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Hemophilia APhase 3NCT01619046

Safety, Efficacy and Pharmacokinetics of GreenGene™ F to Previously Treated Patients With Severe Hemophilia A

A Phase 3 study testing GreenGene™ F and an approved recombinant Factor VIII product and GreenGene™ F in people with Hemophilia A, run by Green Cross Corporation at 34 sites in 7 countries.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The purpose of this study is to assess the safety, efficacy and pharmacokinetics of GreenGene™ F in subjects with severe hemophilia A previously treated (> 150 exposure days) with a Factor VIII concentrate and without presence or history of inhibitors to FVIII (Factor VIII). Read more about this study

Who is it for?
Ages 12 years and older
Conditions the study is for
Hemophilia A
What is being tested?
GreenGene™ F and an approved recombinant Factor VIII product and GreenGene™ F
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
124 participants
Where
34 sitesin 7 countries
Study dates
Mar 2013to Sep 2015
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Male or female subjects age ≥ 12 years at the time of informed consent
  • Body weight ≥ 35 kg
  • Diagnosed with severe hemophilia A. All subjects must have severe hemophilia A with baseline FVIII <1% activity; <0.01 IU/mL
  • Have ≥ 150 previous exposure days to FVIII concentrates, as documented in the subject's medical records
  • Subjects included in the on-demand treatment cohort must have a verifiable record of at least three bleeding episodes per month on average in the last 6 months prior to enrollment
  • Negative assays for FVIII inhibitor at inclusion (<0.6BU Nijmegen assay)
Show all 17Show fewer
  • Negative assays for FVIII inhibitor in subject files (<0.6BU Nijmegen assay) No history of positive inhibitor is allowed
  • Normal liver and kidney function.
  • Platelet count ≥ 100,000 μL
  • Normal prothrombin time or International Normalized Ratio (INR) < 1.5
  • Subjects receiving therapy for human immunodeficiency virus (HIV) or hepatitis must be on a stable treatment regimen
  • Subjects must be able to withhold FVIII infusions for approximately 72 h prior to each FVIII activity and inhibitor assay (96 h if participating in the PK sub study)
  • Absolute CD4 lymphocyte cell count ≥ 200 μL
  • Signed the written informed consent form or informed consent was obtained from the subject's legal guardian
  • Females must not be lactating or pregnant at Screening or Baseline (as documented by a negative beta-human chorionic gonadotropin [ß hCG] test with a minimum sensitivity of 25 IU/L or equivalent units of ß hCG). A separate baseline assessment is required if a negative screening pregnancy test was obtained more than 72 hours before the first dose of study drug
  • All females will be considered to be of childbearing potential unless they are postmenopausal (amenorrheic for at least 12 consecutive months, in the appropriate age group and without other known or suspected cause) or have been sterilized surgically (i.e. bilateral tubal ligation, total hysterectomy or bilateral oophorectomy, all with surgery at least one month before dosing)
  • Willing and able to comply with all aspects of the protocol

Who cannot join

  • Presence at Screening of FVIII inhibitor ≥ 0.6 BU as tested with the Nijmegen modification of the Bethesda assay in either central or local laboratory
  • History of FVIII inhibitor of ≥ 0.6 BU as measured using the Nijmegen modification of the Bethesda assay
  • History of FVIII inhibitor ≥ 1.0 BU if the subject has been tested routinely using the original Bethesda assay, or history of periods with low recovery and no response to Factor VIII treatment
  • Demonstrated an inability to respond to conventional doses of FVIII therapy
  • History of incremental recovery of Factor VIII <1.35% per IU/kg infused
  • Hematological disorders or blood coagulation diseases (e.g., idiopathic thrombocytopenic purpura, von Willebrand disease, etc.) other than hemophilia A
Show all 21Show fewer
  • Laboratory or clinical evidence of portal vein hypertension including,(but not limited to, an INR > 1.4, the presence of splenomegaly and/or spider angiomata on physical examination and/or a history of esophageal hemorrhage or documented esophageal varices
  • Uncontrolled hypertension (diastolic blood pressure >100 mm Hg)
  • Hemoglobin < 10 g.dL
  • HIV disease symptoms regardless of presence of HIV antibodies
  • Routine administration (or planned routine administration during the course of the study), of immunosuppressive or immunomodulating drugs other than antiretroviral therapy (e.g., steroids, beta-interferon)
  • Severe renal dysfunction (creatinine > 2x upper limit of normal [ULN], total bilirubin > 2x the ULN)
  • Liver disease (alanine aminotransferase [ALT], aspartate aminotransferase [ AST] > 3x the ULN)
  • History of diabetes or other metabolic disease
  • History of hypersensitivity or serious adverse reaction to recombinant or plasma-derived FVIII concentrate
  • History of pretreatment prior to the administration of FVIII products (e.g., of antihistamines)
  • Regular use of antifibrinolytics or medications affecting platelet function
  • Hypersensitivity to hamster-or mouse derived proteins
  • Blood transfusions within 30 days of enrollment into the study
  • Current participation in another investigational drug or device study, or participated in a clinical study involving an investigational drug or device within 30 days of enrollment into the study
  • Unable or unwilling to cooperate with study procedures

