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This is a prospective, multicenter, open-label study to assess efficacy, safety, pharmacokinetics (PK), and immunogenicity of human plasma-derived Factor VIII (FVIII) in previously treated patients (PTPs) with severe hemophilia A. Overall, 55 male PTPs aged 12 to 65 years old with a FVIII level of < 1% and at least 150 treatment exposure days (EDs) with a previous FVIII product will be enrolled. Patients will receive SKP-0141 at a dose of 25 to 50 IU/kg every second day or 3 times per week for at least 50 EDs and/or 6 months from the start of prophylactic treatment. Efficacy of SKP-0141 will be primarily evaluated in bleeding prophylaxis with annualized bleeding rate from start of treatment and until end of treatment (Visit 10).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Prophylactic treatment | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SKP-0141 | Biological | Human plasma-derived coagulation factor VIII concentrate |
|
| Measure | Description | Time Frame |
|---|---|---|
| Annualized bleeding rate | Efficacy of SKP-0141 in bleeding prophylaxis in previously treated patients with severe hemophilia A based on the number of bleeding episodes per year | Up to 25 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Hemostatic response | Efficacy of SKP-0141 for the treatment of breakthrough bleeding episodes using a 4-point scale in previously treated patients with severe hemophilia A | Up to 25 weeks |
| Consumption of SKP-0141 required for prophylaxis |
| Measure | Description | Time Frame |
|---|---|---|
| Hemostatic response in surgical prophylaxis | Hemostatic response (efficacy) of SKP-0141 in surgical prophylaxis in previously treated patients with severe hemophilia A | Perioperatively/Periprocedurally |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Byung Nam Chung | Contact | 82-2-2008-2567 | byung-nam.chung@sk.com | |
| Garam Kim, M.S. | Contact | +82-2-2008-2062 | kgram@sk.com |
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Dose of SKP-0141 injections (IU/kg/year and IU/kg/month) required for prophylaxis in previously treated patients with severe hemophilia A
| Up to 25 weeks |
| Consumption of SKP-0141 required for on-demand treatment | Dose/number of SKP-0141 injections (IU/kg/bleed) required for treatment of bleeding episodes in previously treated patients with severe hemophilia A | Up to 25 weeks |
| Peak plasma concentration (Cmax) | Maximum plasma concentration of SKP-0141 in previously treated patients with severe hemophilia A | At 1 week and 25 weeks |
| Time to reach peak plasma concentration (Tmax) | Time to reach peak plasma concentration of SKP-0141 in previously treated patients with severe hemophilia A | At 1 week and 25 weeks |
| Area under the plasma concentration versus time curve (AUC) | Area under the plasma concentration versus time curve in previously treated patients with severe hemophilia A | At 1 week and 25 weeks |
| Half-life (T1/2) | Half-life of SKP-0141 in previously treated patients with severe hemophilia A | At 1 week and 25 weeks |
| Total plasma clearance (CL) | Total plasma clearance of SKP-0141 in previously treated patients with severe hemophilia A | At 1 week and 25 weeks |
| Elimination constant (Kel) | Elimination rate constant of SKP-0141 in previously treated patients with severe hemophilia A | At 1 week and 25 weeks |
| Volume of distribution (Vd) | Volume of distribution of SKP-0141 in previously treated patients with severe hemophilia A | At 1 week and 25 weeks |
| Mean residence time (MRT) | Mean residence time in vivo of SKP-0141 in previously treated patients with severe hemophilia A | At 1 week and 25 weeks |
| Incremental in vivo recovery (IVR) | Incremental in vivo recovery (IVR) in previously treated patients with severe hemophilia A | At 1 week and 25 weeks |
| Incidence of treatment-emergent adverse events (TEAEs) | Incidence of treatment-emergent adverse events in previously treated patients with severe hemophilia A | Up to 26 weeks |
| Incidence of serious adverse events (SAEs) | Incidence of serious adverse events in previously treated patients with severe hemophilia A | Up to 26 weeks |
| Incidence of adverse events of special interest (AESIs) | Incidence of adverse events of special interest in previously treated patients with severe hemophilia A | Up to 26 weeks |
| Incidence of adverse events (AEs) | Incidence of adverse events in previously treated patients with severe hemophilia A | Up to 26 weeks |
| Incidence of clinically significant changes | Safety and tolerability of SKP-0141 in previously treated patients with severe hemophilia A based on the incidence of clinically significant changes from baseline in safety laboratory evaluations (hematology, serum chemistry, and urinalysis), vital signs (pre- and post-injection), physical examinations, and ECG | Up to 25 weeks |
| Incidence of FVIII inhibitor formation | Immunogenicity of SKP-0141 from incidence of FVIII inhibitor formation (≥0.6 Bethesda Units) calculated using the Nijmegen-modified Bethesda assay in previously treated patients with severe hemophilia A | Up to 25 weeks |
| ID | Term |
|---|---|
| D006467 | Hemophilia A |
| 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 |
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