This study was divided into four stages: screening period, main trial period, extension period and follow-up period. In the main trial, both groups received FRSW107 prophylactic therapy. The recommended initial dose of prophylactic administration was 50 IU/kg, the dose range was 25 to 50 IU/kg, and the recommended frequency of administration was once every three days (Q3D). The dose range could be adjusted according to the patient's response. The main trial period was prophylaxis up to ≥50 exposure days (EDs) and ≥6 months. The investigator may adjust the dose according to the clinical efficacy of the subjects (the occurrence of bleeding and its clinical manifestations) and the concentration of FⅧ valley according to the following principles. If necessary, the investigator may adjust the dosing interval according to the clinical efficacy of the subject (the occurrence of bleeding and its clinical manifestations) and the concentration of FⅧ. Investigators are advised to inform sponsors or their research partners when adjusting doses and dosing intervals during prophylaxis. After participants completed prophylaxis until ≥50EDs and ≥6 months, participants' willingness and investigator evaluation were used to decide whether to enter the extended trial. All subjects entering the extended phase continued with the original prophylactic regimen until 100EDs was dosed. During the main trial period and the extended preventive treatment period, if the subjects have breakthrough bleeding events requiring treatment, hemostatic treatment of breakthrough bleeding with investigational drugs can be performed. The researchers can refer to the treatment guidance for different degrees of bleeding in Table 6-1. Taking into account the subject's prophylactic dose, severity of bleeding, site and extent of bleeding, clinical status, and previous PK results (if any), the investigator determines the appropriate dose to administer (recommended dose range: 25 to 50 IU/kg) and dosing times until the investigator assessed significant control of bleeding episodes (e.g. reduction of pain and swelling) or return to pre-bleeding activity. If the bleeding episode stops, the subject will continue with the same dose and frequency of prophylactic medication as before the bleeding episode.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
76
experimental:Q3D.≥50EDs, Expansion phase:Q3D.100EDs
Children's Hospital Affiliated to Chongqing Medical University
Chongqing, China
Guangzhou Women and Children Medical Center
Guangzhou, China
Nanfang Hospital, Southern Medical University
Guangzhou, China
Affiliated Hospital of Guizhou Medical University
Guizhou, China
Children's Hospital, Zhejiang University School of Medicine
Hangzhou, China
Anhui Children's Hospital
Hefei, China
The Second Affiliated Hospital of Anhui Medical University
Hefei, China
Nanjing Children's Hospital
Nanjing, China
Affiliated Hospital of Qingdao University
Qingdao, China
Shenzhen Children's Hospital
Shenzhen, China
...and 3 more locations
ABR
Number of bleeding during the treatment period/(Number of treatment days /365.25)
Time frame: 1year
AJBR
annual rate of spontaneous joint bleeding and annual rate of traumatic joint bleeding
Time frame: 1year
AE/ADR
Frequency and severity of all AE/ADR and SAE/SAR
Time frame: 1year
Incidence of positive FⅧ inhibitor
Bethesda method improved by Nijmegen was adopted. Generally, the titers of 20.6 BU/ml were positive for two tests within 1-4 weeks. In addition to the screening period, FV1 inhibitor detection results 137/137Scheme number: SS-107-11103 ConfidentialVersion number: 4.0 Version Date: 07H August 2023The titer was 20.6 BU/ml, and retesting was scheduled within 1-4 weeks. At any visit, a minimum 72-hour FV1 washout period was required before collection of inhibitor test samples.
Time frame: 1year
Cmax
Cmax
Time frame: 1year
Tmax
Tmax
Time frame: 1year
FⅧ activity
FⅧ activity drops to 10%, 5%, 3%, 1% time
Time frame: 1year
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