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Severe Hemophilia APhase 3NCT06136507

Study of Efficacy and Safety of FRSW107 in Pediatric Patients With Severe Hemophilia A

A Phase 3 study testing FRSW107 in people with Severe Hemophilia A, run by Hangzhou Gensciences Biopharmaceutical Co., Ltd. at 13 sites in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record

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Trial summary

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. Read more about this study

Who is it for?
Ages 1 year to 12 years, men only
Conditions the study is for
Severe Hemophilia A
What is being tested?
FRSW107
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
76 participants
Where
13 sitesChina
Study dates
25 Dec 2026to 31 Dec 2026
Phase
Phase 3

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 1 year to 12 years
  • Men only
  • No healthy volunteers
  • Child

Who may be able to join

  • Children <12 years old, male;
  • Weight >10kg;
  • clinically confirmed patients with severe hemophilia A (defined as confirmation at the time of screening or previous medical records: coagulation factor VI activity <1%);
  • Treated patients, that is, those who had previously received EVI treatment and met the following criteria: <6 years old patients who had been treated with coagulation factor VI for >50 exposure days (EDs250), and < 26 years old patients who had been treated with coagulation factor VI for >150 exposure days(> 150);
  • Normal prothrombin time (PT) or International normalized ratio (INR) <1.3;
  • At least 6 months of treatment and detailed records of bleeding events before screening;
  • The subject's legally authorized representative (i.e. guardian) fully understands and knows about this study and signs the informed consent. Children with the ability to give informed consent (≥8 years old) should be informed and sign the informed consent voluntarily;

Who cannot join

  • 1. People who have been allergic to any component of EVI preparation (including but not limited to mouse or hamster protein or virus vaccine, gene recombination preparation containing mouse or hamster protein, etc.); Those who have had serious adverse reactions to previous vaccine injections or have not recovered from mild to moderate adverse reactions to vaccine injections; 2.Patients with hypersensitivity or anaphylaxis after injection of coagulation factor VI or Fc fusion protein products; 3. Positive factor VI inhibitor at screening (20.6 BU/mL), or previous history of factor VI inhibitor, or family history of inhibitor; 4.the screening results of von Willebrand factor (vWE) antigen were lower than the lower limit of normal value; 5. Severe anemia (hemoglobin <60g/L) at the time of screening; 6. Platelet count <100×10⁹ during screening /L; 7.abnormal liver function: alanine aminotransferase (ALT), or aspartate aminotransferase (AST) >3 times the upper limit of normal (ULN); Serum bilirubin (TBIL>3× ULN; 8. Patients with abnormal renal function: serum creatinine (SCr) >1.5×ULN or according toCreatinine clearance calculated by Cockcroft-Gault formula \&lt; 60 mL/min (CTCAE Level 1); 9. hepatitis B virus surface antigen (HBsAg), hepatitis C virus (HCV) antibody, anti-human immunodeficiency virus antibody (Anti-HIV) and anti-treponema pallidum specific antibody (Anti-TP) test has one or more positive; 10. Patients with coagulation dysfunction other than hemophilia A; 11,.have other medical conditions that may increase the risk of bleeding or blood clots; 12. Have a known mental disorder that may affect trial compliance; 13. Patients who have used EV preparations of any standard half-life (e.g., Bekochi, Koyuki, Biinstop, Renjie, etc.) within 3 days or 5 half-lives prior to the first dose; Patients who have used any other half-life extension FVI preparations within 4 days or 5 half-lives prior to dosing (older at the time of retrieval); 14. Patients who have used emesezumab within 6 months prior to first dosing; 15. Severe cardiovascular and cerebrovascular disease, such as cerebral arteritis, moyamoya disease, stroke, viral myocarditis, endocarditis, endocardial fibroplasia, severe arrhythmia, congestive heart failure (New York Heart Association grade > III), uncontrolled hypertension, thromboembolic disease, and uncontrolled diabetes, occurred within 6 months prior to the first medication; 16. Patients who had used monoclonal antibody therapy, Fc fusion protein products, or intravenous immunoglobulin within 3 months before the first dose; 17.those who underwent major surgical procedures and transfusions of blood or blood components within 4 weeks prior to initial dosing, or who plan to undergo elective surgery (other than minor surgery such as tooth extraction) during the study treatment period; Those who underwent major surgical procedures and transfusions of blood or blood components within 4 weeks prior to initial dosing, or who plan to undergo elective surgery during the study treatment period; 18.patients with fever, active infection, allergies (such as allergic rhinitis, allergic asthma, allergic dermatitis, etc.) within 2 weeks prior to the first dose; 19.people with immune deficiency diseases or autoimmune diseases such as systemic lupus erythematosus, or have a history of organ transplantation or stem cell transplantation; Systemic immunomodulators (such as corticosteroids (>10mg/ day equivalent dose of prednisone), alpha-interferon, immunoglobulin, cyclophosphamide, cyclosporin, etc.) used within 14 days prior to the first administration or planned during the study period were allowed to use inhaled, nasal, ocular, intraarticular or topical corticosteroids; 20.patients who were treated with any anticoagulation (other than heparin sealing treatment) or platelet aggregation inhibitors within 7 days prior to initial administration or who required anticoagulation (other than heparin sealing treatment) or platelet aggregation inhibitors during study therapy; 21. Participants who have participated in other clinical trials within 1 month before screening; 22.had other serious medical conditions from which the researchers did not believe they could benefit; He suffered from severe skin disease, which interfered with the observation of local injection reaction.
  • 23. Subjects deemed unsuitable by other investigators.

