Von Willebrand Disease (VWD)Phase 3NCT05582993
A Study of Vonicog Alfa (rVWF) in Children With Severe Von Willebrand Disease (vWD)
A Phase 3 study testing Vonicog Alfa and ADVATE in people with Von Willebrand Disease (VWD), run by Takeda at 23 sites in 6 countries.
Trial summary
The main aim of the study is to evaluate the effectiveness of prophylaxis with vonicog alfa (recombinant von Willebrand factor [rVWF]) in children. This study will enroll those participants who have been previously treated with VWF product or with a plasma-derived VWF (pdVWF) product. Read more about this study
- Who is it for?
- Ages Up to 17 years
- Conditions the study is for
- Von Willebrand Disease (VWD)
- What is being tested?
- Vonicog Alfa and ADVATE
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 24 participants
- Where
- 23 sitesin 6 countries
- Study dates
- 6 Nov 2024to 11 Apr 2030
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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 Up to 17 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
None listed.
Who cannot join
- The participant has been diagnosed with pseudo VWD or another hereditary or acquired coagulation disorder other than VWD (example, qualitative and quantitative platelet disorders or elevated prothrombin time/international normalized ratio 1.4).
- The participant has a history or presence of a VWF inhibitor at screening.
- The participant has a history or presence of an factor VIII (FVIII) inhibitor with a titer >=0.6 Bethesda units per milliliter (/mL).
- The participant has a known hypersensitivity to any of the components of the study drugs, such as mouse or hamster proteins.
- The participant has a medical history of immunological disorders, excluding seasonal allergic rhinitis/conjunctivitis, mild asthma, food allergies, or animal allergies.
- The participant has a medical history of a thromboembolic event.
Show all 19Show fewer
- The participant is human immunodeficiency virus (HIV)-positive with an absolute helper T cell (CD4) count <200 per cubic millimeter or microliter (/mm^3).
- The participant has been diagnosed with significant liver disease per the investigator's medical assessment of the participant's current condition or medical history or as evidenced by, but not limited to, any of the following: serum alanine aminotransferase (ALT) greater than 5 times the upper limit of normal (ULN), hypoalbuminemia, portal vein hypertension (example, presence of otherwise unexplained splenomegaly, history of esophageal varices), or liver cirrhosis classified as Child-Pugh class B or C.
- The participant has been diagnosed with renal disease, with a serum creatinine level >=2.5 milligram per deciliter (mg/dL).
- The participant has a platelet count <100,000/mL at screening (because participants with type 2B VWD are considered eligible for this study, for participants with type 2B VWD, platelet count[s] at screening will be evaluated in consultation with the sponsor, taking into consideration historical trends in platelet counts and the investigator's medical assessment of the participants condition).
- The participant has been treated with an immunomodulatory drug, excluding topical treatment (example, ointments, nasal sprays), within 30 days prior to signing the informed consent (or assent, if appropriate).
- The participant is pregnant or lactating at the time of enrollment.
- The participant has cervical or uterine conditions causing menorrhagia or metrorrhagia (including infection, dysplasia).
- The participant has participated in another clinical study involving another IP or investigational device within 30 days prior to enrollment or is scheduled to participate in another clinical study involving an IP or investigational device during the course of this study.
- The participant has not received OD or prophylactic treatment with a VWF product prior to this study.
- The participant has a progressive fatal disease and/or life expectancy of less than 15 months.
- The participant is unable to complete screening procedures and/or comply with the requirements of the protocol in the opinion of the investigator, based on the joint prescreening evaluation held between the investigator and the sponsor.
- The participant has a mental condition rendering him/her unable to understand the nature, scope, and possible consequences of the study and/or evidence of an uncooperative attitude.
- The participant is member of the study team or in a dependent relationship with one of the study team members, which includes close relatives (that is, children, partner/spouse, siblings, and parents) as well as employees.
