View older revisions Content changed at 2023-10-25, 1402/08/03

Protocol summary

Study aim
compare rFVIII-Fc (Coageight, produced by AryoGen Pharmed Co.) with rFVIII-Fc (Elocta¨, produced by Sobi Co.) by dose-normalized area under the curve (dnAUC last)
Design
The study is designed as a randomized, two armed, double-blind, single-dose, crossover, two sequence, active-controlled, multi-center, bioequivalence clinical trial with primary endpoint of dose-normalized area under the curve (dnAUC last)- 50 patients, Two arm parallel group randomised trial with blinded postoperative care and outcome assessment
Settings and conduct
One-Stage Assay (OSA) and Chromogenic Substrate Assay (CSA)
Participants/Inclusion and exclusion criteria
Investigators assess the inclusion/exclusion criteria in patients, get ICF, randomized, Enrollment
Intervention groups
rFVIII-Fc (Aryogen Pharmed Co.), IV, 50 units/kg, Single dose, then rFVIII-Fc (Elocta®, Sobi Co.), Cross-over
Main outcome variables
dnAUC last; dose; normalized area under the curve 12 days after the first intervention; One-Stage Assay (OSA) and Chromogenic Substrate Assay (CSA)

General information

Reason for update
Trial Completed
Acronym
FAC
IRCT registration information
IRCT registration number: IRCT20150303021315N31
Registration date: 2023-05-04, 1402/02/14
Registration timing: prospective

Last update: 2023-10-25, 1402/08/03
Update count: 1
Registration date
2023-05-04, 1402/02/14
Registrant information
Name
Nassim Anjidani
Name of organization / entity
Orchid Pharmed
Country
Iran (Islamic Republic of)
Phone
+98 21 4347 3000
Email address
amini@orchidpharmed.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2023-07-26, 1402/05/04
Expected recruitment end date
2024-02-04, 1402/11/15
Actual recruitment start date
2023-06-22, 1402/04/01
Actual recruitment end date
2023-09-27, 1402/07/05
Trial completion date
2023-09-27, 1402/07/05
Scientific title
A randomized, two-armed, double-blind, single-dose, crossover, two sequence, active-controlled, multi-center, bioequivalence clinical trial to compare PK parameters and safety of Factor VIII, recombinant human with Fc fusion (rFVIII-Fc) (Coageight, produced by AryoGen Pharmed Company (versus rFVIII-Fc (Elocta®, produced by Sobi Company) in previously treated patients with severe hemophilia A
Public title
Bioequivalence clinical trial to compare PK parameters and safety of Factor VIII, recombinant human with Fc fusion (rFVIII-Fc) (Coageight, produced by AryoGen Pharmed Company) versus Elocta® in previously treated patients with severe hemophilia A
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Male patients ≥ 12 years, with signed informed consent by the patient, or the patient's legally authorized representative for patients under the legal age Diagnosed with severe hemophilia A (endogenous FVIII <1% [1 IU/dL]) History of at least 150 documented prior exposure days to any FVIII product Having adequate bone marrow and organ function:• Plt ≥ 80,000 cells/µL • Hgb ≥ 8 mg/dL• eGFR ≥ 30 mL/min• ALT or AST ≤ 5×ULN• Serum bilirubin ≤ 1.5×ULN
Exclusion criteria:
Measurable anti-drug antibody activity against FVIII (≥ 0.6 BU/mL) at screening or a history of developing anti FVIII antibody History of other coagulation disorders except for hemophilia A Acute hemorrhagic state Infection with HCV or HBV HIV-positive patients Infusion of any products containing FVIII within 7 days prior to first administration Previous treatment with commercially available extended half-life products Receiving drugs which increase bleeding tendency (e.g: Anti-coagulants, antiplatelets, omega 3, Vit E, etc.) within 2 weeks of screening. NSAIDs are permitted. Current systemic treatment with immunosuppressive drugs Hypersensitivity or anaphylaxis associated with any FVIII concentrate or intravenous immunoglobulin (IVIg) Planned elective surgery Current enrolment or willing to enroll in any other experimental study during the time of current trial Subjects assessed by the investigator to be unable or unwilling to comply with the requirements of the protocol (e.g.: physical, psychological and mental problems)
Age
From 12 years old
Gender
Male
Phase
Bioequivalence
Groups that have been masked
  • Participant
  • Care provider
  • Investigator
  • Outcome assessor
  • Data analyser
Sample size
Target sample size: 50
Actual sample size reached: 50
Randomization (investigator's opinion)
Randomized
Randomization description
The randomization plan of the patients will be carried out centrally using an R-CRAN software version 4.0.3 with the size 2 or 4 blocks. for a total of 50 patients, randomization scheme will be implemented crosses-over with sequence AB or BA. Once the randomization has been made, each patient is given a code with which he will be identified throughout the study. The assigned code will be made up of 3 numbers (corresponding to the randomization number) and by 4 initials (corresponding to the 2 first letters of the first name, the 2 first letters of the first surname), and 3 numbers (center code), for example ABCD001FAC-001. The randomization number will be assigned in a consecutive way.
Blinding (investigator's opinion)
Double blinded
Blinding description
In this double-blind study, subjects and the product administrators are blinded. The size of vials is different. For this purpose, subjects and administrator of the drug will be blinded by considering two nurses in each center: one nurse who opens the drug package and prepares the drug for injection, and another nurse who injects the drugs and will remain blind throughout the study.
Placebo
Not used
Assignment
Crossover
Other design features
Single-dose- two sequence

