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

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

145 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-04-23

Study Completion Date

2019-11-21

Brief Summary

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Haemophilia A is an inherited disorder in which one of the proteins, Factor VIII, needed to form blood clots is missing or not present in sufficient levels. In a person with haemophilia A, the clotting process is slowed and the person experiences bleeds that can result in serious problems and potential disability.

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.

Detailed Description

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Subjects in prophylactic treatment arms will undergo clinical evaluation at 10 weeks. Those with adequate control of bleeding will undergo randomization to every 5 or 7 day infusion. Those with continued bleeding will remain in treatment arm and have an increase in dose.

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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Hemophilia A

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

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

Group Type EXPERIMENTAL

BAY94-9027

Intervention Type BIOLOGICAL

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

Group Type EXPERIMENTAL

BAY94-9027

Intervention Type BIOLOGICAL

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

Group Type EXPERIMENTAL

BAY94-9027

Intervention Type BIOLOGICAL

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

Group Type EXPERIMENTAL

BAY94-9027

Intervention Type BIOLOGICAL

Intravenous infusion of BAY94-9027

Interventions

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BAY94-9027

Intravenous infusion of BAY94-9027

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Male; 12-65 years of age
* Subjects with severe hemophilia A
* Previously treated with factor VIII for a minimum of 150 exposure days

Exclusion Criteria

* Inhibitors to FVIII (current evidence or history)
* 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
Minimum Eligible Age

12 Years

Maximum Eligible Age

65 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Bayer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bayer Study Director

Role: STUDY_DIRECTOR

Bayer

Locations

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Tucson, Arizona, United States

Site Status

Sacramento, California, United States

Site Status

San Diego, California, United States

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Jacksonville, Florida, United States

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Miami, Florida, United States

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Chicago, Illinois, United States

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Detroit, Michigan, United States

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Minneapolis, Minnesota, United States

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Syracuse, New York, United States

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Cincinnati, Ohio, United States

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Cleveland, Ohio, United States

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Columbus, Ohio, United States

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Hershey, Pennsylvania, United States

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Richmond, Virginia, United States

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Vienna, , Austria

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Bruges, , Belgium

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London, Ontario, Canada

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Medellín, Antioquia, Colombia

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Baranquilla, Atlántico, Colombia

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Aarhus N, , Denmark

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Bron, , France

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Marseille, , France

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Reims, , France

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Rennes, , France

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Heidelberg, Baden-Wurttemberg, Germany

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Bonn, North Rhine-Westphalia, Germany

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Ramat Gan, , Israel

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Napoli, Campania, Italy

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Rome, Lazio, Italy

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Milan, Lombardy, Italy

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Turin, Piedmont, Italy

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Nagoya, Aichi-ken, Japan

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Nishinomiya, Hyōgo, Japan

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Kashihara, Nara, Japan

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Shinjuku-ku, Tokyo, Japan

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Suginami, Tokyo, Japan

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Hiroshima, , Japan

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Amsterdam, , Netherlands

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Groningen, , Netherlands

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Maastricht, , Netherlands

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The Hague, , Netherlands

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Oslo, , Norway

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Wroclaw, , Poland

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Timișoara, , Romania

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Singapore, , Singapore

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Singapore, , Singapore

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Singapore, , Singapore

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Busan, Busan Gwang''yeogsi, South Korea

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Daejeon, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Changhua, , Taiwan

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Taipei, , Taiwan

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Taipei, , Taiwan

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Ankara, , Turkey (Türkiye)

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Izmir, , Turkey (Türkiye)

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Newcastle upon Tyne, Vale of Glamorgan, the, United Kingdom

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London, , United Kingdom

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Sheffield, , United Kingdom

Site Status

Countries

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United States Austria Belgium Canada Colombia Denmark France Germany Israel Italy Japan Netherlands Norway Poland Romania Singapore South Korea Taiwan Turkey (Türkiye) United Kingdom

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.

Reference Type BACKGROUND
PMID: 30654111 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 31621991 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 27992112 (View on PubMed)

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.

Reference Type RESULT
PMID: 37113811 (View on PubMed)

Related Links

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http://www.clinicaltrialsregister.eu/

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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