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An Open-Label, Single Dose Pharmacokinetic Study of Benefix (Recombinant Factor IX) in Male Chinese Subjects With Hemophilia B

Primary Purpose

Hemophilia B

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
BENEFIX
Sponsored by
Pfizer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hemophilia B

Eligibility Criteria

6 Years - undefined (Child, Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Male Chinese subjects 6 years or older (weight ≥20kg) with moderate to severe hemophilia B (Factor IX activity ≤2%).
  • Subjects should not have received an infusion of any Factor IX products for at least 4 days before the administration of BeneFIX on Day 1.
  • Subjects must be in a non-bleeding state before the administration of BeneFIX on Day 1.

Exclusion Criteria:

  • Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurologic, or allergic (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at time of dosing) disease or clinical findings at Screening.
  • Diagnosed with any other bleeding disorder in addition to hemophilia B.
  • Current FIX inhibitor or history of FIX inhibitor (defined as > Upper Limit of Normal (ULN) of the reporting lab).

Sites / Locations

  • Peking Union Medical College Hospital
  • Hematology Department,Beijing Children's Hospital, Capital Medical University

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

BeneFIX

Arm Description

Outcomes

Primary Outcome Measures

Maximum Observed Plasma Concentration (Cmax)
Area Under the Concentration Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast)
Area Under the Concentration Time Curve From Time 0 to Infinity (AUCinf)
Time to Reach Cmax (Tmax)
Volume of Distribution at Steady State (Vss)
Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. Vss is the apparent volume of distribution at steady-state.
Terminal Phase Rate Constant (Kel)
Linear regression of the log linear concentration time curve. Only those data points judged to describe the terminal log linear decline were used in the regression.
Mean Residence Time (MRT)
AUMCinf/AUCinf, where AUMCinf is the area under the first moment curve from time 0 extrapolated to infinite time, calculated using the linear/log trapezoidal method.
Plasma Decay Half-Life (t½)
Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.
Systemic Clearance (CL)
CL is a quantitative measure of the rate at which a drug substance is removed from the body.
Incremental Recovery
Incremental recovery: Increase in circulating increase in FIX activity for every IU of BeneFIX administered per kg of body weight.

Secondary Outcome Measures

Number of Participants With Treatment-Emergent Adverse Events (TEAE), Serious Adverse Events (SAE), and Withdrawals Due to Adverse Events (AE)
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; lifethreatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. TEAE is defined as newly occurring or worsening after first dose.
Number of Participants With Abnormal Clinical Laboratory Measurements (Without Regard to Baseline Abnormality)
Clinical laboratory analysis tests included hematology, serium chemistry, prothrombin time and urianalysis. Numbers of subjects with laboratory test abnormalities without regard to baseline abnormality were reported.
Number of Participants With Vital Signs Post-Dose Data Met Criteria of Potential Clinical Concern (Without Regard to Baseline Abnormality)
Number of Participants With Inhibitor Development
Number of Participants With Allergic Reactions
Number of Subjects With Thrombogenicity

Full Information

First Posted
August 7, 2014
Last Updated
June 13, 2016
Sponsor
Pfizer
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1. Study Identification

Unique Protocol Identification Number
NCT02213250
Brief Title
An Open-Label, Single Dose Pharmacokinetic Study of Benefix (Recombinant Factor IX) in Male Chinese Subjects With Hemophilia B
Official Title
An Open-label, Single Dose Pharmacokinetic Study Of Benefix (Nonacog Alfa, Recombinant Factor Ix) In Male Chinese Subjects With Hemophilia B
Study Type
Interventional

2. Study Status

Record Verification Date
June 2016
Overall Recruitment Status
Completed
Study Start Date
March 2015 (undefined)
Primary Completion Date
April 2015 (Actual)
Study Completion Date
April 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pfizer

