The Safety and Tolerability of SerpinPC in Healthy Men and in Men With Severe Blood Disorders (Haemophilia A and B)

Study Identifier:
AP-0101
ClinicalTrials.gov Identifier:
NCT04073498
EudraCT Identifier:
N/A
Unmapped

Study Details

Medical Condition
  • Hemophilia A
  • Hemophilia B
Study Drug
  • Drug: SerpinPC
  • Drug: Placebo
Date
Aug 2019 - Oct 2024
Phase 1
Phase 2
Phase 3
Phase 4
N/A
Patient Requirements
Sex: Male
Age: 18 - 55 Years years
Requirements Information
Inclusion and Exclusion Criteria
Inclusion Criteria
  • Part 1a (Healthy Subjects)
  • Males age ≥18 years and ≤55 years.
  • Capable of giving written informed consent to participate after reading the information and consent form, and after having the opportunity to discuss the trial with the investigator or delegate.
  • Willingness to give written consent to have data entered into The Over-volunteering Prevention System (TOPS).
  • Sufficient intelligence to understand the nature of the trial and any hazards of participating in it. Ability to communicate satisfactorily with the investigator and to participate in, and comply with the requirements of the entire trial.
  • Screening D-dimer ≤ 750 µg/L
  • Non-user of nicotine products i.e. non-smokers or ex-smokers who have stopped smoking or who had stopped using cigarette replacements for at least 6 months before the first dose of IMP.
  • Male subject willing to use 2 highly effective methods of contraception from the first dose administration until 3 months after dosing.
  • Subject with a body mass index (BMI) of 18 - 30 kg/m2 and weight ≥ 60 kg.
  • Subject with no clinically significant history of previous drug allergies.
  • Subject with no clinically significant abnormal Cytokine levels (IL6 and TNFα), serum biochemistry, haematology, coagulation and urinalysis within 28 days before the first dose of IMP.
  • Subject with negative urinary drugs of abuse (DOA) and alcohol screens, determined within 28 days before the first dose of IMP (N.B. A positive test result may be repeated at the Investigator's discretion).
  • Subject with negative human immunodeficiency virus (HIV), and hepatitis B surface antigen (HBsAg) and/or hepatitis C virus antibody (HCV Ab) test results at Screening.
  • Subject with no clinically significant abnormalities in 12-lead electrocardiogram (ECG) determined within 28 days before the first dose of IMP.
  • Subject with no clinically significant abnormalities in vital signs (supine blood pressure/pulse rate, oral temperature) determined within 28 days before the first dose of IMP.
  • Subject must be available to complete the study (including all follow up visits).
  • Subject must satisfy an Investigator about his fitness to participate in the study.
  • Part 1b and Part 2 (Patients)
  • Male age ≥18 years and ≤60 years.
  • Capable of giving written informed consent to participate after reading the information and consent form, and after having the opportunity to discuss the trial with the Investigator or delegate.
  • Patients with severe haemophilia (defined as having factor VIII/IX ≤ 0.02 IU/mL \[2%\]) with or without inhibitors, with an ABR (annualised bleeding rate) of 6 or more during the Observational Phase.
  • Patients on demand therapy with fVIII, fIX, rfVIIa (NovoSeven), FEIBA for treatment of bleeding.
  • Screening D-dimer ≤ 750 μg/L (DDU).
  • Adequate haematologic function, defined as having platelet count ≥ 100,000/μL (≥ 100 x 109/L) and haemoglobin ≥ 12 g/dL (≥ 120 g/L or ≥ 7.45 mmol/L) at the time of Screening and prior to the first dose administration.
  • Adequate hepatic function, defined as having total bilirubin ≤ 1.5x ULN (excluding Gilbert's syndrome) and AST and/or ALT ≤ 3x ULN at the time of Screening and prior to the first dose administration; no clinical signs or known laboratory OR radiographic evidence consistent with cirrhosis of the liver.
  • Adequate renal function, defined as having serum creatinine ≤ 2.5x ULN at the time of Screening and prior to the first dose administration.
  • Part 3 (patients who have completed Week 24 of Part 2)
  • Completed Week 24 of Part 2 with no major compliance issues.
  • Capable of giving written informed consent to participate after reading the information and consent form, and after having the opportunity to discuss the extension study with the Investigator or delegate.
  • Adaquate haematologic function, defined as having platelet count ≥ 100,000/μL and haemoglobin ≥ 8 g/dL (4.97 mmol/L) at Week 20 in Part 2.
  • Adequate hepatic function, defined as having total bilirubin ≤ 1.5x ULN (excluding Gilbert's syndrome) and AST and/or ALT ≤ 3x ULN at Week 20 in Part 2 with no clinical signs or known laboratory or radiographic evidence consistent with cirrhosis.
  • Adequate renal function, defined as serum creatinine ≤ 2.5x ULN at Week 20 in Part 2.
  • Part 4 (Patients who have completed Week 48 of Part 3):
  • Completed Week 48 of Part 3 with no major compliance issues.
  • Capable of giving written informed consent to participate after reading the information and consent form, and after having the opportunity to discuss the extension study with the Investigator or delegate.
  • Adequate haematologic function, defined as platelet count ≥ 100,000/μL and haemoglobin ≥ 8 g/dL (4.97 mmol/L) at Week 44 of Part 3.
