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Von Willebrand DiseasesNCT04053699

Bleeding Incidence in VWD Patients Undergoing On-Demand Treatment

An observational study of Von Willebrand Diseases, run by Octapharma at 15 sites in 8 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to prospectively obtain reliable data on the bleeding and treatment pattern of patients with VWD undergoing on-demand treatment with a VWF-containing product over a period of 6 months. Read more about this study

Who is it for?
Ages 66 months and older
Conditions the study is for
Von Willebrand Diseases
What is being tested?
Von Willebrand Factor-Containing Product
How many people
56 participants
Where
15 sitesin 8 countries
Study dates
25 Jun 2019to 31 Jan 2021
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 66 months and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Overall, 55 previously treated patients aged ≥5.5 years at the time of enrolment, with type 3, type 2 (except 2N), or severe type 1 VWD will be included into this study. Of these 55 patients, at least 6 should have type 3 VWD and at least 6 should be ≥5.5 to <16 years of age.

Who may be able to join

  • Patients who meet all of the following criteria are eligible for the study:
  • Male or female patients aged ≥5.5 years at the time of enrolment
  • VWD type 1 (baseline von Willebrand factor activity [VWF:RCo], <30 IU/dL), 2A, 2B, 2M, or 3 according to medical history requiring substitution therapy with a VWF-containing product to control bleeding
  • Currently receiving frequent on-demand treatment with a VWF-containing product
  • In female patients of child-bearing potential using hormonal contraception, the medication class should remain unchanged for the duration of their study participation
  • Voluntarily given, fully informed written and signed consent obtained before collection of any patient data

Who cannot join

  • Patients who meet any of the following criteria are not eligible for the study:
  • Patients currently on prophylaxis for VWD (except for perioperative prophylaxis) as well as patients having received treatment once a month for menstrual bleeding, but not for any other bleeds
  • Patients whose VWD treatment is planned to be switched from on-demand to prophylactic treatment in the next 6 months
  • History, or current suspicion, of VWF or FVIII inhibitors
  • Medical history of a thromboembolic event within 6 months before enrolment
  • Severe liver or kidney diseases as described in the medical records
Show all 12Show fewer
  • Female patients with an existing or suspected pregnancy or who are breast-feeding at the time of enrolment
  • Change in hormonal contraception within 6 months before enrolment
  • Cervical or uterine conditions causing abnormal uterine bleeding (including infection or dysplasia)
  • Other coagulation disorders or bleeding disorders due to anatomical reasons
  • Participation in an interventional clinical study during the 6-month of study period
  • Inability to complete the patient diary to reliably evaluate the type, frequency, and treatment of BEs during the 6-month study period

Trial locations and contacts

15 sites in 8 countries.

15 sites in 8 countries

Hungary3 sites
  • Medical Centre Hungarian Defence Forces

    Budapest, 1134

  • Debreceni Egyetem Klinikai Központ, Regionális Haemophilia és Thrombophilia Központ

    Debrecen, 4032

  • University Clinical Center, Department of Internal Medicine, Hematology

    Pécs, 7624

Other trials in Hungary

Lebanon3 sites
  • Hotel Dieu de France Hospital

    Beirut, BP166830

  • American University of Beirut Medical Center

    Beirut

  • Nini Hospital

    Tripoli

Other trials in Lebanon

Bulgaria2 sites
  • Specialized Hospital for Active Treatment of Haematological Diseases" EAD, Sofia

    Sofia

  • "UMHAT Sveta Marina" EAD.

    Varna, 9010

Other trials in Bulgaria

Russia2 sites
  • Federal State Budgetary Scientific Institution Kirov Scientific-Research Institute of Hematology and Blood Transfusion of Federal

    Kirov, 610027

  • Morosovskaya Children Clinical Hospital, Moscow Health Department, Department of General Hematology with the Pathology of Hemostasis

    Moscow, 119049

Other trials in Russia

Ukraine2 sites
  • State Institution "National Children's Specialized Hospital "OKHMATDYT" of the Ministry of Health of Ukraine," Center of Hemostasis Pathology

    Kyiv, 01135

  • Community Institution of Lviv Oblast Council "West-Ukrainian Specialized Children's Medical Center

    Lviv, 79035

Other trials in Ukraine

United States1 site
  • Children's Healthcare of Atlanta

    Atlanta, Georgia, 30329

Other trials in United States

Belarus1 site
  • Republican Research Center for Radiation Medicine and Human Ecology

    Homyel

Other trials in Belarus

Croatia1 site
  • University Hospital Centre Zagreb

    Zagreb, 10000

Other trials in Croatia

About this study

Official title: A Prospective, Multicenter, Non-Interventional Study Evaluating the Bleeding Incidence in Patients With Von Willebrand Disease Undergoing On-Demand Treatment

The purpose of this study is to prospectively obtain reliable data on the bleeding and treatment pattern of patients with VWD undergoing on-demand treatment with a VWF-containing product over a period of 6 months. The data obtained will be used as a basis for historical comparisons with the bleeding and treatment pattern obtained from a clinical study on the efficacy of prophylactic treatment with a VWF/FVIII concentrate.

