Severe haemophilia A (FVIII:C <=1%) MedDRA version: 13.1 Level: LLT Classification code 10018937 Term: Haemophilia A System Organ Class: 10010331 - Congenital, familial and genetic disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Severe haemophilia A (FVIII:C less/equal 1%).· Male subjects greater/equal 12 years of age.· Previously treated with FVIII concentrate, at least 150 EDs.· Immunocompetent (CD4+ count >200/µL).· Negative for anti-HIV; if positive, viral load =65 years) yes F.1.3.1 Number of subjects for this age range 2
Exclusion criteria
Exclusion criteria: Other coagulation disorder than haemophilia A.· Present or past FVIII inhibitor activity (>0.6 BU).· Severe liver or kidney disease (ALAT and ASAT levels >5 times of upper limit of normal, creatinine >120 µmol/L).· Receiving or scheduled to receive immuno-modulating drugs (other than anti-retroviral chemotherapy) such as alpha-interferon, prednisone (equivalent to >10 mg/day), or similar drugs.· Participation in another interventional clinical study currently or during the past month. · Participation in any other study with human-cl rhFVIII.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To determine in previously treated subjects suffering from severe haemophilia A the efficacy of human-cl rhFVIII during prophylactic treatment, in the treatment of bleeding episodes and in surgical prophylaxis.;Secondary Objective: To calculate the incremental recovery of FVIII:C for human-cl rhFVIII.· To investigate the immunogenic potential of human-cl rhFVIII.· To assess the safety of human-cl rhFVIII.;Primary end point(s): Prophylactic treatments: •Overall efficacy assessment after a total of at least 50 EDs per subject at the end of the study at 6 months. •The frequency of bleeds under prophylactic treatment will be calculated. •Study drug consumption data (FVIII IU/kg per month, per year) per subject and in total will be evaluated. Treatment of bleeding episodes: The proportion of bleeding episodes successfully treated with human-cl rhFVIII will be evaluated for all BEs as well as for BEs of different severity. “Successfully treated” are all “excellent” and “good” efficacy ratings of treated BEs. Surgical prophylaxis: Overall efficacy assessment (taking the intra- and post operative assessment into account) after the end of the surgical prophylactic treatment phase by the surgeon and haematologist.;Timepoint(s) of evaluation of this end point: end of the study at 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Calculate the incremental recorvery of FVIII:C for human-cl rhFVIII. Investigate the immunogenic potential of human-cl rhFVIII. Assess the safety of human-cl rhFVIII.;Timepoint(s) of evaluation of this end point: Recovery: Will be determined for each patient at the beginning of the study, after 3 months and at study completion after 6 months. Immunogenic potential: Inhibitor activity and anti-rhFVIII antibodies will be determined at screening, prior to the first and second infusion of human-cl rhFVIII, after 10 to 15 EDs, and prior to infusion human-cl rhFVIII at the 3-month and 6-month visit. Safety: Will be assessed by monitoring vital signs, routine laboratory parameters at screening, on the day of first infusion, and after 3 and 6 months (completion visit), and by monitoring adverse events throughout the study. | — |
Countries
Austria, Germany, United Kingdom
Contacts
Octapharma AG