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AzTrials

HemophiliaNCT02803502

Does the Thrombin Generation Test Performed During the Pharmacokinetic Profile of the Substitutive Factor VIII Bring Benefits to the Personalized Treatment of Pediatric Patients and Adult Hemophilia A Patients Under Prophylaxis ?

A study testing Chronometric method, Chromogenic method and Thrombin generation test (TGT) in people with Hemophilia, run by Brugmann University Hospital at 5 sites in Belgium.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

In the context of hemophilia, it is well know that the level of factor VIII alone does not reflect the clinical phenotype of the patients in an accurate way. At equal factor VIII levels, certain patients will bleed more than others. Read more about this study

Who is it for?
Any age
Conditions the study is for
Hemophilia
What is being tested?
Chronometric method, Chromogenic method and Thrombin generation test (TGT)
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
5 sitesBelgium
Study dates
Jan 2017to Dec 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Patients with severe or moderate hemophilia, on prophylaxis, and suffering from bleedings.

Who cannot join

  • Patients with difficult venous access
  • Patients who have had surgery or trauma in the month before, patients with acute disease (infection, inflammation)

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

Belgium5 sites, 5 recruiting
  • CHU Brugmann

    Brussels, 1020

    Anne Demulder, MD, 024773990, Anne.DEMULDER@chu-brugmann.be

    Anne Demulder, MD

    Recruiting
  • HUDERF

    Brussels, 1020

    Anne Demulder, MD, 02 477 39 90, Anne.DEMULDER@chu-brugmann.be

    Anne Demulder, MD

    Recruiting
  • Centre Hospitalier Régional de la Citadelle de Liège

    Liège, 4000

    Jean-Marc Minon, MD, 32 4 223 87 81, jean.marc.minon@chrcitadelle.be

    Jean-Marc Minon, MD

    Recruiting
  • CHC de Liège

    Liège, 4000

    Laure Gilis, MD, 04.224.89.90, Laure.gilis@chc.be

    Laure Gilis, MD

    Recruiting
  • CHU Liège Sart Tilman

    Liège, 4000

    Pierre Peters, MD, 32 4 366.75.36, pierre.peters@chu.ulg.ac.be

    Pierre Peters, MD

    Recruiting

Other trials in Belgium

About this study

In the context of hemophilia, it is well know that the level of factor VIII alone does not reflect the clinical phenotype of the patients in an accurate way. At equal factor VIII levels, certain patients will bleed more than others.

The thrombin generation test (TGT) is a test that seems to provide a better prediction of the overall hemostatic status of an individual patient. In a previous study, the investigators have established normal reference values of the thrombin generation curve in children aged 6 months to 16 years and adults. The goal was to evaluate the use of this test in different clinical contexts and in severe hemophilia patients in particular. A pilot study showed that the patients having a thrombin generation <150 had a severe phenotype, whether those who received an appropriate prophylaxy had a thrombin generation superior to 150.

Read more

Moreover, the investigators now have access to a software tool that allows them to individually determine the pharmacokinetic profile of the factor VIII injected to each patient. The factor VIII concentration is measured at injection and 30 minutes, 1 hour, 2 hours and 24 hours afterwards. The introduction of these concentrations in the software allows to obtain the half-life of factor for a given patient, the maximum peak, and the minimum factor level (though level). The injected dosis might be sufficient (disappearance of substantial diminution of the bleedings) or unsufficient (persisting bleeding) for a given patient.

This study aims:

  • to measure the pharmacokinetic profile of factor VIII by two different methods, the time-based method and the chromogenic method
  • to correlate the results with the TGT results obtained at the same time points and determine which method gives the best correlation
  • to link the clinical symptomatology (improved symptomatology or not) with the TGT results
  • to determine which minimal TGT result is linked to a minimal bleeding rate
  • to adapt the prophylactic dosis of the patient in a personalized way.
Conditions
Hemophilia
Being tested
Chronometric method, Chromogenic method, Thrombin generation test (TGT)
Keywords
thrombin generation test, factor VIII, hemophilia
Medical subject headings
Hemophilia A

