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Hemophilia APROTECT-ALTNCT06684314

A Study to Evaluate Impact of Efanesoctocog Alfa on Long-term Joint Health in Participants With Hemophilia A in Taiwan

An observational study of Hemophilia A, run by Sanofi at 10 sites in Taiwan.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This is a national, multicenter, retrospective/prospective, observational study in Taiwan designed to assess effectiveness, safety, and usage of efanesoctocog alfa prophylaxis treatment in hemophilia A participants. Read more about this study

Who is it for?
Any age
Conditions the study is for
Hemophilia A
What is being tested?
Efanesoctocog alfa
How many people
79 participants
Where
10 sitesTaiwan
Study dates
11 Nov 2024to 28 Aug 2031
Phase
Observational
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 Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Participants from medical centers in Taiwan will be enrolled in the study after the introduction of efanesoctocog alfa for the treatment of hemophilia A. Eligible participants will include all ages, sexes and moderate to severe hemophilia A severities under efanesoctocog alfa prophylaxis treatment and able to undergo joint and/or MRI examinations during routine clinical practice.

Who may be able to join

  • Participants with all ages and diagnosis of moderate-severe hemophilia A without current and/or at least three years of un-detectable inhibitor (<0.6 BU)
  • Participants with moderate to severe hemophilia A as defined by FVIII level ≤ 5%
  • Participants starting efanesoctocog alfa prophylaxis treatment as per standard of care no more than three months prior to the enrollment date
  • Participants aged 6 years and older are able to undergo MRI examinations (sedation given, if necessary, and per investigator discretion)
  • Participants are able to undergo joint examinations
  • Physician's decision to treat the participant with efanesoctocog alfa is made prior to and independently of participation in the study
  • Signed and dated informed consent provided by the participant, or by the participant's legally acceptable representative for participants under the legal age before any study-related activities are undertaken. Assent should be obtained for pediatric participants according to local regulations

Who cannot join

  • Participants with coagulation disorders other than hemophilia A
  • Participants diagnosed with other known bleeding disorder
  • Participants currently receive factor therapy and have signs of decreased response to FVIII therapy
  • Participants with a baseline Radiological Pettersson score (PS) of greater than 6 for each individual ankle
  • Enrollment in another concurrent clinical interventional study, or intake of an Investigational Medicinal Product within 3 months prior to inclusion in this study
  • Pregnant female participants
  • The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial.

Trial locations and contacts

10 sites in 1 country.

10 sites in 1 country

Taiwan10 sites
  • Investigational Site Number : 1580008

    Changhua, 500

  • Investigational Site Number : 1580009

    Kaohsiung City, 80756

  • Investigational Site Number : 1580010

    Kaohsiung City, 833

  • Investigational Site Number : 1580003

    New Taipei City, 235

  • Investigational Site Number : 1580005

    Taichung, 402

  • Investigational Site Number : 1580006

    Taichung, 404

  • Investigational Site Number : 1580007

    Taichung, 407

  • Investigational Site Number : 1580001

    Taipei, 100

  • Investigational Site Number : 1580002

    Taipei, 114

  • Investigational Site Number : 1580004

    Taoyuan City, 333

Other trials in Taiwan

About this study

Official title: PROphylactic Efanesoctocog Alfa Therapy Evaluated for Critical Joint Health in Hemophilia A Treatment: The PROTECT-ALT Study

This is a national, multicenter, retrospective/prospective, observational study in Taiwan designed to assess effectiveness, safety, and usage of efanesoctocog alfa prophylaxis treatment in hemophilia A participants. The data related to efanesoctocog alfa effectiveness, safety and usage will be recorded prospectively during routine visits for up to 5 years following enrollment initiation and the retrospective data will be collected at least 12 months and up to 24 months prior to efanesoctocog alfa initiation. Joint imaging data will be collected in centers performing Joint U/S and/or MRI (≥6 years old). At least 12 months of retrospective data will also be collected from medical records, as available. Prospectively collected data will be recorded at routine clinical visits during a five-year follow-up period. The end of study is defined as the last participant's last visit. No intervention will be administered, and no study related visits are required.

Conditions
Hemophilia A
Being tested
Efanesoctocog alfa
Keywords
Classic Hemophilia, Factor VIII Deficiency, Haemophilia, Hemophilia, Hemarthrosis, Blood Coagulation Disorders, Inherited, Hematologic Diseases, Coagulation Protein Disorders, Hemorrhagic Disorders, Genetic Diseases, Inborn
Medical subject headings
Hemophilia A, Hemarthrosis, Blood Coagulation Disorders, Inherited, Hematologic Diseases, Coagulation Protein Disorders, Hemorrhagic Disorders, Genetic Diseases, Inborn

What participants receive

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

  • Efanesoctocog alfaDrug

    Also called ALTUVIIIO, BIVV001

    This study will not administer any treatment, only observe the treatment as prescribed in real-world clinical practices.

