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International, post-authorisation non-interventional study to evaluate real-life effectiveness, safety and utilisation patterns of Octapharma's FVIII concentrates Nuwiq, Octanate, and Wilate in previously untreated and minimally treated severe haemophilia A patients in routine clinical practice.
Octapharma's FVIII concentrates have been tested in clinical trials and registered for treatment of haemophilia A; however, as haemophilia A is a rare disease, the numbers of patients treated in studies so far are limited. For previously untreated patients (PUPs), who are typically young children, and for minimally treated patients (MTPs), who have been exposed to only minimal FVIII dosages, there is a general interest to increase the body of data on treatment effectiveness and safety, particularly related to inhibitor development. Also, specifically for PUPs, treatment algorithms are not standardized, e.g. with respect to utilisation, dosage, frequency or optimal start age of FVIII prophylaxis. Real world evidence derived from a non-interventional study (NIS) can describe product utilisation and demonstrate value over a product's life cycle and facilitate benefit-risk assessments. The purpose of this study is thus to evaluate product utilisation, effectiveness and safety, including inhibitor development information, in severe haemophilia A PUPs and MTPs, who have been prescribed Octapharma's FVIII concentrates.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nuwiq | All patients receiving Nuwiq (recombinant FVIII) | ||
| Octanate | All patients receiving Octanate (plasma derived FVIII) | ||
| Wilate | All patients receiving Wilate (plasma derived FVIII/von Willebrand factor [VWF]) |
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| Measure | Description | Time Frame |
|---|---|---|
| Annualised rate of breakthrough bleeds to assess efficacy in prophylactic treatment | Annualised rate of all bleeding events (BEs), including all spontaneous, traumatic and joint BEs | 100 exposure days |
| Incidence of Adverse Drug Reactions (ADRs) | Adverse drug reactions (ADRs) including hypersensitivity reactions will be recorded in by patients in treatment diaries, which will be reviewed at each Follow-up Visit. | 100 exposure days |
| Measure | Description | Time Frame |
|---|---|---|
| Dosage of FVIII concentrates | For each individual FVIII injection the dose will be recorded. | 100 exposure days |
| Overall assessment of the effectiveness of surgical prophylaxis by the treating physicians |
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Inclusion Criteria:
Exclusion Criteria:
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A total of 200 patients, either previously untreated patients (PUPs) or minimally treated patients (MTPs), are planned to be documented in the study
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Cristina Solomon, MD | Contact | +41 79 585 90 42 | Cristina.Solomon@octapharma.com |
| Name | Affiliation | Role |
|---|---|---|
| Sigurd Knaub, PhD | Octapharma | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Miami Miller School of Medicine | Recruiting | Miami | Florida | 33136 | United States | |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37180427 | Derived | Oldenburg J, Halimeh S, Hall GW, Klamroth R, Vera PM, Jansen M, Mathias M. Design of a Real-World Observational Study in Previously Untreated and Minimally Treated Hemophilia A Patients: Protect-NOW. TH Open. 2023 May 10;7(2):e110-e116. doi: 10.1055/s-0043-1768464. eCollection 2023 Apr. |
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At the end of the postoperative period, treating physicians will assess the effectiveness of surgical prophylaxis using a scale including the four items: 'excellent,' 'good,' moderate,' and 'none'.
| 100 exposure days |
| Ochsner Clinic Foundation |
| Active, not recruiting |
| New Orleans |
| Louisiana |
| 70121 |
| United States |
| St. Louis University , 221 North Grand Boulevard | Not yet recruiting | St Louis | Missouri | 63103 | United States |
| Cure 4 The Kids Foundation Children's Specialty Center | Withdrawn | Las Vegas | Nevada | 89109 | United States |
| The University of Texas Health Science Center at San Antonio | Not yet recruiting | San Antonio | Texas | 78712 | United States |
| CENIDOR | Active, not recruiting | Salta | Argentina |
| Azerbaijan State Advanced Training Institute for Doctors Hematology Department Scientific-Research Center of Hemophilia | Withdrawn | Baku | AZ1012 | Azerbaijan |
| Republican Scientific Center for Radiation Medicine and Human Ecology | Withdrawn | Homyel | 246040 | Belarus |
| Republican Scientific and Practical Centre of Children Oncology, Hematology and Immunology | Recruiting | Minsk | 223053 | Belarus |
|
| Hôpital Universitaire des Enfants Reine Fabiola | Recruiting | Brussels | 1020 | Belgium |
|
| Cliniques Universitaires Saint-Luc | Recruiting | Brussels | 1200 | Belgium |
|
| Cliniques Universitaires Saint-Luc | Recruiting | Brussels | 1200 | Belgium |
| McMaster University, Division of Pediatric Hematology/Oncology Room 3N27 | Withdrawn | Hamilton | Ontario | 1800NOCLOTS | Canada |
