Trial Outcomes & Findings for Study of Next-Generation Recombinant Factor IX Variant in Adult Subjects With Hemophilia B (NCT NCT03995784)

NCT ID: NCT03995784

Last Updated: 2021-08-09

Results Overview

Subjects who achieved a FIX activity level ≥12% during the treatment period in the PK Population

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

6 participants

Primary outcome timeframe

Days 7, 14, 21, 28, 29

Results posted on

2021-08-09

Participant Flow

11 subjects were screened in the study, but 4 subjects failed screening due to inclusion/exclusion criteria not met and 1 subject was screened, but withdrew consent before receiving any study medication. These 5 subjects were considered not enrolled into the Treatment Period, and the remaining 6 were considered enrolled into the Treatment Period. Of those 6 enrolled into the Treatment Period, 5 subjects completed the study. The 6 subjects enrolled comprise the Overall Subjects/Population.

Participant milestones

Participant milestones
Measure
Overall Subjects
Subjects were dosed with a single intravenous injection dose of 50 IU/kg coagulation Factor IX variant (CB2679d/Dalcinonacog alfa) and then daily subcutaneous doses of 100 IU/kg coagulation Factor IX variant (CB2679d/Dalcinonacog alfa) for 28 days
Overall Study
STARTED
6
Overall Study
COMPLETED
5
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Overall Subjects
Subjects were dosed with a single intravenous injection dose of 50 IU/kg coagulation Factor IX variant (CB2679d/Dalcinonacog alfa) and then daily subcutaneous doses of 100 IU/kg coagulation Factor IX variant (CB2679d/Dalcinonacog alfa) for 28 days
Overall Study
One subject discontinued on Day 7 due to injection site reactions after Day 1, 2, and 3 doses
1

Baseline Characteristics

Study of Next-Generation Recombinant Factor IX Variant in Adult Subjects With Hemophilia B

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Overall Subjects
n=6 Participants
All subjects in the Safety Population received study treatment
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
6 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=5 Participants
Race (NIH/OMB)
White
1 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Days 7, 14, 21, 28, 29

Population: PK population. One subject not included in the PK population discontinued the study on Day 7 and had an activity level \>12%

Subjects who achieved a FIX activity level ≥12% during the treatment period in the PK Population

Outcome measures

Outcome measures
Measure
Overall Subjects
n=5 Participants
All subjects in the PK population
Change From Baseline (%)
Change from Baseline in values of FIX activity levels during study
Number of Subjects Who Achieved FIX Level ≥12%
Day 7
3 Participants
Number of Subjects Who Achieved FIX Level ≥12%
Day 14
4 Participants
Number of Subjects Who Achieved FIX Level ≥12%
Day 21
4 Participants
Number of Subjects Who Achieved FIX Level ≥12%
Day 28
4 Participants
Number of Subjects Who Achieved FIX Level ≥12%
Day 29
5 Participants

SECONDARY outcome

Timeframe: Screening, Day 1 (IV Pre-dose, SC Dose), Day 2, 3, 7, 14, 21, 28, 29, 30, 31, 32, 33, and End of Study. End of Study is the average of each subject's last recorded assessment (between Days 29 to 33).

Population: PK Population. 1 subject received a higher IV dose than allowed per protocol (150 IU/kg) at Day 1 thus this subject's values at Day 1 (SC Dose), Day 2, \& Day 3 were excluded from this analysis \& the total number of participants was lowered by 1 at these timepoints. Additionally, mean (standard deviation) for the maximum change from baseline in the FIX activity level (%) during SC dosing was calculated by excluding actual values at Day 1 IV dose, Day 1 SC dose, Day 2 \& Day 3 for all 6 subjects.

FIX Activity Levels measured by percent activity. Baseline was defined as the lowest assessment before the first administration of study drug. Maximum change from baseline was calculated as the maximum of the changes from baseline over all visits during treatment period. FIX activity level below the limit of quantification (BLQ) were set to zero. In case of retest, the average of the different test results were considered for the summary analyses. 1 subject received a higher IV dose than allowed per protocol (150 IU/kg) at Day 1 thus this subject's values at Day 1 (SC Dose), Day 2, \& Day 3 were excluded from this analysis \& the total number of participants was lowered by 1 at these timepoints. Additionally, mean (standard deviation) for the maximum change from baseline in the FIX activity level (%) during SC dosing was calculated by excluding actual values at Day 1 IV dose, Day 1 SC dose, Day 2 \& Day 3 for all 6 subjects.