  • Adequate hepatic function, defined as total bilirubin ≤ 1.5x ULN (excluding Gilbert's syndrome) and AST and/or ALT ≤ 3 x ULN at Week 44 of Part 3 with no clinical signs or known laboratory or radiographic evidence consistent with cirrhosis.
  • Adequate renal function, defined as serum creatinine ≤ 2.5x ULN at Week 44 of Part 3.
  • Part 5 (Patients who have completed Week 24 of Part 4):
  • Completed Week 24 of Part 4 with no major compliance issues.
  • Capable of giving written informed consent to participate after reading the information and consent form, and after having the opportunity to discuss the extension study with the Investigator or delegate.
  • Adequate haematologic function, defined as platelet count ≥ 100,000/μL and haemoglobin ≥ 8 g/dL(4.97 mmol/L) at Week 20 of Part 4.
  • Adequate hepatic function, defined as total bilirubin ≤ 1.5x ULN (excluding Gilbert's syndrome) and AST and/or ALT ≤ 3 x ULN at Week 20 of Part 4 with no clinical signs or known laboratory or radiographic evidence consistent with cirrhosis.
  • Adequate renal function, defined as serum creatinine ≤ 2.5x ULN at Week 20 of Part 4.
  • Part 6 (Patients who have completed Week 52 of Part 5):
  • Completed Week 52 of Part 5 with no major compliance issues.
  • Capable of giving written informed consent to participate after reading the information and consent form, and after having the opportunity to discuss the extension study with the Investigator or delegate.
  • Adequate haematologic function, defined as platelet count ≥ 100,000/μL and haemoglobin ≥ 8 g/dL (4.97 mmol/L) at Week 48 of Part 5.
  • Adequate hepatic function, defined as total bilirubin ≤ 1.5x ULN (excluding Gilbert's syndrome) and AST and/or ALT ≤ 3 x ULN at Week 48 of Part 5 with no clinical signs or known laboratory or radiographic evidence consistent with cirrhosis.
  • Adequate renal function, defined as serum creatinine ≤ 2.5x ULN at Week 48 of Part 5.
Exclusion Criteria
  • Healthy subject/patient with known thrombophilia.
  • Healthy subject/patient with previous Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE), Myocardial Infarction (MI) or stroke.
  • Healthy subject/patient with uncontrolled hypertension (healthy subject: Systolic BP \> 140 mmHg, Diastolic BP \> 90 mmHg and patient: Systolic BP \> 160 mmHg, Diastolic BP \> 100 mmHg).
  • Healthy subject/patient with diagnosis of diabetes requiring drug treatment.
  • Healthy subject/patient who has active cancer or requiring therapy for cancer or diagnosis of cancer in previous 12 months before the first dose of IMP.
  • Healthy subject who has participated in a clinical trial during the 90 days prior to dosing and patient who has participated in a clinical trial during the 30 days prior to screening.
  • Healthy subject/patient with any major medical or psychological or psychiatric condition that could cause the healthy subject/patient to be unsuitable for the study or could interfere with the interpretation of the study results.
  • Healthy subject/patient with a history of or other evidence of recent alcohol or drug abuse (in the previous 12 months before the first dose of IMP).
  • Evidence of renal, hepatic, central nervous system, respiratory, cardiovascular or metabolic dysfunction.
  • Inability to communicate well with Investigators (i.e., language problem, poor mental development or impaired cerebral function).
  • Donation of 450 mL or more blood within the 3 months before the first dose of IMP.
  • Additional Exclusion Criteria only applicable for Part 1b, Part 2, Part 3, Part 4 and Part 5:
  • Known HIV infection with CD4 count (or T-cell count) \< 200 cells/μL within 24 weeks prior to screening.
  • Any other conditions or comorbidities, which in the opinion of the investigator would make the patient unsuitable for enrolment or could interfere with participation in or completion of the study.
  • Treatment with anticoagulant or antiplatelet drugs.
  • Additional Exclusion Criteria only applicable for Part 3:
  • Patient is unable to tolerate SerpinPC.
  • Patient with clinically significant safety data in Part 2 as determined by the Safety Review Committee or Investigator.
  • Patient with persistent high titre antidrug antibodies (ADAs) confirmed in Part 2 (up to Week 12 or Week 16).
  • Participation in a clinical trial, except Part 2, during the 30 days prior to Day 0.
  • Additional Exclusion Criteria only applicable for Part 4:
  • Patient is unable to tolerate SerpinPC.
  • Patient with clinically significant safety data in Part 3 as determined by the Safety Review Committee or Investigator.
  • Participation in a clinical trial, except Part 3, during the 30 days prior to Day 0.
  • Additional Exclusion Criteria only applicable for Part 5:
  • Patient is unable to tolerate SerpinPC.
  • Patient with clinically significant safety data in Part 4 as determined by the Safety Review Committee or Investigator.
  • Participation in a clinical trial, except Part 4, during the 30 days prior to Day 0.
  • Additional Exclusion Criteria only applicable for Part 6:
  • Patient is unable to tolerate SerpinPC.
  • Patient with clinically significant safety data in Part 5 as determined by the Safety Review Committee or Investigator.
  • Participation in a clinical trial, except Part 5, during the 30 days prior to Day 0.

