Congenital deficiency of factor XIII (FXIII) is an extremely rare inherited disorder associated with potentially life-threatening bleeding. Factor XIII Concentrate is given to patients whose blood is lacking factor XIII. Factor XIII Concentrate works by assisting blood in the usual clotting process, thereby preventing bleeding. In this study, patients will be treated with FXIII Concentrate (Human) and followed closely to determine that they receive the dose that will best minimize the chance of bruising and bleeding.
Study Type
INTERVENTIONAL
Allocation
NA
Masking
NONE
Enrollment
41
Doses will be guided by the individual subject's most recent FXIII activity levels, with the objective of dosing every 28 days to maintain a trough FXIII activity level of approximately 5 to 20%. Subjects enrolled in this study who did not complete the pharmacokinetic study (Factor XIII Study BI71023\_2002 \[NCT00883090\]) will initially receive FXIII Concentrate (Human) at a dose of 40 U/kg by intravenous (IV) infusion.
Study Site
Dothan, Alabama, United States
Study Site
Oakland, California, United States
The Incidence of Spontaneous Bleeding Events Requiring Treatment (Treatment is Defined as Administration of a FXIII-Containing Product to Treat the Bleeding Event)
The number of subjects requiring treatment with a Factor XIII-containing product to treat a spontaneous bleeding event.
Time frame: Up to week 52
Association of the Incidence of Spontaneous Bleeding Events Requiring Treatment and FXIII Activity Trough Levels
P-value determined from Generalized Estimating Equation (GEE) model parameter estimates with bleeding as the response variable and FXIII activity trough level as the explanatory variable.
Time frame: 12 months
Adverse Events
Number of subjects with any treatment-emergent adverse event (AE), treatment-related AE or serious AE (SAE). Treatment related AEs are defined as AEs whose relationship to study treatment is related, or possibly related, and AEs with missing relationship.
Time frame: 12 months
Peak FXIII Concentration at Steady State
Time frame: At 12, 24, 36 and 48 weeks: at 30 and 60 minutes after the end of the infusion.
Trough FXIII Concentration at Steady State
Time frame: At 12, 24, 36 and 48 weeks: immediately before infusion.
Time to Peak Concentration
Time frame: At 12, 24, 36 and 48 weeks: immediately before infusion, then at 30 and 60 minutes after the end of the infusion.
Incremental Recovery
Incremental recovery (U/mL/U/kg) is defined as maximum (peak) FXIII activity (U/mL) obtained after infusion, per dose of (U/kg) infusion.
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Study Site
Orange, California, United States
Study Site
San Francisco, California, United States
Study Site
Stockton, California, United States
Study Site
Hartford, Connecticut, United States
Study Site
Fort Meyers, Florida, United States
Study
Miami, Florida, United States
Study Site
Boise, Idaho, United States
Study Site
South Bend, Indiana, United States
...and 13 more locations
Time frame: At 12, 24, 36 and 48 weeks: immediately before infusion, then at 30 and 60 minutes after the end of the infusion.
Achievement of Trough Factor XIII Levels of 5% or Higher.
Number of subjects with Factor XIII level ≥ 5% before infusion at Week 12, Week 24, Week 36 and Week 48.
Time frame: At 12, 24, 36 and 48 weeks: immediately before infusion.