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Monoclonal Antibodies

Nuwiq for Hemophilia A (NuPOWER Trial)

Phase 4
Recruiting
Led By Shveta Gupta, MD
Research Sponsored by Octapharma
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Male patients at least 12 years of age
Previous treatment with any FVIII product(s) for at least 150 exposure days
Timeline
Screening 3 weeks
Treatment Varies
Follow Up ≤30 minutes before and 15-30 minutes after nuwiq injection
Awards & highlights
Drug Has Already Been Approved
No Placebo-Only Group
Pivotal Trial

Summary

This trial tested the use of recombinant factor VIII to prevent bleeding in patients with severe haemophilia A who were undergoing major surgery while already receiving emicizumab prophylaxis.

Who is the study for?
This trial is for male patients aged 12 or older with severe Hemophilia A (less than 1% normal clotting factor VIII activity) who have been treated with any Factor VIII products for at least 150 days and are on regular emicizumab prophylaxis for a minimum of three months before planned major surgery. Consent must be given as per local rules.
What is being tested?
The study tests Nuwiq, a recombinant factor VIII product, to prevent bleeding in patients with severe hemophilia A during major surgeries while they're also receiving emicizumab prophylaxis.
What are the potential side effects?
Potential side effects of Nuwiq may include allergic reactions, development of inhibitors (antibodies against the treatment that can reduce its effectiveness), headache, nausea, and pain at the injection site.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am a male and at least 12 years old.
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I have been treated with Factor VIII products for over 150 days.
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I have been on emicizumab for at least 3 months before a major surgery.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~perioperative
This trial's timeline: 3 weeks for screening, Varies for treatment, and perioperative for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Overall haemostatic efficacy
Secondary study objectives
Adverse events
Blood product transfusion levels
FVIII inhibitor formation
+6 more

Awards & Highlights

Drug Has Already Been Approved
The FDA has already approved this drug, and is just seeking more data.
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.

Trial Design

1Treatment groups
Experimental Treatment
Group I: NuwiqExperimental Treatment1 Intervention
All patients receiving Nuwiq (recombinant FVIII). Nuwiq will be administered intravenously in accordance with the relevant prescribing information. Treatment will be repeated as necessary every 8-24 hours until adequate wound healing, then - if required - for at least another 7 days to maintain FVIII plasma levels of 30-60 IU/dL.

Find a Location

Who is running the clinical trial?

OctapharmaLead Sponsor
85 Previous Clinical Trials
11,229 Total Patients Enrolled
16 Trials studying Hemophilia A
1,116 Patients Enrolled for Hemophilia A
Shveta Gupta, MDPrincipal InvestigatorArnold Palmer Hospital for Children
Sigurd Knaub, PhDStudy DirectorOctapharma
4 Previous Clinical Trials
292 Total Patients Enrolled
3 Trials studying Hemophilia A
270 Patients Enrolled for Hemophilia A
~13 spots leftby Dec 2025