Protocol Summary

This study is looking at how safe it is to switch from emicizumab to Mim8, in people with haemophilia A. Mim8 is a new medicine that is used to prevent bleeding episodes in people with haemophilia A. Mim8 works by replacing the function of the missing clotting factor VIII (FVIII). Mim8 will be injected under the skin using a pen-injector either once every week, once every two weeks or once every month. The participants will be trained in using the pen injector. The participants can choose themselves, in collaboration with the study doctor how often they get Mim8 in this study. When the participant will get their first Mim8 injection depends on their current treatment with emicizumab. The participants will get their first Mim8 injection at Visit 2. Participants will have between 6 and 27 Mim8 injections. The total number of injections participants will have depends on their dosing frequency. The study will last for about 6-12 months. While taking part in this study, there are some restrictions about what medicine participant can use. The study doctor will tell the participants more about this. In case the participants experience bleeds, these can be treated with additional haemostatic medicine as agreed with the study doctor. Female participants cannot take part if they are pregnant, breast-feeding or plan to get pregnant during the study period.

Trial Locations

Location
Status
Location
Arensia Clinical Research Unit
Tbilisi, Georgia, 0112
Status
N/A
Location
Arensia Clinical Research Unit
Chisinau, Republic of Moldova
Status
N/A
Location
Simbec Research Ltd
Merthyr Tydfil, Cardiff, United Kingdom, CF48 4DR
Status
N/A