Safety of KN057 Prophylaxis in Patients With Haemophilia A or B (NCT07545395) | Clinical Trial Compass
RecruitingPhase 3
Safety of KN057 Prophylaxis in Patients With Haemophilia A or B
China70 participantsStarted 2026-03-13
Plain-language summary
The purposes of this open-label, multicenter III clinical trial are to evaluate the safety and efficacy of long-term preventive treatment with KN057 in Haemophilia A or B patients with or without inhibitors, and to assess the pharmacokinetic characteristics of the new and old processes KN057.
The participants in Part PK will be randomly assigned to Old process Group or New process Group in a 1:1 ratio. The participants in Old process Group will receive old process KN057 prophylaxis for the first 26 weeks and new process KN057 prophylaxis for the following 26 weeks. The participants in New process Group will receive new process KN057 prophylaxis for both the first 26 weeks and the last 26 weeks.
The participants in Part non-PK will be non-randomized and treated with new process KN057 for 52 weeks prophylaxis after enrollment.
Priority screening and enrollment of participants who have participated in the KN057-A-301 or KN057-A-302 study.
Who can participate
Age range12 Years – 65 Years
SexMALE
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion criteria
✓. Male, 12 to 65 years old at the time of signing informed consent, body weight ≥30 kg and BMI \<28 kg/m\^2 at screening.
✓. For participates with inhibitors: Tested positive for high-titer FVIII or FIX inhibitors (≥ 5 BU/mL) at screening; or tested positive for low-titer FVIII or FIX inhibitors (0.6 BU/mL or upper limit of normal \[ULN\] \< inhibitor titer \< 5 BU/mL) at screening, with ongoing treatment using bypassing agents (rFVIIa or PCC).
✓. Participates with inhibitors agree to avoid using PCC for treatment when breakthrough bleeding occurred. Participates without inhibitors agree to be treated with standard half-life coagulation factors (FVIII or FIX) in the event of breakthrough bleeding.
Exclusion criteria
✕. Have serious or poorly controlled chronic diseases or obvious systemic diseases.
✕. Have a history of thromboembolic disease, or currently have symptoms or signs related to thromboembolic disease or being treated with thrombolytic/antithrombotic therapy.
✕. Have high-risk factors for thrombosis: such as atrial fibrillation, atherosclerotic diseases of important arteries, ischemic disease of important organs, vascular occlusive disease, autoimmune diseases with a high risk of thrombosis, or indwelling central venous catheter.
What they're measuring
1
Incidence of TEAE.
Timeframe: Up to 12/26/56 weeks.
2
Incidence of TEAE related to the experimental drug.
Timeframe: Up to 12/26/56 weeks.
3
Incidence of SAE.
Timeframe: Up to 12/26/56 weeks.
4
Incidence of thromboembolic events.
Timeframe: Up to 12/26/56 weeks.
5
Incidence of TMA and DIC.
Timeframe: Up to 12/26/56 weeks.
6
Incidence of hypersensitivity type reactions.
Timeframe: Up 12/26/56 weeks.
7
Incidence of injection site reactions.
Timeframe: Up to 12/26/56 weeks.
8
Incidence of clinically significant laboratory value abnormalities.
✕. Known or suspected hypersensitivity to any constituent of the trial product or related products.
✕. Have undergone major surgery (as determined by the investigator) within 3 months before screening, or have elective surgery planned during the study.
✕. Used Emicizumab treatment within 6 months before screening.
✕. Have received any gene therapy for hemophilia in the past.
✕. Other factors that the investigator deems inappropriate for participating in this trial, such as the presence of concomitant diseases, treatment or examination abnormalities that affect the subject's safety during the trial or affect the interpretation of trial results.
Number of participants with clinically significant changes from baseline in electrocardiograms.
Timeframe: Up to 12/26/56 weeks.
10
Number of participants with clinically significant changes from baseline in vital signs.
Timeframe: Up to 12/26/56 weeks.
11
Number of participants with clinically significant changes from baseline in physical exam.