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Advate

Phase 1

Hemophilia A | Monoclonal antibody | Hematology |Sanofi|Last Updated: Apr 19, 2022

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMC
Total Trials1
Total Enrollment16

FDA Designations

No designations recorded

Clinical trial landscape

Advate · 1 trial · 1 indication

Phase 1 1
NCT03205163A Safety, Tolerability, and Pharmacokinetics Study of a Single Intravenous Injection of Recombinant Coagulation Factor VIII Fc - Von Willebrand Factor - XTEN Fusion Protein (rFVIIIFc-VWF-XTEN) (BIVV001) in Previously Treated Adults With Severe Hemophilia A (EXTEN-A)Hemophilia A
COMPLETED16 Analytics
PHASE1COMPLETED
A Safety, Tolerability, and Pharmacokinetics Study of a Single Intravenous Injection of Recombinant Coagulation Factor VIII Fc - Von Willebrand Factor - XTEN Fusion Protein (rFVIIIFc-VWF-XTEN) (BIVV001) in Previously Treated Adults With Severe Hemophilia A (EXTEN-A)
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Study Endpoints

Primary Endpoints

Number of Participants With Treatment Emergent Adverse Events (TEAE) and Treatment Emergent Serious Adverse Event (TESAE) During Advate Treatment Period
Up to Day 3 for Advate 25 IU/kg; up to Day 4 for Advate 65 IU/kg

AE was defined as any untoward medical occurrence in a participant who received study drug and did not necessarily had a causal relationship with the treatment. TEAE is defined as any AE that begins on or after the single dose of Advate but before the single dose of BIVV001. Serious AE (SAE) was defined as any AE resulting in death, immediate risk of death, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability/incapacity, or a congenital/anomaly/birth defect, or any other medically important event.

Number of Participants With Treatment Emergent Adverse Events (TEAE) and Treatment Emergent Serious Adverse Event (TESAE) During BIVV001 Treatment Period
Up to 28 days after BIVV001 administration

AE was defined as any untoward medical occurrence in a participant who received study drug and did not necessarily had a causal relationship with the treatment. TEAE is defined as any AE that begins on or after the study treatment (BIVV001) and within 28 days after BIVV001 administration. SAE was defined as any AE resulting in death, immediate risk of death, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability/incapacity, or a congenital/anomaly/birth defect, or any other medically important event.

Number of Participants With Clinically Significant Abnormalities in Laboratory Tests During Advate Treatment Period
Up to Day 3 for Advate 25 IU/kg; up to Day 4 for Advate 65 IU/kg

Number of Participants with Clinically Significant Abnormalities in Laboratory tests (including hematology, clinical chemistry, urinalysis, and coagulation and thrombosis markers) was reported.

Number of Participants With Clinically Significant Abnormalities in Laboratory Tests During BIVV001 Treatment Period
Up to 28 days after BIVV001 administration

Number of participants with clinically significant abnormalities (including hematology, clinical chemistry, urinalysis, and coagulation and thrombosis markers) was reported.

Percentage of Participants With Confirmed Inhibitor Development as Measured by the Nijmegen-Modified Bethesda Assay
Up to 28 days after BIVV001 administration

Development of an inhibitor was defined as a neutralizing antibody value of greater than or equal to (\>=) 0.6 Bethesda units per milliliter (BU/mL) identified and confirmed by a second test on an independent sample, collected within 2 to 4 weeks of the first positive sample, with both tests performed by the central laboratory using Nijmegen-modified Bethesda assay.

