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Safety Study of Alphanate in Previously Treated Patients With Severe Hemophilia A

Primary Purpose

Severe Hemophilia A

Status
Completed
Phase
Phase 4
Locations
Poland
Study Type
Interventional
Intervention
Alphanate SD/HT
Sponsored by
Grifols Biologicals, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Severe Hemophilia A focused on measuring Hemophilia A, Plasma-derived treatment, Factor VIII, Inhibitor

Eligibility Criteria

6 Years - 65 Years (Child, Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria: Male. At least 6 years of age and not more than 65 years of age. Signed and dated Informed Consent Form and Patient Authorization for Release of Information approved by the appropriate Institutional Review Board (IRB) prior to screening and enrollment. If the subject is a minor (i.e., less than 18 years of age) both he and his parent or legal guardian must sign and date the informed consent. Diagnosis of severe hemophilia A. Levels of Factor VIII less than 0.01 IU/mL. Treatment with cryoprecipitate, Factor VIII concentrates, and/or whole blood, for at least 150 cumulative exposure days (CEDs) prior to enrollment. No treatment with cryoprecipitate, Factor VIII concentrate, or any other blood product, for at least 72 hours prior to screening. No previous diagnosis with inhibitors to Factor VIII at any detectable titer. Subjects must never have been diagnosed with nonspecific inhibitors of coagulation. Negative test for the presence of Factor VIII inhibitors at screening and enrollment. CD4 counts greater than or equal to 400 cells/µL. Vaccination against hepatitis A and hepatitis B, or evidence of antibodies against hepatitis A and hepatitis B. (A subject who has no prior immunity against hepatitis A will be offered a course of vaccination for hepatitis A). Karnofsky Performance Score of at least 50. Exclusion Criteria: Any immunosuppressive medications including intravenous immunoglobulins at the time of enrollment. Clinical signs or symptoms of an infection, such as fever, chills or nausea during screening or enrollment. History of frequent reactions to Factor VIII concentrates (e.g., chills or headaches). Prior treatment with Alphanate® (Solvent-Detergent/ Heat-Treated). Immunocompromised (including HIV+ status or has an impaired immune system due to disease or treatment).

Sites / Locations

  • Oddzial Chorob Wewnetrznych i Hematologii
  • Katedra i Klinika Hematologii Collegium Medicum UJ

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Coagulation factor VIII (Human)

Arm Description

Anti-Hemophilic coagulation factor VIII (Human) Alphanate SD/HT

Outcomes

Primary Outcome Measures

Number of Participants With Factor VIII (FVIII) Inhibitor Development
Incidence of FVIII inhibitor development was defined as any result determined positive at a central laboratory (inhibitor titer of greater than 0.6 modified Bethesda Units/milliliters [BU/mL]) using Nijmegen modification of the Bethesda assay.

Secondary Outcome Measures

Number of Participants With Adverse Events (AE)
An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a medicinal product or study treatment, and which did not necessarily have a causal relationship with this administration. Here end of study is defined as completion/discontinuation visit.
Change From Baseline in Alkaline Phosphatase
The Baseline value was the last non-missing value before study drug was taken and end of study was defined as completion/discontinuation visit. Change from Baseline was calculated by subtracting Baseline value from the post-infusion visit value.
Change From Baseline in Alanine Aminotransferase
The Baseline value was the last non-missing value before study drug was taken and end of study was defined as completion/discontinuation visit. Change from Baseline was calculated by subtracting Baseline value from the post-infusion visit value.
Change From Baseline in Aspartate Aminotransferase
The Baseline value was the last non-missing value before study drug was taken and end of study was defined as completion/discontinuation visit. Change from Baseline was calculated by subtracting Baseline value from the post-infusion visit value.
Change From Baseline in Lactate Dehydrogenase
The Baseline value was the last non-missing value before study drug was taken and end of study was defined as completion/discontinuation visit. Change from Baseline was calculated by subtracting Baseline value from the post-infusion visit value.
Change From Baseline in Bilirubin
The Baseline value was the last non-missing value before study drug was taken and end of study was defined as completion/discontinuation visit. Change from Baseline was calculated by subtracting Baseline value from the post-infusion visit value.
Change From Baseline in Blood Urea Nitrogen
The Baseline value was the last non-missing value before study drug was taken and end of study was defined as completion/discontinuation visit. Change from Baseline was calculated by subtracting Baseline value from the post-infusion visit value.
Change From Baseline in Creatinine
The Baseline value was the last non-missing value before study drug was taken and end of study was defined as completion/discontinuation visit. Change from Baseline was calculated by subtracting Baseline value from the post-infusion visit value.
Number of Participants Human Immunodeficiency Virus Type 1 and 2 (HIV-1/HIV-2), Hepatitis A Virus (HAV), Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) or Parvovirus B19 -Negative at Baseline Who Are Seropositive for Any of These Viruses
Seroconversion based on Enzyme-linked Immunosorbent Assay (ELISA). Seronegative defined as non-reactive in an ELISA test for antibody to the virus in question. Seropositive defined as reactive in an ELISA test for antibody to the virus in question.

