Hemophilia A with inhibitors
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Aged younger than 12 years old or 12~17 years old who weigh 3 kg at the time of informed consent 3) Diagnosis of congenital hemophilia A of any severity and documented history of high-titer inhibitor (i.e.,>= 5 Bethesda Units) 4) Requires treatment with bypassing agents
Exclusion criteria
Exclusion criteria: 1) Inherited or acquired bleeding disorder other than hemophilia A 2) Ongoing (or plan to receive during the study) immune tolerance induction therapy(ITI) or prophylaxis with FVIII. Patients awaiting initiation of ITI will be eligible. Patients in whom ITI has failed will be eligible with a 72-hour washout period prior to the first emicizumab administration. 3) Previous or current treatment for thromboembolic disease (with the exception of previous catheter-associated thrombosis for which antithrombotic treatment is not currently ongoing) or signs of thromboembolic disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| efficacy primary outcome: To evaluate the clinical effect of prophylactic emicizumab in hemophilia A pediatric patients with inhibitors on the basis of number of bleeds over time. primary outcome method: Observation | — |
Secondary
| Measure | Time frame |
|---|---|
| safety efficacy pharmacokinetics secondary outcome: To evaluate the efficacy, safety and pharmacokinetics of prophylactic emicizumab in hemophilia A pediatric patients with inhibitors. secondary outcome method: Observation, Laboratory tests | — |
Countries
10 countries including Japan, Japan