Trial locations and contacts
23 sites in 6 countries. Contact the study team or a site near you to ask about taking part.
23 sites in 6 countries
United States12 sites, 12 recruiting
- Recruiting
University of Alabama at Birmingham
Birmingham, Alabama, 35223
Site Contact, 205-638-9285, cbstolz@uabmc.edu
Christina Bemrich-Stolz
- Recruiting
Medical University of South Carolina (MUSC)
Charleston, South Carolina, 29425
Site Contact, 843-792-2957, bergmans@musc.edu
Shayla Bergmann
- Recruiting
Childrens Hospital of Michigan
Detroit, Michigan, 48201
Site Contact, 313-745-5515, Rajpu1ma@cmich.edu
Madhvi Rajpurkar
- Not yet recruiting
Michigan State University Center for Bleeding Disorders & Clotting Disorders
East Lansing, Michigan, 48824
Site Contact, 517-353-9385, soodaari@msu.edu
David Cervi
- Recruiting
Riley Hospital for Children Indiana University Health
Indianapolis, Indiana, 46202
Site Contact, 317-944-2143, kmfitzpa@iu.edu
Kerry Hege
- Recruiting
University of Iowa Hospitals & Clinics PARENT
Iowa City, Iowa, 52242
Site Contact, (319) 335-6688, Janice-staber@uiowa.edu
Janice Staber
- Recruiting
Cure 4 the Kids
Las Vegas, Nevada, 89135
Site Contact, 702-732-1493, afoord@cure4thekids.org
Aimee Foord
- Recruiting
Children's Health Care d/b/a Children's Minnesota
Minneapolis, Minnesota, 55404
Site Contact, 612-813-5940, Susan.kuldanek@childrensmn.org
Susan Kuldanek
- Recruiting
Rutgers - Robert Wood Johnson Medical School
New Brunswick, New Jersey, 08901
Site Contact, 732-235-8864, murphysu@cinj.rutgers.edu
Susan Murphy
- Recruiting
New York - Presbyterian/Weill Cornell Medical Center
New York, New York, 10021
Site Contact, (212) 746-3978, cam9061@med.cornell.edu
McGuinn Catherine
- Not yet recruiting
Arnold Palmer Childrens Hosptial
Orlando, Florida, 32806
Site Contact, +1 (321) 841-2748, amina.rafique@orlandohealth.com
Amina Rafique
- Recruiting
Bleeding and Clotting Disorders Institute
Peoria, Illinois, 61614
Site Contact, 309-692-5337, jroberts@ilbcdi.org
Jonathan Roberts
Japan4 sites, 4 recruiting
- Recruiting
NHO Beppu Medical Center
Beppu, Oita Prefecture, 874-0011
Site Contact, +81(977)67-1111, koga.hiroshi.ab@mail.hosp.go.jp
Hiroshi Koga
- Recruiting
Nara Medical University Hospital
Kashihara, Nara, 634-8522
Site Contact, 81-744-22-3051, roc-noga@naramed-u.ac.jp
Keiji Nogami
- Recruiting
Nagasaki University Hospital
Nagasaki, 852-8501
Site Contact, +81958197200, funakoshi@nagasaki-u.ac.jp
Yasutomo Funakoshi
- Recruiting
Japanese Red Cross Narita Hospital
Narita, Chiba, 286-8523
Site Contact, +81-476-22-2311, nogunari@naritasekijyuji.jp
Yasushi Noguchi
France2 sites, 2 recruiting
- Recruiting
Hemostase Clinique - Institut Cœur-Poumons (4eme étage aile est) Bureau 419
Lille, 59037
Site Contact, +33 3 20 44 48 45, sophie.susen@chu-lille.fr
Sophie Susen
- Recruiting
Hopital Edouard Herriot - CHU Lyon
Lyon, 69677
Site Contact, 04 72 11 88 10, sandrine.meunier@chu-lyon.fr
Sandrine Meunier
Italy2 sites
- Completed
Azienda Ospedaliera Pediatrica Santobono Pausillipon
Naples, 80123
- Completed
Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino
Turin (Torino), 10126
United Kingdom2 sites, 2 recruiting
- Recruiting
Haemophilia Comprehensive Care Centre, Great Ormond Street Hospital for Children NHS Foundation Trust
London, WC1N 3HR
Site Contact, Mary.mathias@gosh.nhs.uk
Mary Mathias
- Recruiting
Oxford University Hospitals NHS Foundation Trust
Oxford, OX3 9DU
