Congenital Hemophilia APhase 3NCT06738485
Recombinant Single-chain Factor VIII (rVIII-SingleChain) in Chinese Participants With Hemophilia A Previously Treated With FVIII Products
A Phase 3 study testing Recombinant single-chain factor VIII (rVIII-SingleChain) in people with Congenital Hemophilia A, run by CSL Behring at 20 sites in China.
Trial summary
For bridging the available global clinical data of rVIII-SingleChain, with the Chinese population, the aim of this study in China is to investigate the pharmacokinetics (PK) of rVIII-SingleChain after an initial and repeat dose and to assess efficacy and safety during 2 to 3 times weekly prophylaxis treatment with… Read more about this study
- Who is it for?
- Ages 0 days to 65 years, men only
- Conditions the study is for
- Congenital Hemophilia A
- What is being tested?
- Recombinant single-chain factor VIII (rVIII-SingleChain)
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 62 participants
- Where
- 20 sitesChina
- Study dates
- 9 Jan 2025to 23 Sep 2026
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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 0 days to 65 years
- Men only
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- • Male Chinese participants <= 65 years of age.
- • Participants with severe hemophilia A (FVIII activity < 1%).
- • Participants who have received FVIII products for >= 150 EDs (>= 6 years of age) or >= 50 EDs (< 6 years of age).
Who cannot join
- • Known hypersensitivity (allergic reaction or anaphylaxis) to any FVIII product or hamster protein.
- • Known congenital or acquired coagulation disorder other than congenital FVIII deficiency.
- • Currently receiving intravenous (IV) immunomodulating agents such as immunoglobulin or chronic systemic corticosteroid treatment.
- • Receiving any cryoprecipitate, whole blood, or plasma within 30 days before administration of rVIII-SingleChain.
- • Use of traditional or herbal Chinese medicine(s) with an impact on hemophilia, including coagulation, within 28 days before Day 1 and / or refusal to abstain from these during the study until the end of the participant's participation in the study.
Trial locations and contacts
20 sites in 1 country.
20 sites in 1 country
China20 sites
Beijing Children's Hospital
Beijing, Beijing Municipality, 100045
Hunan Provincial Children's Hospital
Changsha, Hunan, 410021
Children's Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, 400014
Fujian Medical University Union Hospital
Fuzhou, Fujian, 350001
Guangzhou Women and Children's Medical Center
Guangzhou, Guangdong, 510623
Nanfang Hospital of Southern Medical University
Guangzhou, Guangdong, 515399
The Children's Hospital Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310005
The Second Hospital of Anhui Medical University
Hefei, Anhui, 230000
Jinan Central Hospital
Jinan, Shandong, 250013
The second affiliated hospital of Kunming Medical University
Kunming, Yunan, 650011
Liuzhou People's Hospital
Liuzhou, Guangxi, 545006
Jiangxi Provincial People's Hospital
Nanchang, Jiangxi, 212028
Nanjing Children's Hospital
Nanjing, Jiangsu, 210008
Qingdao Women and Children's Hospital
Qingdao, Shandong, 266071
Shanghai Jiaotong University School of Medicine, Ruijin Hospital
Shanghai, Shanghai Municipality, 200020
North China University of Science and Technology Affiliated Hospital
Tangshan, Hebei, 63000
Hospital of Hematology, Chinese Academy of Medical Sciences
Tianjin, Hebei, 300020
Quinghai Provincial People's Hospital
Xining, Qinghai, 81000
XuZhou Children's Hospital
Xuzhou, Jiangsu, 221006
Henan children's hospital Zhengzhou children's Hospital
Zhengzhou, Henan, 450053
About this study
Official title: A Phase 3, Open-label, Multicenter, Pharmacokinetics, Efficacy, and Safety Study of a Recombinant Single-chain Factor VIII (rVIII-SingleChain) in Chinese Previously Treated Patients (PTPs) With Hemophilia A
For bridging the available global clinical data of rVIII-SingleChain, with the Chinese population, the aim of this study in China is to investigate the pharmacokinetics (PK) of rVIII-SingleChain after an initial and repeat dose and to assess efficacy and safety during 2 to 3 times weekly prophylaxis treatment with rVIII-SingleChain in male Chinese PTPs with severe hemophilia A (FVIII activity less than [<] 1%).
