ClinicalTrials.gg
TerminatedNCT03361137Updated Mar 1, 2021Results posted

Study of Emicizumab Prophylaxis in Participants With Hemophilia A With or Without Inhibitors Undergoing Minor Surgical Procedures

A Phase 4 interventional study of Emicizumab in Hemophilia A, sponsored by Genentech, Inc.. Terminated at 8 sites in United States. Per ClinicalTrials.gov, last updated 2021-03-01.

Sponsored by Genentech, Inc. (part of Hoffmann-La Roche) · Phase 4, Interventional, and Treatment

Why this study was terminated
The Sponsor decided to terminate the study early for several reasons (low enrollment, limited variety of surgery types, and available scientific data).

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Phase
Phase 4
Study type
Interventional
Enrollment
14
Allocation
Non-randomized
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 22 studies testing emicizumab in Hemophilia A — 6 open to participants now, 8 under way, 3 of them phase 3. emicizumab · Hemophilia A.

Enrollment
18th of 22
14 · median 27
Started
2018
with 2 others
Phase 4
6 of 22
3 open now
Registered
7th of 22
by date
Lead sponsor
1 of 22
Genentech, Inc.

Among the 22 studies testing emicizumab in Hemophilia A, this one is the 18th largest by enrollment, is one of 3 that started in 2018, is one of 6 in phase 4, and was the 7th registered.

Hemophilia A

844 studies on the registry are indexed under Hemophilia A; 136 are open to participants now.

Browse Hemophilia A studies →

Open to participants now

6 of the 22 studies testing emicizumab in Hemophilia A are open now, in 4 countries. Recruiting first, the newest first:

1 more — sign in →

By country, each count listing its studies:

All 6 open studies →

About emicizumab

emicizumab: first FDA approval 2017 (HEMLIBRA), first EMA approval 2018. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 87 Hemophilia A studies recruiting now, 51 (59%) set no upper age limit and 31 (36%) stop at 75 or younger; 55 take children under 18; 10 take healthy volunteers.

This study: all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 22 studies testing emicizumab in Hemophilia A, or all of them as a file.
02

Study summary

This Phase IV, multicenter study will evaluate whether participants with Hemophilia A (PwHA) with or without inhibitors receiving emicizumab prophylaxis can safely undergo minor surgical procedures without additional prophylactic bypassing agents (BPA; for participants with inhibitors) or factor VIII (FVIII; for participants without inhibitors).

03

Conditions studied

  • Hemophilia A

Browse trials for

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Any age (newborn and older)
  • Ability to comply with the study protocol, in the investigator's judgment
  • Diagnosis of hemophilia A and current or history of an inhibitor (Bethesda titer ≥0.6 Bethesda units) and currently using bypassing agents (BPAs) for breakthrough bleeds (for PwHA with inhibitors)
  • Diagnosis of hemophilia A and no history of an inhibitor (Bethesda titer \<0.6 Bethesda units), or a history of an inhibitor that has been tolerized for >5 years and using FVIII for breakthrough bleeds (for PwHA without inhibitors)
  • Plan to receive at least 4 loading doses of emicizumab and been adherent to emicizumab prophylaxis by the time of surgery
  • Undergoing minor surgery within 60 days of study enrollment. Other minor surgical procedures could be included upon consultation and approval of Medical Monitor, but examples include central venous catheter insertion/removal/replacement, simple dental extractions, colonoscopy, cystoscopy, or endoscopy with , excisional skin biopsy
  • Must plan to continue emicizumab prophylaxis for at least 1 month after surgery
  • For women of : agreement to remain abstinent (refrain from heterosexual intercourse) or use methods that result in a failure rate of \<1% per year during the study period

Exclusion criteria

Exclusion Criteria:

