New study aims to stop dangerous bleeding in moms with rare bleeding disorder
NCT ID NCT04146376
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether giving a medicine called Wilate to pregnant women with von Willebrand disease can prevent severe bleeding during and after childbirth. About 110 women will receive Wilate to keep their clotting factor levels high enough during delivery. The goal is to find the safest way to manage childbirth and reduce the risk of heavy blood loss.
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.
- Participants
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About 110 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2019
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The investigators or qualified research personnel will approach all consecutive pregnant VWD patients. Patients who meet all of the inclusion criteria and none of the exclusion criteria are eligible for this study.
- Ages
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18 years and older
- Sex
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Female 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: * von Willebrand Disease (VWD) patients defined prepartum as Type 1 per National Heart, Lung, and Blood Institute (NHLBI) criterion of von Willebrand Factor (VWF) level less than 30 percent, or Type 2, or Type 3 VWD or * A diagnosis of VWD and VWF and Factor VIII (FVIII) levels obtained in gestational weeks 34-38 that determine enrollment in the non-corrector group: * Patients with gestational week 34-38 VWF:Ag, VWF:Act (or VWF:RCo), or FVIII:C less than 100 percent will be enrolled in the non-corrector group. In patients with an isolated VWF:CB type 2 defect, VWF:CB less than 100 percent can also be determined as a non-corrector * Patients with all VWF parameter levels greater than or equal to 100 percent self-corrected at gestational weeks 34-38 will be enrolled in the corrector group Written informed consent from the patient prepartum, before gestational week 39 Exclusion Criteria: * Presence of a clinical contraindication to receive wilate or tranexamic acid, as determined by the health care provider, such as a prior drug reaction * Presence of other concurrent disorder of hemostasis, platelet dysfunction, or collagen disorders * Presence of liver disease or renal disease, clinical suspicion or diagnosis of preeclampsia or eclampsia, HELLP syndrome, TTP, DIC, or other acquired vasculopathy or coagulopathy * Age less than 18 years * Inability of the local laboratory to monitor the VWF laboratory tests needed during the course of treatment to determine Wilate dosing adjustments
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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
10 sites. 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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Bleeding & Clotting Disorders Institute
RECRUITINGPeoria, Illinois, 61615, United States
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Emory University
RECRUITINGAtlanta, Georgia, 30308, United States
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Oregon Health & Science University
WITHDRAWNPortland, Oregon, 97239, United States
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The Pennsylvania State University
RECRUITINGHershey, Pennsylvania, 17033, United States
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Tulane University School of Medicine, Louisiana Center for Bleeding and Clotting Disorders
RECRUITINGNew Orleans, Louisiana, 70112, United States
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University of Colorado
RECRUITINGAurora, Colorado, 80045, United States
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University of Miami
RECRUITINGMiami, Florida, 33136, United States
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University of Utah
RECRUITINGSalt Lake City, Utah, 84108, United States
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Vanderbilt University
RECRUITINGNashville, Tennessee, 27232, United States
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Washington Center for Bleeding Disorders
RECRUITINGSeattle, Washington, 98104, United States
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Yale University
RECRUITINGNew Haven, Connecticut, 06510, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Tracking Real-World safety of treatments for a rare bleeding disorder
- Tiny camera may spot hidden bleeding in rare blood disorder
- Tongue camera could spot bleeding danger in rare blood disorders
- Massive blood disorder registry aims to transform care
- Blood vessel on a chip could transform bleeding risk tests
- Hormonal showdown: which treatment tames heavy periods in bleeding disorders?