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BAY79-4980 Compared to rFVIII-FS in Previously Treated Patients With Severe Hemophilia A

Primary Purpose

Hemophilia A

Status
Terminated
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
rFVIII-FS/pegylated liposomes (BAY79-4980)
rFVIII-FS/WFI (BAY14-2222)
Sponsored by
Bayer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hemophilia A focused on measuring Hemophilia A, FVIII disease, rFVIII

Eligibility Criteria

12 Years - 70 Years (Child, Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Males aged 12 to 70 years
  • Subjects with severe hemophilia A (< 1% factor VIII [FVIII]:C)
  • Subjects with equal or greater than 150 exposure days (EDs) with any FVIII in total
  • Subjects who have been on-demand treatment with a minimum of 1 relevant bleed per month or have been on secondary prophylaxis treatment with not more than a 3x/week schedule
  • Subjects with bleeding events and/or treatments during the last 6 months prior to study entry which are documented in the subjects medical records
  • Subjects with no measurable inhibitor activity
  • Subjects with no history of FVIII inhibitor antibody formation
  • Written informed consent by subject and parent / legal representative, if < 18 years

Exclusion Criteria:

  • Subjects who are receiving primary prophylaxis
  • Subjects on prophylaxis with documented requirements of > 75 IU/kg/week
  • Subjects with any other bleeding disease beside hemophilia A (i.e., von Willebrand disease)
  • Subjects with abnormal renal function
  • Subjects with elevated hepatic transaminases
  • Subjects on treatment with immunomodulatory agents within the last 3 months prior to study entry or during the study
  • Subjects with known hypersensitivity to the active substance, mouse or hamster protein, liposomes or polyethyleneglycol (PEG)
  • Subjects who require any pre-medication for FVIII injections

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

rFVIII-FS/pegylated liposomes (BAY79-4980)

rFVIII-FS/WFI (BAY14-2222)

Arm Description

35 IU/kg body weight of BAY79-4980 1x/week plus 2 dummy injections/week (dummy = rFVIII (recombinant factor VIII)-FS (formulated with sucrose) excipient reconstituted in WFI (sterile water for injection))

25 IU/kg body weight of rFVIII-FS 3x/week (employing 1 percent POPC (1-palmitoyl-2-oleoyl-sn-glycero-3-phosphocholine)-alone liposome (rFVIII-FS-POPC) as blinding agent used for first weekly injection and rFVIII-FS in WFI for 2nd and 3rd injection)

Outcomes

Primary Outcome Measures

Percentage of Participants With Less Than 9 Total Bleeds Per Year
Bleeds occurring on the same day were counted as one bleeding event. Bleeds occurring within 72 hours into the same location were also counted as one bleeding event.

Secondary Outcome Measures

Percentage of Participants With Less Than 5 Joint Bleeds Per Year
Bleeds occurring on the same day were counted as one bleeding event. Bleeds occurring within 72 hours into the same location were also counted as one bleeding event.
Number of Joint Bleeds Per Participant Per Year in Responders
Bleeds occurring on the same day were counted as one bleeding event. Bleeds occurring within 72 hours into the same location were also counted as one bleeding event. Responders were the subjects with less than 9 total bleeds per year

Full Information

First Posted
January 9, 2008
Last Updated
July 8, 2013
Sponsor
Bayer
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1. Study Identification

Unique Protocol Identification Number
NCT00623727
Brief Title
BAY79-4980 Compared to rFVIII-FS in Previously Treated Patients With Severe Hemophilia A
Official Title
Randomized, Active-controlled, Double-blind, Parallel Design Study to Evaluate the Efficacy and Safety of a Once-a-week Prophylaxis Treatment With BAY79-4980 Compared to Three Times-per-week Prophylaxis With rFVIII-FS in Previously Treated Patients With Severe Hemophilia A
Study Type
Interventional

2. Study Status

Record Verification Date
July 2013
Overall Recruitment Status
Terminated
Study Start Date
June 2008 (undefined)
Primary Completion Date
April 2010 (Actual)
Study Completion Date
October 2010 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Bayer

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
A study to assess treatment with a new formulation of recombinant factor VIII reconstituted with liposomes (BAY79-4980) to evaluate whether a once-a-week treatment is safe and can prevent bleeds in subjects with severe haemophilia A.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hemophilia A
Keywords
Hemophilia A, FVIII disease, rFVIII

