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Completed

NCT Number: NCT00916032

Pharmacokinetic Study of ADVATE 3000 IU in Previously Treated Patients With Severe Hemophilia A

The objective of this clinical study is to compare the pharmacokinetic parameters of 3000 IU Advate using one 3000 IU potency vial dissolved in 5 mL diluent with that of 3000 IU Advate using two vials of 1500 IU potency dissolved in 5 mL diluent each (administered in 10 mL diluent in total) in previously treated patients with severe hemophilia A (factor VIII level < 1%).

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Key information

Age range

18 year–65 year

Sex eligibility

Male

Study type

Interventional

Phase

Phase 4

Primary location

Sofia, Bulgaria

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Participant is 18 to 65 years old, at the time of screening
  • Participant has provided signed informed consent
  • Participant has severe hemophilia A, defined by a baseline FVIII level < 1% of normal, as tested at screening at the central laboratory
  • Participant's weight is between 55-65 kg
  • Participant was previously treated with FVIII concentrate(s) for a minimum of 150 exposure days prior to study entry
  • If Participant is HIV positive, he must be immunocompetent as determined with a CD4 count ≥ 200 cells/mm³ (CD4 count at screening)
  • Participant is willing and able to comply with the requirements of the protocol

Exclusion criteria

  • Participant has a detectable FVIII inhibitor at screening, with a titer ≥ 0.4 Bethesda unit (BU) (Nijmegen modification of the Bethesda Assay) measured at the central laboratory
  • Participant has a history of FVIII inhibitors with a titer ≥ 0.4 BU (by Nijmegen assay) or ≥ 0.5 BU (by Bethesda Assay) at any time prior to screening
  • Participant has undergone a surgery within 21 days prior to screening or within 6 weeks prior to the anticipated first pharmacokinetics(PK) infusion
  • Participant has an abnormal renal function (serum creatinine > 1.5 mg/dL)
  • Participant has active hepatic disease (alanine aminotransferase (ALT) or aspartate aminotransferase (AST) levels >5 times the upper limit of normal)
  • Participant has severe chronic liver disease as evidenced by, but not limited to, any of the following: International Normalized Ratio (INR) > 1.4, hypoalbuminemia, portal vein hypertension including presence of otherwise unexplained splenomegaly, and history of esophageal varices
  • Participant has clinical and/or laboratory evidence of abnormal hemostasis from causes other than hemophilia A (eg, late-stage chronic liver disease, immune thrombocytopenia purpura)
  • Participant is currently receiving, or is scheduled to receive during the course of the clinical study, an immunomodulating drug other than anti-retroviral chemotherapy (eg, alfa-interferon, or corticosteroid agents at a dose equivalent to hydrocortisone greater than 10 mg/day)
  • Participant has a known hypersensitivity to mouse or hamster proteins
  • Participant has participated in another clinical study involving an investigational product or investigational device within 30 days prior to enrollment or is scheduled to participate in another clinical study involving an investigational product or investigational device during the course of this clinical study
  • Participant is identified by the investigator as being unable or unwilling to cooperate with study procedures
  • Participant is a member of the team conducting this clinical study or is in a dependent relationship with one of the study team members. Dependent relationships include close relatives (ie, children, partner/spouse, siblings, or parents) as well as employees of the investigator or site personnel conducting the clinical study.

Treatment and study plan

Octocog alfa (recombinant human coagulation factor VIII) [ADVATE]

Biological

Participants will receive 3000 IU Advate using one 3000 IU potency vial dissolved in 5 mL diluent followed by two 1500 IU potency vials dissolved in 5 mL diluent each (administered in 10 mL diluent in total) or the alternate sequence

Other names: ADVATE, Antihemophilic Factor (Recombinant)- Plasma/albumin free method (rAHF-PFM)

Primary outcomes

  1. Area Under the Plasma Concentration Versus Time Curve From 0 to 48 Hours (AUC 0-48h). Chromogenic Assay

    Time frame: Within 30 minutes prior to the start of the infusion; and after the end of the infusion at 15, 30 minutes, and 1, 3, 6, 9, 24, 28, 32, and 48 hours.

    Computed using the linear trapezoidal method.

  2. Area Under the Plasma Concentration Versus Time Curve From 0 to 48 Hours (AUC 0-48h). One-stage Activated Partial Thromboplastin Time (aPTT) Assay

    Time frame: Within 30 minutes prior to the start of the infusion; and after the end of the infusion at 15, 30 minutes, and 1, 3, 6, 9, 24, 28, 32, and 48 hours.

    Computed using the linear trapezoidal method.

Secondary outcomes

  1. Area Under the Plasma Concentration Versus Time Curve From 0 to Infinity (AUC 0-infinity). Chromogenic Assay

    Time frame: Within 30 minutes prior to the start of the infusion; and after the end of the infusion at 15, 30 minutes, and 1, 3, 6, 9, 24, 28, 32, and 48 hours.

    The total area under the plasma concentration versus time curve when the concentration is extrapolated to zero using the slope of the β-phase of the model.

  2. Area Under the Plasma Concentration Versus Time Curve From 0 to Infinity (AUC 0-infinity). One-stage aPTT Assay

    Time frame: Within 30 minutes prior to the start of the infusion; and after the end of the infusion at 15, 30 minutes, and 1, 3, 6, 9, 24, 28, 32, and 48 hours.