Trial locations and contacts

34 sites in 7 countries.

34 sites in 7 countries

United States10 sites, 10 recruiting
  • St. Luke's Boise Medical Center

    Boise, Idaho, 83712

    Tammie Eslinger, 208-381-2774, eslinget@slhs.org

    Tim Honeycutt, 208-381-5357, honeycut@slhs.org

    Recruiting
  • Rush University Medical Center

    Chicago, Illinois, 60612

    Kristen Boyce, 312-942-0243, kristin_boyce@rush.edu

    Rosie Howard, 312-942-7902, Rosie_Howard@rush.edu

    Recruiting
  • Michigan State University Center for Bleeding Disorders & Clotting Disorders

    East Lansing, Michigan, 48823

    Sue Adkins, 517-353-9385, sue.adkins@hc.msu.edu

    Hillary Witkop, 517-353-9385, witkophi@msu.edu

    Recruiting
  • Children's Mercy Hospital - Kansas City Regional Hemophilia Center

    Kansas City, Missouri, 64108

    Sara Streeter, 816-234-3502, sstreeter@cmh.edu

    Brian Wicklund, M.D.

    Recruiting
  • Arkansas Children's Hospital

    Little Rock, Arkansas, 72202

    Bryce Warren, WarrenBryceA@uams.edu

    Kimo Stine, MD

    Recruiting
  • Los Angeles Orthopaedic Hospital - Hemophilia Treatment Center

    Los Angeles, California, 90007

    Manny Mangilit, 213-742-1402, mannymangilit@gmail.com

    Lucy Lacanilao, 213-742-1407, LLacanilao@mednet.ucla.edu

    Recruiting
  • University of Miami - Comprehensive Hemophilia Center

    Miami, Florida, 33101

    Clara Ibarra, 305-243-5343, cibarra@med.miami.edu

    Cecilia Prado, 305-243-6925, cprado@med.miami.edu

    Recruiting
  • Long Island Jewish Medical Center - Hemophilia Treatment Center

    New Hyde Park, New York, 11040

    Patricia Murray, 718-470-7380, Pmurray1@nshs.edu

    Lisa Patriarca, 718-470-7380, lpatriar@nshs.edu

    Recruiting
  • Oregon Health and Science University

    Portland, Oregon, 97239

    Kathy Beach, 503-494-7425, beachk@ohsu.edu

    Alysia Cox, 503-494-5109, coxal@ohsu.edu

    Recruiting
  • Harbor - UCLA Pediatrics

    Torrance, California, 90509

    Amy Warder, 310-222-3621, awarder@labiomed.org

    Helen Todoroki, 310-222-4156, htodoroki@labiomed.org

    Recruiting

Other trials in United States

United Kingdom8 sites, 8 recruiting
  • North Hampshire Haemophilia Centre

    Basingstoke, North Hampshire, RG24 9NA

    Yvonne Watson, 01256 314793, yvonne.watson@hhft.nhs.uk

    Savita Rangarajan

    Recruiting
  • St. Thomas' Hospital

    City of Westminster, London, SE1 7EH

    Elsa Aradom, 020-7188-2781, elsa.aradom@gstt.nhs.uk

    Sheela Medahunsi, 020-7188-2808, Sheela.Medahunsi@gstt.nhs.uk

    Recruiting
  • Hull Haemophillia Centre, Hull Royal Infirmary

    Humberside, Hull, HU3 2JZ HU3 2JZ

    Lisa Armitage, 01482 461254, lisa.armitage@hey.nhs.uk

    David Allsup, M.D.

