DEC-NET Serial number ES466 | | Published online | 12/09/2005 15.06.00 | Last updated | 24/04/2006 10.09.50 | | | Other protocol ID number | 3090A1-302-WW | Current trial status | Complete(closed to recruitment of participants: follow-up complete) | Major Disease (ICD9 class) | CONGENITAL FACTOR IX DISORDER | Gender | Both | Age (range) | > or = 12 years old | Eligibility criteria | Inclusion criteria | 12 years old patients or older, with moderate-severe hemophilia B (level of activity of FIX in plasma [FIX:C] < or = 2%), with at least 150 days of exposition of any product of FLX, and able to follow the proceedings of the study (in the investigator's opinion); it is also necessary the patient, parent or legal tutor to have signed volontary the informed consent before the procedures of screening. | Exclusion criteria | Some level of FIX inhibitor (or history of), defined as > 0,6 UB. Known hypersensitivity to drugs composed mainly by proteins or to agents related with the studied agent, i.e. proteins of hamster. Abnormal liver function (defined as < 2,5 the upper normal level of ALT, AST and/or total bilirubin), abnormal renal function (plasmatic creatinin > 1,2 the upper normal level), low level of albumin, platelet <100.000 mm3, abnormal prothrombin time (>1,25 the upper normal range), CD4 < 400/mcl, other genetic blood disorders (excepting the vitamin K deficiency of the newborn), treatment with any investigational drug during the previous 30 days, and other. | Trial design/methodology | Phase | 3 | Kind of study | Efficacy Prophylaxis Safety Pharmacokinetics | Design | | Purpose of study | The main objective is to assess the safety and efficacy of rFIX during at least 6 months in PTP with hemophilia B (FIX:C < or = 2%) on standard treatment (on-demand, prophylaxis and during major and minor surgery). | Primary outcomes | Saffety and efficacy of rFIX during at least 6 month in PTP with hemophilia B (FIX:C < o = 2%)used the standar treatment (on-demand regime, prophylactic or for surgery).
| Secondary outcomes | 1. Parameters FK and FD single in patients after unique, and any change of this parameters after several exposition of rFIX.
2.-Describe the inmunogenicity/newantigenicity of rFIX in PTP using study of development of inhibitor anti-FIX (BIA, development of anti-FIX antibodies (ELISA).Trombogenicity ; haemorrhage/no effect, allergic reactions; hematies aglutination.
3.Saffety and efficacy of rFIX in CI during major surgery.
4. FK of single rFIX for determinate de dosage in CI use.
| Summary of study design, objectives, and ongoing research findings | This is an open-label, multinational and not randomized study about the treatment of patients of at least 12 years old, with hemophilia B (FIX:C < or = 2%), previously exposed to FIX (>150 days), and who will be treated with a standard regimen of rFIX. If they are eligible, they will receive the first dose of rFIX (75 IU/kg) in the center of pharmacokinetic analysis and several blood samples will be obtained during a period of 72 hours. Patients will be treated (on demand or as prophylaxis) for a minimum period of 6 months. In order to guarantee an appropriate assessment of immunogenicity/antigenicity, patients will be on treatment during a maximum of 1 year. If a surgical intervention is necessary, the tratment will be adjusted. If some allergic symptom appears, the possibility to participate in the C9907-21 Protocol will be offered (this is an study designed to assess the etiology of allergic symptoms during the treatment with BeneFIX. |
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Principal investigator | Name | Maribel Nevado (persona de contacto de referencia) | Institution | | Postal address | | City | | Country | SPAIN | Phone | 913346400 | Fax | | E-mail | NevadoM@wyeth.com |
Promoter | Wyeth Research (Industry) |
Participating centres | Hospital Valle de Hebrón (Barcelona) | Hospital La Paz (Madrid) |
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