The primary objective of the study is to assess the immunogenicity of VWF/FVIII and of rFVIII concentrates by determining the frequency of inhibitor development in previously untreated patients (PUPs) or minimally blood component-treated (MBCTPs) in the first 50 EDs or in the first 3 years from enrollment, whichever occurs first. .
Patients meeting the enrollment criteria will be consecutively enrolled at each participating centre, randomized to be treated exclusively with a single FVIII product either plasma-derived or recombinant, and followed up until inhibitor development or until 50 exposure days (EDs) or 3 years from enrolment have elapsed, whichever comes first. Study products, belonging to the class of rFVIII concentrates and to the class of plasma-derived VWF/FVIII concentrates, will be provided for free to the patients for all the duration of the study
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
303
Maximum dosage : 50IU per kilo. 2-3 times per week or on demand during acute episode of bleeding
Maximum dosage : 50IU per kilo. 2-3 times per week or on demand during acute episode of bleeding
To Assess the Immunogenicity of Plasma Derived VWF/FVIII and rFVIII Concentrates by Determining the Frequency of Inhibitor Development in the First 50 EDs or in the First 3 Years From Enrolment, Whichever Comes First in PUPs and MBCTs
Expressed with the numebr of patients for each group who developed FVIII inhibitors. PUPs: Previously Untreated Patients MBCTPs: Minimally Blood Component-Treated Patients
Time frame: During the first 50 exposure days or first 3 years of enrollment, whichever occurs first
To Evaluate the Anamnestic Response of Inhibitor Patients
Time frame: During the first 50 exposure days or first 3 years of enrollment, whichever occurs first
To Evaluate the Frequency of Transient Inhibitors
Number of participants for each group who developed transient inhibitors (this means, those inhibitors which disappeared spontaneously within 6 months without immunotolerance treatment).
Time frame: In the 6 months after inhibitor development
To Evaluate the Modality of Occurrence of Inhibitors (Number of EDs)
Number of EDs: Number of Exposure Days (EDs) after which the inhibitors develop
Time frame: During the first 50 exposure days or first 3 years of enrollment, whichever occurs first
To Evaluate the Modality of Occurrence of Inhibitors (Titre at Onset)
Inhibitor Titre at Onset
Time frame: During 6 months of observation, from the inhibitor occurrence
To Evaluate Clinical Factors Potentially Associated to Inhibitor Development
Time frame: During the first 50 exposure days or first 3 years of enrollment, whichever occurs first
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City of Hope National Medical Center
Duarte, California, United States
Children's Hospital Los Angeles (CHLA)
Los Angeles, California, United States
Hemophilia and Thrombosis CenterUniversity of Colorado Denver - Anschutz Aurora
Aurora, Colorado, United States
Rush Hemophilia & Trombophilia Center - Rush University Medical Center
Chicago, Illinois, United States
Louisiana Center for Bleeding and Clotting Disorders, Tulane University Medical Center
New Orleans, Louisiana, United States
University of Mississippi Medical Center, Division of pediatric Hematology/Oncology
Jackson, Mississippi, United States
Children's Mercy Hospital
Kansas City, Missouri, United States
Hemophilia Treatment Center of Las Vegas
Las Vegas, Nevada, United States
MeritCare Roger Maris Cancer Center, Pediatric Oncology
Fargo, North Dakota, United States
Cook Children's Medical Center
Fort Worth, Texas, United States
...and 38 more locations
To Evaluate Laboratory Factors Potentially Associated to Inhibitor Development
Time frame: During the first 50 exposure days or first 3 years of enrollment, whichever occurs first
To Evaluate the Incidence of All Other Adverse Events Related and Not Related to the Products Used
Time frame: During the first 50 exposure days or first 3 years of enrollment, whichever occurs first