- Conditions
- Congenital Hemophilia A
- Being tested
- Recombinant single-chain factor VIII (rVIII-SingleChain)
- Medical subject headings
- Hemophilia A
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Recombinant single-chain factor VIII (rVIII-SingleChain)Biological
Also called CSL627
Lyophilized powder for solution for intravenous injection
| Study group | Role | What they receive |
|---|---|---|
| rVIII-SingleChain | Experimental | Participants will receive rVIII-SingleChain as an intravenous (IV) infusion for a minimum of 50 exposure days (EDs). Receives: Biological: Recombinant single-chain factor VIII (rVIII-SingleChain) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incremental Recovery (IR) of rVIII-SingleChain
Measured: Before, and at 30 minutes after the end of, rVIII-SingleChain administration on Day 1
Maximum Concentration (Cmax) of rVIII-SingleChain
Measured: Before, and up to 72 hours (participants ≥ 12 years ) and 48 hours (participants < 12 years) after rVIII-SingleChain administration on Day 1
Area Under the Plasma Concentration Time Curve from Time Zero to the Last Measurable Concentration (AUC0-last) of rVIII-SingleChain
Measured: Before, and up to 72 hours (participants ≥ 12 years ) and 48 hours (participants < 12 years) after rVIII-SingleChain administration on Day 1
Area Under the Plasma Concentration Time Curve from Time Zero to Infinity (AUC0-inf) of rVIII-SingleChain
Measured: Before, and up to 72 hours (participants ≥ 12 years ) and 48 hours (participants < 12 years) after rVIII-SingleChain administration on Day 1
Half-life (t1/2) of rVIII-SingleChain
Measured: Before, and up to 72 hours (participants ≥ 12 years ) and 48 hours (participants < 12 years) after rVIII-SingleChain administration on Day 1
Clearance (Cl) of rVIII-SingleChain
Measured: Before, and up to 72 hours (participants ≥ 12 years ) and 48 hours (participants < 12 years) after rVIII-SingleChain administration on Day 1
Annualized Spontaneous Bleeding Rate (AsBR)
AsBR for treated bleeding episodes
Measured: Up to 29 weeks after rVIII-SingleChain administration
Number of participants who develop FVIII inhibitors
Measured: During routine rVIII-SingleChain prophylaxis dosing, up to 29 weeks after rVIII-SingleChain administration.
Secondary outcomes (20)
Time to reach maximum concentration (Tmax) of rVIII-SingleChain
Measured: Before, and up to 72 hours (participants ≥ 12 years ) and 48 hours (participants < 12 years) after rVIII-SingleChain administration on Day 1
Last Concentration (Clast) of rVIII-SingleChain
Last observed quantifiable plasma concentration
Measured: Before, and up to 72 hours (participants ≥ 12 years ) and 48 hours (participants < 12 years) after rVIII-SingleChain administration on Day 1
IR (participants ≥ 12 years of age) of rVIII-SingleChain (Repeat pharmacokinetic [PK])
Measured: Before, and at up to 72 hours after the end of, rVIII-SingleChain infusion at Week 28
Cmax (participants ≥ 12 years of age) of rVIII-SingleChain (Repeat PK)
Measured: Before, and at up to 72 hours after the end of, rVIII-SingleChain infusion at Week 28
AUC0-last of rVIII-SingleChain (Repeat PK)
Measured: Before, and at up to 72 hours after the end of, rVIII-SingleChain infusion at Week 28
AUC0-inf of rVIII-SingleChain (Repeat PK)
Measured: Before, and at up to 72 hours after the end of, rVIII-SingleChain infusion at Week 28
t1/2 of rVIII-SingleChain (participants ≥ 12 years of age) (Repeat PK)
Measured: Before, and at up to 72 hours after the end of, rVIII-SingleChain infusion at Week 28
Cl of rVIII-SingleChain (participants ≥ 12 years of age) (Repeat PK)
Measured: Before, and at up to 72 hours after the end of, rVIII-SingleChain infusion at Week 28
Annualized Bleeding Rate (ABR)
Total ABR for treated, untreated, and both treated and untreated bleeding episodes (spontaneous, traumatic, and unknown cause)
Measured: Up to 29 weeks after rVIII-SingleChain administration
Hemostatic Efficacy for Major and Nonmajor Bleeding Episodes
The investigator will rate the efficacy of the rVIII-SingleChain treatment for major and nonmajor bleeding episodes based on a hemostatic efficacy four point rating scale of "excellent, good, moderate or no efficacy".
