Safety and Efficacy Extension Study of GreenGene™ F in Previously Treated Patients Diagnosed With Severe Hemophilia A



Status:Completed
Conditions:Anemia, Hematology
Therapuetic Areas:Hematology
Healthy:No
Age Range:Any
Updated:4/2/2016
Start Date:January 2014
End Date:February 2016
Contact:Chang Hee Lee, M.D.
Email:chleedr@greencross.com
Phone:+82 31 260 9729

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An Open Label Safety and Efficacy Extension Study of GreenGene™ F in Previously Treated Patients Diagnosed With Severe Hemophilia A

This study primarily will address the safety and secondarily will assess efficacy of
GreenGene™ F in subjects with severe hemophilia A previously treated ≥50 exposure days with
a GreenGene™ F, and without presence inhibitor to FVIII (Factor VIII).


Inclusion Criteria:

1. Subjects must have participated in the "GreenGene™ F_P3", (with Eudra CT number
2012-001445-40) or a pediatric study with GreenGene™ F

2. Have ≥50 previous exposure days to GreenGene™ F, as documented in the subject's
medical records.

3. Negative assays for FVIII inhibitor at inclusion (<0.6BU Nijmegen assay), i.e. at the
end of study "GreenGene™ F_P3" for patients entering into this extension study
immediately after finishing the previous phase III study.

4. Normal liver and kidney function

5. Platelet count ≥ 100,000㎕

6. Normal prothrombin time or International Normalized Ratio (INR) < 1.5

7. Subjects receiving therapy for human immunodeficiency virus (HIV) or hepatitis must
be on a stable treatment regimen

8. Subjects must be able to withhold FVIII infusions for approximately 72 h prior to
each inhibitor assay

9. Absolute CD4 lymphocyte cell count ≥ 200㎕

10. Signed the written informed consent form or informed consent was obtained from the
subject's legal guardian

11. Females must not be lactating or pregnant at screening or Baseline (as documented by
a negative beta-human chorionic gonadotropin [β-hCG] test with a minimum sensitivity
of 25 IU/L or equivalent units of β-hCG). A test was obtained more than 72 hours
before the first dose of study drug

12. All females will be considered to be of childbearing potential unless they are
appropriate age group and without other known or suspected cause) or have been
sterilized surgically (i.e. bilateral tubal ligation, total hysterectomy or bilateral
oophorectomy, all with surgery at least one month before dosing)

13. Willing and able to comply with all aspects of the protocol

Exclusion Criteria:

1. Presence at Screening of FVIII inhibitor ≥ 0.6 BU as tested with the Nijmegen
modification of the Bethesda assay.

2. Laboratory or clinical evidence of portal vein hypertension including, but not
limited to, an INR > 1.4, the presence of splenomegaly and/or spider angiomata of
physical examination and/or a history of esophageal hemorrhage or documented
esophageal varices

3. Uncontrolled hypertension (diastolic blood pressure >100 mm Hg)

4. Hemoglobin < 10 g/dL

5. Severe renal dysfunction (creatinine > 2x upper limit of normal [ULN], total
bilirubin > 2x the ULN)

6. Liver disease (alanine aminotransferase [ALT], aspartate aminotransferase [AST] > 3x
the ULN)

7. History of diabetes or other metabolic disease

8. History of hypersensitivity or serious adverse reaction to recombinant or
plasma-derived FVIII concentrates

9. History of pretreatment prior to the administration of FVIII products (e.g.,
antihistamines)

10. Regular use of antifibrinolytics or medications affecting platelet function

11. Hypersensitivity to hamster- or mouse derived proteins

12. Blood transfusions within 30 days of enrollment into the study

13. Current participation in another investigational drug or device study, or
participated in a clinical study involving an investigational drug or device within
30 days of enrollment into the study

14. Unable or unwilling to cooperate with study procedures

15. Females who are pregnant (positive β-hCG test) or breastfeeding
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1 Children's Way
Little Rock, Arkansas 72202
(501) 364-1100
Arkansas Children's Hospital Arkansas Children's Hospital (ACH) is the only pediatric medical center in Arkansas...
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