Phase 3
N=5
Study of TAK-672 in Participants With Acquired Hemophilia A
Acquired Hemophilia A
Bottom Line
View on ClinicalTrials.gov: NCT04580407 ↗Enrolled (actual)
5
Serious AEs
40.0%
Results posted
Dec 2024
Primary outcome: Primary: Percentage of Participants With Severe Bleeding Episodes Who Demonstrated Response to TAK-672 Therapy at 24 Hours After the Initiation of Treatment — 100 percentage of participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- TAK-672 (Biological)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Takeda
- Primary completion
- Nov 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Participants With Severe Bleeding Episodes Who Demonstrated Response to TAK-672 Therapy at 24 Hours After the Initiation of Treatment |
100 | — |
| SECONDARY Percentage of Participants With Severe Bleeding Episodes Successfully Controlled With TAK-672 Therapy, as Assessed by the Investigator |
100 | — |
| SECONDARY Percentage of Participants With Bleeding Episodes Responsive to TAK-672 Therapy at Designated Assessment Time Points After the Initiation of Therapy, as Assessed by the Investigator |
80.0; 100; 100; 100; 100; 100 | — |
| SECONDARY Frequency of Infusions Per Participant of TAK-672 Required to Successfully Control Qualifying Bleeding Episodes |
1.8 | — |
| SECONDARY Total Dose of Infusions Per Participant of TAK-672 Required to Successfully Control Qualifying Bleeding Episodes |
38640.0 | — |
| SECONDARY Total Number of Infusions Per Participant of TAK-672 Required to Successfully Control Qualifying Bleeding Episodes |
2.6 | — |
| SECONDARY Percentage of Participants With Response to TAK-672 Therapy at Specified Time Points and Eventual Control of Severe Bleeding Episodes |
80.0; 100; 100; 100; 100; 100 | — |
| SECONDARY Mean Value of Pre-infusion Anti-TAK-672 Antibody Titers in Participants With Successful Control of the Bleeding Episode |
3.78 | — |
| SECONDARY Mean Value of Total Dose Per Participant in Participants With Successful Control of the Bleeding Episode |
38640.0 | — |
| SECONDARY Number of Participants With Positive Response at 24 Hours After the Initiation of Treatment in Participants With Successful Control of the Bleeding Episode |
5 | — |
| SECONDARY Anti-hFVIII Inhibitor Titers |
57.6; 60.0; 35.0; 27.3; 44.0; 46.3 | — |
| SECONDARY Anti-pFVIII Inhibitor Titer |
3.78; 0.00; 1.34; 1.18; 2.23; 3.33 | — |
| SECONDARY Terminal Half-life (t1/2) for TAK-672 |
— | — |
| SECONDARY Clearance (CL) for TAK-672 |
— | — |
| SECONDARY Volume of Distribution (Vd) for TAK-672 |
— | — |
| SECONDARY Area Under the Concentration-Time Curve (AUC) for TAK-672 |
— | — |
| SECONDARY Maximum Drug Concentration (Cmax) Per Dose (Cmax/Dose) for TAK-672 |
— | — |
| SECONDARY Duration Period From Initial Dose of TAK-672 Until Completion of Hemostasis Control |
1.0 | — |
| SECONDARY Total Dose Per Participant From Initial Dose of TAK-672 Until Completion of Hemostasis Control |
38640.0 | — |
| SECONDARY Number of Participants With New Qualified Severe Bleeding Episodes |
1 | — |
Summary
The main aims of the study are to learn if TAK-672 can control bleeds in participants with acquired hemophilia A and if the participants have side effects from TAK-672. Acquired hemophilia A is when people's immune system attacks specific proteins, known as clotting factors, in their bodies. This is different from hemophilia A, which is a condition people are born with.