Outcome measures

Outcome measures
Measure
Overall Subjects
n=5 Participants
All subjects in the PK population
Change From Baseline (%)
n=5 Participants
Change from Baseline in values of FIX activity levels during study
FIX Activity Levels (Actual and Change From Baseline) in All Subjects
Screening
0.24 % (percent) activity
Standard Deviation 0.5367
FIX Activity Levels (Actual and Change From Baseline) in All Subjects
Day 1, IV Predose
11.54 % (percent) activity
Standard Deviation 20.3775
FIX Activity Levels (Actual and Change From Baseline) in All Subjects
Day 1, SC Dose
25.538 % (percent) activity
Standard Deviation 9.2245
25.238 % (percent) activity
Standard Deviation 8.7156
FIX Activity Levels (Actual and Change From Baseline) in All Subjects
Day 2
15.05 % (percent) activity
Standard Deviation 4.7177
14.75 % (percent) activity
Standard Deviation 4.1589
FIX Activity Levels (Actual and Change From Baseline) in All Subjects
Day 3
13.8 % (percent) activity
Standard Deviation 2.7362
13.5 % (percent) activity
Standard Deviation 2.5153
FIX Activity Levels (Actual and Change From Baseline) in All Subjects
Day 7
13.64 % (percent) activity
Standard Deviation 4.7141
13.4 % (percent) activity
Standard Deviation 4.7974
FIX Activity Levels (Actual and Change From Baseline) in All Subjects
Day 14
18.66 % (percent) activity
Standard Deviation 7.7986
18.42 % (percent) activity
Standard Deviation 7.5301
FIX Activity Levels (Actual and Change From Baseline) in All Subjects
Day 21
18.74 % (percent) activity
Standard Deviation 6.5328
18.5 % (percent) activity
Standard Deviation 6.1895
FIX Activity Levels (Actual and Change From Baseline) in All Subjects
Day 28
19.92 % (percent) activity
Standard Deviation 6.6571
19.68 % (percent) activity
Standard Deviation 6.3622
FIX Activity Levels (Actual and Change From Baseline) in All Subjects
Day 29
19.44 % (percent) activity
Standard Deviation 4.385
19.2 % (percent) activity
Standard Deviation 4.1905
FIX Activity Levels (Actual and Change From Baseline) in All Subjects
Day 30
14.92 % (percent) activity
Standard Deviation 3.4354
14.68 % (percent) activity
Standard Deviation 3.2653
FIX Activity Levels (Actual and Change From Baseline) in All Subjects
Day 31
12.06 % (percent) activity
Standard Deviation 1.8119
11.82 % (percent) activity
Standard Deviation 1.4721
FIX Activity Levels (Actual and Change From Baseline) in All Subjects
Day 32
8.763 % (percent) activity
Standard Deviation 2.7348
8.463 % (percent) activity
Standard Deviation 2.3085
FIX Activity Levels (Actual and Change From Baseline) in All Subjects
Day 33
8.288 % (percent) activity
Standard Deviation 1.7148
7.988 % (percent) activity
Standard Deviation 1.1707
FIX Activity Levels (Actual and Change From Baseline) in All Subjects
End of Study
0.32 % (percent) activity
Standard Deviation 0.7155
0.08 % (percent) activity
Standard Deviation 0.1789
FIX Activity Levels (Actual and Change From Baseline) in All Subjects
SC Maximum change from baseline during SC dosing
21.183 % (percent) activity
Standard Deviation 4.4723

SECONDARY outcome

Timeframe: From date of first dose of CB2679d until date of first occurrence of clinical event, assessed up to treatment Day 28. PK sampling was conducted on Day 1 (IV pre-dose -5 min, SC 30 min post IV dose, hour 7 +/- 1 hour) and Day 2 (hour 24 +/- 1 hour).

