Joint Bleed, Severe Hemophilia A Without Inhibitor
Conditions
Keywords
emicizumab, hemophilia A
Brief summary
* To outcome between low dose Emicizumab and low dose prophylaxis with FVIII concentration * To study pharmacokinetic, side effect of low dose Emicizumab
Detailed description
* To compare outcome between low dose Emicizumab and low dose prophylaxis with FVIII concentration using ABR, AJBR and HJHS, HaemoQoL * To study pharmacokinetic, side effect and effectiveness of low dose Emicizumab
Interventions
low dose
Sponsors
Study design
Eligibility
Inclusion criteria
* Severe or moderate Hemophilia A with baseline FVIII:C of \<3 IU/dl or severe bleeding phenotype * Receiving low dose FVIII prophylaxis for at least 6 months
Exclusion criteria
* Detectable FVIII inhibitor at screening * Detectable FVIII inhibitor at screening Having other underlying diseases: Juvenile rheumatoid arthritis, metabolic bone diseases, or other conditions mimicking or causing joint diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| spontaneous and traumatic bleeding rate | 6 months after start low dose emicizumab as secondary prophylaxis treatment | Using Annualized bleeding rate (ABR) |
| treated spontaneous bleeds, treated joint bleeds | 6 months after start low dose emicizumab as secondary prophylaxis treatment | Using Annualized joint bleeding rate (AJBR) |
| The function of the knee, elbow, and ankle joints | 6 months after start low dose emicizumab as secondary prophylaxis treatment | Using Hemophilia Joint Health Score (HJHS) |
Countries
Thailand