A Trial Investigating Safety and Efficacy of Treatment With BAY94-9027 in Severe Hemophilia A
NCT ID: NCT01580293
Last Updated: 2023-11-07
Study Results
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View full resultsBasic Information
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COMPLETED
PHASE2/PHASE3
145 participants
INTERVENTIONAL
2012-04-23
2019-11-21
Brief Summary
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The current standard treatment for severe haemophilia A is regularly scheduled infusion of FVIII to keep levels high enough to prevent bleeding. Due to the short half-life of FVIII, prophylaxis may require treatment as often as every other day.
In this trial safety and efficacy of a long-acting recombinant factor VIII molecule is evaluated in subjects with severe Hemophilia A.
120-140 patients will receive open label treatment with long-acting rFVIII either on-demand to treat bleeds or prophylactically for 36 weeks in the main trial plus an optional extension to continue treatment for at least 100 total exposure days (ED). Patients on prophylactic treatment will receive study drug at dosing intervals between once and twice a week depending on their observed bleeding. Patients will attend the treatment centre for routine blood samples and be required to keep an electronic diary.
Male patients aged 12-65, with severe hemophilia A, previously treated with FVIII for at least 50 exposure days may be eligible for this study.
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Detailed Description
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Part B-major surgery - optional sub study included to collect information on efficacy of BAY94-9027 in major surgical setting. Due to rarity of surgery in this population, enrollment to this sub-study may be independent of participation in main study.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Arm 1
On-demand treatment of BAY94-9027 at individual dose and number of infusions based upon location and severity of bleeds
BAY94-9027
Intravenous infusion of BAY94-9027
Arm 2
Prophylaxis treatment of BAY94-9027; 2 infusions per week over 10 weeks followed by 2 infusions per week over 26 weeks in the main trial; and at least 1 day per week in the extension for at least 100 ED
BAY94-9027
Intravenous infusion of BAY94-9027
Arm 3
Prophylaxis treatment of BAY94-9027; 2 infusions per week over 10 weeks followed by infusion every 5 days over 26 weeks in the main trial; and at least 1 day per week in the extension for at least 100 ED
BAY94-9027
Intravenous infusion of BAY94-9027
Arm 4
Prophylaxis treatment of BAY94-9027; 2 infusions per week over 10 weeks followed by infusion every 7 days over 26 weeks in the main trial; and at least 1 day per week in the extension for at least 100 ED
BAY94-9027
Intravenous infusion of BAY94-9027
Interventions
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BAY94-9027
Intravenous infusion of BAY94-9027
Eligibility Criteria
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Inclusion Criteria
* Subjects with severe hemophilia A
* Previously treated with factor VIII for a minimum of 150 exposure days
Exclusion Criteria
* Any other inherited or acquired bleeding disorder in addition to Hemophilia A
* Platelet count \< 100,000/mm3
* Creatinine \> 2x upper limit of normal or AST/ALT (aspartate aminotransferase/alanine aminotransferase) \> 5x upper limit of normal
12 Years
65 Years
MALE
No
Sponsors
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Bayer
INDUSTRY
Responsible Party
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Principal Investigators
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Bayer Study Director
Role: STUDY_DIRECTOR
Bayer
Locations
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Tucson, Arizona, United States
Sacramento, California, United States
San Diego, California, United States
Jacksonville, Florida, United States
Miami, Florida, United States
Chicago, Illinois, United States
Detroit, Michigan, United States
Minneapolis, Minnesota, United States
Syracuse, New York, United States
Cincinnati, Ohio, United States
Cleveland, Ohio, United States
Columbus, Ohio, United States
Hershey, Pennsylvania, United States
Richmond, Virginia, United States
Vienna, , Austria
Bruges, , Belgium
London, Ontario, Canada
Medellín, Antioquia, Colombia
Baranquilla, Atlántico, Colombia
Aarhus N, , Denmark
Bron, , France
Marseille, , France
Reims, , France
Rennes, , France
Heidelberg, Baden-Wurttemberg, Germany
Bonn, North Rhine-Westphalia, Germany
Ramat Gan, , Israel
Napoli, Campania, Italy
Rome, Lazio, Italy
Milan, Lombardy, Italy
Turin, Piedmont, Italy
Nagoya, Aichi-ken, Japan
Nishinomiya, Hyōgo, Japan
Kashihara, Nara, Japan
Shinjuku-ku, Tokyo, Japan
Suginami, Tokyo, Japan
Hiroshima, , Japan
Amsterdam, , Netherlands
Groningen, , Netherlands
Maastricht, , Netherlands
The Hague, , Netherlands
Oslo, , Norway
Wroclaw, , Poland
Timișoara, , Romania
Singapore, , Singapore
Singapore, , Singapore
Singapore, , Singapore
Busan, Busan Gwang''yeogsi, South Korea
Daejeon, , South Korea
Seoul, , South Korea
Seoul, , South Korea
Changhua, , Taiwan
Taipei, , Taiwan
Taipei, , Taiwan
Ankara, , Turkey (Türkiye)
Izmir, , Turkey (Türkiye)
Newcastle upon Tyne, Vale of Glamorgan, the, United Kingdom
London, , United Kingdom
Sheffield, , United Kingdom
Countries
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References
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Baumann A, Piel I, Hucke F, Sandmann S, Hetzel T, Schwarz T. Pharmacokinetics, excretion, distribution, and metabolism of 60-kDa polyethylene glycol used in BAY 94-9027 in rats and its value for human prediction. Eur J Pharm Sci. 2019 Mar 15;130:11-20. doi: 10.1016/j.ejps.2019.01.015. Epub 2019 Jan 14.
Lalezari S, Reding MT, Pabinger I, Holme PA, Negrier C, Chalasani P, Shin HJ, Wang M, Tseneklidou-Stoeter D, Maas Enriquez M. BAY 94-9027 prophylaxis is efficacious and well tolerated for up to >5 years with extended dosing intervals: PROTECT VIII extension interim results. Haemophilia. 2019 Nov;25(6):1011-1019. doi: 10.1111/hae.13853. Epub 2019 Oct 17.
Reding MT, Ng HJ, Poulsen LH, Eyster ME, Pabinger I, Shin HJ, Walsch R, Lederman M, Wang M, Hardtke M, Michaels LA. Safety and efficacy of BAY 94-9027, a prolonged-half-life factor VIII. J Thromb Haemost. 2017 Mar;15(3):411-419. doi: 10.1111/jth.13597. Epub 2017 Feb 22.
Reding MT, Pabinger I, Holme PA, Maas Enriquez M, Mancuso ME, Lalezari S, Miesbach W, Di Minno G, Klamroth R, Hermans C. Efficacy and safety of damoctocog alfa pegol prophylaxis in patients ⩾40 years with severe haemophilia A and comorbidities: post hoc analysis from the PROTECT VIII study. Ther Adv Hematol. 2023 Apr 22;14:20406207231166779. doi: 10.1177/20406207231166779. eCollection 2023.
Related Links
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Click here to find information about studies related to Bayer Healthcare products conducted in Europe
Other Identifiers
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2011-005210-11
Identifier Type: EUDRACT_NUMBER
Identifier Source: secondary_id
13024
Identifier Type: -
Identifier Source: org_study_id
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