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Hemophilia APhase 4PREDICTNCT05036278

Prophylaxis Regimen for Hemophilia A Patients

A Phase 4 study testing Damoctocog alfa-pegol is a recombinant B-domain deleted human coagulation FVIII variant site specifically conjugated with a 60 kDa, branched (30 kDa each) polyethylene glycol (PEG). in people with Hemophilia A and Prophylaxis of Bleeding, run by Bayer at 12 sites in United States.

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

Researchers are looking for a better way to treat people who have hemophilia A. Hemophilia A is a genetic bleeding disorder that is caused by the lack of a protein in the blood called "clotting factor 8" (FVIII). Read more about this study

Who is it for?
Ages 12 years and older
Conditions the study is for
Hemophilia A, Prophylaxis of Bleeding
What is being tested?
Damoctocog alfa-pegol is a recombinant B-domain deleted human coagulation FVIII variant site specifically conjugated with a 60 kDa, branched (30 kDa each) polyethylene glycol (PEG).
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
21 participants
Where
12 sitesUnited States
Study dates
28 Jul 2022to 12 Sep 2024
Phase
Phase 4
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 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Participants must be ≥ 12 years of age inclusive, at the time of signing the informed consent/assent.
  • Previously treated patients (≥ 150 EDs) with congenital hemophilia A.
  • Prophylaxis with any SHL FVIII product with a stable frequency for at least 6 consecutive months within the last 12 months prior to screening before entering the study and documented in medical records. Stable frequency is defined as a minimum 18 weeks of treatment in a 6 (consecutive) calendar month period in the 12 months prior to screening. Patients can be on any non-Jivi EHL between the 6-month stable SHL prophylaxis period and start of study treatment.
  • Documented bleeding rate (ABR) while on stable frequency SHL prophylaxis for at least 6 consecutive months within the last 12 months prior to screening.
  • No current evidence (≥ 0.6 BU/mL) of FVIII inhibitors. If a participant has had a positive inhibitor titer in the past (≥ 0.6 BU/mL on two occasions) but has been tolerized for at least 1 year since the last positive titer with at least 1 negative inhibitor assay test during that period, they can be enrolled. If a participant has had a positive inhibitor titer in the past (≥ 0.6 BU/mL) but did not require tolerization and has had at least 1 negative inhibitor assay test during a minimum period of at least 1 year since the last positive titer, they can be enrolled.
  • If they are human immunodeficiency virus (HIV) positive, cluster of differentiation 4 (CD4+) lymphocyte count should be > 200/mm^3 within 1 year before entering the study and documented in medical records. -
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  • Participants who are willing to complete an electronic diary (eDiary).
  • Contraceptive use should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
  • For adolescent participants (≥ 12 to < 18 years), a legal guardian must be available to help the study-site personnel ensure follow-up; accompany the participant to the study site on each assessment day according to the Schedule of Activities (SoA) (e.g. able to comply with scheduled visits, treatment plan, laboratory tests and other study procedures); consistently and consecutively be available to provide information on the participant using the PROs during the scheduled study visits; accurately and reliably dispense study intervention as directed.
  • For adolescent participants, a legal guardian must be able to accurately maintain the child's take-home record, including items of general health.

Who cannot join

  • Any other inherited or acquired bleeding disorder in addition to hemophilia A. Note: von Willebrand disease should be diagnosed per local clinical practice. Participants with a diagnosis of von Willebrand disease in medical records or diagnosed at the time of screening will be excluded.
  • Platelet count < 100,000/mm^3
  • Evidence of inhibitor to FVIII (≥ 0.6 BU/mL) within the last 1 year
  • The participant is currently participating in another investigational drug study or has participated in a clinical study involving an investigational drug or device within 30 days of signing informed consent.
  • The participant has a planned major surgery.
  • Documentation of missing risk score parameters other than physical activity .
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  • Known hypersensitivity to the drug substance, excipients, or mouse or hamster protein.
  • Any other significant medical condition that the investigator feels would be a risk to the participant or would impede the study.
  • Close affiliation with the investigational site; e.g. a close relative of the investigator, dependent person (e.g. employee or student of the investigational site).
  • Otherwise vulnerable participants (e.g. participants who are in custody by order of an authority).
  • Judgment by the investigator that the participant should not participate in the study if the participant is unlikely to comply with study procedures (i.e. eDiary completion, clinic visits, phone updates), restrictions, and requirements.

