Hemophilia A
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adults aged 18 years or older; diagnosis of hemophilia A or B (moderate or severe); presence of hemophilic arthropathy in at least one joint (knee, ankle, elbow, shoulder, or hip); regular follow-up at a hemophilia treatment center; ability to provide informed consent; availability for follow-up assessments at baseline, 3 and 6 months
Exclusion criteria
Exclusion criteria: Presence of active local or systemic infection (including septic arthritis or cellulitis) at the time of intervention; recent orthopedic procedure in the target joint during the study period; immunosuppression; pregnancy or suspected pregnancy; significant joint instability or suspected fracture in the target joint; withdrawal of consent during the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| It is expected to find an improvement in joint pain assessed by the Visual Analog Scale (VAS) from baseline to 6 months after the intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| It is expected to find an improvement in functional capacity assessed by the 6-Minute Walk Test (6MWT) from baseline to 3 and 6 months;It is expected to find an increase in muscle strength assessed by handgrip dynamometry from baseline to 3 and 6 months;It is expected a positive change in joint imaging scores (Pettersson and HEAD-US) from baseline to 6 months;It is expected to be established the efficacy and efficacy and safety of the procedure, with a low incidence of adverse effects;It is expected to characterize the proteomic profile of PRP and synovial fluid to better understand the biological mechanisms involved in tissue and inflammatory responses | — |
Countries
BR
Contacts
Universidade Federal do Rio de Janeiro