CClinicalTrials.gg
CompletedNCT02919800Updated Sep 30, 2019

A Single-dose, Dose-escalation Study of a Long-acting MOD-5014 in Healthy Adult Male

A Phase 1 interventional study of MOD-5014 and MOD-5014 Placebo in Hemophilia A or B With Inhibitors, sponsored by OPKO Health, Inc.. Completed at 1 site in Israel. Open to male participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-09-30.

Sponsored by OPKO Health, Inc. · Phase 1, Interventional, and Other

Phase
Phase 1
Study type
Interventional
Enrollment
32
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
Male
01

Study summary

A Phase 1, randomized, single-blind, placebo-controlled, single dose, dose-escalation study to assess the safety, pharmacokinetic and pharmacodynamic profile of subcutaneous administration of a long-acting recombinant factor VIIa (MOD-5014) in healthy adult males.

Read the detailed description

This will be a single-dose, randomized, single-blind, placebo-controlled, dose-escalating study.

The study will include four escalating dose groups, with eight subjects in each dose group. Subjects will be randomized in 3:1 ratio to receive a single SC injection of MOD-5014 (n=6) or a placebo (n=2), and will be followed up for 30 days. The initial MOD-5014 dose group will receive 100 µg/kg followed by single doses of 200, 400 and 600 µg/kg administered to subsequent subject cohorts.

The decision to proceed to the higher dose level will be made by a Data Safety Monitoring Board (DSMB) after review of relevant safety data (including adverse events, clinical laboratory and vital signs), collected up to and including 7 days after the last subject of the previous dose group has been dosed.

Common Terminology Criteria for Adverse Events (CTCAE) guidelines will be used to determine maximum tolerated dose (MTD) and dose limiting toxicity (DLT). Dose escalation will be permitted if the prior dose is well tolerated, and there are no safety or tolerability concerns raised by the investigator, sponsor, medical monitor or DSMB over 7 days post-dosing.

02

Conditions studied

  • Hemophilia A or B With Inhibitors

Browse trials for

03

In context

Hemophilia A

866 studies on the registry are indexed under Hemophilia A; 137 are open to participants now.

This study's enrollment of 32 is above the median of 28 across 512 interventional studies indexed under Hemophilia A.

Browse Hemophilia A studies →

Lead sponsor

OPKO Health, Inc. is the lead sponsor of 48 studies on the registry; 2 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 6 (75%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Men, 18-50 years of age, inclusive, at the screening visit.
  2. Subjects must provide written informed consent prior to participating in the study.
  3. Considered healthy based on medical history, physical examination and clinical laboratory results.
  4. Body Mass Index (BMI) 19.0-30.0 kg/m2 and total body weight >50 Kg.
  5. Fertile men must agree to use a barrier contraceptive (condom) for 30 days post-dosing and are restricted from donating sperm for 30 days after dosing. Subjects with a vasectomy performed more than 6 months prior to treatment are also acceptable.
  6. Supine blood pressure and heart rate within normal limits (systolic 90-140 mmHg; diastolic 50-90 mmHg, heart rate 45-100 beats per minute). No evidence of orthostatic hypotension.
  7. Triglyceride ≤ 200 mg/dl
  8. ECG with no clinically significant abnormalities recorded at Screening visit and on dosing day (before drug administration): PR interval within 120 and 210 ms, QRS interval \< 120 ms, and QTc interval 450 ms.
  9. Negative human immunodeficiency virus (HIV), hepatitis B or hepatitis C serology tests at screening.
  10. Subjects who are willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
  11. Non-smoking and no use of any tobacco or nicotine product by declaration for a period for at least 6 month prior to screening period.

Exclusion criteria

Exclusion Criteria:

  1. Family history of blood clots.
  2. Have had, within one month prior to study drug administration, a major surgical procedure (e.g. orthopedic, abdominal) or have an elective surgery planned within the study period.
  3. Any history of arterial and/or venous thromboembolic events (such as myocardial infarction, ischemic strokes, transient ischemic attacks, deep venous thrombosis or pulmonary embolism).
  4. History or current drug/alcohol abuse (excluding use of medicinal cannabis for pain management). History of regular alcohol consumption exceeding - 14 drinks/week for men (1 drink = 5 ounces [150 mL] of wine or 12 ounces [360 mL] of beer or 1.5 ounces [45 mL] of hard liquor) within 6 months of screening. Positive urine drug of abuse (DoA) in screening and on admission. Positive breath alcohol test on admission.
  5. Known allergy to any drug. Known allergy or hypersensitivity to any of the test compounds or materials or contraindication to test product.
  6. Use of any prescription or over-the-counter (OTC) medications, including vitamins and herbal or dietary supplements within 14 days prior to dosing. Paracetamol for symptomatic relief of pain is allowed until 24 hours prior to the study drug administration.
  7. Subjects who have received any vaccines within 4 weeks prior to study drug administration.
  8. Participation in another clinical trial within 30 days.
05