  • Diagnosis of a bleeding disorder other than hemophilia A
  • Participants who have been tolerized to Factor VIII products (for PwHA with inhibitors)
  • Tolerized to FVIII products for \<5 years (for PwHA without inhibitors)
  • Using FVIII products to treat breakthrough bleeds (for PwHA with inhibitors)
  • Treatment with BPAs or FVIII within 24 hours prior to surgical procedure
  • Undergoing a major surgical procedure
  • Previous (in the past 12 months) or current treatment for thromboembolic disease (with the exception of previous catheter-associated thrombosis for which anti-thrombotic treatment is not currently ongoing) or current signs of thromboembolic disease
  • Other conditions (e.g., certain diseases, including but not limited to diseases such as systemic lupus erythematosus, inflammatory bowel disease, and antiphospholipid syndrome) that may increase the risk of bleeding or thrombosis
  • Patients who are at high risk for thrombotic microangiopathy (TMA), e.g., have a previous medical or family history of TMA, in the investigator's judgment
  • Would refuse treatment with blood or blood products, if necessary
  • Any serious medical condition or abnormality in clinical laboratory tests that, in the investigator's judgment, precludes the participant's safe participation in and completion of the study
  • Pregnant or lactating, or intending to become pregnant during the study; women of must have a negative serum pregnancy test result within 7 days before Study Day 1
  • Treatment with any of the following: An drug to treat or reduce the risk of hemophilic bleeds within 5 half-lives of last drug administration before Study Day 1; A non-hemophilia-related investigational drug within the last 30 days or 5 half-lives before Study Day 1 (whichever is longer); An investigational drug concurrently
  • History of associated with monoclonal antibody therapies or components of the emicizumab injection
  • Known (HIV) infection with \< 200 cells/microlitre within 24 weeks prior to enrollment
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

CD4 count

The number of CD4 cells, a type of white blood cell, in a given amount of blood. It is used to follow how well the immune system is doing in HIV.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
14 participants (actual)

Study arms

  • Experimental
    PwHA With Inhibitors, Emicizumab: Surgery Not Performed Cohort

    This cohort included participants with Hemophilia A (PwHA) with inhibitors that were enrolled but did not have surgery. All participants received emicizumab via subcutaneous (SC) injection at a loading dose of 3 milligrams of medication per kilogram of body weight (mg/kg) once weekly for the first 4 weeks, followed by 1.5 mg/kg once weekly, or by any other approved maintenance regimen, as long as they continued to derive sufficient benefit. Participants must have received all loading doses prior to surgery and planned to continue emicizumab for a minimum of 1 month after surgery.

    Drug: Emicizumab

  • Experimental
    PwHA With Inhibitors, Emicizumab: CVAD Removal Cohort

    This cohort included participants with Hemophilia A (PwHA) with inhibitors that were enrolled and had surgery for central venous access device (CVAD) removal. All participants received emicizumab via subcutaneous (SC) injection at a loading dose of 3 milligrams of medication per kilogram of body weight (mg/kg) once weekly for the first 4 weeks, followed by 1.5 mg/kg once weekly, or by any other approved maintenance regimen, as long as they continued to derive sufficient benefit. Participants must have received all loading doses prior to surgery and planned to continue emicizumab for a minimum of 1 month after surgery.

    Drug: Emicizumab

  • Experimental
    PwHA With Inhibitors, Emicizumab: Simple Dental Extraction Cohort

    This cohort included participants with Hemophilia A (PwHA) with inhibitors that were enrolled and had surgery for simple dental extraction. All participants received emicizumab via subcutaneous (SC) injection at a loading dose of 3 milligrams of medication per kilogram of body weight (mg/kg) once weekly for the first 4 weeks, followed by 1.5 mg/kg once weekly, or by any other approved maintenance regimen, as long as they continued to derive sufficient benefit. Participants must have received all loading doses prior to surgery and planned to continue emicizumab for a minimum of 1 month after surgery.

