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NCT Number: NCT06738901

An Open-label Study Evaluating the Efficacy, Safety, Pharmacokinetics, and Immunogenicity of SKP-0141 for the Treatment and Prophylaxis in Severe Hemophilia a Patients

This is a prospective, multicenter, open-label study to assess efficacy, safety, pharmacokinetics (PK), and immunogenicity of human plasma-derived Factor VIII (FVIII) in previously treated patients (PTPs) with severe hemophilia A. Overall, 55 male PTPs aged 12 to 65 years old with a FVIII level of < 1% and at least 150 treatment exposure days (EDs) with a previous FVIII product will be enrolled. Patients will receive SKP-0141 at a dose of 25 to 50 IU/kg every second day or 3 times per week for at least 50 EDs and/or 6 months from the start of prophylactic treatment. Efficacy of SKP-0141 will be primarily evaluated in bleeding prophylaxis with annualized bleeding rate from start of treatment and until end of treatment (Visit 10).

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Key information

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • A patient or parent/legal guardian who is capable of giving signed informed consent
  • Patients assigned male at birth and must be 12 to 65 years old at the time of Screening
  • Diagnosis of severe congenital hemophilia A, defined as an FVIII level of <1% as documented in the patient's medical records at the time of Screening
  • Patients who have received or are currently receiving plasma-derived and/or recombinant FVIII products and have had at least 150 EDs with a FVIII product
  • Patients who can produce viable sperm and have a partner of childbearing potential must agree to take appropriate contraceptive measures consistently during the study, starting at Screening and until 30 days after the end of study

Exclusion criteria

  • Any history of or current FVIII inhibitors or any first order family history of FVIII inhibitors in terms of detectable FVIII inhibitors (ie, ≥0.6 Bethesda Units [BU]) using the Nijmegen-modification of the Bethesda assay
  • Any known congenital or acquired coagulation disorder other than the congenital hemophilia A
  • Evidence of thrombosis, including deep vein thrombosis, stroke, pulmonary embolism, myocardial infarction, and arterial embolus within 3 months prior to Visit 1
  • Experienced life-threatening bleeding episode or had major surgery or an orthopedic surgical procedure during the 3 months prior to Visit 1
  • Has been tested positive for HIV with a CD4+ count ≤200/μL at Screening (if available, hepatitis B surface antigen, or hepatitis C virus antibodies, and/or positive hepatitis B virus deoxyribonucleic acid/HCV ribonucleic acid at Screening
  • Platelet count <100 000/μL at Screening
  • Patients with serum aspartate aminotransferase or serum alanine aminotransferase values >5 × the upper limit of normal or serum creatinine values >2 × ULN at Screening
  • Patients who are currently receiving IV immunomodulating agents such as immunoglobulin or chronic systemic corticosteroid treatment within 3 months prior to Visit 1
  • Use of any other investigational medicinal product, cryoprecipitate, whole blood, or plasma within 30 days or 5 half-lives prior to Visit 1
  • Known or suspected hypersensitivity to any FVIII product or their excipients
  • Has a physical, medical, or psychological condition, that in the opinion of the PI, may interfere with the evaluation of the study.
  • Are study site personnel directly affiliated with this study and their immediate families

Treatment and study plan

SKP-0141

Biological

Human plasma-derived coagulation factor VIII concentrate

Primary outcomes

  1. Annualized bleeding rate

    Time frame: Up to 25 weeks

    Efficacy of SKP-0141 in bleeding prophylaxis in previously treated patients with severe hemophilia A based on the number of bleeding episodes per year

Secondary outcomes

  1. Hemostatic response

    Time frame: Up to 25 weeks

    Efficacy of SKP-0141 for the treatment of breakthrough bleeding episodes using a 4-point scale in previously treated patients with severe hemophilia A

  2. Consumption of SKP-0141 required for prophylaxis

    Time frame: Up to 25 weeks

    Dose of SKP-0141 injections (IU/kg/year and IU/kg/month) required for prophylaxis in previously treated patients with severe hemophilia A

