The European Paediatric Network for Haemophilia Management and the PedNet Haemophilia Registry
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Enrollment
- 4,000
- Locations
- 39
- Primary Endpoint
- Number of patients with antibody development to exogenous clotting factors
Study Overview
Brief Summary
Rationale:
Haemophilia is a rare disease; to improve knowledge international collaboration is needed. Well-defined clinical data will be collected from complete cohorts in order to prevent selection bias.
Objective:
To collect data on bleeding during neonatal period, endogenous (genetic) and exogenous (treatment-related) determinants of inhibitor development and long term outcome.
Detailed Description
Design: Multicenter Prospective Observational Birth Cohort Study
Population:
Patients with haemophilia A and B with FVIII/IX levels of <1 to 25% born between 1-1-2000 and 1-1-2040.
Intervention:
No intervention; only documentation of patient characteristics and parameters of routine patient care and outcome
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Diagnosed with Haemophilia A or B
- •Factor VIII/ IX activity of <1 to 25%
- •Complete records of Factor treatment and bleeds
- •Treated in one of the participating centres
Exclusion Criteria
- •Patients referred because of an inhibitor*
- •Informed consent not obtained
Outcomes
Primary Outcomes
Number of patients with antibody development to exogenous clotting factors
Time Frame: Until patient reaches age of 18
Allo-antibodies against Factor VIII and IX; Blood test: measurement in Bethesda units (BU), positive according to local standards, for most labs \>0.5 BU
Secondary Outcomes
- Long term outcome of haemophilia on joint status using the Hemophilia Joint Health Score (HJHS) and MRI techniques.(From diagnose every 5 years until patient reaches age of 18)
- Long term outcome different Immune Tolerance Induction (ITI) therapies in patients with inhibitor.(From date first positive inhibitor titer preferably every 3 years until patient reaches age of 18)
Investigators
Gili Kenet
Director
PedNet Haemophilia Research Foundation