    Drug: Emicizumab

  • Experimental
    PwHA Without Inhibitors, Emicizumab: CVAD Removal Cohort

    This cohort included participants with Hemophilia A (PwHA) without inhibitors that were enrolled and had surgery for central venous access device (CVAD) removal. All participants received emicizumab via subcutaneous (SC) injection at a loading dose of 3 milligrams of medication per kilogram of body weight (mg/kg) once weekly for the first 4 weeks, followed by 1.5 mg/kg once weekly, or by any other approved maintenance regimen, as long as they continued to derive sufficient benefit. Participants must have received all loading doses prior to surgery and planned to continue emicizumab for a minimum of 1 month after surgery.

    Drug: Emicizumab

  • Experimental
    PwHA Without Inhibitors, Emicizumab: Simple Dental Extraction Cohort

    This cohort included participants with Hemophilia A (PwHA) without inhibitors that were enrolled and had surgery for simple dental extraction. All participants received emicizumab via subcutaneous (SC) injection at a loading dose of 3 milligrams of medication per kilogram of body weight (mg/kg) once weekly for the first 4 weeks, followed by 1.5 mg/kg once weekly, or by any other approved maintenance regimen, as long as they continued to derive sufficient benefit. Participants must have received all loading doses prior to surgery and planned to continue emicizumab for a minimum of 1 month after surgery.

    Drug: Emicizumab

Interventions

  • Emicizumab via SC injection at a loading dose 3 mg/kg once weekly for the first 4 weeks, followed by 1.5 mg/kg once weekly, or by any other approved maintenance regimen, as long as the participant continues to derive sufficient benefit. Dosing was to be adjusted if the participant had a significant change in body weight.

    Also known as: Hemlibra®, ACE910, RG6013

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Without Excessive Bleeding at Surgical Sites and Did Not Require BPA/FVIII Use for Bleeding Related to the Surgery, From the Start of Surgery Until Discharge, as Measured by the ISTH Hemostatic Efficacy Scale

    The International Society on Thrombosis and Haemostasis (ISTH) Assessment of Hemostatic Response for Surgical Procedures scale (see reference PubMed ID:25059285) has four categories, listed here in order of best to worst response: Excellent, Good, Fair, and Poor. The participant's bleeding related to surgery was evaluated by the healthcare professional who performed the procedure using the hemostatic efficacy scale, with an absence of excessive bleeding at the surgical site indicated by a good to excellent rating. The endpoint was met when the response to "Intraoperative and/or postoperative blood loss increased over expectation for the non-hemophilic patient determined at the time of discharge" was "0 to \<10%" or "10% to \< 25%" AND the response to the question "Did the patient use any bypassing agent (BPA)/factor VIII (FVIII) for the surgery before the discharge?" was "No".

    Time frame: Determined at the time of discharge (within approximately 48 hours after surgery)

  2. Percentage of Participants With Excessive Bleeding at Surgical Sites and Required BPA/FVIII Use for Treating Bleeding Related to the Surgery, From the Start of Surgery Until Discharge, as Measured by the ISTH Hemostatic Efficacy Scale

    The ISTH Assessment of Hemostatic Response for Surgical Procedures scale (see reference PubMed ID:25059285) has four categories, listed here in order of best to worst response: Excellent, Good, Fair, and Poor. The participant's bleeding related to surgery was evaluated by the healthcare professional who performed the procedure using the hemostatic efficacy scale, with excessive bleeding at the surgical site indicated by a fair to poor rating. The endpoint was met when the response to "Intraoperative and/or postoperative blood loss increased over expectation for the non-hemophilic patient determined at the time of discharge" was "25% to \<50%" or "≥50%" AND the response to the question "Did the patient use any bypassing agent (BPA)/factor VIII (FVIII) for the surgery before the discharge?" was "Yes". The percentage of participants by type and dose of BPA/FVIII used to treat the bleeding is also reported. rFVIIa = recombinant activated human factor VII (eptacog alfa \[activated\])

    Time frame: Determined at the time of discharge (within approximately 48 hours after surgery)

  3. Percentage of Participants Who, After Being Discharged From Surgery, Experienced Bleeds That Were Either Related or Unrelated to Surgery and Also Required BPA/FVIII Use