Site Contact, +44 1865 226-652, Saket.Badle@ouh.nhs.uk
Saket Badle
Ireland1 site, 1 recruiting
- Recruiting
Children's Health Ireland
Dublin, D12N512
Site Contact, (353) 01 409 6913, beatrice.nolan@childrenshealthireland.ie
Beatrice Nolan
About this study
Official title: A Phase 3, Prospective, Open-label, Uncontrolled, Multicenter Study on Efficacy and Safety of Prophylaxis With Vonicog Alfa (rVWF) in Children Diagnosed With Severe Von Willebrand Disease
The main aim of the study is to evaluate the effectiveness of prophylaxis with vonicog alfa (recombinant von Willebrand factor [rVWF]) in children. This study will enroll those participants who have been previously treated with VWF product or with a plasma-derived VWF (pdVWF) product. In this study, participants will be treated with vonicog alfa (rVWF) for 12 months.
During the study, participants will visit the study clinic 5 times after treatment initiation.
- Conditions
- Von Willebrand Disease (VWD)
- Being tested
- Vonicog Alfa, ADVATE
- 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.
Vonicog AlfaBiological
Also called TAK-577, Recombinant von Willebrand Factor (rVWF), Vonvendi-Veyvondi
Vonicog Alfa administered by intravenous injection.
ADVATEBiological
Also called Recombinant Factor VIII (rFVIII), Octocog Alfa
ADVATE administered by intravenous injection.
| Study group | Role | What they receive |
|---|---|---|
| Cohort 1: Participants With Age >=12 to <18 years | Experimental | Participants with age greater than or equal to (>=) 12 to less than (<) 18 years who have received on-demand (OD) therapy or prophylactic treatment with a pdVWF product will receive vonicog alfa (rVWF) with an initial dose selected within the range of 40 to 60 international units per kilogram (IU/kg) vonicog alfa (rVWF), intravenous infusions, twice-weekly for 12 months. Participants may receive vonicog alfa (rVWF) with or without ADVATE intravenous infusions, when indicated (as deemed necessary for breakthrough bleeding episode treatment and perioperative bleeding management). Receives: Biological: Vonicog Alfa; Biological: ADVATE |
| Cohort 2: Participants With Age >=6 to <12 years | Experimental | Participants with age >=6 to <12 years who have received OD therapy of VWF product or prophylactic treatment with a pdVWF product will receive vonicog alfa (rVWF) with an initial dose selected within the range of 40 to 60 IU/kg vonicog alfa (rVWF), intravenous infusions, twice-weekly for 12 months. Participants may receive vonicog alfa (rVWF) with or without ADVATE intravenous infusions, when indicated (as deemed necessary for breakthrough bleeding episode treatment and perioperative bleeding management). Receives: Biological: Vonicog Alfa; Biological: ADVATE |
| Cohort 3: Participants With Age <6 years | Experimental | Participants with age <6 years who have received OD therapy of VWF product or prophylactic treatment with a pdVWF product will receive vonicog alfa (rVWF) with an initial dose selected within the range of 40 to 60 IU/kg vonicog alfa (rVWF), intravenous infusions, twice-weekly for 12 months. Participants may receive vonicog alfa (rVWF) with or without ADVATE intravenous infusions, when indicated (as deemed necessary for breakthrough bleeding episode treatment and perioperative bleeding management). Receives: Biological: Vonicog Alfa; Biological: ADVATE |
What is being measured
The primary outcome is the main question the study is designed to answer.
