Can emicizumab keep hemophilia joints healthy? new study aims to find out
NCT ID NCT07420348
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study will follow about 70 people with hemophilia A who are already taking emicizumab to prevent bleeding. Researchers will use ultrasound to check for early joint damage in elbows, knees, and ankles that are currently healthy. The goal is to see how often joint damage appears over two years and what factors might be linked to it. No new treatments or changes to care are involved.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 70 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Feb 2026
An estimate. Start dates often move.
- Expected to finish
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May 2028
An estimate. End dates often move.
- Lead sponsor
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A research network
The lead sponsor is a research network or cooperative group.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients with hemophilia A receiving prophylactic treatment with emicizumab
- Ages
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10 years and older
- Sex
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Male participants only
- 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: * Confirmed diagnosis of hemophilia A; * Receiving prophylactic treatment with emicizumab (Hemlibra®) according to routine clinical practice; * Age ≥10 years at the time of study enrollment; * Absence of ultrasonographic joint damage in at least one of the evaluated joints (elbows, knees, or ankles), defined as HEAD-US = 0 at baseline assessment; * No documented history of clinically evident hemarthrosis in the corresponding joints from initiation of emicizumab prophylaxis to the study baseline evaluation; * Ability to understand and complete study procedures (interviews, questionnaires, and clinical assessments), in accordance with the participant's age; and * Provision of written informed consent; for minors, written informed consent from parents or legal guardians and assent from the minor participant, in accordance with applicable regulations. Exclusion Criteria: * Presence of ultrasonographic joint damage (HEAD-US ≥1) in all evaluated joints at the baseline visit; * Documented history of clinically evident hemarthrosis in the joints under study; * Prior major orthopedic surgery or arthroplasty in the evaluated joints; * Presence of concomitant musculoskeletal pathology unrelated to hemophilia that could interfere with joint assessment (e.g., inflammatory arthritis, recent severe trauma); * Inability to complete the planned 24-month follow-up or to undergo study assessments; * Concurrent participation in another interventional study that could interfere with the joint health variables under evaluation; and * Any clinical or social condition that, in the investigator's judgment, could compromise participant safety or the validity of the study data.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Universidad de Oviedo
Oviedo, Principality of Asturias, 33006, Spain
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