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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01775618
Registration number
NCT01775618
Ethics application status
Date submitted
23/01/2013
Date registered
25/01/2013
Date last updated
21/08/2020
Titles & IDs
Public title
Safety and Efficacy of BAY94-9027 in Previously Treated Male Children With Haemophilia A
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Scientific title
A Multi-center, Phase III, Non-controlled, Open-label Trial to Evaluate the Pharmacokinetics, Safety, and Efficacy of BAY94-9027 for Prophylaxis and Treatment of Bleeding in Previously Treated Children (Age <12 Years) With Severe Hemophilia A
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Secondary ID [1]
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2012-004434-42
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Secondary ID [2]
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15912
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hemophilia A
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Condition category
Condition code
Blood
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Clotting disorders
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Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - BAY94-9027
Treatment: Other - BAY94-9027
Treatment: Other - BAY94-9027
Experimental: Main study - Participants were treated and prophylaxis administered with BAY94-9027 at a dose of 25-60 international units/kilogram (IU/kg) twice per week or 45-60 IU/kg every 5 days or 60 IU/kg every 7 days as an intravenous (IV) infusion as per clinical needs of each subject up to at least 50 exposure days (EDs) and a minimum of at least 6 months.
Experimental: Part 2 (Expansion group) - Participants were administered with BAY94-9027 at a dose of 25-60 IU/kg twice per week for prophylaxis for 12 weeks.
Experimental: Extension study - Participants were treated and prophylaxis administered with BAY94-9027 at a dose of 25- 60 IU/kg twice per week or 45-60 IU/kg every 5 days or 60 IU/kg every 7 days as an IV infusion as per clinical needs of each subject for at least 50 EDs or until marketing authorization of the drug.
Treatment: Other: BAY94-9027
Study drug dosing was adjusted to the clinical needs of each subject in the range of 25-60 IU/kg/administration, intravenous infusion, at least 50 EDs and a minimum of at least 6 months
Treatment: Other: BAY94-9027
Twice per week prophylaxis: 25-60 IU/kg, intravenous infusion, for 12 weeks
Treatment: Other: BAY94-9027
Study drug dosing was adjusted to the clinical needs of each subject in the range of 25-60 IU/kg/administration, intravenous infusion, at least 50 additional EDs to achieve at least 100 cumulative EDs, or until marketing authorization of the drug
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Annualized number of all bleeds
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Assessment method [1]
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Timepoint [1]
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At least 50 exposure days (ED) over 6 months, on average 245 days
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Primary outcome [2]
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Pharmacokinetics profile of BAY94-9027 based on blood concentration over the defined time period
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Assessment method [2]
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Pharmacokinetics profile includes maximum concentration (Cmax), half-life (t1/2), area under the concentration versus time curve (AUC), mean residence time (MRT), volume of distribution at steady state (Vss), and clearance (CL)
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Timepoint [2]
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Pre-dose to 72 hours post-dose
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Primary outcome [3]
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Response of acute bleeding events to treatment based on a 4-point scale (poor, moderate, good, or excellent)
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Assessment method [3]
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Timepoint [3]
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At least 50 exposure days (ED) over 6 months, on average 245 days
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Primary outcome [4]
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Characterization of a potential immune response
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Assessment method [4]
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Timepoint [4]
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12 weeks
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Primary outcome [5]
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Inhibitor development in the extension study
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Assessment method [5]
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Timepoint [5]
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At least 50 additional EDs to achieve at least 100 cumulative EDs, on average 5 years
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Secondary outcome [1]
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Inhibitor development in the main study
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Assessment method [1]
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Timepoint [1]
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After 10 to 15 and 50 exposure days (ED) over 6 months, on average 245 days
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Secondary outcome [2]
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Assessment of incremental recovery in main study
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Assessment method [2]
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Timepoint [2]
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At least 50 exposure days (ED) over 6 months, on average 245 days
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Secondary outcome [3]
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Number of participants with adverse events as a measure of safety and tolerability
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Assessment method [3]
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Timepoint [3]
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From the start of study treatment up to 7 days after the last dose (Main study: on average 245+7 days; Part 2: 12 weeks+7 days; Extension study: on average 5 years+7 days)
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Eligibility
Key inclusion criteria
* Males < 12 years of age
* Subjects with severe hemophilia A
* Previously treated with FVIII for > 50 exposure days
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Minimum age
No limit
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Maximum age
12
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Subjects with current evidence of or history of inhibitors to FVIII
* Any other inherited or acquired bleeding disorder
* Platelet counts < 100,000/mm^3
* Creatinine > 2x the upper limit of normal
* Aspartate aminotransferase (AST) / Alanine aminotransferase (ALT) > 5x the upper limit of normal
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
29/05/2013
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
19/02/2020
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Sample size
Target
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Accrual to date
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Final
73
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Recruitment in Australia
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Recruitment outside Australia
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United States of America
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California
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Florida
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Gent
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Leuven
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Plovdiv
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Thessaloniki
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Israel
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Ramat Gan
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Italy
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Italy
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Italy
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Amsterdam
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Christchurch
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Hamilton
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Oslo
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Lodz
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Barcelona
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Tyne And Wear
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Bristol
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Manchester
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United Kingdom
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Sheffield
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Bayer
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
Hemophilia A is an inherited blood disorder in which one protein, Factor VIII, needed to form blood clots is missing or not present in sufficient levels. Hemophilia A causes the clotting process to be slowed and the person experiences bleeds causing serious problems that could lead to disability. The current standard treatment for severe hemophilia A is infusion of FVIII to stop bleeding, or regular scheduled treatment to prevent bleeds from occuring. 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 being evaluated in 50 male subjects, \< 12 years of age, with severe Hemophilia A. These subjects will receive open label treatment with long-acting rFVIII for approximately 6 months (or longer until 50 exposure days) on a regular schedule at least once every 7-days. Doses and dose intervals may be adapted to the subject's clinical need. A second group of patients will receive open label treatment with the same drug for 12 weeks on a regular schedule of 2x/week. Patients will attend the treatment center for routine blood samples and will be required to keep an electronic diary. Subjects will be offered participation in an optional extension study to collect observations for at least an additional 50 exposure days.
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Trial website
https://clinicaltrials.gov/study/NCT01775618
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Trial related presentations / publications
Mancuso ME, Biss T, Fischer K, Maas Enriquez M, Steele M, Wang M, Tseneklidou-Stoeter D, Ahuja S, Kenet G. PROTECT VIII kids extension study: Long-term safety and efficacy of BAY 94-9027 (damoctocog alfa pegol) in children with severe haemophilia A. Haemophilia. 2021 May;27(3):434-444. doi: 10.1111/hae.14294. Epub 2021 Mar 16.
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Public notes
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Contacts
Principal investigator
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Bayer Study Director
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Bayer
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01775618
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