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The indication for this product is to control and prophylaxis in patients with Hemophilia A (congenital Factor VIII deficiency):
The Primary Objective: To evaluate the efficacy of Recombinant Human Coagulation Factor VIII-Fc Fusion Protein for Injection (FRSW107) for prophylactic treatment in previously treated patients with severe Hemophilia A.
Secondary Objectives: To evaluate the health-related quality of life, pharmacokinetic (PK) profiles, safety and immunogenicity of Recombinant Human Coagulation Factor VIII-Fc Fusion Protein for Injection (FRSW107) for prophylactic treatment in previously treated subjects with severe Hemophilia A.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| prophylactic treatment | Experimental | Subjects in PK Subgroup receive a single and multiple dose of 50 IU/kg FRSW107 at Visit 1 and Visit 5, respectively. PK samples will be collected up to 72 hours after the start of administration.After completion of PK blood sampling for the first dose and prior to availability of the corresponding PK data, subjects may continue prophylactic treatment with FRSW107 at a dose of 50 IU/kg every 3 days until their PK data are obtained.Once the first-dose PK data of a subject are available, individualized prophylactic treatment with FRSW107 will be implemented based on the PK results. On the premise of maintaining a trough FVIII activity level of ≥1%, the investigator will determine the appropriate individualized prophylactic regimen for the subject. The recommended prophylactic dosing interval is Q3D, with an optional dose range of 25-50 IU/kg. For subjects in the non-PK subgroup, the investigator will select the initial prophylactic dose within the recommended range of 25-50 IU/kg. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FRSW107 | Drug | For subjects in the PK subgroup: they will receive a dose of 50 IU/kg at the first dose visit 1 to obtain preliminary pharmacokinetic (PK) data. After assessment by the investigator, individualized prophylactic treatment (25~50 IU/kg, Q3D) will be administered to maintain the trough concentration of FVIII activity at ≥1%. For subjects not in the PK subgroup: they will receive prophylactic treatment at a dose of 25~50 IU/kg once every three days. If a subject experiences a breakthrough bleeding episode requiring treatment, the investigator shall determine the appropriate dosage (recommended dose range: 20~50 IU/kg) and administration frequency. |
| Measure | Description | Time Frame |
|---|---|---|
| ABR | Annual rate of bleeding (ABR) during preventive treatment = Number of bleeding episode during the efficacy evaluation period/(number of treatment days /365.25) | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Safety Evaluation | Incidence of positive FⅧ inhibitor (key secondary endpoint) | 6 months |
| Immunogenicity Evaluation | Incidence of positive anti-FRSW107 antibodies and anti-CHO antibodies; for subjects with positive anti-FRSW107 antibodies, additional testing for anti-rhFVIII antibodies shall be performed to assess their positive incidence. |
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Inclusion Criteria:
1.12≤ age ≤65 year-old men; 2.Subjects with clinically confirmed severe hemophilia A, i.e. at screening (central laboratory testing) or previous medical records confirm: FⅧ activity < 1%; 3.Previous documented treatment with any recombinant and/or blood-derived coagulation factor Ⅷ products or cryoprecipitation products and dosed ≥150 exposure days (EDs≥150) ; 4.Normal prothrombin time (PT) or International Normalized Ratio (INR)<1.3; 5.Bleeding events were recorded in detail for at least 6 months prior to screening; 6.Fully understand and know about this study and sign informed consent to participate in the clinical study voluntarily, subject and/or their guardian can cooperate with them for bleeding treatment at home, and have the ability to complete all study procedures
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Lijia Liu | Contact | + 86 18645377793 | lijialiu@gensciences.cn | |
| Renchi Yang, PhD | Contact |
| 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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|
| 6 months |
| Peak activity (Cmax) | Applicable to PK Subgroup:
| At Visit 1 (Day 0 through Day 4) and Visit 5 (Day 160 through Day 164). |
| Effective rate of hemostatic treatment | During the prophylactic treatment period, breakthrough hemostatic therapy was evaluated based on a four-level scoring scale (excellent, good, moderate, ineffective), with scores of "excellent" or "good" indicating efficacy. | 6 months |
