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Phase 4 Completed N=251 Randomized Basic Science

Survey of Inhibitors in Plasma-Product Exposed Toddlers

Source: ClinicalTrials.gov NCT01064284 ↗
Enrolled (actual)
251
Serious AEs
12.5%
Results posted
Apr 2017
Primary outcomePrimary: To Assess the Immunogenicity of Plasma Derived VWF/FVIII and rFVIII Concentrates by Determining the Frequency of Inhibitor Development in the First 50 EDs or in the First 3 Years From Enrolment, Whichever Comes First in PUPs and MBCTs — 29; 47 participants
◆ Published Evidence
Highly cited
491citations · ~49 / year
A Randomized Trial of Factor VIII and Neutralizing Antibodies in Hemophilia A.
The New England journal of medicine · 2016 · Open access · Likely link

Summary

The primary objective of the study is to assess the immunogenicity of VWF/FVIII and of rFVIII concentrates by determining the frequency of inhibitor development in previously untreated patients (PUPs) or minimally blood component-treated (MBCTPs) in the first 50 EDs or in the first 3 years from enrollment, whichever occurs first. .

Linked Publications (2)

  • A Randomized Trial of Factor VIII and Neutralizing Antibodies in Hemophilia A.
    The New England journal of medicine · 2016 · 491 citations · Open access · Likely link
  • Genetic risk stratification to reduce inhibitor development in the early treatment of hemophilia A: a SIPPET analysis.
    Blood · 2017 · 58 citations · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
To Assess the Immunogenicity of Plasma Derived VWF/FVIII and rFVIII Concentrates by Determining the Frequency of Inhibitor Development in the First 50 EDs or in the First 3 Years From Enrolment, Whichever Comes First in PUPs and MBCTs
29; 47
SECONDARY
To Evaluate the Anamnestic Response of Inhibitor Patients
SECONDARY
To Evaluate the Frequency of Transient Inhibitors
7; 12
SECONDARY
To Evaluate the Modality of Occurrence of Inhibitors (Number of EDs)
8; 8
SECONDARY
To Evaluate the Modality of Occurrence of Inhibitors (Titre at Onset)
12; 16.3
SECONDARY
To Evaluate Clinical Factors Potentially Associated to Inhibitor Development
SECONDARY
To Evaluate Laboratory Factors Potentially Associated to Inhibitor Development
SECONDARY
To Evaluate the Incidence of All Other Adverse Events Related and Not Related to the Products Used

Eligibility Criteria

Inclusion Criteria

  • Male subjects
  • Any ethnicity
  • Age = 1% on testing at the central laboratory will be separately recorded in the screening list.
  • Previously untreated (0 EDs to any FVIII concentrates or blood products) or minimally treated ( = 1%, as assayed at the central laboratory

o Those patients originally diagnosed locally as severe but subsequently found to have FVIII levels ranging from 1% to 2% on testing at the central laboratory will be separately recorded in the screening list.

  • Concomitant congenital or acquired immunodeficiency
  • Concomitant treatment with systemic immunosuppressive drugs
  • Concomitant treatment with any investigational drug
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01064284) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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