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
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General information
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50
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2023-06-22, 1402/04/01
2023-06-22 00:00:00
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2023-09-27, 1402/07/05
2023-09-27 00:00:00
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2023-09-27, 1402/07/05
2023-09-27 00:00:00
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Trial Completed
Trial Completed
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اتمام ترایال
اتمام ترایال
Sharing plan
No data
No There is no further information
No dataThere is no further information
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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
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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