Trial locations and contacts

12 sites in 1 country.

12 sites in 1 country

United States12 sites
  • Aflac Cancer and Blood Disorders Center - Egleston Hospital

    Atlanta, Georgia, 30301

  • Wellstar MCG Health Medical Center - Gynecology

    Augusta, Georgia, 30912

  • University of Colorado | Renal Research Office

    Aurora, Colorado, 80045

  • Rush University Medical Center - Oncology

    Chicago, Illinois, 60612

  • Gulf States Hemophilia & Thrombophilia Center- Texas Medical Center

    Houston, Texas, 77030

  • Stead Family Children's Hospital - Hematology / Oncology

    Iowa City, Iowa, 52240

  • Dr. Akshat Jain - Loma Linda University Medical Center

    Loma Linda, California, 92354

  • Loma Linda University Children's Hospital - Hematology / Oncology

    Loma Linda, California, 92354

  • Luskin Orthopaedic Institute for Children

    Los Angeles, California, 90001

  • UHealth - Sylvester Comprehensive Cancer Center

    Miami, Florida, 33136

  • M Health Fairview Masonic Cancer Clinic - Clinics and Surgery Center

    Minneapolis, Minnesota, 55455

  • Rutgers Robert Wood Johnson Medical School - OBGYN

    New Brunswick, New Jersey, 08901

Other trials in United States

About this study

Official title: A Multicenter, Prospective, Open-label, Clinical Study to Assess the Effect of Using a New Risk Score Approach to Select the Most Appropriate Prophylaxis Regimen for Reaching a Favorable Outcome, When Hemophilia A Patients Switch From Standard Half-life Products to Damoctocog Alfa Pegol (Jivi)

Researchers are looking for a better way to treat people who have hemophilia A. Hemophilia A is a genetic bleeding disorder that is caused by the lack of a protein in the blood called "clotting factor 8" (FVIII). FVIII is naturally found in the blood where it causes the blood to clump together to help prevent and stop bleeding. People with lower levels of FVIII or with FVIII that does not work properly may bleed for a long time from minor wounds, have painful bleeding into joints, or have internal bleeding.

The study treatment, Jivi (also called damoctocog alfa pegol), is already available for doctors to prescribe to people with hemophilia A to treat and prevent bleeding. It works by replacing the missing FVIII, or the FVIII that does not work properly.

Read more

People with hemophilia A need frequent injections of FVIII products into the vein. So called standard half-life (SHL) products need to be given 2 to 4 times a week for the prevention of bleeding. In recent years, new products like Jivi called extended half-life (EHL) products have become available. These products last longer in the body so that they require to be given less often with injections every 3-5 days. Thus, these treatments may be easier and more comfortable to stick to in daily life. There is no general plan concerning the best amount of treatment and the frequency of injections for the prevention of bleeding, since the severity may be different and individual risk factors have to be considered. Doctors often decide on a treatment plan based on their experience.

The main purpose of this study is to learn how well a new scoring approach works to select a treatment plan for the prevention of bleeding in people with hemophilia A who switch their treatment from SHL products to Jivi. Different types of information are used to calculate the risk score like bleeding history, certain biological factors, and physical activity of the participant.

All participants will receive Jivi for 6 months.

