E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Healthy volunteers (Haemophilia A with or without inhibitors) Haemophilia A Haemophilia A with inhibitors |
Voluntarios sanos (Hemofilia A con o sin inhibidores) Hemofilia A Hemofilia A con inhibidores |
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E.1.1.1 | Medical condition in easily understood language |
Healthy volunteers Bleeding disorder inherited deficiency in clotting factor VIII Bleeding disorder inherited deficiency in clotting F VIII with antibodies to clotting factor replacement therapy |
Voluntarios sanos Trastorno hemorrágico hereditario en F VIII coagulación Trastorno hemorrágico hereditario en F VIII coagulación con anticuerpos para terapia de reposición del F de coagulación |
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E.1.1.2 | Therapeutic area | Diseases [C] - Congenital, Hereditary, and Neonatal Diseases and Abnormalities [C16] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10018938 |
E.1.2 | Term | Haemophilia A (Factor VIII) |
E.1.2 | System Organ Class | 100000004850 |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10053751 |
E.1.2 | Term | Hemophilia A with anti factor VIII |
E.1.2 | System Organ Class | 100000004850 |
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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 |
To investigate the safety and tolerability of subcutaneous Mim8 in healthy subjects and in subjects with severe haemophilia A with or without FVIII inhibitors |
Investigar la seguridad y la tolerabilidad de Mim8 subcutáneo en sujetos sanos y en sujetos con hemofilia A grave con o sin inhibidores del FVIII |
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E.2.2 | Secondary objectives of the trial |
1. To investigate the pharmacokinetics of subcutaneous Mim8 in healthy subjects and in subjects with severe haemophilia A with or without FVIII inhibitors 2. To investigate the pharmacodynamics of subcutaneous Mim8 in healthy subjects and in subjects with severe haemophilia A with or without FVIII inhibitors |
1.Investigar la farmacocinética de Mim8 subcutáneo en sujetos sanos y en sujetos con hemofilia A grave con o sin inhibidores del FVIII. 2. Investigar la farmacodinámica de Mim8 subcutáneo en sujetos sanos y en sujetos con hemofilia A grave con o sin inhibidores del FVIII |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Single ascending dose (SAD) part: - Male, aged 18−45 years (both inclusive) at the time of signing informed consent - Considered to be generally healthy based on the medical history, physical examination, and the results of vital signs, electrocardiogram and clinical laboratory tests performed during the screening visit, as judged by the investigator
Multiple ascending dose (MAD) part: - Male, aged 12−64 years (both inclusive) at the time of signing informed consent (Germany and Japan have local requirements) - Diagnosis of congenital haemophilia A with FVIII activity <1% based on medical records
Exploratory biomarker cohort: - Male, aged ≥12 years at the time of signing informed consent (Germany and Japan have local requirements) - Diagnosis of congenital haemophilia A with FVIII activity <1% based on medical records |
Parte de DUA (Dosis única ascendente): • Varón de 18-45 años (ambos inclusive) en el momento de firmar el documento de consentimiento informado • Sujeto considerado sano en general de acuerdo con los antecedentes médicos, la exploración física y los resultados de las constantes vitales, el electrocardiograma y los análisis clínicos realizados durante la visita de selección, según el criterio del investigador.
