CClinicalTrials.gg
Status unknownNCT02554526Updated Sep 18, 2015

Basic Study of Combination Therapy Based on APCC-induced FVllI Activation in Hemophilia A Patients With Inhibitors

An observational study in Hemophilia A With Inhibitor, sponsored by Nara Medical University. Status unknown at 1 site in Japan. Open to male participants. Per ClinicalTrials.gov, last updated 2015-09-18.

Sponsored by Nara Medical University · Observational

The sponsor has not verified this record recently (last verified Sep 2015), so the status shown — last known as Not yet recruiting — may be out of date.
Study type
Observational
Enrollment
10
Sex
Male
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Study summary

Using whole blood samples and plasma samples obtained from some hemophilia A patients with inhibitors, the investigators will perform the coagulation assessment in the co-presence of aPCC and factor VIII by comprehensive coagulation assays and flow chamber analysis under blood flow conditions.

Read the detailed description

Comprehensive coagulation assays using recently popular rotational thromboelastometry (ROTEM), factor Xa/thrombin/plasmin generation test, and coagulation wave analysis and recently developed flow chamber system under blood flow conditions (T-TAS®) will be used. A bypassing agent, aPCC (Feiba®) and recombinant factor VIII (Advate®) will be added ex vivo to whole blood and plasma samples from patients with hemophilia A with inhibitors to compare with the coagulation effects of aPCC in the presence of factor VIII and those of aPCC in its absence under the conditions close to the physiological condition. Furthermore, the difference in the coagulation effects by the difference in inhibitor epitopes will be examined.

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Conditions studied

  • Hemophilia A With Inhibitor

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Keywords

  • hemophilia A
  • inhibitor
  • bypassing therapy
  • factor VIII
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In context

Hemophilia A

866 studies on the registry are indexed under Hemophilia A; 137 are open to participants now.

This study's planned enrollment of 10 is below the median of 80 across 314 observational studies indexed under Hemophilia A.

Browse Hemophilia A studies →

Lead sponsor

Nara Medical University is the lead sponsor of 5 studies on the registry; none 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
Male
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

We guess that there are approximately 200-300 hemophilia A patients with inhibitors in our country. We have approximately 20 out-patients in our hospital. Based on this information, we set up the patients subjects (n=10).

Inclusion criteria

  • Patients with hemophilia A with inhibitors (Inhibitor titer; >0.5 Bethesda U/ml)
  • Patients with agreement consents with the patients signatures

Exclusion criteria

Exclusion Criteria:

  • Patients that do not fill the conditions described above
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Study design

Enrollment
10 participants (estimated)
Patient registry
No

Groups and cohorts

  • Combination therapy

    Effects of aPCC reaction in the presence of FVIII

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What researchers measure

Primary outcomes

  1. Evaluation of coagulation effects using patients' plasmas by FXa/thrombin/plasmin generation tests and clot waveform analysis

    Time frame: up to 10 months

  2. Evaluation of coagulation effects using patients' whole bloods by ROTEM and T-TAS

    Time frame: up to 15 months

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Study locations

1 site
  • Department of Pediatrics
    Kashihara, Nara 634-8522, Japan
    • Keiji Nogami, MD, PhD · Contact · roc-noga@naramed-u.ac.jp · +81-744-29-8881
    • Tomoko Matsumoto, PhD · Sub investigator
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 18, 2015, 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
NCT02554526
Lead sponsor
Nara Medical University
Collaborators
Shire
Responsible party
Keiji Nogami, MD,PhD (Associate Professor, Nara Medical University) — Principal investigator
First posted
Sep 18, 2015
Start date
Sep 2015
Primary completion
Mar 2017 (estimated)
Completion
Dec 2017 (estimated)
Last update
Sep 18, 2015

Study contacts

Keiji Nogami, MD, PhD
Contact
roc-noga@naramed-u.ac.jp
+81-744-29-8881
Midori Shima, MD, PhD
study director · Nara Medical University

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Sep 2015. You cannot join it, but the record below documents what was studied.

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