Hemophilia APhase 2/3NCT01736475
Study Investigating a PEGylated Recombinant Factor VIII (BAX 855) for Hemophilia A (PROLONG-ATE Study)
A Phase 2/3 study testing Antihemophilic Factor (Recombinant) - Plasma/Albumin Free Method and PEGylated Recombinant Factor VIII in people with Hemophilia A, run by Baxalta now part of Shire at 72 sites in 20 countries.
Trial summary
To assess efficacy and safety, including immunogenicity of BAX 855 administered as prophylaxis and as on-demand therapy in adult and adolescent (12-65 years) previously treated patients (PTPs) with severe hemophilia A To determine the pharmacokinetic (PK) parameters of BAX 855. Read more about this study
- Who is it for?
- Ages 12 to 65 years, men only
- Conditions the study is for
- Hemophilia A
- What is being tested?
- Antihemophilic Factor (Recombinant) - Plasma/Albumin Free Method and PEGylated Recombinant Factor VIII
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 159 participants
- Where
- 72 sitesin 20 countries
- Study dates
- 31 Jan 2013to 17 Jul 2014
- Phase
- Phase 2/3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 to 65 years
- Men only
- No healthy volunteers
- Child, Adult, Older adult
Main Inclusion Criteria:
- Participant and/or legal representative has/have voluntarily provided signed informed consent
- Participant is 12 to 65 years old at the time of screening
- Participant is male with severe hemophilia A (Factor VIII (FVIII) clotting activity < 1%) as confirmed by central laboratory at screening after the appropriate washout period or a documented FVIII clotting activity <1%
- Participant has been previously treated with plasma-derived FVIII concentrates or recombinant FVIII for ≥150 documented exposure days (EDs)
- Participant is currently receiving prophylaxis or on-demand therapy with FVIII
- Participant is willing and able to comply with the requirements of the protocol
Main Exclusion Criteria:
- Participant has detectable FVIII inhibitory antibodies (≥ 0.6 Bethesda Units (BU) using the Nijmegen modification of the Bethesda assay) as confirmed by central laboratory at screening
- Participant has history of FVIII inhibitory antibodies (≥ 0.4 BU using the Nijmegen modification of the Bethesda assay or ≥ 0.6 BU using the Bethesda assay) at any time prior to screening
- Participant has been diagnosed with an inherited or acquired hemostatic defect other than hemophilia A (eg, qualitative platelet defect or von Willebrand's disease).
Trial locations and contacts
72 sites in 20 countries.
72 sites in 20 countries
United States17 sites
Children's Healthcare of Atlanta
Atlanta, Georgia, 30322
University of Colorado
Aurora, Colorado, 80045
University of North Carolina Chapel Hill
Chapel Hill, North Carolina, 27599
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, 45229
The Cleveland Clinic Foundation
Cleveland, Ohio, 44195
Palmetto Health
Columbia, South Carolina, 29203
Duke University Medical Center
Durham, North Carolina, 27710
University of Florida, College of Medicine
Gainesville, Florida, 32610
Penn State Milton S. Hershey Medical Center
Hershey, Pennsylvania, 17033
Children's Mercy Hospitals & Clinics
Kansas City, Missouri, 66211
University of Kentucky Medical Center
Lexington, Kentucky, 40504
University of Louisville Hospital
Louisville, Kentucky, 40202
Tulane University Medical School
New Orleans, Louisiana, 70124
Weill Cornell Medical College-New York Presbyterian Hospital
New York, New York, 10065
Bleeding and Clotting Disorders Institute
Peoria, Illinois, 61614
University of Utah Health Sciences Center
Salt Lake City, Utah, 84132
Puget Sound Blood Group
Seattle, Washington, 98104
Japan8 sites
Hiroshima University Hospital
