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Study of Biostate® in Children With Hemophilia A

Primary Purpose

Hemophilia A

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Biostate
Sponsored by
CSL Behring
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hemophilia A focused on measuring Hemophilia A, Children

Eligibility Criteria

undefined - 12 Years (Child)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Male subjects between 0 and <12 years of age.
  • Diagnosed with severe haemophilia A (FVIII:C <1%), and pre-treated for a minimum of 20 to 50 exposure days.
  • Have evidence of vaccination against hepatitis A and B (or presence of antibodies against hepatitis A and B due to either a previous infection or prior immunisation), as documented in the medical notes at enrolment.
  • The subject and/or legal guardian understand(s) the nature of the study and has/have given written informed consent to participate in the study and is/are willing to comply with the protocol.

Exclusion Criteria:

  • For all subjects at Day 1: Are actively bleeding.
  • Have received an infusion of any FVIII product, cryoprecipitate, whole blood, plasma or desmopressin acetate in the 4 days prior to their dosing within the PK component.
  • Have a known history of, or who are suspected of having FVIII inhibitors.
  • Have received aspirin or other non-steroidal anti-inflammatory drugs (NSAIDs) within 7 days of administration of the IMP.
  • Have an impaired liver function ie, bilirubin >1.5 x upper limit of normal (ULN) and/or aspartate/alanine aminotransferase (AST/ALT) >2.5 x ULN (referring to limits of the laboratory that performs the determination) at Screening.
  • Are human immunodeficiency virus [HIV]-1/-2 antibody positive with a viral load of >200/µL.
  • Suffer from an acute or chronic medical condition, other than haemophilia A, which may, in the opinion of the Investigator, affect the conduct of the study.
  • Suffering from von Willebrand disease (VWD) with von Willebrand factor: ristocetin cofactor (VWF:RCo) level <50 IU/dL at Screening.
  • Have a known or suspected hypersensitivity or previous evidence of severe side effects to a plasma-derived FVIII product or to human albumin.
  • Have participated in a clinical study or used an investigational compound in another study (eg, a new chemical entity not registered for clinical use) in the 3 months preceding the first day of IMP administration, or are planning to enter such a study during the study period.
  • Unwillingness and/or inability to comply with the study requirements.

Sites / Locations

  • Study site
  • Study site
  • Study Site
  • Study Site
  • Study Site
  • Study site
  • Study Site
  • Study Site

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Biostate

Arm Description

Outcomes

Primary Outcome Measures

Subjective assessment of Haemostatic efficacy
Incremental recovery of FVIII
Half-life of FVIII
Area under the concentration curve (AUC) of FVIII
Mean residence time (MRT) of FVIII
Volume of distribution at steady state (Vss) of FVIII
Maximum Plasma Concentration (Cmax) of FVIII
Minimum Plasma Concentration (Cmin) of FVIII
Time the maximum concentration occurs (tmax) of FVIII
Total clearance of the drug from the body (CL=dose/AUC) of FVIII
Number of infusions per bleeding event
Number of infusions per month
Number of infusions per year
Dose (IU/kg) per bleeding event
Dose (IU/kg) per month
Dose (IU/kg) per year

Secondary Outcome Measures

Frequency of adverse events (AEs)
Severity of AEs per subject
Severity of AEs per infusion
Relatedness of AEs per subject
Relatedness of AEs per infusion
Development of FVIII inhibitors

Full Information

First Posted
October 1, 2010
Last Updated
August 23, 2017
Sponsor
CSL Behring
Collaborators
Parexel
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1. Study Identification

Unique Protocol Identification Number
NCT01229007
Brief Title
Study of Biostate® in Children With Hemophilia A
Official Title
A Phase III, Open-Label, Multicentre Study to Evaluate Efficacy, Pharmacokinetics, and Safety of Biostate® in Paediatric Subjects With Haemophilia A
Study Type
Interventional

2. Study Status

Record Verification Date
July 2014
Overall Recruitment Status
Completed
Study Start Date
August 2010 (undefined)
Primary Completion Date
July 2014 (Actual)
Study Completion Date
July 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
CSL Behring
Collaborators
Parexel

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The objective of this study is to assess the efficacy and safety of a Von Willebrand Factor/Factor VIII (VWF/FVIII), Biostate, and to investigate the pharmacokinetics of Biostate in children with 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, Children