Being tested
Von Willebrand Factor-Containing Product
Medical subject headings
von Willebrand Diseases

What participants receive

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

  • Von Willebrand Factor-Containing ProductDrug

    Active substances: VWF concentrates, VWF/FVIII concentrates, Cryoprecipitate VWF-containing products licensed in each participating country

Study groups in NCT04053699
Study groupRoleWhat they receive
Patients undergoing treatment with a VWF-containing productPatients with type 3, type 2 (except 2N), or severe type 1 VWD undergoing routine on-demand treatment with a VWF-containing product over a period of 6 months
Receives: Drug: Von Willebrand Factor-Containing Product

What is being measured

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

  1. Total Annualized Bleeding Rate (TABR)

    The total annualized bleeding rate (TABR) will be calculated as the total number of spontaneous bleeds, traumatic BEs, and other BEs occurring in the time period between the start of data collection for each patient and the Study Completion Visit, divided by the duration (in years) between the start of data collection and the Study Completion Visit. Surgery periods, and BEs occurring within these surgery periods, will be excluded from the calculation of TABR.

    Measured: Screening through study completion (6 months)

Secondary outcomes (10)
  1. Spontaneous Annualized Bleeding Rate (SABR)

    Spontaneous annualized bleeding rate (SABR), calculated in analogy with TABR. This includes all bleeding episodes that occurred spontaneously.

    Measured: Screening through study completion (6 months)

  2. Consumption of the VWF-containing Product

    Data on the consumption of the VWF-containing product (VWF/FVIII IU/kg per month per patient) used for routine on-demand treatment

    Measured: Screening through study completion (6 months)

  3. Number of Bleeding Episodes (BEs) Based on a 4-point Efficacy Scale

    The efficacy assessment of bleeding episodes at the end of a BE was evaluated on a 4 point scale by the patient/legal guardian (together with the Investigator in case of on-site treatment) including the four items 'excellent,' 'good,' moderate,' and 'none.' The assessment was excellent when bleeding was completely stopped within 3 days in case of minor bleed, within 7 days in case of major bleed, and within 10 days in case of gastrointestinal bleed; Good when bleeding was completely stopped, but time and/or dose slightly exceeded expectations ; Moderate when bleeding could be stopped only by significantly exceeding time and/or dose expectations; and None when bleeding could be stopped only by using other VWF-containing products.

    Measured: Screening through study completion (6 months)

  4. Number of Surgery With Successful/Unsuccessful Efficacy Assessment

    Effectiveness of VWF-containing product in surgical prophylaxis based on the proportion of surgeries successfully treated. Overall treatment efficacy will be assessed at the end of the postoperative period by the treating physician using predefined criteria of 'Excellent', 'Good', 'Moderate/Poor' or 'None'.

    Measured: From start of surgery until end of post-operative period (within 8 days after surgery)

  5. Quality of Life (QoL) Assessed Using the Patient-Reported Outcomes Measurement Information System (PROMIS-29)

    QoL assessment based on the results from the PROMIS-29 survey to monitor and evaluate the physical, mental, and social health in all patients, using a scale of a minimum score of 0 and a maximum score of 10, with higher scores representing a better outcome. The survey covers seven domains from the most relevant areas of self-reported health (depression, anxiety, physical function, pain interference, fatigue, sleep disturbance and ability to participate in social roles and activities) for the majority of people with chronic illness. PROMIS scores have a mean of 50 and standard deviation (SD) of 10 in a referent population. Full details of cut off points for each domain can be found here: https://www.healthmeasures.net/score-and-interpret/interpret-scores/promis/promis-score-cut-points

    Measured: At screening visit

  6. Quality of Life (QoL) Assessed Using a 36-Item Short Form Health Survey, Version 2 (SF-36v2)

    QoL assessment based on the results from the SF-36v2 questionnaire to measure functional health and well-being in patients ≥16 years. SF-36v2 ranks 8 different domains using a scale standardized with a scoring algorithm to obtain a score ranging from 0 to 100.The eight health domains include physical functioning (PF), role physical (RP), bodily pain (BP), general health problems (GH), vitality (VT), social functioning (SF), role emotional (RE) and general mental health (MH). Higher scores indicate better health status, and a mean score of 50 has been articulated as a normative value for all scales.

    Measured: At screening visit

  7. Quality of Life (QoL) Assessed Using a 10-item Short Form Health Survey (SF-10)

    QoL assessment based on the results from a SF-10 parent-completed questionnaire for patients ≥5.5 and <16 years of age, in order to score physical and psychosocial health. SF-10 uses norm-based scoring where scales have a standardized mean value of 50 and standard deviation of 10.

    Measured: At screening

  8. Joint Health Status Assessed Using Hemophilia Joint Health Score (HJHS)

    Joint health status will be assessed using the Hemophilia Joint Health Score (HJHS), which has been specifically validated for the assessment of the clinical outcome in VWD. HJHS evaluates six index joints to produce a score between 0-124. Higher scores indicate worse joint health.

