ClinicalTrials.gg
Active, not recruitingNCT03932201HEM-POWRUpdated Jul 1, 2026

Evaluating Effectiveness and Long Term Safety of Damoctocog Alfa Pegol in Patients, Who Have Been Diagnosed With Hemophilia A

An observational study in Hemophilia A, sponsored by Bayer. Active, not recruiting at 29 sites in 20 countries. Per ClinicalTrials.gov, last updated 2026-07-01.

Sponsored by Bayer · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
371
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

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
2nd of 26
371 · median 67
Started
2019
with 3 others
Observational
26 of 57
3 open now
Registered
44th of 57
by date

Among the 57 studies in Hemophilia A by Bayer, this one is the 2nd largest by enrollment of the 26 observational ones that give a count, is one of 4 that started in 2019, is one of 26 observational ones, and was the 44th 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 86 Hemophilia A studies recruiting now, 51 (59%) set no upper age limit and 30 (35%) stop at 75 or younger; 54 take children under 18; 10 take healthy volunteers.

This study: 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

The aim of the HEM-POWR study is to understand better how Damoctocog alfa pegol (Jivi) is used to treat people with Hemophilia A in day-to-day life, how well the treatment is tolerated and how satisfied patients and physicians are with the treatment.

03

Conditions studied

  • Hemophilia A

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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

Previously treated patients with hemophilia A receiving damoctocog alfa pegol with any kind of treatment modality (on-demand, prop hylaxis, or intermittent prophylaxis).

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

  • Diagnosis of hemophilia A.
  • Patients previously treated for Hemophilia A.
  • Patients without previous history of inhibitors or patients with previous history of inhibitors on standard prophylaxis therapy for at least 1 year prior to study entry.
  • No current evidence of FVIII inhibitor or clinical suspicion of FVIII inhibitor.
  • Initiation of or currently on damoctocog alfa pegol with any kind of treatment modality (on-demand, prophylaxis, or intermittent prophylaxis).
  • Signed /assent.

Exclusion criteria

Exclusion Criteria:

  • Concurrent participation in an program with interventions outside of routine clinical practice.
  • Diagnosis of any other bleeding/coagulation disorder other than hemophilia A.
  • according to the local marketing authorization.
  • Patient on immune tolerance induction (ITI) treatment at the time of enrollment.
Terms in these criteria, in plain language(3)

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.

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
371 participants (actual)
Patient registry
No

Groups and cohorts

  • Previously treated patient (PTPs) with hemophilia A

    Previously treated patients with hemophilia A receiving damoctocog alfa pegol with any kind of treatment modality (on-demand, prophylaxis, or intermittent prophylaxis)。

    Drug: Damoctocog alfa pegol (Jivi, Bay94-9027)

Interventions

  • Follow clinical practice. BAY94-9027 is a B-domain-deleted recombinant factor VIII (rFVIII) product site-specifically conjugated to a single (dual 30-kDa branched) 60-kDa polyethylene glycol (PEG) molecule. BAY 94-9027 is intended for prophylaxis and treatment of bleeds in patients with hemophilia A aged ≥12 years, with a narrow, predictable weekly dose that allows for the treatment regimen to be tailored to individual patient needs.

06

What researchers measure

Primary outcomes

  1. Mean annualized number of reported total bleeds in patients with hemophilia A

    Time frame: Up to 36 months

  2. Median annualized number of reported total bleeds in patients with hemophilia A

    Time frame: Up to 36 months

Secondary outcomes

  1. Occurrence of AEs.

    Adverse Events (AEs) includes: AEs of special interest, Adverse Event, Serious Adverse Event, Adverse reaction. AEs of special interest includes: hypersensitivity reactions, loss of drug effect, renal impairment, neurocognitive disorders, inhibitor development.

    Time frame: Up to 36 months

  2. Duration of AEs.

    Time frame: Up to 36 months

  3. Treatment of AEs.

    Time frame: Up to 36 months

  4. Severity of AEs.

    Time frame: Up to 36 months

  5. Outcome of AEs.

    Time frame: Up to 36 months

  6. Number of infusions and FVIII consumption to achieve hemostasis during surgery

    Time frame: Up to 36 months

  7. Change in joint scores (HJHS)

    HJHS:Hemophilia Joint Health Score

    Time frame: From baseline to 12 months, 24 months and 36 months

  8. Joint status evaluation by ultrasound (HEAD-US score), if available or part of standard clinical practice.

    HEAD-US:Hemophilia Early Arthropathy Detection with Ultrasound

    Time frame: Up to 36 months

  9. Change of number of affected joints by patient

    Time frame: From baseline to 12 months, 24 months and 36 months

  10. Annualized number of spontaneous, joint, and trauma bleeds

    Time frame: Up to 36 months

  11. Number of reported bleeds during the study compared with number of reported bleeds for previous FVIII products in the 12 months prior to enrollment into the study.

    Bleeds includes total, spontaneous, joint, and trauma.

