ClinicalTrials.gg
Active, not recruitingNCT04158934Updated Feb 18, 2026

A Long-term Study of ADYNOVI/ADYNOVATE in Participants With Haemophilia A

An observational study in Hemophilia A, sponsored by Baxalta now part of Shire. Active, not recruiting at 36 sites in 13 countries. Per ClinicalTrials.gov, last updated 2026-02-18.

Sponsored by Baxalta now part of Shire (part of Takeda) · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
207
Sex
All
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Study summary

The main aim of this study is to check for long-term side effects from ADYNOVI/ADYNOVATE prophylaxis in participants with haemophilia A when used under standard clinical practice in the real-world clinical setting.

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Conditions studied

  • Hemophilia A

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03

In context

Hemophilia A

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

This study's enrollment of 207 is above the median of 81 across 310 observational studies indexed under Hemophilia A.

Browse Hemophilia A studies →

Lead sponsor

Baxalta now part of Shire is the lead sponsor of 111 studies on the registry; none are open to participants now.

Of its 18 completed or terminated interventional studies of FDA-regulated products, 16 (89%) have results posted.

First submitted after Baxalta became part of Takeda.

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
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Up to 200 participants with haemophilia A will be enrolled. The study will be conducted in European, North American and Asian countries.

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

  • Signed obtained from participant and/or legally authorised representative before any study related activities (any procedure related to recording of data according to the protocol).
  • Participant at any age with haemophilia A prescribed ADYNOVI/ADYNOVATE prophylaxis.
  • Negative factor VIII (FVIII) inhibitor test at study entry.
  • Decision to initiate treatment with commercially available ADYNOVI/ADYNOVATE has been made by the participant and/or legally authorised representative and the treating physician before and independently from the decision to include the participant in this study.

Exclusion criteria

Exclusion Criteria

  • Previous participation in this study. Participation is defined as signed .
  • Known or suspected to ADYNOVI/ADYNOVATE or related products.
  • Mental incapacity, unwillingness or other barriers precluding adequate understanding or cooperation.
Terms in these criteria, in plain language(2)

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.

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.

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Study design

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

Groups and cohorts

  • Haemophilia A Group

    Participants with haemophilia A in the study will receive ADYNOVI/ADYNOVATE prescribed prophylactically by physicians based on their standard clinical practice and in accordance with the national summary of product characteristics (SmPC).

    Biological: ADYNOVI/ADYNOVATE

Interventions

  • BiologicalADYNOVI/ADYNOVATE

    Drug page: BAX 855

    Participants will receive ADYNOVI/ADYNOVATE prescribed prophylactically by physicians based on their standard clinical practice and in accordance with the national SmPC.

    Also known as: Antihaemophilic Factor [Recombinant] PEGylated rurioctocog alfa pegol, TAK-660, BAX 855

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What researchers measure

Primary outcomes

  1. Number of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)

    An SAE is any untoward medical occurrence (whether considered to be related to study product or not) that at any dose results in death, life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital abnormality or birth defect, an important medical event. An AE is any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical (study) product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (study) product, whether or not related to the medicinal (study) product. AEs and SAEs that are at least possibly related to study drug ADYNOVI/ADYNOVATE will be evaluated in this outcome.

    Time frame: Throughout the study period (approximately up to 10 years)

  2. Number of Participants With Adverse Events of Special Interest (AESI)

    Adverse events of special interest are as follows: thromboembolic events, hypersensitivity reactions, lack of efficacy and confirmed FVIII inhibitor development.

    Time frame: Throughout the study period (approximately up to 10 years)

  3. Number of Participants With Adverse Events (AE) Related to Impaired Renal Function

    An AE is any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical (study) product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (study) product, whether or not related to the medicinal (study) product. AEs (at least possibly related) that are potentially indicative of or related to long-term effects of PEG accumulation impaired renal function will be evaluated in this outcome.

