Clinical trial • Haematology|Rare Disease

FITUSIRAN for Severe hemophilia A | Severe hemophilia B

Clinical trial of FITUSIRAN for Severe hemophilia A | Severe hemophilia B. open-label, none/not specified-controlled. 29 participants.

Overview

Trial Therapeutic Area
Haematology|Rare Disease
Trial Disease
Severe hemophilia A | Severe hemophilia B
Drug Modality
Oligonucleotide
Paediatric Trial
Yes
Orphan Drug
Yes

Key dates

Initial CTIS Submission Date
13-05-2024
First CTIS Authorization Date
04-06-2024

Trial design

open-label, none/not specified-controlled trial across 3 sites in Spain, Italy.

Open Label
Yes
Comparator
None/Not specified
Target Sample Size
29

Eligibility

Recruits 29 paediatric patients.

Vulnerable Population
Pediatric male participants aged 1 to <12 years; consent must be provided as signed written informed consent from parent(s)/legal guardian and written or oral assent obtained from the participant per local and national requirements. Vulnerable population flag selected in trial record.

Inclusion criteria

  • {"criterion_text":"- Male, aged 1 to <12 years at the time of enrollment.\n- Severe hemophilia A or B (Factor VIII (FVIII) <1% or Factor IX (FIX) ≤2%)\n- Participants must have inhibitory antibodies to FVIII or FIX and must meet one of the following Nijmegen-modified Bethesda assay results criteria: -\tInhibitor titer of ≥0.6 BU/mL at screening, OR -\tInhibitor titer of <0.6 BU/mL at screening with medical record evidence of 2 consecutive titers ≥0.6 BU/mL, OR -\tInhibitor titer of <0.6 BU/mL at screening with medical record evidence of 1 inhibitor titer ≥0.6 BU/mL and a history of anamnestic response or severe allergic reaction (anaphylaxis or nephrotic syndrome)\n- Adequate peripheral venous access, as determined by the Investigator, to allow the blood draws required by the study protocol\n- Weight requirements at the time of enrollment: 8 to <45 kg\n- Willing and able to comply with the study requirements and to provide signed written informed consent obtained from parent(s)/legal guardian (hereinafter the “parent”) and written or oral assent obtained from participant, per local and national requirements"}

Exclusion criteria

  • {"criterion_text":"- Known co-existing bleeding disorders other than hemophilia A or B\n- Antithrombin (AT) activity <60% at Screening\n- Co-existing thrombophilic disorder\n- Clinically significant liver disease\n- Active Hepatitis C virus infection\n- Acute or chronic Hepatitis B virus infection\n- Acute Hepatitis A or hepatitis E infection\n- HIV positive with a CD4 count of <400 cells/μL\n- History of arterial or venous thromboembolism, unrelated to an indwelling venous access\n- History of multiple drug allergies or history of allergic reaction to an oligonucleotide or N-Acetylgalactosamine (GalNAc)\n- Subjects with central or peripheral indwelling catheters, with history of venous access complications leading to hospitalization and/or systemic anticoagulation therapy.\n- History of intolerance to subcutaneous (SC) injection(s)\n- Use of emicizumab (Hemlibra®) within 6 months prior to screening\n- Any other conditions or comorbidities that would make the patient unsuitable for enrollment or could interfere with participation in or completion of the study, per Investigator judgment"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Plasma antithrombin (AT) activity levels","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- Number of participants reported with adverse events","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Fitusiran plasma concentrations","definition_or_measurement_approach":"Plasma concentrations measured at selected time points (as per secondary objective: To determine fitusiran plasma concentrations at selected time points)."}

Recruitment

Planned Sample Size
29
Recruitment Window Months
71
Consent Approach
Signed written informed consent obtained from parent(s)/legal guardian; written or oral assent obtained from participant per local and national requirements. Subject information and informed consent forms available in the dossier in multiple languages (examples in the record include Spanish, Italian, Albanian and English versions).

Geography

Total Number Of Sites
3
Total Number Of Participants
3

Spain

Earliest CTIS Part Ii Submission Date
05-03-2024
Latest Decision Or Authorization Date
04-06-2024
Processing Time Days
91
Number Of Sites
1
Number Of Participants
1

Sites

Site Name
Hospital Universitario La Paz
Department Name
Unidad de Coagulopatías Congénitas y Adquiridas
Principal Investigator Name
Maria Teresa Alvarez Roman
Principal Investigator Email
talvarez.ensayos@gmail.com
Contact Person Name
Maria Teresa Alvarez Roman
Contact Person Email
talvarez.ensayos@gmail.com

Italy

Earliest CTIS Part Ii Submission Date
05-03-2024
Latest Decision Or Authorization Date
10-06-2024
Processing Time Days
97
Number Of Sites
2
Number Of Participants
2

Sites

Site Name
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
Department Name
UOC Medicina Generale Emostasi e Trombosi
Principal Investigator Name
Flora Peyvandi
Principal Investigator Email
flora.peyvandi@policlinico.mi.it
Contact Person Name
Flora Peyvandi
Site Name
Careggi University Hospital
Department Name
SOD Emorragiche e della Coagulazione
Principal Investigator Name
Giancarlo Castaman
Principal Investigator Email
castaman@aou-careggi.toscana.it
Contact Person Name
Giancarlo Castaman

Sponsor

Primary sponsor

Full Name
Genzyme Corp.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Icon Clinical Research Limited
Responsibilities
Home Health Care / Nursing
Name
Pharmaceutical Product Development LLC
Responsibilities
code 4
Name
Almac Clinical Technologies LLC
Responsibilities
code 3
Name
Charles River Laboratories Montreal ULC
Responsibilities
code 4

Third parties

  • {"country":"Netherlands","full_name":"CoagScope B.V.","duties_or_roles":"code 4","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Pyxant Labs Inc.","duties_or_roles":"code 4","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Eresearchtechnology Inc.","duties_or_roles":"Clinical Outcomes Assessment Instrument (eCOA)","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Pharmaceutical Product Development LLC","duties_or_roles":"code 4","organisation_type":"Pharmaceutical company"}
  • {"country":"Ireland","full_name":"Icon Clinical Research Limited","duties_or_roles":"Home Health Care / Nursing","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Azenta US Inc.","duties_or_roles":"code 4","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Fisher Clinical Services UK Limited","duties_or_roles":"code 14","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"Patient Reimbursement","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Almac Clinical Technologies LLC","duties_or_roles":"code 3","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"ESMS Global Limited","duties_or_roles":"Centralized 24-Hour Emergency System: eSMS","organisation_type":"Pharmaceutical company"}
  • {"country":"Italy","full_name":"Depo-pack S.r.l.","duties_or_roles":"code 14","organisation_type":"Pharmaceutical company"}
  • {"country":"Canada","full_name":"Charles River Laboratories Montreal ULC","duties_or_roles":"code 4","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
SAR439774
Active Substance
FITUSIRAN
Modality
Oligonucleotide
Routes Of Administration
SUBCUTANEOUS
Route
SUBCUTANEOUS
Orphan Designation
Yes
Maximum Dose
30 mg

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