Personalized dosing for hemophilia a: one step closer?
NCT ID NCT05036278
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a new scoring method to help doctors choose the best dosing schedule of Jivi (a longer-lasting clotting factor) for people with hemophilia A. 21 participants switched from standard treatments to Jivi, and their dose frequency was based on their personal risk score. The goal was to see if this approach could reduce bleeding while making treatment more convenient.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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21 people
The number who actually took part.
- Started
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Jul 2022
- Finished
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Sep 2024
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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12 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 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. - * 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. Exclusion Criteria: * 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 . * 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.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Aflac Cancer and Blood Disorders Center - Egleston Hospital
Atlanta, Georgia, 30301, United States
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Dr. Akshat Jain - Loma Linda University Medical Center
Loma Linda, California, 92354, United States
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Gulf States Hemophilia & Thrombophilia Center- Texas Medical Center
Houston, Texas, 77030, United States
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Loma Linda University Children's Hospital - Hematology / Oncology
Loma Linda, California, 92354, United States
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Luskin Orthopaedic Institute for Children
Los Angeles, California, 90001, United States
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M Health Fairview Masonic Cancer Clinic - Clinics and Surgery Center
Minneapolis, Minnesota, 55455, United States
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Rush University Medical Center - Oncology
Chicago, Illinois, 60612, United States
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Rutgers Robert Wood Johnson Medical School - OBGYN
New Brunswick, New Jersey, 08901, United States
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Stead Family Children's Hospital - Hematology / Oncology
Iowa City, Iowa, 52240, United States
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UHealth - Sylvester Comprehensive Cancer Center
Miami, Florida, 33136, United States
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University of Colorado | Renal Research Office
Aurora, Colorado, 80045, United States
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Wellstar MCG Health Medical Center - Gynecology
Augusta, Georgia, 30912, United States
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