ClinicalTrials.gg
RecruitingNCT03695978Protect-NOWUpdated Jun 2, 2026

Efficacy, Safety & Utilisation of Nuwiq, Octanate and Wilate in Previously Untreated & Minimally Treated Haemophilia A Patients

An observational study in Haemophilia A, sponsored by Octapharma. Recruiting at 59 sites in 18 countries. Per ClinicalTrials.gov, last updated 2026-06-02.

Sponsored by Octapharma · Observational

From the registry’s dates

  • Started Feb 2018; still recruiting 8 years 8 months later.
Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
200
Sex
All
01

Study summary

International, post-authorisation non-interventional study to evaluate real-life effectiveness, safety and utilisation patterns of Octapharma's FVIII concentrates Nuwiq, Octanate, and Wilate in previously untreated and minimally treated severe haemophilia A patients in routine clinical practice.

Read the detailed description

Octapharma's FVIII concentrates have been tested in clinical trials and registered for treatment of haemophilia A; however, as haemophilia A is a rare disease, the numbers of patients treated in studies so far are limited. For previously untreated patients (PUPs), who are typically young children, and for minimally treated patients (MTPs), who have been exposed to only minimal FVIII dosages, there is a general interest to increase the body of data on treatment effectiveness and safety, particularly related to inhibitor development. Also, specifically for PUPs, treatment algorithms are not standardized, e.g. with respect to utilisation, dosage, frequency or optimal start age of FVIII prophylaxis. Real world evidence derived from a non-interventional study (NIS) can describe product utilisation and demonstrate value over a product's life cycle and facilitate benefit-risk assessments. The purpose of this study is thus to evaluate product utilisation, effectiveness and safety, including inhibitor development information, in severe haemophilia A PUPs and MTPs, who have been prescribed Octapharma's FVIII concentrates.

02

Conditions studied

  • Haemophilia A

Browse trials for

03

In context

Hemophilia A

844 studies on the registry are indexed under Hemophilia A; 138 are open to participants now.

This study's planned enrollment of 200 is above the median of 81 across 310 observational studies indexed under Hemophilia A.

Browse Hemophilia A studies →

Lead sponsor

Octapharma is the lead sponsor of 71 studies on the registry; 8 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 16 (94%) have results posted.

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

04

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

A total of 200 patients, either previously untreated patients (PUPs) or minimally treated patients (MTPs), are planned to be documented in the study

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

  • Male and female patients of any age and ethnicity
  • Severe haemophilia A (FVIII:C\<1%)
  • Decision to prescribe Octapharma's FVIII concentrate before enrollment into the study
  • Either
  • No previous treatment with FVIII concentrates or other blood products containing FVIII (PUPs) OR
  • Less than 5 Exposure Days (EDs) to FVIII concentrates or other blood products containing FVIII (MTPs), if
  • data are available on all previous treatment, AND
  • they did not develop an inhibitor at any time point, OR
  • they developed an inhibitor during treatment with an Octapharma FVIII concentrate AND continue treatment with THIS Octapharma FVIII concentrate (in the presence or absence of emicizumab).
  • Voluntarily given, fully informed written and signed consent obtained before any study-related data documentation is conducted (obtained from the patient's parent/legal guardian)

Exclusion criteria

Exclusion Criteria:

  • Diagnosis with a coagulation disorder other than haemophilia A
  • Concomitant treatment with any systemic drug
  • Participation in an interventional clinical trial during the time period evaluated
  • Participation in another non-interventional study of Octapharma
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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Observational model
Cohort
Time perspective
Other
Enrollment
200 participants (estimated)
Patient registry
No

Groups and cohorts

  • Nuwiq

    All patients receiving Nuwiq (recombinant FVIII)

  • Octanate

    All patients receiving Octanate (plasma derived FVIII)

  • Wilate

    All patients receiving Wilate (plasma derived FVIII/von Willebrand factor \[VWF\])

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What researchers measure

Primary outcomes

  1. Annualised rate of breakthrough bleeds to assess efficacy in prophylactic treatment

    Annualised rate of all bleeding events (BEs), including all spontaneous, traumatic and joint BEs

    Time frame: 100 exposure days

  2. Incidence of Adverse Drug Reactions (ADRs)

    Adverse drug reactions (ADRs) including hypersensitivity reactions will be recorded in by patients in treatment diaries, which will be reviewed at each Follow-up Visit.

    Time frame: 100 exposure days

Secondary outcomes

  1. Dosage of FVIII concentrates

    For each individual FVIII injection the dose will be recorded.

