New hope for rare bleeding disorder: Long-Term drug shows promise
NCT ID NCT03879135
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tested a drug called rVWF (Vonvendi) in 38 children and adults with severe von Willebrand disease, a bleeding disorder. The goal was to see if regular use of the drug could reduce the number of spontaneous bleeding episodes over a year. Participants received treatment for up to three years, and researchers tracked safety and bleeding rates.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Recombinant von Willebrand factor (rVWF, also called Vonvendi or Vonicog alfa)
- What this could lead to
- If successful, this could provide a long-term treatment option to prevent spontaneous bleeding episodes in people with severe von Willebrand disease.
- What could go wrong
- This is a small, open-label study with no control group, so results may not apply to all patients. Side effects or lack of effectiveness in some individuals remain possible.
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
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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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38 people
The number who actually took part.
- Started
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Apr 2019
- Finished
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Jan 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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0 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: The participant will not be considered eligible for the study without meeting all of the criteria below. Participants who have completed Study 071301 or Study 071102 (or participants who have completed the surgery arm treatment in Study 071102 and want to continue to receive on-demand (OD) treatment) and are willing to immediately transition into this study, must meet the following 2 criteria to be eligible for this study: * If female of childbearing potential, has a negative blood/urine pregnancy test at screening and agrees to employ highly effective birth control measures for the duration of the study. * Participant and/or legally authorized representative is willing and able to comply with the requirements of the protocol. New participants (Cohort 4) who meet the above 2 and ALL the following additional criteria are eligible for this study: \- Participant has a documented diagnosis of severe von Willebrand disease (VWD) (baseline von Willebrand factor: Ristocetin cofactor (VWF:RCo) \<20 International Units per deciliter \[IU/dL\]) with a history of requiring substitution therapy with von Willebrand factor (vWF) concentrate to control bleeding: * Type 1 (VWF:RCo \<20 IU/dL) or, * Type 2A (as verified by multimer pattern), Type 2B (as diagnosed by genotype), Type 2M or, * Type 3 (Von Willebrand factor antigen (VWF:Ag) less than or equal to (\<=) 3 IU/dL). Diagnosis is confirmed by genetic testing and multimer analysis, documented in participant history or at screening. * Participant has been receiving OD therapy with VWF products for at least 12 months, and prophylactic treatment is recommended by the investigator. * Participant has greater than or equal to (\>=) 3 documented spontaneous bleeds (not including menorrhagia) requiring VWF treatment during the past 12 months. * Participant has available records that reliably evaluate type, frequency, and treatment of bleeding episodes for at least 12 months preceding enrollment; up to 24 months of retrospective data should be collected if available. * Participant is \>=12 years old at the time of screening and has a body mass index \>=15 but \<40 kilogram per meter square (kg/m\^2). Exclusion Criteria: The participant will be excluded from the study if any of the following exclusion criteria are met. * The participant has been diagnosed with Type 2N VWD, pseudo VWD, or another hereditary or acquired coagulation disorder other than VWD (eg, qualitative and quantitative platelet disorders or elevated prothrombin time (PT)/international normalized ratio \[INR\] \>1.4). * The participant has a history or presence of a VWF inhibitor at screening. * The participant has a history or presence of a Factor VIII (FVIII) inhibitor with a titer \>=0.4 Bethesda units (BU) (by Nijmegen modified Bethesda assay) or \>=0.6 BU (by Bethesda assay). * The participant has a known hypersensitivity to any of the components of the study drugs, such as mouse or hamster proteins. * The participant has a medical history of immunological disorders, excluding seasonal allergic rhinitis/conjunctivitis, mild asthma, food allergies, or animal allergies. * The participant has a medical history of a thromboembolic event. * The participant is human immunodeficiency virus (HIV) positive with an absolute Helper T cell (CD4) count \<200/cubic millimeters (mm\^3). * The participant has been diagnosed with significant liver disease per investigator's medical assessment of the participant's current condition or medical history or as evidenced by, but not limited to any of the following: serum alanine aminotransferase (ALT) greater than 5 times the upper limit of normal; hypoalbuminemia; portal vein hypertension (eg, presence of otherwise unexplained splenomegaly, history of esophageal varices) or liver cirrhosis classified as Child-Pugh class B or C. * The participant has been diagnosed with renal disease, with a serum creatinine (CR) level \>=2.5 milligrams per deciliter (mg/dL). * The participant has a platelet count \<100,000/milliliter (mL) at screening. * The participant has been treated with an immunomodulatory drug, excluding topical treatment (eg, ointments, nasal sprays), within 30 days prior to signing the informed consent (or assent, if appropriate). * The participant is pregnant or lactating at the time of enrollment. * The participant has cervical or uterine conditions causing menorrhagia or metrorrhagia (including infection, dysplasia). * The participant has participated in another clinical study involving another investigational product (IP) or investigational device within 30 days prior to enrollment or is scheduled to participate in another clinical study involving an IP or investigational device during the course of this study. * The participant has a progressive fatal disease and/or life expectancy of less than 15 months. * For new OD participants, the participant is scheduled for a surgical intervention. * The participant is identified by the investigator as being unable or unwilling to cooperate with study procedures. * The participant has a mental condition rendering him/her unable to understand the nature, scope and possible consequences of the study and/or evidence of an uncooperative attitude. * The participant is member of the study team or in a dependent relationship with one of the study team members which includes close relatives (i.e., children, partner/spouse, siblings and parents) as well as employees. Delay criteria Only for Cohort 4, if the participant presents with an acute bleeding episodes or acute illness (eg, influenza, flu-like syndrome, allergic rhinitis/conjunctivitis, and non-seasonal asthma) the screening visit will be postponed until the participant has recovered. For all other participants, end of study (EOS) visit for 071102 or 071301 will be completed per protocol and the completed EOS in Study 071102 or 071301 will also serve as the screening visit for this continuation study (SHP677-304).