    Post-surgical bleeding information was self-reported by participants (or the participant's legally authorized representative) on the "Bleed and Medication Diary". Bypassing agents (BPAs)/factor VIII (FVIII) used to treat excessive bleeding were also self-reported by participants if it was self-administered. BPAs/FVIII administered by the investigators to treat the bleeding were reported on the "Concomitant Medications" case report form page. The percentage of participants by type and dose of BPA/FVIII used to treat the bleeding is also reported. rFVIIa = recombinant activated human factor VII (eptacog alfa \[activated\])

    Time frame: Within 48 hours (if discharged home), and 8 and 28 days after surgery

  4. Emicizumab Plasma Concentration on the Day of Surgery

    Enrolled participants received a minimum of four loading doses of emicizumab prior to their surgical procedure. Pharmacokinetic blood samples were obtained at study sites 24 hours before the procedures in order to describe emicizumab plasma concentration on the day of surgery for each of the inhibitor and non-inhibitor cohorts.

    Time frame: Approximately 24 hours prior to surgery

  5. Safety Summary of the Number of Participants With at Least One Adverse Event

    All adverse events (AEs) that occurred after informed consent was obtained were coded using the Medical Dictionary for Regulatory Activities (MedDRA) v23.0, summarized by severity according to the World Health Organization (WHO) toxicity grading scale (Grade 1 is mild; Grade 2 is moderate; Grade 3 is severe; Grade 4 is life-threatening; and Grade 5 is death related to AE), and tabulated by body system and preferred term (PT) for individual events within each system organ class (SOC). For each AE, the investigator independently assessed its severity and seriousness, and whether it was considered to be related to the study drug.

    Time frame: From Baseline up to 30 days after surgery

  6. Percentage of Participants With Surgical Complications Requiring Hospitalization or Return to Surgery

    This safety endpoint was a composite endpoint. Surgical complications were entered as adverse events on the case report form page with "Other suspected causes" marked as "Study Surgery or Procedure". This endpoint was met when response to "It required or prolonged inpatient hospitalization" was checked OR response to "Was procedure/surgery performed?" was "Yes".

    Time frame: Within 48 hours after surgery, and 8 and 28 days after initial surgery

  7. Percentage of Participants Who Needed Blood/Blood Product Transfusions During Surgery

    The percentage of participants who needed blood or blood product transfusions (e.g., platelets, plasma, etc.) during surgery was evaluated.

    Time frame: Within 48 hours after surgery, and 8 and 28 days after initial surgery

07

Results

Posted Mar 1, 2021
Limitations and caveats
No definitive efficacy conclusions were drawn due to study limitations that included early enrollment termination, limited number of participants enrolled, and evaluation in only 2 minor surgical procedure types.

Participant flow

Participant flow — Overall Study
MilestonePwHA With Inhibitors, Emicizumab: Surgery Not Performed CohortPwHA With Inhibitors, Emicizumab: CVAD Removal CohortPwHA With Inhibitors, Emicizumab: Simple Dental Extraction CohortPwHA Without Inhibitors, Emicizumab: CVAD Removal CohortPwHA Without Inhibitors, Emicizumab: Simple Dental Extraction Cohort
Started19121
Completed09121
Not completed10000
Withdrew: Reason not specified10000

Outcome measures

PrimaryPercentage of Participants Without Excessive Bleeding at Surgical Sites and Did Not Require BPA/FVIII Use for Bleeding Related to the Surgery, From the Start of Surgery Until Discharge, as Measured by the ISTH Hemostatic Efficacy Scale

The International Society on Thrombosis and Haemostasis (ISTH) Assessment of Hemostatic Response for Surgical Procedures scale (see reference PubMed ID:25059285) has four categories, listed here in order of best to worst response: Excellent, Good, Fair, and Poor. The participant's bleeding related to surgery was evaluated by the healthcare professional who performed the procedure using the hemostatic efficacy scale, with an absence of excessive bleeding at the surgical site indicated by a good to excellent rating. The endpoint was met when the response to "Intraoperative and/or postoperative blood loss increased over expectation for the non-hemophilic patient determined at the time of discharge" was "0 to \<10%" or "10% to \< 25%" AND the response to the question "Did the patient use any bypassing agent (BPA)/factor VIII (FVIII) for the surgery before the discharge?" was "No".