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
32 participants (actual)

Study arms

  • Experimental
    MOD-5014

    MOD-5014 longevity is the result of fusion of three consecutive C-terminal peptide (CTP) domains to the C-terminus of FVII. CTP technology is based on a natural peptide, the C-terminal peptide of the beta chain of human chorionic gonadotropin (hCG), which provides hCG with the required longevity to maintain pregnancy (initial half-life \[t1/2\] \~10 h, terminal t1/2 \~37 h). The beta chain of luteinizing hormone (LH), a gonadotropin that triggers ovulation, is almost identical to hCG but does not include the CTP. As a result, LH has a significantly shorter half-life in blood (initial t1/2 \~1 h, terminal t1/2 \~10 h) (Fares et al., 1992).

    Biological: MOD-5014

  • Placebo comparator
    MOD-5014 Placebo

    Placebo solution for SC injection containing the same inactive ingredients used in the active drug product at matching volumes

    Other: MOD-5014 Placebo

Interventions

  • BiologicalMOD-5014

    MOD-5014, a long-acting modified recombinant Factor VIIa

  • OtherMOD-5014 Placebo

    Placebo solution for SC injection containing the same inactive ingredients used in the active drug product at matching volumes

06

What researchers measure

Primary outcomes

  1. Composite safety and tolerability parameters as measured by adverse events, electrocardiograms (ECG), Immunogenicity, laboratory results, vital signs and injection site reactions

    Time frame: within 30 days of injection

Secondary outcomes

  1. Cmax of MOD-5014

    Time frame: within 30 days of injection

  2. Tmax of MOD-5014

    Time frame: within 30 days of injection

  3. AUC(0-t) of MOD-5014

    Time frame: within 30 days of injection

  4. AUC(inf) of MOD-5014

    Time frame: within 30 days of injection

  5. T(½) of MOD-5014

    Time frame: within 30 days of injection

  6. Clearance of MOD-5014

    Time frame: within 30 days of injection

07

Study locations

1 site
  • TASMC
    Tel-Aviv, Israel
08

References and documents

Publications

  • Bysted BV, Scharling B, Moller T, Hansen BL. A randomized, double-blind trial demonstrating bioequivalence of the current recombinant activated factor VII formulation and a new robust 25 degrees C stable formulation. Haemophilia. 2007 Sep;13(5):527-32. doi: 10.1111/j.1365-2516.2007.01516.x. PubMed 17880439 ↗
  • Fares FA, Suganuma N, Nishimori K, LaPolt PS, Hsueh AJ, Boime I. Design of a long-acting follitropin agonist by fusing the C-terminal sequence of the chorionic gonadotropin beta subunit to the follitropin beta subunit. Proc Natl Acad Sci U S A. 1992 May 15;89(10):4304-8. doi: 10.1073/pnas.89.10.4304. PubMed 1374895 ↗
  • Fridberg MJ, Hedner U, Roberts HR, Erhardtsen E. A study of the pharmacokinetics and safety of recombinant activated factor VII in healthy Caucasian and Japanese subjects. Blood Coagul Fibrinolysis. 2005 Jun;16(4):259-66. doi: 10.1097/01.mbc.0000169218.15926.34. PubMed 15870545 ↗
  • Klitgaard T, Nielsen TG. Overview of the human pharmacokinetics of recombinant activated factor VII. Br J Clin Pharmacol. 2008 Jan;65(1):3-11. doi: 10.1111/j.1365-2125.2007.03030.x. Epub 2007 Oct 24. PubMed 17961193 ↗
  • Moss J, Scharling B, Ezban M, Moller Sorensen T. Evaluation of the safety and pharmacokinetics of a fast-acting recombinant FVIIa analogue, NN1731, in healthy male subjects. J Thromb Haemost. 2009 Feb;7(2):299-305. doi: 10.1111/j.1538-7836.2008.03253.x. Epub 2008 Dec 3. PubMed 19138379 ↗
  • Tanaka KA, Key NS, Levy JH. Blood coagulation: hemostasis and thrombin regulation. Anesth Analg. 2009 May;108(5):1433-46. doi: 10.1213/ane.0b013e31819bcc9c. PubMed 19372317 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 30, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02919800
Lead sponsor
OPKO Health, Inc.
Responsible party
Sponsor
First posted
Sep 29, 2016
Start date
Jan 22, 2017
Primary completion
Feb 21, 2018
Completion
Feb 21, 2018
Last update
Sep 30, 2019

Study contacts

Ramit Arison
study director · Associate Director Clinical Affairs OPKO Biologics

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2019. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion