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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03307980
Registration number
NCT03307980
Ethics application status
Date submitted
29/09/2017
Date registered
12/10/2017
Titles & IDs
Public title
Long-term Safety and Efficacy Study and Dose-Escalation Substudy of PF 06838435 in Individuals With Hemophilia B
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Scientific title
A FACTOR IX (FIX) GENE TRANSFER, MULTI CENTER EVALUATION OF THE LONG TERM SAFETY AND EFFICACY STUDY OF PF 06838435 AND A DOSE ESCALATION SUBSTUDY IN INDIVIDUALS WITH HEMOPHILIA B
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Secondary ID [1]
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SPK-9001-LTFU-101
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Secondary ID [2]
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C0371003
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hemophilia B
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Condition category
Condition code
Blood
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Clotting disorders
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Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - PF-06838435 (formerly SPK-9001)
Experimental: PF-06838435 Dose-Escalation - Single intravaneous infusion of PF-06838435. After 2 participants receive initial dose, data will be evaluated and a decision will be made to escalate or reduce the dose being evaluated, increase the number of participants receiving the dose, or stop dosing. Multiple iterations may be undertaken.
Treatment: Other: PF-06838435 (formerly SPK-9001)
Gene Therapy: A novel, bioengineered adeno-associated viral vector carrying human factor IX variant
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Incidence of PF-06838435 related adverse events
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Assessment method [1]
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Timepoint [1]
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Baseline up to Year 6
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Secondary outcome [1]
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Incidence of clinically significant changes from baseline
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Assessment method [1]
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Clinically significant changes in physical examination, vital signs, laboratory values. (to be reported as AEs, regardless of causality)
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Timepoint [1]
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Baseline up to 52 weeks
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Secondary outcome [2]
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Incidence of protocol-defined medically important events
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Assessment method [2]
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Clinical thrombotic events, FIX inhibitor development as assessed by Nijmegen Bethesda assay, Hypersensitivity reaction (eg, bronchospasm and anaphylaxis), Hepatic malignancy, Study intervention-related elevated hepatic transaminases that fail to improve or resolve, Malignancy assessed as having reasonable possibility of being related to study intervention (to be reported as SAEs).
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Timepoint [2]
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Baseline up to 52 weeks
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Secondary outcome [3]
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Immune response against AAV capsid protein and hFIX transgene
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Assessment method [3]
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Positive immune response based on peripheral blood mononuclear cell (PBMC) results by interferon gamma enzyme-linked immunospot assay (ELISPOT).
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Timepoint [3]
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Baseline up to 52 weeks
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Secondary outcome [4]
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Coagulation Clotting Assay for FIX activity levels
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Assessment method [4]
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Coagulation Clotting assays to assess FIX activity levels (percent of normal)
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Timepoint [4]
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Baseline up to Year 6
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Secondary outcome [5]
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Mean and standard deviation of vector-derived FIX Activity levels
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Assessment method [5]
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Mean and standard deviation of peak and steady-state FIX Activity
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Timepoint [5]
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Baseline up to 52 weeks
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Secondary outcome [6]
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Mean and standard deviation of FIX Antigen levels
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Assessment method [6]
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Mean and standard deviation of FIX Antigen levels
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Timepoint [6]
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Baseline up to 52 weeks
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Secondary outcome [7]
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Annualized bleeding rate (ABR)
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Assessment method [7]
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ABR (not including those for surgery)
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Timepoint [7]
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Baseline up to Year 6
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Secondary outcome [8]
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Annualized (factor FIX) infusion rate
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Assessment method [8]
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AIR (not including those for surgery)
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Timepoint [8]
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Baseline up to Year 6
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Secondary outcome [9]
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Total factor consumption (IU)
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Assessment method [9]
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total quantity of factor infused annually (not including those for surgery) as recorded on the infusion log
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Timepoint [9]
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Baseline up to Year 6
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Secondary outcome [10]
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Total number of bleeding events
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Assessment method [10]
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spontaneous and traumatic
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Timepoint [10]
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Baseline up to Year 6
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Secondary outcome [11]
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Haem-A-QoL
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Assessment method [11]
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Quality-of-life (QoL) assessment
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Timepoint [11]
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Baseline up to Year 6
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Secondary outcome [12]
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EQ-5D-5L
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Assessment method [12]
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Quality-of-life (QoL) assessment
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Timepoint [12]
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Baseline up to Year 6
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Secondary outcome [13]
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Brief Pain Inventory
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Assessment method [13]
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Quality-of-life (QoL) assessment
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Timepoint [13]
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Year 2 up to Year 6
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Secondary outcome [14]
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McGill Pain Questionnaire
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Assessment method [14]
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Quality-of-life (QoL) assessment
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Timepoint [14]
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Baseline up to 52 weeks
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Eligibility
Key inclusion criteria
This study is currently only enrolling into the dose-escalation substudy with subsequent long-term follow-up. The Eligibility Criteria for entry into the dose-escalation substudy is presented below:
1. Able to provide informed consent and comply with requirements of the study
2. Males age 18 to 65 years with confirmed diagnosis of hemophilia B (=2 IU/dL or =2% endogenous factor IX)
3. Received =50 exposure days to factor IX products
4. No measurable factor IX inhibitor as assessed by the central laboratory and have no prior history of inhibitors to factor IX protein
5. Agree to refrain from donating sperm and either abstain from intercourse or use reliable barrier contraception until 3 consecutive semen samples are negative for vector sequences
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Evidence of active hepatitis B or C
2. Currently on antiviral therapy for hepatitis B or C
3. Have significant underlying liver disease
4. Serological evidence* of HIV-1 or HIV-2 with CD4 counts =200/mm3 (* participants who are HIV+ and stable with CD4 count >200/mm3 and undetectable viral load are eligible to enroll)
5. Neutralizing antibody titers to the capsid portion of PF-06838435 above the established threshold
6. Sensitivity to heparin or heparin induced thrombocytopenia; sensitivity to any of the study interventions, or components thereof, or drug or other allergy
7. Previously dosed in a gene therapy research trial at any time or in an interventional clinical study within 3 months of screening visit
8. Any concurrent clinically significant major disease or condition
9. Unable or unwilling to comply with the study procedures
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
22/06/2017
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
6/06/2029
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Actual
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Sample size
Target
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Accrual to date
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Final
21
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Royal Prince Alfred Hospital - Camperdown
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Recruitment postcode(s) [1]
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2050 - Camperdown
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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California
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Country [2]
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United States of America
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State/province [2]
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Louisiana
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Country [3]
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United States of America
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State/province [3]
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Mississippi
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Country [4]
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United States of America
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State/province [4]
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New York
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Country [5]
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United States of America
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State/province [5]
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Pennsylvania
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Country [6]
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Canada
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State/province [6]
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Ontario
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Country [7]
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Canada
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State/province [7]
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Quebec
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Country [8]
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Canada
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State/province [8]
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Saskatchewan
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Country [9]
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Turkey
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State/province [9]
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Istanbul
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Country [10]
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Turkey
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State/province [10]
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Izmir
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Pfizer
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Long-term safety and efficacy follow-up for participants with Hemophilia B who were previously treated in the C0371005 (formerly SPK-9001-101) study, and a dose-escalation sub-study evaluating safety, tolerability, and kinetics of a higher dose with long-term safety and efficacy follow-up. Participants in the substudy do not need to have participated in C0371005.
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Trial website
https://clinicaltrials.gov/study/NCT03307980
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Pfizer CT.gov Call Center
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Address
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Pfizer
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
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When will data be available (start and end dates)?
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Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03307980