Population: PK Population

Summary of Pharmacokinetic Parameters - AUC Infinity Observation and AUC to Last Non-zero Concentration

Outcome measures

Outcome measures
Measure
Overall Subjects
n=5 Participants
All subjects in the PK population
Change From Baseline (%)
Change from Baseline in values of FIX activity levels during study
Pharmacokinetic (PK) Analysis - AUC
AUC Infinity Observation
126.0306 IU/dL*day
Standard Deviation 26.80093
Pharmacokinetic (PK) Analysis - AUC
AUC to Last Non-zero Concentration
75.415 IU/dL*day
Standard Deviation 17.22908

SECONDARY outcome

Timeframe: From date of first dose of CB2679d until date of first occurrence of clinical event, assessed up to treatment Day 28. PK sampling was conducted on Day 1 (IV pre-dose -5 min, SC 30 min post IV dose, hour 7 +/- 1 hour) and Day 2 (hour 24 +/- 1 hour).

Population: PK Population

Summary of PK Parameters - Clearance

Outcome measures

Outcome measures
Measure
Overall Subjects
n=5 Participants
All subjects in the PK population
Change From Baseline (%)
Change from Baseline in values of FIX activity levels during study
PK Analysis - Clearance
0.8191544 dL/day/kg
Standard Deviation 0.15349536

SECONDARY outcome

Timeframe: From date of first dose of CB2679d until date of first occurrence of clinical event, assessed up to treatment Day 28. PK sampling was conducted on Day 1 (IV pre-dose -5 min, SC 30 min post IV dose, hour 7 +/- 1 hour) and Day 2 (hour 24 +/- 1 hour).

Population: PK Population

Summary of PK Parameters - Maximum Concentration during SC dosing

Outcome measures

Outcome measures
Measure
Overall Subjects
n=5 Participants
All subjects in the PK population
Change From Baseline (%)
Change from Baseline in values of FIX activity levels during study
PK Analysis - Maximum Concentration During SC Dosing
20.74 IU/dL
Standard Deviation 5.58

SECONDARY outcome

Timeframe: From date of first dose of CB2679d until date of first occurrence of clinical event, assessed up to treatment Day 28. PK sampling was conducted on Day 1 (IV pre-dose -5 min, SC 30 min post IV dose, hour 7 +/- 1 hour) and Day 2 (hour 24 +/- 1 hour).

Population: PK Population

Summary of PK Parameters - Half-Life-1(alpha), Half-Life-1(beta), and Mean Residence Time

Outcome measures

Outcome measures
Measure
Overall Subjects
n=2 Participants
All subjects in the PK population
Change From Baseline (%)
Change from Baseline in values of FIX activity levels during study
PK Analysis - Half-Life and Residence Time
Half-Life-1(alpha)
5.32395 days
Standard Deviation 3.049964
PK Analysis - Half-Life and Residence Time
Half-Life-1(beta)
3.87172 days
Standard Deviation 1.132563
PK Analysis - Half-Life and Residence Time
Mean Residence Time
6.1572 days
Standard Deviation 1.609332

SECONDARY outcome

Timeframe: From date of first dose of CB2679d until date of first occurrence of clinical event, assessed up to treatment Day 28. PK sampling was conducted on Day 1 (IV pre-dose -5 min, SC 30 min post IV dose, hour 7 +/- 1 hour) and Day 2 (hour 24 +/- 1 hour).

Population: PK Population

Summary of PK Parameters - Volume of Distribution at Steady-State Observed

Outcome measures

Outcome measures
Measure
Overall Subjects
n=5 Participants
All subjects in the PK population
Change From Baseline (%)
Change from Baseline in values of FIX activity levels during study
PK Analysis - Volume of Distribution at Steady-State Observed
5.00736 dL/kg
Standard Deviation 1.542769

SECONDARY outcome

Timeframe: From date of first dose of CB2679d until date of first occurrence of clinical event, assessed up to treatment Day 28

Population: Safety Population

Rate of occurrence of clinical thrombotic event not attributable to another cause

Outcome measures

Outcome measures
Measure
Overall Subjects
n=6 Participants
All subjects in the PK population
Change From Baseline (%)
Change from Baseline in values of FIX activity levels during study
Occurrence of Clinical Thrombotic Event
0 Participants

