Phase 3, Prospective, Multi-center, Open Label Study to Investigate Safety, Immunogenicity and Hemostatic Efficacy of PEGylated Factor VIII (BAX 855) in Previously Untreated Patients (PUPs) < 6 Years With Severe Hemophilia A (FVIII < 1%)

Who is this study for? Child patients with Hemophilia A
What treatments are being studied? PEG-Factor VIII
Status: Completed
Location: See all (91) locations...
Intervention Type: Biological
Study Type: Interventional
Study Phase: Phase 3
SUMMARY

This study is for young children with severe hemophilia A who have previously not been treated with BAX855 or other FVIII concentrates. The main aim of the study is to check for side effects from treatment with BAX855. This includes the buildup of antibodies against FVIII which may stop BAX855 from working properly. Another aim is to learn how well BAX855 controls bleeding. In this study, the children can receive BAX855 either as preventative treatment (prophylaxis), or as needed to treat bleeding (on-demand). In case a participant develops antibodies, treatment will be provided as part of the study.

Eligibility
Participation Requirements
Sex: All
Maximum Age: 5
Healthy Volunteers: f
View:

• Participant is \<6 years old at the time of screening.

• Participant is previously untreated with \<3 exposure days (EDs) to ADVATE, BAX 855 or plasma transfusion at any time prior to screening.

• Participant has severe hemophilia A (Factor VIII (FVIII) \<1%) as determined by the central laboratory, or a historical FVIII level \<1% as determined at any local laboratory, optionally supported by an additional FVIII gene mutation consistent with severe hemophilia A.

• Participant is immune competent with a cluster of differentiation 4 (CD4+) count \> 200 cells per cubic millimeter (mm\^3), as confirmed by the central laboratory at screening.

• Parent or legally authorized representative is willing and able to comply with the requirements of the protocol.

∙ Additional inclusion criteria for Part B (immune tolerance induction \[ITI\]).

• Parent or legal representative has/have voluntarily provided signed informed consent for ITI portion.

• Participant has a confirmed positive high titer inhibitor (\> 5.00 Bethesda unit (BU)) or has a positive confirmed low titer inhibitor (greater than or equal to \[\>=\] 0.6 BU) as determined by the central laboratory based on a second repeat blood sample with

‣ poorly controlled bleeding despite increased BAX 855 doses, or

⁃ requires bypassing agents to treat bleeding.