Time frame:
Determined at the time of discharge (within approximately 48 hours after surgery)
Reported as:
Number · Percentage of participants
Percentage of Participants Without Excessive Bleeding at Surgical Sites and Did Not Require BPA/FVIII Use for Bleeding Related to the Surgery, From the Start of Surgery Until Discharge, as Measured by the ISTH Hemostatic Efficacy Scale
Percentage of participantsPwHA With Inhibitors, Emicizumab: Surgery Not Performed CohortPwHA With Inhibitors, Emicizumab: CVAD Removal CohortPwHA With Inhibitors, Emicizumab: Simple Dental Extraction CohortPwHA Without Inhibitors, Emicizumab: CVAD Removal CohortPwHA Without Inhibitors, Emicizumab: Simple Dental Extraction Cohort
Percentage of Participants Without Excessive Bleeding at Surgical Sites and Did Not Require BPA/FVIII Use for Bleeding Related to the Surgery, From the Start of Surgery Until Discharge, as Measured by the ISTH Hemostatic Efficacy Scale—66.7100.0100.0100.0
PrimaryPercentage of Participants With Excessive Bleeding at Surgical Sites and Required BPA/FVIII Use for Treating Bleeding Related to the Surgery, From the Start of Surgery Until Discharge, as Measured by the ISTH Hemostatic Efficacy Scale

The ISTH Assessment of Hemostatic Response for Surgical Procedures scale (see reference PubMed ID:25059285) has four categories, listed here in order of best to worst response: Excellent, Good, Fair, and Poor. The participant's bleeding related to surgery was evaluated by the healthcare professional who performed the procedure using the hemostatic efficacy scale, with excessive bleeding at the surgical site indicated by a fair to poor rating. The endpoint was met when the response to "Intraoperative and/or postoperative blood loss increased over expectation for the non-hemophilic patient determined at the time of discharge" was "25% to \<50%" or "≥50%" AND the response to the question "Did the patient use any bypassing agent (BPA)/factor VIII (FVIII) for the surgery before the discharge?" was "Yes". The percentage of participants by type and dose of BPA/FVIII used to treat the bleeding is also reported. rFVIIa = recombinant activated human factor VII (eptacog alfa \[activated\])

Time frame:
Determined at the time of discharge (within approximately 48 hours after surgery)
Reported as:
Number · Percentage of participants
Percentage of Participants With Excessive Bleeding at Surgical Sites and Required BPA/FVIII Use for Treating Bleeding Related to the Surgery, From the Start of Surgery Until Discharge, as Measured by the ISTH Hemostatic Efficacy Scale
Percentage of participantsPwHA With Inhibitors, Emicizumab: Surgery Not Performed CohortPwHA With Inhibitors, Emicizumab: CVAD Removal CohortPwHA With Inhibitors, Emicizumab: Simple Dental Extraction CohortPwHA Without Inhibitors, Emicizumab: CVAD Removal CohortPwHA Without Inhibitors, Emicizumab: Simple Dental Extraction Cohort
Total with Excessive Bleeding and Received BPA/FVIII—11.10.00.00.0
Treated with 2 mg rFVIIa—11.10.00.00.0
PrimaryPercentage of Participants Who, After Being Discharged From Surgery, Experienced Bleeds That Were Either Related or Unrelated to Surgery and Also Required BPA/FVIII Use

