We're building a better ClinicalTrials.gov. Check it out and tell us what you think!
ClinicalTrials.gov Menu
Trial record 1 of 1 for:    NCT03974113
Previous Study | Return to List | Next Study

Fitusiran Prophylaxis in Male Pediatric Subjects Aged 1 to Less Than 12 Years With Hemophilia A or B (ATLAS-PEDS)

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. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
ClinicalTrials.gov Identifier: NCT03974113
Recruitment Status : Recruiting
First Posted : June 4, 2019
Last Update Posted : November 30, 2022
Information provided by (Responsible Party):
Sanofi ( Genzyme, a Sanofi Company )

Brief Summary:

Primary Objective:

- To confirm appropriate dose levels of fitusiran when administered to male pediatric participants (ages 1 to <12 years of age) with severe hemophilia A or B

Secondary Objective:

  • To characterize the safety and tolerability
  • To determine fitusiran plasma concentrations at selected time points

Condition or disease Intervention/treatment Phase
Hemophilia Drug: Fitusiran Phase 2 Phase 3

Detailed Description:
The estimated total time on study is up to 160 weeks in participants who roll over into the extension study and up to 184 weeks in participants who do not roll over into the extension study (due to the requirement for up to an additional 6 months of follow-up for monitoring of AT levels).

Layout table for study information
Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 32 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: ATLAS-PEDS: An Open-label, Multinational Study of Fitusiran Prophylaxis in Male Pediatric Subjects Aged 1 to Less Than 12 Years With Hemophilia A or B
Actual Study Start Date : January 28, 2020
Estimated Primary Completion Date : August 9, 2023
Estimated Study Completion Date : December 2026

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Hemophilia

Arm Intervention/treatment
Experimental: Fitusiran
Participants will receive a selected dose of fitusiran on regular intervals, as per study protocol
Drug: Fitusiran
Pharmaceutical form:Solution for injection Route of administration: Subcutaneous

Primary Outcome Measures :
  1. Plasma antithrombin (AT) activity levels [ Time Frame: Day 1 to the AT analysis time point at the optimal therapeutic dose (approximately 160 weeks) ]
    Characterize the AT activity at the optimal therapeutic dose

Secondary Outcome Measures :
  1. Number of participants reported with adverse events [ Time Frame: Up to 184 weeks (up to 160 weeks of treatment + up to 24 weeks of AT follow up) ]
    Number of participants reported with treatment-emergent adverse events (TEAEs)

  2. Fitusiran plasma concentrations [ Time Frame: Day 1 and Day 85 ]
    Plasma samples will be collected for measurement of plasma concentrations of fitusiran at specific time points postdose on Day 1 and predose on Day 85

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

Layout table for eligibility information
Ages Eligible for Study:   1 Year to 11 Years   (Child)
Sexes Eligible for Study:   Male
Accepts Healthy Volunteers:   No

Inclusion criteria :

  • Male, aged 1 to <12 years at the time of enrollment
  • Severe hemophilia A or B (Factor VIII (FVIII) <1% or Factor IX (FIX) ≤2%)
  • Participants must have inhibitory antibodies to FVIII or FIX and must meet one of the following Nijmegen-modified Bethesda assay results criteria:

    • Inhibitor titer of ≥0.6 BU/mL at screening, OR
    • Inhibitor titer of <0.6 BU/mL at screening with medical record evidence of 2 consecutive titers ≥0.6 BU/mL, OR
    • Inhibitor titer of <0.6 BU/mL at screening with medical record evidence of 1 inhibitor titer ≥0.6 BU/mL and a history of anamnestic response or severe allergic reaction (anaphylaxis or nephrotic syndrome)
  • Adequate peripheral venous access, as determined by the Investigator, to allow the blood draws required by the study protocol
  • Weight requirements at the time of enrollment: 8 to <45 kg
  • Willing and able to comply with the study requirements and to provide signed written informed consent obtained from parent(s)/legal guardian (hereinafter the "parent") and written or oral assent obtained from participant, per local and national requirements

