New hope for kids with rare bleeding disease: study tests rVWF therapy
NCT ID NCT02932618
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a medicine called vonicog alfa (rVWF), sometimes given with another drug (ADVATE), to control bleeding in 47 children under 18 with severe von Willebrand disease. The treatment was given for 12-18 months, and doctors checked how well it stopped bleeding and if it caused side effects. The goal was to see if this approach is safe and effective for managing this lifelong bleeding disorder.
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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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47 people
The number who actually took part.
- Started
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Nov 2017
- Finished
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Apr 2026
- 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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Up to 17 years
- 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 severe von Willebrand disease (VWD) (defined as von Willebrand factor: ristocetin cofactor \[VWF:RCo\] less than \[\<\] 20 percent \[%\]): * Type 1 (VWF:RCo \<20 International Units per deciliter \[IU/dL\]); or * Type 2A (VWF:RCo \<20 IU/dL), Type 2B (as diagnosed by genotype), Type 2N (Factor VIII coagulation activity \[FVIII:C\] \<10 % and historically documented genetics), Type 2M; or * Type 3 (VWF:Ag less than or equal to \[=\<\] 3 IU/dL). * Age 0 to \<18 years at the time of Screening. * The participant has provided assent (if appropriate) and legally authorized representative(s) has provided informed consent. * If female of childbearing potential, participant presents with a negative serum pregnancy test. * If applicable, participant agrees to employ adequate birth control measures for the duration of the study. * The participant and/or the legally authorized representative are willing and able to comply with the requirements of the protocol, which should also be confirmed based on a pre-screening evaluation held between the Investigator and the Sponsor, to ensure no eminent risk is present that could challenge the participants compliance with the study requirements. Additional inclusion criteria for both previously treated participants and participants undergoing surgery are as follows: * Unable to tolerate are inadequately responsive to, or not a good candidate for 1-deamino-8-D-arginine vasopressin (DDAVP). Examples of participants who are not good candidates for DDAVP include participants with type 2B or type 3 VWD. * The participant has had a minimum of 1 documented bleed requiring VWF coagulation factor replacement therapy (i.e. treatment with a VWF product) during the previous 12 months prior to enrollment and overall historically 3 or more exposure days (EDs) to VWF replacement therapy. Additional inclusion criterion for previously untreated participants are as follows: \- The participant has not received prior VWF coagulation factor replacement therapy. Exclusion Criteria: * Diagnosis of pseudo-VWD or another hereditary or acquired coagulation disorder (eg, qualitative and quantitative platelet disorders or elevated prothrombin time \[PT\]/international normalized ratio \[INR\] greater than \[\>\] 1.4). * History or presence of a VWF inhibitor at Screening. * History or presence of a Factor VIII (FVIII) inhibitor with a titer greater than or equal \[\>=\] 0.4 Bethesda units (BU) (by Nijmegen assay) or \>=0.6 BU (by Bethesda assay). * Documented history of a VWF: RCo half-life \<6 hours. * Known hypersensitivity to any of the components of the study drug, such as mouse or hamster proteins. * Medical history of immunological disorders, excluding seasonal allergic rhinitis/conjunctivitis/asthma, food allergies, or animal allergies. * Medical history of a thromboembolic event. * Human immunodeficiency virus (HIV) positive, with an absolute CD4 count \<200/ cubic millimeter (mm\^3). * In the judgment of the Investigator, the participant has another clinically significant concomitant disease (e.g. uncontrolled hypertension, cancer) that may pose additional risks for the participant. * Diagnosis of significant liver disease, as evidenced by, but not limited to, any of the following: serum alanine aminotransferase (ALT) of 5 times the upper limit of normal; hypoalbuminemia; portal vein hypertension (e.g. presence of otherwise unexplained splenomegaly, history of esophageal varices) or liver cirrhosis classified as Child B or C. * Diagnosis of renal disease, with a serum creatinine level \>=2.5 milligram per deciliter (mg/dL). * Immunomodulatory drug treatment other than anti-retroviral chemotherapy (e.g. α-interferon, or corticosteroid agents at a dose equivalent to hydrocortisone greater than 10 milligram per day \[mg/day\] (excluding topical treatment \[e.g. ointments, nasal sprays\]), within 30 days prior to signing the informed consent (or assent, if appropriate). * If female, participant is pregnant or lactating at the time informed consent (or assent, if appropriate) is obtained. * Participant has participated in another clinical study involving an investigational product (IP), other than vonicog alfa with or without ADVATE, or investigational device within 30 days prior to enrollment or is scheduled to participate in another clinical study involving an IP other than vonicog alfa or investigational device during the course of this study. * Participant's legal representative is a family member or employee of the Investigator.