    Time frame: Throughout the study period (approximately up to 10 years)

  4. Number of Participants With Adverse Events (AE) Related to Impaired Hepatic Function

    An AE is any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical (study) product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (study) product, whether or not related to the medicinal (study) product. AEs (at least possibly related) that are potentially indicative of or related to long-term effects of PEG accumulation impaired hepatic function will be evaluated in this outcome.

    Time frame: Throughout the study period (approximately up to 10 years)

  5. Number of Participants With Adverse Events (AE) Related to Impaired Neurologic Function

    An AE is any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical (study) product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (study) product, whether or not related to the medicinal (study) product. AEs (at least possibly related) that are potentially indicative of or related to long-term effects of PEG accumulation impaired neurologic function will be evaluated in this outcome.

    Time frame: Throughout the study period (approximately up to 10 years)

Secondary outcomes

  1. Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) at Specified Time Points

    eGFR levels will be assessed from baseline to end of the study at every visit. Note: all assessments are being done as per Standard of Care (SOC) at each study site/ center and are not mandatory.

    Time frame: Baseline, Year 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10

  2. Change From Baseline in Alanine Aminotransferase (ALT) at Specified Time Points

    ALT levels will be assessed from baseline to end of the study at every visit. Note: all assessments are being done as per Standard of Care (SOC) at each study site/ center and are not mandatory.

    Time frame: Baseline, Year 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10

  3. Change From Baseline in Bilirubin at Specified Time Points

    Bilirubin levels will be assessed from baseline to end of the study at every visit. Note: all assessments are being done as per Standard of Care (SOC) at each study site/ center and are not mandatory.

    Time frame: Baseline, Year 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10

  4. Change From Baseline in Polyethylene Glycol (PEG) Plasma Levels at Specified Time Points

    PEG plasma levels will be assessed from baseline to end of the study at every visit. Note: all assessments are being done as per Standard of Care (SOC) at each study site/ center and are not mandatory.

    Time frame: Baseline, Year 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10

  5. Number of Participants With Clinically Significant Abnormalities in Vital Signs

    Clinically significant abnormal findings in vital signs, collected as part of standard of care (SOC)/ standard clinical practice.

    Time frame: Throughout the study period (approximately up to 10 years)

  6. Number of Participants With Clinically Significant Abnormalities in Physical Exam

    Clinically significant abnormal findings in physical exam collected as part of standard of care (SOC)/ standard clinical practice.

    Time frame: Throughout the study period (approximately up to 10 years)

  7. Number of Participants With Clinically Significant Abnormalities in Neurological Exam

    Clinically significant abnormal findings in neurological exam collected as part of standard of care (SOC)/ standard clinical practice.

    Time frame: Throughout the study period (approximately up to 10 years)

  8. Number of Participants With Clinically Significant Abnormalities in Clinical Laboratory Parameters

    Clinically significant abnormal findings in clinical laboratory parameters collected as part of standard of care (SOC)/ standard clinical practice.

    Time frame: Throughout the study period (approximately up to 10 years)

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Study locations

36 sites
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References and documents

Individual participant data

Plan to share: Yes — Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Access criteria: IPD from eligible studies will be shared with qualified researchers according to the criteria and process described on https://vivli.org/ourmember/takeda/. For approved requests, the researchers will be provided access to anonymized data (to respect patient privacy in line with applicable laws and regulations) and with information necessary to address the research objectives under the terms of a data sharing agreement.

Data sharing details ↗ · vivli.org

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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 Jul 2020 (actual). Primary completion is estimated for Feb 2030, 115 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 115 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
Oct 14, 2019
First posted
Nov 12, 2019
StartActual
Jul 9, 2020
Primary completionEst.
Feb 28, 2030
CompletionEst.
Feb 28, 2030
Last update
Feb 18, 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 Feb 18, 2026, 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
NCT04158934
Responsible party
Sponsor
First posted
Nov 12, 2019
Start date
Jul 9, 2020
Primary completion
Feb 28, 2030 (estimated)
Completion
Feb 28, 2030 (estimated)
Last update
Feb 18, 2026

Study contacts

Study Director
study director · Takeda

Oversight

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

Not currently enrolling

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

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