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Hemophilia APhase 4NCT00666406

Pharmacokinetic Comparison of Advate rAHF-PFM With Recombinate rAHF in Patients With Severe Hemophilia A

A Phase 4 study testing Antihemophilic Factor (Recombinant) - Plasma/Albumin Free Method (rAHF-PFM) and Recombinant Factor VIII (rAHF) in people with Hemophilia A, run by Baxalta now part of Shire at 1 site in Germany.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to compare the pharmacokinetic parameters and safety of Advate rAHF-PFM versus Recombinate rAHF in well described previously treated patients with severe hemophilia A (factor VIII level < 1%). Read more about this study

Who is it for?
Ages 15 to 60 years
Conditions the study is for
Hemophilia A
What is being tested?
Antihemophilic Factor (Recombinant) - Plasma/Albumin Free Method (rAHF-PFM) and Recombinant Factor VIII (rAHF)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
9 participants
Where
1 siteGermany
Study dates
31 Mar 2008to 18 Feb 2009
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 15 to 60 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Signed informed consent obtained from participant or legally authorized representative
  • 15-60 years old
  • Factor VIII level < 1% as documented by previously measured factor VIII and genotyping
  • Previously treated with factor VIII concentrate(s) for a minimum of at least 150 exposure days (as documented by the study site investigator) prior to study entry
  • Observed decrease of efficacy by subject and/or treating physician after being switched from Recombinate rAHF to Advate rAHF-PFM

Who cannot join

  • The participant has a detectable factor VIII inhibitor at screening, with a titer >= 0.4 Bethesda Unit (BU) (Nijmegen modification of the Bethesda Assay) measured at the local and the central laboratory
  • The participant has a known hypersensitivity to mouse or hamster proteins
  • The participant is participating in another investigational drug study within 30 days prior to screening
  • The participant is identified by the investigator as being unable or unwilling to cooperate with study procedures

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Study site

    Bonn, 53127

Other trials in Germany

About this study

Official title: Pharmacokinetic Comparison of Advate rAHF-PFM With Recombinate rAHF in Patients With Severe Hemophilia A: a Phase IV, Prospective, Randomized, Controlled, Cross-over, Single Center Study

The purpose of this study is to compare the pharmacokinetic parameters and safety of Advate rAHF-PFM versus Recombinate rAHF in well described previously treated patients with severe hemophilia A (factor VIII level < 1%).

Conditions
Hemophilia A
Being tested
Antihemophilic Factor (Recombinant) - Plasma/Albumin Free Method (rAHF-PFM), Recombinant Factor VIII (rAHF)
Medical subject headings
Hemophilia A

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Antihemophilic Factor (Recombinant) - Plasma/Albumin Free Method (rAHF-PFM)Drug

    Also called Advate rAHF-PFM, Recombinant Protein-Free Factor VIII (rAHF-PFM)

    Infusion of 50 +/- 5 IU/kg bodyweight

  • Recombinant Factor VIII (rAHF)Drug

    Also called Recombinate rAHF, Antihemophilic Factor (Recombinant)

    Infusion of 50 +/- 5 IU/kg bodyweight

Study groups in NCT00666406
Study groupRoleWhat they receive
1ExperimentalAdvate rAHF-PFM
Receives: Drug: Antihemophilic Factor (Recombinant) - Plasma/Albumin Free Method (rAHF-PFM)
2Active comparatorRecombinate rAHF
Receives: Drug: Recombinant Factor VIII (rAHF)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Area Under the Plasma Concentration Versus Time Curve (AUC) From 0 to 48 Hours. One-Stage Activated Partial Thromboplastin Time (aPTT) -Based Assay Performed at Central Laboratory (Medical University Vienna)

    AUC estimated by linear trapezoidal method. The linear trapezoidal method is a numerical method used to approximate the area under a curve.

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  2. Area Under the Plasma Concentration Versus Time Curve (AUC) From 0 to 48 Hours. Chromogenic Assay Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    AUC estimated by linear trapezoidal method. The linear trapezoidal method is a numerical method used to approximate the area under a curve.

