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Hemophilia A, SeverePhase 3FREEDOMNCT05817812

A Study Evaluating Physical Activity and Joint Health in Severe Haemophilia A Patients ≥12 Years Treated Once Weekly With Efanesoctocog Alfa

A Phase 3 study testing Efanesoctocog alfa in people with Hemophilia A, Severe, run by Swedish Orphan Biovitrum at 30 sites in 14 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

FREEDOM is a multicentre, open-label, single-arm, phase 3b study in Europe that aims to enrol approximately 90 previously treated severe haemophilia A patients aged ≥12 years, currently on prophylaxis. Read more about this study

Who is it for?
Ages 12 years and older
Conditions the study is for
Hemophilia A, Severe
What is being tested?
Efanesoctocog alfa
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
93 participants
Where
30 sitesin 14 countries
Study dates
31 Jul 2023to 2 Jun 2026
Phase
Phase 3
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 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Previous treatment for haemophilia A with any marketed recombinant and/or plasma-derived FVIII for at least 150 EDs.
  • Having received prophylactic treatment with any marketed recombinant and/or plasma FVIII or emicizumab per local label for at least 12 months preceding enrolment.
  • Having 12 months documented pre-study treatment data regarding prophylactic treatment prescriptions and 6 months data on bleeding episodes prior to baseline visit.
  • Willingness and ability to complete training in the use of the study ePD and to use the ePD in their own smartphone throughout the study.
  • Willingness and ability to use the activity tracker provided by the sponsor to measure physical activity and heart rate.
  • Be able and willing to administer efanesoctocog alfa intravenously at home.

Who cannot join

  • Serious musculoskeletal and/or neurological impairment limiting the mobility and the physical ability to a degree that makes the patient unsuitable for the study as judged by the investigator.
  • Other known coagulation disorder(s) in addition to haemophilia A.
  • History and/or current positive inhibitor test defined as ≥0.6 BU/mL.
  • Treatment with NSAIDs above the maximum dose specified in the prescribing information within 2 weeks prior to screening.
  • Systematic treatment within 12 weeks prior to screening with chemotherapy and/or other immunosuppressive drugs.
  • Treatment with an investigational product within 30 days or 5.5 half-lives prior to screening, whichever is longer.
  • Major surgery within 12 weeks prior to screening or planned major orthopaedic surgery to occur during the study.
  • At baseline visit, patients who have not been compliant in using the activity tracker.

Trial locations and contacts

30 sites in 14 countries.

30 sites in 14 countries

Italy5 sites
  • Investigational Site

    Catanzaro

  • Investigational Site

    Florence

  • Investigational Site

    Naples

  • Investigational Site

    Parma

  • Investigational Site

    Rome

Other trials in Italy

France4 sites
  • Investigational Site

    Bordeaux

  • Investigational Site

    Le Kremlin-Bicêtre

  • Investigational Site

    Marseille

  • Investigational Site

    Strasbourg

Other trials in France

Germany4 sites
  • Investigational Site

    Berlin

  • Investigational Site

    Frankfurt

  • Investigational Site

    Giessen

  • Investigational Site

    Hamburg

Other trials in Germany

Spain3 sites
  • Investigational Site

    Barcelona

  • Investigational Site

    Madrid

  • Investigational Site

    Oviedo

Other trials in Spain

United Kingdom3 sites
  • Investigational Site

    Canterbury

  • Investigational Site

    Newcastle upon Tyne

  • Investigational Site

    Oxford

Other trials in United Kingdom

Czechia2 sites
  • Investigational Site

    Brno

  • Investigational Site

    Prague

Other trials in Czechia

Sweden2 sites
  • Investigational Site

    Lund

  • Investigational Site

    Solna

Other trials in Sweden

Austria1 site
  • Investigational Site

    Vienna

Other trials in Austria

Croatia1 site
  • Investigational Site

    Zagreb

Other trials in Croatia

Greece1 site
  • Investigational Site

    Athens

Other trials in Greece

Ireland1 site
  • Investigational Site

    Dublin

Other trials in Ireland

Netherlands1 site
  • Investigational Site

    Utrecht

Other trials in Netherlands

Norway1 site
  • Investigational Site

    Oslo

Other trials in Norway

Slovenia1 site
  • Investigational Site

    Ljubljana

Other trials in Slovenia

About this study

Official title: A Phase 3b Open-label Study Evaluating Physical Activity and Joint Health in Previously Treated Patients ≥12 Years With Severe Haemophilia A Treated With Recombinant Coagulation Factor VIII Fc-von Willebrand Factor-XTEN Fusion Protein (Efanesoctocog Alfa) for 24 Months

