Efficacy, Safety, and Pharmacokinetic Study of Prophylactic Emicizumab Versus No Prophylaxis in Hemophilia A Participants
NCT03315455 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 85
Last updated 2026-04-01
Summary
This multicenter, open-label, Phase 3 study with randomized and non-randomized arms is designed to investigate the efficacy, safety, and pharmacokinetics of emicizumab in participants with hemophilia A regardless of factor VIII (FVIII) inhibitor status. Participants greater than or equal to (≥)12 years old who received episodic therapy with FVIII or bypassing agents prior to study entry and experienced at least 5 bleeds over the prior 24 weeks will be randomized in a 2:2:1 ratio to the following regimens: Arm A: Emicizumab prophylaxis at 3 milligrams per kilogram (mg/kg) once every week (QW) subcutaneously (SC) for 4 weeks, followed by 1.5 mg/kg QW SC; Arm B: Emicizumab prophylaxis at 3 mg/kg QW SC for 4 weeks, followed by 6 mg/kg once every 4 weeks (Q4W) SC; and Arm C: No prophylaxis (control arm). In addition, pediatric participants less than (\<)12 years old with hemophilia A and FVIII inhibitors who received episodic therapy with bypassing agents prior to study entry will be enrolled to Arm D: Emicizumab prophylaxis at 3 mg/kg QW SC for 4 weeks, followed by 1.5 mg/kg QW SC.
Conditions
Interventions
- DRUG
-
Emicizumab
Emicizumab will be administered via subcutaneous (SC) injection, as described for each treatment arm.
Sponsors & Collaborators
- lead INDUSTRY
Principal Investigators
-
Clinical Trials · Hoffmann-La Roche
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-04-26
- Primary Completion
- 2022-08-03
- Completion
- 2025-08-29
Countries
- China
- Hong Kong
- Malaysia
- Thailand
Study Locations
More Related Trials
-
A Study to Evaluate the Efficacy, Safety, Pharmacokinetics, and Pharmacodynamics of Subcutaneous Emicizumab in Participants From Birth to 12 Months of Age With Hemophilia A Without Inhibitors
NCT04431726 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
A Clinical Trial to Evaluate Prophylactic Emicizumab Versus no Prophylaxis in Hemophilia A Participants Without Inhibitors
NCT02847637 ·Status: COMPLETED ·Phase: PHASE3
-
Comparison of Outcomes Between Low Dose Emicizumab and Factor VIII in Clinically Severe Hemophilia A
NCT06155955 ·Status: RECRUITING ·Phase: PHASE2/PHASE3
-
A Study to Investigate the Pharmacokinetics, Safety, and Tolerability of Emicizumab in Healthy Chinese Volunteers
NCT03380780 ·Status: COMPLETED ·Phase: PHASE1
-
An Expanded Access Program of Emicizumab in Participants With Hemophilia A With Inhibitors
NCT03154437 ·Status: APPROVED_FOR_MARKETING
-
Study of Emicizumab Prophylaxis in Participants With Hemophilia A With or Without Inhibitors Undergoing Minor Surgical Procedures
NCT03361137 ·Status: TERMINATED ·Phase: PHASE4
-
A Study of Emicizumab Administered Subcutaneously (SC) in Pediatric Participants With Hemophilia A and Factor VIII (FVIII) Inhibitors
NCT02795767 ·Status: COMPLETED ·Phase: PHASE3
-
Emicizumab in Acquired Hemophilia A
NCT04188639 ·Status: COMPLETED ·Phase: PHASE2
-
The Hemophilia Inhibitor Prevention Trial
NCT04303559 ·Status: TERMINATED ·Phase: PHASE3
-
SAFE Study: Safety of aPCC Following Emicizumab Prophylaxis
NCT04563520 ·Status: RECRUITING ·Phase: PHASE3
-
Effects of Emicizumab vs. Factor VIII Prophylaxis on Joint and Bone Health in Severe Hemophilia A
NCT04131036 ·Status: RECRUITING
-
PF-06741086 Multiple Dose Study in Severe Hemophilia
NCT02974855 ·Status: COMPLETED ·Phase: PHASE2
-
Low Dose Emicizumab vs Low Dose Factor VIII in Prophylaxis in Hemophilia A Patients
NCT06938659 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2/PHASE3
-
Study Evaluating Inhibitor Specificity in Hemophilia A
NCT00151385 ·Status: WITHDRAWN ·Phase: PHASE4
-
Individualized Prophylaxis for Severe Hemophilia A Children
NCT02116855 ·Status: UNKNOWN ·Phase: NA
-
Real World Use of Emicizumab in Infants and Children Ages 0-3 Years With Hemophilia A
NCT05248594 ·Status: COMPLETED
-
A Study to Assess the Efficacy and Safety of Emicizumab in Participants With Type 3 Von Willebrand Disease
NCT06998524 ·Status: RECRUITING ·Phase: PHASE3
-
HemLibra Prophylaxis in Patients With Hemophilic Pseudotumor
NCT03921294 ·Status: TERMINATED ·Phase: PHASE4
-
Lead-in Study to Collect Prospective Efficacy and Safety Data of Current FVIII Prophylaxis Replacement Therapy in Adult Hemophilia A Participants
NCT03876301 ·Status: COMPLETED
-
The Safety of Emicizumab SC Injection in Korean Hemophilia A Patients With/Without FVIII Inhibitors
NCT04805801 ·Status: UNKNOWN
-
Hemlibra in Mild Hemophilia A
NCT04567511 ·Status: RECRUITING ·Phase: PHASE4
-
A Study to Evaluate Prospective Efficacy and Safety Data of Current FIX Prophylaxis Replacement Therapy in Adult Hemophilia B Subjects (FIX:C≤2%) or Current FVIII Prophylaxis Replacement Therapy in Adult Hemophilia A Subjects (FVIII:C≤1%)
NCT03587116 ·Status: COMPLETED ·Phase: PHASE3
-
Dynamics of the Anti-factor VIII Antibody Signature During Treatment With Emicizumab
NCT05802836 ·Status: RECRUITING
-
A Trial Evaluating the Efficacy and Safety of Prophylactic Administration of Concizumab in Haemophilia A and B Patients With Inhibitors
NCT03196284 ·Status: COMPLETED ·Phase: PHASE2
-
Study to Evaluate the Efficacy and Safety of PF-07055480 / Giroctocogene Fitelparvovec Gene Therapy in Moderately Severe to Severe Hemophilia A Adults
NCT04370054 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3