Clinical Trial: Evaluation of Recombinant Factor XIII for Prevention of Bleeding in Patients With FXIII Inherited Deficiency

Study Status: Completed
Recruit Status: Completed
Study Type: Interventional

Official Title: A Multi-Centre, Open-Label, Single-Arm and Multiple Dosing Trial on Efficacy and Safety of Monthly Replacement Therapy With Recombinant Factor XIII (rFXIII) in Subjects With Congenital It represents the incidence of bleeding episodes requiring treatment with a FXIII-containing product.



Original Primary Outcome: Rate (number per subject year) of bleeding episodes requiring treatment with a FXIII containing product during the rFXIII treatment period [ Time Frame: After the last patient has completed the trial period ]

Current Secondary Outcome:

  • Percentage of Subjects Having a Normal Clot Solubility One Hour After rFXIII Administration and 28 Days After rFXIII Administration for All Dosing Visits [ Time Frame: For a period of 322 days (approximately one year) comprised of a screening visit (Visit 1), treatment period (Visits 2-15), unscheduled visit and end-of-trial visit (Visit 16). ]
    Blood samples for clot solubility drawn at each visit (1 hour before and after dose administration). A clot solubility assay was used to screen for FXIII deficiency. The assay is based on the ability of urea to dissolve fibrin clots that have not undergone FXIII-induced stabilization. Normal blood clots generally remain stable for 24 hours or more, while clots in which fibrin molecules have not been cross-linked are soluble within minutes. The outcome of the test is normal (FXIII present; a clot is observed in the test tube) or abnormal (FXIII absent or very low level; no clot in test tube).
  • Level of FXIII Activity One Hour After rFXIII Administration and 28 Days After rFXIII Administration for All Dosing Visits [ Time Frame: For a period of 322 days (approximately one year) comprised of a screening visit (Visit 1), treatment period (Visits 2-15), unscheduled visit and end-of-trial visit (Visit 16). ]
    Subjects entered a 52-week treatment period of monthly (28±2 days) doses of 35 IU/kg rFXIII. Blood samples for analysis of FXIII activity were drawn at each visit; at dosing visits blood was drawn 1 hour after administration and before administration(corresponding to 28 days after the previous dose). All Dosing Visits are visits where a dose is given (i.e. Visit 2-15 except Visit 3).
  • Number of Subjects With rFXIII Antibody Development [ Time Frame: For a period of 322 days (approximately one year) comprised of a screening visit (Visit 1), treatment period (Visits 2-15), unscheduled visit and end-of-trial visit (Visit 16). ]
    Subjects receiving rFXIII were monitored for the development of binding antibodies. Blood sampling was done before administration of trial product at all visits (Visits 1-16 and unscheduled visit)


Original Secondary Outcome:

  • Percentage of subjects having a normal clot solubility one hour after rFXIII administration and 28 days after rFXIII administration [ Time Frame: After the last patient has completed the trial period ]
  • Level of FXIII activity one hour after rFXIII administration and 28 days after rFXIII administration [ Time Frame: After the last patient has completed the trial period ]
  • Number of Subjects With rFXIII Antibody Development [ Time Frame: After the last patient has completed the trial period ]


Information By: Novo Nordisk A/S

Dates:
Date Received: July 7, 2008
Date Started: August 2008
Date Completion:
Last Updated: January 10, 2017
Last Verified: January 2017