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CompletedNCT00557908VIPUpdated Oct 6, 2017

The Von Willebrand Disease (VWD) International Prophylaxis Study

An observational study in Von Willebrand Disease, sponsored by Skane University Hospital. Completed at 3 sites in 2 countries. Per ClinicalTrials.gov, last updated 2017-10-06.

Sponsored by Skane University Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
105
Sex
All
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Study summary

The von Willebrand Disease Prophylaxis Network (VWD PN) is an international study group formed with the goal of investigating the role of prophylaxis in clinically severe VWD that is non-responsive to other treatment(s).

Read the detailed description

The most common indications for vWD prophylaxis included joint bleeding, epistaxis, gastrointestinal (GI) bleeding, and menorrhagia. Thus, an effort to establish optimal treatment regimens for these indications, through a period of prospective evaluation, is the primary focus of this research. Other goals include a retrospective study of the effect of prophylaxis on bleeding frequency, and a retrospective natural history study of GI bleeding in VWD.

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Conditions studied

  • Von Willebrand Disease

Keywords

  • Von Willebrand Disease
  • VWD
  • prophylaxis
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In context

Von Willebrand Diseases

63 studies on the registry are indexed under Von Willebrand Diseases; 4 are open to participants now.

This study's enrollment of 105 is close to the median of 102 across 31 observational studies indexed under Von Willebrand Diseases.

Browse Von Willebrand Diseases studies →

Lead sponsor

Skane University Hospital is the lead sponsor of 71 studies on the registry; 17 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The VWD population includes those with Type 1 if \</=20% RCo and/or \</=20% FVIII; and DDAVP non-responsive; Type 2 if DDAVP non-responsive, or Type 2B; and Type 3; who meet bleeding indication criteria having defined patterns of gastrointestinal bleeding, joint bleeding, epistaxis, or menorrhagia.

Individuals already on prophylaxis for VWD, for any indication, and individuals who were on a regimen of prophylaxis for at least six months that was discontinued because it was no longer required, or those with a history of GI bleeding due either to proven angiodysplasia or unexplained by other factors.

Eligibility criteria

Inclusion Criteria:

Type 1: eligible for participation if

  • ≤20% RCo and/or ≤20% FVIII; and
  • DDAVP non-responsive, defined as occurrence of bleeding episodes not responding satisfactorily to desmopressin, or deemed non-responsive a priori by the investigator; and
  • Bleeding indication criteria are met

Type 2: eligible for participation if

  • DDAVP non-responsive, defined as occurrence of bleeding episodes not responding satisfactorily to desmopressin, or deemed non-responsive a priori by the investigator; or Type 2B;
  • Bleeding indication criteria are met

Type 3: eligible for participation if

  • Bleeding indication criteria are met

Bleeding Indication Criteria:

  • Joint Bleeding: documentation of at least two apparently spontaneous bleeding episodes in the same joint in the six months prior to enrollment; or three or more apparently spontaneous bleeding episodes in different joints in the six months prior to enrollment.
  • GI Bleeding: history of two or more severe GI bleeding episodes associated with either a drop in hemoglobin of ≥ 2 g/dl or requiring red blood cell transfusion or treatment with VWD concentrate.
  • Failure to identify other causes of bleeding.
  • Menorrhagia: a diagnosis of menorrhagia; prospectively completed Pictorial Blood Assessment Chart score >185 or required treatment with a VWD product for menstrual bleeding on one or more occasions in the year prior to enrollment.
  • Normal cervical cytology (PAP) within the six months prior to enrollment for females ≥ 18 years of age.
  • Epistaxis 1. Three or more bleeding episodes in a six-month period that required treatment with VWD concentrates or red cell transfusions.
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Study design

Observational model
Cohort
Time perspective
Other
Enrollment
105 participants (actual)
Patient registry
No

Groups and cohorts

  • VWF/FVIII product infusions

    One to three infusions of factor replacement as needed to control bleeding.

