A Study of ADVATE in People With Hemophilia A in India
Primary Purpose
Hemophilia A
Status
Completed
Phase
Phase 4
Locations
India
Study Type
Interventional
Intervention
ADVATE
Sponsored by
About this trial
This is an interventional treatment trial for Hemophilia A
Eligibility Criteria
Inclusion Criteria:
- The participant or legally authorized representative (in case of study participants less than (<) 18 years of age) gave written informed consent to participate in the study.
- Participant of any age with hemophilia A.
Participant defined as a previously treated patient (PTP):
- Participant aged greater than or equal to (>=) 6 years that has been previously treated with plasma-derived and/or recombinant FVIII concentrate(s) for a minimum of 150 exposure doses (EDs).
- Participant aged less than <6 years that has been previously treated with plasma-derived or recombinant FVIII concentrate(s) for a minimum of 50 EDs.
- Participant as negative history of FVIII inhibitors and negative inhibitor at screening defined as less than 0.6 Bethesda units (BU) per milliliter (Nijmegen-modified Bethesda assay).
- Participant is human immunodeficiency virus negative (HIV-); or human immunodeficiency virus positive (HIV+) with stable disease and cluster of differentiation 4 (CD4+) count >=200 cells per cubic millimeter (mm^3), as confirmed by central laboratory at screening.
- Participant is hepatitis C virus negative (HCV-) by antibody or polymerase chain reaction (PCR) testing (if positive, anti-body titer will be confirmed by PCR), as confirmed by central laboratory at screening; or hepatitis C virus positive (HCV+) with chronic stable hepatitis.
- Participant is willing and able to comply with the requirements of the protocol.
Exclusion Criteria:
- Participant has known hypersensitivity to mouse or hamster proteins or to any of the excipients of FVIII (factor VIII) concentrates.
- Participant has been diagnosed with bleeding disorder(s) other than congenital hemophilia A, such as acquired hemophilia A, von Willebrand´s disease (VWD) or thrombocytopenia (platelet count <100,000 per milliliter).
- Participant has received treatment for hemophilia A with non-FVIII products or concentrates (example, emicizumab [Hemlibra®]) in the 6 months prior to screening.
- Participant has severe chronic hepatic dysfunction (example, >=5 times upper limit of normal alanine aminotransferase [ALT], aspartate aminotransferase [AST] or international normalized ratio [INR] >1.5 as confirmed by central laboratory at screening).
- Participant has planned or is likely to have, surgery during the study period.
- Participant has a clinically significant medical, psychiatric, or cognitive illness, or recreational drug or alcohol use that, in the opinion of the investigator, would affect participant's safety or compliance.
- Participant currently receiving or is scheduled to receive during the course of the study, an immunomodulating drug (example, corticosteroid agents at a dose equivalent to hydrocortisone >10 milligram per day, or α-interferon) other than antiretroviral chemotherapy.
- Participant has participated in another clinical study involving an investigational product (IP) or investigational device within 30 days prior to enrollment or is scheduled to participate in another clinical study involving an IP or investigational device during the course of this study.
- Participant is a family member or employee of the investigator.
Sites / Locations
- Amrita Institute of Medical Science & Research Centre
- St. John's Medical College
- K J Somaiya Hospital & Research Centre
- All India Institute of Medical Sciences (AIIMS)
- Unique Children's Hospital Pvt. Ltd.
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Haemophilia A Group
Arm Description
Participants with hemophilia A will be treated with ADVATE according to a regimen determined by the study site treating physician study site and in accordance with the national product label under standard clinical practice.
Outcomes
Primary Outcome Measures
Number of Participants With Serious Adverse Events (SAE) Least Possibly Related to ADVATE
A SAE is any untoward clinical manifestation of signs, symptoms or outcomes as life-threatening, requires inpatient hospitalization or result in death. Number of participants with SAEs ((including FVIII inhibitor formation) that are at least possibly related to ADVATE will be reported.
Secondary Outcome Measures
Number of Participants With Non-serious Adverse Events (AEs) Least Possibly Related to ADVATE
Number of participants with non-serious AEs that are at least possibly related to ADVATE will be reported.
Number of Participants With Clinically Significant Changes in Clinical Laboratory Parameter
Clinical laboratory parameter includes hematology, clinical chemistry, viral serology, FVIII antigen, FVIII activity, incremental recovery, and FVIII inhibitor. Changes in laboratory values may be considered as AE if they are judged to be clinically significant.
Annualized Bleeding Rate (ABR) With Prophylactic Treatment of ADVATE
The total ABR and ABR by bleed cause or sites (example, joint, non-joint, target joints, spontaneous, and traumatic) will be reported.
Total Number of ADVATE Infusions Required During Prophylactic Treatment of Bleeding Episode
The total number of ADVATE infusions required during prophylactic treatment of bleeding episode will be reported.
