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    Summary
    EudraCT Number:2013-003742-16
    Sponsor's Protocol Code Number:IB1001-04
    National Competent Authority:UK - MHRA
    Clinical Trial Type:EEA CTA
    Trial Status:Prematurely Ended
    Date on which this record was first entered in the EudraCT database:2013-09-18
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedUK - MHRA
    A.2EudraCT number2013-003742-16
    A.3Full title of the trial
    Pharmacokinetics, Safety and Efficacy of Recombinant Factor IX Product, IB1001, in Patients with Severe Hemophilia B
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Study of a new medicinal product, IB1001, to treat patients with severe hemophilia B
    A.4.1Sponsor's protocol code numberIB1001-04
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorCangene Europe Limited
    B.1.3.4CountryUnited Kingdom
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportCangene Europe Limited
    B.4.2CountryUnited Kingdom
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationVoisin Consulting
    B.5.2Functional name of contact pointClinical Trial Unit
    B.5.3 Address:
    B.5.3.1Street Address3 rue des Longs Prés
    B.5.3.2Town/ cityBoulogne-Billancourt
    B.5.3.3Post code92100
    B.5.3.4CountryFrance
    B.5.6E-mailclinicaltrialinformation@voisinconsulting.com
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameIB1001
    D.3.2Product code IB1001
    D.3.4Pharmaceutical form Powder and solvent for solution for injection
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNtrenonacog alfa
    D.3.9.1CAS number 1232401-60-3
    D.3.9.2Current sponsor codeIB1001
    D.3.9.3Other descriptive nameCoagulation Factor IX (Recombinant)
    D.3.9.4EV Substance CodeSUB77428
    D.3.10 Strength
    D.3.10.1Concentration unit IU international unit(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number500
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Yes
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameIB1001
    D.3.2Product code IB1001
    D.3.4Pharmaceutical form Powder and solvent for solution for injection
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNtrenonacog alfa
    D.3.9.1CAS number 1232401-60-3
    D.3.9.2Current sponsor codeIB1001
    D.3.9.3Other descriptive nameCoagulation Factor IX (Recombinant)
    D.3.9.4EV Substance CodeSUB77428
    D.3.10 Strength
    D.3.10.1Concentration unit IU international unit(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number1000
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Yes
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 3
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameIB1001
    D.3.2Product code IB1001
    D.3.4Pharmaceutical form Powder and solvent for solution for injection
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNtrenonacog alfa
    D.3.9.1CAS number 1232401-60-3
    D.3.9.2Current sponsor codeIB1001
    D.3.9.3Other descriptive nameCoagulation Factor IX (Recombinant)
    D.3.9.4EV Substance CodeSUB77428
    D.3.10 Strength
    D.3.10.1Concentration unit IU international unit(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number1500
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Yes
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Severe Hemophilia B
    E.1.1.1Medical condition in easily understood language
    Hereditary blood disorder characterized by spontaneous bleeding episodes
    E.1.1.2Therapeutic area Diseases [C] - Blood and lymphatic diseases [C15]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 16.0
    E.1.2Level LLT
    E.1.2Classification code 10018939
    E.1.2Term Haemophilia B (Factor IX)
    E.1.2System Organ Class 100000004850
    E.1.3Condition being studied is a rare disease Yes
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    - to evaluate safety of IB1001,
    - to determine IB1001 pharmacokinetics (PK), and
    - to evaluate efficacy of IB1001 prophylaxis with respect to breakthrough bleeding and control of hemorrhaging in subjects with severe hemophilia B
    E.2.2Secondary objectives of the trial
    - to evaluate long-term safety of IB1001, and
    - to evaluate long-term efficacy of IB1001
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Age of at least 12 years
    2. Body Mass Index of ≤ 29, with a minimum body weight of 40 kg
    3. Written Institutional Review Board (IRB)/Ethics Committee (EC)-approved informed consent (ICF)
    4. Willingness to make the required study visits, and follow instructions while enrolled in the study (up to 12 months)
    5. Severe (factor IX activity ≤2 U/dL) hemophilia B subjects with a minimum of 3 bleeding episodes
    over the preceding 6 months or 6 bleeding episodes over the preceding 12 months prior to being placed on prophylaxis
    6. Subjects must be on prophylaxis or switch to a prophylaxis regimen for the duration of the PK and Treatment/Continuation Phase of the study
    7. Previously treated patients with a minimum of 150 exposure days to a factor IX preparation
    8. Willingness to adhere to the 5-day washout of any factor IX replacement therapy prior to PK evaluations
    9. Immunocompetent (CD4 count >400/mm3) and not receiving immune modulating or chemotherapeutic agents
    10. Platelet count at least 150,000/mm3
    11. Liver function: alanine transaminase (ALT) and aspartate transaminase (AST) ≤2 times the upper
    limit of the normal range
    12. Total bilirubin ≤1.5 times the upper limit of the normal range
    13. Renal function: serum creatinine ≤1.25 times the upper limit of the normal range
    14. Hemoglobin ≥7 g/dL at the time of the blood draw
    E.4Principal exclusion criteria
    1. History of factor IX inhibitor ≥0.6 Bethesda units (BU)
    2. Existence of another coagulation disorder
    3. Evidence of thrombotic disease, fibrinolysis or disseminated intravascular coagulation (DIC)
    4. Use of an investigational drug within 30 days prior to study entry
    5. Previous use of IB1001
    6. Use of medications that could impact hemostasis, such as aspirin
    7. Hypersensitivity to the active substance or to any of the excipients in the investigational products
    8. Known allergic reaction to hamster proteins
    9. History of poor compliance, a serious medical or social condition, or any other circumstance that, in the opinion of the investigator, would interfere with participation or compliance with the study protocol
    10. History of adverse reaction to either plasma-derived factor IX or recombinant factor IX that interfered with the subject’s ability to treat bleeding episodes with a factor IX product
    E.5 End points
    E.5.1Primary end point(s)
    PK:
    - Maximum plasma concentration (Cmax)
    - Area under the curve (AUC0-72, AUC0-∞)
    - Area under the moment curve (AUMC)
    - Clearance (Cl)
    - Rate of elimination for the terminal phase (λz)
    - Terminal half-life (t½)
    - Incremental recovery
    - In-vitro recovery (IVR)
    - Mean residence time (MRT)
    - Volume of distribution at steady state (Vdss)

