Phase 3
N=134
A Trial Investigating Safety and Efficacy of Treatment With BAY94-9027 in Severe Hemophilia A
Hemophilia A
Bottom Line
View on ClinicalTrials.gov: NCT01580293 ↗Enrolled (actual)
134
Serious AEs
18.4%
Results posted
Dec 2018
Primary outcome: Primary: Annualized Number of Total Bleeds in On-demand Treatment Arm (Weeks 0 -36) and in Each Prophylaxis Arm (Weeks 10 - 36, Excluding Rescue Bleeds) - Part A, Main Trial — 23.42; 4.11; 1.93; 1.93 bleeds
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- BAY94-9027 (Biological)
- Age
- Pediatric, Adult, Older Adult · 12+ yrs
- Sex
- Male
- Sponsor
- Bayer
- Primary completion
- Jun 2014
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Annualized Number of Total Bleeds in On-demand Treatment Arm (Weeks 0 -36) and in Each Prophylaxis Arm (Weeks 10 - 36, Excluding Rescue Bleeds) - Part A, Main Trial |
23.42; 4.11; 1.93; 1.93; 3.85; 2.09 | — |
| SECONDARY Annualized Number of Joint Bleeds, Trauma, Spontaneous Bleeds in On-demand Treatment Arm (Weeks 0 -36) and in Each Prophylaxis Arm (Weeks 10 - 36, Excluding Rescue Bleeds) - Part A |
16.34; 4.01; 1.93; 1.86; 1.92; 1.93 | — |
| SECONDARY Annualized Number of Total Bleeds in On-demand Treatment Arm and in Each Prophylaxis Arm, Part A, Extension |
34.09; 1.57; 1.17; 0.65; 3.10 | — |
| SECONDARY Number of Participants Developed Human Coagulation Factor VIII (FVIII) Inhibitor - Part A |
0; 0 | — |
| SECONDARY Number of Bleeds Requiring 1, 2 or >= 3 Infusions to Control the Bleed - Part A |
307; 262; 45; 22; 34; 32 | — |
| SECONDARY Number of Bleeds According to Locations - Part A |
0; 0; 303; 235; 54; 59 | — |
| SECONDARY Number of Bleeds Over Time Since Previous Prophylaxis Infusion - Part A |
4; 21; 19; 62; 30; 82 | — |
| SECONDARY Number of Bleeds According to Participant's Assessment of Response to Treatment - Part A |
252; 256; 81; 107; 171; 149 | — |
| SECONDARY Recombinant Human Factor VIII (rFVIII) Usage Expressed as Total Dose Per Kilogram Per Year - Part A |
1518.5; 4421.4; 3314.4; 3482.9; 3338.7; 3421.0 | — |
| SECONDARY Recombinant Human Factor VIII (rFVIII) Usage Expressed as Dose Per Kilogram Per Infusion - Part A |
32.8; 39.2; 30.6; 45.3; 59.0; 46.9 | — |
| SECONDARY Number of Participants Requiring an Increase in Dose Frequency, or Dose Increase, During Weeks 10 to 36 - Part A |
0; 0; 0; 11; 11; 2 | — |
| SECONDARY Number of Surgeries According to Physician's Assessment of Adequacy of Hemostasis in Major Surgery - Part B |
13; 7; 0; 0 | — |
| SECONDARY Recombinant Human Factor VIII (rFVIII) Usage Expressed as Dose Per Kilogram Per Infusion for Major Surgery - Part B |
33.7 | — |
| SECONDARY Recombinant Human Factor VIII (rFVIII) Usage Expressed as Number of Infusions for Major Surgery - Part B |
8.0 | — |
| SECONDARY Maximum Drug Plasma Concentration (Cmax) Following Single and Multiple Doses of BAY94-9027, Chromogenic Assay - Part A |
162.8; 177.1 | — |
| SECONDARY Area Under the Plasma Concentration Versus Time Curve From Zero to Infinity (AUC) Following Single and Multiple Doses of BAY94-9027, Chromogenic Assay - Part A |
3707.5; 4130.8 | — |
| SECONDARY Terminal Elimination Half Life (t1/2) Following Single and Multiple Doses of BAY94-9027, Chromogenic Assay - Part A |
17.1; 19.6 | — |
| SECONDARY Overall Human Coagulation Factor VIII (FVIII) Recovery Value by Chromogenic Assay - Part A |
2.67; 2.68 | — |
| SECONDARY Change From Baseline in Quality of Life by Hemophilia Specific Quality of Life Instrument or Questionnaire for Adults (Haemo-QoL-A) Overall Score at Week 36 - Part A |
-0.14; 2.59 | — |
Summary
Haemophilia A is an inherited disorder in which one of the proteins, Factor VIII, needed to form blood clots is missing or not present in sufficient levels. In a person with haemophilia A, the clotting process is slowed and the person experiences bleeds that can result in serious problems and potential disability.
The current standard treatment for severe haemophilia A is regularly scheduled infusion of FVIII to keep levels high enough to prevent bleeding. Due to the short half-life of FVIII, prophylaxis may require treatment as often as every other day.
In this trial safety and efficacy of a long-acting recombinant factor VIII molecule is evaluated in subjects with severe Hemophilia A.
120-140 patients will receive open label treatment with long-acting rFVIII either on-demand to treat bleeds or prophylactically for 36 weeks in the main trial plus an optional extension to continue treatment for at least 100 total exposure days (ED). Patients on prophylactic treatment will receive study drug at dosing intervals between once and twice a week depending on their observed bleeding. Patients will attend the treatment centre for routine blood samples and be required to keep an electronic diary.
Male patients aged 12-65, with severe hemophilia A, previously treated with FVIII for at least 50 exposure days may be eligible for this study.
Eligibility Criteria
Inclusion Criteria
- Male; 12-65 years of age
- Subjects with severe hemophilia A
- Previously treated with factor VIII for a minimum of 150 exposure days
Exclusion Criteria
- Inhibitors to FVIII (current evidence or history)
- Any other inherited or acquired bleeding disorder in addition to Hemophilia A
- Platelet count 2x upper limit of normal or AST/ALT (aspartate aminotransferase/alanine aminotransferase) > 5x upper limit of normal
Data sourced from ClinicalTrials.gov (NCT01580293). 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.