Annualized Bleeding Rate (ABR) for Spontaneous or Traumatic Bleeding Episodes as Assessed by Investigator During Prophylactic Treatment With Vonicog Alfa (rVWF)
ABR during the study compared to historical ABR for each participant for both spontaneous and traumatic bleeding episodes as classified by the investigator during prophylactic treatment with vonicog alfa (rVWF) will be reported.
Measured: 12 months
Secondary outcomes (38)
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Number of participants with TEAEs and SAEs will be reported.
Measured: 12 months
Number of Participants With TEAEs by Severity
Number of participants with severity of TEAE will be reported.
Measured: 12 months
Number of Participants With TEAEs and SAEs by Causality
Number of participants with causality related TEAEs and SAEs will be reported.
Measured: 12 months
Number of Participants With Thromboembolic Events, Hypersensitivity Reactions and Infusion-Related Reactions (IRR)
Number of participants with thromboembolic events, hypersensitivity reactions and IRR will be reported.
Measured: 12 months
Number of Participants Who Develop Neutralizing Antibodies to VWF and Factor VIII (FVIII)
Number of participants who develop neutralizing antibodies to VWF and FVIII will be reported.
Measured: 12 months
Number of Participants Who Develop Binding Antibodies to VWF and FVIII
Number of participants who develop total binding antibodies to VWF and FVIII will be reported.
Measured: 12 months
Number of Participants With Clinically Significant Change From Baseline Values in Vital Sign Parameters
Number of participants with clinically significant change from baseline values in vital sign parameters per investigator assessment will be reported.
Measured: 12 months
Number of Participants With Clinically Significant Change From Baseline Values in Laboratory Parameters
Number of participants with clinically significant change from baseline values in laboratory parameters per investigator assessment will be reported.
Measured: 12 months
Number of Participants With Categorized ABR
ABR categorized as 0, 0-2, 2-5, or >5 bleeding episodes during vonicog alfa (rVWF) prophylaxis. Number of participants with categorized ABR will be reported.
Measured: 12 months
Number of Participants Previously Receiving On-demand Treatment who will Achieve ABR Percent Reduction Success
ABR percent reduction success is defined as at least 25% reduction of ABR during vonicog alfa (rVWF) prophylaxis relative to the participant's own historical ABR during OD treatment prior to enrollment in this study. Number of participants previously receiving on-demand treatment who will achieve ABR percent reduction success will be reported.
Measured: 12 months
Number of pdVWF Switch Participants With Spontaneous ABR Preservation Success
ABR preservation success is defined as achieving an ABR for spontaneous bleeding episodes during vonicog alfa (rVWF) prophylaxis that is no greater than the participant's own historical ABR during prophylactic treatment with pdVWF prior to enrollment in this study. Number of pdVWF switch participants with spontaneous ABR preservation success will be reported.
Measured: 12 months
Number of Spontaneous ABR Historically and While on Prophylactic Treatment With Vonicog Alfa (rVWF) by Location of Bleeding
Number of spontaneous ABR historically and while on prophylactic treatment with vonicog alfa (rVWF) by location of bleeding will be reported.
Measured: 12 months
ABR for Bleeding Episodes by Bleeding Cause Historically and While on Prophylactic Treatment With Vonicog Alfa (rVWF)
ABR for bleeding episodes by bleeding cause historically and while on prophylactic treatment with vonicog alfa (rVWF) will be reported.
Measured: 12 months
Total Number of Infusions Administered Per Week During Prophylactic Treatment With Vonicog Alfa (rVWF)
Total number of infusions administered per week during prophylactic treatment with vonicog alfa (rVWF) will be reported.
Measured: 12 months
Average Number of Infusions Per Week During Prophylactic Treatment With Vonicog Alfa (rVWF)
Average number of infusions per week during prophylactic treatment with vonicog alfa (rVWF) will be reported.