Measured: Up to 29 weeks after rVIII-SingleChain administration
Consumption of rVIII-SingleChain - number of infusions (doses)
Measured: Up to 29 weeks after rVIII-SingleChain administration
Consumption of rVIII-SingleChain - IU/kg per participant per month
rVIII-SingleChain consumption (IU/kg) per participant per month, for the weekly regimen, on-demand treatment, and total treatment.
Measured: Up to 29 weeks after rVIII-SingleChain administration
Consumption of rVIII-SingleChain - IU/kg per participant per year
rVIII-SingleChain consumption (IU/kg) per participant per year, for the weekly regimen, on-demand treatment, and total treatment.
Measured: Up to 29 weeks after rVIII-SingleChain administration
Number of bleeding episodes requiring rVIII-SingleChain to achieve hemostasis
Number of bleeding episodes requiring 1, <= 2, or > 2 infusions (doses) of rVIII-SingleChain to achieve hemostasis
Measured: Up to 29 weeks after rVIII-SingleChain administration
Percentage of bleeding episodes requiring rVIII-SingleChain to achieve hemostasis
Percentage of bleeding episodes requiring 1, <= 2, or > 2 infusions (doses) of rVIII-SingleChain to achieve hemostasis
Measured: Up to 29 weeks after rVIII-SingleChain administration
Number of participants who develop noninhibitory antibodies against rVIII-SingleChain
Measured: Before, and up to 29 weeks after, rVIII-SingleChain administration
Number of participants who develop antibodies against Chinese hamster ovary host cell protein
Measured: Before, and up to 29 weeks after, rVIII-SingleChain administration
Number of participants with Treatment-emergent Adverse Events (TEAEs), including related TEAEs, and serious adverse events (SAEs)
Measured: Up to 33 weeks after rVIII-SingleChain administration
Percentage of participants with TEAEs, including related TEAEs, and serious adverse events (SAEs)
Measured: Up to 33 weeks after rVIII-SingleChain administration
Number of TEAEs (events)
Measured: Up to 33 weeks after rVIII-SingleChain administration
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Dec 2024
- Study start9 Jan 2025
- Primary completion23 Sep 2026
- Study completion23 Sep 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Congenital Hemophilia AStudies of the same condition, open and under way.
- More trials run by CSL BehringThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Prevention
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 62 participants (actual)
Sponsor and investigators
- Lead sponsor
- CSL Behring
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Study Director, Study director, CSL Behring
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06738485
- Sponsor's protocol ID
- CSL627_3003
- Other IDs
- 2023-001026-34, 2023
- Status last verified
- Oct 2026
- First submitted
- 12 Dec 2024
- Last updated
- 23 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: CSL will consider on a case-by-case basis requests to share Individual Patient Data (IPD) with external bona-fide, qualified scientific and medical researchers. For information on the process and requirements for submitting a voluntary data sharing request for IPD, please contact CSL at clinicaltrials@cslbehring.com.
