NCT04647227

Brief Summary

Phase IV multi-center, US-centric, open-label, safety study enrolling participants with Hemophilia A or B with inhibitors, 12 years of age and older, who are either on long term prophylactic treatment (e.g., emicizumab) at risk of experiencing a breakthrough bleeding event (BE), or who are not on prophylactic treatment who may need to control a BE.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
55

participants targeted

Target at P25-P50 for phase_4

Timeline
11mo left

Started Jun 2021

Longer than P75 for phase_4

Geographic Reach
1 country

21 active sites

Status
recruiting

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 Progress84%
Jun 2021Mar 2027

First Submitted

Initial submission to the registry

November 23, 2020

Completed
7 days until next milestone

First Posted

Study publicly available on registry

November 30, 2020

Completed
7 months until next milestone

Study Start

First participant enrolled

June 28, 2021

Completed
5.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 30, 2026

Expected
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 31, 2027

Last Updated

January 12, 2026

Status Verified

January 1, 2026

Enrollment Period

5.3 years

First QC Date

November 23, 2020

Last Update Submit

January 9, 2026

Conditions

Keywords

Hemophilia AHemophilia Bbleeding eventprophylactic treatment

Outcome Measures

Primary Outcomes (1)

  • Number of participants and percentage of Safety Events (AEs)

    Adverse Events and SAEs defined by the European Haemophilia Safety Surveillance System 2018 (EUHASS) and Serious Adverse Events (SAEs) as defined by the US Food and Drug Association.

    From time of consent through BE onset until 3 days after last dose of SEVENFACT®.

Study Arms (1)

Hemophilia A and B Cases

OTHER

SEVENFACT® has been approved for the treatment of bleeding events in individuals with hemophilia A or B with inhibitors. This study is intended to further investigate the safety and tolerability of SEVENFACT in participants with hemophilia A or B with inhibitors in the presence or absence of prophylactic therapies. Dosing will be at the discretion of the attending physician, and each participant will be supplied with the equivalent of nine 75 µg/kg doses, which aligns with the recommended dosing schedule as provided in SEVENFACT's United States Prescribing Information (USPI). In the event of a bleeding episode (BE), the participant will either self-administer the correct dose under the guidance of the treating investigator or the dose will be administered at a treatment facility.

Drug: coagulation factor VIIa [recombinant]-jncw

Interventions

a transgenically produced, activated, recombinant, human factor VII (rhFVIIa) protein with the brand name of SEVENFACT®. This protein is a clotting factor in the coagulation cascade that is produced in and purified from the milk of transgenic rabbits. SEVENFACT is approved for the treatment and control of bleeding episodes occurring in adults and adolescents (12 years of age and older) with hemophilia A or B with inhibitors.

Also known as: SEVENFACT
Hemophilia A and B Cases

Eligibility Criteria

Age12 Years - 100 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Have a diagnosis of hemophilia A or B with inhibitors.
  • Be 12 years of age and older
  • Be capable of understanding and willing to comply with the conditions of the protocol or have a legal guardian who is capable of understanding and complying with the conditions of the protocol
  • Have read, understood, and documented written informed consent/assent
  • Be able to provide medical evidence through prior medical history of previous inhibitor levels
  • Be willing and able to use the ATHN mobile application or a paper diary to document BEs and medication usage

You may not qualify if:

  • Have a disorder of hemostasis in addition to Hemophilia A or B
  • Have a known or suspected intolerance or hypersensitivity to SEVENFACT® or its ingredients
  • Have a known allergy or hypersensitivity to rabbits or rabbit proteins
  • Are receiving prophylactic treatment for bleeding with a drug or biologic that is not approved for this use by the FDA
  • Have had implantation of an investigational medical device within the prior 6 months
  • Have received an investigational drug within 30 days of the baseline visit
  • Have an elective surgical procedure planned during the duration of their participation in the study\*
  • Have any life-threatening disease, or other disease or condition which, in the investigator's judgment, could pose a potential hazard to the patient or interfere with study participation or study outcome (e.g., a history of non responsiveness to bypassing products or thromboembolic disease)
  • Should a participant require an unplanned surgery, the participant will not be withdrawn from the study unless the investigator deems it necessary. Instead, the participant will receive standard of care treatment as determined by the attending physician. If the participant is not withdrawn from the study, the participant's participation in the study will be paused until the investigator feels it is safe for them to continue.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (21)