SECONDARY outcome

Timeframe: From date of first dose of CB2679d until date of first occurrence of clinical event, assessed up to treatment Day 28

Population: Safety Population

Rate of occurrence of an antibody response to CB2679d and cross-reactive with wild-type recombinant coagulation FIX

Outcome measures

Outcome measures
Measure
Overall Subjects
n=6 Participants
All subjects in the PK population
Change From Baseline (%)
Change from Baseline in values of FIX activity levels during study
Occurrence of an Antibody Response
Confirmed Antidrug Antibody (ADA) to DalcA
2 Participants
Occurrence of an Antibody Response
Neutralizing antibody to DalcA
0 Participants

SECONDARY outcome

Timeframe: Screening, Day 1 (IV Pre-dose, SC Dose), Day 2, 3, 7, 14, 21, 28, 29, 30, 31, 32, 33, and End of Study. End of Study is the average of each subject's last recorded assessment (between Days 29 to 33).

Population: Pharmacodynamic Population

Evaluation of the levels of thrombogenicity markers of a subcutaneous regimen of CB2679d

Outcome measures

Outcome measures
Measure
Overall Subjects
n=5 Participants
All subjects in the PK population
Change From Baseline (%)
n=5 Participants
Change from Baseline in values of FIX activity levels during study
Thrombogenicity Assessment - Fibrinogen
Fibrinogen - Day 30
306.0 mg/dL
Standard Deviation 62.38
0.4 mg/dL
Standard Deviation 127.73
Thrombogenicity Assessment - Fibrinogen
Fibrinogen - Screening
300.4 mg/dL
Standard Deviation 64.77
Thrombogenicity Assessment - Fibrinogen
Fibrinogen - Day 1, IV Pre-dose
305.6 mg/dL
Standard Deviation 73.53
Thrombogenicity Assessment - Fibrinogen
Fibrinogen - Day 1, SC Dose
326.4 mg/dL
Standard Deviation 79.04
20.8 mg/dL
Standard Deviation 12.50
Thrombogenicity Assessment - Fibrinogen
Fibrinogen - Day 2
296.2 mg/dL
Standard Deviation 72.29
-9.4 mg/dL
Standard Deviation 18.04
Thrombogenicity Assessment - Fibrinogen
Fibrinogen - Day 3
299.2 mg/dL
Standard Deviation 65.98
-6.4 mg/dL
Standard Deviation 33.58
Thrombogenicity Assessment - Fibrinogen
Fibrinogen - Day 7
285.8 mg/dL
Standard Deviation 52.64
-19.8 mg/dL
Standard Deviation 71.92
Thrombogenicity Assessment - Fibrinogen
Fibrinogen - Day 14
272.2 mg/dL
Standard Deviation 42.81
-33.4 mg/dL
Standard Deviation 87.16
Thrombogenicity Assessment - Fibrinogen
Fibrinogen - Day 21
283.6 mg/dL
Standard Deviation 55.68
-22.0 mg/dL
Standard Deviation 78.19
Thrombogenicity Assessment - Fibrinogen
Fibrinogen - Day 28
314.4 mg/dL
Standard Deviation 87.21
8.8 mg/dL
Standard Deviation 149.17
Thrombogenicity Assessment - Fibrinogen
Fibrinogen - Day 29
313.2 mg/dL
Standard Deviation 73.31
7.6 mg/dL
Standard Deviation 141.32
Thrombogenicity Assessment - Fibrinogen
Fibrinogen - Day 31
313.8 mg/dL
Standard Deviation 76.40
8.2 mg/dL
Standard Deviation 138.79
Thrombogenicity Assessment - Fibrinogen
Fibrinogen - Day 32
300.8 mg/dL
Standard Deviation 114.93
22.8 mg/dL
Standard Deviation 107.82
Thrombogenicity Assessment - Fibrinogen
Fibrinogen - Day 33
342.8 mg/dL
Standard Deviation 68.75
64.8 mg/dL
Standard Deviation 87.93
Thrombogenicity Assessment - Fibrinogen
Fibrinogen - End of Study
285.2 mg/dL
Standard Deviation 30.60
-20.4 mg/dL
Standard Deviation 101.45
Thrombogenicity Assessment - Fibrinogen
Fibrinogen - Maximum change from baseline during dosing
-10.4 mg/dL
Standard Deviation 103.83

SECONDARY outcome

Timeframe: Screening, Day 1 (IV Pre-dose, SC Dose), Day 2, 3, 7, 14, 21, 28, 29, 30, 31, 32, 33, and End of Study. End of Study is the average of each subject's last recorded assessment (between Days 29 to 33).