Locations
United States
Arizona
Phoenix Childrens Hospital
Phoenix
California
Kaiser Permanente Oakland M.C.
Cupertino
Kaiser Permanente Oakland M.C.
Oakland
Kaiser Permanente Oakland M.C.
Roseville
UC Davis Health System
Sacramento
Connecticut
Connecticut Children's Med Ctr
Hartford
Florida
Univ Florida College Medicine
Gainesville
Georgia
Center for Advanced Pediatrics
Atlanta
Illinois
Ann & Robert H. Lurie Children's H
Chicago
Bleeding and Clotting Dis.Inst.
Peoria
Michigan
UMHS
Ann Arbor
North Carolina
Novant Health Presbyterian Medical Center
Charlotte
Wake Forest Baptist Medical Center
Winston-salem
New York
New York Presbyterian Hospital
New York
Ohio
Cincinnati Children's Hospital
Cincinnati
Rainbow Babies/Childrens Htl
Cleveland
Pennsylvania
Penn State MS Hershey Med Ctr
Hershey
Texas
Texas Tech University Health Sciences Center
El Paso
Texas Children's Hospital
Houston
Utah
Primary Children's Hospital
Salt Lake City
Other Locations
Austria
Medizinische Universitat Wien
Vienna
Belgium
Cliniques Uni Saint-Luc
Bruxelles
HUDERF
Bruxelles
Univ. Ziekenhuis Gent Apotheek
Gent
Universitair Ziekenhuis Leuven
Leuven
Bulgaria
UMHAT Sv. Georgi, EAD
Plovdiv
SHAT Oncohaematology Diseases
Sofia
MHAT Sv. Marina, EAD
Varna
Canada
Kaye Edmonton Clinic
Edmonton
McMaster Health Science
Hamilton
Denmark
Rigshospitalet Copenhagen
Copenhagen
Finland
Helsinki Univ Hospital
Helsinki
France
CHU CAEN Hopital Cote de Nacre
Caen Cedex 9
Hopital Jeanne de Flandre - CHU Lille
Lille Cedex
Hopital Necker Enfants Malades
Paris Cedex 15
Essais cliniques CHU Rennes
Rennes Cedex 09
CHU de Rouen
Rouen Cedex
Germany
Inst. f. Experimentelle
Bonn
Klinik F.Haematologie,Onkologie
Duesseldorf
Poliklinik PaediaHaematologie
Hamburg
Werlhof-Institut GmbH
Hannover
Hong Kong Special Administrative Region
The University of Hong Kong Queen Mary Hospital
Hong Kong
Chinese University Of Hong Kong
Shatin
Hungary
Belgyogyaszat Onkohaematologia
Budapest
Debreceni Egyetem
Debrece
Italy
Presidio Ospedaliero F. Alessi
Catania
Azienda Ospedaliera Universitaria Careggi
Firenze
Ospedale Maggiore Policlinico
Milano
Umberto I Pol. di Roma-Università di Roma La Sapienza
Rome
Malaysia
Hospital Ampang
Ampang
Hospital Pulau Pinang
Georgetown
Hospital HRPB
Ipoh
Hospital Kuala Lumpur
Kuala Lumpur
Hospital Umum Sarawak
Kuching
Hospital Sultanah Nur Zahirah
Terengganu
Netherlands
Universitair Medisch Centrum Groningen (UMCG)
Groningen
Norway
Oslo Universitetssykehus - Rikshospitalet
Oslo
Republic of Korea
Eulji University Hospital
Daejeon
Kyung Hee University Hospital
Seoul
Severance Hospital, Yonsei
Seoul
Ulsan University Hospital
Ulsan
Singapore
KKH
Singapore
NUS YLL School of Medicine
Singapore
Spain
HOSPITAL A Coruna
A Coruna
Hospital Universitario La Paz
Madrid
Hospital Univ. Son Espases
Palma De Mallorca
Hospital Univ del Rio Hortega
Valladolid
Taiwan
Kaohsiung Chung- Ho Memorial Hosp
Kaohsiung
China Medical University Hospital
Taichung
Taichung Veterans General
Taichung
Tri-Service General Hospital
Taipei City
Thailand
Siriraj Hospital
Bangkoknoi
Maharaj Nakorn Chiang Mai
Muang
Srinagarind Hospital
Muang
King Chulalongkorn Memorial
Patumwan
Ramathibodi Hospital
Ratchathewi
Turkey
Acibadem Adana Hospital
Adana
Hacettepe Üniversitesi
Ankara
Akdeniz Universitesi
Antalya
Uludag Universitesi Tip Fakültesi
Bursa
Istanbul Üniversitesi Cerrahpaşa
Istanbul
Ege Universitesi Tip Fakultesi
Izmir
Erciyes Univers Tip Fakultesi
Kayseri
19 Mayis Universitesi
Samsun
Ukraine
MI Cherkasy Reg Onc Dis of CRC
Cherkasy
SI Institute of Blood Pathology and Transfusion Medicine of NAMSU
Lviv
CI Zaporizhzhia Reg CCH of ZRC
Zaporizhzhia
United Kingdom
Bristol Royal H. for Children
Bristol
Evelina Children's Hospital - St Thomas' Hospital
London
Royal Manchester Children's Hospital
Manchester
Univ Hospital Southampton
Southampton
Time Frame
Start Date: 2015-11-12
Completion Date: 2024-10-29
Participants
Target number of participants: 120
Treatments
Experimental: Previously untreated patients (PUPs)
Part A (Main Study): Participants age \<3 years and not experienced two joint bleeds will receive on- demand treatment of 10-80 international unit per kilogram (IU/kg) of BAX 855 intravenously depending on the severity of the bleeding episode and age \<3 years or after a maximum of two joint bleeds will receive prophylaxis treatment with dose of 25-80 IU/kg of BAX855 IV (based on investigator discretion) once weekly for up to 100 EDs.~Part A (Surgery): In participants, the administration of BAX 855 will be individualized based on the participants IR and half-life. For major surgery to achieve the target level of 80-100% FVIII in plasma of normal FVIII level and for minor surgery \>=30-60% FVIII levels for dental or other invasive surgery.~Part B (Immune tolerance induction \[ITI\]): Participants will receive prophylaxis treatment of 100-200 IU/kg BAX 855 IV daily or 50 IU/kg three time in a week and will be reduced to twice weekly to maintain FVIII trough level of 1% for further 3 months.
Related Therapeutic Areas
Sponsors
Leads: Baxalta now part of Shire
Collaborators: Takeda Development Center Americas, Inc.

This content was sourced from clinicaltrials.gov