Measured: 12 months
Total Weight Adjusted Consumption of Vonicog Alfa (rVWF) Per Month During Prophylactic Treatment
Total weight adjusted consumption of vonicog alfa (rVWF) per month during prophylactic treatment will be reported.
Measured: 12 months
Overall Hemostatic Efficacy Rating of Breakthrough Bleed Treatment at Resolution of the Bleeding Episode
Overall hemostatic efficacy rating of breakthrough bleed treatment at resolution of the bleeding episode will be reported.
Measured: 12 months
Number of Infusions of rVWF and ADVATE (rFVIII, octocog alfa) per Bleeding Episode
Number of infusions of vonicog alfa (rVWF) and ADVATE per bleeding episode will be reported.
Measured: 12 months
Weight-adjusted Consumption of Vonicog Alfa (rVWF) and ADVATE per Bleeding Episode
Weight-adjusted consumption of vonicog alfa (rVWF) and ADVATE per bleeding episode will be reported.
Measured: 12 months
Plasma Level of Vonicog Alfa (rVWF) based on Von Willebrand Factor: Ristocetin Cofactor (VWF:Rco)
Plasma level of vonicog alfa (rVWF) based on VWF:Rco will be reported.
Measured: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Plasma Level of Vonicog Alfa (rVWF) based on Von Willebrand Factor Antigen (VWF:Ag)
Plasma level of vonicog alfa (rVWF) based on VWF:Ag will be reported.
Measured: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Plasma Level of Vonicog alfa (rVWF) based on Von Willebrand Factor Collagen Binding (VWF:CB)
Plasma level of vonicog alfa (rVWF) based on VWF:CB will be reported.
Measured: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Plasma Level of Vonicog alfa (rVWF) based on Von Willebrand Factor Glycoprotein 1b Binding (VWF:GP1bM)
Plasma level of vonicog alfa (rVWF) based on VWF:GP1bM will be reported.
Measured: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Plasma Level of Factor VIII Clotting (FVIII:C)
Plasma level of FVIII:C will be reported.
Measured: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Incremental Recovery Based on VWF:Rco
Incremental recovery based on VWF:Rco will be reported.
Measured: 12 months
Incremental Recovery Based on VWF:Ag
Incremental recovery based on VWF:Ag will be reported.
Measured: 12 months
Incremental Recovery Based on VWF:CB
Incremental recovery based on VWF:CB will be reported.
Measured: 12 months
Incremental Recovery Based on VWF:GP1bM
Incremental recovery based on VWF:GP1bM will be reported.
Measured: 12 months
Ratio of Area Under the Plasma Level Versus Time Curve From Time 0 to End of the Partial Dosing Interval (AUC0- Tau;ss) and Area Under the Level Versus Time Curve From 0 to 96 Hours (AUC0-96; ss) for VWF:Rco
Ratio of AUC0- Tau;ss/AUC0-96; ss for VWF:Rco will be reported.
Measured: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Terminal Half-life (T1/2) for VWF:Rco
TT1/2 based on VWF:Rco will be reported.
Measured: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Maximum Plasma Level During the Partial Dosing Interval at Steady State (Cmax;ss) for VWF:Rco
Cmax;ss for VWF:Rco will be reported.
Measured: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Minimum Time to Reach the Maximum Plasma Level at Steady State (Tmax;ss) for VWF:Rco
Tmax;ss for VWF:Rco will be reported.
Measured: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Volume of Distribution at Steady State (Vss) for VWF:Rco
Vss for VWF:Rco will be reported.
Measured: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Clearance (CL) for VWF:Rco
CL for VWF:Rco will be reported.
Measured: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Maximum Plasma Level During the Partial Dosing Interval at Steady State (Cmax;ss) for FVIII:C
Cmax;ss for FVIII:C will be reported.