  3. Consumption of SKP-0141 required for on-demand treatment

    Time frame: Up to 25 weeks

    Dose/number of SKP-0141 injections (IU/kg/bleed) required for treatment of bleeding episodes in previously treated patients with severe hemophilia A

  4. Peak plasma concentration (Cmax)

    Time frame: At 1 week and 25 weeks

    Maximum plasma concentration of SKP-0141 in previously treated patients with severe hemophilia A

  5. Time to reach peak plasma concentration (Tmax)

    Time frame: At 1 week and 25 weeks

    Time to reach peak plasma concentration of SKP-0141 in previously treated patients with severe hemophilia A

  6. Area under the plasma concentration versus time curve (AUC)

    Time frame: At 1 week and 25 weeks

    Area under the plasma concentration versus time curve in previously treated patients with severe hemophilia A

  7. Half-life (T1/2)

    Time frame: At 1 week and 25 weeks

    Half-life of SKP-0141 in previously treated patients with severe hemophilia A

  8. Total plasma clearance (CL)

    Time frame: At 1 week and 25 weeks

    Total plasma clearance of SKP-0141 in previously treated patients with severe hemophilia A

  9. Elimination constant (Kel)

    Time frame: At 1 week and 25 weeks

    Elimination rate constant of SKP-0141 in previously treated patients with severe hemophilia A

  10. Volume of distribution (Vd)

    Time frame: At 1 week and 25 weeks

    Volume of distribution of SKP-0141 in previously treated patients with severe hemophilia A

  11. Mean residence time (MRT)

    Time frame: At 1 week and 25 weeks

    Mean residence time in vivo of SKP-0141 in previously treated patients with severe hemophilia A

  12. Incremental in vivo recovery (IVR)

    Time frame: At 1 week and 25 weeks

    Incremental in vivo recovery (IVR) in previously treated patients with severe hemophilia A

  13. Incidence of treatment-emergent adverse events (TEAEs)

    Time frame: Up to 26 weeks

    Incidence of treatment-emergent adverse events in previously treated patients with severe hemophilia A

  14. Incidence of serious adverse events (SAEs)

    Time frame: Up to 26 weeks

    Incidence of serious adverse events in previously treated patients with severe hemophilia A

  15. Incidence of adverse events of special interest (AESIs)

    Time frame: Up to 26 weeks

    Incidence of adverse events of special interest in previously treated patients with severe hemophilia A

  16. Incidence of adverse events (AEs)

    Time frame: Up to 26 weeks

    Incidence of adverse events in previously treated patients with severe hemophilia A

  17. Incidence of clinically significant changes

    Time frame: Up to 25 weeks

    Safety and tolerability of SKP-0141 in previously treated patients with severe hemophilia A based on the incidence of clinically significant changes from baseline in safety laboratory evaluations (hematology, serum chemistry, and urinalysis), vital signs (pre- and post-injection), physical examinations, and ECG

  18. Incidence of FVIII inhibitor formation

    Time frame: Up to 25 weeks

    Immunogenicity of SKP-0141 from incidence of FVIII inhibitor formation (≥0.6 Bethesda Units) calculated using the Nijmegen-modified Bethesda assay in previously treated patients with severe hemophilia A

Other outcomes

  1. Hemostatic response in surgical prophylaxis

    Time frame: Perioperatively/Periprocedurally

    Hemostatic response (efficacy) of SKP-0141 in surgical prophylaxis in previously treated patients with severe hemophilia A

Study contacts

Contact information is provided by the study sponsor or research team.

Byung Nam Chung

CONTACT

[email protected]

82-2-2008-2567

Garam Kim, M.S.

CONTACT

[email protected]

+82-2-2008-2062

Sponsors and collaborators

Lead sponsor

SK Plasma Co., Ltd.

Industry

Registry information

Official study title

A Phase 1/3, Open-label, Multicenter Study to Evaluate the Efficacy, Safety, Pharmacokinetics, and Immunogenicity of Human Plasma-derived Factor VIII (SKP-0141) for the Treatment and Prophylaxis in Male Patients with Severe Hemophilia a

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Dec 18, 2024
Registry last updated
Dec 18, 2024

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.

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