New drug could help kids with hemophilia a bleed less
NCT ID NCT04759131
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tested a new drug called BIVV001 in 74 children under 12 with severe hemophilia A, a condition where blood doesn't clot properly. The drug is given through a vein and aims to prevent bleeding episodes. The trial found that the drug was safe and effective at reducing bleeds, with most children not developing antibodies against it.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- efanesoctocog alfa (BIVV001)
- What this could lead to
- If successful, this could provide a more effective and longer-lasting treatment option to prevent bleeding episodes in young children with severe hemophilia A, potentially improving joint health and quality of life.
- What could go wrong
- This is a phase 3 trial with 74 participants, so results may not apply to all patients. There is a risk of developing antibodies that block the drug's effect, and long-term safety data are still limited.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
74 people
The number who actually took part.
- Started
-
Feb 2021
- Finished
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Jan 2023
- Lead sponsor
-
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
-
Up to 11 years
- Sex
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Male participants only
- Healthy volunteers
-
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 : * Participant must be younger than 12 years of age, at the time of signing the informed consent. * Severe hemophilia A defined as \<1 international units per deciliter (IU/dL) (\<1 percent \[%\]) endogenous Factor VIII (FVIII) as documented either by central laboratory testing at Screening or in historical medical records from a clinical laboratory demonstrating \<1% FVIII coagulant activity (FVIII:C) or a documented genotype known to produce severe hemophilia A. * Previous treatment for hemophilia A (prophylaxis or on-demand) with any recombinant and/or plasma-derived FVIII, or cryoprecipitate for at least 150 exposure days (EDs) for participants aged 6 to \<12 years and above 50 EDs for participants aged \<6 years. * Weight above or equal to 10 kg. Exclusion criteria: * History of hypersensitivity or anaphylaxis associated with any FVIII product. * History of a positive inhibitor (to FVIII) test defined as greater than or equal to (\>=) 0.6 Bethesda units (BU/mL), or any value greater than or equal to the lower sensitivity cut-off for laboratories with cut-offs for inhibitor detection between 0.7 and 1.0 BU/mL, or clinical signs or symptoms of decreased response to FVIII administrations. Family history of inhibitors would not exclude the participant. * Positive inhibitor test result, defined as \>=0.6 BU/mL at Screening. The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
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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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Children's Healthcare of Atlanta-Site Number:8400019
Atlanta, Georgia, 30322, United States
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Children's Hospital Los Angeles-Site Number:8400006
Los Angeles, California, 90027, United States
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Children's Hospital Of Wisconsin-Site Number:8400005
Milwaukee, Wisconsin, 53226-0509, United States
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Childrens Hospital Of Columbus-Site Number:8400012
Columbus, Ohio, 43205, United States
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Cincinnati Children's Hospital Medical Center-Site Number:8400008
Cincinnati, Ohio, 45206, United States
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East Carolina University/Brody Medical Sciences Building-Site Number:8400015
Greenville, North Carolina, 27834, United States
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Investigational Site Number :0360001
Westmead, New South Wales, 2145, Australia
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Investigational Site Number :0360002
South Brisbane, Queensland, 4101, Australia
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Investigational Site Number :1240001
Toronto, Ontario, M5G 1X8, Canada
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Investigational Site Number :1240002
Ottawa, Ontario, K1H 8L1, Canada
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Investigational Site Number :1240003
London, Ontario, N6A 4G5, Canada
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Investigational Site Number :1240004
Hamilton, Ontario, L8N 3Z5, Canada
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Investigational Site Number :1580001
Taichung, 402, Taiwan
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Investigational Site Number :1580002
Taipei, 10002, Taiwan
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Investigational Site Number :1580003
Taichung, 407, Taiwan
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Investigational Site Number :1580004
Taipei, 11031, Taiwan
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Investigational Site Number :2500001
Le Kremlin-Bicêtre, 94275, France
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Investigational Site Number :2500003
Lille, 59037, France
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Investigational Site Number :2500004
Bron, 69500, France
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Investigational Site Number :2760001
Frankfurt am Main, 60590, Germany
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Investigational Site Number :2760002
München, 80337, Germany
-
Investigational Site Number :3480005
Pécs, 7623, Hungary
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Investigational Site Number :3720001
Dublin, D12 N512, Ireland
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Investigational Site Number :3800001
Milan, 20121, Italy
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Investigational Site Number :3800002
Naples, 80123, Italy
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Investigational Site Number :5280001
Utrecht, 3584 CX, Netherlands
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Investigational Site Number :5280002
Amsterdam, 1105 AZ, Netherlands
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Investigational Site Number :7240001
Madrid, Madrid, Comunidad de, 28046, Spain
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Investigational Site Number :7240002
Esplugues de Llobregat, Catalunya [Cataluña], 08950, Spain
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Investigational Site Number :7520001
Malmö, 20502, Sweden
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Investigational Site Number :7560001
Zurich, 8032, Switzerland
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Investigational Site Number :7920001
Istanbul, 34390, Turkey (Türkiye)
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Investigational Site Number :7920003
Izmir, TR-35100, Turkey (Türkiye)
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Investigational Site Number :7920004
Antalya, 07059, Turkey (Türkiye)
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Investigational Site Number :8260001
London, WC1N3JH, United Kingdom
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Investigational Site Number :8260003
Birmingham, B4 6NH, United Kingdom
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NY Presbyterian - Weill Cornell Medical Center-Site Number:8400020
New York, New York, 10021, United States
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Rush University Medical Center-Site Number:8400001
Chicago, Illinois, 60612-3833, United States
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University of Florida-Site Number:8400009
Gainesville, Florida, 32610, United States
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University of Iowa Hospitals and Clinics-Site Number:8400002
Iowa City, Iowa, 52242, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a Once-Weekly shot cut the burden of hemophilia a?
- Once-a-Week shot aims to stop bleeds in severe hemophilia a
- 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?