Hemophilia A With InhibitorHemophilia A Without InhibitorHemophilia A, SevereAdolescentChildAdult
No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
Prior Safety Data
This treatment has already been tested in at least one earlier human trial.
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At a Glance
Age
1 and older
Sex
Male
Trial phase
Phase 4
Study type
Interventional
Purpose
Treatment
Participants needed
95 (estimated)
Sponsor
Kathelijn Fischer · Other
Who this trial is looking for
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The goal of this multicentre, prospective, open-label, cross-over clinical study is to determine whether individualized PK-guided dosing of emicizumab is non-inferior to conventional dosing of emicizumab in the prevention of bleeding in congenital haemophilia A patients.
Trial Locations
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Eligibility Criteria
Inclusion Criteria:
* Confirmed diagnosis of congenital haemophilia A, with a baseline endogenous FVIII of \<6 IU/ml
* Aged \> 1 year at inclusion (inclusion of children 1-16 years after favourable interim-analysis see protocol)
* Receiving conventional dosing of emicizumab (6 mg/kg/4 weeks with va…
Inclusion Criteria:
* Confirmed diagnosis of congenital haemophilia A, with a baseline endogenous FVIII of \<6 IU/ml
* Aged \> 1 year at inclusion (inclusion of children 1-16 years after favourable interim-analysis see protocol)
* Receiving conventional dosing of emicizumab (6 mg/kg/4 weeks with varying intervals) for a duration of at least 12 months prior to inclusion;
* Having good bleeding control, defined as:
i No spontaneous joint/muscle bleeds in the previous 6 months AND ii A maximum of two treated (traumatic) bleeds in the previous 6 months.
* Willing and able to provide written informed consent, either by the subject or its parents/legal guardian
* Willing to provide bleeding assessment information
* Willing to adhere to the medication regimen
Exclusion Criteria:
* Acquired haemophilia A
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