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Pharmacokinetics, Efficacy and Safety Study of IMMUNATE SD (Human Plasma-Derived Coagulation Factor VIII Concentrate) in Hemophilia A Patients

Primary Purpose

Hemophilia A

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Human Plasma-Derived Coagulation Factor VIII Concentrate (Virus Inactivated by Polysorbate 80 Treatment and Vapor Heat Treatment)
Sponsored by
Baxalta now part of Shire
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Hemophilia A focused on measuring Factor VIII Deficiency

Eligibility Criteria

12 Years - 65 Years (Child, Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria: - Plasma factor VIII level as follows: for Parts 1 & 3: Subjects with severe hemophilia A (plasma baseline factor VIII level <= 1% measured at time of screening) for Part 2: Subjects with severe (plasma baseline factor VIII level <= 1% measured at time of screening) or moderately severe hemophilia A (plasma baseline factor VIII level <= 2% measured at time of screening) Males >= 12 but <= 65 years of age >= 35 kg body weight Previously treated with factor VIII concentrate(s) for a minimum of 150 exposure days (as documented in the subject's medical history) Evidence of a protective titer to HAV and HBV at the time of screening Immunocompetent as defined by a CD4+ lymphocyte count >400/mm3 and an absolute neutrophil count (ANC) >1500 Signed informed consent obtained from subject or legally authorized representative Exclusion Criteria: Documented history of inhibitor to factor VIII with a titer >= 0.8 BU Current evidence of inhibitor to factor VIII with a titer >= 0.8 BU, measured at the time of screening Abnormal renal function (serum creatinine > 1.5 mg/dL) HIV-seropositive individuals with any of the following at the time of screening: CD4+ lymphocyte count >400/mm3 AIDS-related complex symptomatic AIDS Note: HIV-seropositive subjects with an absolute CD4+ lymphocyte count > 400/mm3 are eligible to participate. HIV-seropositive subjects receiving highly active anti-retroviral therapy (HAART) regimens are eligible for enrollment if they are not excluded by the above criteria Active hepatic disease (ALT and AST levels > 5 times the upper limit of normal) Clinical or laboratory evidence of hepatic cirrhosis including (but not limited to) a recent and persistent INR (international normalized ratio) > 1.4, the presence of splenomegaly and/or significant spider angiomata on physical exam, and/or a history of esophageal hemorrhage or documented esophageal varices Known hypersensitivity to IMMUNATE The subject is currently participating in another investigational drug study, or has participated in any clinical study involving an investigational drug within 30 days of study entry The subject is currently receiving, or is scheduled to receive during the course of the study, an immunomodulating drug other than anti-retroviral chemotherapy (e.g., a-interferon, steroids at a dose greater than 10 mg/day) The subject is identified by the investigator as being unable or unwilling to perform study procedures

Sites / Locations

  • National Centre of Hematology and Transfusiology
  • University Hospital Motol
  • National Medical Center, National Hemophilia Center
  • Klinika Hemetologii I Onkologii Dzieciecej
  • Klinika Hematologii i Onkologii Dzieciecej

Outcomes

Primary Outcome Measures

To compare the PK parameters of IMMUNATE S/D and IMMUNATE in subjects with severe hemophilia A (baseline factor VIII <= 1%)
to re-evaluate PK parameters for IMMUNATE S/D after a minimum of 14 weeks ± 7 days of treatment with at least 10 exposure days with IMMUNATE S/D
to monitor the incidence of factor VIII inhibitor development over a minimum of 27 weeks ± 7 days or at least 50 exposure days, whichever occurs first, in all subjects
to evaluate the hemostatic efficacy of IMMUNATE S/D in the management of acute bleeding episodes and in the perioperative management of surgical prophylaxis, if required, over the same period of treatment
to assess the clinical safety of IMMUNATE S/D
to retrospectively explore the PK parameters of the VWF moiety of IMMUNATE S/D in subjects with severe hemophilia A (baseline factor VIII <= 1%).

Secondary Outcome Measures

Full Information

First Posted
September 8, 2005
Last Updated
April 28, 2021
Sponsor
Baxalta now part of Shire
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1. Study Identification

Unique Protocol Identification Number
NCT00162019
Brief Title
Pharmacokinetics, Efficacy and Safety Study of IMMUNATE SD (Human Plasma-Derived Coagulation Factor VIII Concentrate) in Hemophilia A Patients
Official Title
Phase 3, Prospective, Multicenter Study to Evaluate the Pharmacokinetics, Immunogenicity, Safety, and Efficacy of IMMUNATE Solvent Detergent (IMMUNATE SD) in Previously Treated Patients With Severe or Moderately Severe Hemophilia A
Study Type
Interventional

2. Study Status

Record Verification Date
April 2021
Overall Recruitment Status
Completed
Study Start Date
March 31, 2003 (Actual)
Primary Completion Date
August 24, 2004 (Actual)
Study Completion Date
August 24, 2004 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Baxalta now part of Shire

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate whether IMMUNATE S/D is effective and safe in the treatment of hemophilia A patients. The study consists of 3 parts: Part 1 is a pharmacokinetic comparison of IMMUNATE S/D and its predecessor IMMUNATE. Part 2 is an evaluation of efficacy and safety of IMMUNATE S/D. Part 3 is a pharmacokinetic study of IMMUNATE S/D.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hemophilia A
Keywords
Factor VIII Deficiency

