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| ID | Type | Description | Link |
|---|---|---|---|
| B1831015 |
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This study will evaluate the safety and efficacy of on-demand treatment with Xyntha in Chinese hemophilia A subjects.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Xyntha | Experimental | This trial was an open-label and included assessments of safety, clinical efficacy, and Factor VIII (FVIII) recovery in Chinese subjects with hemophilia A. Subjects received on-demand treatments with Xyntha over a 6-month (calendar day) period. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Xyntha | Biological | Xyntha for on-demand treatment of bleeding episodes were according to investigator prescription during the 6 months observation period. The recovery assessed by determining the Factor VIII (FVIII) concentration (FVIII:C) levels in individual subjects at the initial and final visits. The dose of Xyntha for recovery assessments is: single 50 IU/kg (±5 IU/kg) IV bolus infusion. All Xyntha administrations occurred in the clinic (hospital). |
| Measure | Description | Time Frame |
|---|---|---|
| Investigator Hemostatic Efficacy Assessment 8 Hours Post Infusion | The Investigator Hemostatic Efficacy Assessment was based on a 4-point rating scale (Excellent = 1: definite pain relief or improvement in signs of bleeding, with no additional infusion, Good = 2: definite pain relief or improvement in signs of bleeding, Moderate = 3: probable or slight improvement, No Response = 4: no improvement at all between infusions). | 8 hours post infusion |
| Investigator Hemostatic Efficacy Assessment 24 Hours Post Infusion | The Investigator Hemostatic Efficacy Assessment was based on a 4-point rating scale (Excellent = 1: definite pain relief or improvement in signs of bleeding, with no additional infusion, Good = 2: definite pain relief or improvement in signs of bleeding, Moderate = 3: probable or slight improvement, No Response = 4: no improvement at all between infusions). | 24 hours post infusion |
| Number of Participants With Factor VIII (FVIII) Inhibitor Development | Incidence of FVIII inhibitor was defined as any result determined as positive at local laboratory, and confirmed at central laboratory. Incidence was stratified by participant exposure history: Minimally Treated Patients (MTPs): those who had received at least 1 prior FVIII infusion, and <= 100 documented Exposure Days (EDs), while Previously Treated Patients (PTPs): those who had received >100 documented prior EDs. When number of prior EDs for an individual was not known to be at least 100, participants were included in the MTP population. | Day 1 and Month 6 or Early Termination Visit |
| Measure | Description | Time Frame |
|---|---|---|
| FVIII Recovery : Change From Baseline in FVIII Concentration | FVIII recovery was assessed by evaluating the change in FVIII concentration at 6 months compared to baseline. | Day 1 and Month 6 or Early Termination Visit |
| Number of Participants With Less Than Expected Therapeutic Effect (LETE) |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency of Xyntha Infusions Required Per Hemorrhage | The mean frequency of Xyntha infusions per hemorrhage was calculated as total number of injections throughout the study divided by total number of hemorrhagic events. | Day 1 to Month 6 or Early Termination Visit |
| Average Dose of Xyntha Infusions Required Per Hemorrhage |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pfizer CT.gov Call Center | Pfizer | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pfizer Investigational Site | Suzhou | Jiangsu | 215006 | China | ||
| Pfizer Investigational Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33269010 | Derived | Yang R, Zhao Y, Wang X, Sun J, Wu R, Jin C, Jin J, Wu D, Rendo P, Sun F, Rupon J, Huard F, Korth-Bradley JM, Xu L, Luo B, Liu YC. Safety and Efficacy of Moroctocog Alfa (AF-CC) in Chinese Patients with Hemophilia A: Results of Two Open-Label Studies. J Blood Med. 2020 Nov 25;11:439-448. doi: 10.2147/JBM.S241605. eCollection 2020. |
| Label | URL |
|---|---|
| To obtain contact information for a study center near you, click here. | View source |
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Participants were recruited in China from September 2008 to December 2009.