    Efficacy:
    - Annualized bleeding rate (ABR)
    - Degree of hemorrhage control
    - Time from onset of treatment until the bleeding episode stops (as defined by ‘change in pain’ and ‘change in swelling’)
    - Number of infusions required to treat the
    bleeding episode
    - Physical therapy assessment of target joint(s)
    - Subject’s product tolerance
    > The following efficacy endpoints will be evaluated for
    surgery:
    - Estimated blood loss at time of surgery
    - Post-surgery blood loss

    Safety:
    - Adverse events (AEs)
    - Inhibitory factor IX (FIX) antibodies
    - Non-inhibitory FIX antibodies
    - Anti-CHOP antibodies
    - Thrombogenicity markers
    - Laboratory values
    - Vital signs
    - Physical exams
    E.5.1.1Timepoint(s) of evaluation of this end point
    PK: 2 interim analyses
    Efficacy:
    - ABR: end of participation
    - Others: PK post-infusion, treatment phase visits (5 exposure days; 1, 2, 3 & 6 months)
    - Surgery: post-surgery
    Safety:
    - AEs: PK & repeat PK pre-infusion, all PK & repeat PK timepoints, PK post-infusion, treatment phase visits, pre- & post-surgery
    - (Non-)inhibitory FIX, anti-CHOP antibodies: screening, PK pre-infusion, PK post-infusion, treatment phase visits, pre- & post-surgery
    - Thrombogenicity: PK & repeat PK pre-infusion, some PK & repeat PK timepoints
    - Lab values: screening, PK & repeat PK pre-infusion, some PK & repeat PK timepoints, PK post-infusion, treatment phase visits
    - Vital signs: screening; same as AEs
    - Physical exam: screening, PK & repeat PK pre-infusion, PK post-infusion, treatment phase visits
    E.5.2Secondary end point(s)
    Long-term Efficacy and Safety: cf. primary endpoints for details
    E.5.2.1Timepoint(s) of evaluation of this end point
    Efficacy: continuation phase visits (every 3 months during 6 months), end of study/early withdrawal

    Safety:
    - AEs: continuation phase visits, end of study/early withdrawal
    - (Non-)inhibitory FIX, anti-CHOP antibodies: continuation phase visits, end of study/early withdrawal
    - Laboratory values: continuation phase visits, end of study/early withdrawal
    - Vital signs: continuation phase visits, end of study/early withdrawal
    - Physical exams: continuation phase visits, end of study/early withdrawal
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis Yes
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic Yes
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) Yes
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled No
    E.8.1.1Randomised Information not present in EudraCT
    E.8.1.2Open Information not present in EudraCT
    E.8.1.3Single blind Information not present in EudraCT
    E.8.1.4Double blind Information not present in EudraCT
    E.8.1.5Parallel group Information not present in EudraCT
    E.8.1.6Cross over Information not present in EudraCT
    E.8.1.7Other Information not present in EudraCT
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) Information not present in EudraCT
    E.8.2.2Placebo Information not present in EudraCT
    E.8.2.3Other Information not present in EudraCT
    E.8.3 The trial involves single site in the Member State concerned Yes
    E.8.4 The trial involves multiple sites in the Member State concerned No
    E.8.5The trial involves multiple Member States No
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA No
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    India
    E.8.7Trial has a data monitoring committee Yes
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    LVLS
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years1
    E.8.9.1In the Member State concerned months8
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years1
    E.8.9.2In all countries concerned by the trial months8
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 Yes
    F.1.1Number of subjects for this age range: 4
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) Yes
    F.1.1.6.1Number of subjects for this age range: 4
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 10
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 4
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations No
    F.3.3.1Women of childbearing potential not using contraception Information not present in EudraCT
    F.3.3.2Women of child-bearing potential using contraception Information not present in EudraCT
    F.3.3.3Pregnant women Information not present in EudraCT
    F.3.3.4Nursing women Information not present in EudraCT
    F.3.3.5Emergency situation Information not present in EudraCT
    F.3.3.6Subjects incapable of giving consent personally Information not present in EudraCT
    F.3.3.7Others Information not present in EudraCT
    F.4 Planned number of subjects to be included
    F.4.1In the member state3
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 3
    F.4.2.2In the whole clinical trial 18
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    Subjects will return to their previous factor IX replacement therapy or other factor IX therapy as determined by the subject in consultation with their haemophilia doctor.
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2013-10-31
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2014-04-29
    P. End of Trial
    P.End of Trial StatusPrematurely Ended
    P.Date of the global end of the trial2015-05-12
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