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NCT05935358PHASE4Recruiting

Nuwiq for Perioperative Management Of Patients With Haemophilia A on Emicizumab Regular Prophylaxis Study

Octapharma

Start Date

11/28/2023

Completion Date

9/1/2026

Summary

Recombinant factor VIII for the prevention of bleeding in patients with severe haemophilia A undergoing major surgery while receiving emicizumab prophylaxis

Detailed Description

Patients with severe haemophilia A receiving emicizumab will often need concomitant FVIII to provide haemostatic cover during major surgery. This prospective, open-label, uncontrolled, single-arm, multinational, multicentre study aims to evaluate the overall perioperative haemostatic efficacy of Nuwiq, a recombinant factor VIII, in combination with emicizumab prophylaxis in male patients over 12 with severe haemophilia A undergoing major surgery.

Eligibility Criteria

Age Range: 12 years to No maximum

Inclusion Criteria: * Severe haemophilia A (FVIII activity \[FVIII:C\] \<1%) according to medical history * Male patients at least 12 years of age * Previous treatment with any FVIII product(s) for at least 150 exposure days * On regular prophylaxis with emicizumab for at least 1 month prior to a scheduled major elective surgery requiring FVIII treatment * Freely given written informed consent of the patient, or parent/legal representative where applicable, obtained in accordance with local regulations Exclusion Criteria: * Coagulation disorder other than haemophilia A * Present or past FVIII inhibitor (≥0.6 Bethesda units \[BU\]/mL) according to medical history * Severe liver or kidney disease (alanine aminotransferase \[ALT\] and/or aspartate aminotransferase \[AST\] levels \>5 times the upper limit of normal; or creatinine \>120 μmol/L) * Known hypersensitivity to Nuwiq's active substance or its excipients (sucrose, sodium chloride, calcium chloride dihydrate, arginine hydrochloride, sodium citrate dihydrate, poloxamer 188) * Already had surgery in this study * Current participation in another interventional clinical trial * Treatment with any investigational medicinal product (IMP) within 30 days prior to screening visit

Interventions

DRUG

Nuwiq

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Conditions

Severe Hemophilia A

Locations

UT Southwestern Medical Center

Dallas, Texas 75390

United States

University Hospital Centre Zagreb

Zagreb,

Croatia

Helsinki University Hospital

Helsinki,

Finland

CHU de Nantes Hôtel-Dieu

Nantes,

France

CHRU de Tours

Tours,

France

Vivantes Klinikum im Friedrichshein (KFH)

Berlin,

Germany

Gerinnungszentrum Rhein-Ruhr

Duisburg,

Germany

Universitätsklinikum Hamburg Eppendorf (UKE)

Hamburg,

Germany

Christian Medical College Vellore

Vellore, Tamil Nadu

India

St. John's Medical College Hospital

Bengaluru,

India

Azienda Ospedaliera Pugliese Ciaccio

Catanzaro,

Italy

Azienda Ospedaliero Universitaria Careggi - Centro Emofilia

Florence,

Italy

Centro Trombosi e Malattie Emorragiche, ITCCS Humanitas Research Hospital

Milan,

Italy

Centre for Haemopilia, Institute for transfusion medicine of Republic of North Macedonia

Skopje,

North Macedonia

Clinical Center for Serbia Belgrade

Belgrade,

Serbia

Hospital Universitario La Paz

Madrid,

Spain

Hospital Universitario Virgen del Rocio

Seville,

Spain

St. James's University Hospital

Leeds,

United Kingdom