Protocol summary

Summary
Objectives: To demonstrate the efficacy and safety of Octafibrin for on-demand treatment of acute bleeding episodes and to prevent bleeding (spontaneous or after trauma) during and after surgery in subjects with congenital fibrinogen deficiency” Inclusion criteria: Aged ≥12 years ; Documented diagnosis of congenital fibrinogen deficiency, expected to require on-demand treatment for bleeding or surgical prophylaxis :Fibrinogen deficiency manifested as afibrinogenaemia or severe hypofibrinogenaemia; Expected to have an acute bleeding episode (spontaneous or after trauma) or planning to undergo elective surgery. Exclusion criteria: Life expectancy <6 months ;Other Congenital Bleeding disorders ; Prophylactic treatment with a fibrinogen concentrate ;Treatment with any fibrinogen concentrate or other fibrinogen-containing blood product within 2 weeks prior to start of treatment for the bleeding episode or surgery. Treatment with any coagulation-active drug (within 1 week prior to 24 hours after start of treatment Population: 2-4 patient more than 12 ages with congenital Afibrinogenemia Design:Prospective ; open-label, uncontrolled, Phase III Intervention: assessment of efficacy and safety of Octafibrin and till 30 days after injection Primary endpoint: The primary endpoint is the overall clinical assessment of the haemostatic efficacy of Octafibrinin treating the first documented bleeding episode of each patient

General information

Acronym
IRCT registration information
IRCT registration number: IRCT2014112420051N4
Registration date: 2015-09-24, 1394/07/02
Registration timing: registered_while_recruiting

Last update:
Update count: 0
Registration date
2015-09-24, 1394/07/02
Registrant information
Name
Mehran Karimi
Name of organization / entity
Hematology Research Center, Shiraz University of Medical Sciences
Country
Iran (Islamic Republic of)
Phone
+98 71 3612 5617
Email address
karimim@sums.ac.ir
Recruitment status
Recruitment complete
Funding source
Octapharma Company
Expected recruitment start date
2015-09-20, 1394/06/29
Expected recruitment end date
2015-12-20, 1394/09/29
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
“Prospective, open-label, uncontrolled, Phase III study to assess the efficacy and safety of Octafibrin for on-demand treatment of acute bleeding and to prevent bleeding during and after surgery in subjects with congenital fibrinogen deficiency”
Public title
The assessment of the efficacy and safety of Fibrinogen ( Octafibrin) in subjects with congenital fibrinogen deficiency”
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria: Aged ≥12 years ; Documented diagnosis of congenital fibrinogen deficiency, expected to require on-demand treatment for bleeding or surgical prophylaxis :Fibrinogen deficiency manifested as afibrinogenaemia or severe hypofibrinogenaemia; Expected to have an acute bleeding episode (spontaneous or after trauma) or planning to undergo elective surgery. Exclusion criteria: Life expectancy <6 months ;Other Congenital Bleeding disorders ; Prophylactic treatment with a fibrinogen concentrate ;Treatment with any fibrinogen concentrate or other fibrinogen-containing blood product within 2 weeks prior to start of treatment for the bleeding episode or surgery. Treatment with any coagulation-active drug (within 1 week prior to 24 hours after start of treatment
Age
From 12 years old
Gender
Both
Phase
3
Groups that have been masked
No information
Sample size
Target sample size: 24
Randomization (investigator's opinion)
N/A
Randomization description
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Single
Other design features

Secondary Ids

1

Registry name
Efficacy and Safety Study of Octafibrin for On-demand Treatment of Acute Bleeding and Prevention Bleeding During and After Surgery
Secondary trial Id
NCT02267226
Registration date
empty

Ethics committees

1

Ethics committee
Name of ethics committee
Shiraz University of Medical Science
Street address
inside HELAL AHMAR Building; Zand Avenue
City
SHIRAZ
Postal code
Approval date
2015-08-02, 1394/05/11
Ethics committee reference number
IR.SUMS.REC.1394.76

2

Ethics committee
Name of ethics committee
Added at 2017-11-04: Ethics committee of Isfahan University of Medical Sciences
Street address
Added at 2017-11-04:
City
Added at 2017-11-04: Isfahan
Postal code
Added at 2017-11-04:
Approval date
2016-11-25, 1395/09/05
Ethics committee reference number
Added at 2017-11-04: p/12/4/M/277

Health conditions studied

1

Description of health condition studied
congenital Afibrinogenemia
ICD-10 code
D68.2
ICD-10 code description
Hereditary deficiency of other clotting factors

Primary outcomes

1

Description
the overall clinical assessment of the haemo¬static efficacy of Octafibrin in treating the first documented bleeding episode of each patient
Timepoint
24 hrs after up to 30 days
Method of measurement
the assessment made by the investigator on the 4-point rating scale

Secondary outcomes

1

Description
Clot strength (MCF)
Timepoint
at pre infusion and at 1 hour after first infusion up to 30 days
Method of measurement
changes of MCF from pre infusion will be summarised using descriptive statistics and displayed graphically؛ a correlation analysis between haemostatic efficacy assessment

Intervention groups

1

Description
the administration of Octafibrin for bleeding
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
Shiraz University of Medical Science
Full name of responsible person
MEHRAN KARIMI
Street address
City
SHIRAZ

2

Recruitment center
Name of recruitment center
Added at 2016-11-27: Seyed al shohada Hospital
Full name of responsible person
Added at 2016-11-27: Dr. Hamid Hoodfar
Street address
Added at 2016-11-27: Motahari st
City
Added at 2016-11-27: Isfahan

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Octapharma AG
Full name of responsible person
Flora Peyvandi
Street address
A. Bianchi Bonomi Hemophilia and Thrombosis Center, University of Milan, Department of Medicine and Medical Specialties, IRCCS Maggiore Hospital, Mangiagalli and Regina Elena Foundation, Via Pace 9 20122
City
Milan
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Octapharma AG
Proportion provided by this source
100
Public or private sector
empty
Domestic or foreign origin
empty
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
empty

Person responsible for general inquiries

Contact
Name of organization / entity
Shiraz University of Medical Science
Full name of responsible person
MEHRAN KARIMI
Position
Professor of Pediatric Hematology-Oncology
Other areas of specialty/work
Street address
Pediatrics Department, Nemazee Hospital ;Nemazee Squer
City
SHIRAZ
Postal code
Phone
+98 71 3628 1563
Fax
Email
mkarimi820@gmail.com
Web page address

Person responsible for scientific inquiries

Contact
Name of organization / entity
Shiraz University of Medical Sciences
Full name of responsible person
MEHRAN KARIMI
Position
Professor of Pediatric Hematology-Oncology
Other areas of specialty/work
Street address
Pediatrics Department, Nemazee Hospital
City
Shiraz
Postal code
Phone
+98 71336281563
Fax
Email
mkarimi820@gmail.com
Web page address

Person responsible for updating data

Contact
Name of organization / entity
Heamatology Research Center ; Shiraz University of Medical Sciences
Full name of responsible person
Zohreh Zahedi
Position
Bs in Nursing
Other areas of specialty/work
Street address
Mohammad rasulallah Research Tower ;Khalili Street ;
City
Shiraz
Postal code
Phone
00
Fax
Email
zohrezahedi@gmail.com
Web page address

Sharing plan

Deidentified Individual Participant Data Set (IPD)
empty
Study Protocol
empty
Statistical Analysis Plan
empty
Informed Consent Form
empty
Clinical Study Report
empty
Analytic Code
empty
Data Dictionary
empty
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