Study Evaluating Prophylaxis Treatment & Characterizing Efficacy, Safety, & PK Of B-Domain Deleted Recombinant FVIII
This study is currently recruiting participants.
Verified April 2013 by Pfizer
Sponsor:
Pfizer
Information provided by (Responsible Party):
Pfizer
ClinicalTrials.gov Identifier:
NCT00543439
First received: October 11, 2007
Last updated: April 24, 2013
Last verified: April 2013
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Purpose
The purpose of this research study is to determine the effectiveness, safety, and pharmacokinetics (PK) of moroctocog alfa (AF-CC) in previously treated subjects, who are younger than 6 years of age, with severe or moderately severe hemophilia A.
| Condition | Intervention | Phase |
|---|---|---|
|
Hemophilia A |
Biological: Moroctocog alfa (AF-CC) |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Crossover Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | An Open-Label Study To Evaluate Prophylaxis Treatment, And To Characterize The Efficacy, Safety, And Pharmacokinetics (PK) Of B Domain Deleted Recombinant Factor VIII Albumin Free (Moroctocog Alfa [AF-CC]) In Children With Hemophilia A |
Resource links provided by NLM:
Genetics Home Reference related topics:
hemophilia
MedlinePlus related topics:
Hemophilia
U.S. FDA Resources
Further study details as provided by Pfizer:
Primary Outcome Measures:
- The annualized bleed rate is the primary endpoint for testing the primary objective of the study (comparing prophylaxis to on-demand therapy) [ Time Frame: End of Study ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
- The annualized bleed rate is the endpoint for testing one of the secondary objectives (comparing high vs low frequency prophylaxis regimens). [ Time Frame: End of Study ] [ Designated as safety issue: No ]
- Number of moroctocog alfa (AF-CC) infusions per bleed [ Time Frame: End of Study ] [ Designated as safety issue: No ]
- Response of bleed to moroctocog alfa (AF-CC) treatment (4-point scale of assessment) [ Time Frame: End of Study ] [ Designated as safety issue: No ]
- Time interval between bleed onset and prior moroctocog alfa (AF-CC) prophylaxis dose [ Time Frame: End of Study ] [ Designated as safety issue: No ]
- Incidence of prophylaxis regimen escalation [ Time Frame: End of Study ] [ Designated as safety issue: No ]
- Incidence of Less than Expected Therapeutic Effect [ Time Frame: End of Study ] [ Designated as safety issue: No ]
- Consumption of moroctocog alfa (AF-CC) [ Time Frame: End of Study ] [ Designated as safety issue: No ]
- Compliance with assigned prophylaxis regimen [ Time Frame: End of Study ] [ Designated as safety issue: No ]
- Incidence of Adverse Events [ Time Frame: End of Study ] [ Designated as safety issue: Yes ]
- Incidence of confirmed FVIII inhibitor development [ Time Frame: End of Study ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 72 |
| Study Start Date: | December 2007 |
| Estimated Study Completion Date: | January 2016 |
| Estimated Primary Completion Date: | January 2016 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
On-Demand therapy for 6 months, followed by Routine Prophylaxis treatment for 1 year.
|
Biological: Moroctocog alfa (AF-CC)
On-demand therapy for 6 months, followed by routine prophylaxis 25 IU/kg, administered every other day for 1 year.
Other Name: Xyntha
|
|
Experimental: 2
Routine Prophylaxis Crossover
|
Biological: Moroctocog alfa (AF-CC)
Routine prophylaxis crossover: 45 IU/kg, administered 2 times a week for 1 year followed by 25 IU/kg administered every other day for 1 year, or, 25 IU/kg, administered every other day for 1 year, followed by 45 IU/kg, administered 2 times a week for 1 year. Other Name: Xyntha
|
Eligibility| Ages Eligible for Study: | up to 6 Years |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Male subjects, aged less than 6 years, with moderately severe to severe hemophilia A.
- A negative FVIII inhibitor titer at screening, and a medical history negative for a past FVIII inhibitor.
- At least 20 exposure days to any FVIII replacement product.
- Adequate hepatic and renal function
- CD4 count > 400 cells/uL, and if receiving antiviral therapy must be on a stable regimen
Additional criteria for subjects participating in the PK assessment:
- Male subjects as described immediately above except they must have a FVIII Activity of less than or equal to 1% confirmed by the central laboratory screening test
- Age < 6 years at time of PK assessment.
- The subject's size is sufficient to permit PK-related phlebotomy.
- The subject is able to comply with the procedures conducted during the PK assessment, including a mandatory 72-hour washout period preceding the PK assessment.
Exclusion Criteria:
- A history of FVIII inhibitor.
- Presence of a bleeding disorder in addition to hemophilia A.
- Treatment with any investigational drug or device within 30 days before the time of signing the informed consent form.
- Major or orthopedic surgery planned to occur during the course of the study.
- Regular (e.g., daily, every other day) use of antifibrinolytic agents or medications known to influence platelet function such as aspirin or certain nonsteroidal anti-inflammatory drugs (NSAIDs), or regular, concomitant therapy with immunomodulating drugs (e.g., intravenous immunoglobulin [IVIG], routine systemic corticosteroids).
- Known hypersensitivity to hamster protein.
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00543439
Show 24 Study Locations
Contacts
| Contact: Pfizer CT.gov Call Center | 1-800-718-1021 |
Show 24 Study LocationsSponsors and Collaborators
Pfizer
Investigators
| Study Director: | Pfizer CT.gov Call Center | Pfizer |
More Information
Additional Information:
No publications provided
| Responsible Party: | Pfizer |
| ClinicalTrials.gov Identifier: | NCT00543439 History of Changes |
| Other Study ID Numbers: | 3082B2-313, B1831001 |
| Study First Received: | October 11, 2007 |
| Last Updated: | April 24, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Hemophilia A Blood Coagulation Disorders, Inherited Blood Coagulation Disorders Hematologic Diseases Coagulation Protein Disorders Hemorrhagic Disorders |
Genetic Diseases, Inborn Factor VIII Coagulants Hematologic Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 16, 2013