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阻害因子を有する血友病A患者における、予防的エミシズマブ投与と予防投与なしの有効性、安全性、および薬物動態を評価する研究

基本情報

NCT ID
NCT02622321
ステータス
完了
試験のフェーズ
第3相
試験タイプ
介入
目標被験者数
113
治験依頼者名
Hoffmann-La Roche

概要

This multicenter, open-label study will evaluate the safety, efficacy and pharmacokinetics of prophylactic emicizumab treatment in participants previously treated with episodic or prophylactic bypassing agents. Episodic bypassing agent participants will be randomized in a 2:1 fashion to receive emicizumab prophylaxis (Arm A) versus no prophylaxis (Arm B) and will be stratified across Arms A and B according to the number of bleeds they experienced over the last 24 weeks prior to study entry (less than \[\<\] 9 or greater than or equal to \[\>/=\] 9 bleeds); Arm B participants will have the opportunity to switch to emicizumab prophylaxis after at least 24 weeks on-study. Prophylactic bypassing agent participants will switch to emicizumab prophylaxis (Arm C) from the start of the trial; enrollment will be extended for 24 weeks after the last participant has enrolled in Arms A or B or until approximately 50 participants have enrolled in Arm C, whichever occurs first. Episodic bypassing agent participants who previously participated in the non-interventional study BH29768 (NCT02476942) who were unable to enroll in Arms A or B, or participants on prophylactic bypassing agents who were unable to enroll in Arm C, prior to their closure will have the opportunity to enroll in Arm D. Like participants in Arms A and C, Arm D participants will receive emicizumab prophylaxis from the start of the trial. All participants will continue to receive episodic bypassing agent therapy to treat breakthrough bleeds, preferably with recombinant activated factor VII (rFVIIa).

対象疾患

Hemophilia A

介入

Emicizumab(DRUG)
rFVIIa(DRUG)
aPCC(DRUG)

依頼者(Sponsor)

実施施設 (7)

名古屋大学医学部附属病院

Aichi, Japan

聖マリアンナ医科大学病院

Kanagawa, Japan

兵庫医科大学病院

Hyōgo, Japan

産業医科大学病院

Kitakyushu-shi, Japan

東京医科大学病院

Tokyo, Japan

広島大学病院

Hiroshima, Japan

公立大学法人 奈良県立医科大学附属病院

Nara, Japan