The primary objectives of the study are to evaluate the Pharmacokinetics,Safety and tolerability of PEG Recombinant Human Coagulation Factor VIII-Fc Fusion Protein for Injection (FRSW117) in patients with severe hemophilia A. The secondary objectives are to monitor anti-durg antibodies and anti-PEG antibodies levels in patients with severe hemophilia A
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
13
Nanfang Hospital of Southern Medical University
Guangzhou, Guangzhou, China
People's Hospital of Zhengzhou
Zhengzhou, Henan, China
Jinan central hospital
Jinan, Shandong, China
Institute of Hematology & Blood Diseases Hospital Chinese Academy of Medical Sciences & Peking Union Medical College.
Tianjin, Tianjin Municipality, China
Cmax from time 0 to the last data point for FRSW117 Measured by One-Stage Clotting Assay.
Maximum plasma activity during a dosing interval for participants.
Time frame: Pre-dose to 216 hours after the end of the infusion for Arm1; Pre-dose to 288 hours after the end of the infusion for Arm2
Arm1 - T½ from time 0 to the last data point for FRSW117 Measured by One-Stage Clotting Assay.
Time required for the activity of the drug to reach half of its original value for participants.
Time frame: Pre-dose to 216 hours after the end of the infusion for Arm1; Pre-dose to 288 hours after the end of the infusion for Arm2
Arm1 - CL from time 0 to the last data point for FRSW117 Measured by One-Stage Clotting Assay.
Rate at which the body removes the drug, measured as the volume of the plasma cleared of drug per unit time per unit weight for participants.
Time frame: Pre-dose to 216 hours after the end of the infusion for Arm1; Pre-dose to 288 hours after the end of the infusion for Arm2
Arm1 - MRT from time 0 to the last data point for FRSW117 Measured by One-Stage Clotting Assay.
The average time that a drug molecule is present in the systemic circulation for participants.
Time frame: Pre-dose to 216 hours after the end of the infusion for Arm1; Pre-dose to 288 hours after the end of the infusion for Arm2
Arm1 - Incremental recovery from time 0 to the last data point for FRSW117 Measured by One-Stage Clotting Assay.
The rise in FVIII activity in IU/dL per unit dose administered in IU/kg for participants.
Time frame: Pre-dose to 216 hours after the end of the infusion forArm1; Pre-dose to 288 hours after the end of the infusion for Arm2
Arm1 - Cmax from time 0 to the last data point for ADVATE Measured by One-Stage Clotting Assay.
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Maximum plasma activity during a dosing interval for participants.
Time frame: Pre-dose to 72 hours after the end of the infusion for Arm1; Pre-dose to120 hours after the end of the infusion for Arm2
Arm1 - T½ from time 0 to the last data point for ADVATE Measured by One-Stage Clotting Assay.
Time required for the activity of the drug to reach half of its original value for participants.
Time frame: Pre-dose to 72 hours after the end of the infusion for Arm1; Pre-dose to120 hours after the end of the infusion for Arm2
Arm1 - CL from time 0 to the last data point for ADVATE Measured by One-Stage Clotting Assay.
Rate at which the body removes the drug, measured as the volume of the plasma cleared of drug per unit time per unit weight for participants.
Time frame: Pre-dose to 72 hours after the end of the infusion for Arm1; Pre-dose to120 hours after the end of the infusion for Arm2
Arm1 - MRT from time 0 to the last data point for ADVATE Measured by One-Stage Clotting Assay.
The average time that a drug molecule is present in the systemic circulation for participants.
Time frame: Pre-dose to 72 hours after the end of the infusion for Arm1; Pre-dose to120 hours after the end of the infusion for Arm2
Arm1 - Incremental recovery from time 0 to the last data point for ADVATE Measured by One-Stage Clotting Assay.
The rise in FVIII activity in IU/dL per unit dose administered in IU/kg for participants.
Time frame: Pre-dose to 72 hours after the end of the infusion for Arm1; Pre-dose to120 hours after the end of the infusion for Arm2
Number of participants with treatment-emergent adverse events (TEAEs).
Adverse events in the study were classified and evaluated according to the National Cancer Institute's Common Terminology for Adverse Events (NCI CTCAE V5.0).
Time frame: assessed up to four weeks after FRSW117 administration.
Evaluation of the level of anti-PEG-rFⅧFc antibody production in participants
Time frame: assessed up to four weeks after FRSW117 administration.
Evaluation of the level of anti-PEG antibody production in participants
Time frame: assessed up to four weeks after FRSW117 administration.
Number of participants with inhibitor development.
Number of participants who developed a positive FVIII inhibitor level (≥0.6 Bethesda unit \[BU\]) during the study was summarized and classified as participants developing low titer inhibitor (i.e. ≤ 5.0 BU) and participants developing high titer inhibitor (i.e. \> 5.0 BU).
Time frame: assessed up to four weeks after FRSW117 administration.