Hiroshima, Hiroshima, 734-8551
Nara Medical University Hospital
Kashihara-shi, Nara, 634-8522
St. Marianna University School of Medicine Hospital
Kawasaki-shi, Kanagawa, 216-8511
University of Occupational and Environmental Health Hospital
Kitakyushu-shi, Fukuoka, 807-8556
Nagoya University Hospital
Nagoya, Aichi-ken, 466-8560
Hyogo College of Medicine Hospital
Nishinomiya-shi, Hyōgo, 663-8501
Tokyo Medical University Hospital
Shinjuku-ku, Tokyo-To, 160-0023
Ogikubo Hospital
Suginami-ku, Tokyo-To, 167-8515
United Kingdom7 sites
Bristol Royal Hospital for Children
Bristol, Avon, BS2 8BJ
Leicester Royal Infirmary
Leicester, Leicestershire, LE1 5WW
Royal Free Hospital
London, Greater London, NW3 2QG
St Thomas' Hospital
London, Greater London, SE1 7EH
Manchester Royal Infirmary
Manchester, Greater Manchester, M13 9WL
Royal Manchester Children's Hospital
Manchester, Greater Manchester, M13 9WL
Churchill Hospital
Oxford, Oxfordshire, OX3 7LJ
South Korea5 sites
Pusan National University Hospital
Busan, 602-739
Eulji University Hospital
Daejeon, 302-120
Chonnam National University Hwasun Hospital
Hwasun, Jeollanam-do, 519-763
Kyung hee University Hospital at Gangdong
Seoul, 134-727
Ulsan University Hospital
Ulsan, 682-714
Australia4 sites
Royal Adelaide Hospital
Adelaide, South Australia, 5000
The Alfred Hospital
Clayton, Victoria, 3168
Fremantle Hospital
Fremantle, Western Australia, 6160
Hollywood Specialist Centre
Nedlands, Western Australia, 6009
Germany4 sites
Vivantes Klinikum im Friedrichshain - Landsberger Allee
Berlin, 10249
Gerinnungszentrum Rhein-Ruhr
Duisburg, North Rhine-Westphalia, 47051
Universitaetsklinikum Hamburg-Eppendorf
Hamburg, 20246
Werlhof-Institut MVZ
Hanover, 30159
Spain4 sites
Complejo Hospitalario Universitario A Coruña
A Coruña, La Coruña, 15006
Hospital Regional Universitario de Malaga
Málaga, Málaga, 29010
Hospital Universitari Son Espases
Palma de Mallorca, Balearic Islands, 07010
Hospital Universitari i Politecnic La Fe
Valencia, 46026
Czechia3 sites
Fakultni nemocnice Brno
Brno, 61300
Fakultni nemocnice Olomouc
Olomouc, 775 20
Fakultni nemocnice v Motole
Prague, 150 06
Malaysia3 sites
Hospital Pulau Pinang
George Town, Pulau Pinang, 10990
Hospital Tengku Ampuan Rahimah
Klang, Selangor, 41200
Pusat Darah Negara
Kuala Lumpur, 50400
Austria2 sites
Landes-Frauen-und Kinderklinik Linz
Linz, 4020
AKH - Medizinische Universität Wien
Vienna, 1090
Israel2 sites
Rambam Health Care Campus
Haifa, 3109601
Chaim Sheba Medical Center
Tel Aviv, 64239
Lithuania2 sites
Vilnius University Hospital Santariskiu Clinics, Public Institution
Vilnius, 08661
Children's Hospital, Affiliate of Vilnius University Hospital Santariskiu Klinikos
Vilnius, LT-08406
Poland2 sites
Uniwersyteckie Centrum Kliniczne
Gdansk, 80-952
Wojewodzki Szpital Specjalistyczny im.M.Kopernika w Lodzi
Lodz, 93-510
Sweden2 sites
Skånes Universitetssjukhus, Malmö
Malmö, 20502
Karolinska Universitetssjukhuset, Solna
Stockholm, 17176
Ukraine2 sites
SI V.K.Gusak Emergency and Reconstructive Surgery Institute of NAMSU Center of IT
Donetsk, 83045
SI Institute of Blood Pathology and Transfusion Medicine of NAMSU
Lviv, 79044
About this study
Official title: A Phase 2/3, Multi-Center, Open Label Study of Efficacy, Safety, and Pharmacokinetics of PEGylated Recombinant Factor VIII (BAX 855) Administered for Prophylaxis and Treatment of Bleeding in Previously Treated Patients With Severe Hemophilia A
To assess efficacy and safety, including immunogenicity of BAX 855 administered as prophylaxis and as on-demand therapy in adult and adolescent (12-65 years) previously treated patients (PTPs) with severe hemophilia A To determine the pharmacokinetic (PK) parameters of BAX 855.