    Time frame: 100 exposure days

  2. Overall assessment of the effectiveness of surgical prophylaxis by the treating physicians

    At the end of the postoperative period, treating physicians will assess the effectiveness of surgical prophylaxis using a scale including the four items: 'excellent,' 'good,' moderate,' and 'none'.

    Time frame: 100 exposure days

07

Study locations

33 of 59 sites recruiting
  • University of Miami Miller School of Medicine
    Miami, Florida 33136, United States
    Recruiting
  • Ochsner Clinic Foundation
    New Orleans, Louisiana 70121, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • St. Louis University , 221 North Grand Boulevard
    St Louis, Missouri 63103, United States
    Not yet recruiting
  • Cure 4 The Kids Foundation Children's Specialty Center
    Las Vegas, Nevada 89109, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • The University of Texas Health Science Center at San Antonio
    San Antonio, Texas 78712, United States
    Not yet recruiting
  • CENIDOR
    Salta, Argentina
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Azerbaijan State Advanced Training Institute for Doctors Hematology Department Scientific-Research Center of Hemophilia
    Baku, AZ1012, Azerbaijan
    Withdrawn

    Not enrolling at this site — choose another above.

  • Republican Scientific Center for Radiation Medicine and Human Ecology
    Homyel, 246040, Belarus
    Withdrawn

    Not enrolling at this site — choose another above.

  • Republican Scientific and Practical Centre of Children Oncology, Hematology and Immunology
    Minsk, 223053, Belarus
    Recruiting
  • Hôpital Universitaire des Enfants Reine Fabiola
    Brussels, 1020, Belgium
    Recruiting
  • Cliniques Universitaires Saint-Luc
    Brussels, 1200, Belgium
    Recruiting
  • Cliniques Universitaires Saint-Luc
    Brussels, 1200, Belgium
    Recruiting
  • McMaster University, Division of Pediatric Hematology/Oncology Room 3N27
    Hamilton, Ontario 1800NOCLOTS, Canada
    Withdrawn

    Not enrolling at this site — choose another above.

  • Department of Hematology Research Research Transition Facility
    Edmonton, T6G 2V2, Canada
    Completed

    Not enrolling at this site — choose another above.

  • University Hospital Centre Zagreb
    Zagreb, Croatia
    Recruiting
  • Tallinn Childrenś Hospital Clinic of Paediatric Department of Haematology and Oncology
    Tallinn, 13419, Estonia
    Withdrawn

    Not enrolling at this site — choose another above.

  • CENTRE HOSPITALIER UNIVERSITAIRE de BESANCON
    Besançon, France
    Recruiting
  • The Centre Hospitalier Métropole Savoie
    Chambéry, 31125 73011, France
    Recruiting
  • CHRU Tours - Hôpital Trousseau
    Chambray-lès-Tours, France
    Recruiting
  • Centre Régional de Traitement de l'hémophilie
    Le Mans, France
    Recruiting
  • Hopital Simone Veil Groupement Hospitalier Eaubonne-Montmorency
    Montmorency, 95160, France
    Recruiting
  • CHU Hotel Dieu, Centre de Traitment de l'Hemophilie
    Nantes, 44093, France
    Recruiting
  • Hôspital Necker Enfants Malades
    Paris, France
    Recruiting
  • CHRU Hopital Nord, Secretariat de pediatre, bat E niv +3
    Saint-Priest-en-Jarez, 42270, France
    Recruiting
  • Vivantes - Netzwerk für Gesundheit GmbH Klinikum im Friedrichshain
    Berlin, 10249, Germany
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Institute of Experimental Haematology and Transfusion Medicine (IHT) University Clinic Bonn (AöR)
    Bonn, 53127, Germany
    Recruiting
  • Coagulation Research Centre GmbH
    Duisburg, 47051, Germany
    Recruiting
  • University Hospital Essen
    Essen, Germany
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • HZRM GmbH
    Frankfurt, Germany
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Heim Pál National Pediatric Institute Department of Oncology and Hematology
    Budapest, 1089, Hungary
    Recruiting
    • Marianna Zombori · Principal investigator
  • University of Debrecen Department of Pediatrics
    Debrecen, 4032, Hungary
    Recruiting
    • Istvan Szegedi · Principal investigator
  • Ospedale Pediatrico "Giovani XXIII"
    Bari, Italy
    Recruiting
  • Policlinico Sant'Orsola Malpighi
    Bologna, 40138, Italy
    Recruiting
  • Ospedale San Giacomo
    Castelfranco Veneto, 31033, Italy
    Completed

    Not enrolling at this site — choose another above.

