Study of Biostate® in Children With Hemophilia A
This study is ongoing, but not recruiting participants.
Sponsor:
CSL Behring
Collaborator:
Parexel
Information provided by (Responsible Party):
CSL Behring
ClinicalTrials.gov Identifier:
NCT01229007
First received: October 1, 2010
Last updated: June 10, 2013
Last verified: June 2013
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Purpose
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.
| Condition | Intervention | Phase |
|---|---|---|
|
Hemophilia A |
Biological: Biostate |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase III, Open-Label, Multicentre Study to Evaluate Efficacy, Pharmacokinetics, and Safety of Biostate® in Paediatric Subjects With Haemophilia 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 CSL Behring:
Primary Outcome Measures:
- Subjective assessment of Haemostatic efficacy [ Time Frame: Over minimum of 50 exposure days ] [ Designated as safety issue: No ]
- 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 ] [ Designated as safety issue: No ]
- 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 ] [ Designated as safety issue: No ]
- 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 ] [ Designated as safety issue: No ]
- 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 ] [ Designated as safety issue: No ]
- 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 ] [ Designated as safety issue: No ]
- 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 ] [ Designated as safety issue: No ]
- 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 ] [ Designated as safety issue: No ]
- 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 ] [ Designated as safety issue: No ]
- 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 ] [ Designated as safety issue: No ]
- Number of infusions per bleeding event [ Time Frame: 1 day ] [ Designated as safety issue: No ]
- Number of infusions per month [ Time Frame: 1 month ] [ Designated as safety issue: No ]
- Number of infusions per year [ Time Frame: 1 year ] [ Designated as safety issue: No ]
- Dose (IU/kg) per bleeding event [ Time Frame: 1 day ] [ Designated as safety issue: No ]
- Dose (IU/kg) per month [ Time Frame: 1 month ] [ Designated as safety issue: No ]
- Dose (IU/kg) per year [ Time Frame: 1 year ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
- Frequency of adverse events (AEs) [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
- Severity of AEs per subject [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
- Severity of AEs per infusion [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
- Relatedness of AEs per subject [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
- Relatedness of AEs per infusion [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
- Development of FVIII inhibitors [ Time Frame: Samples taken at screening visit, on day 2, on months 1 and 3, and at final visit ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 24 |
| Study Start Date: | August 2010 |
| Estimated Study Completion Date: | October 2013 |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Biostate |
Biological: Biostate
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.
|
Eligibility| Ages Eligible for Study: | up to 12 Years |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | No |
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.
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01229007
Locations
| Belarus | |
| Study site | |
| Gomel, Belarus, 246040 | |
| Study site | |
| Minsk, Belarus, 223040 | |
| Georgia | |
| Study Site | |
| Tbilisi, Georgia, 0179 | |
| Guatemala | |
| Study Site | |
| Guatemala, Guatemala, 01010 | |
| Lebanon | |
| Study Site | |
| Beirut, Lebanon | |
| Mexico | |
| Study site | |
| Monterrey, Mexico, 64000 | |
| Ukraine | |
| Study Site | |
| Dnipropetrovsk, Ukraine | |
| Study Site | |
| Lviv, Ukraine | |
Sponsors and Collaborators
CSL Behring
Parexel
Investigators
| Study Director: | Program Director Clinical R&D | CSL Behring |
More Information
Additional Information:
No publications provided
| Responsible Party: | CSL Behring |
| ClinicalTrials.gov Identifier: | NCT01229007 History of Changes |
| Other Study ID Numbers: | CSLCT-BIO-08-53, 2009-015112-18, 1495 |
| Study First Received: | October 1, 2010 |
| Last Updated: | June 10, 2013 |
| Health Authority: | Belarus: Ministry of Health Guatemala: Ministry of Public Health and Social Assistance Mexico: Ministry of Health Georgia: Ministry of Health Labour and Social Affairs of Georgia Bulgaria: Bulgarian Drug Agency |
Keywords provided by CSL Behring:
|
Hemophilia A Children |
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 June 13, 2013