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First-in-Human and Proof-of-Mechanism Study of ARC19499 Administered to Hemophilia Patients

Primary Purpose

Hemophilia

Status
Terminated
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
placebo control
ARC19499
Sponsored by
Baxalta now part of Shire
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hemophilia focused on measuring Hemophilia A, Hemophilia B, pharmacokinetics, pharmacodynamics, Tissue Factor Pathway Inhibitor

Eligibility Criteria

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

Inclusion Criteria:

Adult male patients ≥18 to ≤75 years of age.

  • Hemophilia of any type or severity.
  • Patients who are negative for hepatitis B surface antigen (HBsAg), and human immunodeficiency virus (HIV) I and II antibody tests at screening.
  • Male patients who, with their partners, are willing to use 2 effective, methods of contraception (i.e., for both self and partner) throughout the study and for at least 3 months after discontinuation of study drug treatment.
  • All patients must be capable of understanding and complying with the protocol and must have signed the informed consent document.

Exclusion Criteria:

  • Female patients;
  • If on a prophylactic coagulation factor concentrate regimen, inability or unwillingness to discontinue prophylaxis during participation in this study.
  • Existence of other co-existing bleeding disorder (e.g., von Willebrand Disease).
  • Medical history of venous or arterial thromboembolism.
  • Scheduled for elective surgical procedure during the conduct of this study.
  • Use of an investigational drug within 30 days of study entry.
  • Transaminase values > 3 x upper limit of normal (ULN) at time of screening.
  • Haemoglobin <12.0 g/dL.
  • Participants who, in the opinion of the Investigator, have a significant infection or known inflammatory process on screening.
  • Participants who have a clinically relevant history or presence of respiratory, gastrointestinal, renal, hepatic, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, connective tissue diseases or disorders.
  • Any medical condition the investigator believes would place the patient at increased risk as a result of participation in the study e.g. history of thromboembolic disease or stroke.
  • Any medication the investigator considers may increase the risk of adverse effects during the study.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Placebo Comparator

Experimental

Experimental

Experimental

Arm Label

saline for injection

ARC19499 Low Dose

ARC19499 Mid Dose

ARC19499 High Dose

Arm Description

Outcomes

Primary Outcome Measures

Pharmacokinetics (PK) of ARC19499
The PK profile of ARC19499 administered by single and multiple subcutaneous injections will be characterized. The bioavailability of subcutaneously injected ARC19499 relative to that of intravenously infused ARC19499 will be determined.

Secondary Outcome Measures

Coagulation system pharmacodynamic (PD) effects of ARC19499.
The PD profile of ARC19499 with respect to the kinetics of thrombin generation and clot formation will be characterized.

Full Information

First Posted
August 26, 2010
Last Updated
May 3, 2021
Sponsor
Baxalta now part of Shire
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1. Study Identification

Unique Protocol Identification Number
NCT01191372
Brief Title
First-in-Human and Proof-of-Mechanism Study of ARC19499 Administered to Hemophilia Patients
Official Title
First-in-Human and Proof-of-Mechanism Study of ARC19499 Administered to Hemophilia Patients
Study Type
Interventional

2. Study Status

Record Verification Date
May 2021
Overall Recruitment Status
Terminated
Study Start Date
September 15, 2010 (Actual)
Primary Completion Date
December 28, 2011 (Actual)
Study Completion Date
December 28, 2011 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to examine the safety, tolerability and the way the body handles various single and multiple doses of ARC19499 in patients with hemophilia.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hemophilia
Keywords
Hemophilia A, Hemophilia B, pharmacokinetics, pharmacodynamics, Tissue Factor Pathway Inhibitor

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
17 (Actual)

8. Arms, Groups, and Interventions

Arm Title
saline for injection
Arm Type
Placebo Comparator
Arm Title
ARC19499 Low Dose
Arm Type
Experimental
Arm Title
ARC19499 Mid Dose
Arm Type
Experimental
Arm Title
ARC19499 High Dose
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
placebo control
Intervention Description
sterile saline for injection
Intervention Type
Drug
Intervention Name(s)
ARC19499
Intervention Description
Anti-tissue factor pathway inhibitor (TFPI) aptamer
Primary Outcome Measure Information:
Title
Pharmacokinetics (PK) of ARC19499
Description
The PK profile of ARC19499 administered by single and multiple subcutaneous injections will be characterized. The bioavailability of subcutaneously injected ARC19499 relative to that of intravenously infused ARC19499 will be determined.
Time Frame
2 weeks
Secondary Outcome Measure Information:
Title
Coagulation system pharmacodynamic (PD) effects of ARC19499.
Description
The PD profile of ARC19499 with respect to the kinetics of thrombin generation and clot formation will be characterized.
Time Frame
2 weeks

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: Adult male patients ≥18 to ≤75 years of age. Hemophilia of any type or severity. Patients who are negative for hepatitis B surface antigen (HBsAg), and human immunodeficiency virus (HIV) I and II antibody tests at screening. Male patients who, with their partners, are willing to use 2 effective, methods of contraception (i.e., for both self and partner) throughout the study and for at least 3 months after discontinuation of study drug treatment. All patients must be capable of understanding and complying with the protocol and must have signed the informed consent document. Exclusion Criteria: Female patients; If on a prophylactic coagulation factor concentrate regimen, inability or unwillingness to discontinue prophylaxis during participation in this study. Existence of other co-existing bleeding disorder (e.g., von Willebrand Disease). Medical history of venous or arterial thromboembolism. Scheduled for elective surgical procedure during the conduct of this study. Use of an investigational drug within 30 days of study entry. Transaminase values > 3 x upper limit of normal (ULN) at time of screening. Haemoglobin <12.0 g/dL. Participants who, in the opinion of the Investigator, have a significant infection or known inflammatory process on screening. Participants who have a clinically relevant history or presence of respiratory, gastrointestinal, renal, hepatic, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, connective tissue diseases or disorders. Any medical condition the investigator believes would place the patient at increased risk as a result of participation in the study e.g. history of thromboembolic disease or stroke. Any medication the investigator considers may increase the risk of adverse effects during the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Study Director
Organizational Affiliation
Takeda
Official's Role
Study Director
Facility Information:
City
London
Country
United Kingdom

12. IPD Sharing Statement

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First-in-Human and Proof-of-Mechanism Study of ARC19499 Administered to Hemophilia Patients

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