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The indication for this product is to control bleeding in patients with hemophilia A (congenital deficiency of factor VIII).
The primary objective:
Evaluation of the efficacy of recombinant human coagulation factor VIII-Fc fusion protein for injection (FRSW107) as an on-demand treatment in previously treated patients with severe hemophilia A.
Secondary objectives:
Evaluation of the safety and immunogenicity of FRSW107 as an on-demand therapy in previously treated patients with severe hemophilia A.
Evaluate the on-demand treatment's PK profile of FRSW107 in previously treated patients with severe hemophilia A based on population pharmacokinetic (PopPK) methods ; preliminarily investigate the exposure-response (E-R) relationship of FRSW107 on-demand treatment in these patients if data permit.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| On-demand Treatment. | Experimental | On-demand treatment (recommended range: 20-50 IU/kg) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FRSW107 | Drug | Treatment for 6 months as needed. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The haemostatic effective rate | The haemostatic effect of FRSW107 when used for treatment of bleeds, assessed on a four-point scale for haemostatic response (excellent, good, moderate and none) by counting excellent and good as success and moderate and none as failure. | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Number of infusions and IU/kg of FRSW107 needed for the treatment of bleeding episodes | 6 months | |
| FVIII activity during on-demand: activity recovery rate | FVIII activity recovery rate on Day1's haemostatic therapy. |
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Inclusive Criteria:
Exclusion Criteria:
Known or suspected allergy to the investigational drug or its excipients, including mouse or hamster proteins;
Hypersensitivity or anaphylaxis after Fâ…§ or IgG2 injection in the past;
FⅧ inhibitor positive (≥0.6 BU/mL) during the screening period, or have a history of FⅧ inhibitor positive in the past, or a family history of FⅧ inhibitor positive;
Von Willebrand factor (vWF) antigen test results were lower than the lower limit of normal value;
Severe anemia at the screening stage (hemoglobin < 60 g/L);
Platelet count during screening period < 100×109 /L;
Abnormal liver function:
.Alanine aminotransferase (ALT), or aspartate aminotransferase (AST) >3 times upper limit of normal (ULN); or Serum total bilirubin (TBIL) >1.5x ULN;
Patients with abnormal renal function:
Creatinine clearance (Ccr) <50 ml/min (according to Cockcroft and Gault formula); or Serum creatinine (Cr) >1.5x ULN;
People with active hepatitis C, that is, hepatitis C virus (HCV) antibody positive and HCV RNA positive; Or anti-treponema pallidum specific antibody (TPHA) positive; Or positive for antibodies against the human immunodeficiency virus (HIV);
Patients with coagulation dysfunction other than hemophilia A;
Have a medical condition that may increase the risk of bleeding;
A history of drug or alcohol abuse;
Have a known mental disorder that may affect trial compliance;
Patients who have received transfusions of blood or blood components within 4 weeks prior to screening;
Participants who had participated in other clinical trials within 1 month before screening;
Use of any anticoagulant or antiplatelet drugs, off-label maximum dose of non-steroidal anti-inflammatory drugs (NSAID) within 7 days prior to screening; Or patients who need to be treated with anticoagulant or antiplatelet drugs or off-label maximum doses of SAID during clinical trials;
Severe cardiovascular and cerebrovascular disease or major thromboembolic events, such as stroke, myocardial infarction, unstable angina, congestive heart failure (New York Heart Association [NYHA] grade ≥ III), and severe arrhythmias (including QTc interphase > 480 ms, corrected by Fridericia formula), uncontrolled hypertension (systolic ≥ 160 mmHg or diastolic ≥100 mmHg), deep vein thrombosis, etc.
