Efficacy Study of Activated Prothrombin Complex for Prevention of Bleeds in Hemophilia A With Inhibitors
ProFEIBA
A Prospective, Randomized, Cross-over Study of an Activated Prothrombin Complex Concentrate for Secondary Prophylaxis in Patients With Hemophilia A and Inhibitors
1 other identifier
interventional
34
1 country
1
Brief Summary
The objective of this study is to assess whether prophylactic therapy with an activated prothrombin complex concentrate (FEIBA)will result in a significant reduction in the number of bleeds in patients with hemophilia and persistent high responding inhibitors.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Jun 2003
Longer than P75 for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2003
CompletedFirst Submitted
Initial submission to the registry
September 19, 2005
CompletedFirst Posted
Study publicly available on registry
September 22, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2010
CompletedResults Posted
Study results publicly available
February 6, 2017
CompletedMarch 2, 2020
February 1, 2020
6.5 years
September 19, 2005
December 12, 2016
February 13, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Number of Bleeds During 6 Month Treatment Period
6 months
Study Arms (2)
On-demand first
OTHERPatients receive 6 months of on-demand therapy with study drug followed by 6 months of prophylaxis therapy with study drug
Prophylaxis first
OTHERPatients receive 6 months of prophylaxis therapy with study drug followed by 6 months on-demand therapy with study drug
Interventions
FEIBA for prophylaxis therapy dosed at 85 U/Kg +/- 15% on three non-consecutive days each week for 6 months FEIBA for on-demand therapy dosed at 85 U/Kg +/- 15% for bleeding episodes for 6 months
Eligibility Criteria
You may qualify if:
- hemophilia A, any severity, with documented history of high-titer inhibitor (\>5BU); current use of bypassing agents (PCCs, aPCCs or rFVIIa) for treatment of bleeds; \>/= 6 bleeds requiring bypassing therapy in the previous 6 months
You may not qualify if:
- concomitant immune tolerance therapy; clinically symptomatic liver disease, platelet count less than 100,000
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Tulane University School of Medicine
New Orleans, Louisiana, 70112, United States
Related Publications (2)
Gringeri A, Leissinger C, Cortesi PA, Jo H, Fusco F, Riva S, Antmen B, Berntorp E, Biasoli C, Carpenter S, Kavakli K, Morfini M, Negrier C, Rocino A, Schramm W, Windyga J, Zulfikar B, Mantovani LG. Health-related quality of life in patients with haemophilia and inhibitors on prophylaxis with anti-inhibitor complex concentrate: results from the Pro-FEIBA study. Haemophilia. 2013 Sep;19(5):736-43. doi: 10.1111/hae.12178. Epub 2013 Jun 4.
PMID: 23731246DERIVEDLeissinger C, Gringeri A, Antmen B, Berntorp E, Biasoli C, Carpenter S, Cortesi P, Jo H, Kavakli K, Lassila R, Morfini M, Negrier C, Rocino A, Schramm W, Serban M, Uscatescu MV, Windyga J, Zulfikar B, Mantovani L. Anti-inhibitor coagulant complex prophylaxis in hemophilia with inhibitors. N Engl J Med. 2011 Nov 3;365(18):1684-92. doi: 10.1056/NEJMoa1104435.
PMID: 22047559DERIVED
MeSH Terms
Interventions
Limitations and Caveats
One limitation was the relatively short duration; in addition, due to the small number of children enrolled, it is not possible to draw conclusions regarding the relationship of age and the benefits of prophylaxis.
Results Point of Contact
- Title
- Cindy Leissinger
- Organization
- Tulane University
Study Officials
- PRINCIPAL INVESTIGATOR
Cindy A Leissinger
Tulane University School of Medicine
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- LTE60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 19, 2005
First Posted
September 22, 2005
Study Start
June 1, 2003
Primary Completion
December 1, 2009
Study Completion
July 1, 2010
Last Updated
March 2, 2020
Results First Posted
February 6, 2017
Record last verified: 2020-02