Exclusion criteria:

  • Known co-existing bleeding disorders other than hemophilia A or B
  • Antithrombin (AT) activity <60% at Screening
  • Co-existing thrombophilic disorder
  • Clinically significant liver disease
  • Active Hepatitis C virus infection
  • Acute or chronic Hepatitis B virus infection
  • Acute Hepatitis A or hepatitis E infection
  • HIV positive with a CD4 count of <400 cells/μL
  • History of arterial or venous thromboembolism, unrelated to an indwelling venous access
  • Inadequate renal function
  • History of multiple drug allergies or history of allergic reaction to an oligonucleotide or N-Acetylgalactosamine (GalNAc)
  • Participants with central or peripheral indwelling catheters, with history of venous access complications leading to hospitalization and/or systemic anticoagulation therapy
  • History of intolerance to subcutaneous (SC) injection(s)
  • The use of emicizumab (Hemlibra®) within 6 months prior to screening
  • Any other conditions or comorbidities that would make the patient unsuitable for enrollment or could interfere with participation in or completion of the study, per Investigator judgment

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

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 ClinicalTrials.gov identifier (NCT number): NCT03974113

Layout table for location contacts
Contact: Trial Transparency email recommended (Toll free number for US & Canada) 800-633-1610 ext Option 6 Contact-US@sanofi.com

Layout table for location information
United States, California
Children's Hospital Los Angeles-Site Number:8400002 Recruiting
Los Angeles, California, United States, 90027
United States, New Jersey
Hackensack University Medical Center-Site Number:8400008 Recruiting
Hackensack, New Jersey, United States, 07601
United States, Ohio
University Hospitals of Cleveland-Site Number:8400007 Recruiting
Cleveland, Ohio, United States, 44106
United States, Pennsylvania
Penn State Milton S. Hershey Medical Center-Site Number:8400006 Completed
Hershey, Pennsylvania, United States, 17033
Canada, Ontario
Investigational Site Number :1240001 Recruiting
Hamilton, Ontario, Canada, L8N 3Z5
Investigational Site Number :1240002 Recruiting
Ottawa, Ontario, Canada, K1H 8L1
Investigational Site Number :3560002 Recruiting
Mumbai, India, 400 022
Investigational Site Number :3560001 Recruiting
Pune-411011, India, 411 011
Investigational Site Number :3560004 Recruiting
Vellore, India, 632004
Investigational Site Number :3800002 Recruiting
Firenze, Italy, 50134
Investigational Site Number :3800001 Recruiting
Milano, Italy, 20121
Investigational Site Number :7240002 Recruiting
Madrid, Madrid, Comunidad De, Spain, 28046
Investigational Site Number :7920001 Recruiting
Adana, Turkey, 01130
Investigational Site Number :7920002 Recruiting
Istanbul, Turkey, 34093
Investigational Site Number :7920003 Recruiting
Izmir, Turkey, TR-35100
Sponsors and Collaborators
Genzyme, a Sanofi Company
Layout table for investigator information
Study Director: Clinical Sciences & Operations Sanofi
Layout table for additonal information
Responsible Party: Genzyme, a Sanofi Company
ClinicalTrials.gov Identifier: NCT03974113    
Other Study ID Numbers: EFC15467
2019-000679-18 ( EudraCT Number )
U1111-1223-4368 ( Other Identifier: UTN )
First Posted: June 4, 2019    Key Record Dates
Last Update Posted: November 30, 2022
Last Verified: November 29, 2022
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Layout table for additional information
Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
Layout table for MeSH terms
Hemophilia A
Blood Coagulation Disorders, Inherited
Blood Coagulation Disorders
Hematologic Diseases
Coagulation Protein Disorders
Hemorrhagic Disorders
Genetic Diseases, Inborn