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
35 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Biostate
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
Biostate
Intervention Description
1 dose of 50 IU FVIII/kg body weight of Biostate administered intravenously on Day 1 in the PK component, followed by the Efficacy component for continuation of Biostate therapy, as required for a minimum of 50 exposure days.
Primary Outcome Measure Information:
Title
Subjective assessment of Haemostatic efficacy
Time Frame
Over minimum of 50 exposure days
Title
Incremental recovery of FVIII
Time Frame
Samples taken prior and then 0.5, 4, 8, 24, and 48 h after the infusion on Day 1
Title
Half-life of FVIII
Time Frame
Samples taken prior and then 0.5, 4, 8, 24, and 48 h after the infusion on Day 1
Title
Area under the concentration curve (AUC) of FVIII
Time Frame
Samples taken prior and then 0.5, 4, 8, 24, and 48 h after the infusion on Day 1
Title
Mean residence time (MRT) of FVIII
Time Frame
Samples taken prior and then 0.5, 4, 8, 24, and 48 h after the infusion on Day 1
Title
Volume of distribution at steady state (Vss) of FVIII
Time Frame
Samples taken prior and then 0.5, 4, 8, 24, and 48 h after the infusion on Day 1
Title
Maximum Plasma Concentration (Cmax) of FVIII
Time Frame
Samples taken prior and then 0.5, 4, 8, 24, and 48 h after the infusion on Day 1
Title
Minimum Plasma Concentration (Cmin) of FVIII
Time Frame
Samples taken prior and then 0.5, 4, 8, 24, and 48 h after the infusion on Day 1
Title
Time the maximum concentration occurs (tmax) of FVIII
Time Frame
Samples taken prior and then 0.5, 4, 8, 24, and 48 h after the infusion on Day 1
Title
Total clearance of the drug from the body (CL=dose/AUC) of FVIII
Time Frame
Samples taken prior and then 0.5, 4, 8, 24, and 48 h after the infusion on Day 1
Title
Number of infusions per bleeding event
Time Frame
1 day
Title
Number of infusions per month
Time Frame
1 month
Title
Number of infusions per year
Time Frame
1 year
Title
Dose (IU/kg) per bleeding event
Time Frame
1 day
Title
Dose (IU/kg) per month
Time Frame
1 month
Title
Dose (IU/kg) per year
Time Frame
1 year
Secondary Outcome Measure Information:
Title
Frequency of adverse events (AEs)
Time Frame
6 months
Title
Severity of AEs per subject
Time Frame
6 months
Title
Severity of AEs per infusion
Time Frame
6 months
Title
Relatedness of AEs per subject
Time Frame
6 months
Title
Relatedness of AEs per infusion
Time Frame
6 months
Title
Development of FVIII inhibitors
Time Frame
Samples taken at screening visit, on day 2, on months 1 and 3, and at final visit

10. Eligibility

Sex
Male
Maximum Age & Unit of Time
12 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male subjects between 0 and <12 years of age. Diagnosed with severe haemophilia A (FVIII:C <1%), and pre-treated for a minimum of 20 to 50 exposure days. Have evidence of vaccination against hepatitis A and B (or presence of antibodies against hepatitis A and B due to either a previous infection or prior immunisation), as documented in the medical notes at enrolment. The subject and/or legal guardian understand(s) the nature of the study and has/have given written informed consent to participate in the study and is/are willing to comply with the protocol. Exclusion Criteria: For all subjects at Day 1: Are actively bleeding. Have received an infusion of any FVIII product, cryoprecipitate, whole blood, plasma or desmopressin acetate in the 4 days prior to their dosing within the PK component. Have a known history of, or who are suspected of having FVIII inhibitors. Have received aspirin or other non-steroidal anti-inflammatory drugs (NSAIDs) within 7 days of administration of the IMP. Have an impaired liver function ie, bilirubin >1.5 x upper limit of normal (ULN) and/or aspartate/alanine aminotransferase (AST/ALT) >2.5 x ULN (referring to limits of the laboratory that performs the determination) at Screening. Are human immunodeficiency virus [HIV]-1/-2 antibody positive with a viral load of >200/µL. Suffer from an acute or chronic medical condition, other than haemophilia A, which may, in the opinion of the Investigator, affect the conduct of the study. Suffering from von Willebrand disease (VWD) with von Willebrand factor: ristocetin cofactor (VWF:RCo) level <50 IU/dL at Screening. Have a known or suspected hypersensitivity or previous evidence of severe side effects to a plasma-derived FVIII product or to human albumin. Have participated in a clinical study or used an investigational compound in another study (eg, a new chemical entity not registered for clinical use) in the 3 months preceding the first day of IMP administration, or are planning to enter such a study during the study period. Unwillingness and/or inability to comply with the study requirements.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Program Director Clinical R&D
Organizational Affiliation
CSL Behring
Official's Role
Study Director
Facility Information:
Facility Name
Study site
City
Gomel
ZIP/Postal Code
246040
Country
Belarus
Facility Name
Study site
City
Minsk
ZIP/Postal Code
223040
Country
Belarus
Facility Name
Study Site
City
Tbilisi
ZIP/Postal Code
0179
Country
Georgia
Facility Name
Study Site
City
Guatemala
ZIP/Postal Code
01010
Country
Guatemala
Facility Name
Study Site
City
Beirut
Country
Lebanon
Facility Name
Study site
City
Monterrey
ZIP/Postal Code
64000
Country
Mexico
Facility Name
Study Site
City
Dnipropetrovsk
Country
Ukraine
Facility Name
Study Site
City
Lviv
Country
Ukraine

12. IPD Sharing Statement

Links:
URL
http://www.cslbehring.com/clinical-trials/contact-us.htm?registryRefNum=NCT01229007&registryName=ctgov
Description
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Study of Biostate® in Children With Hemophilia A

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