- Conditions
- Hemophilia A
- Being tested
- Antihemophilic Factor (Recombinant) - Plasma/Albumin Free Method, PEGylated Recombinant Factor VIII
- Medical subject headings
- Hemophilia A
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Antihemophilic Factor (Recombinant) - Plasma/Albumin Free MethodBiological
Also called ADVATE
Pharmacokinetic (PK) evaluation of ADVATE
PEGylated Recombinant Factor VIIIBiological
Also called BAX 855
Pharmacokinetic (PK) evaluation of BAX 855
PEGylated Recombinant Factor VIIIBiological
Also called BAX 855
Prophylaxis treatment
PEGylated Recombinant Factor VIIIBiological
Also called BAX 855
On-demand treatment
| Study group | Role | What they receive |
|---|---|---|
| Prophylaxis | Experimental | Not described Receives: Biological: Antihemophilic Factor (Recombinant) - Plasma/Albumin Free Method; Biological: PEGylated Recombinant Factor VIII |
| On-demand | Experimental | Not described Receives: Biological: PEGylated Recombinant Factor VIII |
What is being measured
The primary outcome is the main question the study is designed to answer.
Annualized Bleeding Rate (ABR)
Comparisons between prophylactic and on-demand treatment were based on ABR estimates from a negative binomial regression model, taking into account the treatment regimen, target joints and age at screening, and duration of the observation period for efficacy.
Measured: 9 months
Secondary outcomes (30)
Rate of Success of BAX 855 for Treatment of Bleeding Episodes
Success in the control of bleeding was defined as a rating of excellent or good using the Efficacy Rating Scale for Treatment of Bleeding Episodes measured 24 hours after initiation of treatment for the bleeding episode. EXCELLENT: Full relief of pain and cessation of objective signs of bleeding (eg, swelling, tenderness, and decreased range of motion in the case of musculoskeletal hemorrhage) after a single infusion. No additional infusion is required for the control of bleeding. Administration of further infusions to maintain hemostasis would not affect this scoring. GOOD: Definite pain relief and/or improvement in signs of bleeding after a single infusion. Possibly requires more than 1 infusion for complete resolution. FAIR: Probable and/or slight relief of pain and slight improvement in signs of bleeding after a single infusion. Required more than 1 infusion for complete resolution. NONE: No improvement or condition worsens.
Measured: At least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm and 6 months (± 2 weeks) for the on-demand arm.
Average Number of BAX 855 Infusions Needed for the Treatment of Bleeding Episodes
Measured: From first exposure to BAX 855 until the end of the study, [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm; and 6 months (± 2 weeks) for the on-demand arm].
Number of Participants With ≤1, 2, 3, 4, 5, 6, or >6 Month Time Intervals Between Bleeding Episodes or no Bleeding Episodes
Interval between Bleeds in months was calculated as: Observation period for efficacy (in days)/(number of bleeds)*(12/365.2425)
Measured: From first exposure to BAX 855 until the end of the study, [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm; and 6 months (± 2 weeks) for the on-demand arm].
Weight-adjusted Consumption of BAX 855 - Per Prophylactic Infusion and Pharmacokinetic (PK) Infusion
Measured: Prophylactic Infusion: ≥50 exposure days or 6 months (±2 weeks), whichever occurs last. PK Infusion: PK #1 Pre-infusion within 30 minutes; Post-infusion 10 min, and 0.5, 1, 3, 6, 24, 32, 48, 56 hours (h). PK #2 also at Post-infusion 96h
Weight-adjusted Consumption of BAX 855 - Per Treatment of Bleeding Episode (BE) and Per BE for Maintenance of Hemostasis
Infusions per bleeding episode for maintenance of hemostasis only includes infusions following the resolution of a bleed to maintain hemostasis.
Measured: Treatment of Bleeding Episode (BE): Minor/Moderate BE every 12 to 24 hours until bleeding is resolved; Major BE every 8 to 12 hours until bleeding is resolved. Per BE for Maintenance of Hemostasis: within 48 hours after bleeding episode resolution.
Percentage of Participants With Adverse Events
Adverse Events (AEs) and Serious Adverse Events (SAEs)
Measured: From first exposure to BAX 855 until the end of the study, [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm; and 6 months (± 2 weeks) for the on-demand arm].