FREEDOM is a multicentre, open-label, single-arm, phase 3b study in Europe that aims to enrol approximately 90 previously treated severe haemophilia A patients aged ≥12 years, currently on prophylaxis. After a run-in period of 30-45 days, patients will receive efanesoctocog alfa prophylaxis, 50 IU/kg once-weekly for 24 months (additional preventive dose not permitted). An activity tracker and an electronic patient diary will be used to collect data on physical activity, bleeds, factor dosing, pain, and injuries from screening throughout the study.

The primary objective is to describe changes in physical activities over 24 months on efanesoctocog alfa prophylaxis, with a primary endpoint of change from baseline in International Physical Activity Questionnaire (IPAQ) at month 24.

Secondary objectives include relationship between physical activity and other variables (bleeds, joint status, pain, injuries, and quality of life); changes in joint status as assessed by HEAD-US, HJHS and MRI; occurrence of bleeds, injuries, pain. Safety and tolerability of efanesoctocog alfa will also be evaluated.

Being tested
Efanesoctocog alfa
Keywords
Blood coagulation disorder, Coagulation protein disorder, Haemophilia, FVIII, Efanesoctocog alfa
Medical subject headings
Hemophilia A, Blood Coagulation Disorders, Coagulation Protein Disorders

What participants receive

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

  • Efanesoctocog alfaDrug

    Also called BIVV001

    Recombinant coagulation factor VIII Fc-von Willebrand Factor-XTEN fusion protein (rFVIIIFc-VWF-XTEN)

Study groups in NCT05817812
Study groupRoleWhat they receive
Efanesoctocog alfaExperimentalAll patients will be treated intravenously once weekly with 50 IU/kg efanesoctocog alfa
Receives: Drug: Efanesoctocog alfa

What is being measured

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

  1. Change from baseline in International Physical Activity Questionnaire (IPAQ) scoring

    The IPAQ is a validated, 7-day recall questionnaire measuring current levels of physical activity. Scoring of the IPAQ results in a continuous variable in the form of total MET-minutes per week. Higher scores means higher physical activity level.

    Measured: Baseline and month 24

Secondary outcomes (42)
  1. Change from baseline in International Physical Activity Questionnaire (IPAQ) scoring

    The IPAQ is a validated, 7-day recall questionnaire measuring current levels of physical activity. Scoring of the IPAQ results in a continuous variable in the form of total MET-minutes per week. Higher scores means higher physical activity level.

    Measured: Baseline and month 12

  2. International Physical Activity Questionnaire (IPAQ) score

    The IPAQ is a validated, 7-day recall questionnaire measuring current levels of physical activity. Scoring of the IPAQ results in a continuous variable in the form of total MET-minutes per week. Higher scores means higher physical activity level.

    Measured: Baseline, month 6, 12, 18 and 24

  3. Change in mean daily minutes in physical activity

    Tracker-recorded

    Measured: Run-in month, month 12 and 24

  4. Mean daily minutes of physical activity

    Tracker-recorded

    Measured: Per 6-month period

  5. Change in type of workouts

    Patient and tracker reported

    Measured: Run-in month, month 12 and 24

  6. Change in frequency of workouts

    Patient and tracker reported

    Measured: Run-in month, month 12 and 24

  7. Change in duration of workouts

    Patient and tracker reported

    Measured: Run-in month, month 12 and 24

  8. Change in patient reported intensity of workouts

    The patient will report workouts in a patient diary and rate the intensity on a 5 level scale. The levels are:

    1 = easy, 2 = moderate, 3 = slightly challenging, 4 = exhausting, 5 = very exhausting.