  • Azienda Ospedaliera-Universitaria Policlinico "Vittorio Emanuele", Centro di Riferimento Regionale per la Prevenzione, Diagnosi e Cura delle Malattie Rare della Coagulazione nel Bambino e neel'Adulto. U.O.C Ematologia con trapianto di Midollo Osseo
    Catania, 95123, Italy
    Recruiting
  • Azienda Ospedaliero Universitaria Careggi
    Florence, 50134, Italy
    Recruiting
  • Ospedale Maggiore Policlinico
    Milan, 920122, Italy
    Recruiting
  • Center for Thrombosis and Hemorrhagic Diseases, IRCCS Humanitas Research Hospital
    Milan, Italy
    Recruiting
  • Centro Emofilia - AUO di Padova
    Padova, Italy
    Withdrawn

    Not enrolling at this site — choose another above.

  • Policlinico Umberto I
    Rome, 00161, Italy
    Recruiting
  • C.tro Emofilia A.O. Città della salute e della scienza di Torino, Ospedale Regina Margherita
    Torino, Italy
    Recruiting
  • Ospedale Regina Margherita
    Turin, 10126, Italy
    Withdrawn

    Not enrolling at this site — choose another above.

  • Children's Hospital Affiliate of Vilnius Universtity Hospital Santaros Klinikos
    Vilnius, LT-08406, Lithuania
    Recruiting
  • Hospital General de Occidente, Unidad de Hemato-Oncologia Pediatric, Av. Zoquipan 1050, Col Seattle, , Col Seattle
    Jalisco, Mexico
    Recruiting
  • Hospital Infantil de Morelia Eva Sámano de López Mateos
    Morelia, Mexico
    Not yet recruiting
  • Hospital Universitario Dr. José Eleuterio Gonzalez S/N
    Nuevo León, Mexico
    Not yet recruiting
  • SMO and Scientific Services S.A.P.P de C.V
    Nuevo León, Mexico
    Not yet recruiting
  • Moscow State Government-financed Public Healthcare Institution "Morozovskaya Children Clinical Hospital of Moscow Healthcare Department"
    Moscow, 119049, Russia
    Withdrawn

    Not enrolling at this site — choose another above.

  • Saint-Petersburg State Budget Healthcare Institution "City Out-patient Clinical # 37"
    Saint Petersburg, 191186, Russia
    Withdrawn

    Not enrolling at this site — choose another above.

  • Hospital General Universitario de Alicante Hematología y Hemoterapia
    Alicante, 03010, Spain
    Recruiting
  • Hospital Universitari Vall D'Hebrón, Unitat d'Hemofilia
    Barcelona, 02035, Spain
    Recruiting
  • HRU Malaga
    Málaga, Spain
    Not yet recruiting
  • Universitary Hospital Son Espases (Hematology Service)
    Palma de Mallorca, Spain
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Hospital Universitario y Politécnico La Fe
    Valencia, Spain
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Istanbul University Faculty of Medicine
    Fatih, Turkey (Türkiye)
    Withdrawn

    Not enrolling at this site — choose another above.

  • John Radcliffe Hospital, Oxford University Hospitals, NHS Foundation Trust
    Headington, Oxford OX3 9DU, United Kingdom
    Recruiting
  • Birmingham Children's Hospital NHS Foundation Trust
    Birmingham, B46NH, United Kingdom
    Withdrawn

    Not enrolling at this site — choose another above.

  • Great Ormond Street Hospital for Children NHS Trust, Haemophilia Centre
    London, WC1N 3JH, United Kingdom
    Recruiting
  • Newcastle Haemophilia Comprehensive Care Centre, Royal Victoria Infirmary
    Newcastle upon Tyne, NE1 4LP, United Kingdom
    Recruiting
08

References and documents

Publications

  • Oldenburg J, Halimeh S, Hall GW, Klamroth R, Vera PM, Jansen M, Mathias M. Design of a Real-World Observational Study in Previously Untreated and Minimally Treated Hemophilia A Patients: Protect-NOW. TH Open. 2023 May 10;7(2):e110-e116. doi: 10.1055/s-0043-1768464. eCollection 2023 Apr. PubMed 37180427 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 2, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03695978
Lead sponsor
Octapharma
Responsible party
Sponsor
First posted
Oct 4, 2018
Start date
Feb 13, 2018
Primary completion
Jun 2030 (estimated)
Completion
Jun 2030 (estimated)
Last update
Jun 2, 2026

Study contacts

Cristina Solomon, MD
Contact
Cristina.Solomon@octapharma.com
+41 79 585 90 42
Sigurd Knaub, PhD
study director · Octapharma

Oversight

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

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