| Annualized rate of spontaneous bleeds and annualized rate of traumatic bleeds. | Annualized rate of spontaneous bleeds and annualized rate of traumatic bleeds. | 6 months |
| Annualized Joint Bleed Rate (AJBR) | Annualized Joint Bleed Rate (AJBR), including overall AJBR, annualized rate of spontaneous joint bleeds and annualized rate of traumatic joint bleeds. AJBR = Number of joint bleeds during efficacy evaluation period / (Number of treatment days / 365.25). | 6 months |
| Number of target joints. | Number of target joints. Target joint definition: A joint with ≥3 spontaneous bleeds within any consecutive 6 months is defined as a target joint; a joint will no longer be classified as a target joint if it experiences ≤2 bleeds within any consecutive 12 months. | 6 months |
| Dosing parameters of prophylactic treatment | Dosing parameters of prophylactic treatment: total cumulative dose during study, annual total dose, mean dose per prophylactic administration; administration frequency: total number of injections, mean annual injection frequency; dosing interval: mean interval between prophylactic administrations throughout the prophylaxis period. | 6 months |
| Factor VIII incremental recovery and trough levels during prophylactic treatment. | Factor VIII incremental recovery and trough levels during prophylactic treatment. | 6 months |
| Time interval between each bleeding episode and the prior prophylactic dose during prophylaxis. | Time interval between each bleeding episode and the prior prophylactic dose during prophylaxis. | 6 months |
| Dosing parameters for rescue hemostatic treatment of breakthrough bleeds during prophylaxis | Dosing parameters for rescue hemostatic treatment of breakthrough bleeds during prophylaxis: mean dose, total cumulative dose and total number of administrations. | 6 months |
| Hemophilia Joint Health Score version 2.1 (HJHS 2.1) | Hemophilia Joint Health Score version 2.1 (HJHS 2.1): total HJHS 2.1 score, individual domain subscores, and their respective changes from baseline. | 6 months |
| EuroQol 5-Dimension 5-Level Questionnaire (EQ-5D-5L) and EuroQol Visual Analogue Scale (EQ VAS) . | EuroQol 5-Dimension 5-Level Questionnaire (EQ-5D-5L) and EuroQol Visual Analogue Scale (EQ VAS), together with their changes from baseline.The total healthy utility index score ranges of EQ-5D-5L from a minimum value of 0 points to a maximum value of 1 points,higher scores mean a better outcome.The total score ranges of EuroQol Visual Analogue Scale (EQ VAS) from a minimum value of 0 points to a maximum value of 100 points,higher scores mean a better outcome. | 6 months |
| Incidence of insufficient therapeutic response | Incidence of insufficient therapeutic response. | 6 months |
| time to peak (Tmax) | Applicable to PK Subgroup:
| At Visit 1 (Day 0 through Day 4) and Visit 5 (Day 160 through Day 164). |
| area under the concentration-time curve from time zero to the last quantifiable time point (AUC₀-ₗₐₛₜ) | Applicable to PK Subgroup:
| At Visit 1 (Day 0 through Day 4) and Visit 5 (Day 160 through Day 164). |
| elimination half-life (t₁/₂) | elimination half-life (t₁/₂) | At Visit 1 (Day 0 through Day 4) and Visit 5 (Day 160 through Day 164). |
| incremental recovery | incremental recovery (calculated based on FⅧ Cmax measured after the end of infusion, unit: [IU/dL]/[IU/kg]) | At Visit 1 (Day 0 through Day 4) and Visit 5 (Day 160 through Day 164). |
| The time for FⅧ activity to decline to 15%, 5%, 3% and 1% . | The time for FⅧ activity to decline to 15%, 5%, 3% and 1% respectively after study drug infusion. | At Visit 1 (Day 0 through Day 4) and Visit 5 (Day 160 through Day 164). |
| 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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| 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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| 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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| 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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| Henan Cancer Hospital | Not yet recruiting | Zhengzhou | China |
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| Zhengzhou People's Hospital | Not yet recruiting | Zhengzhou | China |
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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 |
| D020147 | Coagulation Protein Disorders |
| D006474 | Hemorrhagic Disorders |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
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