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Coagulation Factor

rVWF +/− ADVATE for Von Willebrand Disease

Phase 3
Recruiting
Research Sponsored by Baxalta now part of Shire
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Additional criterion for previously untreated participants: Participant has not received prior VWF coagulation factor replacement therapy
Diagnosis of severe von Willebrand disease (VWD) with specific criteria for Type 1, Type 2A, Type 2B, Type 2N, Type 2M, or Type 3
Must not have
Medical history of a thromboembolic event
Immunomodulatory drug treatment within 30 days prior to signing informed consent
Timeline
Screening 3 weeks
Treatment Varies
Follow Up throughout the study duration of approximately 6.5 years
Awards & highlights
Pivotal Trial
No Placebo-Only Group

Summary

This trial will test the effectiveness of a new treatment for von Willebrand Disease in children.

Who is the study for?
Children under 18 with severe hereditary von Willebrand disease (VWD) can join this trial. They must have had at least one bleed requiring treatment in the past year and agree to follow study rules. Girls who can have babies must test negative for pregnancy and use birth control.
What is being tested?
The trial is testing recombinant von Willebrand Factor (rVWF), alone or with ADVATE, to treat bleeding in kids with VWD. Over 12-18 months, doctors will give treatments based on their usual practice while checking effectiveness and side effects.
What are the potential side effects?
Possible side effects of rVWF include allergic reactions due to mouse or hamster proteins in the drug, risk of blood clots, and general discomforts like headaches or nausea that are common with infusions.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have never received VWF coagulation factor replacement therapy.
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I have been diagnosed with severe von Willebrand disease.
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I am younger than 18 years old.
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I am able to have children, not pregnant, and will use birth control.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I have had a blood clot in the past.
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I haven't taken any immune system modifying drugs in the last 30 days.
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I am HIV positive with a CD4 count below 200.
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I have been diagnosed with a serious liver or kidney disease.
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I have been diagnosed with a bleeding disorder.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~throughout the study duration of approximately 6.5 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and throughout the study duration of approximately 6.5 years for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Hemostatic Efficacy
Secondary study objectives
Elective or Emergency Surgery: Assessment of Hemostatic Efficacy - Immediately After Surgery
Elective or Emergency Surgery: Overall Assessment of Hemostatic Efficacy 24 Hours After the Last Perioperative Infusion of rVWF
Hemostasis, Surgical
+2 more

Side effects data

From 2020 Phase 3 trial • 29 Patients • NCT02973087
31%
Headache
15%
Joint injury
15%
Ear infection
8%
Nasopharyngitis
8%
Fall
8%
Urinary tract infection
8%
Alanine aminotransferase increased
8%
Injection site irritation
8%
Multiple injuries
8%
Supraventricular tachycardia
8%
Ventricular extrasystoles
8%
Herpes virus infection
8%
Aspartate aminotransferase increased
8%
Gout
8%
Toothache
8%
Iron deficiency
8%
Vitamin B12 deficiency
8%
Arthralgia
8%
Seronegative arthritis
8%
Sleep disorder
8%
Purpura
100%
80%
60%
40%
20%
0%
Study treatment Arm
Prior On-demand Participants
Switch Participants

Awards & Highlights

Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

3Treatment groups
Experimental Treatment
Group I: On-demand TreatmentExperimental Treatment2 Interventions
Participants will receive recombinant von Willebrand factor (rVWF) treatment for non-surgical bleeding episodes over a 12 to 18-month period.
Group II: Emergency SurgeryExperimental Treatment2 Interventions
Within 3 hours prior to surgery. Minor surgery: infuse every 12-24 hours for at least 48 hours based on post-operative dosing. Oral Surgery: infuse at least once within first 8-12 hours post-surgery based on post-operative dosing. Major Surgery: infuse every 12-24 hours for at least first 96 hours post-surgery based on post-operative dosing.
Group III: Elective SurgeryExperimental Treatment2 Interventions
12-24 hours prior to surgery and within 3 hours of surgery. Minor surgery: infuse every 12-24 hours for at least 48 hours based on post-operative dosing. Oral Surgery: infuse at least once within first 8-12 hours post-surgery based on post-operative dosing. Major Surgery: infuse every 12-24 hours for at least first 96 hours post-surgery based on post-operative dosing.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Antihemophilic Factor (Recombinant)
2017
Completed Phase 3
~30
von Willebrand factor (Recombinant)
2017
Completed Phase 3
~30

Find a Location

Who is running the clinical trial?

Baxalta now part of ShireLead Sponsor
110 Previous Clinical Trials
9,031 Total Patients Enrolled
Takeda Development Center Americas, Inc.Industry Sponsor
56 Previous Clinical Trials
10,739 Total Patients Enrolled
Study DirectorStudy DirectorTakeda
1,278 Previous Clinical Trials
499,620 Total Patients Enrolled

Media Library

Antihemophilic Factor (Recombinant) (Coagulation Factor) Clinical Trial Eligibility Overview. Trial Name: NCT02932618 — Phase 3
Von Willebrand Disease Research Study Groups: Elective Surgery, Emergency Surgery, On-demand Treatment
Von Willebrand Disease Clinical Trial 2023: Antihemophilic Factor (Recombinant) Highlights & Side Effects. Trial Name: NCT02932618 — Phase 3
Antihemophilic Factor (Recombinant) (Coagulation Factor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT02932618 — Phase 3
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