    Recruiting
  • University of Liverpool

    Liverpool, L69 3GA

    Clare Kay-Jones, +44(0)151 706 4329, clare.kay-jones@rlbuht.nhs.uk

    Jayne Keaney, +44(0)151 706 4329, jayne.keaney@rlbuht.nhs.uk

    Recruiting
  • Royal Free Hospital, Haemophilia Centre & Thrombosis Unit

    London, NW3 2QG

    Pratima Chowdary, M.D.

    Recruiting
  • Central Manchester University Hospitals

    Manchester, Lancashire

    Foulkes Matt, +44 (0)161 901 4565, Matt.Foulkes@cmft.nhs.uk

    Davies Carolyn, +44 (0)161 701 4353, clinical.trials@cmft.nhs.uk

    Recruiting
  • Churchill Hospital, Oxford

    Oxford, OX3 7LE

    Simon Fletcher, +44 1865 225316, Simon.Fletcher@ouh.nhs.uk

    Paul Giangrande, M.D.

    Recruiting
  • Royal Cornwall Hospital, Department of Haematology

    Truro, Cornwall, TR1 3LJ

    Bianca Mills, 01872 252527, bianca.mills@rcht.cornwall.nhs.uk

    Desmond Creagh

    Recruiting

Other trials in United Kingdom

Ukraine6 sites, 6 recruiting
  • Dnepropetrovsk City Clinical Hospital

    Dnipro, 49102

    Y Shinkarenko, M.D.

    Recruiting
  • Institute of Urgent and Reconstructive surgery named after V.K. Gusak of National Academy of Medical Sciences of Ukraine

    Donetsk

    Ekaterina Vilchevska

    Recruiting
  • Kharkov Regional Clinical Oncology Center

    Kharkiv, 61070

    Tetyana Poposvka, M.D.

    Recruiting
  • Kyiv City Clinical Hospital No 91

    Kyiv

    Ievgenii Averianov

    Recruiting
  • Institute of Blood Pathology and Transfusion Medicine of National Academy of Medical Sciences of Ukraine Department of Surgery and Clinical Transfusiology

    Lviv

    Oleksandra Stasyshyn

    Recruiting
  • Zaporizhzhya Region Clinical Child Hospital

    Zaporzhye, 69063

    A Borodin, M.D.

    Recruiting

Other trials in Ukraine

Russia5 sites, 5 recruiting
  • Barnaul Altai State Scientfic Center

    Barnaul, 4656024

    A Mamaev, M.D.

    Recruiting
  • Kirov Research Institute of Hematology and Blood Transfusion

    Kirov, 610027

    M Timofeeva, M.D.

    Recruiting
  • Ismailov City Children's Clinical Hospital of Board of Health of Moscow City

    Moscow, 105077

    Vladimir Vdovin, M.D.

    Recruiting
  • State Budget Educational Institution of Higher professional Education "Samara State Medical University" of the Ministry of Health and Social Process of the Russian Federation

    Samara, 443099

    Igor Davydkin, M.D.

    Recruiting
  • Ufa Republican Clinical Hospital

    Ufa, 450005

    G Gaysarova, M.D.

    Recruiting

Other trials in Russia

Canada2 sites, 2 recruiting
  • University of Alberta

    Edmonton, Alberta

    Devereux Hannah, +1 780 782 4731, hannah.devereux@biosample.ca

    Bruce Ritchie

    Recruiting
  • McMaster Children's Hospital

    Hamilton, Ontario

    Nagel Kim, NAGEL@hhsc.ca

    Anthony Chan

    Recruiting

Other trials in Canada

Poland2 sites, 2 recruiting
  • wojewodzki szpital Specjalistyczny, klinika hematologii uniwersytetu medycznego w łodzi

    Łodzi

    Krzysztof Chojnowski, M.D.

    Recruiting
  • Instytut Hematologii i Transfuzjologii

    Warsaw

    Marcin Pasiarski, M.D.

    Recruiting

Other trials in Poland

New Zealand1 site, 1 recruiting
  • Research Associates, Ltd.

    Christchurch, New Zealand, 8081

    Carolyn Lauren, +64 3 364 0386, carolyn.lauren@cdhb.health.nz

    Mark Smith, M.D.

    Recruiting

Other trials in New Zealand

About this study

Official title: Determination of Safety, Efficacy and Pharmacokinetics of GreenGene™ F in Previously Treated Patients 12 Years of Age or Older Diagnosed With Severe Hemophilia A

The purpose of this study is to assess the safety, efficacy and pharmacokinetics of GreenGene™ F in subjects with severe hemophilia A previously treated (> 150 exposure days) with a Factor VIII concentrate and without presence or history of inhibitors to FVIII (Factor VIII).