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
56 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Human Plasma-Derived Coagulation Factor VIII Concentrate (Virus Inactivated by Polysorbate 80 Treatment and Vapor Heat Treatment)
Primary Outcome Measure Information:
Title
To compare the PK parameters of IMMUNATE S/D and IMMUNATE in subjects with severe hemophilia A (baseline factor VIII <= 1%)
Time Frame
Within 30 minutes pre-infusion; and at 15 minutes, 30 minutes, 1 hour, 3 hours, 6 hours, 9 hours, 24 hours, 28 hours, 32 hours, and 48 hours post-infusion.
Title
to re-evaluate PK parameters for IMMUNATE S/D after a minimum of 14 weeks ± 7 days of treatment with at least 10 exposure days with IMMUNATE S/D
Time Frame
Within 30 minutes pre-infusion; and at 15 minutes, 30 minutes, 1 hour, 3 hours, 6 hours, 9 hours, 24 hours, 28 hours, 32 hours, and 48 hours post-infusion.
Title
to monitor the incidence of factor VIII inhibitor development over a minimum of 27 weeks ± 7 days or at least 50 exposure days, whichever occurs first, in all subjects
Time Frame
Post-Infusion for a minimum of 27 weeks ±7 days or at least 50 treatment EDs, whichever occurs first.
Title
to evaluate the hemostatic efficacy of IMMUNATE S/D in the management of acute bleeding episodes and in the perioperative management of surgical prophylaxis, if required, over the same period of treatment
Time Frame
Post-Infusion for a minimum of 27 weeks ±7 days or at least 50 treatment EDs, whichever occurs first.
Title
to assess the clinical safety of IMMUNATE S/D
Time Frame
Throughout the study period of approximately 18 months.
Title
to retrospectively explore the PK parameters of the VWF moiety of IMMUNATE S/D in subjects with severe hemophilia A (baseline factor VIII <= 1%).
Time Frame
Up to approximately 6.5 months

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: - Plasma factor VIII level as follows: for Parts 1 & 3: Subjects with severe hemophilia A (plasma baseline factor VIII level <= 1% measured at time of screening) for Part 2: Subjects with severe (plasma baseline factor VIII level <= 1% measured at time of screening) or moderately severe hemophilia A (plasma baseline factor VIII level <= 2% measured at time of screening) Males >= 12 but <= 65 years of age >= 35 kg body weight Previously treated with factor VIII concentrate(s) for a minimum of 150 exposure days (as documented in the subject's medical history) Evidence of a protective titer to HAV and HBV at the time of screening Immunocompetent as defined by a CD4+ lymphocyte count >400/mm3 and an absolute neutrophil count (ANC) >1500 Signed informed consent obtained from subject or legally authorized representative Exclusion Criteria: Documented history of inhibitor to factor VIII with a titer >= 0.8 BU Current evidence of inhibitor to factor VIII with a titer >= 0.8 BU, measured at the time of screening Abnormal renal function (serum creatinine > 1.5 mg/dL) HIV-seropositive individuals with any of the following at the time of screening: CD4+ lymphocyte count >400/mm3 AIDS-related complex symptomatic AIDS Note: HIV-seropositive subjects with an absolute CD4+ lymphocyte count > 400/mm3 are eligible to participate. HIV-seropositive subjects receiving highly active anti-retroviral therapy (HAART) regimens are eligible for enrollment if they are not excluded by the above criteria Active hepatic disease (ALT and AST levels > 5 times the upper limit of normal) Clinical or laboratory evidence of hepatic cirrhosis including (but not limited to) a recent and persistent INR (international normalized ratio) > 1.4, the presence of splenomegaly and/or significant spider angiomata on physical exam, and/or a history of esophageal hemorrhage or documented esophageal varices Known hypersensitivity to IMMUNATE The subject is currently participating in another investigational drug study, or has participated in any clinical study involving an investigational drug within 30 days of study entry The subject is currently receiving, or is scheduled to receive during the course of the study, an immunomodulating drug other than anti-retroviral chemotherapy (e.g., a-interferon, steroids at a dose greater than 10 mg/day) The subject is identified by the investigator as being unable or unwilling to perform study procedures
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Study Director
Organizational Affiliation
Takeda
Official's Role
Study Director
Facility Information:
Facility Name
National Centre of Hematology and Transfusiology
City
Sofia
ZIP/Postal Code
1756
Country
Bulgaria
Facility Name
University Hospital Motol
City
Prague
ZIP/Postal Code
150 06
Country
Czechia
Facility Name
National Medical Center, National Hemophilia Center
City
Budapest
ZIP/Postal Code
1135
Country
Hungary
Facility Name
Klinika Hemetologii I Onkologii Dzieciecej
City
Warsaw
ZIP/Postal Code
00-5 76
Country
Poland
Facility Name
Klinika Hematologii i Onkologii Dzieciecej
City
Wroclaw
ZIP/Postal Code
50-345
Country
Poland

12. IPD Sharing Statement

Learn more about this trial

Pharmacokinetics, Efficacy and Safety Study of IMMUNATE SD (Human Plasma-Derived Coagulation Factor VIII Concentrate) in Hemophilia A Patients

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