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
143 (Actual)

8. Arms, Groups, and Interventions

Arm Title
rFVIII-FS/pegylated liposomes (BAY79-4980)
Arm Type
Experimental
Arm Description
35 IU/kg body weight of BAY79-4980 1x/week plus 2 dummy injections/week (dummy = rFVIII (recombinant factor VIII)-FS (formulated with sucrose) excipient reconstituted in WFI (sterile water for injection))
Arm Title
rFVIII-FS/WFI (BAY14-2222)
Arm Type
Active Comparator
Arm Description
25 IU/kg body weight of rFVIII-FS 3x/week (employing 1 percent POPC (1-palmitoyl-2-oleoyl-sn-glycero-3-phosphocholine)-alone liposome (rFVIII-FS-POPC) as blinding agent used for first weekly injection and rFVIII-FS in WFI for 2nd and 3rd injection)
Intervention Type
Biological
Intervention Name(s)
rFVIII-FS/pegylated liposomes (BAY79-4980)
Intervention Description
35 IU/kg body weight intravenous 1x/week for 52 weeks This arm will be stopped by 30.04.10 the subjects will be offered to change to the active comparator arm
Intervention Type
Biological
Intervention Name(s)
rFVIII-FS/WFI (BAY14-2222)
Intervention Description
25 IU/kg body weight intravenous 3x/week for 52 weeks
Primary Outcome Measure Information:
Title
Percentage of Participants With Less Than 9 Total Bleeds Per Year
Description
Bleeds occurring on the same day were counted as one bleeding event. Bleeds occurring within 72 hours into the same location were also counted as one bleeding event.
Time Frame
up to one year
Secondary Outcome Measure Information:
Title
Percentage of Participants With Less Than 5 Joint Bleeds Per Year
Description
Bleeds occurring on the same day were counted as one bleeding event. Bleeds occurring within 72 hours into the same location were also counted as one bleeding event.
Time Frame
up to one year
Title
Number of Joint Bleeds Per Participant Per Year in Responders
Description
Bleeds occurring on the same day were counted as one bleeding event. Bleeds occurring within 72 hours into the same location were also counted as one bleeding event. Responders were the subjects with less than 9 total bleeds per year
Time Frame
up to one year
Other Pre-specified Outcome Measures:
Title
Number of Bleeds Per Year
Description
Bleeds occurring on the same day were counted as one bleeding event. Bleeds occurring within 72 hours into the same location were also counted as one bleeding event. Number of bleeds 3 weeks after the first infusion per 12 months
Time Frame
up to one year
Title
Percentage of Bleeds Treated by Various Numbers of Injections
Description
Bleeds occurring on the same day were counted as one bleeding event. Bleeds occurring within 72 hours into the same location were also counted as one bleeding event.
Time Frame
up to one year
Title
Total rFVIII Consumption Per Year
Description
Total number of units per kg of study medication (rFVIII) administered to participant for one year. rFVIII is recombinant factor VIII, factor VIII is functional coagulation factor
Time Frame
up to one year
Title
Percentage of Participants With Less Than 9 Total Bleeds Per Year in the Open Label Extension Period
Description
Bleeds occurring on the same day were counted as one bleeding event. Bleeds occurring within 72 hours into the same location were also counted as one bleeding event.
Time Frame
6 months after start of open label extension period

