Nuwiq: Nuwiq is a purified B-domain-deleted FVIII glycoprotein synthesised by a genetically engineered human embryonic kidney cell line (HEK 293F).
Study summary
Recombinant factor VIII for the prevention of bleeding in patients with severe haemophilia A undergoing major surgery while receiving emicizumab prophylaxis
Eligibility
Sex
MALE
Min age
12 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Severe haemophilia A (FVIII activity \[FVIII:C\] \<1%) according to medical history
* Male patients at least 12 years of age
* Previous treatment with any FVIII product(s) for at least 150 exposure days
* On regular prophylaxis with emicizumab for at least 1 month prior to a scheduled major elective surgery requiring FVIII treatment
* Freely given written informed consent of the patient, or parent/legal representative where applicable, obtained in accordance with local regulations
Exclusion Criteria:
* Coagulation disorder other than haemophilia A
* Present or past FVIII inhibitor (≥0.6 Bethesda units \[BU\]/mL) according to medical history
* Severe liver or kidney disease (alanine aminotransferase \[ALT\] and/or aspartate aminotransferase \[AST\] levels \>5 times the upper limit of normal; or creatinine \>120 μmol/L)
* Known hypersensitivity to Nuwiq's active substance or its excipients (sucrose, sodium chloride, calcium chloride dihydrate, arginine hydrochloride, sodium citrate dihydrate, poloxamer 188)
* Already had surgery in this study
* Current participation in another interventional clinical trial
* Treatment with any investigational medicinal product (IMP) within 30 days prior to screening visit
Primary outcome measure(s)
Overall haemostatic efficacy — During surgery and until completion of wound healing (e.g. removal of sutures, cessation of drainage, etc.) as defined by the investigator, during the study duration of 30 ± 3 days after the day of surgical procedure Overall haemostatic efficacy of treatment measured as binary "success" or "failure". The overall perioperative haemostatic efficacy of Nuwiq will be adjudicated by an Independent Data Monitoring Committee (IDMC) and determined using a composite assessment algorithm that considers the surgeon's assessment of intraoperative haemostatic efficacy and the investigator's assessment of postoperative haemostatic efficacy to classify the overall haemostatic efficacy as success or failure.
Trial sites (18)
Facility
City
Region
Status
UT Southwestern Medical Center
Dallas
Texas
Recruiting
University Hospital Centre Zagreb
Zagreb
Croatia
Recruiting
Helsinki University Hospital
Helsinki
Finland
Recruiting
CHU de Nantes Hôtel-Dieu
Nantes
France
Recruiting
CHRU de Tours
Tours
France
Recruiting
Vivantes Klinikum im Friedrichshein (KFH)
Berlin
Germany
Recruiting
Gerinnungszentrum Rhein-Ruhr
Duisburg
Germany
Recruiting
Universitätsklinikum Hamburg Eppendorf (UKE)
Hamburg
Germany
Recruiting
Christian Medical College Vellore
Vellore
Tamil Nadu
Recruiting
St. John's Medical College Hospital
Bengaluru
India
Recruiting
Azienda Ospedaliera Pugliese Ciaccio
Catanzaro
Italy
Recruiting
Azienda Ospedaliero Universitaria Careggi - Centro Emofilia
Florence
Italy
Recruiting
Centro Trombosi e Malattie Emorragiche, ITCCS Humanitas Research Hospital
Milan
Italy
Recruiting
Centre for Haemopilia, Institute for transfusion medicine of Republic of North Macedonia
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.
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