A Clinical Study of Recombinant Human Coagulation Factor VIII for Injection in Patients With Severe Hemophilia A

NCT ID: NCT06297655

Last Updated: 2024-03-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-30

Study Completion Date

2025-04-30

Brief Summary

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This study is a single arm, open, multicenter clinical trial in which the previous treated severe hemophilia A patients receive recombinant human coagulation factor VIII for injection to evaluate the efficacy and safety of on-demand treatment in the event of new bleeding events. If evaluable surgical cases occur, the overall efficacy and safety of recombinant human coagulation factor VIII for injection as a replacement therapy for severe hemophilia A PTPs during the perioperative period will be evaluated.

Detailed Description

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Conditions

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Hemophilia A

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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Recombinant human activated coagulation factor Ⅷ for injection

Each subject in this study receive on-demand treatment with recombinant human coagulation factor VIII for injection for 180 days, with an increase in medication frequency based on the relief after medication.

Group Type EXPERIMENTAL

Recombinant human activated coagulation factor VIII for injection

Intervention Type DRUG

Recombinant human coagulation factor VIII for injection is a recombinant DNA product with functional characteristics comparable to endogenous factor VIII.

Interventions

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Recombinant human activated coagulation factor VIII for injection

Recombinant human coagulation factor VIII for injection is a recombinant DNA product with functional characteristics comparable to endogenous factor VIII.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* The subjects voluntarily joined this study, signed an informed consent form, and had good compliance;
* Age: ≥ 12 years old and ≤ 65 years old (when signing the informed consent form, if it is a minor, parents should sign on behalf of it);
* Severe hemophilia A (coagulation factor VIII activity\<1%), with exposure days (ED) of no less than 150 days prior to factor VIII (recombinant coagulation factor VIII or plasma derived coagulation factor VIII) treatment; Surgical patients need to have undergone at least 2 surgeries (including major surgeries) and plan to undergo elective surgery at the same time;
* The subjects must be HIV negative or have a viral load of \< 200 particles/μ, HIV positive patients with l or \< 400000 copies/ml.
* At baseline, no inhibitors were detected, and there was no history of Factor VIII inhibitor antibody formation (Bethesda method detection \< 0.6 BU/ml, test result record required);
* Subjects of childbearing age who agree to take effective contraceptive measures throughout the entire trial period and continue until 28 days after the last medication.

Exclusion Criteria

* Known congenital or acquired hemorrhagic diseases other than hemophilia A;
* The subjects have used or planned to receive immunosuppressive treatments such as prednisone, cyclophosphamide, and cyclosporine in the week prior to enrollment, and are allowed to use inhaled or topical corticosteroids;
* Those who are known or suspected to have hypersensitivity reactions to the investigational drug, including human embryonic kidney cell protein;
* Significant liver and kidney dysfunction, including alanine aminotransferase (ALT) and aspartate aminotransferase (AST) \> 5 upper limit of normal (ULN), and serum creatinine \>1.5 ULN;
* Hemoglobin \< 60 g/L;
* Expected to receive other drugs for the treatment of hemophilia A within 72 hours before the first administration (such as recombinant factor VIII, blood derived factor VIII, desmopressin, cryoprecipitate, plasma, etc.), or those who have used long-acting hemophilia A drugs for less than 5 half-lives before the first administration;
* Used within 14 days before the first administration or planned to use anticoagulants or antiplatelet drugs for treatment during clinical trials;
* Within 6 months prior to the first administration, use of Emicizumab;
* Serious cardiovascular and cerebrovascular diseases occurring within 6 months prior to the first administration, including but not limited to cerebral hemorrhage, cerebral infarction, unstable angina, malignant arrhythmia, acute myocardial infarction, congestive heart failure (New York Heart Association cardiac function classification ≥ III), and hypertension (systolic blood pressure ≥ 160 mmHg or diastolic blood pressure 100 mmHg) that is poorly controlled despite treatment with one or more antihypertensive drugs;
* Participated in clinical trials of other drugs within 30 days prior to screening, or last used investigational drug with less than 5 half-lives;
* Alcohol abuse, drug abuse, mental disorders, and intellectual disabilities.
Minimum Eligible Age

12 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chia Tai Tianqing Pharmaceutical Group Nanjing Shunxin Pharmaceutical Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Anhui Provincial Hospital

Hefei, Anhui, China

Site Status

The Second Affiliated Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, China

Site Status

The First Hospital of Lanzhou University

Lanzhou, Gansu, China

Site Status

Nanfang Hospital, Southern Medical University

Guangzhou, Guangdong, China

Site Status

The First Affiliated Hospital of Guangxi Medical University

Nanning, Guangxi, China

Site Status

Henan Tumor Hospital

Zhengzhou, Henan, China

Site Status

Xiangya Hospital Central South University

Changsha, Hunan, China

Site Status

Nanjing Drug Tower Hospital

Nanjing, Jiangsu, China

Site Status

Jiangxi Provincial People's Hospital

Nanchang, Jiangxi, China

Site Status

Hematology Hospital of Chinese Academy of Medical Sciences

Tianjin, Tianjin Municipality, China

Site Status

The Second Affiliated Hospital of Kunming Medical University

Kunming, Yunnan, China

Site Status

Countries

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China

Central Contacts

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Lei Zhang, Doctor

Role: CONTACT

13502118379

Facility Contacts

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Juan Tong, Doctor

Role: primary

13955114442

Shu Chen, Master

Role: primary

13983420188

Yaming Xi, Doctor

Role: primary

13919110815

Jing Sun, Doctor

Role: primary

13316202696

Peng Cheng, Master

Role: primary

13977166448

Hu Zhou, Doctor

Role: primary

13939068863

Jie Peng, Doctor

Role: primary

13974802938

Rongfu Zhou, Doctor

Role: primary

13605142342

Chenghao Jin, Doctor

Role: primary

13699500207

Lei Zhang, Doctor

Role: primary

13502118379

Zeping Zhou, Doctor

Role: primary

18788571605

Other Identifiers

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TQG202-III-01

Identifier Type: -

Identifier Source: org_study_id

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