    Drug: VWF/FVIII products

Interventions

  • DrugVWF/FVIII products

    Participants in the prospective phase of the study undergo an escalation of treatment from receipt of one to three levels of VWD product. All subjects enrolled will begin treatment on the level one and remain on this regimen for the duration of follow-up, or until they meet the criteria for escalation to level two or three (if indeed they do meet the criteria.) Dosing for joint bleeding, epistaxis, and GI bleeding indications: 50 U RCo/kg once per week, 50 U RCo/kg twice per week, or 50 U RCo/kg three times per week. Dosing for menorrhagia: 50 U RCo/kg on day 1 of menses for 2 cycles, 50 U RCo/kg on days 1 and 2 of menses for 2 cycles, or 50 U RCo/kg on days 1, 2, and 3 of menses

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What researchers measure

Primary outcomes

  1. von Willebrand Disease associated bleeding frequency

    Time frame: 1 year

Secondary outcomes

  1. Optimal treatment regimens for joint bleeding, GI bleeding, epistaxis, and menorrhagia

    Time frame: 1 year

07

Study locations

3 sites
  • Rho, Inc.
    Chapel Hill, North Carolina 27517, United States
  • BloodCenter of Wisconsin
    Milwaukee, Wisconsin 53201-2178, United States
  • Skåne University Hospital
    Malmö, SE-20502, Sweden
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References and documents

Publications

  • Holm E, Abshire TC, Bowen J, Alvarez MT, Bolton-Maggs P, Carcao M, Federici AB, Gill JC, Halimeh S, Kempton C, Key NS, Kouides P, Lail A, Landorph A, Leebeek F, Makris M, Mannucci P, Mauser-Bunschoten EP, Nugent D, Valentino LA, Winikoff R, Berntorp E. Changes in bleeding patterns in von Willebrand disease after institution of long-term replacement therapy: results from the von Willebrand Disease Prophylaxis Network. Blood Coagul Fibrinolysis. 2015 Jun;26(4):383-8. doi: 10.1097/MBC.0000000000000257. PubMed 25688461 ↗
  • Makris M, Federici AB, Mannucci PM, Bolton-Maggs PHB, Yee TT, Abshire T, Berntorp E. The natural history of occult or angiodysplastic gastrointestinal bleeding in von Willebrand disease. Haemophilia. 2015 May;21(3):338-342. doi: 10.1111/hae.12571. Epub 2014 Nov 7. PubMed 25381842 ↗
  • Abshire TC, Federici AB, Alvarez MT, Bowen J, Carcao MD, Cox Gill J, Key NS, Kouides PA, Kurnik K, Lail AE, Leebeek FW, Makris M, Mannucci PM, Winikoff R, Berntorp E; VWD PN. Prophylaxis in severe forms of von Willebrand's disease: results from the von Willebrand Disease Prophylaxis Network (VWD PN). Haemophilia. 2013 Jan;19(1):76-81. doi: 10.1111/j.1365-2516.2012.02916.x. Epub 2012 Jul 23. PubMed 22823000 ↗
  • Berntorp E, Abshire T; von Willebrand Disease Prophylaxis Network Steering Committee. The von Willebrand disease prophylaxis network: exploring a treatment concept. J Thromb Haemost. 2006 Nov;4(11):2511-2. doi: 10.1111/j.1538-7836.2006.02179.x. No abstract available. PubMed 17059476 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 6, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00557908
Lead sponsor
Skane University Hospital
Collaborators
Versiti, CSL Behring
Responsible party
Sharyne M. Donfield, Ph.D. (Principal Research Scientist, Skane University Hospital) — Principal investigator
First posted
Nov 14, 2007
Start date
Jun 2007
Primary completion
Feb 2013
Completion
Feb 2013
Last update
Oct 6, 2017

Study contacts

Erik Berntorp, MD, PhD
principal investigator · Skåne University Hospital, Malmö, Sweden
Thomas Abshire, MD
principal investigator · Versiti

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2017. You cannot join it, but the record below documents what was studied.

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