A Study of BAX 930 in Children Teenagers and Adults Born With Thrombotic Thrombocytopenic Purpura (TTP)

  • STATUS
    Recruiting
  • End date
    Jan 1, 2024
  • participants needed
    57
  • sponsor
    Baxalta now part of Shire
Updated on 11 July 2021

Summary

Thrombotic thrombocytopenic purpura (or TTP for short) is a condition where blood clots form in small blood vessels. This means the cells that help the blood to clot (platelets) are lower in the blood, which can lead to bleeding just under the skin. Some people are born with this condition, others get the condition during their life. BAX 930 is a medicine to either prevent bleeding or control bleeding in people born with severe TTP.

The main aim of this study is to compare the number of bleeds in people born with severe TTP when they treated with BAX 930 in 2 ways:

  • BAX 930 given to prevent bleeding from happening.
  • BAX 930 given to control bleeding when it happens, according to the clinic's standard practice.

Another aim is to check for side effects from treatment with BAX 930.

At the first visit, the study doctor will check who can take part. Some participants who can take part will only be treated with BAX 930 to control bleeding when it happens. Other participants who can take part will be picked for 1 of 2 groups by chance.

Both groups will be treated with BAX 930 to prevent bleeding and to control bleeding when they happen but in a different order. All participants will receive BAX 930 slowly through a vein (infusion).

One group will receive BAX 930 every 2 weeks to prevent bleeding, then will receive BAX 930 to control bleeding when they happen. The other group will receive BAX 930 to control bleeding when they happen, then will receive BAX 930 every 2 weeks to prevent bleeding. Both treatments will last for 6 months.

The study doctors will check how long BAX 930 stays in the blood of the participants, over time. They will do this from blood samples taken after participants receive their specific infusions of BAX 930. This will happen at 3 different times during the study.

1 month after all treatment has been completed, participants will visit the clinic for a final check-up.

Details
Condition THROMBOTIC THROMBOCYTOPENIC PURPURA
Treatment Standard of Care, BAX930
Clinical Study IdentifierNCT03393975
SponsorBaxalta now part of Shire
Last Modified on11 July 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

Participant or legally authorized representative has provided signed informed consent greater than or equal to (>=) 18 years of age and/or assent form (signed by legal representative if participants is less than (<) 18 years of age)
Participant is 0 to 70 years of age, inclusive, at the time of screening. (Participants < 18 years of age will be enrolled only after at least 5 adults (>= 18 years of age) each have at least 10 exposures with BAX 930 and reviewed by the Data Monitoring Committee (DMC). In France, no participants younger than 18 years of age will be enrolled into the study before the first adult participant has been treated with BAX 930 for a minimum of 6 months
Participant has a documented diagnosis of severe hereditary ADAMTS13 deficiency, defined as
Confirmed by molecular genetic testing, documented in participant history or at screening, and
A disintegrin and metalloprotease with a thrombospondin type 1 motif, member 13 (ADAMTS13) activity < 10 percent (%) as measured by the fluorescent resonance energy transfer- von Willebrand factor73 (FRETS-VWF73) assay, documented in participant history or at screening (participants currently receiving standard of care (SoC) prophylactic therapy may exceed 10% ADAMTS13 activity at screening)
Note: Participants currently receiving prophylactic therapy will be screened
immediately prior to their usual prophylactic infusion
Participant does not display any severe thrombotic thrombocytopenic purpura (TTP) signs (platelet count < 100,000/ microliter (mcL) and elevation of lactate dehydrogenase (LDH) greater than (>2)upper limit of normal (ULN)) at screening. (Prophylactic cohort only)
Participant is currently on a prophylactic dosing regimen or has a documented history of at least 1 TTP event and an ability to tolerate SoC prophylactic dosing (prophylactic cohort only)
Participants >= 16 years of age must have a Karnofsky score >= 70% and participants < 16 years of age must have a Lansky score >= 80%
Participant is hepatitis C virus (HCV)-negative as confirmed by antibody or polymerase chain reaction testing OR HCV-positive if their disease is chronic but stable
If female of childbearing potential, participant presents with a negative blood or urine pregnancy test, confirmed no more than 7 days before the first administration, and agrees to employ adequate birth control measures for the duration of the study and to undergo quarterly pregnancy testing
Sexually active males must use an accepted and effective method of contraception during the treatment and until a minimum of 16 days after the last dose administered
Participant is willing and able to comply with the requirements of the protocol

Exclusion Criteria

Participant has been diagnosed with any other TTP-like disorder (microangiopathic hemolytic anemia), including acquired TTP
Participant has known hypersensitivity to hamster proteins
Participant has experienced an acute TTP episode less than 30 days prior to screening (prophylactic cohort only)
Participant has a medical history or presence of a functional ADAMTS13 inhibitor at screening
Participant has a medical history of genetic or acquired immune deficiency that would interfere with the assessment of product immunogenicity, including participants who are human immunodeficiency virus (HIV)-positive with an absolute cluster of differentiation 4 (CD4) count < 200/ cubic millimeter (mm^3) or who are receiving chronic immunosuppressive drugs
Participant has been diagnosed with severe cardiovascular disease (New York Heart Association classes 3 to 4)
Participant with end stage renal disease requiring chronic dialysis
Participant has been diagnosed with hepatic dysfunction, as evidenced by, but not limited to, any of the following
Serum alanine aminotransferase (ALT) >= 2 upper limit of normal (ULN)
Severe hypoalbuminemia < 24 gram per liter (g/L)
Portal vein hypertension (e.g., presence of otherwise unexplained splenomegaly, history of esophageal varices)
In the opinion of the investigator, the participant has another clinically significant concomitant disease that may pose additional risks for the participant
Participant has been treated with an immunomodulatory drug, excluding topical treatment (e.g., ointments, nasal sprays), within 30 days prior to enrollment. Use of corticosteroids in conjunction with administration of fresh frozen plasma (FFP) to prevent allergic manifestations is permitted
Participant has an acute illness (e.g., influenza, flu-like syndrome, allergic rhinitis/conjunctivitis, bronchial asthma) at the time of screening (prophylaxis cohort only)
Participant is receiving or anticipates receiving another investigational drug and/or interventional drug within 30 days before enrollment
Participant has a history of drug and/or alcohol abuse within the last 2 years
Participant has a progressive fatal disease and/or life expectancy of less than 3 months
Participant is identified by the investigator as being unable or unwilling to cooperate with study procedures
Participant suffers from a mental condition rendering him/her unable to understand the nature, scope, and possible consequences of the study and/or evidence of an uncooperative attitude
Participant is a family member or employee of the sponsor or investigator
If female, participant is pregnant or lactating at the time of enrollment
Any contraindication to SoC medicinal product(s) as per local prescribing information
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