| Department of Hematology Research Research Transition Facility | Completed | Edmonton | T6G 2V2 | Canada |
| University Hospital Centre Zagreb | Recruiting | Zagreb | Croatia |
| Tallinn Childrenś Hospital Clinic of Paediatric Department of Haematology and Oncology | Withdrawn | Tallinn | 13419 | Estonia |
| CENTRE HOSPITALIER UNIVERSITAIRE de BESANCON | Recruiting | Besançon | France |
| The Centre Hospitalier Métropole Savoie | Recruiting | Chambéry | 31125 73011 | France |
| CHRU Tours - Hôpital Trousseau | Recruiting | Chambray-lès-Tours | France |
| Centre Régional de Traitement de l'hémophilie | Recruiting | Le Mans | France |
| Hopital Simone Veil Groupement Hospitalier Eaubonne-Montmorency | Recruiting | Montmorency | 95160 | France |
|
| CHU Hotel Dieu, Centre de Traitment de l'Hemophilie | Recruiting | Nantes | 44093 | France |
|
| Hôspital Necker Enfants Malades | Recruiting | Paris | France |
| CHRU Hopital Nord, Secretariat de pediatre, bat E niv +3 | Recruiting | Saint-Priest-en-Jarez | 42270 | France |
|
| Vivantes - Netzwerk für Gesundheit GmbH Klinikum im Friedrichshain | Active, not recruiting | Berlin | 10249 | Germany |
| Institute of Experimental Haematology and Transfusion Medicine (IHT) University Clinic Bonn (AöR) | Recruiting | Bonn | 53127 | Germany |
|
| Coagulation Research Centre GmbH | Recruiting | Duisburg | 47051 | Germany |
|
| University Hospital Essen | Active, not recruiting | Essen | Germany |
| HZRM GmbH | Active, not recruiting | Frankfurt | Germany |
| Heim Pál National Pediatric Institute Department of Oncology and Hematology | Recruiting | Budapest | 1089 | Hungary |
|
| University of Debrecen Department of Pediatrics | Recruiting | Debrecen | 4032 | Hungary |
|
| Ospedale Pediatrico "Giovani XXIII" | Recruiting | Bari | Italy |
| Policlinico Sant'Orsola Malpighi | Recruiting | Bologna | 40138 | Italy |
|
| Ospedale San Giacomo | Completed | Castelfranco Veneto | 31033 | Italy |
| Azienda Ospedaliera-Universitaria Policlinico "Vittorio Emanuele", Centro di Riferimento Regionale per la Prevenzione, Diagnosi e Cura delle Malattie Rare della Coagulazione nel Bambino e neel'Adulto. U.O.C Ematologia con trapianto di Midollo Osseo | Recruiting | Catania | 95123 | Italy |
| Azienda Ospedaliero Universitaria Careggi | Recruiting | Florence | 50134 | Italy |
|
| Ospedale Maggiore Policlinico | Recruiting | Milan | 920122 | Italy |
|
| Center for Thrombosis and Hemorrhagic Diseases, IRCCS Humanitas Research Hospital | Recruiting | Milan | Italy |
| Centro Emofilia - AUO di Padova | Withdrawn | Padova | Italy |
| Policlinico Umberto I | Recruiting | Rome | 00161 | Italy |
|
| C.tro Emofilia A.O. Città della salute e della scienza di Torino, Ospedale Regina Margherita | Recruiting | Torino | Italy |
| Ospedale Regina Margherita | Withdrawn | Turin | 10126 | Italy |
| Children's Hospital Affiliate of Vilnius Universtity Hospital Santaros Klinikos | Recruiting | Vilnius | LT-08406 | Lithuania |
|
| Hospital General de Occidente, Unidad de Hemato-Oncologia Pediatric, Av. Zoquipan 1050, Col Seattle, , Col Seattle | Recruiting | Jalisco | Mexico |
| Hospital Infantil de Morelia Eva Sámano de López Mateos | Not yet recruiting | Morelia | Mexico |
| Hospital Universitario Dr. José Eleuterio Gonzalez S/N | Not yet recruiting | Nuevo León | Mexico |
| SMO and Scientific Services S.A.P.P de C.V | Not yet recruiting | Nuevo León | Mexico |
| Moscow State Government-financed Public Healthcare Institution "Morozovskaya Children Clinical Hospital of Moscow Healthcare Department" | Withdrawn | Moscow | 119049 | Russia |
| Saint-Petersburg State Budget Healthcare Institution "City Out-patient Clinical # 37" | Withdrawn | Saint Petersburg | 191186 | Russia |
| Hospital General Universitario de Alicante Hematología y Hemoterapia | Recruiting | Alicante | 03010 | Spain |
|
| Hospital Universitari Vall D'Hebrón, Unitat d'Hemofilia | Recruiting | Barcelona | 02035 | Spain |
|
| HRU Malaga | Not yet recruiting | Málaga | Spain |
| Universitary Hospital Son Espases (Hematology Service) | Active, not recruiting | Palma de Mallorca | Spain |
| Hospital Universitario y Politécnico La Fe | Active, not recruiting | Valencia | Spain |
| Istanbul University Faculty of Medicine | Withdrawn | Fatih | Turkey (Türkiye) |
| John Radcliffe Hospital, Oxford University Hospitals, NHS Foundation Trust | Recruiting | Headington | Oxford | OX3 9DU | United Kingdom |
|
| Birmingham Children's Hospital NHS Foundation Trust | Withdrawn | Birmingham | B46NH | United Kingdom |
| Great Ormond Street Hospital for Children NHS Trust, Haemophilia Centre | Recruiting | London | WC1N 3JH | United Kingdom |
|
| Newcastle Haemophilia Comprehensive Care Centre, Royal Victoria Infirmary | Recruiting | Newcastle upon Tyne | NE1 4LP | United Kingdom |
|
| ID | Term |
|---|---|
| D006467 | Hemophilia A |
| ID | Term |
|---|---|
| D025861 | Blood Coagulation Disorders, Inherited |
| D001778 | Blood Coagulation Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D020147 | Coagulation Protein Disorders |
| D006474 | Hemorrhagic Disorders |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
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