Immunogenicity - Number of Participants With Positive Inhibitory Antibodies to FVIII, Binding Antibodies to FVIII, PEG-VIII, PEG and Anti-CHO Antibodies at Study Completion/Termination
Number of participants who received BAX855, with immunogenicity data from study completion/termination visit. FVIII = factor VIII; PEG-VIII = polyethylene glycol-factor VIII; Anti-CHO = Anti-Chinese hamster ovary
Measured: From first exposure to BAX 855 until the end of the study, [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm; and 6 months (± 2 weeks) for the on-demand arm].
Patient Reported Outcomes: Haemo-SYM Questionnaire, Change in Score From Baseline to End of Study
The HAEMO-SYM has two subscales: pain and bleeds. HAEMO-SYM subscale scores are calculated by taking the mean of the items in each subscale and transforming them to a 0 (none or absent) to 100 (very severe) scale. Given that higher scores indicate more severe symptoms on the Haemo-SYM and that the change scores were calculated as the value at study completion minus the value at baseline, a negative change score indicates an improvement (reduction in symptoms). Conversely, a positive change score indicates worsening symptoms.
Measured: Baseline; and end of study visit [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm and 6 months (± 2 weeks) for the on-demand arm].
Patient Reported Outcomes - Short Form (SF)-36, Change From Baseline to End of Study
Change from Baseline to End of Study for SF-36 Questionnaire is provided. Scores for individual SF-36 categories range from 0 to 100 with higher scores representing better health. Given that higher scores indicate better health-related quality of life (HRQoL) and that the change scores were calculated as the value at study completion minus the value at baseline, a negative change score indicates a worsening of HRQoL.
Measured: Baseline; and end of study visit [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm and 6 months (± 2 weeks) for the on-demand arm]
Pharmacokinetics (Pk) - Plasma Half-life (One-stage Clotting Assay)
Terminal half-life calculated as log_e2/λz where λz is the terminal elimination rate constant. Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).
Measured: Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Pharmacokinetics (Pk) - Mean Residence Time (One-stage Clotting Assay)
The mean residence time (MRT) w as calculated as total area under the moment curve divided by the total area under the curve starting from the begin of infusion (or the end of infusion if start time is not available). Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).
Measured: Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Pharmacokinetics (Pk) - Total Body Clearance (One-stage Clotting Assay)
Clearance in dL/(kg.h) will be calculated as the dose in IU/kg divided by the total area under the curve starting from the begin of infusion (or the end of infusion if start time is not available). Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).
Measured: Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Pharmacokinetics (Pk) - Incremental Recovery Over Time (One-stage Clotting Assay)
Incremental recovery (IR) in (IU/dL)/ (IU/kg) calculated as: IR = (Cmax- (C pre-infusion)) / (Dose/kg), where C =concentration. Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).
Measured: Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Pharmacokinetics (Pk) - Area Under the Concentration Versus Time Curve From 0 to Infinity (AUC0-∞) (One-stage Clotting Assay)
Calculated by WinNonlin NCA (Model 201, calculation method: Linear Trapezoidal Linear/Log Interpolation). Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).
Measured: Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Pharmacokinetics (Pk) - Apparent Volume of Distribution at Steady State (Vss) (One-stage Clotting Assay)
The apparent volume of distribution at steady state (Vss) will be calculated as: Vss = Clearance * Mean Residence Time. Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).
Measured: Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Pharmacokinetics (Pk) - Maximum Plasma Concentration (Cmax) (One-stage Clotting Assay)
Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).
Measured: Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Pharmacokinetics (Pk) -Time to Maximum Concentration in Plasma (Tmax) (One-stage Clotting Assay)
Tmax in hours will be defined as the time to reach Cmax. Participants in the pharmacokinetic full analysis set (PKFAS) analysis set received an initial infusion of ADVATE for pharmacokinetic analysis (PK-1) followed by a washout period and an infusion of BAX 855 for a second pharmacokinetic analysis (PK-2). After at least 50 EDs of BAX 855, participants in the PK subgroup received another infusion of BAX 855 for pharmacokinetic analysis (PK-3).
