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    Clinical Trial Results:
    EFFICACY AND SAFETY STUDY OF vWF SD-35-DH (WILFACTIN) IN PATIENTS UNDER LONG-TERM PROPHYLAXIS

    Summary
    EudraCT number
    2005-001746-17
    Trial protocol
    BE   PL  
    Global end of trial date
    17 Jul 2012

    Results information
    Results version number
    v1(current)
    This version publication date
    30 Jun 2016
    First version publication date
    04 Jul 2015
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    42-73-406
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    LFB Biotechnologies
    Sponsor organisation address
    3 Avenue des Tropiques, Les Ulis, COURTABOEUF, France, 91930
    Public contact
    Global Clinical Development Leader, LFB Biotechnologies, 33 169825656,
    Scientific contact
    Global Clinical Development Leader, LFB Biotechnologies, 33 169825656,
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    17 Jan 2013
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    17 Jul 2012
    Global end of trial reached?
    Yes
    Global end of trial date
    17 Jul 2012
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To evaluate the efficacy of vWF SD-35-DH (WILFACTIN) in a long-term prophylaxis treatment regimen for the prevention of haemorrhages.
    Protection of trial subjects
    Blood sampling usually done for laboratory testing presents a potential discomfort and the possible associated risks are slight pain at the site, feeling light-headed, bruising and, exceptionally, local infection as well as bleeding from the site of the puncture. However, all precautionary measures will be taken to minimize potential side effects.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    30 Nov 2005
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Safety, Efficacy
    Long term follow-up duration
    12 Months
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Poland: 1
    Country: Number of subjects enrolled
    Belgium: 3
    Country: Number of subjects enrolled
    Tunisia: 6
    Worldwide total number of subjects
    10
    EEA total number of subjects
    4
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    3
    Adolescents (12-17 years)
    2
    Adults (18-64 years)
    5
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    10 patients were included at 5 study centers in Belgium, Poland and Tunisia.

    Pre-assignment
    Screening details
    -

    Pre-assignment period milestones
    Number of subjects started
    10
    Number of subjects completed
    8

    Pre-assignment subject non-completion reasons
    Reason: Number of subjects
    screening failure: 2
    Period 1
    Period 1 title
    Prophylaxis study follow-up (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    WILFACTIN
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    WILFACTIN
    Investigational medicinal product code
    vWF SD-35-DH
    Other name
    Human von willebrand factor
    Pharmaceutical forms
    Powder and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Individualized dose for long-term prophylaxis regimen according to historical profile of recurrent bleeding. • 60 IU/kg in subjects with a predisposition to "mucosal" bleeds: - twice per week if VWF:RCo level at 48 hours post-infusion was > 10 IU/dL at the time of the recovery test. - 3 times per week if VWF:RCo level at 48 hours post-infusion was < 10 IU/dL • 40 IU/kg in subjects with a predisposition to ‘non-mucosal’ bleeds: - twice per week if FVIII:C level at 48 hours post-infusion was >20 IU/dL at the time of the recovery test - 3 times per week if FVIII:C level at 48 hours post-infusion was <20 IU/dL

    Number of subjects in period 1 [1]
    WILFACTIN
    Started
    8
    Completed
    7
    Not completed
    1
         Adverse event, non-fatal
    1
    Notes
    [1] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same.
    Justification: One subject not completed the baseline period because of a not fatal adverse event.

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Prophylaxis study follow-up
    Reporting group description
    -

    Reporting group values
    Prophylaxis study follow-up Total
    Number of subjects
    8 8
    Age categorical
    Units: Subjects
        Children (2-11 years)
    3 3
        12-64 years
    5 5
    Age continuous
    Units: years
        median (full range (min-max))
    16 (11 to 57) -
    Gender categorical
    Units: Subjects
        Female
    1 1
        Male
    7 7
    Subject analysis sets

    Subject analysis set title
    Total Treated Set
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    Eight subjects received study drug and were included in the safety population or TTS

    Subject analysis set title
    FAS set
    Subject analysis set type
    Full analysis
    Subject analysis set description
    Seven subjects completed the study and were included in the FAS. One subject was excluded from the efficacy analyses because he withdrew prematurely after the first administration of the study drug.