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Research ethics committees of Iran university of medical sciences
Street address
Iran University of Medical Sciences Shahid Hemmat Highway Tehran 14496-14535, IRAN
City
Tehran
Province
Tehran
Postal code
1449614535
Approval date
2023-04-19, 1402/01/30
Ethics committee reference number
IR.IUMSREC.1402.034

Health conditions studied

1

Description of health condition studied
Severe hemophilia A
ICD-10 code
Z14.02
ICD-10 code description
Symptomatic hemophilia A carrier

Primary outcomes

1

Description
dnAUC last (dose-normalized area under the curve)
Timepoint
12 days after the first intervention
Method of measurement
One-Stage Assay (OSA) and Chromogenic Substrate Assay (CSA)

Secondary outcomes

1

Description
AUC inf
Timepoint
pre-dose and 0.25, 0.5, 1, 3, 6, 8, 24, 48, 72, 96 and 120 h after each infusion
Method of measurement
One-Stage Assay (OSA) and Chromogenic Substrate Assay (CSA)

2

Description
Cmax
Timepoint
pre-dose and 0.25, 0.5, 1, 3, 6, 8, 24, 48, 72, 96 and 120 h after each infusion
Method of measurement
One-Stage Assay (OSA) and Chromogenic Substrate Assay (CSA)

3

Description
Incremental recovery (IR)
Timepoint
pre-dose and 0.25, 0.5, 1, 3, 6, 8, 24, 48, 72, 96 and 120 h after each infusion
Method of measurement
One-Stage Assay (OSA) and Chromogenic Substrate Assay (CSA)

4

Description
Half-life (T ½)
Timepoint
pre-dose and 0.25, 0.5, 1, 3, 6, 8, 24, 48, 72, 96 and 120 h after each infusion
Method of measurement
One-Stage Assay (OSA) and Chromogenic Substrate Assay (CSA)

5

Description
Vd
Timepoint
pre-dose and 0.25, 0.5, 1, 3, 6, 8, 24, 48, 72, 96 and 120 h after each infusion
Method of measurement
One-Stage Assay (OSA) and Chromogenic Substrate Assay (CSA)

6

Description
Clearance
Timepoint
pre-dose and 0.25, 0.5, 1, 3, 6, 8, 24, 48, 72, 96 and 120 h after each infusion
Method of measurement
One-Stage Assay (OSA) and Chromogenic Substrate Assay (CSA)

7

Description
Assessment of Adverse events
Timepoint
At screening and on days 0,1, 2, 3, 4, 5, 7, 8, 9, 10, 11, 12 and 28
Method of measurement
Clinical monitoring

8

Description
Immunogenicity: Anti-drug antibody
Timepoint
At screening and on days 7, 12 and 28
Method of measurement
Nijmegen Bethesda assay