Study at a glance
From the registry record, last updated by the sponsor on 23 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Open-label, Multicenter, Pharmacokinetics, Efficacy, and Safety Study of a Recombinant Single-chain Factor VIII (rVIII-SingleChain) in Chinese Previously Treated Patients (PTPs) With Hemophilia A
- ClinicalTrials.gov ID
- NCT06738485
- Acronym / sponsor ID
- CSL627_3003
- Conditions
- Congenital Hemophilia A
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 62 participants (actual)
- Lead sponsor
- CSL BehringIndustry (pharma, biotech, devices)
- Study start
- 9 Jan 2025 (actual)
- Primary completion
- 23 Sep 2026 (actual)
- Study completion
- 23 Sep 2026 (actual)
- First posted
- 17 Dec 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
For bridging the available global clinical data of rVIII-SingleChain, with the Chinese population, the aim of this study in China is to investigate the pharmacokinetics (PK) of rVIII-SingleChain after an initial and repeat dose and to assess efficacy and safety during 2 to 3 times weekly prophylaxis treatment with rVIII-SingleChain in male Chinese PTPs with severe hemophilia A (FVIII activity less than [<] 1%).
Study design
- Primary purpose
- Prevention
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| rVIII-SingleChain | Experimental | Biological: Recombinant single-chain factor VIII (rVIII-SingleChain)Participants will receive rVIII-SingleChain as an intravenous (IV) infusion for a minimum of 50 exposure days (EDs). |
Who may qualify
- Ages
- 0 days to 65 years
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (3 listed)
- • Male Chinese participants <= 65 years of age.
- • Participants with severe hemophilia A (FVIII activity < 1%).
- • Participants who have received FVIII products for >= 150 EDs (>= 6 years of age) or >= 50 EDs (< 6 years of age).
Key exclusion criteria (5 listed)
- • Known hypersensitivity (allergic reaction or anaphylaxis) to any FVIII product or hamster protein.
- • Known congenital or acquired coagulation disorder other than congenital FVIII deficiency.
- • Currently receiving intravenous (IV) immunomodulating agents such as immunoglobulin or chronic systemic corticosteroid treatment.
- • Receiving any cryoprecipitate, whole blood, or plasma within 30 days before administration of rVIII-SingleChain.
- • Use of traditional or herbal Chinese medicine(s) with an impact on hemophilia, including coagulation, within 28 days before Day 1 and / or refusal to abstain from these during the study until the end of the participant's participation in the study.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Recombinant single-chain factor VIII (rVIII-SingleChain)Also: CSL627Lyophilized powder for solution for intravenous injection | Biological | rVIII-SingleChain |
Primary outcome
Incremental Recovery (IR) of rVIII-SingleChain
Time frame: Before, and at 30 minutes after the end of, rVIII-SingleChain administration on Day 1
Maximum Concentration (Cmax) of rVIII-SingleChain
Time frame: Before, and up to 72 hours (participants ≥ 12 years ) and 48 hours (participants < 12 years) after rVIII-SingleChain administration on Day 1
Area Under the Plasma Concentration Time Curve from Time Zero to the Last Measurable Concentration (AUC0-last) of rVIII-SingleChain
Time frame: Before, and up to 72 hours (participants ≥ 12 years ) and 48 hours (participants < 12 years) after rVIII-SingleChain administration on Day 1
Area Under the Plasma Concentration Time Curve from Time Zero to Infinity (AUC0-inf) of rVIII-SingleChain
Time frame: Before, and up to 72 hours (participants ≥ 12 years ) and 48 hours (participants < 12 years) after rVIII-SingleChain administration on Day 1
Half-life (t1/2) of rVIII-SingleChain
Time frame: Before, and up to 72 hours (participants ≥ 12 years ) and 48 hours (participants < 12 years) after rVIII-SingleChain administration on Day 1
Clearance (Cl) of rVIII-SingleChain
Time frame: Before, and up to 72 hours (participants ≥ 12 years ) and 48 hours (participants < 12 years) after rVIII-SingleChain administration on Day 1
Annualized Spontaneous Bleeding Rate (AsBR)
Time frame: Up to 29 weeks after rVIII-SingleChain administration
AsBR for treated bleeding episodes
Number of participants who develop FVIII inhibitors
Time frame: During routine rVIII-SingleChain prophylaxis dosing, up to 29 weeks after rVIII-SingleChain administration.