Post-surgical bleeding information was self-reported by participants (or the participant's legally authorized representative) on the "Bleed and Medication Diary". Bypassing agents (BPAs)/factor VIII (FVIII) used to treat excessive bleeding were also self-reported by participants if it was self-administered. BPAs/FVIII administered by the investigators to treat the bleeding were reported on the "Concomitant Medications" case report form page. The percentage of participants by type and dose of BPA/FVIII used to treat the bleeding is also reported. rFVIIa = recombinant activated human factor VII (eptacog alfa \[activated\])

Time frame:
Within 48 hours (if discharged home), and 8 and 28 days after surgery
Reported as:
Number · Percentage of participants
Percentage of Participants Who, After Being Discharged From Surgery, Experienced Bleeds That Were Either Related or Unrelated to Surgery and Also Required BPA/FVIII Use
Percentage of participantsPwHA With Inhibitors, Emicizumab: Surgery Not Performed CohortPwHA With Inhibitors, Emicizumab: CVAD Removal CohortPwHA With Inhibitors, Emicizumab: Simple Dental Extraction CohortPwHA Without Inhibitors, Emicizumab: CVAD Removal CohortPwHA Without Inhibitors, Emicizumab: Simple Dental Extraction Cohort
Total with Post-surgical Bleeding and Received BPA/FVIII—22.2100.00.00.0
Treated with 2 mg rFVIIa—11.1100.00.00.0
Treated with 5 mg rFVIIa—11.10.00.00.0
PrimaryEmicizumab Plasma Concentration on the Day of Surgery

Enrolled participants received a minimum of four loading doses of emicizumab prior to their surgical procedure. Pharmacokinetic blood samples were obtained at study sites 24 hours before the procedures in order to describe emicizumab plasma concentration on the day of surgery for each of the inhibitor and non-inhibitor cohorts.

Time frame:
Approximately 24 hours prior to surgery
Reported as:
Mean · micrograms per millilitre (μg/mL)
Emicizumab Plasma Concentration on the Day of Surgery
micrograms per millilitre (μg/mL)PwHA With Inhibitors, Emicizumab: All Surgery CohortsPwHA Without Inhibitors, Emicizumab: All Surgery Cohorts
Emicizumab Plasma Concentration on the Day of Surgery53.74 ± 28.6738.40 ± 8.95
PrimarySafety Summary of the Number of Participants With at Least One Adverse Event

All adverse events (AEs) that occurred after informed consent was obtained were coded using the Medical Dictionary for Regulatory Activities (MedDRA) v23.0, summarized by severity according to the World Health Organization (WHO) toxicity grading scale (Grade 1 is mild; Grade 2 is moderate; Grade 3 is severe; Grade 4 is life-threatening; and Grade 5 is death related to AE), and tabulated by body system and preferred term (PT) for individual events within each system organ class (SOC). For each AE, the investigator independently assessed its severity and seriousness, and whether it was considered to be related to the study drug.

Time frame:
From Baseline up to 30 days after surgery
Reported as:
Count of participants · Participants
Safety Summary of the Number of Participants With at Least One Adverse Event
ParticipantsPwHA With Inhibitors, Emicizumab: Surgery Not Performed CohortPwHA With Inhibitors, Emicizumab: CVAD Removal CohortPwHA With Inhibitors, Emicizumab: Simple Dental Extraction CohortPwHA Without Inhibitors, Emicizumab: CVAD Removal CohortPwHA Without Inhibitors, Emicizumab: Simple Dental Extraction Cohort
Any Adverse Event (AE)14000
AE with Fatal Outcome00000
Serious Adverse Event (SAE)00000
SAE Leading to Withdrawal from Treatment00000
SAE Leading to Dose Modification/Interruption00000
Related SAE00000
AE Leading to Withdrawal from Treatment00000
AE Leading to Dose Modification/Interruption00000
Related AE00000
Related AE Leading to Withdrawal from Treatment00000
Related AE Leading to Dose Modification/Interruption00000
Grade 3-5 AE00000
PrimaryPercentage of Participants With Surgical Complications Requiring Hospitalization or Return to Surgery

This safety endpoint was a composite endpoint. Surgical complications were entered as adverse events on the case report form page with "Other suspected causes" marked as "Study Surgery or Procedure". This endpoint was met when response to "It required or prolonged inpatient hospitalization" was checked OR response to "Was procedure/surgery performed?" was "Yes".