    The changes will be calculated on a intra-patient basis

    Measured: Run-in month, month 12 and 24

  9. Change in tracker recorded intensity of workouts

    The patient will be provided with an activity tracker that will automatically record workouts when the patient is wearing the tracker. The intensity levels will be based on the heart rate and will be presented on a 4 level scale. The levels are:

    1 = out of range, 2 = fat burn, 3 = cardio, 4 = peak

    Measured: Run-in month, month 12 and 24

  10. Mean value of patient and tracker reported type of workouts

    Type of workout will be transcribed into a risk level of participating in a given activity for a haemophilia patient. Risk levels are based on a rating of 1-3 where level 1 represents a low risk of causing a bleeding episode and level 3 represents a high risk.

    The mean value will be calculated per 6-month period

    Measured: Per 6-month period

  11. Mean value of frequency of workouts

    Patient and tracker reported

    Measured: Per 6-month period

  12. Mean value of duration of workouts

    Patient and tracker reported

    Measured: Per 6-month period

  13. Mean value of patient reported intensity of workouts

    The patient will report workouts in a patient diary and rate the intensity on a 5 level scale. The levels are:

    1 = easy, 2 = moderate, 3 = slightly challenging, 4 = exhausting, 5 = very exhausting.

    The mean value will be calculated per 6-month period

    Measured: Per 6-month period

  14. Mean value of tracker recorded intensity of workouts

    The patient will be provided with an activity tracker that will automatically record workouts when the patient is wearing the tracker. The intensity levels will be based on the heart rate and will be presented on a 4 level scale. The levels are:

    1 = out of range, 2 = fat burn, 3 = cardio, 4 = peak

    The mean value will be calculated per 6-month period

    Measured: Per 6-month period

  15. Change in mean daily number of steps

    Tracker-recorded

    Measured: Run-in month, month 12 and 24

  16. Mean daily number of steps

    Tracker-recorded

    Measured: Per 6-month period

  17. Achieving WHO-recommended levels of MVPA

    Tracker-recorded

    Measured: Run-in month, month 12 and 24

  18. Occurrence of bleeds in relation to workouts

    Measured: Baseline to month 24

  19. Occurrence of pain in relation to workouts

    Measured: Baseline to month 24

  20. Occurrence of injuries in relation to workouts

    Measured: Baseline to month 24

  21. Occurrence of bleeding episodes impacting daily activity

    Measured: Baseline to month 24

  22. Change from baseline in Haemophilia Joint Health Score (HJHS) score

    The six index joints (elbows, knees and ankles) will be examined and scored. The minimum score per joint is 0, the maximum score is 20. In addition, Gait is scored on a scale from 0 to 4 based on the number of skills that are not within the normal limits.

    The total score will be the sum of scores across all six joints plus the gait score (range from 0 to 124, with 0 being normal and 124 being the most severe disease).

    Measured: Baseline, month 6, 12, 18, 24

  23. Change from baseline in Haemophilia Early Arthropathy Detection with Ultrasound (HEAD-US)

    The HEAD-US joint score will be calculated for six joints, the right and left ankle, knee, and elbow joints. The specific joint score is made up of three item scores, disease activity (synovitis), disease damage of articular surfaces, and disease damage of subchondral bone. Specific joint score is the sum of the three item scores for each specific joint. Its values range from 0 (minimum) to 8 (maximum).The total score represents the sum of item scores for abnormalities detected.

    Measured: Baseline, month 12 and 24

  24. Change from baseline in haemophilic arthropathy assessed by the International Prophylaxis Study Group (IPSG) Magnetic Resonance Imaging (MRI) scale

    The IPSG scale is made up of two subscores, one for soft-tissue changes and one for osteochondral changes. MRI joint score is the sum of the soft tissue and osteochondral subscores for each joint, ranging from 0-17 where 0 is absence of damage. MRI total score is the sum of joint scores across all joints.

    Measured: Baseline, month 24

  25. Target joint development (three or more spontaneous bleeds into a single joint within a consecutive 6-month period)

    The number and proportion of patients with target joint development and the total number of target joint developed will be assessed.