Trial locations and contacts

13 sites in 1 country. Contact the study team or a site near you to ask about taking part.

13 sites in 1 country

China13 sites
  • Children's Hospital Affiliated to Chongqing Medical University

    Chongqing

    Jianwen Xiao

  • Guangzhou Women and Children Medical Center

    Guangzhou

    Hua Jiang

  • Nanfang Hospital, Southern Medical University

    Guangzhou

    Xiaoqin Feng

  • Affiliated Hospital of Guizhou Medical University

    Guizhou

    Jiao Jin

  • Children's Hospital, Zhejiang University School of Medicine

    Hangzhou

    Weiqun Xu

  • Anhui Children's Hospital

    Hefei

    Tianping C, PhD

  • The Second Affiliated Hospital of Anhui Medical University

    Hefei

    Ningling Wang

  • Nanjing Children's Hospital

    Nanjing

    Yongjun Fang

  • Affiliated Hospital of Qingdao University

    Qingdao

    Lirong Sun

    Yu Cao

  • Shenzhen Children's Hospital

    Shenzhen

    Sixi Liu

  • Shanxi Children's Hospital

    Taiyuan

    Haiyan Lu

  • Beijing Children's Hospital Affiliated to Capital Medical University

    Tianjing

    Runhui Wu, PhD

  • Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology

    Wuhan

    Qun Hu

Other trials in China

About this study

Official title: An Open, Multicenter Phase III Clinical Study to Evaluate the Efficacy and Safety of Recombinant Human Coagulation Factor Ⅷ-Fc Fusion Protein (FRSW107) for Injection in Pediatric Patients With Severe Hemophilia A

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.

Read more

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.

Being tested
FRSW107
Keywords
safetyeffectiveness, immunogenicity, effectiveness, Children, Teenagers
Medical subject headings
Hemophilia A

What participants receive

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

  • FRSW107Drug

    Also called Recombinant Human Coagulation Factor Ⅷ,Fc Fusion Protein for Injection

    experimental:Q3D.≥50EDs, Expansion phase:Q3D.100EDs

Study groups in NCT06136507
Study groupRoleWhat they receive
The main test period and the extension periodExperimentalGroup 1:≥6 years old and <12 years old; Group 2: <6 years old pediatric patients Preventive treatment: 25~50 is recommendedlU/kg, Q3D, can adjust the dose to 65 IU/kg based on the patient's response, and if necessary, the investigator can adjust the frequency of administration based on the clinical outcome of the subject (the occurrence of bleeding and its clinical manifestations) and the FVIII valley concentration.PK intensive blood collection will be performed for the PK subgroup at V1 (DO) and appropriate PK blood collection will be performed at other specified visit time points. After completion of ∠50EDs and 26 months of treatment, the original prophylactic regimen can be continued until 100EDs
Receives: Drug: FRSW107

What is being measured

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

  1. ABR

    Number of bleeding during the treatment period/(Number of treatment days /365.25)

    Measured: 1year

Secondary outcomes (6)
  1. AJBR

    annual rate of spontaneous joint bleeding and annual rate of traumatic joint bleeding

    Measured: 1year

  2. AE/ADR

    Frequency and severity of all AE/ADR and SAE/SAR

    Measured: 1year

  3. 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.

    Measured: 1year

  4. Cmax

    Cmax

    Measured: 1year

  5. Tmax

    Tmax

    Measured: 1year

  6. FⅧ activity

    FⅧ activity drops to 10%, 5%, 3%, 1% time

    Measured: 1year

Timeline

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

  1. First posted18 Nov 2023
  2. Study start25 Dec 2026 (estimated)
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2026 (estimated)

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 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
76 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06136507
Sponsor's protocol ID
SS-107-III03
Status last verified
Jun 2024
First submitted
26 Oct 2023
Last updated
20 Jun 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

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