Measured: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Minimum Time to Reach the Maximum Plasma Level at Steady State (Tmax;ss) for FVIII:C
Tmax;ss for FVIII:C will be reported.
Measured: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Ratio of Area Under the Plasma Level Versus Time Curve From Time 0 to End of the Partial Dosing Interval (AUC0- Tau;ss) and Area Under the Level Versus Time Curve From 0 to 96 Hours (AUC0-96; ss) for FVIII:C
Ratio of AUC0- Tau;ss and AUC0-96; ss for FVIII:C will be reported.
Measured: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Area Under the Level Versus Time Curve From 0 to 96 Hours (AUC0-96; ss) for FVIII:C
AUC0-96; ss for FVIII:C will be reported.
Measured: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Oct 2022
- Study start6 Nov 2024
- Primary completion11 Apr 2030 (estimated)
- Study completion11 Apr 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Von Willebrand Disease (VWD)Studies of the same condition, open and under way.
- More trials run by TakedaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 24 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Takeda
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Study Director, Study director, Takeda
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05582993
- Sponsor's protocol ID
- TAK-577-3001
- Other IDs
- 2023-509877-22-00, 2023
- Status last verified
- Sep 2026
- First submitted
- 14 Oct 2022
- Last updated
- 9 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
Study at a glance
From the registry record, last updated by the sponsor on 9 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Prospective, Open-label, Uncontrolled, Multicenter Study on Efficacy and Safety of Prophylaxis With Vonicog Alfa (rVWF) in Children Diagnosed With Severe Von Willebrand Disease
- ClinicalTrials.gov ID
- NCT05582993
- Acronym / sponsor ID
- TAK-577-3001
- Conditions
- Von Willebrand Disease (VWD)
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 24 participants (estimated)
- Lead sponsor
- TakedaIndustry (pharma, biotech, devices)
- Study start
- 6 Nov 2024 (actual)
- Primary completion
- 11 Apr 2030 (estimated)
- Study completion
- 11 Apr 2030 (estimated)
- First posted
- 17 Oct 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main aim of the study is to evaluate the effectiveness of prophylaxis with vonicog alfa (recombinant von Willebrand factor [rVWF]) in children. This study will enroll those participants who have been previously treated with VWF product or with a plasma-derived VWF (pdVWF) product. In this study, participants will be treated with vonicog alfa (rVWF) for 12 months.
During the study, participants will visit the study clinic 5 times after treatment initiation.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Cohort 1: Participants With Age >=12 to <18 years | Experimental | Biological: Vonicog Alfa, Biological: ADVATEParticipants with age greater than or equal to (>=) 12 to less than (<) 18 years who have received on-demand (OD) therapy or prophylactic treatment with a pdVWF product will receive vonicog alfa (rVWF) with an initial dose selected within the range of 40 to 60 international units per kilogram (IU/kg) vonicog alfa (rVWF), intravenous infusions, twice-weekly for 12 months. Participants may receive vonicog alfa (rVWF) with or without ADVATE intravenous infusions, when indicated (as deemed necessary for breakthrough bleeding episode treatment and perioperative bleeding management). |
| Cohort 2: Participants With Age >=6 to <12 years | Experimental | Biological: Vonicog Alfa, Biological: ADVATEParticipants with age >=6 to <12 years who have received OD therapy of VWF product or prophylactic treatment with a pdVWF product will receive vonicog alfa (rVWF) with an initial dose selected within the range of 40 to 60 IU/kg vonicog alfa (rVWF), intravenous infusions, twice-weekly for 12 months. Participants may receive vonicog alfa (rVWF) with or without ADVATE intravenous infusions, when indicated (as deemed necessary for breakthrough bleeding episode treatment and perioperative bleeding management). |
| Cohort 3: Participants With Age <6 years | Experimental | Biological: Vonicog Alfa, Biological: ADVATEParticipants with age <6 years who have received OD therapy of VWF product or prophylactic treatment with a pdVWF product will receive vonicog alfa (rVWF) with an initial dose selected within the range of 40 to 60 IU/kg vonicog alfa (rVWF), intravenous infusions, twice-weekly for 12 months. Participants may receive vonicog alfa (rVWF) with or without ADVATE intravenous infusions, when indicated (as deemed necessary for breakthrough bleeding episode treatment and perioperative bleeding management). |
Who may qualify
- Ages
- Up to 17 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (0 listed)
Key exclusion criteria (19 listed)
- The participant has been diagnosed with pseudo VWD or another hereditary or acquired coagulation disorder other than VWD (example, qualitative and quantitative platelet disorders or elevated prothrombin time/international normalized ratio 1.4).