Population: Pharmacodynamic Population

Evaluation of the levels of thrombogenicity markers of a subcutaneous regimen of CB2679d

Outcome measures

Outcome measures
Measure
Overall Subjects
n=5 Participants
All subjects in the PK population
Change From Baseline (%)
n=5 Participants
Change from Baseline in values of FIX activity levels during study
Thrombogenicity Assessment - D-Dimer
D-Dimer - Screening
169.6 ug/L
Standard Deviation 155.63
Thrombogenicity Assessment - D-Dimer
D-Dimer - Day 1, IV Pre-dose
218.6 ug/L
Standard Deviation 153.78
Thrombogenicity Assessment - D-Dimer
D-Dimer - Day 1, SC Dose
209.6 ug/L
Standard Deviation 183.77
-9.0 ug/L
Standard Deviation 58.71
Thrombogenicity Assessment - D-Dimer
D-Dimer - Day 2
654.6 ug/L
Standard Deviation 426.46
436.0 ug/L
Standard Deviation 427.86
Thrombogenicity Assessment - D-Dimer
D-Dimer - Day 3
680.6 ug/L
Standard Deviation 405.82
462.0 ug/L
Standard Deviation 378.00
Thrombogenicity Assessment - D-Dimer
D-Dimer - Day 7
761.0 ug/L
Standard Deviation 550.10
542.4 ug/L
Standard Deviation 572.80
Thrombogenicity Assessment - D-Dimer
D-Dimer - Day 14
969.4 ug/L
Standard Deviation 993.15
750.8 ug/L
Standard Deviation 1053.87
Thrombogenicity Assessment - D-Dimer
D-Dimer - Day 21
772.6 ug/L
Standard Deviation 999.62
554.0 ug/L
Standard Deviation 1069.36
Thrombogenicity Assessment - D-Dimer
D-Dimer - Day 28
590.8 ug/L
Standard Deviation 311.30
372.2 ug/L
Standard Deviation 410.31
Thrombogenicity Assessment - D-Dimer
D-Dimer - Day 29
675.6 ug/L
Standard Deviation 845.00
457.0 ug/L
Standard Deviation 920.85
Thrombogenicity Assessment - D-Dimer
D-Dimer - Day 30
313.4 ug/L
Standard Deviation 275.43
94.8 ug/L
Standard Deviation 343.02
Thrombogenicity Assessment - D-Dimer
D-Dimer - Day 31
293.8 ug/L
Standard Deviation 242.76
75.2 ug/L
Standard Deviation 314.13
Thrombogenicity Assessment - D-Dimer
D-Dimer - Day 32
364.5 ug/L
Standard Deviation 371.95
143.5 ug/L
Standard Deviation 433.31
Thrombogenicity Assessment - D-Dimer
D-Dimer - Day 33
390.5 ug/L
Standard Deviation 323.83
169.5 ug/L
Standard Deviation 404.25
Thrombogenicity Assessment - D-Dimer
D-Dimer - End of Study
212.8 ug/L
Standard Deviation 177.26
-5.8 ug/L
Standard Deviation 242.12
Thrombogenicity Assessment - D-Dimer
D-Dimer - Maximum change from baseline during dosing
1088.0 ug/L
Standard Deviation 921.99

SECONDARY outcome

Timeframe: Screening, Day 1 (IV Pre-dose, SC Dose), Day 2, 3, 7, 14, 21, 28, 29, 30, 31, 32, 33, and End of Study. End of Study is the average of each subject's last recorded assessment (between Days 29 to 33).