Study groups in NCT06684314
Study groupRoleWhat they receive
Efanesoctocog alfaParticipants observed receiving treatment with efanesoctocog alfa for hemophilia A
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 total scores of the Hemophilia Joint Health Score (HJHS) for all joints

    The HJHS summarizes joint health by providing a clinical score in the domain of body structure and function (i.e., impairment), of the joints most commonly affected by bleeding in hemophilia: (left ankle, right ankle, left elbow, right elbow, left knee, right knee). The HJHS consists of assessments of swelling, duration of swelling, muscle atrophy, crepitus on motion, flexion loss, extension loss, joint pain and strength for elbows, knees and ankles and a global gait score. A higher score indicates worse joint health.

    Measured: At 1, 2, 3, 4 and 5 years

  2. Change from baseline in annualized joint bleeding rate (AjBR) for treated and untreated bleeds

    The AjBR is defined as the number of joint bleeding episodes occurring during the treatment period divided by the duration of the treatment period in days multiplied by 365.25. All types of joint bleeding episodes (spontaneous, traumatic, and type unknown) will be included in determining the annualized number.

    Measured: At 1, 2, 3, 4 and 5 years

  3. Number of target joint development, resolution and/or recurrence

    Measured: At 1, 2 ,3, 4 and 5 years

Secondary outcomes (37)
  1. Annualized bleeding rate (ABR) by type and location for treated and all (treated and untreated) bleeds

    Measured: At 1, 2, 3, 4 and 5 years

  2. ABR for all bleeding episodes, including untreated bleeding episodes

    Measured: At 1, 2, 3, 4 and 5 years

  3. Percentage of participants with zero joint bleeds

    Measured: At 1, 2, 3, 4 and 5 years

  4. Percentage of bleeding episodes treated with a single injection of efanesoctocog alfa

    Measured: At 1, 2, 3, 4 and 5 years

  5. Number of injections and doses of efanesoctocog alfa to treat a bleeding episode

    Measured: At 1, 2, 3, 4 and 5 years

  6. Annualized factor consumption per participant (IU/kg) assessed by prescription during the follow-up period

    Measured: At 1, 2, 3, 4 and 5 years

  7. Annualized injection frequency per participant (assessed by prescription) during the followup period

    Measured: At 1, 2, 3, 4 and 5 years

  8. Treatment adherence (%) as judged by the physician during the follow-up period

    Measured: At 1, 2, 3, 4 and 5 years

  9. Occurrence of a change in treatment regimen at baseline and follow-up

    Measured: 5 years

  10. Change from baseline in Hemophilia Early Arthropathy Detection with Ultrasound (HEAD-US) total/domain scores in all joints

    Measured: Every 6 months for 5 years

  11. Change from baseline in joint status on functional HJHS

    Measured: At 1, 2, 3, 4 and 5 years

  12. Number and percentage of joints with no prior joint damage at baseline, without joint damage on joint ultrasound

    Measured: At 5 years

  13. Changes from baseline in HEAD-US synovitis domain

    Measured: Every 6 months for 5 years

  14. Change from baseline in MRI score

    Measured: At 1, 2, 3, 4 and 5 years

  15. Number and percentage of participants without joint damage on MRI

    Measured: At 1, 2, 3, 4 and 5 years

  16. Number and percentage of joints with no prior joint damage at baseline, without joint damage on MRI

    Measured: At 1, 2, 3, 4 and 5 years

  17. Hemostatic response/physician reported during peri-operative period for surgery (major, minor) with efanesoctocog alfa

    Measured: 5 years

  18. Number of injections and dose per injection required to maintain hemostasis during perioperative period for surgery (major, minor)

    Measured: 5 years

  19. Total efanesoctocog alfa consumption (IU) during perioperative period for surgery (major, minor)

    Measured: 5 years

  20. Number and type of blood component transfusions used during perioperative period for surgery

    Measured: 5 years

  21. Estimated blood loss (mL) during perioperative period for major surgery

    Measured: 5 years

  22. Number of transfusions required for surgery (intraoperative and post-operative period)

    Measured: 5 years

  23. Duration of hospitalization (major, minor)

    Measured: 5 years

  24. Occurrence of adverse events (AEs), serious adverse events (SAEs) and adverse events of special interest (AESI)

    Measured: 5 years

  25. Development of inhibitors (neutralizing antibodies directed against factor FVIII as determined via the Nijmegen modified Bethesda assay)

    Measured: 5 years

  26. Change from baseline in HAL (haemophilia activities list) for adult participants only

    HAL contains 42 items across 7 domains: lying down/ sitting/ kneeling/ standing, functions of the legs, functions of the arms, use of transportation, self-care, household tasks and leisure activities and sports. Items are scored on a 6-point Likert scale ('impossible', 'always', 'usually', 'sometimes', 'almost never', 'never'), with a 'not applicable' option for some items. A summary score as well as component scores (upper extremity, basic lower extremity and complex lower extremity) can be calculated. The scores are converted to a normalized score from 0 to 100, where higher scores represent a better functional status.