- The participant has a history or presence of a VWF inhibitor at screening.
- The participant has a history or presence of an factor VIII (FVIII) inhibitor with a titer >=0.6 Bethesda units per milliliter (/mL).
- The participant has a known hypersensitivity to any of the components of the study drugs, such as mouse or hamster proteins.
- The participant has a medical history of immunological disorders, excluding seasonal allergic rhinitis/conjunctivitis, mild asthma, food allergies, or animal allergies.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Vonicog AlfaAlso: TAK-577, Recombinant von Willebrand Factor (rVWF), Vonvendi-VeyvondiVonicog Alfa administered by intravenous injection. | Biological | Cohort 1: Participants With Age >=12 to <18 years, Cohort 2: Participants With Age >=6 to <12 years, Cohort 3: Participants With Age <6 years |
| ADVATEAlso: Recombinant Factor VIII (rFVIII), Octocog AlfaADVATE administered by intravenous injection. | Biological | Cohort 1: Participants With Age >=12 to <18 years, Cohort 2: Participants With Age >=6 to <12 years, Cohort 3: Participants With Age <6 years |
Primary outcome
Annualized Bleeding Rate (ABR) for Spontaneous or Traumatic Bleeding Episodes as Assessed by Investigator During Prophylactic Treatment With Vonicog Alfa (rVWF)
Time frame: 12 months
ABR during the study compared to historical ABR for each participant for both spontaneous and traumatic bleeding episodes as classified by the investigator during prophylactic treatment with vonicog alfa (rVWF) will be reported.
38 secondary outcomes
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Time frame: 12 months
Number of Participants With TEAEs by Severity
Time frame: 12 months
Number of Participants With TEAEs and SAEs by Causality
Time frame: 12 months
Number of Participants With Thromboembolic Events, Hypersensitivity Reactions and Infusion-Related Reactions (IRR)
Time frame: 12 months
Number of Participants Who Develop Neutralizing Antibodies to VWF and Factor VIII (FVIII)
Time frame: 12 months
Number of Participants Who Develop Binding Antibodies to VWF and FVIII
Time frame: 12 months
Number of Participants With Clinically Significant Change From Baseline Values in Vital Sign Parameters
Time frame: 12 months
Number of Participants With Clinically Significant Change From Baseline Values in Laboratory Parameters
Time frame: 12 months
Number of Participants With Categorized ABR
Time frame: 12 months
Number of Participants Previously Receiving On-demand Treatment who will Achieve ABR Percent Reduction Success
Time frame: 12 months
Number of pdVWF Switch Participants With Spontaneous ABR Preservation Success
Time frame: 12 months
Number of Spontaneous ABR Historically and While on Prophylactic Treatment With Vonicog Alfa (rVWF) by Location of Bleeding
Time frame: 12 months
ABR for Bleeding Episodes by Bleeding Cause Historically and While on Prophylactic Treatment With Vonicog Alfa (rVWF)
Time frame: 12 months
Total Number of Infusions Administered Per Week During Prophylactic Treatment With Vonicog Alfa (rVWF)
Time frame: 12 months
Average Number of Infusions Per Week During Prophylactic Treatment With Vonicog Alfa (rVWF)
Time frame: 12 months
Total Weight Adjusted Consumption of Vonicog Alfa (rVWF) Per Month During Prophylactic Treatment
Time frame: 12 months
Overall Hemostatic Efficacy Rating of Breakthrough Bleed Treatment at Resolution of the Bleeding Episode
Time frame: 12 months
Number of Infusions of rVWF and ADVATE (rFVIII, octocog alfa) per Bleeding Episode
Time frame: 12 months
Weight-adjusted Consumption of Vonicog Alfa (rVWF) and ADVATE per Bleeding Episode
Time frame: 12 months
Plasma Level of Vonicog Alfa (rVWF) based on Von Willebrand Factor: Ristocetin Cofactor (VWF:Rco)