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Chronometric methodDevice

    Chronometric method of FVIII dosage on STA-R PLC automate (reactive Cephascreen STAGO, Unicalibrateur STAGO, plasma deficient Cryopep, Controls STAGO)

  • Chromogenic methodDevice

    Chromogenic FVIII assay method ( "BIOPHEN FVIII: C" and "BIOPHEN Factor IX" of the firm Hyphen BioMed)

  • Thrombin generation test (TGT)Device

    Briefly: the measurement of thrombin generation is performed by the technique of calibrated and automated Thrombinography (CAT) developed by Hemker HC. This technique allows the simultaneous analysis of multiple samples using a fluorometer (Fluoroscan Ascent, ThermoLabsystems OY, Helsinki, Finland) and a Thrombinoscope® software that converts the fluorescence intensity obtained by concentration of active thrombin. The reagent "PPP-reagent Low" respectively containing 1pm FT and 4μM phospholipid (PL) as a final concentration will be used.

Study groups in NCT02803502
Study groupRoleWhat they receive
hemophiliaExperimentalPatients with severe hemophilia (or moderate hemophilia if presence of hemorrhages) under prophylaxy and subjected to a pharmacokinetic profile of factor VIII
Receives: Device: Chronometric method; Device: Chromogenic method; Device: Thrombin generation test (TGT)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Factor VIII blood concentration - chronometric method

    Chronometric method of FVIII dosage on STA-R PLC automate (reactive Cephascreen STAGO, Unicalibrateur STAGO, plasma deficient Cryopep, Controls STAGO)

    Measured: baseline: at factor VIII injection

  2. Factor VIII blood concentration - chronometric method

    Chronometric method of FVIII dosage on STA-R PLC automate (reactive Cephascreen STAGO, Unicalibrateur STAGO, plasma deficient Cryopep, Controls STAGO)

    Measured: 30 minutes after factor VIII injection

  3. Factor VIII blood concentration - chronometric method

    Chronometric method of FVIII dosage on STA-R PLC automate (reactive Cephascreen STAGO, Unicalibrateur STAGO, plasma deficient Cryopep, Controls STAGO)

    Measured: 60 minutes after factor VIII injection

  4. Factor VIII blood concentration - chronometric method

    Chronometric method of FVIII dosage on STA-R PLC automate (reactive Cephascreen STAGO, Unicalibrateur STAGO, plasma deficient Cryopep, Controls STAGO)

    Measured: 120 minutes after factor VIII injection

  5. Factor VIII blood concentration - chronometric method

    Chronometric method of FVIII dosage on STA-R PLC automate (reactive Cephascreen STAGO, Unicalibrateur STAGO, plasma deficient Cryopep, Controls STAGO)

    Measured: 24h after factor VIII injection

  6. Factor VIII blood concentration - Chromogenic method

    Chromogenic FVIII assay method ( "BIOPHEN FVIII: C" and "BIOPHEN Factor IX" of the firm Hyphen BioMed)

    Measured: baseline: at factor VIII injection

  7. Factor VIII blood concentration - Chromogenic method

    Chromogenic FVIII assay method ( "BIOPHEN FVIII: C" and "BIOPHEN Factor IX" of the firm Hyphen BioMed)

    Measured: 30 minutes after factor VIII injection

  8. Factor VIII blood concentration - Chromogenic method

    Chromogenic FVIII assay method ( "BIOPHEN FVIII: C" and "BIOPHEN Factor IX" of the firm Hyphen BioMed)

    Measured: 60 minutes after factor VIII injection

  9. Factor VIII blood concentration - Chromogenic method

    Chromogenic FVIII assay method ( "BIOPHEN FVIII: C" and "BIOPHEN Factor IX" of the firm Hyphen BioMed)

    Measured: 120 minutes after factor VIII injection

  10. Factor VIII blood concentration - Chromogenic method

    Chromogenic FVIII assay method ( "BIOPHEN FVIII: C" and "BIOPHEN Factor IX" of the firm Hyphen BioMed)

    Measured: 24h after factor VIII injection

  11. total thrombin generation

    the measurement of thrombin generation is performed by the technique of calibrated and automated Thrombinography (CAT) developed by Hemker HC. This technique allows the simultaneous analysis of multiple samples using a fluorometer (Fluoroscan Ascent, ThermoLabsystems OY, Helsinki, Finland) and a Thrombinoscope® software that converts the fluorescence intensity obtained by concentration of active thrombin.

