Joint Status in Subjects With Severe Hemophilia A in Relation to Different Treatment Regimens
A Diagnostic Interventional, Controlled, Cross-sectional Evaluation of Joint Status Using Magnetic Resonance Imaging in Subjects With Severe Hemophilia A Treated With Primary Prophylaxis, Secondary Prophylaxis, or On-demand Therapy
2 other identifiers
interventional
156
6 countries
15
Brief Summary
The joint status (knees, ankles) of patients suffering from severe Hemophilia A (too little blood clotting factor VIII in blood) is evaluated in a single magnetic resonance imaging session. No study medication is given.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4
Started Jun 2009
15 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2009
CompletedFirst Submitted
Initial submission to the registry
June 23, 2009
CompletedFirst Posted
Study publicly available on registry
June 25, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2010
CompletedFebruary 20, 2013
February 1, 2013
1.5 years
June 23, 2009
February 16, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Maximum ankle MRI score
no timeframe (single visit, "snapshot" of the actual joint status)
Secondary Outcomes (4)
Total MRI score of the maximum index joint
no timeframe (single visit, "snapshot" of the actual joint status)
Number of bleeds in each index joint over previous 5 years
no timeframe (medical history status)
Number of total joint bleeds and their locations over previous 5 years
no timeframe (medical history status)
Physical joint score (Gilbert Score)
no timeframe (single visit, "snapshot" of the actual joint status)
Study Arms (5)
Arm 1
EXPERIMENTALArm 2
EXPERIMENTALArm 3
EXPERIMENTALArm 4
EXPERIMENTALArm 5
EXPERIMENTALInterventions
Eligibility Criteria
You may qualify if:
- Males aged 12 - 35 years
- Severe hemophilia A ( \< 1 % FVIII:C)
- No history of Factor VIII inhibitory antibody
- For prophylaxis groups, having received at least two prophylactic infusions per week for 45 weeks per year for the prevention of bleeding without relevant interruption and continuing until the present.
- Complete documentation of joints bleeds and their locations prior to start of prophylaxis,
- Bleeding history and/or treatments received during the last 5 years documented in the subjects medical records.
- For the on-demand subjects \> 12 bleeds/year in the last 5 years.
- Written informed consent by subject and parent/legal representative, if \< 18 years
You may not qualify if:
- Individuals with other coagulopathies (e.g., von Willebrand disease)
- HIV seropositive subjects
- Individuals for whom the most clinically severe joint is not one of the 4 index joints (ankle, knee)
- HCV seropositive individuals who underwent interferon therapy during the last 12 months
- Individuals for whom high-magnetic exposure is contraindicated (see section 7.1)
- Synovectomy performed within the six months prior to investigation enrollment or orthopedic surgery planned to be performed within the investigation period
- Joint replacement
- For the on-demand treatment group, any period greater than 8 consecutive months having received \>/= 50 IU per kg per week Factor VIII for the prevention of bleeding
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Bayerlead
Study Sites (15)
Unknown Facility
Heidelberg, Baden-Wurttemberg, 69123, Germany
Unknown Facility
Bonn, North Rhine-Westphalia, 53105, Germany
Unknown Facility
Münster, North Rhine-Westphalia, 48143, Germany
Unknown Facility
Magdeburg, Saxony-Anhalt, 39112, Germany
Unknown Facility
Athens, 115 27, Greece
Unknown Facility
Milan, 20122, Italy
Unknown Facility
Padua, 35121, Italy
Unknown Facility
Parma, 43100, Italy
Unknown Facility
Roma, 00161, Italy
Unknown Facility
A Coruña, A Coruña, 15006, Spain
Unknown Facility
Valencia, Valencia, 46026, Spain
Unknown Facility
Malmo, 205 02, Sweden
Unknown Facility
Stockholm, 171 76, Sweden
Unknown Facility
Canterbury, Kent, CT1 3NG, United Kingdom
Unknown Facility
London, NW3 2QG, United Kingdom
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Bayer Study Director
Bayer
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NON RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- DIAGNOSTIC
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
June 23, 2009
First Posted
June 25, 2009
Study Start
June 1, 2009
Primary Completion
December 1, 2010
Study Completion
December 1, 2010
Last Updated
February 20, 2013
Record last verified: 2013-02