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Genom att skicka in godkänner du våra Användarvillkor
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, 1090, Austria
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Azienda Ospedaliera Pediatrica Santobono Pausillipon
Naples, 80122, Italy
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Azienda Ospedaliera Universitaria Careggi
Florence, 50134, Italy
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Bleeding and Clotting Disorders Institute
Peoria, Illinois, 61615, United States
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CHU CAEN - Hôpital de la Côte de Nacre
Caen, 14033, France
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CHU de Nantes Site Hotel Dieu
Nantes, 44093, France
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Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
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Children's National Medical Center
Washington D.C., District of Columbia, 20010, United States
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Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, 45229, United States
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Comprehensive Cancer Center of Wake Forest Unversity
Winston-Salem, North Carolina, 27157, United States
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Comprehensive Center for Bleeding Disorders
Milwaukee, Wisconsin, 53225, United States
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Ege University Medical Faculty
Izmir, 35100, Turkey (Türkiye)
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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, 610027, Russia
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Fakultni nemocnice Brno
Brno, 613 00, Czechia
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Fondazione IRCCS CA' Granda Ospedale Maggiore Policlinico
Milan, 20122, Italy
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Groupe Hospitalier Pellegrin - Hôpital Pellegrin
Bordeaux, 33000, 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, 59037, 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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Hôpital Morvan
Brest, Finistere, 29609, France
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Hôpital Necker - Enfants Malades
Paris, 75743, France
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Indiana Hemophilia and Thrombosis Center
Indianapolis, Indiana, 46260, United States
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Istanbul University Cerrahpasa Medical Faculty
Istanbul, 34098, Turkey (Türkiye)
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Medical University of South Carolina
Charleston, South Carolina, 29425, United States
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Medizinische Hochschule Hannover
Hanover, 30625, Germany
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Medizinische Universität Innsbruck
Innsbruck, 6020, Austria
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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, 00165, Italy
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Rainbow Babies and Children's Hospital
Cleveland, Ohio, 44106, United States
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Royal Manchester Children's Hospital
Manchester, Greater Manchester, M13 9WL, United Kingdom
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SAIH "Kemerovo Regional Clinical Hospital"
Kemerovo, 650066, Russia
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SBEI HPE Altai State Medical University of MoH and SD
Barnaul, 656038, Russia
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SI Institute of Blood Pathology and Transfusion Medicine of NAMSU
Lviv, 79044, Ukraine
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St. Jude Affiliate Clinic at Novant Health
Charlotte, North Carolina, 28204, United States
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Texas Children's Cancer and Hematology Center
Houston, Texas, 77030, United States
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Texas Children's Hospital
Houston, Texas, 77030, United States
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UZ Leuven
Leuven, 3000, Belgium
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Universitaetsklinikum Hamburg-Eppendorf
Hamburg, 20246, Germany
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University of Colorado Hemophilia & Thrombosis Center
Aurora, Colorado, 80045, United States
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University of Florida College of Medicine
Jacksonville, Florida, 32610, United States
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University of Nebraska Medical Center
Omaha, Nebraska, 68198, United States
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Werlhof-Institut GmbH
Hanover, 30159, Germany
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