E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Diseases [C] - Congenital, Hereditary, and Neonatal Diseases and Abnormalities [C16] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objective of the study was to compare the pharmacokinetics (PK) of recombinant coagulation factor VIII Fc fusion protein (rFVIIIFc) manufactured at the current scale of 2000 L (2K) to the PK of rFVIIIFc manufactured at the 15,000 L (15K) scale in previously treated subjects with severe hemophilia A. |
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E.2.2 | Secondary objectives of the trial |
Secondary objectives were as follows: -To characterize the PK of 15K rFVIIIFc at the 15K baseline and after 13 weeks of treatment -To characterize the PK of 15K rFVIIIFc at 1000 and 6000 IU/vial strengths -To evaluate the safety of 15K rFVIIIFc. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1 - Have severe hemophilia A, defined as <1 IU/dL (<1%) endogenous FVIII as determined by one-stage clotting assay from the central laboratory at Screening. 2 - Previously treated subject, defined as having at least 150 documented prior exposure days (EDs) to any recombinant and/or plasma-derived FVIII and/or cryoprecipitate products at Day 1. Fresh frozen plasma treatment must not be considered in the count for documented exposure days. 3 - No history of a positive inhibitor test or clinical signs of decreased response to FVIII administrations. Family history of inhibitors will not exclude the subject. 4 - No measurable inhibitor activity using the Nijmegen-modified Bethesda assay (>=0.6 Bethesda Unit per milliliter [BU/mL] is considered positive) at Screening. 5 - Male, age ≥12 years old at the time of informed consent, and weighing at least 40 kg. |
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E.4 | Principal exclusion criteria |
1 - Current enrollment in any interventional clinical study in which an investigational drug or approved therapy for investigational use is administered within 30 days prior to the Baseline Visit OR prior participation in any of the following Biogen studies: 998HA101 (NCT01027377), 997HA301 (NCT01181128), 8HA02PED (NCT01458106), 997HA307 (NCT02083965), and 8HA01EXT (NCT01454739). 2 - Previous participation in this study. 3 - Any concurrent clinically significant major disease that, in the opinion of the Investigator or Biogen, makes the subject unsuitable for participation in the study. 4 - Other coagulation disorder(s) in addition to hemophilia A. 5 - History of hypersensitivity or anaphylaxis associated with FVIII or intravenous (IV) immunoglobulin administration. |
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E.5 End points |
E.5.1 | Primary end point(s) |
1 - The primary endpoint includes the following PK parameters following dosing in PK1 (rFVIIIFc manufactured at 2K scale) and in PK2 (rFVIIIFc manufactured at 15K scale) at the 15K baseline, including: - AUCinf - IR as estimated from the coagulation factor VIII (FVIII) activity data, as measured by the one-stage (aPTT) clotting assay.
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
[1] : the one-stage (aPTT) clotting assay |
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E.5.2 | Secondary end point(s) |
The secondary endpoints include the following: 1 - PK parameters, including but not be limited to AUCinf, IR, Cmax, t½, CL, Vss, and MRT. PK will be assessed using the one-stage (aPTT) clotting assay and the two-stage chromogenic assay for the following: - 15K rFVIIIFc before treatment (at PK2) and after 13 weeks of treatment (at PK3) - 15K rFVIIIFc at 1000/vial and 6000 IU/vial strengths - 2K rFVIIIFc (at PK1) and 15K rFVIIIFc (at PK2) [only Cmax, t½, CL, Vss, and MRT; other parameters comprise the primary endpoint] 2 - The development of inhibitors as measured by the Nijmegen-modified Bethesda assay 3 - Evaluation of AEs and SAEs |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
[1]: assessed using the one-stage (aPTT) clotting assay and the two-stage chromogenic assay [2] , [3] : NA |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | Yes |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
rFVIIIFc with different strengths (1000 IU and 6000 IU) |
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E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
Will this trial be conducted at a single site globally?
| No |
E.8.4 | Will this trial be conducted at multiple sites globally? | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | Specify the countries outside of the EEA in which trial sites are planned |
Australia |
Brazil |
Canada |
Hong Kong |
India |
Israel |
Japan |
New Zealand |
South Africa |
Switzerland |
United States |
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E.8.7 | Trial has a data monitoring committee | No |
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
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 10 |