Arizona Hemophilia and Thrombosis Center at Phoenix Children's Hospital

Phoenix, Arizona, 85016, United States

COMPLETED

Arkansas Center for Bleeding Disorders

Little Rock, Arkansas, 72202, United States

RECRUITING

Orthopaedic Institute for Children

Los Angeles, California, 90007, United States

RECRUITING

University of California at Davis UC Davis Hemostasis and Thrombosis Center

Sacramento, California, 95817, United States

RECRUITING

Children's National Hemophilia Center

Washington D.C., District of Columbia, 20010, United States

COMPLETED

Arnold Palmer Hospital for Children - The Haley Center for Children's Cancer and Blood Disorders

Orlando, Florida, 32806, United States

COMPLETED

Hemophilia of Georgia Center for Bleeding and Clotting Disorders of Emory, Adult Division

Atlanta, Georgia, 31404, United States

RECRUITING

Willett Children's Hospital at Memorial University Medical Center

Savannah, Georgia, 31404, United States

RECRUITING

Massachusetts General Hospital Comprehensive Hemophilia and Thrombosis Treatment Center

Boston, Massachusetts, 02114, United States

RECRUITING

Children's Hospital of Michigan

Detroit, Michigan, 48201, United States

RECRUITING

Henry Ford Health System

Detroit, Michigan, 48202, United States

RECRUITING

MSU Center for Bleeding and Clotting Disorders

Lansing, Michigan, 48912, United States

RECRUITING

Center for Bleeding and Clotting Disorders, University of Minnesota

Minneapolis, Minnesota, 55455, United States

NOT YET RECRUITING

Mayo Comprehensive Hemophilia Center

Rochester, Minnesota, 55905, United States

COMPLETED

Kansas City Regional Hemophilia Center

Kansas City, Missouri, 64108, United States

RECRUITING

Northwell Health, Long Island Jewish

New Hyde Park, New York, 11040, United States

RECRUITING

Brody School of Medicine at East Carolina University

Greenville, North Carolina, 27834, United States

NOT YET RECRUITING

University Hospitals Health System Cleveland

Cleveland, Ohio, 44106, United States

RECRUITING

Oklahoma Center for Bleeding and Clotting Disorders

Oklahoma City, Oklahoma, 73104, United States

RECRUITING

Vanderbilt University Medical Center

Nashville, Tennessee, 37212, United States

RECRUITING

Gulf States Hemophilia and Thrombophilia Center-University of Texas Health Science Center @Houston

Houston, Texas, 77030, United States

RECRUITING

MeSH Terms

Conditions

Hemophilia AHemophilia B

Interventions

Factor VIIa

Condition Hierarchy (Ancestors)

Blood Coagulation Disorders, InheritedBlood Coagulation DisordersHematologic DiseasesHemic and Lymphatic DiseasesCoagulation Protein DisordersHemorrhagic DisordersGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesGenetic Diseases, X-Linked

Intervention Hierarchy (Ancestors)

Serine EndopeptidasesEndopeptidasesPeptide HydrolasesHydrolasesEnzymesEnzymes and CoenzymesSerine ProteasesFactor VIIBlood Coagulation FactorsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsBiological Factors

Study Officials

  • Tammuella Chrisentery-Singleton, MD

    American Thrombosis and Hemostasis Network

    PRINCIPAL INVESTIGATOR
  • Mark Reding, MD

    University of Minnesota

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Carol Fedor, ND, RN, CCRC

CONTACT

Jessica Callis

CONTACT

Study Design

Study Type
interventional
Phase
phase 4
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Model Details: ATHN 16 is a phase IV multi-center, US-centric, open-label, safety study
Sponsor Type
NETWORK
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 23, 2020

First Posted

November 30, 2020

Study Start

June 28, 2021

Primary Completion (Estimated)

September 30, 2026

Study Completion (Estimated)

March 31, 2027

Last Updated

January 12, 2026

Record last verified: 2026-01

Data Sharing

IPD Sharing
Will not share

Locations