BAX 855 Pediatric Study

NCT ID: NCT02210091

Last Updated: 2021-05-24

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

PHASE3

Total Enrollment

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-10-31

Study Completion Date

2015-10-23

Brief Summary

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The study purpose is:

* To assess the incidence of FVIII inhibitory antibodies during 6 months of twice weekly prophylactic treatment with BAX 855 or 50 exposure days (EDs), whichever occurs last.
* To compare pharmacokinetic (PK) parameters to ADVATE.
* To assess hemostatic efficacy in prophylaxis and the treatment of bleeding episodes.
* To evaluate safety and immunogenicity.

Detailed Description

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Conditions

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Hemophilia A

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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<6 years old

Group Type EXPERIMENTAL

Antihemophilic Factor (Recombinant) - Plasma/Albumin Free Method

Intervention Type BIOLOGICAL

Pharmacokinetic (PK) analysis of ADVATE

PEGylated Recombinant Factor VIII

Intervention Type BIOLOGICAL

Pharmacokinetic (PK) analysis of BAX 855

PEGylated Recombinant Factor VIII

Intervention Type BIOLOGICAL

Prophylaxis treatment

≥6 to <12 years

Group Type EXPERIMENTAL

Antihemophilic Factor (Recombinant) - Plasma/Albumin Free Method

Intervention Type BIOLOGICAL

Pharmacokinetic (PK) analysis of ADVATE

PEGylated Recombinant Factor VIII

Intervention Type BIOLOGICAL

Pharmacokinetic (PK) analysis of BAX 855

PEGylated Recombinant Factor VIII

Intervention Type BIOLOGICAL

Prophylaxis treatment

Interventions

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Antihemophilic Factor (Recombinant) - Plasma/Albumin Free Method

Pharmacokinetic (PK) analysis of ADVATE

Intervention Type BIOLOGICAL

PEGylated Recombinant Factor VIII

Pharmacokinetic (PK) analysis of BAX 855

Intervention Type BIOLOGICAL

PEGylated Recombinant Factor VIII

Prophylaxis treatment

Intervention Type BIOLOGICAL

Other Intervention Names

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ADVATE BAX 855 BAX 855

Eligibility Criteria

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Inclusion Criteria

* Severe hemophilia A (Factor VIII (FVIII) \<1%) determined by central laboratory.
* \<12 years old at the time of screening.
* Participants aged ≥6 to \<12 years of age have been previously treated with plasma-derived and/or recombinant Factor VIII (rFVIII) concentrate(s) for a minimum of 150 exposure days (EDs) (based on the participant's medical records).
* Participants \<6 years of age have been previously treated with plasma-derived and/or rFVIII concentrate(s) for at least 50 EDs (based on the participant's medical records).
* Participant is human immunodeficiency virus (HIV) negative; or HIV positive with stable disease and CD4+ count of ≥200 cells/mm\^3, as confirmed by central laboratory.
* Participant and/or legal representative accepts prophylactic treatment over a period of 6 months.
* Participant and/or the legal representative is willing and able to comply with the requirements of the protocol.

Exclusion Criteria

* Participant has detectable FVIII inhibitory antibodies (≥0.4 Bethesda Units (BU) using the Nijmegen modification of the Bethesda assay) as confirmed by central laboratory at screening.
* Participant has a history of FVIII inhibitory antibodies (≥0.4 BU using the Nijmegen modification of the Bethesda assay or ≥0.6 BU using the Bethesda assay) at any time prior to screening.
* Participant has known hypersensitivity towards mouse or hamster proteins, polyethylene glycol (PEG), or Tween 80.
* Participant has been diagnosed with an inherited or acquired hemostatic defect other than hemophilia A (eg, qualitative platelet defect or von Willebrand's disease).
* Participant's platelet count is \<100,000/μL.
* Participant has severe chronic hepatic dysfunction (eg, ≥5 times upper limit of normal (ULN) alanine aminotransferase (ALT), as confirmed by central laboratory at screening, or a documented international normalized ratio (INR) \>1.5).
* Participant has severe renal impairment (serum creatinine \>1.5 times ULN).
* Participant is scheduled to receive during the course of the study, an immunomodulating drug (eg, corticosteroid agents at a dose equivalent to hydrocortisone \>10 mg/day, or α-interferon) other than anti-retroviral chemotherapy.
* Participant has current or recent (\<30 days) use of other PEGylated drugs prior to study participation or is scheduled to use such drugs during study participation.
* Participant has participated in another clinical study involving an investigational product (IP) or investigational device within 30 days prior to enrollment or is scheduled to participate in another clinical study involving an IP or investigational device during the course of this study.
* Participant has a medical, psychiatric, or cognitive illness or recreational drug/alcohol use that, in the opinion of the Investigator, would affect participant safety or compliance.
* Participant's legal representative is a member of the team conducting this study or is in a dependent relationship with one of the study team members. Dependent relationships include close relatives (ie, children, partner/spouse, siblings, parents) as well as employees of the investigator or site personnel conducting the study.
Maximum Eligible Age

