre, Interventional, Non-randomized, Open-label, Single-group Phase III Study to Evaluate Plasma-Derived Antihaemophilic Factor/Von Willebrand Factor Concentrate (Biostate®) for Immune Tolerance Induction in Male Paediatric Subjects With Haemophilia A (≤ 2%) Who Have Developed High-titre Antibodies to Factor VIII (Factor VIII Inhibitors)

Resource links provided by NLM:

Further study details as provided by CSL Behring:

Primary Outcome Measures:
  • Response to immune tolerance induction (ITI) treatment [ Time Frame: 30 months ]
    Number of subjects who achieve complete, partial, and no response (ITI failure) to treatment.

Secondary Outcome Measures:
  • FVIII inhibitor titre [ Time Frame: Up to 65 months ]
  • Time to complete response (success) [ Time Frame: Up to 65 months ]
  • Time to inhibitor titer <0.6 BU/mL for the first time [ Time Frame: Up to 65 months ]
  • Thromboembolic complications [ Time Frame: Up to 65 months ]
    Number of patients with clinical symptoms or increased markers of coagulation activation

  • Frequency of bleeding events [ Time Frame: Up to 65 months ]
  • Number of bleeding events per patient [ Time Frame: Up to 65 months ]
  • Severity of bleeding events per patient [ Time Frame: Up to 65 months ]
  • Catheter-related complications [ Time Frame: Up to 65 months ]
    Number of line infections

Enrollment: 1
Study Start Date: December 2012
Study Completion Date: December 2013
Arms Assigned Interventions
Experimental: Biostate Biological: Biostate
200 IU/kg administered daily


Ages Eligible for Study:   up to 11 Years   (Child)
Sexes Eligible for Study:   Male
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Male subjects diagnosed with haemophilia A (≤ 2% FVIII level in the absence of factor replacement, according to their medical history).
  • Age 28 days to <12 years.
  • Subject is eligible for immune tolerance induction (ITI) therapy

Exclusion Criteria:

  • The subject has received ITI previously.
  • Subjects with a historical peak inhibitor titre of ≥ 200 BU/mL.
  • Concomitant treatment with drugs with immunosuppressive side effects (eg, systemic corticosteroids), azathioprine, cyclophosphamide, high dose immunoglobulin or the use of a protein A column or plasmapheresis and interferons.
  • High risk of cardiovascular, cerebrovascular, or other thromboembolic events (excluding catheter thrombosis) as judged by the investigator.
  • Subjects who are human immunodeficiency virus (HIV)-1 or HIV-2 positive (as reported in the medical records or determined at screening).
  Contacts and Locations
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Please refer to this study by its identifier: NCT01445197

Study Site
Vienna, Austria
Study Site
Frankfurt, Germany
Study Site
Hamburg, Germany
Study Site
Athens, Greece
Study Site
Thessaloniki, Greece
Study Site
Milano, Italy
Russian Federation
Study Site
Barnaul, Russian Federation
Sponsors and Collaborators
CSL Behring
Principal Investigator: Carmen Escuriola-Ettingshausen Haemophilia Centre Rhein Main, Frankfurt - Mörfelden
  More Information

Responsible Party: CSL Behring Identifier: NCT01445197     History of Changes
Other Study ID Numbers: CSLCT-BIO-10-67
2010-020113-85 ( EudraCT Number )
Study First Received: September 30, 2011
Last Updated: May 7, 2014

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
Immunologic Factors
Physiological Effects of Drugs
Coagulants processed this record on September 20, 2017