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  3. Area Under the Plasma Concentration Versus Time Curve (AUC) From 0 to 48 Hours. FVIII One-Stage Clotting Assay (Bonn Method) Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    AUC estimated by linear trapezoidal method. The linear trapezoidal method is a numerical method used to approximate the area under a curve.

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  4. Area Under the Plasma Concentration Versus Time Curve (AUC) From 0 to 48 Hours. FVIII Clotting Assay. Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    AUC estimated by linear trapezoidal method. The linear trapezoidal method is a numerical method used to approximate the area under a curve.

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

Secondary outcomes (32)
  1. Area Under the Plasma Concentration Versus Time Curve (AUC) From 0 to Infinity. One-Stage aPTT-Based Assay Performed at Central Laboratory (Medical University Vienna)

    AUC estimated by linear trapezoidal method. The linear trapezoidal method is a numerical method used to approximate the area under a curve. FVIII activity measurement

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  2. Area Under the Plasma Concentration Versus Time Curve (AUC) From 0 to Infinity. Chromogenic Assay Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    AUC estimated by linear trapezoidal method. The linear trapezoidal method is a numerical method used to approximate the area under a curve.

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  3. Area Under the Plasma Concentration Versus Time Curve (AUC) From 0 to Infinity. FVIII One-Stage Clotting Assay (Bonn Method) Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    AUC estimated by linear trapezoidal method. The linear trapezoidal method is a numerical method used to approximate the area under a curve.

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  4. Area Under the Plasma Concentration Versus Time Curve (AUC) From 0 to Infinity. FVIII Clotting Assay. Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    AUC estimated by linear trapezoidal method. The linear trapezoidal method is a numerical method used to approximate the area under a curve.

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  5. Systemic Clearance (Cl). One-Stage aPTT-Based Assay Performed at Central Laboratory (Medical University Vienna)

    Systemic clearance in mL/kg/h will be calculated as the dose in IU/kg divided by the total area under the curve.

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  6. Systemic Clearance (Cl). Chromogenic Assay Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    Systemic clearance in mL/kg/h will be calculated as the dose in IU/kg divided by the total area under the curve.

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  7. Systemic Clearance (Cl). FVIII One-Stage Clotting Assay (Bonn Method) Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    Systemic clearance in mL/kg/h will be calculated as the dose in IU/kg divided by the total area under the curve.

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  8. Systemic Clearance (Cl). FVIII Clotting Assay. Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    Systemic clearance in mL/kg/h will be calculated as the dose in IU/kg divided by the total area under the curve.

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  9. Maximum Plasma Concentration (C-max). One-Stage aPTT-Based Assay Performed at Central Laboratory (Medical University Vienna)

    C-max will be calculated as the maximum concentration following infusion of either Advate or Recombinate.

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  10. Maximum Plasma Concentration (C-max). Chromogenic Assay Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    C-max will be calculated as the maximum concentration following infusion of either Advate or Recombinate.

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  11. Maximum Plasma Concentration (C-max). FVIII One-Stage Clotting Assay (Bonn Method) Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    C-max will be calculated as the maximum concentration following infusion of either Advate or Recombinate.

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  12. Maximum Plasma Concentration (C-max). FVIII Clotting Assay. Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    C-max will be calculated as the maximum concentration following infusion of either Advate or Recombinate.

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  13. Terminal Half-life. One-Stage aPTT-Based Assay Performed at Central Laboratory (Medical University Vienna)

    Computed from the terminal or disposition rate constant obtained from log-linear fitting using the least squares deviation to the last five quantifiable concentrations (9 to 48 hours).

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  14. Terminal Half-life. Chromogenic Assay Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    Computed from the terminal or disposition rate constant obtained from log-linear fitting using the least squares deviation to the last five quantifiable concentrations.

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  15. Terminal Half-life. FVIII One-Stage Clotting Assay (Bonn Method) Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    Computed from the terminal or disposition rate constant obtained from log-linear fitting using the least squares deviation to the last five quantifiable concentrations.

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  16. Terminal Half-life. FVIII Clotting Assay. Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    Computed from the terminal or disposition rate constant obtained from log-linear fitting using the least squares deviation to the last five quantifiable concentrations.

