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Human coagulation factor VII is a vitamin K-dependent serine endogenous protease, and its activated form plays an important role in the coagulation process. Recombinant human activated coagulation factor VII is an activated state coagulation factor VII obtained by recombinant means.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Recombinant human activated coagulation factor VII for injection | Experimental | Each subject in this study received on-demand treatment with recombinant human activated coagulation factor VII for injection for 24 weeks. The single dose for each bleeding event was 90 μg/kg, and the number of doses was increased according to the remission after treatment. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Recombinant human activated coagulation factor VII for injection | Drug | Human coagulation factor VII is a vitamin K-dependent serine endogenous protease, and its activated form plays an important role in the coagulation process. Recombinant human activated coagulation factor VII is an activated state coagulation factor VII obtained by recombinant means. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of bleeding Effective rate of hemostasis | Hemostasis is effective after the bleeding event if the bleeding event has not received other treatment within 12 hours since the first treatment and achieved moderate or above remission (based on the four-point scoring standard) | Each new blood event was assessed within 12 hours of initial treatment |
| Activity recovery of first dose | The peak coagulation factor VII activity measured within 1 hour after the end of the infusion was subtracted from the baseline coagulation factor VII activity and expressed as [IU/ml]/[IU/kg]. | Within 1 hour of completion of infusion |
| Measure | Description | Time Frame |
|---|---|---|
| Number of bleeding effective rate of hemostasis within 8 hours | Excellent remission (based on the four-point scoring standard) | Each new blood event was assessed within 8 hours of initial treatment |
| Number of bleeding effective rate continuous hemostatic |
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Inclusion Criteria:
1 Diagnosed as congenital hemophilia A or B, and meet the following conditions:
2 Age ≥18 and ≤65 years, male or female.
3 There have been at least two incidents of bleeding of any kind in the last six months.
4 No other drugs for the treatment of hemophilia have been used within 72hours (3 days) before administration, including prothrombin complex and any coagulation factor VII or activated coagulation factor VII、coagulation factor VIII、coagulation factor IX products, cryoprecipitate, fresh plasma and whole blood, etc.
5 Subjects of childbearing age agree to take effective contraceptive measures throughout the trial period, and continue to 28 days after the last medication.
6 Volunteer to participate in this study, sign an informed consent form, have good compliance, and be able to cooperate with the experimental observation.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Lei Zhang, Doctor | Contact | 13502118379 | zhanglei1@ihcams.ac.cn |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Second Affiliated Hospital of Chongqing Medical University | Recruiting | Chongqing | Chongqing Municipality | 400010 | China |
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Moderate or above remission (based on grade 4 scoring criteria) without receiving other treatment within 24 hours after the occurrence of bleeding event is considered as effective hemostasis after the occurrence of bleeding event. |
| Each new blood event was assessed within 24 hours of initial treatment |
| Activity recovery after repeated administration | The peak coagulation factor VII activity measured within 1 hour after the end of the infusion was subtracted from the baseline coagulation factor VII activity and expressed as [IU/ml]/[IU/kg]. | Within 1 hour of completion of infusion |
| Dose of injections for each new blood transfusion | Dose of injections for each new blood transfusion.The dose of injections (including average injection dose and total dose) of each new blood transfusion were recorded. | Up to 24 weeks. |
| Number of injections for each new blood transfusion | Number of injections for each new blood transfusion.The number of injections of each new blood transfusion were recorded. | Up to 24 weeks. |
| Coagulation tests | Coagulation tests: Changes of activated partial thromboplastin time (APTT). | First and week 24, within 30 minutes before the administration and 5 minutes after the completion of drug injection. |
| Coagulation tests | Coagulation indicators: Changes of prothrombin time (PT). | First and week 24, within 30 minutes before the administration and 5 minutes after the completion of drug injection. |
| Coagulation tests | Coagulation indicators: Changes of thrombin time(TT). | First and week 24, within 30 minutes before the administration and 5 minutes after the completion of drug injection. |
| Coagulation tests | Coagulation indicators: Changes of fibrinogen (Fbg). | First and week 24, within 30 minutes before the administration and 5 minutes after the completion of drug injection. |
| Coagulation tests | Coagulation indicators: thrombin production test (TGA):Changes of thrombin production potential (ETP) in TGA at each test time. | First and week 24,within 30 minutes before the administration and 5 minutes after the completion of drug injection. |
| The First Hospital of Lanzhou University | Recruiting | Lanzhou | Gansu | 730013 | China |
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| Nanfang Hospital, Southern Medical University | Recruiting | Guangzhou | Guangdong | 510515 | China |
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| The First Affiliated Hospital of Guangxi Medical University | Recruiting | Nanning | Guangxi | 530021 | China |
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| Affiliated Hospital of North China University of Science and Technology | Recruiting | Tangshan | Hebei | 063099 | China |
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| Henan Provincial People's Hospital | Recruiting | Zhengzhou | Henan | 463599 | China |
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| Xiangya Hospital Central South University | Recruiting | Changsha | Hunan | 410008 | China |
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| Jiangxi Provincial People's Hospital | Recruiting | Nanchang | Jiangxi | 330006 | China |
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| Hematology Hospital of Chinese Academy of Medical Sciences | Recruiting | Tianjin | Tianjin Municipality | 300020 | China |
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| ID | Term |
|---|---|
| D006467 | Hemophilia A |
| D002836 | Hemophilia B |
| 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 |
| D040181 | Genetic Diseases, X-Linked |
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| ID | Term |
|---|---|
| D007267 | Injections |
| ID | Term |
|---|---|
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
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