    Measured: At screening

  9. Menstrual Bleeding Assessed Using Pictorial Blood Loss Assessment Chart (PBAC) Score

    Bleeding information from each menstrual period while in this study will be collected using the Pictorial Blood Loss Assessment Chart (PBAC). The PBAC will be provided to all female patients of child-bearing potential. The data documented in the PBAC and the investigator-calculated final score will be recorded in the eCRF. The PBAC records pad and tampon use (as either light [1 point], medium [5 points], or heavy [10 points] flow), clots (small [1 point] or large [5 points]), and flooding episodes (1 point each) which can be recorded as many times as necessary any day of the month. The PBAC is scored from 0 (no bleeding) onwards, with a score of >100 defining abnormal coagulation and heavy menstrual bleeding (corresponds to >80ml of blood loss per menstrual cycle).

    Measured: Screening through study completion (6 months)

  10. Number of Participants With Adverse Drug Reactions (ADRs) Associated With Use of Wilate

    Noxious and unintended reactions arising from the use of Wilate will be monitored throughout the study.

    Measured: Screening through study completion (6 months)

Timeline

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

  1. First posted12 Aug 2019
  2. Study start25 Jun 2019
  3. Primary completion31 Jan 2021
  4. Study completion31 Jan 2021

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
56 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04053699
Sponsor's protocol ID
WIL-29
Status last verified
Mar 2023
First submitted
23 Jul 2019
Last updated
7 Dec 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Sadler JE. A revised classification of von Willebrand disease. For the Subcommittee on von Willebrand Factor of the Scientific and Standardization Committee of the International Society on Thrombosis and Haemostasis. Thromb Haemost. 1994 Apr;71(4):520-5.

    PubMed 8052974
  • Rodeghiero F, Castaman G, Tosetto A. How I treat von Willebrand disease. Blood. 2009 Aug 6;114(6):1158-65. doi: 10.1182/blood-2009-01-153296. Epub 2009 May 27.

    PubMed 19474451
  • Castaman G, Goodeve A, Eikenboom J; European Group on von Willebrand Disease. Principles of care for the diagnosis and treatment of von Willebrand disease. Haematologica. 2013 May;98(5):667-74. doi: 10.3324/haematol.2012.077263.

    PubMed 23633542
  • Mondorf W, Siegmund B, Mahnel R, Richter H, Westfeld M, Galler A, Pollmann H. Haemoassist--a hand-held electronic patient diary for haemophilia home care. Haemophilia. 2009 Mar;15(2):464-72. doi: 10.1111/j.1365-2516.2008.01941.x. Epub 2009 Feb 16.

    PubMed 19226411
  • Broderick CR, Herbert RD, Latimer J, Mathieu E, van Doorn N, Curtin JA. Feasibility of short message service to document bleeding episodes in children with haemophilia. Haemophilia. 2012 Nov;18(6):906-10. doi: 10.1111/j.1365-2516.2012.02869.x. Epub 2012 Jun 11.

    PubMed 22681182
  • Sholapur NS, Barty R, Wang G, Almonte T, Heddle NM. A survey of patients with haemophilia to understand how they track product used at home. Haemophilia. 2013 Sep;19(5):e289-95. doi: 10.1111/hae.12170. Epub 2013 May 15.

    PubMed 23672744
  • Maruish M. User's manual for the SF-36v2 Health Survey (3rd edition). Optum Incorporated; 2011.

  • Saris-Baglama, R,DeRosa, M, Raczek, A, Bjorner, J,Turner-Bowker, D, Ware, J. The SF-10™ Health Survey for Children: A User's Guide. QualityMetric Incorporated; 2007.

  • Hays RD, Spritzer KL, Schalet BD, Cella D. PROMIS(R)-29 v2.0 profile physical and mental health summary scores. Qual Life Res. 2018 Jul;27(7):1885-1891. doi: 10.1007/s11136-018-1842-3. Epub 2018 Mar 22.

    PubMed 29569016
  • Sidonio RF Jr, Boban A, Dubey L, Inati A, Kiss C, Boda Z, Lissitchkov T, Nemes L, Novik D, Peteva E, Taher AT, Timofeeva MA, Vilchevska KV, Vdovin V, Werner S, Knaub S, Djambas Khayat C. von Willebrand factor/factor VIII concentrate (Wilate) prophylaxis in children and adults with von Willebrand disease. Blood Adv. 2024 Mar 26;8(6):1405-1414. doi: 10.1182/bloodadvances.2023011742.

    PubMed 38237075

Questions about this trial

What is this clinical trial studying?

An observational study of Von Willebrand Diseases, run by Octapharma at 15 sites in 8 countries.

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 6 inclusion and 12 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: finished, as of the sponsor's last update on 7 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in Hungary, Lebanon, Bulgaria, Russia, Ukraine and 3 more countries. 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?

Yes. Results are posted in the registry (first posted 7 Dec 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Total Annualized Bleeding Rate (TABR) (time frame: Screening through study completion (6 months)). 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 NCT04053699, which also lists 10 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 7 Dec 2023.

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