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The purpose of this study is to assess efficacy, safety and pharmacokinetics of ADVATE in the treatment and prevention of bleeding episodes (BEs)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Previously Treated Patients (PTPs) | Experimental | PTPs will participate sequentially with: Part 1: Pharmacokinetic parameters of ADVATE measured in subset of 24 participants, consisting of:
Part 2: On-demand treatment with ADVATE for 6 months Part 3: Prophylaxis regimen with ADVATE for 6 months |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Octocog alfa (recombinant human coagulation factor VIII) | Biological |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of reduction in annualized bleed rate (ABR) during prophylactic treatment compared to ABR during on demand treatment | Computed as: {[median ABR on-demand - median ABR prophylaxis]÷[median ABR on-demand]}*100% The ABR, will be assumed to have a negative binomial distribution. The 2 treatment regimens (on-demand and prophylaxis) will be compared in terms of mean ABR within a generalized linear model framework (with a logarithmic link function which is the default for the negative binomial distribution), accounting for the fixed effect of study arm and the follow-up time (in years) as an offset. Ratios between treatment means (95% CI) will be estimated within this model. | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Number of units per kg body weight of ADVATE required to resolve a bleeding episode (BE) | 12 months | |
| Number of infusions of ADVATE required to resolve a bleeding episode (BE) | 12 months | |
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Main Inclusion Criteria:
Main Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Study Director | Takeda | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking Union Medical College Hospital | Dongcheng | Beijing Municipality | 100730 | China | ||
| Fujian Medical University Union Hospital |
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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 |
| D005169 | Factor VIII |
| ID | Term |
|---|---|
| D001779 | Blood Coagulation Factors |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
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|
| Overall evaluation of efficacy on a four-point scale (Excellent-Good-Fair-Poor) |
| 12 months |
| Annualized bleeding episode rates (ABR) according to bleed type and bleed etiology summarized by treatment regimen | Bleed types and etiologies summarized by treatment regimen (prophylaxis, on-demand) including:
| 12 months |
| Inhibitor incidence | Inhibitor incidence in:
| 13 months |
| Adverse events according to relatedness, seriousness, and severity | 13 months |
| Area under the plasma concentration/time curve from time 0 to infinity | Computed as AUC0-t + Ct/ λz, where t is the time of last quantifiable concentration, Ct is the last quantifiable concentration, and λz is the terminal rate constant | Within 30 minutes prior to the start of the infusion through 48 hours post-infusion |
| Mean Residence Time (MRT) | Computed as AUMC0-∞ / AUC0-∞ - TI/2, where AUMC0-∞ will be determined in a similar manner as AUC0-∞ and TI represents infusion duration [hour] | Within 30 minutes prior to the start of the infusion through 48 hours post-infusion |
| Clearance (CL) | Computed as Dose/ AUC0-∞ | Within 30 minutes prior to the start of the infusion through 48 hours post-infusion |
| Incremental Recovery (IR) at Cmax | Computed as: (Cmax - Cpre-infusion)/Dose, where Cmax will be determined as the highest concentration achieved within one hour after infusion | Within 30 minutes prior to the start of the infusion, and within 1 hour post-infusion |
| Elimination phase half-life | Computed as: ln2/ λz. λz will be estimated from the slope of natural log-linear fitting to latter quantifiable concentrations, with largest adjusted R^2 | Within 30 minutes prior to the start of the infusion through 48 hours post-infusion |
| Volume of distribution at steady state (Vss) | Computed as: CL * MRT | Within 30 minutes prior to the start of the infusion through 48 hours post-infusion |
| Fuzhou |
| Fujian |
| 350001 |
| China |
| Cangzhou Central Hospital | Cangzhou | Hebei | 061001 | China |
| Tongji Hosp, Tongji Med. Col, Huazhong Univ. of Sci. & Tech/ Wuhan Union Hospital | Wuhan | Hubei | 430022 | China |
| Tongji Hospital of Tongji Medical College of Hongzhong Science and Techology University | Wuhan | Hubei | 430030 | China |
| Xiangya Hospital Central South University | Changsha | Hunan | 410008 | China |
| The First Affiliated Hospital of Soochow University | Suzhou | Jiangsu | 215006 | China |
| The First Affiliated Hospital of College of Medicine, Zhengjiang University | Hangzhou | Zhejiang | 310003 | China |
| Beijing Children's Hospital Affiliated to Capital University of Medical Sciences | Beijing | 100045 | China |
| Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine | Shanghai | 200025 | China |
| Hospital of Blood Disease, Chinese Academy of Medical Sciences | Tianjin | 300020 | China |
| D020147 | Coagulation Protein Disorders |
| D006474 | Hemorrhagic Disorders |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D011498 |
| Protein Precursors |
| D001685 | Biological Factors |