11 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Baxalta now part of Shire

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Study Director

Role: STUDY_DIRECTOR

Takeda

Locations

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Phoenix Children's Hospital

Phoenix, Arizona, United States

Site Status

University of Colorado

Denver, Colorado, United States

Site Status

University of Florida College of Medicine

Gainesville, Florida, United States

Site Status

Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois, United States

Site Status

University of Louisville

Louisville, Kentucky, United States

Site Status

Cornell University

New Hyde Park, New York, United States

Site Status

New York Presbyterian Hospital-Weill

New York, New York, United States

Site Status

Cincinnati Childrens Hospital Medical Center

Cincinnati, Ohio, United States

Site Status

Nationwide Childrens Hospital

Columbus, Ohio, United States

Site Status

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, United States

Site Status

University of Utah

Salt Lake City, Utah, United States

Site Status

Virginia Commonwealth University

Richmond, Virginia, United States

Site Status

UMHAP Sveti Georgi EAD

Plovdiv, , Bulgaria

Site Status

Specialized Hospital for Active Treatment of Oncohematological Diseases in Children

Sofia, , Bulgaria

Site Status

Multiprofile Hospital for Active Treatment "Sveta Marina"

Varna, , Bulgaria

Site Status

The Chinese University of Hong Kong

Shatin, New Territories, Hong Kong

Site Status

Hospital Pulau Pinang

George Town, Pulau Pinang, Malaysia

Site Status

Hospital Umum Sarawak

Kuching, Sarawak, Malaysia

Site Status

Hospital Sibu

Sibu, Sarawak, Malaysia

Site Status

Ampang Hospital

Ampang, Selangor, Malaysia

Site Status

Tengku Ampian Rahimah (TAR) Hospital

Klang, Selangor, Malaysia

Site Status

Academic Medical Centre

Amsterdam, , Netherlands

Site Status

Eulji University Hosptial

Seo-gu, Daejeon, South Korea

Site Status

Ulsan University Hosptial

Dong-gu, Ulsan, South Korea

Site Status

Severance Hospital

Seoul, , South Korea

Site Status

Hospital Universitario La Paz

Madrid, , Spain

Site Status

Hospital Universitario La Fe

Valencia, , Spain

Site Status

Taichung Veterans General Hospital

Taichung, Xitun District, Taiwan

Site Status

China Medical University Hospital

Taichung, , Taiwan

Site Status

Istanbul University Faculty of Medicine, Department of Pediatric Immunology

Cerrahpaşa, Istanbul, Turkey (Türkiye)

Site Status

Ankara University Medical Faculty

Ankara, , Turkey (Türkiye)

Site Status

Akdeniz Univesity Medical Faculty

Antalya, , Turkey (Türkiye)

Site Status

Yuzuncu Yil University Medical Faculty

Van, , Turkey (Türkiye)

Site Status

Institute of Blood Pathology and Transfusion Medicine of Academy of Medical Sciences of Ukraine

Lviv, , Ukraine

Site Status

Birmingham Childrens Hospital NHS Trust

Birmingham, , United Kingdom

Site Status

St. Thomas's Hospital

London, , United Kingdom

Site Status

Great Ormond Street Hospital For Children

London, , United Kingdom

Site Status

Royal Manchester Children's Hospital

Manchester, , United Kingdom

Site Status

Southampton General Hospital

Southampton, , United Kingdom

Site Status

Countries

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United States Bulgaria Hong Kong Malaysia Netherlands South Korea Spain Taiwan Turkey (Türkiye) Ukraine United Kingdom

References

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Mullins ES, Stasyshyn O, Alvarez-Roman MT, Osman D, Liesner R, Engl W, Sharkhawy M, Abbuehl BE. Extended half-life pegylated, full-length recombinant factor VIII for prophylaxis in children with severe haemophilia A. Haemophilia. 2017 Mar;23(2):238-246. doi: 10.1111/hae.13119. Epub 2016 Nov 27.

Reference Type RESULT
PMID: 27891721 (View on PubMed)

Other Identifiers

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2014-000742-30

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

261202

Identifier Type: -

Identifier Source: org_study_id

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