This study has been transitioned to CTIS with ID 2023-508929-27-00 check the CTIS register for the current data. -To evaluate the long-term safety of BIVV001 in previously treated patients with hemophilia A.-To evaluate the efficacy of BIVV001 as a…
ID
Source
Brief title
Condition
- Coagulopathies and bleeding diatheses (excl thrombocytopenic)
- Blood and lymphatic system disorders congenital
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The occurrence of inhibitor development (neutralizing antibodies directed
against FVIII)
Secondary outcome
- Annualized bleeding rate (ABR), ABR by type of bleed and ABR by location of
bleed
- Percentage of participants who maintain FVIII activity above prespecified
levels
- Number of injection and dose of BIVV001 to treat a bleeding episode
- Percentage of bleeding episodes treated with a single injection of BIVV001
- Assessment of response to BIVV001 treatment of individual bleeding episodes
- Physician*s global assessment of the participant*s response based on BIVV001
treatment
- Total annualized BIVV001 consumption
- Annualized Joint Bleeding Rate (AJBR)
- Target joint resolution
- Change in Hemophilia Joint Health Score (HJHS) total score and domain scores
- Changes in Haemophilia Quality of Life Questionnaire (Haemo-QoL) total score
and physical health domain scores from baseline to end of study for maximum 4
years
- Investigators* or Surgeons* assessment of participant*s hemostatic response
to BIVV001 treatment
- Number of injections and dose to maintain hemostasis during perioperative
period for major surgery
- Total BIVV001 consumption during perioperative period for major surgery
- Number of blood component transfusions used during perioperative period for
major surgery
- Type of blood component transfusions used during perioperative period for
major surgery
- Estimated blood loss during perioperative period for major surgery
- Number of participants with occurence of adverse events (AEs) and serious
adverse events (SAEs)
- Number of participants with occurrence of embolic and thrombotic events
- PK parameter: Maximum activity (Cmax), elimination half-life (t1/2), total
clearance (CL), total clearance at steady state (CLss), dose-normalized area
under the activity-time curve (DNAUC), area under the activity time curve
(AUC), volume of distribution at steady state (Vss), mean residence time (MRT),
incremental recovery (IR), trough activity (Ctrough), time above predefined
FVIII activity levels
Background summary
Hemophilia A is a congenital X-linked bleeding disorder that occurs
predominantly in males and is characterized by deficiency of functional FVIII.
Individuals with severe hemophilia experience frequent bleeding episodes into
major joints, soft tissue, and muscle, either spontaneously or following minor
trauma. The disease can be acutely life-threatening. Repeated bleeding can lead
to debilitating long-term complications, including hemophilic arthropathy from
bleeding into the joints. BIVV001 is designed to be a new class of blood
clotting FVIII. Preclinical and clinical experience indicate that BIVV001 has
an extended half-life, which can achieve and maintain higher sustained factor
activity levels than currently available treatments, with less frequent
administration.
Study objective
This study has been transitioned to CTIS with ID 2023-508929-27-00 check the CTIS register for the current data.
-To evaluate the long-term safety of BIVV001 in previously treated patients
with hemophilia A.
-To evaluate the efficacy of BIVV001 as a prophylaxis treatment.
Study design
Phase 3, open label, long-term safety and efficacy, 3 treatment arms (A, B and
C)
Intervention
Weekly administration (intravenous) of BIVV001 for a maximum period of 4 years.
Study burden and risks
The risks are related to the blood sampling and possible side effects of the
study drug.
Paasheuvelweg 25
Amsterdam 1105BP
NL
Paasheuvelweg 25
Amsterdam 1105BP
NL
Listed location countries
Age
Inclusion criteria
For Arm A
- Ability to understand the purpose and risks of the study and provide signed
and dated
informed consent and authorization to use protected health information (PHI) in
accordance with national and local participant privacy regulations. Parents or
legal
guardians* consent is required for participants who are <18 years of age or
unable to give
consent, or as applicable per local laws. Participants who are <18 years of age
may provide
assent in addition to the parents/legal guardians consent, if appropriate.
- Participants who have completed the studies EFC16923, EFC16925, Arm B or Arm
C of
the current study, or any other potential BIVV001 study.
- Male or female: Contraceptive use by men or women should be consistent with
local regulations regarding the methods of contraception for those
participating in clinical studies.
- Willingness and ability of the participant or surrogate (a caregiver or a
family member
>=18 years of age) to continue use of the study ePD throughout the study.
For Arm C
- Participants who have severe hemophilia A, defined as <1 IU/dL (<1%)
endogenous FVIII
activity as documented either by central laboratory testing at screening or in
historical
medical records from a clinical laboratory demonstrating <1% FVIII coagulant
activity
(FVIII:C) or a documented genotype known to produce severe hemophilia A.
- Previous treatment for hemophilia A (prophylaxis or on-demand) with any
recombinant
and/or plasma-derived FVIII, or cryoprecipitate for at least 150 EDs or 50 EDs
for
participants aged <6 years.
- Platelet count >=100 000 cells/µL at screening.
- Weight above or equal to 10 kg.
Arm B is only applicable for China
Exclusion criteria
- History of hypersensitivity or anaphylaxis associated with any FVIII product.
- History of a positive inhibitor (to FVIII) test defined as >=0.6 BU/mL, or any
value greater than or equal to the lower sensitivity cut-off for laboratories
with cut-offs for inhibitor detection between 0.7 and 1.0 BU/mL, or clinical
signs or symptoms of decreased response to FVIII administrations. Family
history of inhibitors will not exclude the participant.
- Positive inhibitor test result, defined as >=0.6 BU/mL at Screening. Any
concurrent clinically significant liver disease.
- Serious active bacterial, fungal, or viral infection.
- Other known coagulation disorder(s) in addition to hemophilia A.
- Abnormal renal function or significant liver disease.
Design
Recruitment
Kamer G4-214
Postbus 22660
1100 DD Amsterdam
020 566 7389
mecamc@amsterdamumc.nl
Kamer G4-214
Postbus 22660
1100 DD Amsterdam
020 566 7389
mecamc@amsterdamumc.nl
Kamer G4-214
Postbus 22660
1100 DD Amsterdam
020 566 7389
mecamc@amsterdamumc.nl
Kamer G4-214
Postbus 22660
1100 DD Amsterdam
020 566 7389
mecamc@amsterdamumc.nl
Kamer G4-214
Postbus 22660
1100 DD Amsterdam
020 566 7389
mecamc@amsterdamumc.nl
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
Register | ID |
---|---|
EU-CTR | CTIS2023-508929-27-00 |
EudraCT | EUCTR2020-002215-22-NL |
CCMO | NL75430.018.21 |