Measured: Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Change in Vital Signs From Screening - Temperature
Measured: Screening, week 2, week 4, exposure day 10-15, month 3, study completion/termination
Change in Vital Signs From Screening - Pulse Rate
Measured: Screening, week 2, week 4, exposure day 10-15, month 3, study completion/termination
Change in Vital Signs From Screening - Respiratory Rate
Measured: Screening, week 2, week 4, exposure day 10-15, month 3, study completion/termination
Changes in Vital Signs From Screening - Blood Pressure
Systolic Blood Pressure (SBP) Diastolic Blood Pressure (DBP)
Measured: Screening, week 2, week 4, exposure day 10-15, month 3, study completion/termination
Changes in Clinical Chemistry Laboratory Assessments From Screening - Albumin and Protein
Measured: Screening, week 2, week 4, month 3, study completion/termination
Changes in Clinical Chemistry Laboratory Assessments From Screening - Alkaline Phosphatase, Alanine Aminotransferase, Aspartate Aminotransferase
Alkaline Phosphatase (Alk Phos); Alanine Aminotransferase (Ala Amino); Aspartate Aminotransferase (Asp Amino)
Measured: Screening, week 2, week 4, month 3, study completion/termination
Changes in Clinical Chemistry Laboratory Assessments From Screening - Bicarbonate, Chloride, Glucose, Potassium, Sodium, Blood Urea Nitrogen (BUN)
Measured: Screening, week 2, week 4, month 3, study completion/termination
Changes in Clinical Chemistry Laboratory Assessments From Screening - Creatinine, and Bilirubin
Measured: Screening, week 2, week 4, month 3, study completion/termination
Changes in Hematology Laboratory Assessments From Screening - Basophils, Eosinophils, Lymphocytes, Monocytes, Neutrophils, Platelets, and Leukocytes
Measured: Screening, week 2, week 4, month 3, study completion/termination
Changes in Hematology Laboratory Assessments From Screening - Hematocrit
Measured: Screening, week 2, week 4, month 3, study completion/termination
Changes in Hematology Laboratory Assessments From Screening - Hemoglobin
Measured: Screening, week 2, week 4, month 3, study completion/termination
Changes in Hematology Laboratory Assessments From Screening - Erythrocytes
Measured: Screening, week 2, week 4, month 3, study completion/termination
Changes in Lipid Panel Assessments From Screening - Cholesterol; High Density Lipoprotein (HDL); Low Density Lipoprotein (LDL); Triglycerides; and Very Low Density Lipoprotein (VLDL)
Measured: Screening, week 2, week 4, month 3, study completion/termination
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Nov 2012 (estimated)
- Study start31 Jan 2013
- Primary completion17 Jul 2014
- Study completion17 Jul 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Hemophilia AStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2/3
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 159 participants (actual)
Sponsor and investigators
- Lead sponsor
- Baxalta now part of Shire
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Study Director, Study director, Takeda
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01736475
- Sponsor's protocol ID
- 261201
- Other IDs
- 2012-003599-38
- Status last verified
- Apr 2021
- First submitted
- 21 Nov 2012
- Last updated
- 20 May 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- Individual data sharing
- Yes: Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
Publications
Konkle BA, Stasyshyn O, Chowdary P, Bevan DH, Mant T, Shima M, Engl W, Dyck-Jones J, Fuerlinger M, Patrone L, Ewenstein B, Abbuehl B. Pegylated, full-length, recombinant factor VIII for prophylactic and on-demand treatment of severe hemophilia A. Blood. 2015 Aug 27;126(9):1078-85. doi: 10.1182/blood-2015-03-630897. Epub 2015 Jul 8.
PubMed 26157075
Study at a glance
From the registry record, last updated by the sponsor on 20 May 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2/3, Multi-Center, Open Label Study of Efficacy, Safety, and Pharmacokinetics of PEGylated Recombinant Factor VIII (BAX 855) Administered for Prophylaxis and Treatment of Bleeding in Previously Treated Patients With Severe Hemophilia A
- ClinicalTrials.gov ID
- NCT01736475
- Acronym / sponsor ID
- 261201
- Conditions
- Hemophilia A
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 159 participants (actual)
- Lead sponsor
- Baxalta now part of ShireIndustry (pharma, biotech, devices)
- Study start
- 31 Jan 2013 (actual)
- Primary completion
- 17 Jul 2014 (actual)
- Study completion
- 17 Jul 2014 (actual)
- First posted
- 29 Nov 2012 (estimated)
- Results
- Posted 7 Sep 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To assess efficacy and safety, including immunogenicity of BAX 855 administered as prophylaxis and as on-demand therapy in adult and adolescent (12-65 years) previously treated patients (PTPs) with severe hemophilia A To determine the pharmacokinetic (PK) parameters of BAX 855.