In the first four weeks, all participants will receive Jivi 2 times a week at a dose level of 40 IU per kilogram body weight (also known as 40 IU/kg/dose, recommended maximum dose is 6,000 IU). Then, based on their risk score, each participant will be assigned to one of three treatment plans:

  • participants with a high risk remain on Jivi administration 2 times a week at 40 IU/kg/dose
  • participants with a medium risk will switch to Jivi administration every 5 days at 50 IU/kg/dose
  • participants with a low risk will switch to Jivi administration every 5 days at 50 IU/kg/dose and after 4 weeks to a less frequent administration (e.g., every 7 days) at 60 IU/kg/dose To check how well the new scoring approach works for choosing the right treatment plan, researchers will look at how many participants have a favourable outcome.

This means that the participant has either fewer bleeding events vs. the pre-study treatment and takes Jivi less often or as often as the previous SHL treatment but with fewer bleeding events, or that the participant has a comparable number of bleeding events but needs to take Jivi less often than the previous treatment. Each participant will be in the study for approximately 7.5 months. During this time, 4 visits to the study site and 3 phone calls are planned. During the study, the doctors and their study team will: • do physical examinations • take blood samples • ask the participants questions about how they are feeling and what adverse events they are having. In addition, participants or their guardians are required to write down the dates of Jivi treatments and bleeding events in an electronic diary and to fill in different questionnaires on their quality of life, health status, work/ school productivity, pain, and treatment satisfaction. In addition, participants are expected to keep appointments for visits and to adhere to the assigned treatment regimen.

An adverse event is any medical problem that a participant has during a study. Doctors keep track of all adverse events that happen in studies, even if they do not think the adverse events might be related to the study treatments.

Being tested
Damoctocog alfa-pegol is a recombinant B-domain deleted human coagulation FVIII variant site specifically conjugated with a 60 kDa, branched (30 kDa each) polyethylene glycol (PEG).
Medical subject headings
Hemophilia A

What participants receive

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

  • Damoctocog alfa-pegol is a recombinant B-domain deleted human coagulation FVIII variant site specifically conjugated with a 60 kDa, branched (30 kDa each) polyethylene glycol (PEG).Biological

    Also called Jivi, BAY94-9027

    Dosage Levels:

    • 40 IU/kg/dose two times per week
    • 50 IU/kg/dose every 5 days
    • 60 IU/kg/dose, Less frequent dosing (e.g. every 7 days), the total recommended maximum dose/infusion is 6000 IU.
Study groups in NCT05036278
Study groupRoleWhat they receive
Damoctocog alfa-pegol prophylaxis regimensExperimentalProphylaxis regimens: All participants will begin with prophylaxis 2x/week (40 IU/kg/dose (recommended maximum dose 6,000 IU)) Participants with a high risk score (> 4) continue on prophylaxis 2x/week (40 IU/kg/dose). Participants with a medium risk score (2 to 4) will switch after 4 weeks to prophylaxis Q5D (50 IU/kg/dose). Participants with a low risk score (< 2) will switch after 4 weeks to prophylaxis Q5D (50 IU/kg/dose) and then after 4 weeks to a less frequent (e.g. Q7D) regimen (60 IU/kg/dose).
Receives: Biological: Damoctocog alfa-pegol is a recombinant B-domain deleted human coagulation FVIII variant site specifically conjugated with a 60 kDa, branched (30 kDa each) polyethylene glycol (PEG).

What is being measured

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

  1. Overall Number of Participants With Favorable Outcome on the Score-assigned Prophylaxis Regimen

    Overall number of participants with favorable outcomes after prophylaxis regimen assignment by a risk score, based on a participant's baseline phenotypic and biologic variables, when switching from a standard half-life (SHL) product to Jivi.

    Measured: up to 6 months

Secondary outcomes (10)
  1. Annualized Bleeding Rate (ABR) (Total, Joint, Spontaneous)

    To assess the efficacy of Jivi

    Measured: up to 6 months

  2. Change in Total ABR From Pre-study

    To assess the efficacy of Jivi compared to a previous SHL treatment.

    Measured: up to 6 months

  3. Change in the Frequency of Pre-study SHL Teratment to the Frequency of Jivi Administration (Infusions/Month)

    To assess the frequency of Jivi administration.

