At a glance
ClinicalIndex Comparison Record- ✓Severe or moderately severe hemophilia A with baseline factor VIII level ≤2% of normal
- ✓At least 150 documented exposure days to factor VIII concentrates
- ✓Age 7 to 65 years
- ✓Karnofsky performance score >60
- ✕Known hypersensitivity to factor VIII concentrates or mouse/hamster proteins
- ✕History of factor VIII inhibitors with titer ≥0.6 BU at any time prior to screening
- ✕Detectable factor VIII inhibitor at screening with titer ≥0.4 BU (Nijmegen assay)
- ✕Severe chronic liver disease (INR >1.4, hypoalbuminemia, portal hypertension, esophageal varices)
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Advate Antihemophilic Factor (Recombinant), Plasma/Albumin Free Method (ADVATE rAHF-PFM): A Phase 4 Study Comparing Two Prophylactic Regimens in Subjects With Severe or Moderately Severe Hemophilia A
In Brief
A Phase 4 clinical trial evaluating Antihemophilic factor, recombinant, manufactured protein-free for Hemophilia A. Completed, enrolled 82 participants across 29 sites in 10 countries.
Detailed Summary
The primary purpose of this randomized, two-arm parallel clinical study in 66 previously treated patients with severe or moderately severe hemophilia A is to compare the rate of bleeding episodes for standard prophylaxis (20-40 IU/kg every 48 ± 6 hours; actual dose determined by the investigator) with that of alternate prophylaxis (20-80 IU/kg every 72 + 6 hours; actual dose determined by Baxter utilizing an algorithm and the patient's pharmacokinetic data). The rates of bleeding episodes for the on-demand regimen and the prophylaxis regimens will also be compared for the cross-over portion of the study. Enrolled patients will be treated originally on demand for a period of 6 months and then they will be randomized into one of the prophylaxis arms. Prophylactic treatment will last for a period of 12 months +/- 2 weeks.
Study Details
Timeline
Interventions
Standard prophylaxis: 20-40 IU/kg every 48+/-6 hours, actual dose determined by investigator
PK-driven prophylaxis: 20-80 IU/kg every 72+/-6 hours, actual dose determined by Baxter using an algorithm and the patient´s pharmacokinetic data