Study design
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Prophylaxis | Experimental | Biological: Antihemophilic Factor (Recombinant) - Plasma/Albumin Free Method, Biological: PEGylated Recombinant Factor VIII |
| On-demand | Experimental | Biological: PEGylated Recombinant Factor VIII |
Who may qualify
- Ages
- 12 to 65 years
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Antihemophilic Factor (Recombinant) - Plasma/Albumin Free MethodAlso: ADVATEPharmacokinetic (PK) evaluation of ADVATE | Biological | Prophylaxis |
| PEGylated Recombinant Factor VIIIAlso: BAX 855Pharmacokinetic (PK) evaluation of BAX 855 | Biological | Prophylaxis |
| PEGylated Recombinant Factor VIIIAlso: BAX 855Prophylaxis treatment | Biological | Prophylaxis |
| PEGylated Recombinant Factor VIIIAlso: BAX 855On-demand treatment | Biological | On-demand |
Primary outcome
Annualized Bleeding Rate (ABR)
Time frame: 9 months
Comparisons between prophylactic and on-demand treatment were based on ABR estimates from a negative binomial regression model, taking into account the treatment regimen, target joints and age at screening, and duration of the observation period for efficacy.
30 secondary outcomes
Rate of Success of BAX 855 for Treatment of Bleeding Episodes
Time frame: At least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm and 6 months (± 2 weeks) for the on-demand arm.
Average Number of BAX 855 Infusions Needed for the Treatment of Bleeding Episodes
Time frame: From first exposure to BAX 855 until the end of the study, [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm; and 6 months (± 2 weeks) for the on-demand arm].
Number of Participants With ≤1, 2, 3, 4, 5, 6, or >6 Month Time Intervals Between Bleeding Episodes or no Bleeding Episodes
Time frame: From first exposure to BAX 855 until the end of the study, [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm; and 6 months (± 2 weeks) for the on-demand arm].
Weight-adjusted Consumption of BAX 855 - Per Prophylactic Infusion and Pharmacokinetic (PK) Infusion
Time frame: Prophylactic Infusion: ≥50 exposure days or 6 months (±2 weeks), whichever occurs last. PK Infusion: PK #1 Pre-infusion within 30 minutes; Post-infusion 10 min, and 0.5, 1, 3, 6, 24, 32, 48, 56 hours (h). PK #2 also at Post-infusion 96h
Weight-adjusted Consumption of BAX 855 - Per Treatment of Bleeding Episode (BE) and Per BE for Maintenance of Hemostasis
Time frame: Treatment of Bleeding Episode (BE): Minor/Moderate BE every 12 to 24 hours until bleeding is resolved; Major BE every 8 to 12 hours until bleeding is resolved. Per BE for Maintenance of Hemostasis: within 48 hours after bleeding episode resolution.
Percentage of Participants With Adverse Events
Time frame: From first exposure to BAX 855 until the end of the study, [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm; and 6 months (± 2 weeks) for the on-demand arm].
Immunogenicity - Number of Participants With Positive Inhibitory Antibodies to FVIII, Binding Antibodies to FVIII, PEG-VIII, PEG and Anti-CHO Antibodies at Study Completion/Termination
Time frame: From first exposure to BAX 855 until the end of the study, [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm; and 6 months (± 2 weeks) for the on-demand arm].
Patient Reported Outcomes: Haemo-SYM Questionnaire, Change in Score From Baseline to End of Study
Time frame: Baseline; and end of study visit [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm and 6 months (± 2 weeks) for the on-demand arm].
