Pharmacokinetic-guided Dosing of Emicizumab

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexMale
Age1+
SponsorKathelijn Fischer

About this trial

The goal of this multicentre, prospective, open-label, cross-over clinical study is to determine whether individualized PK-guided dosing of emicizumab is non-inferior to conventional dosing of emicizumab in the prevention of bleeding in congenital haemophilia A patients.

Eligibility criteria

Qualifiers

Confirmed diagnosis of congenital haemophilia A, with a baseline endogenous FVIII of <6 IU/ml

Aged > 1 year at inclusion (inclusion of children 1-16 years after favourable interim-analysis see protocol)

Receiving conventional dosing of emicizumab (6 mg/kg/4 weeks with varying intervals) for a duration of at least 12 months prior to inclusion;

Willing and able to provide written informed consent, either by the subject or its parents/legal guardian

Disqualifiers

Acquired haemophilia A

Trial design

Treatments tested in this trial

  • Emicizumab - PK-guided dose reduction
  • Emicizumab - Dosis continuation group
  • Emicizumab - Dose adjustment group

Treatment groups

95 Participants
are divided into 4 treatment groups

Sponsors and collaborators

Kathelijn Fischer

Lead sponsor

UMC Utrecht

Sponsor institution

Erasmus Medical Center

Collaborator

Amsterdam University Medical Center

Collaborator

Leiden University Medical Center

Collaborator

Radboud University Medical Center

Collaborator

Maastricht University Medical Center

Collaborator

University Medical Center Groningen

Collaborator

HagaZiekenhuis

Collaborator

Dutch Society of Haemophilia Patients

Collaborator