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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01625390
Registration number
NCT01625390
Ethics application status
Date submitted
19/06/2012
Date registered
21/06/2012
Date last updated
1/07/2015
Titles & IDs
Public title
A Phase 2/ 3 Trial to Evaluate the Efficacy and Safety of BAY86-6150
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Scientific title
A Phase 2/3, Multicenter, Open-label Clinical Study to Assess the Safety and Efficacy of BAY86-6150 in Subjects With Hemophilia A or B With Inhibitors, Composed of 2 Parts (A & B). Part A: Sequential Cohorts of Four Dose Levels of the Modified rFVIIa BAY86-6150 Assessed in a Non-controlled Dose Response Design in Acutely Bleeding Subjects and for PK/ PD in an Intra-individual Crossover Design Compared With One Fixed Dose of Eptacog Alfa in Non-bleeding Subjects. Part B: Confirmatory Study to Further Investigate the Efficacy and Safety of BAY86-6150
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Secondary ID [1]
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2011-000323-33
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Secondary ID [2]
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15534
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hemophilia A, Hemophilia B
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Condition category
Condition code
Blood
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Clotting disorders
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Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - BAY86-6150
Treatment: Drugs - eptacog alfa [activated]
Treatment: Drugs - BAY86-6150
Experimental: Arm 1 -
Active comparator: Arm 2 -
Experimental: Arm 3 -
Treatment: Drugs: BAY86-6150
Four dose levels (6.5 µg/kg, 20 µg/kg, 50 µg/kg and 90 µg/kg) of BAY86-6150 will be studied.
Treatment: Drugs: eptacog alfa [activated]
comparative PK/PD (pharmacokinetics/pharmacodynamics) evaluation
Treatment: Drugs: BAY86-6150
Confirmation of recommended dose of BAY86-6150 to be evaluated further as determined in Part A.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Successful treatments of bleeding episodes.
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Assessment method [1]
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A bleed was defined as successfully treated, if no administration of rescue medication was required.
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Timepoint [1]
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10 hours after each bleed
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Primary outcome [2]
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Proportion of successful treatments of bleeding episodes on subject level.
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Assessment method [2]
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Proportion of successful treatments of bleeding episodes was calculated as number of bleeding episodes treated successfully - without rescue medication - divided by the total number of bleeding episodes on a dose level.
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Timepoint [2]
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10 hours after each bleed
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Secondary outcome [1]
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Time to stop the bleed
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Assessment method [1]
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Timepoint [1]
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10 hours after each bleed
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Secondary outcome [2]
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Number of injections needed to stop the bleeding episode.
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Assessment method [2]
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Timepoint [2]
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10 hours after each bleed
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Secondary outcome [3]
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Effectiveness of treatment as rated by the subject's assessment (very effective, effective, partially effective, not effective).
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Assessment method [3]
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Timepoint [3]
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10 hours after each bleed
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Secondary outcome [4]
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Participant's reported outcome as assessed by Euro QoL (EQ-5D).
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Assessment method [4]
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Timepoint [4]
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14 days after last exposure to BAY86-6150
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Secondary outcome [5]
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Participant's reported outcome as assessed by Brief Pain Inventory.
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Assessment method [5]
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Timepoint [5]
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7 days after last exposure to BAY86-6150
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Secondary outcome [6]
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Participant's reported outcome as assessed by Work Productivity and Activity Impairment Questionaire.
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Assessment method [6]
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Timepoint [6]
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14 days after last exposure to BAY86-6150
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Eligibility
Key inclusion criteria
* Male subjects
* 12 to 62 years-of-age
* History of moderate or severe congenital hemophilia A or B with inhibitors to FVIII or FIX
* 4 or more bleeding episodes in the last 6 months before enrollment.
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Minimum age
12
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Maximum age
62
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Clinically relevant coagulation disorder other than congenital hemophilia A or B with inhibitors
* History of coronary and/or peripheral atherosclerotic disease
* Disseminated intravascular coagulopathy, or stage 2 hypertension
* Angina pectoris
* Myocardial infarction
* Transient ischemic attack
* Stroke
* Congestive heart failure
* Thromboembolic event
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/06/2012
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/03/2014
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Sample size
Target
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Accrual to date
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Final
10
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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- Melbourne
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Recruitment postcode(s) [1]
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- Melbourne
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Recruitment outside Australia
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United States of America
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California
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United States of America
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Tennessee
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Brazil
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Sao Paulo
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Brazil
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Rio de Janeiro
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Bulgaria
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Sofia
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Chile
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Santiago
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China
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Guangdong
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China
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Beijing
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China
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Tianjin
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Colombia
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Atlántico
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France
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Baden-Württemberg
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Germany
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Rheinland-Pfalz
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Debrecen
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Andhra Pradesh
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India
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India
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Bangalore
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India
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Pune
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Israel
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Tel Hashomer
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Italy
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Firenze
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Milano
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Jalisco
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Timis
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Lviv
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United Kingdom
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Truro
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Bayer
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Haemophilia is a disorder, usually genetic, affecting mostly male individuals, in which one of the proteins needed to form blood clots (FVIII) is missing or not present in sufficient levels. In a person with haemophilia, the clotting process is much slower and the person experiences bleeding episodes that can result in serious problems and potential disability. The current haemophilia standard of care is to maintain FVIII activity level above 1%. Sometimes, patients can develop antibodies (so called "inhibitors") against FVIII and it is no longer effective at controlling bleeds. Bleeds in these patients are currently treated using other proteins involved in the clotting process. The purpose of this study is to investigate how effectively BAY86-6150 may stop acute bleeds in "inhibitor" patients. This study consists of two parts, A and B. The purpose of part A is to find the most effective yet tolerable out of four doses of BAY86-6150 with regard to efficacy and safety (dose-finding part). Part A is expected to last 9 - 29 months. The purpose of part B is to confirm efficacy and safety of the dose found in part A in all participating patients (confirmatory part). Part B is expected to last 12-32 months. Approximately 60 male subjects 12 to 62 years-of-age with moderate or severe haemophilia A or B, with inhibitors to FVIII or FIX, who have had 4 or more bleeding episodes in the last 6 months, will participate in this study. Patient's bleeds will be treated with BAY86-6150 and with a rescue medication if no response is made to BAY86-6150. Patients will attend the treatment centre at regular intervals and be required to keep an electronic diary.
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Trial website
https://clinicaltrials.gov/study/NCT01625390
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Bayer Study Director
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Address
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Bayer
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01625390
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