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| Name | Class |
|---|---|
| Chinese Academy of Medical Sciences | OTHER |
| Parexel | INDUSTRY |
| Q2 Solutions | INDUSTRY |
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This study is a multi-center, open-label, single-arm trial to evaluate the efficacy,safety and pharmacokinetics of SCT800 in regular prophylaxis and perioperative treatment in patients (≥12 years old) with severe hemophilia A who have been previously treated with coagulation factor VIII(FVIII:C) . This study includes two phases: the screening period and prophylaxis period.Prophylaxis with 25 - 50 IU/kg of SCT800 shall be administered once every other day or three times per week starting from V1 and prophylaxis with SCT800 shall continue for 24 consecutive weeks.
After subjects pass screening, prophylaxis with 25 - 50 IU/kg of SCT800 shall be administered once every other day or three times per week for 6 months. Subjects shall receive FVIII intravenous injection treatment at the study site or at home. During the study prophylaxis treatment period, subjects should return for visit every four weeks, namely for Visit (V) 2 (4 weeks ± 4 days), Visit 3 (8 weeks ± 4 days), Visit 4 (12 weeks ± 4 days), Visit 5 (16 weeks ± 7 days), Visit 6 (20 weeks ± 7 days), Visit 7 (24 weeks ± 7 days) and end-of-treatment (EOT) visit (+ 14 days). Of which, blood collection shall be carried out during the screening period and in V1, V2, V4, V7 and the EOT visit for FVIII inhibitor assay; blood collection shall be carried out before and after the completion of SCT800 infusion in V1, V4 and V7 for incremental in-vivo recovery (IVR) assay.
FVIII:C activity shall be monitored before injection and 15minutes(min), 30min, 1h, 3h, 6h, 9h, 12h, 24hours(h), 28h, 32h and 48h after injection at V1 and V7. Then pharmacokinetics parameters (incremental in-vivo recovery, t1/2 etc.) of SCT800 shall be calculated and evaluated.
5 subjects may receive elective surgical treatment within the prophylaxis treatment period (after the first drug administration in day 0).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Recombinant Human Coagulation FVIII | Experimental | Participant receivedSCT800 for prophylaxis with 25 - 50 IU/kg injection once every other day or three times per week for 6 months. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Recombinant Human Coagulation FVIII | Drug | Participant received SCT800 for prophylaxis with 25 - 50 IU/kg injection once every other day or three times per week for 6 months. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Annualized Bleeding Rate | Annualized Bleeding Rate(ABR) can be calculated using the following formula: Number of bleeding events in efficacy evaluation period/(number of days in treatment period/365.25) | up to 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Annualized joint bleeding rate | Annualized joint bleeding rate(AJBR) can be calculated using the following formula: Number of joint bleeding events during efficacy evaluation period/(number of days in treatment period/365.25). | up to 24 weeks |
| FVIII incremental in-vivo recovery |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of FVIII inhibitors | The Nijmegen-Bethesda assay shall be used to monitor the production of FVIII inhibitors during the trial. | up tp 24 weeks |
Inclusion Criteria:
Exclusion Criteria:
Hemophilia A is a kind of sex chromosome recessive genetic disease and ofter occurs in male.
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| Name | Affiliation | Role |
|---|---|---|
| Renchi Yang | Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College | Tianjin | China |
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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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Incremental recovery is determined as the peak factor level recorded in the first hour after infusion and is reported as [IU/ml]/[IU/kg] |
| Predose within 30 min,15 min±2 min、1 hour±5 min. |
| Bleeding event treatment efficacy | The investigator shall evaluate the hemostatic effect after the treatment of every bleeding event of subjects based on a four-point scale(excellent, good, moderate, not relieved). | up to 24 weeks |
| Elimination Half Life | t1/2; One-stage aPTT Clotting Assay and Chromogenic Assay | Predose within 30 min,15 min±2 min、30 min±2 min,1 hour±5 min,3 hours±5 min,6 hours±5 min,9 hours±10 min,12hours h±10 min,24 hours±10 min,28 hours±10 min,32 hours±10 min and 48 hours±10 min post-dose. |
| Clearance | CL; One-stage aPTT Clotting Assay and Chromogenic Assay | Predose within 30 min,15 min±2 min、30 min±2 min,1 hour±5 min,3 hours±5 min,6 hours±5 min,9 hours±10 min,12hours h±10 min,24 hours±10 min,28 hours±10 min,32 hours±10 min and 48 hours±10 min post-dose. |
| Area Under the Curve to the Last Measurable Timepoint | AUClast;One-stage aPTT Clotting Assay and Chromogenic Assay | Predose within 30 min,15 min±2 min、30 min±2 min,1 hour±5 min,3 hours±5 min,6 hours±5 min,9 hours±10 min,12hours h±10 min,24 hours±10 min,28 hours±10 min,32 hours±10 min and 48 hours±10 min post-dose. |
| D020147 | Coagulation Protein Disorders |
| D006474 | Hemorrhagic Disorders |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |