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CTRI Number  CTRI/2012/07/002772 [Registered on: 06/07/2012] Trial Registered Retrospectively
Last Modified On: 24/08/2015
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Biological 
Study Design  Non-randomized, Multiple Arm Trial 
Public Title of Study   Long-Term Safety and Efficacy of Recombinant Human Coagulation Factor VIII Fusion Protein (rFVIIIFc)  
Scientific Title of Study   An Open-Label, Multicenter Evaluation of the Long-Term Safety and Efficacy of Recombinant Human Coagulation Factor VIII Fusion Protein (rFVIIIFc) in the Prevention and Treatment of Bleeding Episodes in Previously Treated Subjects With Hemophilia A 
Trial Acronym  ASPIRE 
Secondary IDs if Any  
Secondary ID  Identifier 
8HA01EXT  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Dr Ritika Bajaj 
Designation  Associate Director 
Affiliation  Biogen 
Address  Flat 902, Tower -18. The close South , Nirvana country , Sector-50, Gurgaon , Haryana -122002

Gurgaon
HARYANA
122002
India 
Phone  9717004620  
Fax    
Email  ritika.bajaj@biogen.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Ritika Bajaj 
Designation  Associate Director 
Affiliation  Biogen 
Address  Flat 902, Tower -18. The close South , Nirvana country , Sector-50, Gurgaon , Haryana -122002

Gurgaon
HARYANA
122002
India 
Phone  9717004620  
Fax    
Email  ritika.bajaj@biogen.com  
 
Details of Contact Person
Public Query
 
Name  Ritika Bajaj 
Designation  CRCL 
Affiliation  Biogen Idec Biotech India Pvt Ltd  
Address  Biogen Idec Biotech India Pvt Ltd Vatika Towers, B Block, 14th Floor Sector 54, Golf Course Sector Road Gurgaon Gurgaon HARYANA 122002 India
Biogen Idec Biotech India Pvt Ltd Vatika Towers, B Block, 14th Floor Sector 54, Golf Course Sector Road Gurgaon Gurgaon HARYANA 122002 India
Gurgaon
HARYANA
122002
India 
Phone  124-4572311  
Fax  124-4572333  
Email  ritika.bajaj@biogenidec.com  
 
Source of Monetary or Material Support  
Biogen Idec Ltd Innovation House Norden Road Maidenhead Berkshire United Kingdom SL AY Innovation House 70 Norden Road Maidenhead, Berkshire United Kingdom SL6 4AY  
 
Primary Sponsor  
Name  Biogen Idec Ltd  
Address  Innovation House 70 Norden Road Maidenhead, Berkshire United Kingdom SL6 4AY  
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     Australia
Austria
Belgium
Chile
China
Germany
Hong Kong
India
New Zealand
Sweden
United Kingdom
United States of America  
Sites of Study  
No of Sites = 5  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Joseph John  Christian Medical College , Ludhiana  Department of Hematology and Bone Marrow Transplant, Christian Medical College & Hospital, Brown Road, Ludhiana, INDIA. Ludhiana PUNJAB
Ludhiana
PUNJAB 
919878659525
9101612229011
mjosephjohn@gmail.com 
Dr Alok Srivastava  Christian Medical College, Vellore   Department of Haematology, Christian Medical College, Vellore - 632004, India Vellore TAMIL NADU
Vellore
TAMIL NADU 
91416-2282352
914162226449
aloks@cmcvelore.ac.in 
Dr Naresh Gupta  Maulana Azad Medical College & Lok Nayak Hospital  Haemophilia Day care Centre, Maulana Azad Medical College & Lok Nayak Hospital, New Delhi, India. Central DELHI
New Delhi
DELHI 
919968604271
911123221922
doctornaresh@nic.in 
Dr Shashikant Apte  Sahaydari Hospital  Department of Hematology, Sahyadri Speciality Hospital, Karve Road, Plot no.30 – C, Erandwane, Deccan Gymkhana, Pune- 411004 Pune MAHARASHTRA
Pune
MAHARASHTRA 
919822404983
912025459917
shashikant.apte@gmail.com 
Dr Cecil Ross  St. Johns Medical College Hospital  St. Johns Medical College Hospital, Department of Medicine (Haematology), Sarjapur Road Bangalore, 560034 Bangalore KARNATAKA
Bangalore
KARNATAKA 
80-22065722
08025531984
cecilross@sify.com 
 
Details of Ethics Committee  
No of Ethics Committees= 5  
Name of Committee  Approval Status 
Institiute Ethics Commitee, CMC Ludhiana   Approved 
Institutional Ethical Review Board  Approved 
Institutional Ethics Commitee   Approved 
Institutional Ethics Commitee, CMC, Vellore  Approved 
Institutional Ethics Commitee, MAMC, New Delhi  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Severe Haemophilia A ,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  on demand  rFVIIIFc IV administration Subject will follow either a prophylaxis or on-demand regimen, to be determined by the investigator. The starting dose in this study will be determined by the clinical profile of the patient in the preceding studies 
Intervention  Option 1: Tailored Prophylaxis  rFVIIIFc IV administration Subject will follow either a prophylaxis or on-demand regimen, to be determined by the investigator. The starting dose in this study will be determined by the clinical profile of the patient in the preceding studies Dosing is approximately 25 IU/kg to 65 IU/kg every 3 to 5 days, or dosing 2 times per week at approximately 20 IU/kg to 65 IU/kg on Day 1 and 40 IU/kg to 65 IU/kg on Day 4.  
Intervention  Option 2 /Weekly Dosing (Modified Prophylaxis) Regimen  Dosing is approximately 65 IU/kg at weekly intervals. The dose should be based on the subject’s clinical profile observed in the preceding rFVIIIFc study and/or his individual PK (if available), and FVIII trough and/or peak (recovery) values. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Male 
Details  1. Ability to understand the purpose and risks of the study and provide signed and dated informed consent and authorization to use protected health information (PHI) in accordance with national and local subject privacy regulations. Parental or guardian consent is required for subjects who are less than 18 years of age or unable to give consent, or as applicable per local laws.
2. Subjects who have completed Study 997HA301.
 
 
ExclusionCriteria 
Details  1. Confirmed positive high-titer inhibitor test (≥5.00 BU/mL)
2. Medical or other reasons that, in the opinion of the Investigator, make the subject unsuitable for enrollment.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
• Number of hospitalizations, excluding planned hospitalizations, elective surgery documented at Visit 1, and emergent surgery
• Number of emergency room visits
• Number of physician visits, excluding study visits
• Number of hospitalization days
• Number of days off work or school
• Number of days off work for a parent/caregiver (demographic data for parents/caregivers will be collected at Visit 1)
 
• Number of hospitalizations, excluding planned hospitalizations, elective surgery documented at Visit 1, and emergent surgery
• Number of emergency room visits
• Number of physician visits, excluding study visits
• Number of hospitalization days
• Number of days off work or school
• Number of days off work for a parent/caregiver (demographic data for parents/caregivers will be collected at Visit 1)
 
 
Secondary Outcome  
Outcome  TimePoints 
The secondary objective of the study is to evaluate the efficacy of rFVIIIFc in the prevention and treatment of bleeding episodes in subjects with hemophilia A.  The number of annualized bleeding episodes (spontaneous and traumatic) per subject
The number of annualized spontaneous joint bleeding episodes per subject
The total number of days of exposure per subject per year
The mean dose of rFVIIIFc per kg per subject per year per treatment regimen
Physician’s global assessment of response to treatment using a 4-point scale
Subject’s assessment of response to treatment using a 4-point scale
The incidence of AEs and serious adverse events (SAEs)
 
 
Target Sample Size   Total Sample Size="194"
Sample Size from India="15" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   05/07/2012 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  06/12/2011 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="4"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details   NA 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

8HA01EXT is an extension study designed to assess the long-term safety and efficacy of recombinant factor VIII fusion (rFVIIIFc) in previously treated subjects with hemophilia A.  Male subjects of all ages who have completed the preceding study of rFVIIIFc (997HA301 [A‑LONG]) may be eligible for enrollment in this study.

 
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