    Measured: Month 6, 12, 18, 24

  26. Target joint resolution ( ≤2 bleeds into the joint within a consecutive 12-month period the joint is no longer considered a target joint)

    The number and proportion of patients with target joint resolution and the total number of target joint resolutions will be assessed

    Measured: Month 6, 12, 18, 24

  27. Target joint recurrence (≥3 spontaneous bleeds in a single joint within any consecutive 6-month period after target joint resolution)

    The number and proportion of patients with target joint recurrence and the total number of target joint recurrence will be assessed

    Measured: Month 6, 12, 18, 24

  28. Number of bleeding episodes

    Measured: Per 6-month period and cumulative

  29. Annualized bleeding rate (ABR)

    Measured: Baseline to month 24

  30. Total annualized efanesoctocog alfa consumption

    Measured: Baseline to month 24

  31. Number of injections and dose to treat a bleeding episode

    Measured: Baseline to month 24

  32. Pain reported via electronic patient diary

    The patient will report pain (cause of pain, location and intensity. The intensity will reported as mild, moderately low, moderately high, severe and worst possible.

    Measured: Baseline to month 24

  33. Pain intensity reported in the Patient-Reported Outcomes Measurement Information System (PROMIS) Scale - Pain Intensity 3a

    The PROMIS Pain Intensity instrument assesses pain intensity on a 5-point Likert scale, ranging from 1 (had no pain) to 5 (very severe)

    Measured: Baseline, month 6, 12, 18, 24

  34. Pain interference reported in the Patient-Reported Outcomes Measurement Information System (PROMIS) scale - Pain interference 6a

    The PROMIS Pain Interference 6a is a patient-assessed instrument and is to measure pain interference on a 5-point Likert scale, ranging from 1 (not at all) to 5 (very much)

    Measured: Baseline, month 6, 12, 18, 24

  35. Quality of life assessed by EuroQoL 5-dimension 5-level (EQ-5D-5L)

    EQ-5D-5L assess 5 dimensions of health outcome (mobility, self-care, usual activities, pain/discomfort, anxiety/depression). Each of the dimensions in the EQ-5D-5L questionnaire is divided into 5 levels:

    • Level 1: indicating no problem
    • Level 2: indicating slight problems
    • Level 3: indicating moderate problems
    • Level 4: indicating severe problems
    • Level 5: indicating unable to/extreme problems Patients will select a level for each dimension that best describes their health status for that dimension. A 5 digit code will be obtained, made up of the response for each dimension. This code will then be converted to an index score.The EQ-5D-5L VAS is an overall assessment of health on a scale from 1-100 that the patient provides at the end of the EQ-5D-5L questionnaire. 100 represents the best health you can imagine and 0 represents the worst health you can imagine.

    Measured: Baseline, month 6, 12, 18, 24

  36. Assessment of treatment preference

    This will be assessed with the Treatment Preference Survey that consists of 2 questions on perceived impact of treatment.

    Measured: 24 months

  37. The occurrence of adverse events and serious adverse events

    Measured: From screening to month 24

  38. The occurrence of clinically significant changes

    Assessed by physical examination, vital signs and laboratory tests

    Measured: Baseline, month 6, 12, 18, 24

  39. Development of inhibitors (neutralizing antibodies directed against FVIII)

    Determined via the Nijmegen modified Bethesda assay

    Measured: Baseline, month 6, 12, 18, 24

  40. The occurrence of thrombotic and embolic events

    Measured: From screening to month 24

  41. Number of non-study medical care encounters

    The number and proportion of patients having non-study medical care encounter visits will be described, as well as the corresponding total number of visits.

    Measured: From baseline to month 24

  42. Duration of non-study medical care encounters

    The duration of non-study medical care encounter visits will be described.

    Measured: From baseline to month 24

Timeline

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

  1. First posted18 Apr 2023
  2. Study start31 Jul 2023
  3. Primary completion2 Jun 2026
  4. Study completion2 Jun 2026

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 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
93 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05817812
Sponsor's protocol ID
Sobi.BIVV001-001
Acronym
FREEDOM
Status last verified
Jul 2026
First submitted
21 Mar 2023
Last updated
2 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sobi's data sharing criteria and process for requesting access can be found at: https://www.sobi.com/en/policies

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Efanesoctocog alfa in people with Hemophilia A, Severe, run by Swedish Orphan Biovitrum at 30 sites in 14 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 8 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 2 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 30 sites in Italy, France, Germany, Spain, United Kingdom and 9 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.

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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Change from baseline in International Physical Activity Questionnaire (IPAQ) scoring (time frame: Baseline and month 24). 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 2 Jul 2026.

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