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| ID | Title | Description |
|---|---|---|
| FG000 | Xyntha | Participants received on-demand treatments with Xyntha (which occurred each time a participant experienced bleeding episode during the active phase of the study) according to investigator's prescription over a 6-month (calendar day) period. A single 50 International Unit (IU)/kg (+/-5 IU/kg) intravenous (IV) bolus infusion of Xyntha was given for recovery assessments. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Xyntha | Participants received on-demand treatments with Xyntha (which occurred each time a participant experienced bleeding episode during the active phase of the study) according to investigator's prescription over a 6-month (calendar day) period. A single 50 International Unit (IU)/kg (+/-5 IU/kg) intravenous (IV) bolus infusion of Xyntha was given for recovery assessments. |
| 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 | Investigator Hemostatic Efficacy Assessment 8 Hours Post Infusion | The Investigator Hemostatic Efficacy Assessment was based on a 4-point rating scale (Excellent = 1: definite pain relief or improvement in signs of bleeding, with no additional infusion, Good = 2: definite pain relief or improvement in signs of bleeding, Moderate = 3: probable or slight improvement, No Response = 4: no improvement at all between infusions). | The Full Analysis Set (FAS) consisted of all participants who were treated and had at least 1 evaluable efficacy assessment after treatment. | Posted | Mean | Standard Deviation | Units on a scale | 8 hours post infusion |
|
AEs and SAEs were collected from the signing of the informed consent form to approximately 30 days following the Month 6/Final/Early Termination visit.
Safety population = subjects who received at least 1 dose of Xyntha. The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
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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 | Xyntha | Participants received on-demand treatments with Xyntha (which occurred each time a participant experienced bleeding episode during the active phase of the study) according to investigator's prescription over a 6-month (calendar day) period. A single 50 International Unit (IU)/kg (+/-5 IU/kg) intravenous (IV) bolus infusion of Xyntha was given for recovery assessments. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Upper gastrointestinal haemorrhage | Gastrointestinal disorders | WHOART | Non-systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhea | Gastrointestinal disorders | WHOART | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Pfizer ClinicalTrials.gov Call Center | Pfizer, Inc. | 1-800-718-1021 | ClinicalTrials.gov_Inquiries@pfizer.com |
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| ID | Term |
|---|---|
| D006467 | Hemophilia A |
| ID | Term |
|---|---|
| D025861 | Blood Coagulation Disorders, Inherited |
| D001778 | Blood Coagulation Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
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| ID | Term |
|---|---|
| C078147 | F8 protein, human |
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The incidence of LETE, defined for on-demand treatment as no response after each of 2 successive infusions within 24 hours for the same bleeding event in the absence of confounding factors. |
| 24 hours after each of 2 successive infusion, up to 6 months |
| Number of Participants With Thrombosis Allergic-Type Reactions | Baseline up to 6 months |
| Number of Participants With Thrombosis | Baseline up to 6 months |
The average dose of Xyntha per hemorrhagic event was calculated as total dose of Xyntha throughout the study (in IU) divided by total number of hemorrhage incidence. |
| Day 1 to Month 6 or Early Termination Visit |
| Heping District |
| Tianjin Municipality |
| 300020 |
| China |
| Pfizer Investigational Site | Hangzhou | Zhejiang | 310003 | China |
| Pfizer Investigational Site | Beijing | 100730 | China |
| Pfizer Investigational Site | Guangzhou | 510515 | China |
| Pfizer Investigational Site | Shanghai | 200025 | China |
| Years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
|
|
| Primary | Investigator Hemostatic Efficacy Assessment 24 Hours Post Infusion | The Investigator Hemostatic Efficacy Assessment was based on a 4-point rating scale (Excellent = 1: definite pain relief or improvement in signs of bleeding, with no additional infusion, Good = 2: definite pain relief or improvement in signs of bleeding, Moderate = 3: probable or slight improvement, No Response = 4: no improvement at all between infusions). | The FAS consisted of all participants who were treated and had at least 1 evaluable efficacy assessment after treatment. | Posted | Mean | Standard Deviation | Units on a scale | 24 hours post infusion |
|
|
|