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  17. Incremental Recovery. One-Stage aPTT-Based Assay Performed at Central Laboratory (Medical University Vienna)

    Increase in factor VIII concentration from pre- to post-infusion.

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  18. Incremental Recovery. Chromogenic Assay Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    Computed from the terminal or disposition rate constant obtained from log_e -linear fitting using the least squares deviation to the last five quantifiable concentrations.

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  19. Incremental Recovery. FVIII One-Stage Clotting Assay (Bonn Method) Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    Increase in factor VIII concentration from pre- to post-infusion

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  20. Incremental Recovery. FVIII Clotting Assay. Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    Increase in factor VIII concentration from pre- to post-infusion

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  21. Mean Residence Time (MRT). One-Stage aPTT-Based Assay Performed at Central Laboratory (Medical University Vienna)

    The MRT in hours will be calculated as total area under the moment curve divided by the total area under the curve.

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  22. Mean Residence Time (MRT). Chromogenic Assay Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    The MRT in hours will be calculated as total area under the moment curve divided by the total area under the curve.

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  23. Mean Residence Time (MRT). FVIII One-Stage Clotting Assay (Bonn Method) Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    The MRT in hours will be calculated as total area under the moment curve divided by the total area under the curve.

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  24. Mean Residence Time (MRT). FVIII Clotting Assay. Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    The MRT in hours will be calculated as total area under the moment curve divided by the total area under the curve.

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  25. Time to Reach the Maximum Plasma Concentration (Tmax). One-Stage aPTT-Based Assay Performed at Central Laboratory (Medical University Vienna)

    Tmax in hours was defined as the minimum time to reach Maximum plasma concentration (Cmax).

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  26. Time to Reach the Maximum Plasma Concentration (Tmax). Chromogenic Assay Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    Tmax in hours was defined as the minimum time to reach Maximum plasma concentration (Cmax).

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  27. Time to Reach the Maximum Plasma Concentration (Tmax). FVIII One-Stage Clotting Assay (Bonn Method) Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    Tmax in hours was defined as the minimum time to reach Maximum plasma concentration (Cmax).

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  28. Time to Reach the Maximum Plasma Concentration (Tmax). FVIII Clotting Assay. Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    Tmax in hours was defined as the minimum time to reach Maximum plasma concentration (Cmax).

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  29. Volume of Distribution at Steady State (Vss). One-Stage aPTT-Based Assay Performed at Central Laboratory (Medical University Vienna)

    Computed as weight-adjusted Clearance * Mean Residence Time

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  30. Volume of Distribution at Steady State (Vss). Chromogenic Assay Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    Computed as weight-adjusted Clearance (CL) * Mean Residence Time

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  31. Volume of Distribution at Steady State (Vss). FVIII One-Stage Clotting Assay (Bonn Method) Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    Computed as weight-adjusted CL * Mean Residence Time

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

  32. Volume of Distribution at Steady State (Vss). FVIII Clotting Assay. Performed at Local Laboratory (i.e., University of Bonn, the Study Site)

    Computed as weight-adjusted CL * Mean Residence Time

    Measured: 0-30 minutes before infusion up to 48 hours post-infusion

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Apr 2008 (estimated)
  2. Study start31 Mar 2008
  3. Primary completion18 Feb 2009
  4. Study completion18 Feb 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
9 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00666406
Sponsor's protocol ID
060601
Other IDs
2007-004834-18
Status last verified
Apr 2021
First submitted
22 Apr 2008
Last updated
19 May 2021
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Antihemophilic Factor (Recombinant) - Plasma/Albumin Free Method (rAHF-PFM) and Recombinant Factor VIII (rAHF) in people with Hemophilia A, run by Baxalta now part of Shire at 1 site in Germany.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 19 May 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 26 Mar 2013). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Area Under the Plasma Concentration Versus Time Curve (AUC) From 0 to 48 Hours. One-Stage Activated Partial Thromboplastin Time (aPTT) -Based Assay Performed at Central Laboratory (Medical University Vienna) (time frame: 0-30 minutes before infusion up to 48 hours post-infusion). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 May 2021.

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