Primary objective • To assess the half-life of BIVV001, Standard Half-Life (SHL) rFVIII and Extended Half-Life (EHL) rFVIII after a single intravenous (IV) injection Secondary objectives * To characterize additional pharmacokinetic (PK) parameters of BIVV001, SHL rFVIII and EHL rFVIII after a single IV injection * To evaluate the safety and tolerability of a single IV injection of BIVV001
This is a Phase 1, single center, open-label, sequential treatment, 3-period fixed sequence study to assess PK profiles of BIVV001, SHL and EHL rFVIII after a single IV injection in male, previously treated patients, 18-65 years of age, with severe hemophilia A (defined as \<1 IU/dL \[\<1%\] endogenous FVIII). The expected duration of the study is up to approximately 67 days including * Screening and washout up to 28 days, * Advate® dosing, PK sampling, including washout: approximately 4 days, * Adynovi® dosing and PK sampling, including washout: approximately 7 days, * BIVV001 dosing and PK sampling: approximately 14 days, Remainder of Safety Observation Period: approximately 14 days.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
13
Solution for injection Intravenous
Solution for injection Intravenous
Solution for injection Intravenous
Investigational Site Number :1000001
Sofia, Bulgaria
Half-life of BIVV001
Time frame: BIVV001 period: Predose, and post-dose from 0.17 hr to 336 hr, and at day 28
Half-life of SHL rFVIII
Time frame: Advate® period: Predose, and post-dose from 0.17 hr to 72 hr
Half-Life of EHL rFVIII
Time frame: Adynovi® period: Predose, and post-dose from 0.17 hr to 120 hr
Assessment of pharmacokinetic (PK) parameter : maximum activity (Cmax)
Time frame: Predose of each period, 0.17 hr to 72 hr for Advate® ; 0.17 hr to 120 hr for Adynovi® ; 0.17 hr to 336 hr and at day 28 for BIVV001
Assessment of PK parameter : clearance (CL)
Time frame: Predose of each period, 0.17 hr to 72 hr for Advate® ; 0.17 hr to 120 hr for Adynovi® ; 0.17 hr to 336 hr and at day 28 for BIVV001
Assessment of PK parameter : volume of distribution at steady state (Vss)
Time frame: Predose of each period, 0.17 hr to 72 hr for Advate® ; 0.17 hr to 120 hr for Adynovi® ; 0.17 hr to 336 hr and at day 28 for BIVV001
Assessment of PK parameter : area under the activity time curve extrapolated to infinity (AUC∞)
Time frame: Predose of each period, 0.17 hr to 72 hr for Advate® ; 0.17 hr to 120 hr for Adynovi® ; 0.17 hr to 336 hr and at day 28 for BIVV001
Assessment of PK parameter : mean residence time (MRT)
Time frame: Predose of each period, 0.17 hr to 72 hr for Advate® ; 0.17 hr to 120 hr for Adynovi® ; 0.17 hr to 336 hr and at day 28 for BIVV001
Assessment of PK parameter : incremental recovery (IR)
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Time frame: Predose of each period, 0.17 hr to 72 hr for Advate® ; 0.17 hr to 120 hr for Adynovi® ; 0.17 hr to 336 hr and at day 28 for BIVV001
Number of participants with Adverse events (AE), serious AEs and treatment-emergent AEs (TEAEs)
Time frame: From Day 1 up to 28 days after administration of BIVV001 (total 39 days including Advate® and Adynovi® period)
Development of inhibitors (neutralizing antibodies directed against FVIII)
Number of participants with development of inhibitors
Time frame: Advate® period: Pre-dose; Adynovi® period: Pre-dose; BIVV001 period: Pre-dose and at day 14 and 28 after administration.