Time frame:
Within 48 hours after surgery, and 8 and 28 days after initial surgery
Reported as:
Number · Percentage of participants
Percentage of Participants With Surgical Complications Requiring Hospitalization or Return to Surgery
Percentage of participantsPwHA With Inhibitors, Emicizumab: Surgery Not Performed CohortPwHA With Inhibitors, Emicizumab: CVAD Removal CohortPwHA With Inhibitors, Emicizumab: Simple Dental Extraction CohortPwHA Without Inhibitors, Emicizumab: CVAD Removal CohortPwHA Without Inhibitors, Emicizumab: Simple Dental Extraction Cohort
Percentage of Participants With Surgical Complications Requiring Hospitalization or Return to Surgery—0.00.00.00.0
PrimaryPercentage of Participants Who Needed Blood/Blood Product Transfusions During Surgery

The percentage of participants who needed blood or blood product transfusions (e.g., platelets, plasma, etc.) during surgery was evaluated.

Time frame:
Within 48 hours after surgery, and 8 and 28 days after initial surgery
Reported as:
Number · Percentage of participants
Percentage of Participants Who Needed Blood/Blood Product Transfusions During Surgery
Percentage of participantsPwHA With Inhibitors, Emicizumab: Surgery Not Performed CohortPwHA With Inhibitors, Emicizumab: CVAD Removal CohortPwHA With Inhibitors, Emicizumab: Simple Dental Extraction CohortPwHA Without Inhibitors, Emicizumab: CVAD Removal CohortPwHA Without Inhibitors, Emicizumab: Simple Dental Extraction Cohort
Percentage of Participants Who Needed Blood/Blood Product Transfusions During Surgery—0.00.00.00.0

Adverse events

Collected over From Baseline up to 30 days after surgery. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
PwHA With Inhibitors, Emicizumab: Surgery Not Performed Cohort0/1 (0%)0/1 (0%)1/1 (100%)
PwHA With Inhibitors, Emicizumab: CVAD Removal Cohort0/9 (0%)0/9 (0%)4/9 (44.4%)
PwHA With Inhibitors, Emicizumab: Simple Dental Extraction Cohort0/1 (0%)0/1 (0%)0/1 (0%)
PwHA Without Inhibitors, Emicizumab: CVAD Removal Cohort0/2 (0%)0/2 (0%)0/2 (0%)
PwHA Without Inhibitors, Emicizumab: Simple Dental Extraction Cohort0/1 (0%)0/1 (0%)0/1 (0%)
Most frequent other events
Most frequent other events
EventPwHA With Inhibitors, Emicizumab: Surgery Not Performed CohortPwHA With Inhibitors, Emicizumab: CVAD Removal CohortPwHA With Inhibitors, Emicizumab: Simple Dental Extraction CohortPwHA Without Inhibitors, Emicizumab: CVAD Removal CohortPwHA Without Inhibitors, Emicizumab: Simple Dental Extraction Cohort
HeadacheNervous system disorders1/12/90/10/20/1
Limb injuryInjury, poisoning and procedural complications1/10/90/10/20/1
PyrexiaGeneral disorders1/10/90/10/20/1
Device occlusionProduct Issues1/10/90/10/20/1
Procedural painInjury, poisoning and procedural complications0/11/90/10/20/1
ConstipationGastrointestinal disorders0/11/90/10/20/1
AdhesiolysisSurgical and medical procedures0/11/90/10/20/1
HaematomaVascular disorders0/11/90/10/20/1

