Efficacy and Safety Study of Octafibrin for On-demand Treatment of Acute Bleeding and to Prevent Bleeding During and After Surgery

NCT ID: NCT02267226

Last Updated: 2021-01-15

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

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-30

Study Completion Date

2018-02-14

Brief Summary

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The purpose of the study is to assess the efficacy and safety of Octafibrin for on-demand treatment of acute bleeding in subjects with congenital fibrinogen deficiency.

Detailed Description

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Conditions

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Congenital Fibrinogen Deficiency

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Octafibrin

Group Type EXPERIMENTAL

Octafibrin

Intervention Type DRUG

Interventions

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Octafibrin

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Aged ≥12 years (only 18 and above in Russia)
* Documented diagnosis of congenital fibrinogen deficiency, expected to require on-demand treatment for bleeding or surgical prophylaxis:
* Fibrinogen deficiency manifested as afibrinogenaemia or severe hypofibrinogenaemia.
* Historical plasma fibrinogen activity of \<50 mg/dL or levels below the limit of detection of the local assay method.
* Expected to have an acute bleeding episode (spontaneous or after trauma) or planning to undergo elective surgery.
* Informed consent signed by the subject or legal guardian.

Exclusion Criteria

* Life expectancy \<6 months.
* Bleeding disorder other than congenital fibrinogen deficiency, including dysfibrinogenaemia.
* Prophylactic treatment with a fibrinogen concentrate.

Treatment with:

* Any fibrinogen concentrate or other fibrinogen-containing blood product within 2 weeks prior to start of treatment for the bleeding episode or surgery.
* Any coagulation-active drug (i.e., non-steroidal anti-inflammatory drugs, warfarin, coumarin derivatives, platelet aggregation inhibitors) within 1 week prior to start of treatment for the bleeding episode or surgery, or as a planned or expected medication during the time period from Day 1 until 24 hours (i.e., 1 day) after the last Octafibrin infusion.

Presence or history of:

* Hypersensitivity to study medication.
* Deep vein thrombosis or pulmonary embolism within 1 year prior to start of treatment for the bleeding episode or surgery.
* Arterial thrombosis within 1 year prior to start of treatment for the bleeding episode or surgery
* Hypersensitivity to human plasma proteins.
* Oesophageal varicose bleeding.
* End-stage liver disease (i.e., Child-Pugh score B or C).

Pregnant women within the first 20 weeks of gestation.

Currently breast-feeding.

Known positive HIV infection with a viral load \>200 particles/μL or \>400,000 copies/mL.

Polytrauma 1 year prior to start of treatment for the bleeding episode or surgery.

Diagnosis or suspicion of a neutralizing anti-fibrinogen inhibitor currently or any time in the past.

Acute or chronic medical condition which may, in the opinion of investigator, affect the conduct of the study, including

* Subjects receiving immune-modulating drugs (other than anti-retroviral chemotherapy) such as alpha-interferon, prednisone (equivalent to \>10 mg/day), or similar drugs at study start.
* Subjects having evidence or a history (within the previous 12 months) of abuse of any licit or illicit drug substance.

Participation in another interventional clinical study currently or during the past 4 weeks.
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Octapharma

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Cristina Solomon, MD

Role: STUDY_DIRECTOR

Octapharma

Locations

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Miami Children's Hospital

Miami, Florida, United States

Site Status

Dept of Clinical Hematology for Hemorrhagic Diatheses and Anaemia, SHAT "Joan Pavel"

Sofia, , Bulgaria

Site Status

St. John's Medical College Hospital

Bangalore, , India

Site Status

Sahyadri Specialty Hospital

Pune, , India

Site Status

Dept of Hematology, Christian Medical College

Vellore, , India

Site Status

Seyed Al Shohada Hospital

Isfahan, , Iran

Site Status

Dastgheib Hospital

Shīrāz, , Iran

Site Status

Hotel-Dieu de France

Beirut, , Lebanon

Site Status

Haematological Scientific Center of Ministry of Healthcare of the Russian Federation

Moscow, , Russia

Site Status

Centre of Excellence in Thrombosis & Hemostasis, King Saud University

Riyadh, , Saudi Arabia

Site Status

Dept of Haematology, Ege University Children's Hospital

Izmir, , Turkey (Türkiye)

Site Status

Centre for Haemostasis & Thrombosis, St Thomas' Hospital

London, , United Kingdom

Site Status

Countries

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United States Bulgaria India Iran Lebanon Russia Saudi Arabia Turkey (Türkiye) United Kingdom

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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FORMA-02

Identifier Type: -

Identifier Source: org_study_id

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