    Time frame: Up to 36 months

  12. Proportion of patients with 0 bleeds, and the difference in proportion comparing to previous prophylaxis treatment.

    Time frame: Up to 36 months

  13. AUC for previous FVIII products versus damoctocog alfa pegol.

    AUC:Area under the plasma concentration versus time curve

    Time frame: Up to 36 months

  14. Half-life [t½] for previous FVIII products versus damoctocog alfa pegol.

    Time frame: Up to 36 months

  15. FVIII trough for previous FVIII products versus damoctocog alfa pegol.

    Time frame: Up to 36 months

  16. FVIII peak levels for previous FVIII products versus damoctocog alfa pegol.

    Time frame: Up to 36 months

  17. In-vivo recovery for previous FVIII products versus damoctocog alfa pegol.

    Time frame: Up to 36 months

  18. Number of infusions to control for a bleed

    Time frame: Up to 36 months

  19. Changes of Hemo-SAT A score

    Hemo-SAT A:Hemophilia Treatment Satisfaction Questionnaire for adults。The Hemo-SAT questionnaire version for adults (Hemo-SAT A) consists of 34 items pertaining to 6 dimensions (Ease \& Convenience, Efficacy, Burden, Specialist/Nurses, Center/Hospital, General Satisfaction).

    Time frame: From baseline to 12 months, 24 months and 36 months

  20. Changes of Hemo-QoL (A and SF) score

    Hemo-QoL-A:Hemophilia Quality of Life Measure for adults Hemo-QoL-SF:Hemophilia Quality of Life short form for children Hemo-QoL-A is a hemophiliaspecific quality of life questionnaire for adults aged 18 years and above. The questionnaire has 41 items covering 6 domains: Physical Functioning, Role Functioning, Worry, Consequences of Bleeding, Emotional Impact, and Treatment Concerns. For patients younger than 18 years, the Hemo-QoL-SF Questionnaire for children and adolescents (12 to 17 years) is used. The Hemo-QoL-SF contains 35 questions covering 9 domains: Physical Health, View of Yourself, Family, Friends, Others, Sports, Dealing, and Treatment.

    Time frame: From baseline to 12 months, 24 months and 36 months

  21. Changes of WPAI score

    WPAI:Work Productivity and Activity Impairment Scale。 Scores are expressed as percentages of impairment/ productivity loss, with higher scores indicating greater impairment.

    Time frame: From baseline to 12 months, 24 months and 36 months

07

Study locations

29 sites
  • South Alabama Medical Science Foundation
    Mobile, Alabama 36688, United States
  • Banner MD Anderson Cancer Center
    Phoenix, Arizona 85012, United States
  • University California Davis
    Davis, California 95616, United States
  • Orthopaedic Hospital DBA Orthopaedic Institute for Children
    Los Angeles, California 90007, United States
  • The Center for Comprehensive Care and Diagnosis of Inherited Blood Disorders
    Orange, California 92868, United States
  • University of Colorado Hemophilia and Thrombosis Center
    Aurora, Colorado 80045, United States
  • Georgetown University
    Washington D.C., District of Columbia 20007, United States
  • Tulane University
    New Orleans, Louisiana 70112, United States
  • Regents of University of Minnesota
    Minneapolis, Minnesota 55454, United States
  • East Carolina University - Brody School of Medicine
    Greenville, North Carolina 27834, United States
  • Many locations
    Multiple Locations, Belgium
  • Many locations
    Multiple Locations, Brazil
  • Many locations
    Multiple Locations, Canada
  • Many locations
    Multiple Locations, Colombia
  • Many locations
    Multiple Locations, Denmark
  • Many locations
    Multiple Locations, Germany
  • Many locations
    Multiple Locations, Greece
  • Many locations
    Multiple Locations, Italy
  • Many locations
    Multiple Locations, Japan
  • Many locations
    Multiple Locations, Kuwait
  • Many locations
    Multiple Locations, Netherlands
  • Many locations
    Multiple Locations, Norway
  • Many locations
    Multiple Locations, Saudi Arabia
  • Many locations
    Multiple Locations, Slovenia
  • Many locations
    Multiple Locations, Spain
  • Many locations
    Multiple Locations, Sweden
  • Many locations
    Multiple Locations, Switzerland
  • Many locations
    Multiple Locations, Taiwan
  • Many locations
    Multiple Locations, United Arab Emirates
08

References and documents

Publications

  • Sanabria M, Alvarez Roman MT, Castaman G, Janbain M, Matsushita T, Meijer K, Oldenburg J, Friedl S, Reding MT. Design of the HEM-POWR study: a prospective, observational study of real-world treatment with damoctocog alfa pegol in patients with haemophilia A. BMJ Open. 2021 Sep 2;11(9):e044997. doi: 10.1136/bmjopen-2020-044997. PubMed 34475142 ↗

Individual participant data

Plan to share: Undecided — Availability of this study's data will be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.clinicalstudydatarequest.com to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the Study sponsors section of the portal.

09

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

Started Oct 2019 (actual). Primary completion is estimated for Dec 2026, 86 months after the start.

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 planned 86 months is above 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
Apr 18, 2019
First posted
Apr 30, 2019
StartActual
Oct 21, 2019
Primary completionEst.
Dec 31, 2026
CompletionEst.
Mar 31, 2027
Last update
Jul 1, 2026
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 Jul 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03932201
Lead sponsor
Bayer
Responsible party
Sponsor
First posted
Apr 30, 2019
Start date
Oct 21, 2019
Primary completion
Dec 31, 2026 (estimated)
Completion
Mar 31, 2027 (estimated)
Last update
Jul 1, 2026

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 active, not recruiting, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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