Skip to main content
OpenTrials
Completed

NCT Number: NCT02571569

A Single Escalating Dose and Multiple Dose Study of BAY 1093884 in Subjects With Severe Hemophilia Types A or B, With or Without Inhibitors

Investigate the safety, tolerability and pharmacokinetics of BAY1093884 after Intravenous (IV) and subcutaneous (SC) administration of increasing single doses and SC administration of multiple doses.

Completed

Looking for future studies?

Notify Me

Key information

Age range

18 year–65 year

Sex eligibility

Male

Study type

Interventional

Phase

Phase 1

Primary location

Plovdiv, Bulgaria

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Males with severe congenital Hemophilia A or B defined as <1% FVIII or Factor IX (FIX) concentration by measurement at the time of screening or from reliable prior documentation
  • For subjects in Cohorts I-IV, I-SC1 and I-SC2; If history of inhibitors is evident, inhibitor titer of ≥5 Bethesda Units (BU) at screening or prior to screening at any time from medical records.
  • Age: 18 to 65 years of age at screening
  • Body mass index (BMI): 18 to 29.9 kg/m²

Exclusion criteria

  • Subjects with known bleeding disorders (such as von Willebrand factor [vWF] deficiency, FXI deficiency, platelet disorders, or known acquired or inherited thrombophilia etc.) other than congenital Hemophilia A or B with or without inhibitors
  • History of angina pectoris or treatment for angina pectoris
  • History of coronary and/or peripheral atherosclerotic disease, congestive heart failure, disseminated intravascular coagulopathy, or stage 2 hypertension defined as systolic blood pressure (SBP) ≥160 mmHg or diastolic blood pressure (DBP) ≥100 mmHg even if controlled
  • History of thrombophlebitis, venous / arterial thromboembolic diseases (particularly deep vein thrombosis, pulmonary embolism, stroke, myocardial infarction, cerebrovascular accident, ischemic heart disease, transient ischemic attack)
  • Known or suspected hypersensitivity of the immune system, history of anaphylactic reaction, known (clinically relevant) allergies, non-allergic drug reactions, or multiple drug allergies

Treatment and study plan

BAY1093884

Drug

Single escalating dose with a starting dose of 0.3 mg/kg for the first cohort. Drug will be administered via IV infusion over 1 hour and SC injection. Based on safety, PK and PD results the doses for the other cohorts will be determined.

Primary outcomes

  1. Number of participants (single dose cohors) with adverse events as measure of safety and tolerability

    Time frame: Up to 56 days

    Adverse events including abnormal laboratory findings and local injection site reactions

  2. Plasma levels of anti-BAY1093884 antibodies

    Time frame: Pre-dose, Day 14, 21,28, 43 and 56

  3. Plasma concentration of BAY1093884 characterized by AUC(0-tlast)

    Time frame: Day 0 [pre-dose (within 1 hour), at the end of infusion or injection (=1hr), 2hrs, 4hrs, 8hrs], Days 1, 3, 5, 7, 14, 21, 28, 43, and 56 (for cohorts 3, 4 and I-SC2, S-2, S-3) after the start of infusion

    AUC from time 0 to the last data point > LLOQ (lower limit of quantitation)

  4. Plasma concentration of BAY1093884 characterized by AUC(0-tlast)/D

    Time frame: Day 0 [pre-dose (within 1 hour), at the end of infusion or injection (=1hr), 2hrs, 4hrs, 8hrs], Days 1, 3, 5, 7, 14, 21, 28, 43, and 56 (for cohorts 3, 4 and I-SC2, S-2, S-3) after the start of infusion

    AUC(0-last) divided by dose

  5. Plasma concentration of BAY1093884 characterized by Cmax

    Time frame: Day 0 [pre-dose (within 1 hour), at the end of infusion or injection (=1hr), 2hrs, 4hrs, 8hrs], Days 1, 3, 5, 7, 14, 21, 28, 43, and 56 (for cohorts 3, 4 and I-SC2, S-2, S-3) after the start of infusion

    Maximum observed drug concentration in measured matrix after single dose administration

  6. Plasma concentration of BAY1093884 characterized by Cmax/D

    Time frame: Day 0 [pre-dose (within 1 hour), at the end of infusion or injection (=1hr), 2hrs, 4hrs, 8hrs], Days 1, 3, 5, 7, 14, 21, 28, 43, and 56 (for cohorts 3, 4 and I-SC2, S-2, S-3) after the start of infusion

    Cmax divided by dose

Secondary outcomes

  1. Tissue factor pathway inhibitor (TFPI) activity

    Time frame: Up to 77 days

  2. Number of participants (multiple dose cohort) with adverse events as a measure of safety and tolerability

    Time frame: Up to 77 days

    Adverse events including abnormal laboratory findings and local injection site reactions

  3. Plasma levels of anti-BAY1093884 antibodies (multiple dose cohort)

    Time frame: Pre-dose, Day 14, 28, 49 and 77

  4. Plasma concentration of BAY1093884 characterized by AUC(0-7d and AUC(0-tau) (multiple dose cohort)

    Time frame: Day 0 (prior to start of SC injection) and 8 hrs after start of SC injection, Days 1, 3, 5 and Days 7, and Day 35 (prior to start of SC injection) and 8 hrs after start of SC injection on Day 35; Days 36, 38, 40, 42

    AUC from time 0 to 7d after first and last dose (AUC(0-tau)

  5. Plasma concentration of BAY1093884 characterized by AUC(0-7d/D and AUC(0-tau)/D after multiple dose

    Time frame: Day 0 (prior to start of SC injection) and 8 hrs after start of SC injection, Days 1, 3, 5 and Days 7, and Day 35 (prior to start of SC injection) and 8 hrs after start of SC injection on Day 35; Days 36, 38, 40, 42

    AUC(0-7d) after first dose and AUC(0-tau) after last dose divided by dose

  6. Plasma concentration of BAY1093884 characterized by Cmax after first dose and last dose (Cmax,md)

    Time frame: Day 0 (prior to start of SC injection) and 8 hrs after start of SC injection, Days 1, 3, 5 and Days 7, and Day 35 (prior to start of SC injection) and 8 hrs after start of SC injection on Day 35; Days 36, 38, 40, 42

    maximum observed drug concentration in measured matrix after first and last dose

  7. Plasma concentration of BAY1093884 characterized by Cmax/D after first dose and last dose (Cmax,md/D)

    Time frame: Day 0 (prior to start of SC injection) and 8 hrs after start of SC injection, Days 1, 3, 5 and Days 7, and Day 35 (prior to start of SC injection) and 8 hrs after start of SC injection on Day 35; Days 36, 38, 40, 42

    Cmax after first and last dose divided by dose

  8. Accumulation of BAY 1093884 in plasma as defined by ratio for Cmax and AUC (after first and last dose)

    Time frame: Day 0 (prior to start of SC injection) and 8 hrs after start of SC injection, Days 1, 3, 5 and Days 7, and Day 35 (prior to start of SC injection) and 8 hrs after start of SC injection on Day 35; Days 36, 38, 40, 42

    Cmax after last dose divided by Cmax after first dose, AUC after last dose divided by AUC after first dose

Sponsors and collaborators

Lead sponsor

Bayer

Industry

Registry information

Official study title

A Phase 1, First in Man, Multicenter, Open Label, Single Escalating Dose Study of BAY1093884 in Subjects With Severe Hemophilia Types A or B, With or Without Inhibitors

Important dates

Study start
2015
Primary completion
2018
Study completion
2018
First posted
Oct 8, 2015
Registry last updated
Oct 18, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.