Conditions
Hemophilia A
Being tested
GreenGene™ F and an approved recombinant Factor VIII product, GreenGene™ F
Keywords
GreenGene™F, Previously Treated Patients
Medical subject headings
Hemophilia A

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • GreenGene™ F and an approved recombinant Factor VIII productBiological

    Also called GreenGeneF, GreenGene F

    one 50 IU/kg, intra-venous infusion over 5 minutes, Infusion rate < 10 mL/min

  • GreenGene™ FBiological

    Also called GreenGeneF, GreenGene F

    intra-venous infusion, 30 ± 5 IU/kg infusions 3 times per week with dose escalation to 45 ± 5 IU/kg if appropriate, for 50 exposure days

  • GreenGene™ FBiological

    Also called GreenGeneF, GreenGene F

    intra-venous infusion,

    On-demand safety and efficacy substudy:

    minor bleed = 10-20 IU/kg moderate bleed = 15-30 IU/kg major bleed = 30-50 IU/kg

  • GreenGene™ FBiological

    Also called GreenGeneF, GreenGene F

    intra venous infusion,

    Surgical substudy:

    Minor surgery including tooth extraction = Post in fusion FVIII level of 60-100% of normal. A single bolus infusion (30-50 IU/kg) beginning within one hour of the operation. Optional additional dosing every 12 to 24 hours as needed to control bleeding.

    Major surgery = Pre- and post infusion FVIII level 80-120% of normal. Preoperative bolus infusion: 40-60 IU/kg. Verified 100% activity prior to surgery. Maintenance bolus infusion (40-60 IU/kg) repeat infusions every 8 to 24 hours, depending on the desired level.

Study groups in NCT01619046
Study groupRoleWhat they receive
PK substudyActive comparatorA cohort of 13-18 subjects will be included in the pharmacokinetic (PK) evaluation of GreenGene™ F and an approved recombinant Factor VIII product (Refacto AF); a minimum of 13 of these subjects will be re-evaluated at study end (50 exposure day).
Receives: Biological: GreenGene™ F and an approved recombinant Factor VIII product
Prophylaxis safety and efficacy substudyExperimentalHemostatic efficacy of GreenGene™ F will be assessed by its effectiveness in controlling spontaneous or traumatic bleeding episodes and by the rate of breakthrough bleeding during prophylaxis over ≥ 50 exposure days.
Receives: Biological: GreenGene™ F
On-demand safety and efficacy substudyExperimentalHemostatic efficacy of GreenGene™ F will be assessed by its effectiveness in controlling spontaneous or traumatic bleeding episodes and by the rate of breakthrough bleeding in a minimum of 10 on demand treated subjects during 50 exposure days.
Receives: Biological: GreenGene™ F
Surgical substudyExperimentalPeri-operative hemostatic control of GreenGene™ F in surgery or invasive procedures will be assessed in at least 10 surgeries, some of them major, in at least five subjects
Receives: Biological: GreenGene™ F

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of subject with development of inhibitors

    Development of neutralizing antibodies (inhibitors) will be followed during the regular visits, average of 3 months.

    Measured: evert 3 months, up to 18 months

Secondary outcomes (1)
  1. Describe the PK profile of GreenGene™ F

    AUC, AUMC, Half-life, Incremental recovery, Mean residence time (MRT), Clearance, Volume of distribution - steady state, Cmax, Tmax

    Measured: Pre-dose, 0~48hours post-dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Jun 2012 (estimated)
  2. Study startMar 2013
  3. Primary completionJul 2015 (estimated)
  4. Study completionSep 2015 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
124 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01619046
Sponsor's protocol ID
GreenGeneF_P3
Status last verified
Jul 2014
First submitted
31 May 2012
Last updated
3 Jul 2014
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing GreenGene™ F and an approved recombinant Factor VIII product and GreenGene™ F in people with Hemophilia A, run by Green Cross Corporation at 34 sites in 7 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 17 inclusion and 21 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 3 Jul 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 34 sites in United States, United Kingdom, Ukraine, Russia, Canada and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Kevin Wait (540-649-5490, kwait@atlanticresearchgroup.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of subject with development of inhibitors (time frame: evert 3 months, up to 18 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Jul 2014.

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