Patient Reported Outcomes - Short Form (SF)-36, Change From Baseline to End of Study
Time frame: Baseline; and end of study visit [at least 50 exposure days or 6 months (±2 weeks), whichever occurs last, for the prophylaxis arm and 6 months (± 2 weeks) for the on-demand arm]
Pharmacokinetics (Pk) - Plasma Half-life (One-stage Clotting Assay)
Time frame: Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Pharmacokinetics (Pk) - Mean Residence Time (One-stage Clotting Assay)
Time frame: Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Pharmacokinetics (Pk) - Total Body Clearance (One-stage Clotting Assay)
Time frame: Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Pharmacokinetics (Pk) - Incremental Recovery Over Time (One-stage Clotting Assay)
Time frame: Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Pharmacokinetics (Pk) - Area Under the Concentration Versus Time Curve From 0 to Infinity (AUC0-∞) (One-stage Clotting Assay)
Time frame: Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Pharmacokinetics (Pk) - Apparent Volume of Distribution at Steady State (Vss) (One-stage Clotting Assay)
Time frame: Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Pharmacokinetics (Pk) - Maximum Plasma Concentration (Cmax) (One-stage Clotting Assay)
Time frame: Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Pharmacokinetics (Pk) -Time to Maximum Concentration in Plasma (Tmax) (One-stage Clotting Assay)
Time frame: Within 30 minutes prior to start of infusion; and post-infusion at 10, 30 minutes, and 1, 3, 6, 9, 24, 32, 48, 56, 72 (PK2 and PK3 only), and 96 hours (PK2 and PK3 only).
Change in Vital Signs From Screening - Temperature
Time frame: Screening, week 2, week 4, exposure day 10-15, month 3, study completion/termination
Change in Vital Signs From Screening - Pulse Rate
Time frame: Screening, week 2, week 4, exposure day 10-15, month 3, study completion/termination
Change in Vital Signs From Screening - Respiratory Rate
Time frame: Screening, week 2, week 4, exposure day 10-15, month 3, study completion/termination
Changes in Vital Signs From Screening - Blood Pressure
Time frame: Screening, week 2, week 4, exposure day 10-15, month 3, study completion/termination
Changes in Clinical Chemistry Laboratory Assessments From Screening - Albumin and Protein
Time frame: Screening, week 2, week 4, month 3, study completion/termination
Changes in Clinical Chemistry Laboratory Assessments From Screening - Alkaline Phosphatase, Alanine Aminotransferase, Aspartate Aminotransferase
Time frame: Screening, week 2, week 4, month 3, study completion/termination
Changes in Clinical Chemistry Laboratory Assessments From Screening - Bicarbonate, Chloride, Glucose, Potassium, Sodium, Blood Urea Nitrogen (BUN)
Time frame: Screening, week 2, week 4, month 3, study completion/termination
Changes in Clinical Chemistry Laboratory Assessments From Screening - Creatinine, and Bilirubin
Time frame: Screening, week 2, week 4, month 3, study completion/termination
Changes in Hematology Laboratory Assessments From Screening - Basophils, Eosinophils, Lymphocytes, Monocytes, Neutrophils, Platelets, and Leukocytes
Time frame: Screening, week 2, week 4, month 3, study completion/termination
Changes in Hematology Laboratory Assessments From Screening - Hematocrit
Time frame: Screening, week 2, week 4, month 3, study completion/termination
Changes in Hematology Laboratory Assessments From Screening - Hemoglobin
Time frame: Screening, week 2, week 4, month 3, study completion/termination
Changes in Hematology Laboratory Assessments From Screening - Erythrocytes
Time frame: Screening, week 2, week 4, month 3, study completion/termination
Changes in Lipid Panel Assessments From Screening - Cholesterol; High Density Lipoprotein (HDL); Low Density Lipoprotein (LDL); Triglycerides; and Very Low Density Lipoprotein (VLDL)
Time frame: Screening, week 2, week 4, month 3, study completion/termination
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 May 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 26157075Konkle BA, Stasyshyn O, Chowdary P, Bevan DH, Mant T, Shima M, Engl W, Dyck-Jones J, Fuerlinger M, Patrone L, Ewenstein B, Abbuehl B. Pegylated, full-length, recombinant factor VIII for prophylactic and on-demand treatment of severe hemophilia A. Blood. 2015 Aug 27;126(9):1078-85. doi: 10.1182/blood-2015-03-630897. Epub 2015 Jul 8.
- Individual participant dataSharing planned: Yes. Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Study Director study director
Takeda
72 sites in 20 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing Antihemophilic Factor (Recombinant) - Plasma/Albumin Free Method and PEGylated Recombinant Factor VIII in people with Hemophilia A, run by Baxalta now part of Shire at 72 sites in 20 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
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: finished, as of the sponsor's last update on 20 May 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 72 sites in United States, Japan, United Kingdom, South Korea, Australia and 15 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 combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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?
Yes. Results are posted in the registry (first posted 7 Sep 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Annualized Bleeding Rate (ABR) (time frame: 9 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01736475, which also lists 1 linked publication.
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 20 May 2021.