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Phase 4 Completed N=251 Randomized Basic Science

Survey of Inhibitors in Plasma-Product Exposed Toddlers

Source: ClinicalTrials.gov NCT01064284 ↗
Enrolled (actual)
251
Serious AEs
12.5%
Results posted
Apr 2017
Primary outcomePrimary: To Assess the Immunogenicity of Plasma Derived VWF/FVIII and rFVIII Concentrates by Determining the Frequency of Inhibitor Development in the First 50 EDs or in the First 3 Years From Enrolment, Whichever Comes First in PUPs and MBCTs — 29; 47 participants
◆ Published Evidence
Highly cited
495citations · ~50 / year
A Randomized Trial of Factor VIII and Neutralizing Antibodies in Hemophilia A.
The New England journal of medicine · 2016 · Open access · Likely link

Summary

The primary objective of the study is to assess the immunogenicity of VWF/FVIII and of rFVIII concentrates by determining the frequency of inhibitor development in previously untreated patients (PUPs) or minimally blood component-treated (MBCTPs) in the first 50 EDs or in the first 3 years from enrollment, whichever occurs first. .

Linked Publications (2)

  • A Randomized Trial of Factor VIII and Neutralizing Antibodies in Hemophilia A.
    The New England journal of medicine · 2016 · 495 citations · Open access · Likely link
  • Genetic risk stratification to reduce inhibitor development in the early treatment of hemophilia A: a SIPPET analysis.
    Blood · 2017 · 58 citations · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
To Assess the Immunogenicity of Plasma Derived VWF/FVIII and rFVIII Concentrates by Determining the Frequency of Inhibitor Development in the First 50 EDs or in the First 3 Years From Enrolment, Whichever Comes First in PUPs and MBCTs
29; 47 —
SECONDARY
To Evaluate the Anamnestic Response of Inhibitor Patients
— —
SECONDARY
To Evaluate the Frequency of Transient Inhibitors
7; 12 —
SECONDARY
To Evaluate the Modality of Occurrence of Inhibitors (Number of EDs)
8; 8 —
SECONDARY
To Evaluate the Modality of Occurrence of Inhibitors (Titre at Onset)
12; 16.3 —
SECONDARY
To Evaluate Clinical Factors Potentially Associated to Inhibitor Development
— —
SECONDARY
To Evaluate Laboratory Factors Potentially Associated to Inhibitor Development
— —
SECONDARY
To Evaluate the Incidence of All Other Adverse Events Related and Not Related to the Products Used
— —

Eligibility Criteria

Inclusion Criteria

  • Male subjects
  • Any ethnicity
  • Age = 1% on testing at the central laboratory will be separately recorded in the screening list.
  • Previously untreated (0 EDs to any FVIII concentrates or blood products) or minimally treated ( = 1%, as assayed at the central laboratory

o Those patients originally diagnosed locally as severe but subsequently found to have FVIII levels ranging from 1% to 2% on testing at the central laboratory will be separately recorded in the screening list.

  • Concomitant congenital or acquired immunodeficiency
  • Concomitant treatment with systemic immunosuppressive drugs
  • Concomitant treatment with any investigational drug
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01064284) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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