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A Phase I Safety, Pharmacokinetics and Pharmacodynamics Study of Recombinant Factor VIIa in Adult Patients With Hemophilia A or B (rhFVIIa)

Primary Purpose

Hemophilia

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
rhFVIIa
Sponsored by
rEVO Biologics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Hemophilia

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. be male with a diagnosis of moderate or severe congenital hemophilia A and/or B (with or without inhibitors)
  2. be 18 years or older, up to and including 75 years of age
  3. be capable of understanding and willing to comply with the conditions of the protocol
  4. have read, understood and provided written informed consent

Exclusion Criteria:

  1. have any coagulation disorder other than hemophilia A or B
  2. have a body weight >105 kg (231 lb)
  3. be immuno-suppressed (i.e., the patient should not receive systemic immunosuppressive medication <30 days prior to enrollment, CD4 counts at screening should be >200/µl)
  4. have a known allergy or hypersensitivity to rabbits
  5. have platelet count <100,000/mL
  6. have had within one month prior to first administration of the study drug in this study a major surgical procedure (e.g. orthopedic, abdominal)
  7. have an active, ongoing bleeding for which the patient is being treated, or treatment for a bleeding was stopped within 24 hours of the time of study drug administration
  8. have received a Factor VII or FVIIa containing product (either plasma derived or recombinant) within 72 hours prior to any study drug administration
  9. have received an investigational drug within 30 days of the first study drug administration, or is expected to receive such drug during participation in this study
  10. have a clinically relevant hepatic (hepatic enzymes >3 times the upper limit of normal) and/or renal impairment (creatinine >2 times the upper limit of normal)
  11. have a history of arterial and/or venous thromboembolic events (such as myocardial infarction, ischemic strokes, transient ischemic attacks, deep venous thrombosis or pulmonary embolism) within 2 years prior to first dose of study drug, have an arterial stent in place or have clinically significant atherosclerotic disease (e.g., angina pectoris, peripheral vascular disease)
  12. use any anticoagulant for arterial/venous obstructions and/or atrial fibrillation within 7 days prior to first study drug administration
  13. have an active malignancy (those with non-melanoma skin cancer are allowed)
  14. have any life-threatening disease or other disease or condition which, according to the investigator's judgment, could imply a potential hazard to the patient, interfere with the trial participation or trial outcome

Sites / Locations

  • UC Davis Health System Internal Medicine: Hematology & Oncology
  • RUSH Hemophilia & Thrombophilia Center
  • Centre for Human Drug Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Cohort 1

Cohort 2

Cohort 3

Arm Description

10 patients administered a single low dose of rhFVIIa

10 patients administered a single intermediate dose of rhFVIIa

10 patients administered a single high dose of rhFVIIa

Outcomes

Primary Outcome Measures

Factor VIIa concentration in patient plasma as measured by FVIIa PK and PD assays

Secondary Outcome Measures

Incidence of patients with treatment emergent adverse events

Full Information

First Posted
October 15, 2012
Last Updated
July 29, 2013
Sponsor
rEVO Biologics
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1. Study Identification

Unique Protocol Identification Number
NCT01708564
Brief Title
A Phase I Safety, Pharmacokinetics and Pharmacodynamics Study of Recombinant Factor VIIa in Adult Patients With Hemophilia A or B
Acronym
rhFVIIa
Official Title
A Phase 1b, Dose Escalation Study to Assess the Safety, Pharmacokinetics and Pharmacodynamics of Coagulation Factor VIIa (Recombinant) in Congenital Hemophilia A or B Patients
Study Type
Interventional

2. Study Status

Record Verification Date
July 2013
Overall Recruitment Status
Completed
Study Start Date
October 2012 (undefined)
Primary Completion Date
June 2013 (Actual)
Study Completion Date
June 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
rEVO Biologics

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study will assess the pharmacokinetics and pharmacodynamics of rhFVIIa at three dose levels. The results will help identify the most optimal doses to take forward to the Phase 2/3 studies where bleedings in hemophilia patients with inhibitors will be treated with rhFVIIa.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hemophilia

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
15 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
10 patients administered a single low dose of rhFVIIa
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
10 patients administered a single intermediate dose of rhFVIIa
Arm Title
Cohort 3
Arm Type
Experimental
Arm Description
10 patients administered a single high dose of rhFVIIa
Intervention Type
Biological
Intervention Name(s)
rhFVIIa
Other Intervention Name(s)
Coagulation Factor VIIa (Recombinant)
Intervention Description
Patients will be administered low, intermediate and high doses of rhFVIIa
Primary Outcome Measure Information:
Title
Factor VIIa concentration in patient plasma as measured by FVIIa PK and PD assays
Time Frame
Up to 36 hours of dosing
Secondary Outcome Measure Information:
Title
Incidence of patients with treatment emergent adverse events
Time Frame
Up to 28 days after dosing

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: be male with a diagnosis of moderate or severe congenital hemophilia A and/or B (with or without inhibitors) be 18 years or older, up to and including 75 years of age be capable of understanding and willing to comply with the conditions of the protocol have read, understood and provided written informed consent Exclusion Criteria: have any coagulation disorder other than hemophilia A or B have a body weight >105 kg (231 lb) be immuno-suppressed (i.e., the patient should not receive systemic immunosuppressive medication <30 days prior to enrollment, CD4 counts at screening should be >200/µl) have a known allergy or hypersensitivity to rabbits have platelet count <100,000/mL have had within one month prior to first administration of the study drug in this study a major surgical procedure (e.g. orthopedic, abdominal) have an active, ongoing bleeding for which the patient is being treated, or treatment for a bleeding was stopped within 24 hours of the time of study drug administration have received a Factor VII or FVIIa containing product (either plasma derived or recombinant) within 72 hours prior to any study drug administration have received an investigational drug within 30 days of the first study drug administration, or is expected to receive such drug during participation in this study have a clinically relevant hepatic (hepatic enzymes >3 times the upper limit of normal) and/or renal impairment (creatinine >2 times the upper limit of normal) have a history of arterial and/or venous thromboembolic events (such as myocardial infarction, ischemic strokes, transient ischemic attacks, deep venous thrombosis or pulmonary embolism) within 2 years prior to first dose of study drug, have an arterial stent in place or have clinically significant atherosclerotic disease (e.g., angina pectoris, peripheral vascular disease) use any anticoagulant for arterial/venous obstructions and/or atrial fibrillation within 7 days prior to first study drug administration have an active malignancy (those with non-melanoma skin cancer are allowed) have any life-threatening disease or other disease or condition which, according to the investigator's judgment, could imply a potential hazard to the patient, interfere with the trial participation or trial outcome
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Johan Frieling, MD,PhD
Organizational Affiliation
rEVO Biologics
Official's Role
Study Director
Facility Information:
Facility Name
UC Davis Health System Internal Medicine: Hematology & Oncology
City
Sacramento
State/Province
California
ZIP/Postal Code
95817
Country
United States
Facility Name
RUSH Hemophilia & Thrombophilia Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
Facility Name
Centre for Human Drug Research
City
Leiden
Country
Netherlands

12. IPD Sharing Statement

Learn more about this trial

A Phase I Safety, Pharmacokinetics and Pharmacodynamics Study of Recombinant Factor VIIa in Adult Patients With Hemophilia A or B

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