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
- Contact Person Email
- flora.peyvandi@policlinico.mi.it
- 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
- Contact Person Email
- castaman@aou-careggi.toscana.it
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
Related trials
Other published trials that may interest you.
- CONCIZUMAB for Haemophilia A with inhibitors | Haemophilia B with inhibitors
- exagamglogene autotemcel for Transfusion-dependent beta-thalassemia | Severe sickle cell disease
- CTX112 for Relapsed/Refractory Hematologic Autoimmune Disease | Warm autoimmune hemolytic anemia | Immune thrombocytopenic purpura
- VGA039 for Von Willebrand disease
- ENOXAPARIN SODIUM for Venous malformation (low-flow venous/lymphatic malformation)