20 secondary outcomes
Time to reach maximum concentration (Tmax) of rVIII-SingleChain
Time frame: Before, and up to 72 hours (participants ≥ 12 years ) and 48 hours (participants < 12 years) after rVIII-SingleChain administration on Day 1
Last Concentration (Clast) of rVIII-SingleChain
Time frame: Before, and up to 72 hours (participants ≥ 12 years ) and 48 hours (participants < 12 years) after rVIII-SingleChain administration on Day 1
IR (participants ≥ 12 years of age) of rVIII-SingleChain (Repeat pharmacokinetic [PK])
Time frame: Before, and at up to 72 hours after the end of, rVIII-SingleChain infusion at Week 28
Cmax (participants ≥ 12 years of age) of rVIII-SingleChain (Repeat PK)
Time frame: Before, and at up to 72 hours after the end of, rVIII-SingleChain infusion at Week 28
AUC0-last of rVIII-SingleChain (Repeat PK)
Time frame: Before, and at up to 72 hours after the end of, rVIII-SingleChain infusion at Week 28
AUC0-inf of rVIII-SingleChain (Repeat PK)
Time frame: Before, and at up to 72 hours after the end of, rVIII-SingleChain infusion at Week 28
t1/2 of rVIII-SingleChain (participants ≥ 12 years of age) (Repeat PK)
Time frame: Before, and at up to 72 hours after the end of, rVIII-SingleChain infusion at Week 28
Cl of rVIII-SingleChain (participants ≥ 12 years of age) (Repeat PK)
Time frame: Before, and at up to 72 hours after the end of, rVIII-SingleChain infusion at Week 28
Annualized Bleeding Rate (ABR)
Time frame: Up to 29 weeks after rVIII-SingleChain administration
Hemostatic Efficacy for Major and Nonmajor Bleeding Episodes
Time frame: Up to 29 weeks after rVIII-SingleChain administration
Consumption of rVIII-SingleChain - number of infusions (doses)
Time frame: Up to 29 weeks after rVIII-SingleChain administration
Consumption of rVIII-SingleChain - IU/kg per participant per month
Time frame: Up to 29 weeks after rVIII-SingleChain administration
Consumption of rVIII-SingleChain - IU/kg per participant per year
Time frame: Up to 29 weeks after rVIII-SingleChain administration
Number of bleeding episodes requiring rVIII-SingleChain to achieve hemostasis
Time frame: Up to 29 weeks after rVIII-SingleChain administration
Percentage of bleeding episodes requiring rVIII-SingleChain to achieve hemostasis
Time frame: Up to 29 weeks after rVIII-SingleChain administration
Number of participants who develop noninhibitory antibodies against rVIII-SingleChain
Time frame: Before, and up to 29 weeks after, rVIII-SingleChain administration
Number of participants who develop antibodies against Chinese hamster ovary host cell protein
Time frame: Before, and up to 29 weeks after, rVIII-SingleChain administration
Number of participants with Treatment-emergent Adverse Events (TEAEs), including related TEAEs, and serious adverse events (SAEs)
Time frame: Up to 33 weeks after rVIII-SingleChain administration
Percentage of participants with TEAEs, including related TEAEs, and serious adverse events (SAEs)
Time frame: Up to 33 weeks after rVIII-SingleChain administration
Number of TEAEs (events)
Time frame: Up to 33 weeks after rVIII-SingleChain administration
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Oct 2026.
- Individual participant dataSharing planned: Yes. CSL will consider on a case-by-case basis requests to share Individual Patient Data (IPD) with external bona-fide, qualified scientific and medical researchers. For information on the process and requirements for submitting a voluntary data sharing request for IPD, please contact CSL at clinicaltrials@cslbehring.com.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Study Director study director
CSL Behring
20 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Recombinant single-chain factor VIII (rVIII-SingleChain) in people with Congenital Hemophilia A, run by CSL Behring at 20 sites in China.
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 3 inclusion and 5 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 23 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 20 sites in China. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Incremental Recovery (IR) of rVIII-SingleChain (time frame: Before, and at 30 minutes after the end of, rVIII-SingleChain administration on Day 1). The study lists 8 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 23 Oct 2026.