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Enrolling by invitationNCT06816953HEADUS_SHA8Updated Feb 10, 2025

Cartilage Biomarkers and HEAD-US Score in Severe Hemophilia A Patients Receiving FVIII Prophylaxis

An interventional study of HEAD-US and Urinary carboxy-terminal cross linked telopeptide of type II collagen in Hemophilia A, sponsored by Chulalongkorn University. Enrolling by invitation at 1 site in Thailand. Per ClinicalTrials.gov, last updated 2025-02-10.

Sponsored by Chulalongkorn University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jan 2025, 1 year 8 months ago, but the record still lists the study as enrolling by invitation.
  • Registered 9 months after the study started (first participant enrolled Apr 2024, registered Jan 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
19
Allocation
Non-randomized
Sex
All
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Study summary

Patients with severe hemophilia A often develop joint complication requiring careful monitoring. This study aimed to compare the effectiveness of standard low dose weight-based FVIII concentrates (CFCs) prophylaxis with pharmacokinetic-guided extended half-life FVIII concentrates (eHLFVIII) using cartilage biomarkers and HEAD-US score.

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Conditions studied

  • Hemophilia A

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Keywords

  • Hemophilic arthropathy
  • Diagnostic ultrasound
  • Severe hemophilia A
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In context

Hemophilia A

866 studies on the registry are indexed under Hemophilia A; 137 are open to participants now.

This study's planned enrollment of 19 is below the median of 28 across 512 interventional studies indexed under Hemophilia A.

Browse Hemophilia A studies →

Lead sponsor

Chulalongkorn University is the lead sponsor of 312 studies on the registry; 59 are open to participants now.

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

Inclusion criteria

  • patients with severe hemophilia A
  • previously receiving standard low dose FVIII prophylaxis 1-3 times per week for at least 6 months prior to enrollment in the project
  • no history of FVIII inhibitor (\<0.6 Bethesda unit/ml)
  • obtained consent from both patients and their parents

Exclusion criteria

Exclusion Criteria:

  • patients with underlying condition affecting the joints such as osteoarthritis, metabolic bone disease, etc.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
19 participants (estimated)

Study arms

  • Experimental
    Standard low dose FVIII prophylaxis

    Standard weight based low dose FVIII concentrates prophylaxis

    Diagnostic Test: HEAD-US · Diagnostic Test: Urinary carboxy-terminal cross linked telopeptide of type II collagen · Diagnostic Test: Inflammatory markers

  • Active comparator
    PK guided Extended half life FVIII prophylaxis

    Pharmacokinetic guided extended half life FVIII prophylaxis

    Diagnostic Test: HEAD-US · Diagnostic Test: Urinary carboxy-terminal cross linked telopeptide of type II collagen · Diagnostic Test: Inflammatory markers

Interventions

  • Diagnostic testHEAD-US

    HEAD-US for evaluate haemophilic arthropathy in 6 joints. (Elbow, Knee, Ankle)

  • Diagnostic testUrinary carboxy-terminal cross linked telopeptide of type II collagen

    Cartilage biomarker represent cartilage degradation

  • Diagnostic testInflammatory markers

    Inflammatory markers included CBC, Ferritin, ESR, CRP

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What researchers measure

Primary outcomes

  1. The effectiveness of standard low dose FVIII concentrate prophylaxis and PK-guided eHL FVIII prophylaxis

    To compare the effectiveness of standard weight base FVIII concentrate prophylaxis and pharmacokinetic guided extended half life FVIII prophylaxis in managing hemophilic arthropathy using cartilage biomarkers.

    Time frame: From enrollment to the end of treatment at 32 weeks

  2. The effectiveness of standard low dose FVIII concentrate prophylaxis and PK-guided eHL FVIII prophylaxis

    To compare the effectiveness of standard weight base FVIII concentrate prophylaxis and pharmacokinetic guided extended half life FVIII prophylaxis in managing hemophilic arthropathy using HEAD-US score.

    Time frame: From enrollment to the end of treatment at 32 weeks

Secondary outcomes

  1. Correlation between cartilage biomarkers and Inflammatory markers

    To investigate the correlation between cartilage biomarkers (Urine CTX-II), Inflammatory markers (CBC, Ferritin, ESR, CRP) and ultrasound (HEAD-US score) comparing standard weight base low dose prophylaxis with pharmacokinetic guided extended half life FVIII concentrates

    Time frame: From enrollment to the end of treatment at 32 weeks

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Study locations

1 site
  • Pediatric Department, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital
    Bangkok, Patumwan 10330, Thailand
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References and documents

Individual participant data

Plan to share: Yes

Supporting information: Study protocol

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 10, 2025, 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
NCT06816953
Lead sponsor
Chulalongkorn University
Responsible party
Sponsor
First posted
Feb 10, 2025
Start date
Apr 1, 2024
Primary completion
Jan 30, 2025 (estimated)
Completion
Feb 28, 2025 (estimated)
Last update
Feb 10, 2025

Oversight

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

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