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CompletedNCT04789954Updated Sep 10, 2022

Study on the Dose-response Relationship of Pharmacodynamic Parameters in Patients With Hemophilia With Inhibitors

An Early Phase 1 interventional study of Eptacog alfa, activated in Hemophilia A With Inhibitor and Hemophilia B With Inhibitor, sponsored by AryoGen Pharmed Co.. Completed at 1 site in Iran, Islamic Republic of. Open to male participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2022-09-10.

Sponsored by AryoGen Pharmed Co. · Early Phase 1, Interventional, and Treatment

Phase
Early Phase 1
Study type
Interventional
Enrollment
14
Allocation
Randomized
Ages
12 Years and older
Sex
Male
01

Study summary

Randomized, double-blind, single-dose, 5 ways crossover, exploratory clinical trial evaluating four different doses of AryoSeven (eptacog alfa, activated) and NovoSeven on selected pharmacodynamic parameters in patients with hemophilia with inhibitors.

Read the detailed description

Randomized, double-blind, single dose, 5 ways crossover, clinical trial evaluating four different doses (10 µg/kg, 30 µg/kg, 90 µg/kg, and 270 µg/kg) of AryoSeven (recombinant human FVII activated or eptacog alfa, activated) and one dose of NovoSeven (30 µg/kg) on selected pharmacodynamic parameters (PD) [Primary: Thrombin Generation Assay (TGA)] in male adult and adolescent (>12 years) patients with hemophilia A or B, with an inhibitors titer >5 Bethesda Units [BU] and not in bleeding status. This will be an exploratory study to evaluate dose-response relationship of PD markers as surrogate efficacy endpoints.

02

Conditions studied

  • Hemophilia A With Inhibitor
  • Hemophilia B With Inhibitor
03

In context

Hemophilia A

844 studies on the registry are indexed under Hemophilia A; 138 are open to participants now.

This study's enrollment of 14 is below the median of 30 across 499 interventional studies indexed under Hemophilia A.

Browse Hemophilia A studies →

Lead sponsor

AryoGen Pharmed Co. is the lead sponsor of 13 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
12 Years and older
Sexes eligible
Male
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

  • Confirmed diagnosis of congenital haemophilia A or B with inhibitors to FVIII or FIX titer >5 Bethesda Units [BU]
  • with > 2 episodes of bleeding/year requiring treatment with FVII infusions, not in bleeding episode
  • Male adults and adolescents (>12 years)
  • Patient has been obtained [Patients to be enrolled must also provide voluntary written informed consent to the protocol prior to screening to be eligible for the study. For adolescents, parent/legal guardian must provide consent and, wherever possible, patient assent will also be obtained. For compromised patients, their designated proxy must provide informed consent].
  • Patients willing and able to be hospitalized prior to time of study medication administration for plasma sampling (5 times during the study).

Exclusion criteria

Exclusion Criteria:

  • Any other type of congenital or acquired coagulopathy, such as: liver disease (hepatitis), vitamin k deficiency, uremia, .
  • Antibodies against Factor VII
  • Ongoing bleeding prophylaxis regimens with AryoSeven/NovoSeven or planned to occur during the trial
  • count less than 100.000 platelets/mcL (at screening visit)
  • Any clinical sign or known history of arterial thrombotic event or deep venous- thrombosis or pulmonary embolism
  • positive with current of less than 200/µL
  • Liver cirrhosis
  • Factor VIII/IX immune tolerance induction regimen planned to occur during the trial
  • Known to the study medication
  • Parallel participation in another experimental drug trial.
  • Parallel participation in another marketed drug trial that may affect the primary end-point of the study.
  • Concomitant diseases and/or medications, or any other conditions, that render the patient unsuitable for inclusion into the study in the judgement of the investigator.
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

CD4 count

The number of CD4 cells, a type of white blood cell, in a given amount of blood. It is used to follow how well the immune system is doing in HIV.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
14 participants (actual)

Study arms

  • Experimental
    AryoSeven 10 μg/kg

    Single dose, intravenously

    Biological: Eptacog alfa, activated

  • Experimental
    AryoSeven 30 μg/kg

    Single dose, intravenously

    Biological: Eptacog alfa, activated

  • Experimental
    AryoSeven 90 μg/kg

    Single dose, intravenously

    Biological: Eptacog alfa, activated

  • Experimental
    AryoSeven 270 μg/kg

    Single dose, intravenously

    Biological: Eptacog alfa, activated

  • Active comparator
    NovoSeven 30 μg/kg

    Single dose, intravenously

    Biological: Eptacog alfa, activated

Interventions

  • BiologicalEptacog alfa, activated

    A dose sequence for each injection will be randomly selected from the following doses: 10 μg/kg, 30 μg/kg, 90 μg/kg, or 270 μg/kg, separated by a wash-out period of 3 days.

06

What researchers measure

Primary outcomes

  1. Lag time of the thrombin generation curve

    Time to 16.7% of peak plasmatic concentration, in minutes.

    Time frame: Up to 30 hours after AryoSeven and NovoSeven injection

Secondary outcomes

  1. Endogenous Thrombin Potential (PD parameter)

    Area under the curve plasma levels of thrombin generation curve (in nmol/per minute)

    Time frame: Up to 30 hours after AryoSeven and NovoSeven injection

  2. Time to Peak (PD parameter)

    Time to Peak of thrombin generation curve (in minutes)

    Time frame: Up to 30 hours after AryoSeven and NovoSeven injection

  3. Peak height (PD parameter)

    Peak height of thrombin generation curve (in nmol/ml)

    Time frame: Up to 30 hours after AryoSeven and NovoSeven injection

  4. F1.2 prothrombin fragments (PD parameter)

    Peak height (micg/L)

    Time frame: Up to 30 hours after AryoSeven and NovoSeven injection

  5. D-dimer (PD parameter)

    Peak height (micg/L)

    Time frame: Up to 30 hours after AryoSeven and NovoSeven injection

  6. AUCinf (PK parameter)

    Area under the plasma concentration time curve from time 0 to infinity, based on the last observed concentration;

    Time frame: Up to 30 hours after AryoSeven and NovoSeven injection

  7. Cmax (PK parameter)

    Observed maximum plasma concentration

    Time frame: Up to 30 hours after AryoSeven and NovoSeven injection

  8. Time of Cmax (PK parameter)

    Time of observed maximum plasma concentration

    Time frame: Up to 30 hours after AryoSeven and NovoSeven injection

07

Study locations

1 site
  • Comprehensive Hemophilia Care Center
    Teheran, Iran, Islamic Republic of
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2020 to primary completion in Aug 2021, 7 months.

Of 37 industry-sponsored phase 1 interventional studies under Hemophilia A, half reached primary completion within 10 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 18. This study's 7 months is below that.

Counting every sponsor, half of 46 studies reached it within 13 months; a quarter within 7 and three quarters within 26.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 4, 2021
First posted
Mar 10, 2021
StartActual
Dec 29, 2020
Primary completionActual
Aug 13, 2021
CompletionActual
Jul 31, 2022
Last update
Sep 10, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 10, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04789954
Lead sponsor
AryoGen Pharmed Co.
Responsible party
Sponsor
First posted
Mar 10, 2021
Start date
Dec 29, 2020
Primary completion
Aug 13, 2021
Completion
Jul 31, 2022
Last update
Sep 10, 2022

Study contacts

Massimo Iacobelli, MD
study director · Consultant

Oversight

Data monitoring committee
No
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 2022. You cannot join it, but the record below documents what was studied.

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