    Measured: At 1, 2, 3, 4 and 5 years

  27. Change from baseline in PROMIS pain intensity 3a questionnaire for adult participants only

    The PROMIS Pain Intensity instrument assesses how much a person hurts. The Pain Intensity short forms are universal rather than disease specific. The 1a and the first two items within the PROMIS Scale- Pain Intensity 3a short form assesses pain intensity over the past seven days. The version 2.0 of Pain Intensity 3a instruments are available for adults (ages 18+), and the version v1.0 of Pediatric Pain Intensity 1a self-report (ages 8-17) will be used for this study.

    Measured: At 1, 2, 3, 4 and 5 years

  28. Change from baseline in PROBE full questionnaire for adult participants only

    The PROBE questionnaire assesses participant reported outcomes in people with hemophilia and people without a bleeding disorder. The PROBE questionnaire is comprised of four major sections, including demographic data, general health problems, hemophilia-related health problems and health-related quality of life. It combines generic and disease-specific outcomes in 29 questions.

    Measured: At 1, 2, 3, 4 and 5 years

  29. Change from baseline in Ped-HAL (haemophilia activities list) for adolescent participants only (≥ 12 to <18 years)

    PedHAL contains 53 items across 7 domains: sitting/ kneeling/ standing, functions of the legs, functions of the arms, use of transportation, self-care, household tasks and leisure activities and sports. It consists of a participant version (8-18 years) and parent version (4-17 years). Items are scored on a 6-point Likert scale ('impossible', 'always', 'usually', 'sometimes', 'almost never', 'never'), with a 'not applicable (N/A)' scoring option for all items. A summary score as well as domain scores can be calculated. The scores are converted to a normalized score from 0 to 100, where higher scores represent a better functional status.

    Measured: At 1, 2, 3, 4 and 5 years

  30. Change from baseline in PROMIS pain intensity 1a questionnaire for adolescent participants only (≥ 12 to <18 years)

    The PROMIS Pain Intensity instrument assesses how much a person hurts. The Pain Intensity short forms are universal rather than disease specific. The 1a and the first two items within the PROMIS Scale- Pain Intensity 3a short form assesses pain intensity over the past seven days. The version 2.0 of Pain Intensity 3a instruments are available for adults (ages 18+), and the version v1.0 of Pediatric Pain Intensity 1a self-report (ages 8-17) will be used for this study.

    Measured: At 1, 2, 3, 4 and 5 years

  31. Change from baseline in PROBE full questionnaire for adolescent participants only (≥ 12 to <18 years)

    The PROBE questionnaire assesses participant reported outcomes in people with hemophilia and people without a bleeding disorder. The PROBE questionnaire is comprised of four major sections, including demographic data, general health problems, hemophilia-related health problems and health-related quality of life. It combines generic and disease-specific outcomes in 29 questions.

    Measured: At 1, 2, 3, 4 and 5 years

  32. Change from baseline in Ped-HAL (pediatric haemophilia activities list) for pediatric participants only (12 years and younger)

    PedHAL contains 53 items across 7 domains: sitting/ kneeling/ standing, functions of the legs, functions of the arms, use of transportation, self-care, household tasks and leisure activities and sports. It consists of a participant version (8-18 years) and parent version (4-17 years). Items are scored on a 6-point Likert scale ('impossible', 'always', 'usually', 'sometimes', 'almost never', 'never'), with a 'not applicable (N/A)' scoring option for all items. A summary score as well as domain scores can be calculated. The scores are converted to a normalized score from 0 to 100, where higher scores represent a better functional status.

    Measured: At 1, 2, 3, 4 and 5 years

  33. Number of hospitalizations excluding surgery and admission/discharge diagnoses

    Measured: Change from baseline at 1, 2, 3, 4 and 5 years

  34. Number of hospitalization days

    Measured: Change from baseline at 1, 2, 3, 4 and 5 years

  35. Number of intensive care unit (ICU) stays

    Measured: Change from baseline at 1, 2, 3, 4 and 5 years

  36. Number of emergency room visits

    Measured: Change from baseline at 1, 2, 3, 4 and 5 years

  37. Number of outpatient visits

    Measured: Change from baseline at 1, 2, 3, 4 and 5 years

Timeline

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

  1. First posted12 Nov 2024
  2. Study start11 Nov 2024
  3. Primary completion28 Aug 2031 (estimated)
  4. Study completion28 Aug 2031 (estimated)

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
Other
Enrolment
79 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06684314
Sponsor's protocol ID
OBS18067
Other IDs
U1111-1308-9835
Acronym
PROTECT-ALT
Status last verified
Sep 2026
First submitted
8 Nov 2024
Last updated
25 Sep 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 Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Questions about this trial

What is this clinical trial studying?

An observational study of Hemophilia A, run by Sanofi at 10 sites in Taiwan.

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 7 inclusion and 7 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: under way, not looking for participants, as of the sponsor's last update on 25 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 10 sites in Taiwan. 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?

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?

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 total scores of the Hemophilia Joint Health Score (HJHS) for all joints (time frame: At 1, 2, 3, 4 and 5 years). The study lists 3 primary outcomes in all. 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 25 Sep 2026.

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