Population: Pharmacodynamic Population

Evaluation of the levels of thrombogenicity markers of a subcutaneous regimen of CB2679d

Outcome measures

Outcome measures
Measure
Overall Subjects
n=5 Participants
All subjects in the PK population
Change From Baseline (%)
n=5 Participants
Change from Baseline in values of FIX activity levels during study
Thrombogenicity Assessment - Prothrombin Fragments 1 + 2
Prothrombin Fragments 1 + 2 - Screening
151.2 pmol/L
Standard Deviation 55.63
Thrombogenicity Assessment - Prothrombin Fragments 1 + 2
Prothrombin Fragments 1 + 2 - Day 1, IV Pre-dose
187.8 pmol/L
Standard Deviation 126.73
Thrombogenicity Assessment - Prothrombin Fragments 1 + 2
Prothrombin Fragments 1 + 2 - Day 1, SC Dose
195.2 pmol/L
Standard Deviation 141.90
7.4 pmol/L
Standard Deviation 58.11
Thrombogenicity Assessment - Prothrombin Fragments 1 + 2
Prothrombin Fragments 1 + 2 - Day 2
171.4 pmol/L
Standard Deviation 75.79
-16.4 pmol/L
Standard Deviation 93.75
Thrombogenicity Assessment - Prothrombin Fragments 1 + 2
Prothrombin Fragments 1 + 2 - Day 3
158.8 pmol/L
Standard Deviation 63.08
-29.0 pmol/L
Standard Deviation 88.88
Thrombogenicity Assessment - Prothrombin Fragments 1 + 2
Prothrombin Fragments 1 + 2 - Day 7
203.2 pmol/L
Standard Deviation 110.30
15.4 pmol/L
Standard Deviation 129.60
Thrombogenicity Assessment - Prothrombin Fragments 1 + 2
Prothrombin Fragments 1 + 2 - Day 14
192.8 pmol/L
Standard Deviation 99.38
5.0 pmol/L
Standard Deviation 130.70
Thrombogenicity Assessment - Prothrombin Fragments 1 + 2
Prothrombin Fragments 1 + 2 - Day 21
126.6 pmol/L
Standard Deviation 39.63
-61.2 pmol/L
Standard Deviation 127.21
Thrombogenicity Assessment - Prothrombin Fragments 1 + 2
Prothrombin Fragments 1 + 2 - Day 28
151.2 pmol/L
Standard Deviation 51.44
-36.6 pmol/L
Standard Deviation 98.34
Thrombogenicity Assessment - Prothrombin Fragments 1 + 2
Prothrombin Fragments 1 + 2 - Day 29
120.4 pmol/L
Standard Deviation 36.86
-67.4 pmol/L
Standard Deviation 138.05
Thrombogenicity Assessment - Prothrombin Fragments 1 + 2
Prothrombin Fragments 1 + 2 - Day 30
117.2 pmol/L
Standard Deviation 33.11
-70.6 pmol/L
Standard Deviation 118.47
Thrombogenicity Assessment - Prothrombin Fragments 1 + 2
Prothrombin Fragments 1 + 2 - Day 31
122.0 pmol/L
Standard Deviation 40.38
-65.8 pmol/L
Standard Deviation 111.81
Thrombogenicity Assessment - Prothrombin Fragments 1 + 2
Prothrombin Fragments 1 + 2 - Day 32
112.5 pmol/L
Standard Deviation 27.06
-83.5 pmol/L
Standard Deviation 148.20
Thrombogenicity Assessment - Prothrombin Fragments 1 + 2
Prothrombin Fragments 1 + 2 - Day 33
124.5 pmol/L
Standard Deviation 33.51
-71.5 pmol/L
Standard Deviation 122.25
Thrombogenicity Assessment - Prothrombin Fragments 1 + 2
Prothrombin Fragments 1 + 2 - End of Study
115.6 pmol/L
Standard Deviation 27.76
-72.2 pmol/L
Standard Deviation 143.95
Thrombogenicity Assessment - Prothrombin Fragments 1 + 2
Prothrombin Fragments 1 + 2 - Maximum change from baseline during dosing
-16.8 pmol/L
Standard Deviation 178.49

SECONDARY outcome

Timeframe: Screening, Day 1 (IV Pre-dose, SC Dose), Day 2, 3, 7, 14, 21, 28, 29, 30, 31, 32, 33, and End of Study. End of Study is the average of each subject's last recorded assessment (between Days 29 to 33).

