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Study Comparing On-Demand Treatment With Two Prophylaxis Regimens of BeneFIX in Patients With Severe Hemophilia B
This study is currently recruiting participants.
Verified by Wyeth, April 2008
Sponsored by: Wyeth
Information provided by: Wyeth
ClinicalTrials.gov Identifier: NCT00364182
  Purpose

This study is designed to evaluate BeneFIX infused as prophylaxis regimens, compared with BeneFIX administered as an on-demand regimen only. In the trial, subjects will participate in 4 study periods. The first period is a 16-week on-demand treatment, during which subjects will utilize BeneFIX to treat bleeding events episodically only as they occur (i.e., on-demand treatment). At the end of this period, subjects will be randomly assigned to 1 of 2 BeneFIX prophylaxis regimens: either 100 IU/kg once weekly or 50 IU/kg twice weekly, and followed for 16 weeks. At the end of this period, subjects will use on-demand treatment for 8 weeks. The purpose of this 8-week period is to mitigate the potential carry-over effect of the prior prophylaxis regimen on bleeding frequency. Following this 8-week on-demand treatment, subjects will cross-over and receive the alternate study prophylactic regimen for 16 weeks.

The primary endpoint is annualized number of bleeding episodes, compared between the first on-demand period and each of the prophylaxis regimens. A comparison of annualized bleeding episodes between the two prophylaxis regimens will also be performed. Subject-reported outcomes will also be collected using a patient diary. At 24 and 48 hours following the onset of each joint bleeding episode, information on pain, sleep, and work will be collected. Additional data on physical functioning will be recorded on the diary at the end of the 16-week on-demand period, and at the end of each prophylaxis period. Information on safety will also be collected.

Each subject will participate in this study for approximately 59 weeks (15 months), including a screening period of up to 3 weeks, an initial 16-week on-demand period, two prophylaxis treatment periods of 16 weeks each, separated by an 8-week on-demand treatment period.

A modified FIX recovery study will be performed once during each prophylaxis period.

The study diary will also be used by subjects to collect secondary endpoints. These endpoints, which are subject-reported outcomes, will be recorded in the diary at 24 and 48 hours following the onset of each joint bleeding episode. Additional data on physical functioning will be recorded on the diary at the end of the 16-week on-demand period, and at the end of each prophylaxis period.

Patients will be recruited in the United States, Canada, Europe and Russia.


Condition Intervention Phase
Hemophilia B
Drug: BeneFIX
Phase III

Genetics Home Reference related topics: hemophilia L1 syndrome
Drug Information available for: Factor IX Nonacog alfa
U.S. FDA Resources
Study Type: Interventional
Study Design: Prevention, Randomized, Open Label, Dose Comparison, Crossover Assignment, Safety/Efficacy Study
Official Title: A Multicenter, Open-Label Study to Compare On-Demand Treatment With 2 Prophylaxis Regimens of Recombinant Coagulation Factor IX (BeneFIX) Reformulated Drug Product (rFIX-R) in Subjects With Severe Hemophilia B

Further study details as provided by Wyeth:

Primary Outcome Measures:
  • The primary efficacy endpoint is the annualized number of bleeding episodes. Information regarding bleeding episodes will be collected with electronic subject diaries. [ Time Frame: 1 year ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Amount and quality of sleep (Sleep Diary); Acute pain scale after hemarthrosis (Brief Pain Inventory); Days lost from work or school after hemarthrosis (Health-Related Productivity Questionnaire); SF 36 Questionnaire [ Time Frame: Duration of trial ] [ Designated as safety issue: No ]

Estimated Enrollment: 40
Study Start Date: October 2006
Estimated Study Completion Date: October 2009
Estimated Primary Completion Date: October 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
A: Experimental Drug: BeneFIX
50 IU/kg twice weekly 100 IU/kg once weekly
B: Experimental Drug: BeneFIX
50 IU/kg twice weekly 100 IU/kg once weekly

  Eligibility

Ages Eligible for Study:   6 Years to 65 Years
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Documented history of moderately severe or severe hemophilia B (FIX:C less than or equal to 2%)
  • Male subjects, aged 6 years to 65 years.
  • Subjects with a minimum of 12 bleeding episodes, 6 of which must be joint bleeds, in the 12 months before screening.

Exclusion Criteria:

  • Subjects currently utilizing FIX primary prophylaxis.
  • Subjects with HIV+ who have abnormal CD4 count
  • Subjects with hepatic or renal impairment
  • Abnormal prothrombin time or platelet counts
  • Major surgery or an orthopedic surgical procedure within the past 3 months or is planned within the duration of participation in this study.
  • Past history of, or current FIX inhibitor
  • Hypersensitivity to any FIX product or hamster protein.
  • Exposure to any investigational drug, except for rFIX-R, or device within 30 days of providing consent/assent (as appropriate) for this study.
  • Bleeding disorders other than hemophilia B.
  • Concurrent inflammatory disease that in the investigator's judgment could confound the study results
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00364182

Contacts
Contact: Trial Manager clintrialparticipation@wyeth.com

  Show 22 Study Locations
Sponsors and Collaborators
Wyeth
Investigators
Study Director: Medical Monitor Wyeth
Principal Investigator: Trial Manager For Belgium, trials-BEL@wyeth.com
Principal Investigator: Trial Manager For Canada, clintrialparticipation@wyeth.com
Principal Investigator: Trial Manager For Italy, descresg@wyeth.com
Principal Investigator: Trial Manager For Romania, WVPIMED@wyeth.com
Principal Investigator: Trial Manager For Germany, medinfoDEU@wyeth.com
Principal Investigator: Trial Manger For Hungary, WPBUMED@wyeth.com
Principal Investigator: Trial Manager For Russia, WVPIMED@wyeth.com
Principal Investigator: Trial Manager For Spain, infomed@wyeth.com
  More Information

Responsible Party: Wyeth ( Wyeth (Registry Contact: Clinical Trial Registry Specialist) )
Study ID Numbers: 3090A1-400
Study First Received: August 14, 2006
Last Updated: April 9, 2008
ClinicalTrials.gov Identifier: NCT00364182  
Health Authority: Belgium: Directorate general for the protection of Public health: Medicines;   Canada: Health Canada;   France: Afssaps - French Health Products Safety Agency;   Germany: Federal Institute for Drugs and Medical Devices;   Hungary: National Institute of Pharmacy;   Italy: The Italian Medicines Agency;   Netherlands: Medicines Evaluation Board (MEB);   New Zealand: Food Safety Authority;   United Kingdom: Medicines and Healthcare Products Regulatory Agency;   United States: Food and Drug Administration

Keywords provided by Wyeth:
Hemophilia B

Study placed in the following topic categories:
Hemophilia B
Hemorrhagic Disorders
Genetic Diseases, Inborn
Hematologic Diseases
Blood Coagulation Disorders
Hemophilia A
Genetic Diseases, X-Linked
Hemostatic Disorders

Additional relevant MeSH terms:
Blood Coagulation Disorders, Inherited
Coagulation Protein Disorders

ClinicalTrials.gov processed this record on January 14, 2009