New shot cuts bleeding in hemophilia a patients
NCT ID NCT04158648
First seen Jun 27, 2026 · Last updated Aug 28, 2026 · Updated 2 times
Summary
This study tested a medicine called emicizumab in 73 people with mild or moderate hemophilia A who do not have inhibitors. The goal was to see if it safely reduces the number of bleeding episodes. Participants received regular injections, and the results showed fewer bleeds compared to before treatment. This is a disease-control approach, not a cure, as ongoing treatment is needed.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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73 people
The number who actually took part.
- Started
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Feb 2020
- Finished
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Dec 2025
- 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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Children (under 18), adults (18 to 64) and older adults (65 and over)
- 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: * Diagnosis of mild (FVIII level between \>5% and \<40%) or moderate (FVIII level between ≥1% and ≤5%) congenital Hemophilia A without FVIII inhibitors * Weight ≥3 kilograms (kg) * Need for prophylaxis based on investigator assessment * A negative test for inhibitor (i.e., \<0.6 Bethesda Units per milliliter \[BU/mL\]) within 8 weeks prior to enrollment * No documented inhibitor (i.e., \<0.6 BU/mL), FVIII half-life \<6 hours, or FVIII recovery \<66% in the last 5 years * Documentation of the details of prophylactic or episodic FVIII treatment and of number of bleeding episodes for at least the last 24 weeks prior to enrollment * Adequate hematologic, hepatic, and renal function * For women of childbearing potential: agreement to remain abstinent or use contraception (as defined in the protocol) during the treatment period and for at least 24 weeks after the final dose of study drug Exclusion Criteria: * Inherited or acquired bleeding disorder other than mild or moderate congenital hemophilia A * History of illicit drug or alcohol abuse within 48 weeks prior to screening, in the investigator's judgment * Previous (within the last 12 months) or current treatment for thromboembolic disease or signs of thromboembolic disease * Other conditions that may currently increase the risk of bleeding or thrombosis * History of clinically significant hypersensitivity associated with monoclonal antibody therapies or components of the emicizumab injection * Planned surgery during the emicizumab loading dose phase (surgeries in participants on emicizumab from Week 5 onwards are allowed) * Known HIV infection with CD4 counts \<200 cells per microlitre (/μL) * Concomitant disease, condition, significant abnormality on screening evaluation or laboratory tests, or treatment that could interfere with the conduct of the study, or that would in the opinion of the investigator, pose an additional unacceptable risk in administering study drug to the participant * Receipt of any of the following: An investigational drug to treat or reduce the risk of hemophilic bleeds within 5 half-lives of last drug administration with the exception of prior emicizumab prophylaxis; A non-hemophilia-related investigational drug within last 30 days or 5 half-lives, whichever is shorter; or Any other investigational drug currently being administered or planned to be administered * Inability to comply with the study protocol in the opinion of the investigator * Pregnant or breastfeeding, or intending to become pregnant during the study (women of childbearing potential must have a negative serum pregnancy test result within 7 days prior to initiation of study drug)
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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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Amsterdam UMC Location AMC
Amsterdam, 1105 AZ, Netherlands
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CH de Bicetre
Le Kremlin-Bicêtre, 94275, France
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Cardiff and Vale NHS Trust
Cardiff, CF14 4XW, United Kingdom
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Charlotte Maxeke Johannesburg Hospital
Johannesburg, 2193, South Africa
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Childrens Hospital LA
Los Angeles, California, 90027, United States
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Cliniques Universitaires St-Luc
Brussels, 1200, Belgium
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Eastern Health - General Hospital
St. John's, Newfoundland and Labrador, A1B 3V6, Canada
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Great Ormond street Hospital for Children NHS Foundation Trust
London, WC1N 3HR, United Kingdom
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Groupe Hospitalier Necker Enfants Malades
Paris, 75015, France
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Hemophilia of Georgia Center for Bleeding & Clotting Disorders
Atlanta, Georgia, 30308, United States
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Hopital Cardio-vasculaire Louis Pradel
Bron, 69677, France
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Hospital Universitario Virgen del Rocio
Seville, 41013, Spain
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Hospital Universitario la Paz
Madrid, 28046, Spain
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Indiana Hemophilia & Thrombosis center
Indianapolis, Indiana, 46260, United States
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Instytut Hematologii i Transfuzjologii
Warsaw, 02-776, Poland
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Kaye Edmonton Clinic
Edmonton, Alberta, T6G 1Z1, Canada
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Klinikum der Universität München, Campus Innenstadt
München, 80336, Germany
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Royal Free Hospital
London, NW3 2QG, United Kingdom
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UZ Leuven Gasthuisberg
Leuven, 3000, Belgium
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University of Michigan, C.S. Mott Children's Hospital
Ann Arbor, Michigan, 48109, United States
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Universitätsklinikum Bonn
Bonn, 53127, Germany
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Washington Institute for Coagulation
Seattle, Washington, 98101, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a newer clotting factor keep its effectiveness in hemophilia a?
- Can a new injection tame hemophilia a bleeding?
- A Once-a-Week shot could transform hemophilia Care—Even for those with inhibitors
- Can a new clotting factor offer better bleed protection for severe hemophilia?
- Do newer hemophilia drugs protect joints better? study aims to find out
- Newborn screening study aims to catch rare diseases at birth