Full Information

First Posted
May 8, 2006
Last Updated
May 16, 2022
Sponsor
Grifols Biologicals, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT00323856
Brief Title
Safety Study of Alphanate in Previously Treated Patients With Severe Hemophilia A
Official Title
Phase IV A Study of Immunologic Safety for Alphanate in Previously Treated Patients Diagnosed With Severe Hemophilia A
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Completed
Study Start Date
April 8, 2003 (Actual)
Primary Completion Date
December 11, 2018 (Actual)
Study Completion Date
December 14, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Grifols Biologicals, LLC

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine the immunologic and overall safety associated with long-term use of Alphanate in subjects diagnosed with severe hemophilia A (Factor VIII:C less than 0.01 IU/ml), who have been previously treated with plasma-derived Factor VIII products other than Alphanate and who have no history of developing either antibody inhibitors to Factor VIII or nonspecific inhibitors of coagulation.
Detailed Description
This is a Phase IV, non-randomized, multicenter study of at least 50 evaluable subjects diagnosed with severe hemophilia A. Enrolled subjects will be treated at home and with in-clinic therapy exclusively with Alphanate as their sole source of Factor VIII concentrate for prophylaxis and treatment of all bleeding episodes and surgical procedures. Subjects will be treated for at least 2 years and a minimum of 50 exposure days, or if 50 exposure days are not reached, for a maximum of 30 months and in accordance with the subject's usual pre-study treatment regimen. Subjects will continue treatment as above or until they develop inhibitors to Factor VIII at a titer greater than or equal to 5 Bethesda units (BU/ml); Factor VIII becomes ineffective at providing hemostasis, or the subject exhibits severe or serious adverse events that prevent completion of the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Severe Hemophilia A
Keywords
Hemophilia A, Plasma-derived treatment, Factor VIII, Inhibitor

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
51 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Coagulation factor VIII (Human)
Arm Type
Experimental
Arm Description
Anti-Hemophilic coagulation factor VIII (Human) Alphanate SD/HT
Intervention Type
Drug
Intervention Name(s)
Alphanate SD/HT
Other Intervention Name(s)
Anti-hemophilic (human) coagulation factor VIII
Intervention Description
Plasma-derived preparation of Factor VIII
Primary Outcome Measure Information:
Title
Number of Participants With Factor VIII (FVIII) Inhibitor Development
Description
Incidence of FVIII inhibitor development was defined as any result determined positive at a central laboratory (inhibitor titer of greater than 0.6 modified Bethesda Units/milliliters [BU/mL]) using Nijmegen modification of the Bethesda assay.
Time Frame
Up to Month 30
Secondary Outcome Measure Information:
Title
Number of Participants With Adverse Events (AE)
Description
An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a medicinal product or study treatment, and which did not necessarily have a causal relationship with this administration. Here end of study is defined as completion/discontinuation visit.
Time Frame
Up to Month 30
Title
Change From Baseline in Alkaline Phosphatase
Description
The Baseline value was the last non-missing value before study drug was taken and end of study was defined as completion/discontinuation visit. Change from Baseline was calculated by subtracting Baseline value from the post-infusion visit value.
Time Frame
Baseline and Quarterly Visit 1 (Month 3), 2 (Month 6), 3 (Month 9), 4 (Month 12), 5 (Month 15), 6 (Month 18), 7 (Month 21), 8 (Month 24), 9 (Month 27) and 10 (Month 30)
Title
Change From Baseline in Alanine Aminotransferase
Description
The Baseline value was the last non-missing value before study drug was taken and end of study was defined as completion/discontinuation visit. Change from Baseline was calculated by subtracting Baseline value from the post-infusion visit value.
Time Frame
Baseline and Quarterly Visit 1 (Month 3), 2 (Month 6), 3 (Month 9), 4 (Month 12), 5 (Month 15), 6 (Month 18), 7 (Month 21), 8 (Month 24), 9 (Month 27) and 10 (Month 30)
Title
Change From Baseline in Aspartate Aminotransferase
Description
The Baseline value was the last non-missing value before study drug was taken and end of study was defined as completion/discontinuation visit. Change from Baseline was calculated by subtracting Baseline value from the post-infusion visit value.
Time Frame
Baseline and Quarterly Visit 1 (Month 3), 2 (Month 6), 3 (Month 9), 4 (Month 12), 5 (Month 15), 6 (Month 18), 7 (Month 21), 8 (Month 24), 9 (Month 27) and 10 (Month 30)
Title
Change From Baseline in Lactate Dehydrogenase
Description
The Baseline value was the last non-missing value before study drug was taken and end of study was defined as completion/discontinuation visit. Change from Baseline was calculated by subtracting Baseline value from the post-infusion visit value.
Time Frame
Baseline and Quarterly Visit 1 (Month 3), 2 (Month 6), 3 (Month 9), 4 (Month 12), 5 (Month 15), 6 (Month 18), 7 (Month 21), 8 (Month 24), 9 (Month 27) and 10 (Month 30)
Title
Change From Baseline in Bilirubin
Description
The Baseline value was the last non-missing value before study drug was taken and end of study was defined as completion/discontinuation visit. Change from Baseline was calculated by subtracting Baseline value from the post-infusion visit value.
Time Frame
Baseline and Quarterly Visit 1 (Month 3), 2 (Month 6), 3 (Month 9), 4 (Month 12), 5 (Month 15), 6 (Month 18), 7 (Month 21), 8 (Month 24), 9 (Month 27) and 10 (Month 30)
Title
Change From Baseline in Blood Urea Nitrogen
Description
The Baseline value was the last non-missing value before study drug was taken and end of study was defined as completion/discontinuation visit. Change from Baseline was calculated by subtracting Baseline value from the post-infusion visit value.
Time Frame
Baseline and Quarterly Visit 1 (Month 3), 2 (Month 6), 3 (Month 9), 4 (Month 12), 5 (Month 15), 6 (Month 18), 7 (Month 21), 8 (Month 24), 9 (Month 27) and 10 (Month 30)
Title
Change From Baseline in Creatinine
Description
The Baseline value was the last non-missing value before study drug was taken and end of study was defined as completion/discontinuation visit. Change from Baseline was calculated by subtracting Baseline value from the post-infusion visit value.
Time Frame
Baseline and Quarterly Visit 1 (Month 3), 2 (Month 6), 3 (Month 9), 4 (Month 12), 5 (Month 15), 6 (Month 18), 7 (Month 21), 8 (Month 24), 9 (Month 27) and 10 (Month 30)
Title
Number of Participants Human Immunodeficiency Virus Type 1 and 2 (HIV-1/HIV-2), Hepatitis A Virus (HAV), Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) or Parvovirus B19 -Negative at Baseline Who Are Seropositive for Any of These Viruses
Description
Seroconversion based on Enzyme-linked Immunosorbent Assay (ELISA). Seronegative defined as non-reactive in an ELISA test for antibody to the virus in question. Seropositive defined as reactive in an ELISA test for antibody to the virus in question.
Time Frame
Up to Month 30