    The total area under the plasma concentration versus time curve when the concentration is extrapolated to zero using the slope of the β-phase of the model.

  3. Incremental Recovery at Cmax - Chromogenic Assay

    Time frame: Within 30 minutes prior to the start of the infusion; and after the end of the infusion at 15, 30 minutes, and 1, 3 hours.

    Determined as the highest Factor VIII (FVIII) activity achieved post-infusion

  4. Incremental Recovery at Cmax - One-stage aPTT Assay

    Time frame: Within 30 minutes prior to the start of the infusion; and after the end of the infusion at 15, 30 minutes, and 1, 3 hours.

    Determined as the highest FVIII activity achieved post-infusion

  5. Incremental Recovery at 30 Minutes- Chromogenic Assay

    Time frame: 30 minutes pre-infusion and 30 minutes post-infusion

    Change in factor VIII concentration from pre-infusion to 30 minutes post-infusion

  6. Incremental Recovery at 30 Minutes- One-stage aPTT Assay

    Time frame: 30 minutes pre-infusion and 30 minutes post-infusion

    Change in factor VIII concentration from pre-infusion to 30 minutes post-infusion

  7. Elimination Phase Half-life- Chromogenic Assay

    Time frame: Within 30 minutes prior to the start of the infusion; and after the end of the infusion at 15, 30 minutes, and 1, 3, 6, 9, 24, 28, 32, and 48 hours.

    calculated as log_e2/λ, where λ is the regression slope in the terminal phase of the least absolute deviations regression model

  8. Elimination Phase Half-life- One-stage aPTT Assay

    Time frame: Within 30 minutes prior to the start of the infusion; and after the end of the infusion at 15, 30 minutes, and 1, 3, 6, 9, 24, 28, 32, and 48 hours.

    calculated as log_e2/λ, where λ is the regression slope in the terminal phase of the least absolute deviations regression model

  9. FVIII Clearance- Chromogenic Assay

    Time frame: Within 30 minutes prior to the start of the infusion; and after the end of the infusion at 15, 30 minutes, and 1, 3, 6, 9, 24, 28, 32, and 48 hours.

    computed as the dose divided by total AUC

  10. FVIII Clearance- One-stage aPTT Assay

    Time frame: Within 30 minutes prior to the start of the infusion; and after the end of the infusion at 15, 30 minutes, and 1, 3, 6, 9, 24, 28, 32, and 48 hours.

    Computed as the dose divided by total AUC

  11. Mean Residence Time (MRT)- Chromogenic Assay

    Time frame: Within 30 minutes prior to the start of the infusion; and after the end of the infusion at 15, 30 minutes, and 1, 3, 6, 9, 24, 28, 32, and 48 hours.

    Computed as total area under the first moment curve (Total AUMC) divided by the total area under the concentration versus time curve (Total AUC)

  12. Mean Residence Time (MRT)- One-stage aPTT Assay

    Time frame: Within 30 minutes prior to the start of the infusion; and after the end of the infusion at 15, 30 minutes, and 1, 3, 6, 9, 24, 28, 32, and 48 hours.

    Computed as total area under the first moment curve (Total AUMC) divided by the total area under the concentration versus time curve (Total AUC)

  13. Volume of Distribution at Steady State- Chromogenic Assay

    Time frame: Within 30 minutes prior to the start of the infusion; and after the end of the infusion at 15, 30 minutes, and 1, 3, 6, 9, 24, 28, 32, and 48 hours.

    computed as Clearance (CL) * Mean residence time (MRT)

  14. Volume of Distribution at Steady State- One-stage aPTT Assay

    Time frame: Within 30 minutes prior to the start of the infusion; and after the end of the infusion at 15, 30 minutes, and 1, 3, 6, 9, 24, 28, 32, and 48 hours.

    computed as CL * MRT

  15. Factor VIII (FVIII) Maximum Plasma Concentration (C-max)- Chromogenic Assay

    Time frame: Within 30 minutes prior to the start of the infusion; and after the end of the infusion at 15, 30 minutes, and 1, 3, 6, 9, 24, 28, 32, and 48 hours.

    Determined as the highest FVIII activity achieved post-infusion.

  16. Factor VIII (FVIII) Maximum Plasma Concentration (C-max)- One-stage aPTT Assay

    Time frame: Within 30 minutes prior to the start of the infusion; and after the end of the infusion at 15, 30 minutes, and 1, 3, 6, 9, 24, 28, 32, and 48 hours.

    Determined as the highest FVIII activity achieved post-infusion.

Sponsors and collaborators

Lead sponsor

Baxalta now part of Shire

Industry

Registry information

Official study title

Pharmacokinetic Comparison of 3000 IU Advate (rAHF-PFM) (Using One 3000 IU Potency Vial) With 3000 IU Advate (rAHF PFM) (Using Two 1500 IU Potency Vials) in Previously Treated Patients With Severe Hemophilia A: a Phase 4, Open-label, Prospective, Randomized, Controlled, Crossover, Multiple Center Study

Important dates

Study start
2009
Primary completion
2010
Study completion
2010
First posted
Jun 8, 2009
Registry last updated
May 19, 2021

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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