    Subject analysis sets values
    Total Treated Set FAS set
    Number of subjects
    8
    7
    Age categorical
    Units: Subjects
        Children (2-11 years)
    3
    3
        12-64 years
    5
    4
    Age continuous
    Units: years
        median (full range (min-max))
    16 (11 to 57)
    16 (11 to 45)
    Gender categorical
    Units: Subjects
        Female
    1
    1
        Male
    7
    6

    End points

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    End points reporting groups
    Reporting group title
    WILFACTIN
    Reporting group description
    -

    Subject analysis set title
    Total Treated Set
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    Eight subjects received study drug and were included in the safety population or TTS

    Subject analysis set title
    FAS set
    Subject analysis set type
    Full analysis
    Subject analysis set description
    Seven subjects completed the study and were included in the FAS. One subject was excluded from the efficacy analyses because he withdrew prematurely after the first administration of the study drug.

    Primary: Reduction of haemorrages

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    End point title
    Reduction of haemorrages [1]
    End point description
    All breakthrough bleeding episodes requiring VWF treatment or not were analysed.
    End point type
    Primary
    End point timeframe
    ABR calculated at the end of the study compared with historical ABR the year before prophylaxis
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Descriptive analyse
    End point values
    FAS set
    Number of subjects analysed
    7
    Units: Annual bleeding rate (ABR)
        median (full range (min-max))
    81.9 (-11.9 to 99.8)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    All included subjects (8) received at least one infusion; all were included in the safety analysis. Subjects were followed after the first infusion (recovery test) between 0 and 54.8 months (median: 27.3 months).
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    11.1
    Reporting groups
    Reporting group title
    safety group
    Reporting group description
    -

    Serious adverse events
    safety group
    Total subjects affected by serious adverse events
         subjects affected / exposed
    1 / 8 (12.50%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Injury, poisoning and procedural complications
    Joint injury
         subjects affected / exposed
    1 / 8 (12.50%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 3%
    Non-serious adverse events
    safety group
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    8 / 8 (100.00%)
    Investigations
    Seroconversion test positive
    Additional description: Not related Seroconversion were post-vaccinal (2 after hepatitis A vaccine and 1 after hepatitis B vaccine)
         subjects affected / exposed
    3 / 8 (37.50%)
         occurrences all number
    3
    Injury, poisoning and procedural complications
    Gingival injury
    Additional description: not related
         subjects affected / exposed
    2 / 8 (25.00%)
         occurrences all number
    4
    Joint injury
    Additional description: not related
         subjects affected / exposed
    2 / 8 (25.00%)
         occurrences all number
    2
    Bite
    Additional description: not related
         subjects affected / exposed
    1 / 8 (12.50%)
         occurrences all number
    3
    Limb injury
    Additional description: not related
         subjects affected / exposed
    2 / 8 (25.00%)
         occurrences all number
    2
    Nervous system disorders
    Dizziness
    Additional description: Mild events possibly related to the study drug. Dizziness symptoms occurred twice for a total of 116 administered infusions (the 40th and 41st infusion). They resolved without corrective treatment and the patient recovered without sequelae.
         subjects affected / exposed
    1 / 8 (12.50%)
         occurrences all number
    2
    Blood and lymphatic system disorders
    Anaemia
    Additional description: not related
         subjects affected / exposed
    2 / 8 (25.00%)
         occurrences all number
    2
    Gastrointestinal disorders
    Loose tooth
    Additional description: not related
         subjects affected / exposed
    1 / 8 (12.50%)
         occurrences all number
    2

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    27 Oct 2006
    MSI for information. To increase the number of patients
    18 Dec 2006
    To allow the patients at the study end to continue the study drug up to the commercialisation. Add details regarding the bleeding episodes as inclusion criteria.
    13 Jun 2007
    Addition of a new center Dr El Khorassani, Maroc and LFB status = LFB SA
    26 Nov 2007
    Prolong study recruitment period (+ 6 months), extend the number of centres (countries: Tunisia and Poland). To change the sponsor name (LFB BIOTECHNOLOGIES) .
    03 Sep 2008
    This amendment concerns the Study Protocol. The main objective is the following: -to prolong the patient recruitment period, -to update the procedure for reporting Serious Adverse Events (SAE), -to add an intermediary analysis in Q4 2008, -to specify change of clinical development director, -to specify change of clinical project manager, -It also includes the correction of typing errors.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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