Parte de DMA (Dosis múltiple ascendente): • Varón de 12-64 años (ambos inclusive) en el momento de firmar el documento de consentimiento informado (Alemania y Japón tienen sus requerimientos locales) • Diagnóstico de hemofilia A congénita con una actividad del factor VIII menor del 1 %, según la historia clínica
Cohorte de biomarcadores exploratorios: • Varones de 12 años o más en el momento de firmar el documento de consentimiento informado (Alemania y Japón tienen sus requerimientos locales) • Diagnóstico de hemofilia A congénita con una actividad del factor VIII menor del 1 %, según la historia clínica |
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E.4 | Principal exclusion criteria |
SAD part: - Factor VIII activity ≥150% at screening - Increased risk of thrombosis, e.g. known history of personal or first degree relative(s) with unprovoked deep vein thrombosis - Any clinical signs or established diagnosis of venous or arterial thromboembolic disease
MAD part: - Known congenital or acquired coagulation disorders other than haemophilia A - Increased risk of thrombosis, e.g. known history of personal or first degree relative(s) with unprovoked deep vein thrombosis - Any clinical signs or established diagnosis of venous or arterial thromboembolic disease - Advanced atherosclerotic disease (e.g. known history of ischemic heart disease, ischemic stroke) - Any autoimmune disease that may increase the risk of thrombosis - Receipt of emicizumab or drugs with similar modes of action within 5 half-lives before trial product administration - Ongoing or planned immune tolerance induction therapy
Exploratory biomarker cohort: - Known congenital or acquired coagulation disorders other than haemophilia A - Increased risk of thrombosis, e.g. known history of personal or first degree relative(s) with unprovoked deep vein thrombosis - Any clinical signs or established diagnosis of venous or arterial thromboembolic disease - Advanced atherosclerotic disease (e.g. known history of ischemic heart disease, ischemic stroke) - Any autoimmune disease that may increase the risk of thrombosis - Ongoing or planned immune tolerance induction therapy |
Parte de DUA: • Actividad del factor VIII del 150 % o más en la selección • Aumento del riesgo de trombosis; p. ej., antecedentes conocidos de trombosis venosa profunda no provocada en familiares de primer grado • Cualquier signo clínico o diagnóstico establecido de enfermedad tromboembólica venosa o arterial
Parte de DMA: • Trastornos congénitos o adquiridos conocidos de la coagulación distintos de la hemofilia A • Aumento del riesgo de trombosis; p. ej., antecedentes conocidos de trombosis venosa profunda no provocada en familiares de primer grado • Cualquier signo clínico o diagnóstico establecido de enfermedad tromboembólica venosa o arterial • Aterosclerosis avanzada (p. ej., antecedentes conocidos de cardiopatía o ictus isquémicos). • Cualquier enfermedad autoinmunitaria que pueda aumentar el riesgo de trombosis • Recepción de emicizumab o medicamentos con mecanismos de acción similares en el plazo de 5 semividas antes de la administración del producto del ensayo • Tratamiento de inducción de la tolerancia inmunitaria en curso o previsto
Cohorte de biomarcadores exploratorios: • Trastornos congénitos o adquiridos conocidos de la coagulación distintos de la hemofilia A • Aumento del riesgo de trombosis; p. ej., antecedentes conocidos de trombosis venosa profunda no provocada en familiares de primer grado • Cualquier signo clínico o diagnóstico establecido de enfermedad tromboembólica venosa o arterial • Aterosclerosis avanzada (p. ej., antecedentes conocidos de cardiopatía o ictus isquémicos). • Cualquier enfermedad autoinmunitaria que pueda aumentar el riesgo de trombosis • Tratamiento de inducción de la tolerancia inmunitaria en curso o previsto |
|
E.5 End points |
E.5.1 | Primary end point(s) |
1. Single ascending dose (SAD) part: Number of treatment emergent adverse events 2. Multiple ascending dose (MAD) part: Number of treatment emergent adverse events |
1.Parte de dosis única ascendente (DUA): Número de acontecimientos adversos de aparición durante el tratamiento 2.Parte de dosis múltiple ascendente (DMA): Número de acontecimientos adversos de aparición durante el tratamiento |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
1. From time of dosing (Day 1) to Week 16 2. From time of first dosing (Day 1) to Week 12 |
1.Desde el momento de la administración (día 1) hasta la semana 16 2.Desde el momento de la primera administración (día 1) hasta la semana 12 |
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E.5.2 | Secondary end point(s) |