    Measured: baseline: at factor VIII injection

  12. total thrombin generation

    the measurement of thrombin generation is performed by the technique of calibrated and automated Thrombinography (CAT) developed by Hemker HC. This technique allows the simultaneous analysis of multiple samples using a fluorometer (Fluoroscan Ascent, ThermoLabsystems OY, Helsinki, Finland) and a Thrombinoscope® software that converts the fluorescence intensity obtained by concentration of active thrombin.

    Measured: 30 minutes after factor VIII injection

  13. total thrombin generation

    the measurement of thrombin generation is performed by the technique of calibrated and automated Thrombinography (CAT) developed by Hemker HC. This technique allows the simultaneous analysis of multiple samples using a fluorometer (Fluoroscan Ascent, ThermoLabsystems OY, Helsinki, Finland) and a Thrombinoscope® software that converts the fluorescence intensity obtained by concentration of active thrombin.

    Measured: 60 minutes after factor VIII injection

  14. total thrombin generation

    the measurement of thrombin generation is performed by the technique of calibrated and automated Thrombinography (CAT) developed by Hemker HC. This technique allows the simultaneous analysis of multiple samples using a fluorometer (Fluoroscan Ascent, ThermoLabsystems OY, Helsinki, Finland) and a Thrombinoscope® software that converts the fluorescence intensity obtained by concentration of active thrombin.

    Measured: 120 minutes after factor VIII injection

  15. total thrombin generation

    the measurement of thrombin generation is performed by the technique of calibrated and automated Thrombinography (CAT) developed by Hemker HC. This technique allows the simultaneous analysis of multiple samples using a fluorometer (Fluoroscan Ascent, ThermoLabsystems OY, Helsinki, Finland) and a Thrombinoscope® software that converts the fluorescence intensity obtained by concentration of active thrombin.

    Measured: 24h after factor VIII injection

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Jun 2016 (estimated)
  2. Study startJan 2017
  3. Primary completionDec 2024 (estimated)
  4. Study completionDec 2024 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02803502
Sponsor's protocol ID
CHUB-PK TGT
Status last verified
Jul 2023
First submitted
14 Jun 2016
Last updated
28 Jul 2023
Results posted
No
Data monitoring committee
No

Publications

  • Hemker HC, Giesen P, AlDieri R, Regnault V, de Smed E, Wagenvoord R, Lecompte T, Beguin S. The calibrated automated thrombogram (CAT): a universal routine test for hyper- and hypocoagulability. Pathophysiol Haemost Thromb. 2002 Sep-Dec;32(5-6):249-53. doi: 10.1159/000073575.

    PubMed 13679651
  • Filippin L, Debaugnies F, Noubouossie D, Le PQ, Ferster A, Demulder A. [Thrombin generation test: establishment of reference values according to age and tissue factor concentration is essential before implementation into the laboratory]. Rev Med Brux. 2011 Mar-Apr;32(2):69-73. French.

    PubMed 21688590
  • van den Berg HM, De Groot PH, Fischer K. Phenotypic heterogeneity in severe hemophilia. J Thromb Haemost. 2007 Jul;5 Suppl 1:151-6. doi: 10.1111/j.1538-7836.2007.02503.x.

    PubMed 17635721

Questions about this trial

What is this clinical trial studying?

A study testing Chronometric method, Chromogenic method and Thrombin generation test (TGT) in people with Hemophilia, run by Brugmann University Hospital at 5 sites in Belgium.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 28 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in Belgium. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Anne Demulder, MD (024773990, Anne.DEMULDER@chu-brugmann.be), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Factor VIII blood concentration - chronometric method (time frame: baseline: at factor VIII injection). The study lists 15 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02803502, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Jul 2023.

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