Intervention groups

1

Description
Intervention group: rFVIII-Fc (Aryogen Pharmed Co.), IV, 50 units/kg, Single dose, then rFVIII-Fc (Elocta®, Sobi Co.), Cross-over
Category
Treatment - Drugs

2

Description
Intervention group: rFVIII-Fc (Elocta®, Sobi Co.), IV, 50 units/kg, Single dose, then rFVIII-Fc (Aryogen Pharmed Co.), Cross-over
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
Imam Khomeini Hospital
Full name of responsible person
Dr. Katayoun Karimi
Street address
Imam Khomeini Hospital Complex, Tohid Squre, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
1419733141
Phone
+98 21 6119 0000
Email
Dr_k_karimi_52071@yahoo.com

2

Recruitment center
Name of recruitment center
Mofid Children's Hospital
Full name of responsible person
Dr Samin Alavi Bajestani
Street address
Mofid Children's Hospital, Shariati Street, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
1551415468
Phone
+98 21 2222 7021
Email
saminalavi@hotmail.com

3

Recruitment center
Name of recruitment center
Shahid Dastgheib Hospital
Full name of responsible person
Dr Mohammad Reza Bordbar- Dr Asqar Bazrafshan
Street address
Hafez Hospital, Shahid Chamran Blvd., Hafez Hospital, Shiraz, Iran
City
Shiraz
Province
Fars
Postal code
71456 83769
Phone
+98 71 3228 9308
Email
mbordbar53@gmail.com

4

Recruitment center
Name of recruitment center
Seyed Shohada Hospital
Full name of responsible person
Dr Majid Qanavat
Street address
Seyed-al-Shohada Hospital, Farshadi Alley, Khayam St., Isfahan, Iran
City
Isfahan
Province
Isfehan
Postal code
8184917354
Phone
+98 31 3235 0210
Email
ghanavatmajid@yahoo.com

5

Recruitment center
Name of recruitment center
Sarvar Clinic
Full name of responsible person
Dr Zahra Badiee
Street address
No. 8, Sarvar Clinic, 17 Shahrivar Street ,Mashhad, Khorasan
City
Mashhad
Province
Razavi Khorasan
Postal code
9167918749
Phone
+98 51 3364 5014
Email
badieez@mums.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
AryoGen Company
Full name of responsible person
Mohammad Saffarioun - Chief Executive Officer - AryoGen
Street address
No. 140, 24th Km Tehran-Karaj Makhsous road, Alborz, Iran
City
Karaj
Province
Alborz
Postal code
3164819712
Phone
+98 26 3610 6480
Email
contact@aryogen.com
Web page address
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
AryoGen Company
Proportion provided by this source
100
Public or private sector
Private
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Industry

Person responsible for general inquiries

Contact
Name of organization / entity
Orchid Pharmed Co.
Full name of responsible person
Dr. Nasim Anjidani
Position
Medical Department Manager
Latest degree
Specialist
Other areas of specialty/work
Medical Pharmacy
Street address
Tehran Province, Tehran, District 3, Attar St, No. 42
City
Tehran
Province
Tehran
Postal code
1994766411
Phone
+98 21 4347 3000
Email
anjidani.n@orchidpharmed.com
Web page address

Person responsible for scientific inquiries

Contact
Name of organization / entity
Iran University of Medical Sciences
Full name of responsible person
Dr Aziz Eghbali
Position
Associated Professor Iran University of medical sciences Aliasghar medical education hospital .Tehra
Latest degree
Subspecialist
Other areas of specialty/work
Hematology
Street address
Ali-Asghar Children’s Hospital, Shahid Vahid Dastgerdi Street, Moddares Highway, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
19198 16766
Phone
+98 21 2222 2045
Email
aziz_eghbali@yahoo.com

Person responsible for updating data

Contact
Name of organization / entity
Orchid Pharmed Co.
Full name of responsible person
Dr. Nasim Anjidani
Position
Medical Department Manager
Latest degree
Specialist
Other areas of specialty/work
Medical Pharmacy
Street address
No 42, Attar St., Vanak Sq, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
1994766411
Phone
+98 21 4347 3000
Email
anjidani.n@orchidpharmed.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
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