    Measured: up to 6 months

  4. Occurrence of Participants With 0 and ≤ 1 Spontaneous Bleeds

    To assess the proportion of participants with 0 and ≤ 1 spontaneous bleeds.

    Measured: up to 6 months

  5. Change in Haemophilia Quality of Life Questionnaire (Haem-A-QoL or Haemo-QoL)

    To assess participant quality of life (QoL) and physical activity, as measured by the Patient Reported Outcomes (PROs) Hemophilia A-specific quality of life and Hemophilia-specific quality of life. This includes 41 items covering 6 domains: Physical Functioning, Role Functioning, Worry, Consequences of Bleeding, Emotional Impact, and Treatment Concerns. The Haemo-QoL Short Form contains 35 items covering 9 domains: Physical Health, View of Yourself, Family, Friends, Others, Sports, Dealing, and Treatment. A higher score on the questionnaire represents greater impairment, and a negative change from baseline represents improvement. The percentage score is sum of item scores divided by the possible range. Individual item scores range from 1 to 5.

    Measured: up to 6 months

  6. Patient's Global Impression of Change (PGI-C)

    To assess participant quality of life (QoL) and physical activity, as measured by Patient-Reported Outcomes (PROs).

    Measured: up to 6 months

  7. EuroQoL 5 Dimensions (EQ-5D-5L) Questionnaire

    To assess participant quality of life (QoL) and physical activity, as measured by Patient-Reported Outcomes (PROs). Change to baseline means changes between Visit 2 and Visit 6

    Measured: up to 6 months

  8. Treatment Satisfaction Questionnaire for Medication (TSQM)

    To assess participant quality of life (QoL) and physical activity, as measured by Patient-Reported Outcomes (PROs). Score ranges from 10 (lowest satisfaction) to 100 (greatest satisfaction).

    Measured: up to 6 months

  9. Work Productivity and Activity Impairment (WPAI) Questionnaire Scores

    Work Productivity and Activity Impairment Questionnaire scores for hemophilia effect over the last 7 days on productivity or ability at work, at school, and in regular daily activities. It ranges from 0% to 100%, where higher scores indicate greater work impairment and less productivity.

    To assess participant quality of life (QoL) and physical activity, as measured by Patient Reported Outcomes (PROs). Baseline = Visit 2, Change from Baseline = Visit 6

    Measured: up to 6 months

  10. Number of Target Joints and Change in Target Joint Status From Baseline

    To assess target joint status, per modified International Society on Thrombosis and Haemostasis (ISTH) guidelines

    Measured: up to 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 posted5 Sep 2021
  2. Study start28 Jul 2022
  3. Primary completion12 Sep 2024
  4. Study completion12 Sep 2024

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 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
21 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05036278
Sponsor's protocol ID
21924
Other IDs
2021-006191-16
Acronym
PREDICT
Status last verified
Oct 2025
First submitted
2 Sep 2021
Last updated
12 Nov 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.vivli.org to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the member section of the portal.

Publications

  • Quon DV, Escobar M, Boggio L, Corrales-Medina FF, Jain A, Reding MT, Sidonio RF Jr, Staber JM, Charlet J. A New Risk-Based Scoring Approach to Individualize Prophylaxis in Patients with Hemophilia A: Results from the PREDICT Study. Adv Ther. 2026 Jul;43(7):2913-2929. doi: 10.1007/s12325-026-03560-0. Epub 2026 Mar 26.

    PubMed 41886249

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Damoctocog alfa-pegol is a recombinant B-domain deleted human coagulation FVIII variant site specifically conjugated with a 60 kDa, branched (30 kDa each) polyethylene glycol (PEG). in people with Hemophilia A and Prophylaxis of Bleeding, run by Bayer at 12 sites in United States.

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 10 inclusion and 11 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 12 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in United States. 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.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 12 Nov 2025). 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?

Overall Number of Participants With Favorable Outcome on the Score-assigned Prophylaxis Regimen (time frame: up to 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 NCT05036278, which also lists 1 linked publication.

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 12 Nov 2025.

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