SAD part: 1. Number of injection site reactions 2. Relative change in D-dimer 3. Relative change in prothrombin fragment 1 and 2 4. Relative change in fibrinogen 5. Relative change in platelets 6. Cmax, SD: the maximum concentration of Mim8 after a single dose 7. AUC0-inf, SD: the area under the Mim8 concentration-time curve from time 0 to infinity after a single dose 8. t1/2, SD: the terminal half-life of Mim8 after a single dose 9. tmax, SD: the time to maximum concentration of Mim8 after a single dose 10. Change in activated partial thromboplastin time MAD part (weekly and monthly dosing): 11. Number of injection site reactions 12. Occurrence of anti-Mim8 antibodies 13. Relative change in D-dimer 14. Relative change in prothrombin fragment 1 and 2 15. Relative change in fibrinogen 16. Relative change in platelets MAD part, PK session 2 (weekly dosing): 17. Cmax, MD: the maximum concentration of Mim8 after multiple doses 18. AUCτ, MD: the area under the Mim8 concentration-time curve in the dosing interval after multiple doses MAD part, PK session 2 (monthly dosing): 19. Cmax, MD: the maximum concentration of Mim8 after multiple doses 20. AUCτ, MD: the area under the Mim8 concentration-time curve in the dosing interval after multiple doses MAD part (weekly dosing): 21. Mean of maximum thrombin generation (peak height) MAD part (monthly dosing): 22. Mean of maximum thrombin generation (peak height) |
Parte DUA: 1. Número de reacciones en el lugar de inyección 2. Variación relativa del dímero D 3. Variación relativa de los fragmentos 1 y 2 de la protrombina 4. Variación relativa del fibrinógeno 5. Variación relativa de las plaquetas 6. Cmáx, DE: concentración máxima de Mim8 después de una dosis única 7. ABC0-inf, DE: área bajo la curva de concentración-tiempo de Mim8 desde el momento 0 hasta el infinito después de una dosis única 8. t1/2, DE: semivida terminal de Mim8 después de una dosis única 9. tmáx, DE: tiempo hasta la concentración máxima de Mim8 después de una dosis única 10. Variación del tiempo de la tromboplastina parcial activada Parte DMA (administración semanal y mensual): 11. Número de reacciones en el lugar de inyección 12. Presencia de anticuerpos anti-Mim8 13. Variación relativa del dímero D 14. Variación relativa de los fragmentos 1 y 2 de la protrombina 15. Variación relativa del fibrinógeno 16. Variación relativa de las plaquetas Parte DMA, sesión farmacocinética 2 (dosis semanal): 17. Cmáx., DM: la concentración máxima de Mim8 después de varias dosis 18. ABCτ, MD: área bajo la curva de concentración-tiempo de Mim8 en el intervalo de administración después de varias dosis Parte DMA, sesión farmacocinética 2 (dosis mensual): 19. Cmáx., DM: la concentración máxima de Mim8 después de varias dosis 20. ABCτ, MD: área bajo la curva de concentración-tiempo de Mim8 en el intervalo de administración después de varias dosis Parte DMA (dosis semanal): 21. Media de la generación máxima de trombina (altura máxima) Parte DMA (dosis mensual): 22. Media de la generación máxima de trombina (altura máxima) |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1. From time of dosing (Day 1) to Week 16 2-10. From baseline (Day 1) to Week 16 11. From time of first dosing (Day 1) to Week 12 12-16. From baseline (Day 1) to Week 12 17-18. From Day 57 to Day 64 19-20. From Day 57 to Day 85 21. From Day 57 to Day 64 22. From Day 57 to Day 85 |
1. Desde el momento de la administración (día 1) hasta la semana 16 2-10. Desde el momento basal (día 1) hasta la semana 16 11. Desde el momento de la primera administración (día 1) hasta la semana 12 12-16. Desde el momento basal (día 1) hasta la semana 12 17-18. Del día 57 al día 64 19-20. Del día 57 al día 85 21. Del día 57 al día 64 22. Del día 57 al día 85 |
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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 | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
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 | Yes |
E.6.13.1 | Other scope of the trial description |
Tolerability and exploratory efficacy |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Yes |
E.7.1.1 | First administration to humans | Yes |
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) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
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 | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
SAD part phase 1 placebo-controlled double-blind within cohorts - MAD part phase 2 open-label |
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E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 3 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 16 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
European Union |
Japan |
Serbia |
South Africa |
Switzerland |
Turkey |
United Kingdom |
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.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 7 |
E.8.9.1 | In the Member State concerned days | 0 |
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 | 7 |
E.8.9.2 | In all countries concerned by the trial days | 0 |