| Primary | Number of Participants With Factor VIII (FVIII) Inhibitor Development | Incidence of FVIII inhibitor was defined as any result determined as positive at local laboratory, and confirmed at central laboratory. Incidence was stratified by participant exposure history: Minimally Treated Patients (MTPs): those who had received at least 1 prior FVIII infusion, and <= 100 documented Exposure Days (EDs), while Previously Treated Patients (PTPs): those who had received >100 documented prior EDs. When number of prior EDs for an individual was not known to be at least 100, participants were included in the MTP population. | The Safety Set (SS) consisted of all participants who had taken at least 1 dose of investigational drug. | Posted | Number | Participants | Day 1 and Month 6 or Early Termination Visit |
|
|
|
| Secondary | FVIII Recovery : Change From Baseline in FVIII Concentration | FVIII recovery was assessed by evaluating the change in FVIII concentration at 6 months compared to baseline. | The FAS consisted of all participants who were treated and had at least 1 evaluable efficacy assessment after treatment. Participants with missing data were not included. | Posted | Mean | Standard Deviation | IU/dL per IU/kg | Day 1 and Month 6 or Early Termination Visit |
|
|
|
|
| Secondary | Number of Participants With Less Than Expected Therapeutic Effect (LETE) | The incidence of LETE, defined for on-demand treatment as no response after each of 2 successive infusions within 24 hours for the same bleeding event in the absence of confounding factors. | The FAS consisted of all participants who were treated and had at least 1 evaluable efficacy assessment after treatment. | Posted | Number | Participants | 24 hours after each of 2 successive infusion, up to 6 months |
|
|
|
| Secondary | Number of Participants With Thrombosis Allergic-Type Reactions | The Safety Set (SS) consisted of all participants who had taken at least 1 dose of investigational drug. | Posted | Number | Participants | Baseline up to 6 months |
|
|
|
| Secondary | Number of Participants With Thrombosis | The SS consisted of all participants who had taken at least 1 dose of investigational drug. | Posted | Number | Participants | Baseline up to 6 months |
|
|
|
| Other Pre-specified | Frequency of Xyntha Infusions Required Per Hemorrhage | The mean frequency of Xyntha infusions per hemorrhage was calculated as total number of injections throughout the study divided by total number of hemorrhagic events. | The FAS consisted of all participants who were treated and had at least 1 evaluable efficacy assessment after treatment. | Posted | Mean | Standard Deviation | Infusions | Day 1 to Month 6 or Early Termination Visit |
|
|
|
| Other Pre-specified | Average Dose of Xyntha Infusions Required Per Hemorrhage | The average dose of Xyntha per hemorrhagic event was calculated as total dose of Xyntha throughout the study (in IU) divided by total number of hemorrhage incidence. | The FAS consisted of all participants who were treated and had at least 1 evaluable efficacy assessment after treatment. | Posted | Mean | Standard Deviation | Dose/Bleed (IU) | Day 1 to Month 6 or Early Termination Visit |
|
|
|
| 9 |
| 53 |
| 13 |
| 53 |
| Gingival bleeding | Gastrointestinal disorders | WHOART | Non-systematic Assessment |
|
| Anti factor VIII antibody positive | Investigations | WHOART | Non-systematic Assessment |
|
| Pyrexia | General disorders | WHOART | Non-systematic Assessment |
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| Hepatic steatosis | Hepatobiliary disorders | WHOART | Non-systematic Assessment |
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| Hypersensitivity | Immune system disorders | WHOART | Non-systematic Assessment |
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| Fall | Injury, poisoning and procedural complications | WHOART | Non-systematic Assessment |
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| Injury | Injury, poisoning and procedural complications | WHOART | Non-systematic Assessment |
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| Joint dislocation | Injury, poisoning and procedural complications | WHOART | Non-systematic Assessment |
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| Joint injury | Injury, poisoning and procedural complications | WHOART | Non-systematic Assessment |
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| Joint sprain | Injury, poisoning and procedural complications | WHOART | Non-systematic Assessment |
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| Blood potassium decreased | Investigations | WHOART | Non-systematic Assessment |
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| Arthritis | Musculoskeletal and connective tissue disorders | WHOART | Non-systematic Assessment |
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Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
| D020147 | Coagulation Protein Disorders |
| D006474 | Hemorrhagic Disorders |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |