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The purpose of this study is to describe the pharmacokinetics (PK) of BAY94-9027(the test drug). Pharmacokinetics means that we will measure how well the study drug corrects the factor VIII levels in your blood and how long it takes for the levels to fall back to your baseline level. The study is also designed to determine if the pharmacokinetics of BAY94-9027 change following repeat dosing over 8 weeks, determine if BAY94-9027 is safe, tolerable, and effective for the treatment of severe hemophilia A and define the appropriate dose of BAY94-9027. Two doses of BAY94-9027 will be studied.
The first 8 subjects enrolled in the study (cohort 1) will receive a low dose (25 IU/kg) and will be treated 2 days a week for 8 weeks (total of 16 doses). The second 8 subjects (cohort 2) will receive a higher dose and will be treated 1 day a week for 8 weeks (total 8 doses). All subjects will receive a single dose of rFVIII (Bayer Kogenate FS) to determine the PK by measuring blood levels for 2 days before they start the study drug BAY94-9027. Factor VIII blood levels for BAY94-9027 will be measured for 7 days after the first and last dose to see describe the PK. Safety & tolerability assessment include vital signs, coagulation and hematological parameter, clinical chemistry, measurement of FVIII inhibitor and polyethylene glycol (PEG) antibodies will be done during the course of the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm 1 | Experimental |
| |
| Arm 2 | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BAY94-9027 + Recombinant Factor VIII (Kogenate FS, BAY14-2222) | Biological | Single dose of Kogenate FS and 16 doses of BAY94-9027 given 2 times a week for 8 weeks. Both drugs to be given intravenously. |
| Measure | Description | Time Frame |
|---|---|---|
| Safety as assessed by measuring immunogenicity | Antibodies to FVIII, polyethylene glycol (PEG) and BAY94-9027 | Up to 8 weeks |
| Adverse events collection | Up to 8 weeks | |
| Area under the plasma concentration vs time curve from time 0 to the last data point (AUC0-tlast) | Up to 8 weeks | |
| Area under the plasma concentration vs time curve from zero to infinity after single (first) dose (AUC0-inf) | Up to 8 weeks | |
| Maximum drug concentration in plasma (Cmax) | Up to 8 weeks | |
| Half-life associated with the terminal slope (t1/2) | Up to 8 weeks | |
| Time to reach maximum drug concentration in plasma after single (first) dose (Tmax) | Up to 8 weeks | |
| Mean residence time (MRT) | Up to 8 weeks | |
| Total body clearance (CL) | Total body clearance of drug from plasma (volume/time) or (volume/time/body weight) or ((volume/time)*(1.73/body surface area)) calculated after intravenous administration | Up to 8 weeks |
| Apparent volume of distribution at steady state (Vss) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bayer Study Director | Bayer | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Davis | California | 95616 | United States | |||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24843882 | Result | Coyle TE, Reding MT, Lin JC, Michaels LA, Shah A, Powell J. Phase I study of BAY 94-9027, a PEGylated B-domain-deleted recombinant factor VIII with an extended half-life, in subjects with hemophilia A. J Thromb Haemost. 2014 Apr;12(4):488-96. doi: 10.1111/jth.12506. |
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| BAY94-9027 + Recombinant Factor VIII (Kogenate FS, BAY14-2222)) | Biological | Single dose of Kogenate FS and 9 doses of BAY94-9027 given once a week for 8 weeks. Both drugs to be given intravenously. |
|
Based on the chromogenic, one-stage and PEG capture assays |
| Up to 8 weeks |
| Incremental recovery of FVIII | Recovery was assessed using two different assays (chromogenic and one-stage assay) | Up to 8 weeks |
| Boston |
| Massachusetts |
| 02115-6195 |
| United States |
| Minneapolis | Minnesota | 55455 | United States |
| Syracuse | New York | 13210 | United States |
| ID | Term |
|---|---|
| D006467 | Hemophilia A |
| ID | Term |
|---|---|
| D025861 | Blood Coagulation Disorders, Inherited |
| D001778 | Blood Coagulation Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D020147 | Coagulation Protein Disorders |
| D006474 | Hemorrhagic Disorders |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
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| ID | Term |
|---|---|
| D005169 | Factor VIII |
| C078147 | F8 protein, human |
| C414350 | BAY 14-2222 |
| ID | Term |
|---|---|
| D001779 | Blood Coagulation Factors |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D011498 | Protein Precursors |
| D001685 | Biological Factors |
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