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| Name | Class |
|---|---|
| CSL Behring | INDUSTRY |
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Congenital deficiency of Factor XIII is a rare but potentially life threatening disorder. It is inherited in an autosomal recessive fashion. Infusion of Factor XIII has proved to be useful for prevention and treatment of bleeding episodes, especially of spontaneous intracranial bleedings. In this study, Fibrogammin P will be given to patients with congenital Factor XIII deficiency and congenital/acquired FXIII deficiency to prevent bleeding and to treat established bleeding episodes. For Factor XIII prophylaxis to prevent hemorrhages, the dosage will depend on the weight of the subject. The frequency of Factor XIII administration will be determined by the factor's circulating half-life. During the first month only, a Factor XIII pharmacokinetic study will be determined over a 4-week period. Safety data will include accrual of information on viral safety, liver function, complete blood counts and adverse events. Historical data concerning spontaneous bleeds will be collected whenever possible two years prior to treatment with Fibrogammin P.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A | Experimental | Treatment |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fibrogammin P | Drug | Prophylaxis treatment |
|
| Measure | Description | Time Frame |
|---|---|---|
| Response to Treatment of Bleeding Events Requiring Additional Factor XIII Infusions | Response is defined as: Excellent/Good = adequate hemostasis, similar to that expected for subjects without known bleeding disorders; Fair/Poor = hemostasis less than expected; None = severe bleeding, judged due to disease despite Factor XIII (FXIII) therapy. Only the subjects who needed additional FXIII infusions (apart from the prophylactic treatment) to control a bleed and who had investigator assessment of efficacy were counted in this outcome. | Within 12 hours of FXIII infusion |
| Measure | Description | Time Frame |
|---|---|---|
| Surgical Efficacy Assessments With Factor XIII | Surgical efficacy is defined as: Excellent/Good = adequate hemostasis, similar to that expected for subjects without known bleeding disorders; Fair/Poor = hemostasis less than expected; None = severe bleeding, judged due to disease despite Factor XIII (FXIII) therapy. Only the subjects who underwent a surgical procedure were counted in this outcome measure. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Diane J. Nugent, MD | Children's Hospital of Orange Co. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Children's Hospital of Orange Co. | Orange | California | 92868 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | Factor XIII | Prophylactic dose of Factor XIII Concentrate (Human) was to be 10 to 20 U/kg b.w. administered IV over 5 minutes once every 4 weeks, and later tailored to subjects PK profile. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Safety Population (SP): The safety population consists of all subjects who received a dose of FXIII during the study. Age is age at time of first dose.
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| ID | Title | Description |
|---|---|---|
| BG000 | Factor XIII |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Response to Treatment of Bleeding Events Requiring Additional Factor XIII Infusions | Response is defined as: Excellent/Good = adequate hemostasis, similar to that expected for subjects without known bleeding disorders; Fair/Poor = hemostasis less than expected; None = severe bleeding, judged due to disease despite Factor XIII (FXIII) therapy. Only the subjects who needed additional FXIII infusions (apart from the prophylactic treatment) to control a bleed and who had investigator assessment of efficacy were counted in this outcome. | Safety Population (SP): The safety population consists of all subjects who received a dose of FXIII during the study. | Posted | Count of Units | Number of bleeds | Within 12 hours of FXIII infusion | Number of bleeds | Number of bleeds |
|
9 years
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Factor XIII | 3 | 72 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Catheter related infection | Infections and infestations | MedDRA version 12.0 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Contusion | Injury, poisoning and procedural complications | MedDRA version 12.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Trial Coordinator | Children's Hospital of Orange County | KBirschbach@choc.org |
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| ID | Term |
|---|---|
| D006467 | Hemophilia A |
| D005177 | Factor XIII Deficiency |
| ID | Term |
|---|---|
| D025861 | Blood Coagulation Disorders, Inherited |
| D001778 | Blood Coagulation Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
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| During surgical procedure |
| Data collected under different amendment |
|
| Transferred to another center |
|
| Missing status |
|
| years |
|
| Age, Customized | Count of Participants | Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Count of Participants | Participants |
|
| Units | Counts |
|---|---|
| Participants |
|
| Number of bleeds |
|
|
| Secondary | Surgical Efficacy Assessments With Factor XIII | Surgical efficacy is defined as: Excellent/Good = adequate hemostasis, similar to that expected for subjects without known bleeding disorders; Fair/Poor = hemostasis less than expected; None = severe bleeding, judged due to disease despite Factor XIII (FXIII) therapy. Only the subjects who underwent a surgical procedure were counted in this outcome measure. | SP | Posted | Count of Units | Surgical procedures | During surgical procedure | Surgical procedures | Surgical procedures |
|
|
|
| 8 |
| 72 |
| 32 |
| 72 |
| Wound infection | Infections and infestations | MedDRA version 12.0 | Systematic Assessment |
|
| Gunshot wound | Injury, poisoning and procedural complications | MedDRA version 12.0 | Systematic Assessment |
|
| Road traffic accident | Injury, poisoning and procedural complications | MedDRA version 12.0 | Systematic Assessment |
|
| Brain mass | Nervous system disorders | MedDRA version 12.0 | Systematic Assessment |
|
| Syncope | Nervous system disorders | MedDRA version 12.0 | Systematic Assessment |
|
| Hypertension | Vascular disorders | MedDRA version 12.0 | Systematic Assessment |
|
| Vasculitis | Vascular disorders | MedDRA version 12.0 | Systematic Assessment |
|
| Suicidal behavior | Psychiatric disorders | MedDRA version 12.0 | Systematic Assessment |
|
| Joint injury | Injury, poisoning and procedural complications | MedDRA version 12.0 | Systematic Assessment |
|
| Limb injury | Injury, poisoning and procedural complications | MedDRA version 12.0 | Systematic Assessment |
|
| Road traffic accident | Injury, poisoning and procedural complications | MedDRA version 12.0 | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA version 12.0 | Systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA version 12.0 | Systematic Assessment |
|
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| D020147 | Coagulation Protein Disorders |
| D006474 | Hemorrhagic Disorders |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| Missing |
|