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The effect of recombinant Factor IX-FIAV in In-vitro thrombin generation in hemophilia A patient samples

Recruiting
Conditions
Hemophilia A
coagulation disorder
10064477
10005330
Registration Number
NL-OMON47946
Lead Sponsor
Erasmus MC, Universitair Medisch Centrum Rotterdam
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
21
Inclusion Criteria

In order to be eligible to participate in this study, a subject must meet all
of the following criteria:
- Age 18 years or older hemophilia A patients
- Male sex
- Mentally capable of informed consent

Exclusion Criteria

A potential subject who meets any of the following criteria will be excluded
from participation in this study:
- Prophylactic treatment with FVIII, with less than 48 hours washout period
between dosages of FVIII
- Patients receiving bypassing therapy such as prothrombin complex (FEIBA),
eptacog alfa (NovoSeven) or emicuzimab (HemLibra)
- Any other known hemostatic disorder, inherited or acquired (such as acquired
von Willebrand disease etc*)
- Any known liver disease, leading to acute or chronic liver disfunction and/or
failure

Study & Design

Study Type
Observational invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>Thrombin generation parameters (lag time (main parameter), thrombin peak, time<br /><br>to peak, endogenous thrombin potential) following the addition of purified<br /><br>recombinant FIX-FIAV in vitro.</p><br>
Secondary Outcome Measures
NameTimeMethod
<p>- The correction in clotting capacity (activated Partial Thromboplastin Time,<br /><br>aPTT) following addition of the purified recombinant FIX variant FIX-FIAV to<br /><br>plasma from hemophilia A patients in vitro.<br /><br>- To assess the effect on thrombin generation when combining FIX-FIAV with<br /><br>approved products used to treat hemophilia A (activated prothrombin complex<br /><br>concentrate (FEIBA), activated factor VII (NovoSeven), a bispecific<br /><br>FVIII-mimicking antibody (emicizumab/HemLibra)) will be determined in the<br /><br>plasma from hemophilia A patients in vitro in order to assess potential<br /><br>induction of a prothrombotic state.<br /><br>- Baseline FVIII (chromogenic and one-stage), FIX (chromogenic and one-stage),<br /><br>prothrombin, antithrombin, FX, von Willebrand factor (vWF), FVIII inhibitory<br /><br>antibodies, and clotting capacity.</p><br>
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