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Recombinant Factor VIIa BI (rFVIIa BI) Treatment of Acute Bleeding Episodes Per an On-demand Regimen

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Baxalta

Status and phase

Completed
Phase 3

Conditions

Hemophilia B
Hemophilia A

Treatments

Biological: Recombinant Factor VIIa BI (rFVIIa BI)

Study type

Interventional

Funder types

Industry

Identifiers

NCT01757405
2011-006294-26 (EudraCT Number)
021101

Details and patient eligibility

About

The purpose of the study is to determine the efficacy and safety of rFVIIa BI as part of a six-month on-demand treatment regimen in hemophilia A or B subjects with inhibitors.

Enrollment

40 patients

Sex

Male

Ages

12 to 65 years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Main Inclusion Criteria:

  • Participant is male with hemophilia A or B with inhibitors, with a high titer (≥5 Bethesda unit (BU)) or a historical high anamnestic response.
  • Participant is 12 to 65 years old at the time of screening.
  • Participant is currently using or has used bypassing agents for treatment of bleeding episodes.
  • Participant has an annualized bleed rate of 5 or more bleeding episodes per year on average over the 2 years prior to the Screening visit.
  • Participant has a Karnofsky Performance Score ≥60.
  • Participant is hepatitis C virus negative (HCV-) either by antibody testing or polymerase chain reaction (PCR); or hepatitis C virus positive (HCV+) with stable hepatic disease.
  • Participant is human immunodeficiency virus negative (HIV-) or HIV+ with stable disease, CD4+ count ≥200 cells/mm^3 at screening.
  • Participant is willing and able to comply with the requirements of the protocol.

Main Exclusion Criteria:

  • Participant is not willing to go on an on-demand treatment scheme.

  • Participant is positive for a FVII inhibitor at screening.

  • Participant has clinically symptomatic liver disease.

  • Participant has a platelet count <100,000/µL.

  • The use of α-interferon with or without ribavirin is planned for an HCV-infected participant or the use of a protease inhibitor is planned for an HIV-infected participant.

    • Participants currently taking any of these medications for ≥30 days are eligible.
  • Participant has a known hypersensitivity to rFVIIa, hamster or murine proteins, or Tween 80.

  • Participant has a known history of being non-responsive to rFVIIa treatment of bleeding episodes.

  • Participant has a prior history of thromboembolic event or diagnosis of other diseases that may increase the participant's risk of thromboembolic complications.

  • 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.

  • Participant is scheduled for surgery during the study period.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Single Group Assignment

Masking

None (Open label)

40 participants in 2 patient groups

≤ 3 doses of 90 µg/kg rFVIIa BI
Experimental group
Treatment:
Biological: Recombinant Factor VIIa BI (rFVIIa BI)
Biological: Recombinant Factor VIIa BI (rFVIIa BI)
One dose of 270 µg/kg rFVIIa BI
Experimental group
Treatment:
Biological: Recombinant Factor VIIa BI (rFVIIa BI)
Biological: Recombinant Factor VIIa BI (rFVIIa BI)

Trial contacts and locations

16

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Data sourced from clinicaltrials.gov

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