Ireland
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Recruiting Phase 4

Efanesoctocog Alfa Prophylaxis in Patients With Hemophilia A With Synovial Hypertrophy

NCT06941870 · tracked via the Priya Life Science Japan tracker
Sponsor
Phase
Phase 4
Started
2025-09-23
Last updated
2026-10-15

Condition(s) studied

Factor VIII Deficiency

Investigational drug(s) / intervention(s)

Efanesoctocog alfa →

Efanesoctocog alfa: Pharmaceutical form:Lyophilized powder in a sterile vial that requires reconstitution with sterile water for injection (diluent)-Route of administration:Intravenous

Study summary

The objective of the study is to assess the improvement of synovial hypertrophy during the 12 months of efanesoctocog alfa prophylaxis once per week (QW) in joints with existing evidence of synovial hypertrophy in participants with hemophilia A.

The study duration for each participant is approximately 12 months.

Eligibility

Sex
ALL
Min age
12 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * Participant is diagnosed with moderate to severe hemophilia A (defined as less than or equal to (≤)5 percent (%) of endogenous FVIII clotting activity) at the time of consent/assent. * Participant is more than or equal to (≥)12 years old at the time of consent/assent. * Participant has existing synovial hypertrophy, defined as at least 1 eligible\* joint by the HEAD-US score (Synovitis score: 1 or 2) at the time of consent/assent. * Participant has at least 1 eligible\* joint without planned future major orthopedic procedures (example, arthroscopic synovectomy, radioisotopic or chemical synoviorthesis), or major orthopedic procedures in the past 3 months prior to the screening visit (Visit 1). \*An eligible joint is a joint with existing synovial hypertrophy, as defined by a HEAD-US synovitis score of 1 or 2, considering hypertrophic synovium as an indication of the presence of synovitis * Participant has received prophylactic treatment with hemophilia prophylaxis prescriptions in the last 12 months prior to the baseline visit (Visit 2). * Participant is capable of understanding the written Informed Consent Form (ICF)/assent form, provides a signed and witnessed written ICF/assent form, and agrees to comply with the protocol requirements. * If male, no contraceptive measures are required for this study. * If female, is not pregnant or breastfeeding, and one of the following conditions applies: * Is a women of nonchildbearing potential (WONCBP) * Is a WOCBP and agrees to use a highly effective contraceptive method, with a failure rate of less than (\<)1 percent during the study treatment period (at least until the Week 52/ End of Treatment \[EoT\] visit). * A WOCBP must have a negative serum pregnancy test at the screening visit (Visit 1) Exclusion Criteria: * Participants are excluded from the study if any of the following criteria apply: * Has other associated clotting disorders at the time of consent/assent. * Is already under efanesoctocog alfa treatment. * Has a current diagnosis of an factor VIII (FVIII) inhibitor, defined as inhibitor titer ≥0.60 BU/mL. * Has ITI within the last 2 years prior to the baseline visit (Visit 2). * Has been enrolled in a concurrent clinical interventional study or exposed to other investigational drug(s) within 3 months prior to screening for this study. * Is currently in an institution because of regulatory or legal order (that is, is a prisoner or a patient who is legally institutionalized). * Is not suitable for participation, whatever the reason, as judged by the investigator, including medical or clinical conditions, or patients potentially at risk of noncompliance to study procedures. * Is an employee or family member of the investigator or site personnel. * Is involved in a specific situation during study implementation or the course of the study that may raise ethics considerations. * Has hypersensitivity to efanesoctocog alfa or its components or any of its excipients that, in the opinion of the investigator, contraindicates participation in the study. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Primary outcome measure(s)

  • Proportion of joints with improvement in the Hemophilia Early Arthropathy Detection with Ultrasound (HEAD-US) synovitis domain score — From Baseline up to Week 52
    HEAD-US scoring system is a simplified ultrasound scanning procedure to image the elbow, knee, and ankle (index joints) and a scoring system based on an additive scale to define the joint status from disease activity and disease damage parameters to evaluate disease progression and monitor the results of treatment.

Trial sites (14)

FacilityCityRegionStatus
Orthopedic Institute for Children- Site Number : 8400009 Los Angeles California Completed
Indiana Hemophilia and Thrombosis Center- Site Number : 8400006 Indianapolis Indiana Recruiting
University of Iowa- Site Number : 8400004 Iowa City Iowa Recruiting
The Ohio State University Wexner Medical Center - CarePoint East- Site Number : 8400001 Columbus Ohio Completed
Washington Center for Bleeding Disorders- Site Number : 8400008 Seattle Washington Recruiting
Investigational Site Number : 1240003 Hamilton Ontario Recruiting
Investigational Site Number : 1240004 Hamilton Ontario Completed
Investigational Site Number : 3920003 Kawasaki Kanagawa Recruiting
Investigational Site Number : 3920002 Hiroshima Japan Completed
Investigational Site Number : 3920001 Saitama Japan Recruiting
Investigational Site Number : 3920004 Tokyo Japan Completed
Investigational Site Number: 1580003 Kaohsiung City Taiwan Recruiting
Investigational Site Number: 1580001 Taichung Taiwan Recruiting
Investigational Site Number: 1580002 Taipei Taiwan Recruiting
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06941870 on ClinicalTrials.gov ↗ ← All trials in Japan