ClinicalTrials.gg
CompletedNCT03405337PARkERUpdated Sep 27, 2018

Evaluation of Patient and Physician Reported Reasons for Switching Factor VIII Replacement Therapies

An observational study in Hemophilia A, sponsored by Bayer. Completed at 1 site in United States. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2018-09-27.

Sponsored by Bayer · Observational

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Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
160
Ages
12 Years and older
Sex
All
01

Where this study stands

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

Among 57 studies in Hemophilia A by Bayer — 3 open to participants now, 6 under way, none of them phase 3. Hemophilia A · Bayer.

Enrollment
8th of 26
160 · median 67
Started
2018
with 4 others
Observational
26 of 57
3 open now
Registered
39th of 57
by date

Among the 57 studies in Hemophilia A by Bayer, this one is the 8th largest by enrollment of the 26 observational ones that give a count, is one of 5 that started in 2018, is one of 26 observational ones, and was the 39th 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

3 of the 57 studies in Hemophilia A by Bayer are open now, in 12 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

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: 12 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 57 studies in Hemophilia A by Bayer, or all of them as a file.
02

Study summary

This US study will assess hemophilia A patient characteristics, health history and reasons for switching or not switching from both patient/caregiver and physician perspectives. For this purpose, this research study will include hemophilia A: 1) patients who have switched from conventional therapy to new FVIII products with an improved PK profile. 2) patients who remain on conventional therapy (who have never switched) but have considered switching, including those patients who switched from conventional therapy to new FVIII products with improved pharmacokinetics and then subsequently "switched back" to conventional replacement therapy. In doing so, real world evidence will be obtained from both patient and physician perspectives offering key insights for effective therapeutic management of patients with hemophilia A and to more fully understand what drives patient switching from a patient perspective and a physician perspective.

03

Conditions studied

  • Hemophilia A

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04

Who can participate

Ages eligible
12 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Study Population for the Patient/Caregiver Study:

Hemophilia A patients/caregivers will be recruited via opt-in patient panels and/or research databases.

Patients with hemophilia A (≥ 18 years of age) or caregivers of children with hemophilia A (≥12-\<18 years of age)

Study Population for the Physician Chart Study:

The study population for the physician chart review study will be patients, who initiated FVIII products with improved half-life for the treatment of hemophilia A during the eligibility period. In order to obtain a broad patient population that is representative of real world prescribing; all eligible patients will be included in the study irrespective of the FVIII product with improved half-life received.

Eligibility criteria

Inclusion Criteria:

Inclusion criteria for patients/caregivers in the Patient/Caregiver Study:

  • Patients with hemophilia A (≥ 18 years of age) or caregivers of children with hemophilia A (≥12-\<18 years of age)
  • Group 1: Hemophilia A patients/caregivers who have switched to FVIII products with improved half-life for the treatment of hemophilia A during the eligibility period. These patients can also include those who have switched back from FVIII products with improved half-life to conventional FVIII replacement therapy within the Data Collection Period
  • Group 2: Hemophilia A patients/caregivers who are considering switching to FVIII products with improved half-life within 12 months of the Start of the Documentation period and have been prescribed prophylaxis regimen of at least 2x/week
  • Able to understand, read, write and speak English
  • Provide electronic
  • Able to access the Internet for at least 20 minutes per day during the Data Collection Period

Inclusion criteria for physicians:

  • At least 60% of time spent in direct patient care
  • Board-certified or eligible with a Specialty in Hematology or Hematology-Oncology
  • Physicians with a specialty in Hematology-Oncology must have at least 10% of their practice dedicated to treatment of hemophilia
  • A minimum of 2 years' experience treating hemophilia A patients

Inclusion criteria for patients in the physician chart study:

  • Hemophilia A patients age 12 year and over
  • Prior treatment with one of the following FVIII replacement products: Adynovate, Afstyla, Eloctate, or Kovaltry
  • Patients that have 12 months of medical chart data available; 6 months on conventional therapy and 6 months after switching to FVIII products with improved half-life.