Baseline characteristics

Age, Customized
Age, Customized(Participants)PwHA With Inhibitors, Emicizumab: Surgery Not Performed CohortPwHA With Inhibitors, Emicizumab: CVAD Removal CohortPwHA With Inhibitors, Emicizumab: Simple Dental Extraction CohortPwHA Without Inhibitors, Emicizumab: CVAD Removal CohortPwHA Without Inhibitors, Emicizumab: Simple Dental Extraction CohortTotal
<18 Years Old1712011
≥18 to <65 Years Old020013
Sex: Female, Male
Sex: Female, Male(Participants)PwHA With Inhibitors, Emicizumab: Surgery Not Performed CohortPwHA With Inhibitors, Emicizumab: CVAD Removal CohortPwHA With Inhibitors, Emicizumab: Simple Dental Extraction CohortPwHA Without Inhibitors, Emicizumab: CVAD Removal CohortPwHA Without Inhibitors, Emicizumab: Simple Dental Extraction CohortTotal
Female000000
Male1912114
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PwHA With Inhibitors, Emicizumab: Surgery Not Performed CohortPwHA With Inhibitors, Emicizumab: CVAD Removal CohortPwHA With Inhibitors, Emicizumab: Simple Dental Extraction CohortPwHA Without Inhibitors, Emicizumab: CVAD Removal CohortPwHA Without Inhibitors, Emicizumab: Simple Dental Extraction CohortTotal
Hispanic or Latino031105
Not Hispanic or Latino160119
Unknown or Not Reported000000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)PwHA With Inhibitors, Emicizumab: Surgery Not Performed CohortPwHA With Inhibitors, Emicizumab: CVAD Removal CohortPwHA With Inhibitors, Emicizumab: Simple Dental Extraction CohortPwHA Without Inhibitors, Emicizumab: CVAD Removal CohortPwHA Without Inhibitors, Emicizumab: Simple Dental Extraction CohortTotal
Asian010001
Black or African American100012
White051107
Multiple020002
Unknown010102
08

Study locations

8 sites
  • Childrens Hospital of LA
    Los Angeles, California 90027, United States
  • Stanford University/Lucile Packard Children's Hospital
    Palo Alto, California 94304, United States
  • University of Florida
    Gainesville, Florida 32607, United States
  • Indiana Hemophilia & Thrombosis center
    Indianapolis, Indiana 46260, United States
  • Newark Beth Israel Medical Center
    Newark, New Jersey 07112, United States
  • State University of New York at Buffalo; Women's and Children's Hospital of Buffalo
    Buffalo, New York 14209, United States
  • Cook Childrens Medical Center
    Fort Worth, Texas 76104, United States
  • University of Utah; Division of Gastroenterology/Hepatology
    Salt Lake City, Utah 84132, United States
09

References and documents

Publications

  • Blanchette VS, Key NS, Ljung LR, Manco-Johnson MJ, van den Berg HM, Srivastava A; Subcommittee on Factor VIII, Factor IX and Rare Coagulation Disorders of the Scientific and Standardization Committee of the International Society on Thrombosis and Hemostasis. Definitions in hemophilia: communication from the SSC of the ISTH. J Thromb Haemost. 2014 Nov;12(11):1935-9. doi: 10.1111/jth.12672. Epub 2014 Sep 3. No abstract available. PubMed 25059285 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jun 2018 to primary completion in Mar 2020, 20 months.

Results were first posted in Mar 2021, 11 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 20, 2017
First posted
Dec 4, 2017
StartActual
Jun 28, 2018
Primary completionActual
Mar 13, 2020
CompletionActual
Mar 13, 2020
Results first posted
Mar 1, 2021
Last update
Mar 1, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 1, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03361137
Lead sponsor
Genentech, Inc.
Responsible party
Sponsor
First posted
Dec 4, 2017
Start date
Jun 28, 2018
Primary completion
Mar 13, 2020
Completion
Mar 13, 2020
Results posted
Mar 1, 2021
Last update
Mar 1, 2021

Study contacts

Clinical Trials
study director · Hoffmann-La Roche

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Feb 2021. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Emicizumab

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