The purpose of this study is to describe the pharmacokinetics (PK) of BAY94-9027(the test drug). Pharmacokinetics means that we will measure how well the study drug corrects the factor VIII levels in your blood and how long it takes for the levels to fall back to your baseline level. The study is also designed to determine if the pharmacokinetics of BAY94-9027 change following repeat dosing over 8 weeks, determine if BAY94-9027 is safe, tolerable, and effective for the treatment of severe hemophilia A and define the appropriate dose of BAY94-9027. Two doses of BAY94-9027 will be studied. The first 8 subjects enrolled in the study (cohort 1) will receive a low dose (25 IU/kg) and will be treated 2 days a week for 8 weeks (total of 16 doses). The second 8 subjects (cohort 2) will receive a higher dose and will be treated 1 day a week for 8 weeks (total 8 doses). All subjects will receive a single dose of rFVIII (Bayer Kogenate FS) to determine the PK by measuring blood levels for 2 days before they start the study drug BAY94-9027. Factor VIII blood levels for BAY94-9027 will be measured for 7 days after the first and last dose to see describe the PK. Safety \& tolerability assessment include vital signs, coagulation and hematological parameter, clinical chemistry, measurement of FVIII inhibitor and polyethylene glycol (PEG) antibodies will be done during the course of the study.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
14
Single dose of Kogenate FS and 16 doses of BAY94-9027 given 2 times a week for 8 weeks. Both drugs to be given intravenously.
Single dose of Kogenate FS and 9 doses of BAY94-9027 given once a week for 8 weeks. Both drugs to be given intravenously.
Unnamed facility
Davis, California, United States
Unnamed facility
Boston, Massachusetts, United States
Unnamed facility
Minneapolis, Minnesota, United States
Unnamed facility
Syracuse, New York, United States
Safety as assessed by measuring immunogenicity
Antibodies to FVIII, polyethylene glycol (PEG) and BAY94-9027
Time frame: Up to 8 weeks
Adverse events collection
Time frame: Up to 8 weeks
Area under the plasma concentration vs time curve from time 0 to the last data point (AUC0-tlast)
Time frame: Up to 8 weeks
Area under the plasma concentration vs time curve from zero to infinity after single (first) dose (AUC0-inf)
Time frame: Up to 8 weeks
Maximum drug concentration in plasma (Cmax)
Time frame: Up to 8 weeks
Half-life associated with the terminal slope (t1/2)
Time frame: Up to 8 weeks
Time to reach maximum drug concentration in plasma after single (first) dose (Tmax)
Time frame: Up to 8 weeks
Mean residence time (MRT)
Time frame: Up to 8 weeks
Total body clearance (CL)
Total body clearance of drug from plasma (volume/time) or (volume/time/body weight) or ((volume/time)\*(1.73/body surface area)) calculated after intravenous administration
Time frame: Up to 8 weeks
Apparent volume of distribution at steady state (Vss)
Based on the chromogenic, one-stage and PEG capture assays
Time frame: Up to 8 weeks
Incremental recovery of FVIII
Recovery was assessed using two different assays (chromogenic and one-stage assay)
Time frame: Up to 8 weeks
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