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
6 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male. At least 6 years of age and not more than 65 years of age. Signed and dated Informed Consent Form and Patient Authorization for Release of Information approved by the appropriate Institutional Review Board (IRB) prior to screening and enrollment. If the subject is a minor (i.e., less than 18 years of age) both he and his parent or legal guardian must sign and date the informed consent. Diagnosis of severe hemophilia A. Levels of Factor VIII less than 0.01 IU/mL. Treatment with cryoprecipitate, Factor VIII concentrates, and/or whole blood, for at least 150 cumulative exposure days (CEDs) prior to enrollment. No treatment with cryoprecipitate, Factor VIII concentrate, or any other blood product, for at least 72 hours prior to screening. No previous diagnosis with inhibitors to Factor VIII at any detectable titer. Subjects must never have been diagnosed with nonspecific inhibitors of coagulation. Negative test for the presence of Factor VIII inhibitors at screening and enrollment. CD4 counts greater than or equal to 400 cells/µL. Vaccination against hepatitis A and hepatitis B, or evidence of antibodies against hepatitis A and hepatitis B. (A subject who has no prior immunity against hepatitis A will be offered a course of vaccination for hepatitis A). Karnofsky Performance Score of at least 50. Exclusion Criteria: Any immunosuppressive medications including intravenous immunoglobulins at the time of enrollment. Clinical signs or symptoms of an infection, such as fever, chills or nausea during screening or enrollment. History of frequent reactions to Factor VIII concentrates (e.g., chills or headaches). Prior treatment with Alphanate® (Solvent-Detergent/ Heat-Treated). Immunocompromised (including HIV+ status or has an impaired immune system due to disease or treatment).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael Ken Woodward
Organizational Affiliation
Instituto Grifols SA
Official's Role
Study Director
Facility Information:
Facility Name
Oddzial Chorob Wewnetrznych i Hematologii
City
Poznan
State/Province
Szkolna
Country
Poland
Facility Name
Katedra i Klinika Hematologii Collegium Medicum UJ
City
Krakow
Country
Poland

12. IPD Sharing Statement

Learn more about this trial

Safety Study of Alphanate in Previously Treated Patients With Severe Hemophilia A

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