Hemophilia A With Inhibitor
Conditions
Brief summary
To evaluate the time of response, sustained remission rate, and relapse rate of CD38 monoclonal antibody (Daratumumab) combined with SCT800 (rFVIII) in the treatment of hemophilia A adolescents and adults with high titer inhibitors.
Detailed description
This is a non-randomized controlled trial to compare the outcome of immune tolerance induction therapy usingnon- SCT800 combined with Daratumumab or SCT800 alone in hemophilia A adolescents and adults with high titer inhibitors. Patients will receive Daratumumab combined with SCT800 or SCT800 alone.
Interventions
SCT800 50IU/kg TIW alone or treated with Daratumumab 8mg/kg 4-8 times
SCT800 50IU/kg TIW alone
Sponsors
Study design
Eligibility
Inclusion criteria
1. Moderate or severe hemophilia A; 2. Aged 14-66 years old; 3. Inhibitor positive at 2 consecutive visits; 4. Inhibitor titer \> 10 BU at the screening visit.
Exclusion criteria
1. The patient has contraindications to drug ingredients or hamster protein allergy; 2. Suffering from other immune diseases or Using immunosuppressant IS to treat another disease(s); 3. Failed systemic ITI treatment in history; 4. Poor patients compliance; 5. The investigator believes that there are any other reasons that make the patient unsuitable to participate in this study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| success rate of ITI success rate of ITI success rate of ITI success rate of ITI | 12 months | Inhibitor titre \<0.6 BU⁄mL |
| Success rate and partial success rate of ITI after 3-month treatment | 3 months | Inhibitor titre \<0.6 BU⁄mL |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ITI success time | 12 months | time to successful tolerance |
Countries
China