At the first visit, the study doctor will check who can take part. For those who can take part, participants will visit the clinic or hospital when they get their next bleed. They will receive TAK-672 slowly through a vein. This is called an infusion. They might need extra infusions of TAK-672 to control the bleed. After their bleed is controlled, participants will regularly visit the clinic for a check-up and to treat any further bleeds. This will happen until all participants have received their last dose of TAK-672 to control their 1st bleed. After this, all participants will visit the clinic 90 days later for a final check-up.
Eligibility Criteria
Inclusion Criteria
- Male or female Japanese participants of >=18 years of age.
- Participants who (or their legally authorized representatives) have provided his/her written informed consent form prior to any study-related procedures and study product administration.
- Participants with a diagnosis of AHA based on clinical evaluation and supportive local laboratory testing as shown below:
- Presentation with spontaneous bleeding without anatomical cause and without prior known bleeding disorder.
- Prolonged activated partial thromboplastin time (aPTT) without explanation.
- Abnormal aPTT cross mixing test consistent with FVIII inhibitors
- Confirmation of a low FVIII:C.
- Positive FVIII inhibitor (>=0.6 BU) as measured either in the local or central laboratory
- Participants with a severe bleeding episode which the investigator finds necessary to treat and whose severe bleeding episode meets at least 1 of the following criteria:
- Bleeds that pose a threat to a vital organ that could threaten life (e.g. intracranial bleed, or any site that could obstruct the airway).
- Bleeds that pose a threat to a vital organ where life is not threatened but the organ function could be impaired (e.g., intraspinal bleed threatening the spinal cord and/or nerve conduction; a continual bleed into the kidney or bladder that could result in an obstructive uropathy, testicular bleed, bleed in and around the eye).
- Bleeds requiring a blood transfusion to maintain the Hgb level at above-life or organ threatening levels (e.g. post-surgical, gastro-intestinal, retro-peritoneal, and thigh bleeds).
- Intramuscular bleeds where muscle viability and/or neurovascular integrity is significantly compromised or at risk of being compromised.
- Intra-articular bleeds impacting a major joint associated with severe pain, swelling and severe loss of joint mobility (reduced >70%) or where a bleed could result in joint destruction (e.g. in and around the femoral head).
- Participants who are taking anti-thrombotics (including anti-platelet agents and anticoagulantswith confirmatory laboratory testing documenting specific FVIII inhibitor titer and with 3 half-lives of the agent have elapsed since the last dose.
- Participants with expected life expectancies of at least 90 days prior to the onset of the hemorrhagic episode.
- Participants of reproductive age who have agreed to use acceptable methods of contraception and if female, undergo pregnancy testing as part of the screening process.
- Participant who are able to willing and able to comply with the requirements of the protocol.
Exclusion Criteria
- Participants with an established reason for bleeding that is not correctable even with hemostatic therapy.
- Participants presenting a bleeding episode that is assessed likely to resolve on its own, even if left untreated.
- Participants with a known major sensitivity (anaphylactoid reactions) to therapeutic products of porcine or hamster origin; examples include therapeutics of porcine origin (e.g. previously marketed porcine FVIII, Hyate: C) and recombinant therapeutics prepared from hamster cells (e.g. Humira, Advate, and Enbrel).
- Participants with the use of hemophilia medication: prior to the administration of TAK-672 under one of the following conditions: (1) use of "recombinant activated factor VII (rFVI)Ia " within 3 hours prior to TAK-672 administration (2) use of " activated prothrombin complex concentrate (aPCC)" within 6 hours prior to TAK-672 administration or (3) use of " plasma-derived FX/FVIIa complex concentrate (pd-FX/FVIIa) " within 8 hours prior to TAK-672 administration.
- Participants with an anticipated need for treatment or device during the study that may interfere with the evaluation of the safety or efficacy of TAK-672, or whose safety or efficacy may be affected by TAK-672.
- Participants who are currently pregnant or breastfeeding, or planning to become pregnant or father a child during the study
- Participants wh
Data sourced from ClinicalTrials.gov (NCT04580407). 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.