Time frame: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Plasma Level of Vonicog Alfa (rVWF) based on Von Willebrand Factor Antigen (VWF:Ag)
Time frame: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Plasma Level of Vonicog alfa (rVWF) based on Von Willebrand Factor Collagen Binding (VWF:CB)
Time frame: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Plasma Level of Vonicog alfa (rVWF) based on Von Willebrand Factor Glycoprotein 1b Binding (VWF:GP1bM)
Time frame: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Plasma Level of Factor VIII Clotting (FVIII:C)
Time frame: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Incremental Recovery Based on VWF:Rco
Time frame: 12 months
Incremental Recovery Based on VWF:Ag
Time frame: 12 months
Incremental Recovery Based on VWF:CB
Time frame: 12 months
Incremental Recovery Based on VWF:GP1bM
Time frame: 12 months
Ratio of Area Under the Plasma Level Versus Time Curve From Time 0 to End of the Partial Dosing Interval (AUC0- Tau;ss) and Area Under the Level Versus Time Curve From 0 to 96 Hours (AUC0-96; ss) for VWF:Rco
Time frame: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Terminal Half-life (T1/2) for VWF:Rco
Time frame: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Maximum Plasma Level During the Partial Dosing Interval at Steady State (Cmax;ss) for VWF:Rco
Time frame: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Minimum Time to Reach the Maximum Plasma Level at Steady State (Tmax;ss) for VWF:Rco
Time frame: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Volume of Distribution at Steady State (Vss) for VWF:Rco
Time frame: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Clearance (CL) for VWF:Rco
Time frame: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Maximum Plasma Level During the Partial Dosing Interval at Steady State (Cmax;ss) for FVIII:C
Time frame: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Minimum Time to Reach the Maximum Plasma Level at Steady State (Tmax;ss) for FVIII:C
Time frame: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Ratio of Area Under the Plasma Level Versus Time Curve From Time 0 to End of the Partial Dosing Interval (AUC0- Tau;ss) and Area Under the Level Versus Time Curve From 0 to 96 Hours (AUC0-96; ss) for FVIII:C
Time frame: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Area Under the Level Versus Time Curve From 0 to 96 Hours (AUC0-96; ss) for FVIII:C
Time frame: Within 30 minutes pre-infusion and at multiple timepoints (up to 96 hours) post-infusion
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Sep 2026.
- To obtain more information on the study, click here/on this linkLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Study Director study director
Takeda
23 sites in 6 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Vonicog Alfa and ADVATE in people with Von Willebrand Disease (VWD), run by Takeda at 23 sites in 6 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 0 inclusion and 19 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: looking for participants now, as of the sponsor's last update on 9 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 23 sites in United States, Japan, France, Italy, United Kingdom and 1 more country. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Takeda Contact (+1-877-825-3327, medinfoUS@takeda.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Annualized Bleeding Rate (ABR) for Spontaneous or Traumatic Bleeding Episodes as Assessed by Investigator During Prophylactic Treatment With Vonicog Alfa (rVWF) (time frame: 12 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 9 Sep 2026; AzTrials last refreshed its copy on 26 Oct 2026.