Population: Pharmacodynamic Population

Evaluation of the levels of thrombogenicity markers of a subcutaneous regimen of CB2679d

Outcome measures

Outcome measures
Measure
Overall Subjects
n=5 Participants
All subjects in the PK population
Change From Baseline (%)
n=5 Participants
Change from Baseline in values of FIX activity levels during study
Thrombogenicity Assessment - Thrombin/Antithrombin
Thrombin/Antithrombin - End of Study
3.62 ug/L
Standard Deviation 1.547
1.34 ug/L
Standard Deviation 2.726
Thrombogenicity Assessment - Thrombin/Antithrombin
Thrombin/Antithrombin - Screening
9.34 ug/L
Standard Deviation 13.518
Thrombogenicity Assessment - Thrombin/Antithrombin
Thrombin/Antithrombin - Day 1, IV Pre-dose
1.93 ug/L
Standard Deviation 1.130
Thrombogenicity Assessment - Thrombin/Antithrombin
Thrombin/Antithrombin - Day 1, SC Dose
4.42 ug/L
Standard Deviation 2.724
2.14 ug/L
Standard Deviation 1.692
Thrombogenicity Assessment - Thrombin/Antithrombin
Thrombin/Antithrombin - Day 2
3.86 ug/L
Standard Deviation 1.053
1.58 ug/L
Standard Deviation 1.134
Thrombogenicity Assessment - Thrombin/Antithrombin
Thrombin/Antithrombin - Day 3
3.86 ug/L
Standard Deviation 0.808
1.58 ug/L
Standard Deviation 0.993
Thrombogenicity Assessment - Thrombin/Antithrombin
Thrombin/Antithrombin - Day 7
5.08 ug/L
Standard Deviation 2.745
2.80 ug/L
Standard Deviation 2.677
Thrombogenicity Assessment - Thrombin/Antithrombin
Thrombin/Antithrombin - Day 14
6.72 ug/L
Standard Deviation 4.017
4.44 ug/L
Standard Deviation 3.686
Thrombogenicity Assessment - Thrombin/Antithrombin
Thrombin/Antithrombin - Day 21
4.08 ug/L
Standard Deviation 1.279
1.80 ug/L
Standard Deviation 1.873
Thrombogenicity Assessment - Thrombin/Antithrombin
Thrombin/Antithrombin - Day 28
6.38 ug/L
Standard Deviation 4.581
4.10 ug/L
Standard Deviation 3.707
Thrombogenicity Assessment - Thrombin/Antithrombin
Thrombin/Antithrombin - Day 29
3.36 ug/L
Standard Deviation 0.841
1.08 ug/L
Standard Deviation 1.561
Thrombogenicity Assessment - Thrombin/Antithrombin
Thrombin/Antithrombin - Day 30
3.24 ug/L
Standard Deviation 0.684
0.96 ug/L
Standard Deviation 0.733
Thrombogenicity Assessment - Thrombin/Antithrombin
Thrombin/Antithrombin - Day 31
8.52 ug/L
Standard Deviation 13.498
6.24 ug/L
Standard Deviation 12.939
Thrombogenicity Assessment - Thrombin/Antithrombin
Thrombin/Antithrombin - Day 32
3.88 ug/L
Standard Deviation 2.244
1.63 ug/L
Standard Deviation 1.941
Thrombogenicity Assessment - Thrombin/Antithrombin
Thrombin/Antithrombin - Day 33
4.05 ug/L
Standard Deviation 2.447
1.80 ug/L
Standard Deviation 2.008
Thrombogenicity Assessment - Thrombin/Antithrombin
Thrombin/Antithrombin - Maximum change from baseline during dosing
5.44 ug/L
Standard Deviation 2.581

Adverse Events

Overall Subjects

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Overall Subjects
n=6 participants at risk
All subjects in the Safety Population received study treatment
General disorders
Injection Site Reaction
33.3%
2/6 • Number of events 2 • TEAEs were defined as AEs that occurred on or after the first dose of study medication or worsened after the first dose of study drug in this study but not later than the date of last dose (+30 days).

Additional Information

Howard Levy, Chief Medical Officer

Catalyst Biosciences

Phone: +1.650.266.6871

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place