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The study is designed as a randomized, two-armed, double-blind, single-dose, crossover, two-sequence, active-controlled, multi-center, bioequivalence clinical trial with a primary endpoint of dose-normalized area under the curve (dnAUC last)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AryoGen Pharmed Co. rFVIII-Fc/Elocta® (Sobi Co. rFVIII-Fc) | Experimental | AryoGen Pharmed Co. rFVIII-Fc, IV, 50 units/kg, single dose, then Elocta® (Sobi Co. rFVIII-Fc), IV, 50 units/kg, single dose (cross-over) |
|
| Elocta® (Sobi Co. rFVIII-Fc)/AryoGen Pharmed Co. rFVIII-Fc | Experimental | Elocta® (Sobi Co. rFVIII-Fc), IV, 50 units/kg, single dose, then AryoGen Pharmed Co. rFVIII-Fc, IV, 50 units/kg, single dose (cross-over) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Factor VIII, recombinant human with Fc fusion (rFVIII-Fc) | Drug | rFVIII-Fc, IV, 50 units/kg/ single dose, cross-over |
|
| Measure | Description | Time Frame |
|---|---|---|
| dose-normalized Area Under the Curve (dnAUC last) | Area under the concentration-time curve measured from the time of administration to the last measurable time point | pre-dose, 15 minutes, 30 minutes, 1 hour, 3 hours, 6 hours, 8 hours, 24 hours, 48 hours, 72 hours, 96 hours, 120 hours post-dose |
| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Curve to Infinity (AUC inf) | Area under the concentration-time curve measured from the time of administration to the infinity. | pre-dose, 15 minutes, 30 minutes, 1 hour, 3 hours, 6 hours, 8 hours, 24 hours, 48 hours, 72 hours, 96 hours, 120 hours post-dose |
| Maximum Plasma Activity (Cmax) |
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Inclusion Criteria:
Male patients ≥ 12 years, with signed informed consent by the patient, or the patient's legally authorized representative for patients under the legal age
Diagnosed with severe hemophilia A (endogenous FVIII <1% [1 IU/dL])
History of at least 150 documented prior exposure days to any FVIII product
Having adequate bone marrow and organ function:
Exclusion Criteria:
Only male patients are eligible for the study.
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| Name | Affiliation | Role |
|---|---|---|
| Aziz Eghbali, Assoc. Prof. | Iran University of Medical Sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seyed-Al-Shohada Hospital | Isfahan | Iran | ||||
| Sarvar Clinic |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39934428 | Derived | Eghbali A, Eshghi P, Toogeh G, Alavi S, Badiei Z, Ghanavat M, Bordbar M, Bazrafshan A, Karimi K, Ahmadinejad M, Sabzvari A, Kafi H. A randomized, two-armed, double-blind, single-dose, cross-over, bioequivalence clinical trial to compare pharmacokinetic parameters and safety of recombinant human factor VIII with Fc fusion produced by AryoGen Pharmed Company versus Elocta(R) (reference product) in previously treated patients with severe haemophilia A. Ann Hematol. 2025 Feb;104(2):1195-1202. doi: 10.1007/s00277-025-06242-z. Epub 2025 Feb 12. |
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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 |
|---|---|
| D005169 | Factor VIII |
| ID | Term |
|---|---|
| D001779 | Blood Coagulation Factors |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
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Maximum plasma activity during a dosing interval |
| pre-dose, 15 minutes, 30 minutes, 1 hour, 3 hours, 6 hours, 8 hours, 24 hours, 48 hours, 72 hours, 96 hours, 120 hours post-dose |
| Incremental Recovery (IR) | The rise in FVIII activity in IU/dL per unit dose administered in IU/kg | pre-dose, 15 minutes, 30 minutes, 1 hour |
| Half-life (T ½) | Time required for the activity of the drug to reach half of its original value | pre-dose, 15 minutes, 30 minutes, 1 hour, 3 hours, 6 hours, 8 hours, 24 hours, 48 hours, 72 hours, 96 hours, 120 hours post-dose |
| Volume of distribution (Vd) | Volume of distribution estimated from the terminal phase | pre-dose, 15 minutes, 30 minutes, 1 hour, 3 hours, 6 hours, 8 hours, 24 hours, 48 hours, 72 hours, 96 hours, 120 hours post-dose |
| Clearance (Cl) | Rate at which the body removes the drug, measured as the volume of the plasma cleared of drug per unit time per unit weight | pre-dose, 15 minutes, 30 minutes, 1 hour, 3 hours, 6 hours, 8 hours, 24 hours, 48 hours, 72 hours, 96 hours, 120 hours post-dose |
| Safety assessment by evaluation of adverse events (AEs) and abnormal laboratory results | Safety assessment, including the incidence of all reported AEs and abnormal laboratory results was done. All AEs were classified based on the Medical Dictionary for Regulatory Activities (MedDRA Desktop Browser 4.0 Beta) terms as System Organ Class (SOC) and Preferred Term (PT). All the reported events were graded according to the Common Terminology Criteria for Adverse Events version 5.0 (CTCAE v5.0). Moreover, seriousness of AEs was assessed according to International Council for Harmonization (ICH-E2B) guidelines. The causality relation was assessed based on the World Health Organization (WHO) criteria. | Adverse events collection and documentation was done during the study (up to 28 days) |
| Immunogenicity assessment | Immunogenicity of factor viii was evaluated at scheduled visits by blood sampling to determine the production of inhibitor against factor viii. | Immunogenicity sampling was done at screening visit and day 7, 12 and 28 |
| Mashhad |
| Iran |
| Dastqeib Hospital | Shiraz | Iran |
| Imam Khomeini | Tehran | Iran |
| Mofid Hospital | Tehran | Iran |
| 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 |