Blood Coagulation Disorders, Hematologic Disease
Conditions
Brief summary
Understanding how often the bleeding events occur in the subjects who voluntarily decide to switch from prophylaxis to on-demand and in those subjects who remain on prophylaxis. Also look into the consequences of switching treatment in QoL (quality of life), development of target joints, activity level and reasons that might influence the desire to switch.
Interventions
Subjects electing to stay on the prophylactic treatment (prospective)
Sponsors
Study design
Eligibility
Inclusion criteria
* Severe hemophilia A (\<2%) * For subjects who elect staying on Prophylaxis only: Have been on continuous prophylactic treatment for the past 5 years prior to study entry * For subjects who elect switching to on-demand only: Have been on continuous prophylactic treatment for the past 5 years, but may have been on intermediate or reduced prophylaxis for the 1-12 months prior to study entry * For subjects currently on-demand: a retrospective arm of subjects who have been on continuous prophylactic treatment for at least 5 years and switched to on-demand treatment between 13 and 24 months prior to study entry * Current treatment with rFVIII
Exclusion criteria
* Other known hematological / bleeding disorders other than hemophilia A * Participating on another study that may have an impact on bleeding or the objectives of this study * Known alcohol and drug abuse
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the frequency of all bleeds (spontaneous and trauma) during the study | End of Study |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate the change from baseline in HRQoL (health-related quality of life) | End of Study |
| To evaluate number of patients that want to return to prophylaxis treatment after having switched to on-demand therapy | End of Study |
| To evaluate the change from baseline in the Gilbert score | End of Study |
| To evaluate the number of target joint development | End of Study |
Countries
Canada, Germany, United Kingdom, United States