Average Number of ADVATE Infusions Required During Prophylactic Treatment of Bleeding Episode
The average number (per week and per month) of ADVATE infusions required during prophylactic treatment of bleeding episode will be reported.
Total Body Mass Adjusted Consumption of ADVATE During Prophylactic Treatment of Bleeding Episode
The total body mass adjusted consumption of ADVATE during prophylactic treatment will be reported.
Average Body Mass Adjusted Consumption of ADVATE During Prophylactic Treatment of Bleeding Episode
The average body mass adjusted consumption of ADVATE per week and per month during prophylactic treatment will be reported.
Hemostatic Efficacy Rating of ADVATE for Treatment of Bleeding Episodes
The overall hemostatic efficacy rating of ADVATE for resolution of bleeding episodes will be reported.
Number of ADVATE Infusions Required to Achieve Resolution of Bleeding Episodes
The number of infusions of ADVATE required to control a bleeding episode will be reported.
Total Body Mass Adjusted Consumption of ADVATE per Bleeding Episode
The body mass adjusted consumption of ADVATE per bleeding event will be reported.
Full Information
NCT ID
NCT04985682
First Posted
July 29, 2021
Last Updated
July 18, 2023
Sponsor
Baxalta now part of Shire
Collaborators
Takeda Development Center Americas, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT04985682
Brief Title
A Study of ADVATE in People With Hemophilia A in India
Official Title
Phase 4, Multicenter, Prospective, Interventional, Post-Marketing Study in Hemophilia A Patients in India Receiving ADVATE as On-Demand or Prophylaxis Under Standard Clinical Practice
Study Type
Interventional
2. Study Status
Record Verification Date
July 2023
Overall Recruitment Status
Completed
Study Start Date
January 14, 2022 (Actual)
Primary Completion Date
February 10, 2023 (Actual)
Study Completion Date
February 10, 2023 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Baxalta now part of Shire
Collaborators
Takeda Development Center Americas, Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The main aim of this study is to learn more about side effects of Advate when given as standard treatment to people with hemophilia A who have already been treated.
The study sponsor will not be involved in how participants are treated but will provide instructions on how the clinics will record what happens during the study. Participants will need to visit the study doctor 5 times in total during the study. During these visits, study data will be collected by the study doctor.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hemophilia A
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
50 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Haemophilia A Group
Arm Type
Experimental
Arm Description
Participants with hemophilia A will be treated with ADVATE according to a regimen determined by the study site treating physician study site and in accordance with the national product label under standard clinical practice.
Intervention Type
Biological
Intervention Name(s)
ADVATE
Intervention Description
Antihemophilic factor (AHF) activity expressed in international units (IU) per vial.
Primary Outcome Measure Information:
Title
Number of Participants With Serious Adverse Events (SAE) Least Possibly Related to ADVATE
Description
A SAE is any untoward clinical manifestation of signs, symptoms or outcomes as life-threatening, requires inpatient hospitalization or result in death. Number of participants with SAEs ((including FVIII inhibitor formation) that are at least possibly related to ADVATE will be reported.
Time Frame
Baseline up to 6 months
Secondary Outcome Measure Information:
Title
Number of Participants With Non-serious Adverse Events (AEs) Least Possibly Related to ADVATE
Description
Number of participants with non-serious AEs that are at least possibly related to ADVATE will be reported.
Time Frame
Baseline up to 6 months
Title
Number of Participants With Clinically Significant Changes in Clinical Laboratory Parameter
Description
Clinical laboratory parameter includes hematology, clinical chemistry, viral serology, FVIII antigen, FVIII activity, incremental recovery, and FVIII inhibitor. Changes in laboratory values may be considered as AE if they are judged to be clinically significant.
Time Frame
Baseline up to 6 months
Title
Annualized Bleeding Rate (ABR) With Prophylactic Treatment of ADVATE
Description
The total ABR and ABR by bleed cause or sites (example, joint, non-joint, target joints, spontaneous, and traumatic) will be reported.
Time Frame
Baseline up to 6 months
Title
Total Number of ADVATE Infusions Required During Prophylactic Treatment of Bleeding Episode
Description
The total number of ADVATE infusions required during prophylactic treatment of bleeding episode will be reported.
Time Frame
Baseline up to 6 months
Title
Average Number of ADVATE Infusions Required During Prophylactic Treatment of Bleeding Episode
Description
The average number (per week and per month) of ADVATE infusions required during prophylactic treatment of bleeding episode will be reported.
Time Frame
Baseline up to 6 months
Title
Total Body Mass Adjusted Consumption of ADVATE During Prophylactic Treatment of Bleeding Episode
Description
The total body mass adjusted consumption of ADVATE during prophylactic treatment will be reported.
Time Frame
Baseline up to 6 months
Title
Average Body Mass Adjusted Consumption of ADVATE During Prophylactic Treatment of Bleeding Episode
Description
The average body mass adjusted consumption of ADVATE per week and per month during prophylactic treatment will be reported.