Exclusion Criteria:

Exclusion criteria for patients/caregivers in the Patient/Caregiver Study:

  • Hemophilia A patient initiated FVIII products with improved half-life for the treatment at time of diagnosis with hemophilia A.

Exclusion criteria for physicians:

  • Unwilling to comply with the study protocol
Terms in these criteria, in plain language(1)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

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

Groups and cohorts

  • FVIII products (prospective)

    Qualitative patient/caregiver study: Hemophilia A patients/caregivers (N=30) having initiated a FVIII products with improved half-life

    Drug: FVIII products · Drug: Conventional FVIII replacement therapies

  • Conventional FVIII replacement therapies

    Qualitative patient/caregiver study: Hemophilia A patients/caregivers (N=30) receiving "conventional" FVIII replacement therapy for at least 6 months who are considering switching to a FVIII product with improved half-life within the next 1 year

    Drug: Conventional FVIII replacement therapies

  • FVIII products (retrospective)

    Quantitative physician interview/ chart review study: Hemophilia A patients (N=100) who have switched from "conventional" FVIII replacement therapy to FVIII products with improved half-life.

    Drug: FVIII products · Drug: Conventional FVIII replacement therapies

Interventions

  • DrugFVIII products

    Adynovate, Eloctate, Afstyla, Kovaltry

  • DrugConventional FVIII replacement therapies

    Advate, Kogenate FS, Helixate, Novoeight, Nuwiq, Recombinate, Xyntha

06

What researchers measure

Primary outcomes

  1. The reasons of patients/caregivers "switch" from conventional FVIII replacement therapy to FVIII products with improved half-life

    These patients/caregivers will participate in an asynchronous online discussion forum consisting of predetermined open ended and close ended questions for a series of 6 consecutive days completing approximately 20 minutes' worth of questions per day.

    Time frame: Up to 6 days

  2. The obstacles of switching among hemophilia A patients who did not switch from conventional therapy to FVIII products with improved half-life but who are open to switching

    These patients/caregivers will participate in an asynchronous online discussion forum consisting of predetermined open ended and close ended questions for a series of 6 consecutive days completing approximately 20 minutes' worth of questions per day.

    Time frame: Up to 6 days

  3. The clinical characteristics of patients who switch from conventional FVIII replacement therapy to FVIII products with improved half-life

    A retrospective patient medical chart review

    Time frame: Up to 4.5 months

  4. The changes of treatment characteristics from 6 months prior to switching compared to 6 months after switching from conventional FVIII replacement therapy to FVIII products with improved half-life

    A retrospective patient medical chart review

    Time frame: Up to 4.5 months

  5. The changes of bleeding related outcomes from 6 months prior to switching compared to 6 months after switching from conventional FVIII replacement therapy to FVIII products with improved half-life

    A retrospective patient medical chart review

    Time frame: Up to 4.5 months

  6. The reasons for switching from conventional FVIII replacement therapy to FVIII products with improved half-life, from the physician perspective

    A retrospective patient medical chart review

    Time frame: Up to 4.5 months

07

Study locations

1 site
  • Many Locations
    Whippany, New Jersey 07981, United States
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Feb 2018 to primary completion in Jun 2018, 3 months.

Of 53 industry-sponsored observational studies under Hemophilia A, half reached primary completion within 58 months of starting (the median), counting those still running; a quarter within 34 and three quarters within 79. This study's 3 months is below that.

Counting every sponsor, half of 131 studies reached it within 45 months; a quarter within 25 and three quarters within 79.

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

Registered
Jan 15, 2018
First posted
Jan 23, 2018
StartActual
Feb 14, 2018
Primary completionActual
Jun 13, 2018
CompletionActual
Jun 13, 2018
Last update
Sep 27, 2018
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 Sep 27, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03405337
Lead sponsor
Bayer
Responsible party
Sponsor
First posted
Jan 23, 2018
Start date
Feb 14, 2018
Primary completion
Jun 13, 2018
Completion
Jun 13, 2018
Last update
Sep 27, 2018

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2018. You cannot join it, but the record below documents what was studied.

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Discussion

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