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males aged 12 to 70 years Subjects with severe hemophilia A (< 1% factor VIII [FVIII]:C) Subjects with equal or greater than 150 exposure days (EDs) with any FVIII in total Subjects who have been on-demand treatment with a minimum of 1 relevant bleed per month or have been on secondary prophylaxis treatment with not more than a 3x/week schedule Subjects with bleeding events and/or treatments during the last 6 months prior to study entry which are documented in the subjects medical records Subjects with no measurable inhibitor activity Subjects with no history of FVIII inhibitor antibody formation Written informed consent by subject and parent / legal representative, if < 18 years Exclusion Criteria: Subjects who are receiving primary prophylaxis Subjects on prophylaxis with documented requirements of > 75 IU/kg/week Subjects with any other bleeding disease beside hemophilia A (i.e., von Willebrand disease) Subjects with abnormal renal function Subjects with elevated hepatic transaminases Subjects on treatment with immunomodulatory agents within the last 3 months prior to study entry or during the study Subjects with known hypersensitivity to the active substance, mouse or hamster protein, liposomes or polyethyleneglycol (PEG) Subjects who require any pre-medication for FVIII injections
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bayer Study Director
Organizational Affiliation
Bayer
Official's Role
Study Director
Facility Information:
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
City
Sacramento
State/Province
California
ZIP/Postal Code
95817
Country
United States
City
San Francisco
State/Province
California
ZIP/Postal Code
94143-0324
Country
United States
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70112-2699
Country
United States
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48202
Country
United States
City
East Lansing
State/Province
Michigan
ZIP/Postal Code
48823
Country
United States
City
Rochester
State/Province
Minnesota
ZIP/Postal Code
55905
Country
United States
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64108-9898
Country
United States
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89109-2803
Country
United States
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87131-0001
Country
United States
City
Buffalo
State/Province
New York
ZIP/Postal Code
14215
Country
United States
City
Rochester
State/Province
New York
ZIP/Postal Code
14621
Country
United States
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27157-1009
Country
United States
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45229
Country
United States
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104-0506
Country
United States
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213
Country
United States
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53226
Country
United States
City
Buenos Aires
State/Province
Ciudad Auton. de Buenos Aires
ZIP/Postal Code
C1221ADC
Country
Argentina
City
Buenos Aires
State/Province
Ciudad Auton. de Buenos Aires
ZIP/Postal Code
C1425AUM
Country
Argentina
City
Rosario
State/Province
Santa Fe
ZIP/Postal Code
S2000CKF
Country
Argentina
City
Perth
State/Province
Western Australia
ZIP/Postal Code
6000
Country
Australia
City
Graz
ZIP/Postal Code
8036
Country
Austria
City
Wien
ZIP/Postal Code
1090
Country
Austria
City
Bruxelles - Brussel
ZIP/Postal Code
1020
Country
Belgium
City
Bruxelles - Brussel
ZIP/Postal Code
1200
Country
Belgium
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
City
Calgary
State/Province
Alberta
ZIP/Postal Code
T2N 2T9
Country
Canada
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T6G 2C8
Country
Canada
City
Halifax
State/Province
Nova Scotia
ZIP/Postal Code
B3H 2Y9
Country
Canada
City
Hamilton
State/Province
Ontario
ZIP/Postal Code
L8S 4J9
Country
Canada
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K1H 8L6
Country
Canada
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5B 1W8
Country
Canada
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 1X8
Country
Canada
City
Santiago de Chile
Country
Chile
City
Santiago
Country
Chile
City
Zagreb
ZIP/Postal Code
10000
Country
Croatia
City
Århus N
ZIP/Postal Code
8200
Country
Denmark
City
Tallinn
ZIP/Postal Code