Time Frame
Baseline up to 6 months
Title
Hemostatic Efficacy Rating of ADVATE for Treatment of Bleeding Episodes
Description
The overall hemostatic efficacy rating of ADVATE for resolution of bleeding episodes will be reported.
Time Frame
Baseline up to 6 months
Title
Number of ADVATE Infusions Required to Achieve Resolution of Bleeding Episodes
Description
The number of infusions of ADVATE required to control a bleeding episode will be reported.
Time Frame
Baseline up to 6 months
Title
Total Body Mass Adjusted Consumption of ADVATE per Bleeding Episode
Description
The body mass adjusted consumption of ADVATE per bleeding event will be reported.
Time Frame
Baseline up to 6 months
10. Eligibility
Sex
All
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
The participant or legally authorized representative (in case of study participants less than (<) 18 years of age) gave written informed consent to participate in the study.
Participant of any age with hemophilia A.
Participant defined as a previously treated patient (PTP):
Participant aged greater than or equal to (>=) 6 years that has been previously treated with plasma-derived and/or recombinant FVIII concentrate(s) for a minimum of 150 exposure doses (EDs).
Participant aged less than <6 years that has been previously treated with plasma-derived or recombinant FVIII concentrate(s) for a minimum of 50 EDs.
Participant as negative history of FVIII inhibitors and negative inhibitor at screening defined as less than 0.6 Bethesda units (BU) per milliliter (Nijmegen-modified Bethesda assay).
Participant is human immunodeficiency virus negative (HIV-); or human immunodeficiency virus positive (HIV+) with stable disease and cluster of differentiation 4 (CD4+) count >=200 cells per cubic millimeter (mm^3), as confirmed by central laboratory at screening.
Participant is hepatitis C virus negative (HCV-) by antibody or polymerase chain reaction (PCR) testing (if positive, anti-body titer will be confirmed by PCR), as confirmed by central laboratory at screening; or hepatitis C virus positive (HCV+) with chronic stable hepatitis.
Participant is willing and able to comply with the requirements of the protocol.
Exclusion Criteria:
Participant has known hypersensitivity to mouse or hamster proteins or to any of the excipients of FVIII (factor VIII) concentrates.
Participant has been diagnosed with bleeding disorder(s) other than congenital hemophilia A, such as acquired hemophilia A, von Willebrand´s disease (VWD) or thrombocytopenia (platelet count <100,000 per milliliter).
Participant has received treatment for hemophilia A with non-FVIII products or concentrates (example, emicizumab [Hemlibra®]) in the 6 months prior to screening.
Participant has severe chronic hepatic dysfunction (example, >=5 times upper limit of normal alanine aminotransferase [ALT], aspartate aminotransferase [AST] or international normalized ratio [INR] >1.5 as confirmed by central laboratory at screening).
Participant has planned or is likely to have, surgery during the study period.
Participant has a clinically significant medical, psychiatric, or cognitive illness, or recreational drug or alcohol use that, in the opinion of the investigator, would affect participant's safety or compliance.
Participant currently receiving or is scheduled to receive during the course of the study, an immunomodulating drug (example, corticosteroid agents at a dose equivalent to hydrocortisone >10 milligram per day, or α-interferon) other than antiretroviral chemotherapy.
Participant has participated in another clinical study involving an investigational product (IP) or investigational device within 30 days prior to enrollment or is scheduled to participate in another clinical study involving an IP or investigational device during the course of this study.
Participant is a family member or employee of the investigator.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Study Director
Organizational Affiliation
Takeda
Official's Role
Study Director
Facility Information:
Facility Name
Amrita Institute of Medical Science & Research Centre
City
Ernakulam
State/Province
Kerala
ZIP/Postal Code
682041
Country
India
Facility Name
St. John's Medical College
City
Bengaluru
ZIP/Postal Code
560034
Country
India
Facility Name
K J Somaiya Hospital & Research Centre
City
Mumbai
ZIP/Postal Code
400022
Country
India
Facility Name
All India Institute of Medical Sciences (AIIMS)
City
New Delhi
ZIP/Postal Code
110029
Country
India
Facility Name
Unique Children's Hospital Pvt. Ltd.
City
Pune
ZIP/Postal Code
411019
Country
India
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
IPD Sharing Access Criteria
IPD from eligible studies will be shared with qualified researchers according to the criteria and process described on https://vivli.org/ourmember/takeda/. For approved requests, the researchers will be provided access to anonymized data (to respect patient privacy in line with applicable laws and regulations) and with information necessary to address the research objectives under the terms of a data sharing agreement.
IPD Sharing URL
https://vivli.org/ourmember/takeda/
Links:
URL
https://clinicaltrials.takeda.com/study-detail/61044886beb21d002a92608f
Description
To obtain more information on the study, click here/on this link
Learn more about this trial
A Study of ADVATE in People With Hemophilia A in India
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