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WithdrawnNCT00916656Updated Feb 6, 2023

Fibrinogen Concentrate (Human) - Efficacy and Safety Study

A Phase 3 interventional study of Fibrinogen Concentrate, Human (FCH) and Cryoprecipitate in Afibrinogenemia, Hypofibrinogenemia and Fibrinogen Deficiency, sponsored by CSL Behring. Withdrawn. Per ClinicalTrials.gov, last updated 2023-02-06.

Sponsored by CSL Behring (part of CSL Limited) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
0
Allocation
Non-randomized
Sex
All
01

Study summary

This is a multinational, multicenter, prospective, open-label historically controlled Phase IIIb non-inferiority clinical trial on the efficacy and safety of Fibrinogen Concentrate (Human).

It is estimated that 150-300 patients in the U.S. suffer from afibrinogenemia. Substitution with cryoprecipitate or alternative treatments have limited safety and efficacy.

The primary purpose of the study is to demonstrate the hemostatic efficacy of Fibrinogen Concentrate (Human) by adequately controlling acute bleeding (spontaneous or after trauma) in patients with congenital fibrinogen deficiency (afibrinogenemia and hypofibrinogenemia). Cryoprecipitate hemostatic efficacy data from a retrospective physician survey will be used as a historical control.

02

Conditions studied

  • Afibrinogenemia
  • Hypofibrinogenemia
  • Fibrinogen Deficiency

Keywords

  • Congenital fibrinogen deficiency
03

In context

Lead sponsor

CSL Behring is the lead sponsor of 145 studies on the registry; 17 are open to participants now.

Of its 24 completed or terminated interventional studies of FDA-regulated products, 17 (71%) have results posted.

First submitted after CSL Behring became part of CSL Limited.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Documented congenital fibrinogen deficiency (afibrinogenemia and hypofibrinogenemia), expected to require treatment for bleeding
  • Presenting with an episode of acute bleeding (either spontaneous or after trauma) not requiring surgery
  • Provide informed consent

Exclusion criteria

Exclusion Criteria:

  • Life expectancy \< 6 months
  • Bleeding disorder other than congenital fibrinogen deficiency, but including dysfibrinogenemia
  • Treatment with any investigational medicinal product (IMP) in the 30 days prior to enrollment
  • Treatment with any fibrinogen concentrate or other fibrinogen containing blood product in the 2 weeks prior to enrollment
  • Treatment with any coagulation active drug (i.e., non-steroidal-antirheumatics, warfarin, cumarin derivates, platelet aggregation inhibitors) in 1 week prior to enrollment or as a planned or expected medication during the time period from Day 1 until 24 hours after the last FCH infusion
  • Presence or history of hypersensitivity to FCH
  • Presence or history of deep vein thrombosis or pulmonary embolism within 1 year prior to enrollment
  • Presence or history of arterial thrombosis within 1 year prior to enrollment
  • Presence or history of hypersensitivity to human plasma proteins
  • Presence or history of esophageal varicose bleeding
  • End stage liver disease (i.e., Child Pugh score B or C)
  • Planned or expected surgery (i.e., for bleedings from aneurysm or splenic rupture)
  • Pregnancy, or an intention to become pregnant during the study
  • Currently breast-feeding, or with the intention of breast-feeding during the study
  • Human immunodeficiency virus (HIV) positive
  • Polytrauma, present or within 6 months prior to enrollment
  • Suspicion of an anti-fibrinogen inhibitor as indicated by previous in-vivo recovery (IVR), if available (\< 0.5 (mg/dL)/(mg/kg))
  • Previous inclusion and treatment in the prospective part of the study
  • Participation in any clinical study in the 30 days prior to enrollment
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Prospective Arm

    Biological: Fibrinogen Concentrate, Human (FCH)

  • Other
    Historical Control

    Biological: Cryoprecipitate

Interventions

  • Intravenous (IV) infusion to reach the peak target levels of 100 mg/dL with an accepted lower limit of 80 mg/dL on at least 3 subsequent days for minor bleeding episodes and 150 mg/dL with an accepted lower limit of 130 mg/dL on at least 7 subsequent days for major bleeding episodes. If a subject's fibrinogen level is not known on Day 1, at the time treatment is initiated for the acute bleed (e.g., because they did not have a screening visit), the starting dose is to be 70 mg/kg b.w. Otherwise, the dose will be calculated individually.

    Also known as: Haemocomplettan P, RIASTAP

  • BiologicalCryoprecipitate

    Patients that received on-demand treatment with Cryoprecipitate for a classified bleeding event (minor or major) with a documented hemostatic efficacy assessment.

06

What researchers measure

Primary outcomes

  1. Clinical assessment of hemostatic efficacy

    Time frame: 24 hours after last infusion or at Day 14 (whichever occurs first)

Secondary outcomes

  1. Maximum clot firmness (MCF)

    Time frame: Prior to and 60 minutes after the end of each infusion

  2. Fibrinogen plasma level

    Time frame: 60 minutes, 3 hours, 6 hours, and 12 hours after the end of the first infusion; before and 60 minutes after each subsequent infusion

  3. In vivo recovery of fibrinogen

    Time frame: 60 minutes, 3 hours, 6 hours and 12 hours after the end of the first infusion; before and 60 minutes after the end of each subsequent infusion and at the time of the overall clinical assessment of hemostatic efficacy

  4. Virus safety markers

    Time frame: Day 1 to Day 45

07

Study locations

No study locations are listed for this record.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 6, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00916656
Lead sponsor
CSL Behring
Responsible party
Sponsor
First posted
Jun 9, 2009
Start date
Oct 2009
Primary completion
Mar 2014
Completion
Mar 2014
Last update
Feb 6, 2023

Study contacts

Program Director, Clinical R&D
study director · CSL Behring

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Feb 2023. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Fibrinogen

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