13419
Country
Estonia
City
Tallin
ZIP/Postal Code
13419
Country
Estonia
City
Besancon
ZIP/Postal Code
25030
Country
France
City
Le Kremlin-bicetre
ZIP/Postal Code
94275
Country
France
City
Lyon Cedex
ZIP/Postal Code
69437
Country
France
City
Marseille
ZIP/Postal Code
13005
Country
France
City
Montpellier Cedex
ZIP/Postal Code
34059
Country
France
City
Paris
ZIP/Postal Code
75015
Country
France
City
Paris
ZIP/Postal Code
75674
Country
France
City
Rennes Cedex
ZIP/Postal Code
35033
Country
France
City
Strasbourg
ZIP/Postal Code
67091
Country
France
City
Bonn
State/Province
Nordrhein-Westfalen
ZIP/Postal Code
53105
Country
Germany
City
Münster
State/Province
Nordrhein-Westfalen
ZIP/Postal Code
48143
Country
Germany
City
Berlin
ZIP/Postal Code
10249
Country
Germany
City
Tel Hashomer
ZIP/Postal Code
52621
Country
Israel
City
Catania
ZIP/Postal Code
95124
Country
Italy
City
Firenze
ZIP/Postal Code
50134
Country
Italy
City
Milano
ZIP/Postal Code
20122
Country
Italy
City
Napoli
ZIP/Postal Code
80131
Country
Italy
City
Napoli
ZIP/Postal Code
80144
Country
Italy
City
Torino
ZIP/Postal Code
10126
Country
Italy
City
Klaipeda
ZIP/Postal Code
50809
Country
Lithuania
City
Vilnius
ZIP/Postal Code
08661
Country
Lithuania
City
Groningen
ZIP/Postal Code
9713 GZ
Country
Netherlands
City
Nijmegen
ZIP/Postal Code
6525 GA
Country
Netherlands
City
Utrecht
ZIP/Postal Code
3508 GA
Country
Netherlands
City
Auckland
ZIP/Postal Code
1023
Country
New Zealand
City
Christchurch
ZIP/Postal Code
8001
Country
New Zealand
City
Oslo
ZIP/Postal Code
0027
Country
Norway
City
Gdansk
ZIP/Postal Code
80-952
Country
Poland
City
Krakow
ZIP/Postal Code
31-501
Country
Poland
City
Lodz
ZIP/Postal Code
93-510
Country
Poland
City
Poznan
ZIP/Postal Code
61-833
Country
Poland
City
Warszawa
ZIP/Postal Code
02-776
Country
Poland
City
Timisoara
State/Province
Timis
ZIP/Postal Code
300011
Country
Romania
City
Brasov
ZIP/Postal Code
50035
Country
Romania
City
Bucharest
ZIP/Postal Code
022328
Country
Romania
City
Johannesburg
State/Province
Gauteng
ZIP/Postal Code
2132
Country
South Africa
City
Sevilla
State/Province
Andalucía
ZIP/Postal Code
41013
Country
Spain
City
Oviedo
State/Province
Asturias
ZIP/Postal Code
33006
Country
Spain
City
Sta. Cruz de Tenerife
State/Province
Santa Cruz de Tenerife
ZIP/Postal Code
38009
Country
Spain
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
City
Madrid
ZIP/Postal Code
28046
Country
Spain
City
Valencia
ZIP/Postal Code
46026
Country
Spain
City
Bern
ZIP/Postal Code
3010
Country
Switzerland
City
Changhua
ZIP/Postal Code
500
Country
Taiwan
City
Taipei
ZIP/Postal Code
10002
Country
Taiwan
City
Taipei
ZIP/Postal Code
11217
Country
Taiwan
City
Adana
ZIP/Postal Code
01-330
Country
Turkey
City
Antalya
ZIP/Postal Code
07059
Country
Turkey
City
Izmir
ZIP/Postal Code
35-100
Country
Turkey
City
Cambridge
State/Province
Cambridgeshire
ZIP/Postal Code
CB2 0QQ
Country
United Kingdom
City
Cardiff
State/Province
South Glamorgan
ZIP/Postal Code
CF14 4XW
Country
United Kingdom
City
Sheffield
State/Province
South Yorkshire
ZIP/Postal Code
S10 2JF
Country
United Kingdom
City
Birmingham
ZIP/Postal Code
B15 2TH
Country
United Kingdom
City
London
ZIP/Postal Code
SE1 7EH
Country
United Kingdom
City
Manchester
ZIP/Postal Code
M13 9WL
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
20059562
Citation
Di Minno G, Cerbone AM, Coppola A, Cimino E, Di Capua M, Pamparana F, Tufano A, Di Minno MN. Longer-acting factor VIII to overcome limitations in haemophilia management: the PEGylated liposomes formulation issue. Haemophilia. 2010 Jan;16 Suppl 1:2-6. doi: 10.1111/j.1365-2516.2009.02155.x.
Results Reference
result
PubMed Identifier
23014711
Citation
Powell J, Martinowitz U, Windyga J, Di Minno G, Hellmann A, Pabinger I, Maas Enriquez M, Schwartz L, Ingerslev J; LipLong Study Investigators. Efficacy and safety of prophylaxis with once-weekly BAY 79-4980 compared with thrice-weekly rFVIII-FS in haemophilia A patients. A randomised, active-controlled, double-blind study. Thromb Haemost. 2012 Nov;108(5):913-22. doi: 10.1160/TH12-03-0188. Epub 2012 Sep 26.
Results Reference
result

Learn more about this trial

BAY79-4980 Compared to rFVIII-FS in Previously Treated Patients With Severe Hemophilia A

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