Hemophilia A is an inherited blood disorder in which one protein, Factor VIII, needed to form blood clots is missing or not present in sufficient levels. Hemophilia A causes the clotting process to be slowed and the person experiences bleeds causing serious problems that could lead to disability. The current standard treatment for severe hemophilia A is infusion of FVIII to stop bleeding, or regular scheduled treatment to prevent bleeds from occuring. Due to the short half-life of FVIII, prophylaxis may require treatment as often as every other day. In this trial safety and efficacy of a long-acting recombinant Factor VIII molecule is being evaluated in 50 male subjects, \< 12 years of age, with severe Hemophilia A. These subjects will receive open label treatment with long-acting rFVIII for approximately 6 months (or longer until 50 exposure days) on a regular schedule at least once every 7-days. Doses and dose intervals may be adapted to the subject's clinical need. A second group of patients will receive open label treatment with the same drug for 12 weeks on a regular schedule of 2x/week. Patients will attend the treatment center for routine blood samples and will be required to keep an electronic diary. Subjects will be offered participation in an optional extension study to collect observations for at least an additional 50 exposure days.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
73
Study drug dosing was adjusted to the clinical needs of each subject in the range of 25-60 IU/kg/administration, intravenous infusion, at least 50 EDs and a minimum of at least 6 months
Twice per week prophylaxis: 25-60 IU/kg, intravenous infusion, for 12 weeks
Study drug dosing was adjusted to the clinical needs of each subject in the range of 25-60 IU/kg/administration, intravenous infusion, at least 50 additional EDs to achieve at least 100 cumulative EDs, or until marketing authorization of the drug
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Sacramento, California, United States
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Pensacola, Florida, United States
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Cincinnati, Ohio, United States
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Cleveland, Ohio, United States
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Columbus, Ohio, United States
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Hershey, Pennsylvania, United States
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Salt Lake City, Utah, United States
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La Plata, Buenos Aires, Argentina
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Vienna, Austria
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Ghent, Belgium
...and 27 more locations
Annualized number of all bleeds
Time frame: At least 50 exposure days (ED) over 6 months, on average 245 days
Pharmacokinetics profile of BAY94-9027 based on blood concentration over the defined time period
Pharmacokinetics profile includes maximum concentration (Cmax), half-life (t1/2), area under the concentration versus time curve (AUC), mean residence time (MRT), volume of distribution at steady state (Vss), and clearance (CL)
Time frame: Pre-dose to 72 hours post-dose
Response of acute bleeding events to treatment based on a 4-point scale (poor, moderate, good, or excellent)
Time frame: At least 50 exposure days (ED) over 6 months, on average 245 days
Characterization of a potential immune response
Time frame: 12 weeks
Inhibitor development in the extension study
Time frame: At least 50 additional EDs to achieve at least 100 cumulative EDs, on average 5 years
Inhibitor development in the main study
Time frame: After 10 to 15 and 50 exposure days (ED) over 6 months, on average 245 days
Assessment of incremental recovery in main study
Time frame: At least 50 exposure days (ED) over 6 months, on average 245 days
Number of participants with adverse events as a measure of safety and tolerability
Time frame: From the start of study treatment up to 7 days after the last dose (Main study: on average 245+7 days; Part 2: 12 weeks+7 days; Extension study: on average 5 years+7 days)
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