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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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AKH - Medizinische Universität Wien
Vienna, Austria
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Arkansas Children's Hospital Research Institute
Little Rock, Arkansas, 72202, United States
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Azienda Ospedaliera Pediatrica Santobono Pausillipon
Naples, Italy
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Azienda Ospedaliera Universitaria Careggi
Florence, 50134, Italy
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Azienda Ospedaliera Universitaria Policlinico Umberto I - Università di Roma La Sapienza
Roma, 00185, Italy
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Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, 45229, United States
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Ege University Medical Faculty
Izmir, 35040, Turkey (Türkiye)
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Ege University Medical Faculty
Izmir, 35100, Turkey (Türkiye)
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Erasmus Medisch Centrum
Rotterdam, 3015 AA, Netherlands
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Erasmus Medisch Centrum
Rotterdam, 3015 CN, Netherlands
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FSBI of Science "Kirov Scientific and Research Institute of Hematology and Blood Transfusion of FMBA
Kirov, 610017, Russia
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Fondazione IRCCS CA' Granda Ospedale Maggiore Policlinico
Milan, Italy
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Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Roma, 00168, Italy
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Groupe Hospitalier Pellegrin - Hôpital Pellegrin
Gironde, France
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Groupement Hospitalier Est- Hôpital Louis Pradel
Bron, 69677, France
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Groupement Hospitalier Sud - Hôpital Bicêtre
Le Kremlin-Bicêtre, 94270, France
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Hopital Cardiologique - CHU Lille
Lille, Nord, France
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Hospital General Universitario de Alicante
Alicante, 03010, Spain
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Hospital Universitari i Politecnic La Fe
Valencia, 46026, Spain
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Hospital Universitario La Paz
Madrid, 28046, Spain
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Hôpital Necker - Enfants Malades
Paris, Paris, 75015, France
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Indiana Hemophilia and Thrombosis Center
Indianapolis, Indiana, 46260, United States
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Istanbul University Oncology Institute
Istanbul, Turkey (Türkiye)
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Klinikum der Johann Wolfgang Goethe-Universitaet
Frankfurt, Germany
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Medical University of South Carolina (MUSC)
Charleston, South Carolina, 29425, United States
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Nationwide Children's Hospital
Columbus, Ohio, 43205, United States
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Ondokuz Mayis Univ. Med. Fac.
Samsun, 55139, Turkey (Türkiye)
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Ospedale Pediatrico Bambino Gesù
Roma, Italy
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Rainbow Babies and Children's Hospital
Cleveland, Ohio, 44106, United States
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SAIH "Kemerovo Regional Clinical Hospital"
Kemerovo, 650066, Russia
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University of Colorado Health
Aurora, Colorado, 80045, United States
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University of Florida College of Medicine
Gainesville, Florida, 32610, United States
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Werlhof-Institut GmbH
Hanover, Germany
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- New shot aims to tame bleeding disorder in small trial
- New algorithm aims to stop dangerous bleeding in VWD patients
- New hope for kids with rare bleeding disease: study tests rVWF therapy
- Family history questions may improve bleeding disorder detection in kids
- New drug aims to lighten heavy periods for bleeding disorder patients
- UK doctors look back at real-world use of new VWD drug