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The sample size of 12 male Chinese subjects are based on the CFDA requirement for a China PK study and to support the registration in China.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
BeneFIX
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
BENEFIX
Intervention Description
Single dose of 50 IU/kg of BeneFIX by intravenous infusion within 10 minutes.
Primary Outcome Measure Information:
Title
Maximum Observed Plasma Concentration (Cmax)
Time Frame
Pre-dose, 0.25, 0.5, 1, 3, 6, 9, 24, 50, 72 and 96 hours post-dose
Title
Area Under the Concentration Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast)
Time Frame
Pre-dose, 0.25, 0.5, 1, 3, 6, 9, 24, 50, 72 and 96 hours post-dose
Title
Area Under the Concentration Time Curve From Time 0 to Infinity (AUCinf)
Time Frame
Pre-dose, 0.25, 0.5, 1, 3, 6, 9, 24, 50, 72 and 96 hours post-dose
Title
Time to Reach Cmax (Tmax)
Time Frame
Pre-dose, 0.25, 0.5, 1, 3, 6, 9, 24, 50, 72 and 96 hours post-dose
Title
Volume of Distribution at Steady State (Vss)
Description
Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. Vss is the apparent volume of distribution at steady-state.
Time Frame
Pre-dose, 0.25, 0.5, 1, 3, 6, 9, 24, 50, 72 and 96 hours post-dose
Title
Terminal Phase Rate Constant (Kel)
Description
Linear regression of the log linear concentration time curve. Only those data points judged to describe the terminal log linear decline were used in the regression.
Time Frame
Pre-dose, 0.25, 0.5, 1, 3, 6, 9, 24, 50, 72 and 96 hours post-dose
Title
Mean Residence Time (MRT)
Description
AUMCinf/AUCinf, where AUMCinf is the area under the first moment curve from time 0 extrapolated to infinite time, calculated using the linear/log trapezoidal method.
Time Frame
Pre-dose, 0.25, 0.5, 1, 3, 6, 9, 24, 50, 72 and 96 hours post-dose
Title
Plasma Decay Half-Life (t½)
Description
Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.
Time Frame
Pre-dose, 0.25, 0.5, 1, 3, 6, 9, 24, 50, 72 and 96 hours post-dose
Title
Systemic Clearance (CL)
Description
CL is a quantitative measure of the rate at which a drug substance is removed from the body.
Time Frame
Pre-dose, 0.25, 0.5, 1, 3, 6, 9, 24, 50, 72 and 96 hours post-dose
Title
Incremental Recovery
Description
Incremental recovery: Increase in circulating increase in FIX activity for every IU of BeneFIX administered per kg of body weight.
Time Frame
Pre-dose, 0.25, 0.5 and 1 hour post-dose
Secondary Outcome Measure Information:
Title
Number of Participants With Treatment-Emergent Adverse Events (TEAE), Serious Adverse Events (SAE), and Withdrawals Due to Adverse Events (AE)
Description
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; lifethreatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. TEAE is defined as newly occurring or worsening after first dose.
Time Frame
From the subject provided informed consent through and including 28 calendar days after the last administration of the study drug.
Title
Number of Participants With Abnormal Clinical Laboratory Measurements (Without Regard to Baseline Abnormality)
Description
Clinical laboratory analysis tests included hematology, serium chemistry, prothrombin time and urianalysis. Numbers of subjects with laboratory test abnormalities without regard to baseline abnormality were reported.
Time Frame
Baseline up to 96 hours post-dose (Day 5 or early termination)
Title
Number of Participants With Vital Signs Post-Dose Data Met Criteria of Potential Clinical Concern (Without Regard to Baseline Abnormality)
Time Frame
Baseline up to 96 hours post-dose (Day 5 or early termination)
Title
Number of Participants With Inhibitor Development
Time Frame
From the subject provided informed consent through and including 28 calendar days after the last administration of the study drug.
Title
Number of Participants With Allergic Reactions
Time Frame
From the subject provided informed consent through and including 28 calendar days after the last administration of the study drug.
Title
Number of Subjects With Thrombogenicity
Time Frame
From the subject provided informed consent through and including 28 calendar days after the last administration of the study drug.

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
6 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male Chinese subjects 6 years or older (weight ≥20kg) with moderate to severe hemophilia B (Factor IX activity ≤2%). Subjects should not have received an infusion of any Factor IX products for at least 4 days before the administration of BeneFIX on Day 1. Subjects must be in a non-bleeding state before the administration of BeneFIX on Day 1. Exclusion Criteria: Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurologic, or allergic (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at time of dosing) disease or clinical findings at Screening. Diagnosed with any other bleeding disorder in addition to hemophilia B. Current FIX inhibitor or history of FIX inhibitor (defined as > Upper Limit of Normal (ULN) of the reporting lab).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pfizer CT.gov Call Center
Organizational Affiliation
Pfizer
Official's Role
Study Director
Facility Information:
Facility Name
Peking Union Medical College Hospital
City
Beijing
ZIP/Postal Code
100032
Country
China
Facility Name
Hematology Department,Beijing Children's Hospital, Capital Medical University
City
Beijing
ZIP/Postal Code
100045
Country
China

12. IPD Sharing Statement

Links:
URL
https://trialinfoemail.pfizer.com/pages/landing.aspx?StudyID=B1821048&StudyName=An%20Open-Label%2C%20Single%20Dose%20Pharmacokinetic%20Study%20of%20Benefix%20%28Recombinant%20Factor%20IX%29%20in%20Male%20Chinese%20Subjects%20with%20Hemophilia%20B%20
Description
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An Open-Label, Single Dose Pharmacokinetic Study of Benefix (Recombinant Factor IX) in Male Chinese Subjects With Hemophilia B

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