Secondary Endpoints

Pharmacokinetics (PK): Maximum Observed Plasma Concentration (Cmax) for Advate and BIVV001 (Low Dose Comparison)
For Advate: Pre-dose and Post dose at 0.5, 1, 6, 24, 48, and 72 hours; For BIVV001: Pre-dose and Post dose at 0.17, 0.5, 1, 3, 6, 9, 24, 48, 72, 96, 120, 168, and 240 hours
PK: Maximum Observed Plasma Concentration (Cmax) for Advate and BIVV001 (High Dose Comparison)
For Advate: Pre-dose and Post dose at 0.5, 1, 6, 24, 48, and 72 hours; For BIVV001: Pre-dose and Post dose at 0.17, 0.5, 1, 3, 6, 9, 24, 48, 72, 96, 120, 168, 240, 288, and 336 hours
PK: Half-Life (t1/2) for Advate and BIVV001 (Low Dose Comparison)
For Advate: Pre-dose and Post dose at 0.5, 1, 6, 24, 48, and 72 hours; For BIVV001: Pre-dose and Post dose at 0.17, 0.5, 1, 3, 6, 9, 24, 48, 72, 96, 120, 168, and 240 hours
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeOTHER

Treatment Arms

ArmTypeDescription
Low Dose Cohort: Advate 25 IU/kg Then BIVV001 25 IU/kgEXPERIMENTALParticipants received a single intravenous (IV) dose of Advate 25 international units per kilogram (IU/kg) on Day 1 of Advate treatment period (3 days) followed by a single IV dose of BIVV001 25 IU/kg in BIVV001 treatment period (BTP) (28 days). Advate treatment period (ATP) consisted of a washout of at least 72 hours which was started from the time of Advate dosing.
High Dose Cohort: Advate 65 IU/kg Then BIVV001 65 IU/kgEXPERIMENTALParticipants received a single IV dose of Advate 65 IU/kg on Day 1 of ATP (4 days) followed by a single IV dose of BIVV001 65 IU/kg in BTP (28 days). ATP consisted of a washout of at least 96 hours which was started from the time of Advate dosing.

Interventions

NameTypeDescription
Advate (Low Dose)BIOLOGICALParticipants received a single IV low dose of Advate 25 IU/kg.
Advate (High Dose)BIOLOGICALParticipants received a single IV high dose of Advate 65 IU/kg.
BIVV001 (Low Dose)BIOLOGICALParticipants received single IV low dose of BIVV001 25 IU/kg.
BIVV001 (High Dose)BIOLOGICALParticipants received single IV high dose of BIVV001 65 IU/kg.
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Eligibility Criteria

Age Range18 Years to 65 Years
SexMALE
Healthy VolunteersNo
Study Sites10

Inclusion Criteria: * Ability of the participant, or his legally authorized representative (e.g., parent or legal guardian) if applicable in accordance with local regulations, to understand the purpose and risks of the study and provide signed and dated informed consent/assent and authorization to ...

Countries:United StatesJapan
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Frequently asked questions about Advate

What is Advate used for?

Advate is a monoclonal antibody being developed for Hemophilia A. It is currently in Phase 1 clinical development as an investigational therapy. The drug is being studied for its safety, tolerability, and pharmacokinetics in previously treated adults with severe Hemophilia A.

Who makes Advate?

Advate is being developed by Sanofi, a company listed on the stock exchange under the ticker SNY. Sanofi is conducting clinical research on this investigational therapy for Hemophilia A.

What phase is Advate in?

Advate is in Phase 1 clinical development. It is an investigational drug and has not been approved by regulatory authorities. A Phase 1 study has been completed to evaluate its safety and pharmacokinetics in patients with severe Hemophilia A.

What clinical trials is Advate in?

Advate has one completed Phase 1 clinical trial, identified as NCT03205163. This study, titled EXTEN-A, evaluated the safety, tolerability, and pharmacokinetics of a single intravenous injection in previously treated adults with severe Hemophilia A. The trial enrolled 16 participants in the United States and Japan.

Is Advate the same as BIVV001?

Advate is also known as BIVV001, a recombinant coagulation factor VIII Fc-Von Willebrand Factor-XTEN fusion protein. In clinical trials, this investigational therapy is referred to by this alternative name, and it is being studied for the treatment of Hemophilia A.