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Company decision (not a safety issue)
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The purpose of the trial is to evaluate the PK, bioavailability, PD, efficacy and safety of MarzAA for on demand treatment and control of bleeding episodes in adult subjects with inherited bleeding disorders.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1 | Experimental | For Phase 1, a Coagulation Factor VIIa variant by intravenous route, 18 μg/kg, followed by ascending doses by subcutaneous route, 10 μg/kg, 20 μg/kg, 30 μg/kg, 40 μg/kg, and 60 μg/kg, for PK and PD assessment. For Phase 2, Coagulation Factor VIIa, 20 μg/kg by subcutaneous route, administered on demand during bleeding episodes for a maximum of 3 doses as needed for hemostasis. |
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| Cohort 2 | Experimental | For Phase 1, a Coagulation Factor VIIa variant by intravenous route, 18 μg/kg, followed by ascending doses by subcutaneous route, 30 μg/kg, 45 μg/kg, 60 μg/kg, 120 μg/kg, and 180 μg/kg, for PK and PD assessment. For Phase 2, Coagulation Factor VIIa, 60 μg/kg by subcutaneous route, administered on demand during bleeding episodes for a maximum of 3 doses as needed for hemostasis. |
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| Cohort 3 | Experimental | For Phase 1, a Coagulation Factor VIIa variant by intravenous route, 18 μg/kg, followed by ascending doses by subcutaneous route, 30 μg/kg, 45 μg/kg, 60 μg/kg, 120 μg/kg, and 180 μg/kg, for PK and PD assessment. For Phase 2, Coagulation Factor VIIa, 60 μg/kg by subcutaneous route, administered on demand during bleeding episodes for a maximum of 3 doses as needed for hemostasis. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Coagulation Factor VIIa variant | Biological | Single intravenous dose and ascending doses of subcutaneous injection of MarzAA, followed by a fixed dose of MarzAA for the treatment of bleeding episodes |
| Measure | Description | Time Frame |
|---|---|---|
| Comparative MarzAA activity by dose level/stage and confirm the Phase 2 dose | Comparative pharmacokinetics by dose level/stage based on examination of AUX for each of the dose groups in each cohort. | Dosing period for each stage in a cohort will be approximately 5 to 11 days |
| Bleeding episode treatment success | Proportion of bleeding events treated with MarzAA achieving hemostatic efficacy based on a four-point scale according to the Investigator's assessment | 24 hours after the first administration of study drug |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UC Davis Medical Center | Sacramento | California | 95817 | United States | ||
| University of California -San Francisco |
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| San Francisco |
| California |
| 94143 |
| United States |
| University of Colorado Hemophilia and Thrombosis Center | Aurora | Colorado | 80045 | United States |
| Rush University | Chicago | Illinois | 60612 | United States |
| Children's Hospital of Michigan | Detroit | Michigan | 48201 | United States |
| Michigan State University Center for Bleeding Disorders & Clotting Disorders | East Lansing | Michigan | 49805 | United States |
| East Carolina University | Greenville | North Carolina | 27858 | United States |
| Mazumdar Shaw Medical Centre | Bengaluru | India |
| St. John's Medical College Hospital | Bengaluru | India |
| Amrita Institute of Medical Sciences and Research Centre | Kochi | India |
| K. J. Somaiya Hospital and Research Centre | Mumbai | India |
| Sahyadri Super Speciality Hospital | Pune | India |
| Careggi University Hospital | Florence | Italy |
| Center for Thrombosis and Haemorrhagic Diseases | Milan | Italy |
| Maggiore Polyclinic Hospital, IRCCS Ca' Granda | Milan | Italy |
| Children's Hospital BambiNo Gesù, IRCCS (PEDS) | Roma | Italy |
| City of Health and Science of Turin | Turin | Italy |
| Territorial Clinical Hospital | Barnaul | Russia |
| National Medical Hematology Research Center under the Ministry of Healthcare of the Russian Federation | Moscow | Russia |
| Institute of Blood Pathology and Transfusion Medicine, Department of Surgery and Clinical Transfusiology | Lviv | Ukraine |
| ID | Term |
|---|---|
| D005168 | Factor VII Deficiency |
| D013915 | Thrombasthenia |
| 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 |
| D001791 | Blood Platelet Disorders |
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