Study patients who had used emesezumab within 6 months prior to first administration of the drug;
Patients who had used monoclonal antibody therapy, Fc fusion protein products (except FRSW107 and FRSW117), PEG products (except FRSW117), or intravenous immunoglobulin infusion within 3 months before the first administration of the investigational drug;
Study patients who underwent major surgery within 3 months prior to initial drug administration (major surgery is defined in 6.2.3 Perioperative management);
Study patients who have used Fâ…§ preparation of any standard half-life (e.g., Bycoch, Coproch, Biinidin, Renjie, NoL, Antaine, etc.) within 3 days or 5 half-lives prior to first administration of the drug (taking the elderly); Patients who have used any other extended half-life preparation Fâ…§ within 4 days or 5 half-lives prior to first dosing (for the elderly);
Study patients with fever, severe active bacterial or viral infection, and allergies within 2 weeks before the first administration of the drug;
Systemic immunomodulators (such as glucocorticoids [> 10 mg/ day equivalent dose of prednisone], alpha-interferon, immunoglobulin, cyclophosphamide, cyclosporin, etc.) used within 14 days prior to the first administration of the study drug or planned during the study period were allowed to be inhaled, nasal spray, or topical corticosteroids;
Those who had been vaccinated within 4 weeks prior to initial administration of the study drug; Or who plan to be vaccinated during PK blood collection (only for subjects in the PK subgroup);
Plan to have a child or sperm donation during the entire trial period and within 3 months after the last dose, or do not want to use effective physical contraception (such as condoms, diaphragms, Iuds, etc.);
Have other serious medical conditions that the researchers said could not benefit from them
Subjects deemed unsuitable by other investigators.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Lijia Liu | Contact | + 86 1645377793 | lijialiu@gensciences.cn |
| Name | Affiliation | Role |
|---|---|---|
| Renchi Yang, PhD | Institute of Hematology & Blood Diseases Hospital Chinese Academy of Medical Sciences & Peking Union Medical College. | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Institute of Hematology & Blood Diseases Hospital Chinese Academy of Medical Sciences & Peking Union Medical College | Recruiting | Tianjin | Tianjin Municipality | China |
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| Visit1,Day1 |
| Hemophilia Joint Health Score (HJHS 2.1) during on-demand treatment | total score and each subscale score of HJHS 2.1, as well as their changes over time. | 6 month |
| incidence of lack of drug efficacy | Lack of drug efficacy is defined as: during on-demand treatment, hemostatic efficacy is assessed as "ineffective" or "poor/no response" following two consecutive administrations within 72 hours for the same bleeding episode. incidence of lack of drug efficacy=number of lack of drug efficacy/number of evaluated treatment*100%. | 6 months |
| Occurrence of AEs and SAEs | 6 month |
| Incidence rate of positive FVIII inhibitors | A positive FⅧ inhibitor is defined as a Bethesda inhibitor titer ≥ 0.6 BU/mL. Incidence rate of positive FVIII inhibitors=number of positive FⅧ inhibitors participant / total number of trial participants *100%. | 6 month |
| Incidence rate of positive ADA, Incidence rate of positive anti-CHO antibody | Incidence rate of positive ADA=number of positive ADA participant / total number of trial participants *100% Incidence rate of positive anti-CHO antibody=number of positive anti-CHO antibody participant / total number of trial participants *100% | 6 month |
| Fuyang Hospital, Affiliated to Anhui Medical University | Not yet recruiting | Fuyang | China |
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| Fujian Medical University Union Hospital | Not yet recruiting | Fuzhou | China |
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| Ganzhou People's Hospital | Not yet recruiting | Ganzhou | China |
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| Nanfang Hospital of Southern Medical University | Not yet recruiting | Guangzhou | China |
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| Anhui Provincial Hospital | Not yet recruiting | Hefei | China |
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| Huai'an Second People's Hospital | Not yet recruiting | Huai'an | China |
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| Jinan central hospital | Not yet recruiting | Jinan | China |
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| The Second Affiliated Hospital of Kunming Medical University | Not yet recruiting | Kunming | China |
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| The First Affiliated Hospital of Guangxi Medical University | Not yet recruiting | Nanning | China |
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| Affiliated Hospital of Nantong University | Not yet recruiting | Nantong | China |
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| The First Affiliated Hospital of Nanyang Medical College | Not yet recruiting | Nanyang | China |
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| Qinghai Provincial People's Hospital | Not yet recruiting | Qinghai | China |
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| Rizhao People's Hospital | Not yet recruiting | Rizhao | China |
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| The Second Hospital of Hebei Medical University | Not yet recruiting | Shijiazhuang | China |
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| The Second Hospital of Shanxi Medical University | Not yet recruiting | Taiyuan | China |
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| North China University of Science and Technology Affiliated Hospital | Not yet recruiting | Tangshan | China |
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| Wenzhou People's Hospital | Not yet recruiting | Wenzhou | China |
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| Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology. | Not yet recruiting | Wuhan | China |
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| Affiliated Hospital of Jiangnan University | Not yet recruiting | Wuxi | China |
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| Xi'an Central Hospital | Not yet recruiting | Xi'an | China |
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| Subei People's Hospital of Jiangsu province | Not yet recruiting | Yangzhou | China |
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| Henan Cancer Hospital | Not yet recruiting | Zhengzhou | China |
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| Zhengzhou People's Hospital | Not yet recruiting | Zhengzhou | China |
|
| 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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