Registry of Patients With Von WilLEbrand Disease Treated With Voncento®

CSL Behring135 enrolled

Overview

Description of the long-term evolution of patients with von Willebrand disease and treated with Voncento® and of the hemostatic efficacy in the prevention and the treatment of non-surgical bleeding episodes and prevention of surgical bleeding during 2 years after patient inclusion.

Inherited von Willebrand disease (VWD) is considered the most common bleeding disorder. Its prevalence is approximately 1% in the general population but symptomatic patients are rarer (0.01%). It is caused by a partial or total quantitative deficiency (type 1 and type 3) or by a qualitative defect (type 2) of von Willebrand factor (VWF), a large multimeric protein that is required for platelet adhesion and serves as factor VIII (FVIII) carrier. Type 2 VWD is further divided in four subgroups (2A, 2B, 2M, and 2N) that are distinguished according to the nature of the VWF defect. Most patients with type 1 VWD can be treated with the synthetic vasopressin analogue desmopressin (DDAVP; 2-desamino-8-D-arginine vasopressin), whereas patients with type 3 VWD and most patients with type 2 VWD require concentrates containing VWF. Plasma-derived FVIII concentrates, which were initially developed for the treatment of haemophilia, contain large amounts of VWF and are used in patients for whom DDAVP treatment is deemed ineffective or contraindicated. Voncento® (CSL Behring) is a plasma-derived FVIII/VWF concentrate registered in France since 2015 for the treatment and prevention of bleeding events in patients with inherited VWD. OPALE is an observational study describing the use of human coagulation FVIII/VWF concentrate (Voncento®) to treat and prevent bleeding episodes in a French cohort of patients with inherited von Willebrand disease in the real life settings. The aim of the OPALE study is to describe the efficacy and the safety of Voncento® in the prophylaxis and treatment of haemorrhage or surgical bleeding.

Study Type

OBSERVATIONAL

Enrollment

135

Conditions

Von Willebrand Disease

Interventions

Voncento®BIOLOGICAL

Solution for injection

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * Patients suffering from constitutional von Willebrand disease for whom Desmopressin treatment is deemed ineffective or contraindicated * Patients suffering from von Willebrand disease and being treated or having been treated with Voncento® for the treatment of surgical and non-surgical bleeding episodes, the prophylaxis of surgical and non-surgical bleedings * Patients with no history or suspicion of inhibitors (judged on previous efficacy) Exclusion Criteria: * Refusal of the patient or the patient's legal representative to take part in the study; * Existence of a contraindication to the use of Voncento® treatment

Locations (17)

CHU Besançon

Besançon, France

CHU Bordeaux

Bordeaux, France

CHU Morvan Brest

Brest, France

Outcomes

Primary Outcomes

Global assessment by the patient and the investigator of the hemostatic efficacy of Voncento® in the management of non-surgical bleeding episodes

Time frame: Up to 24 months

Number of non-surgical bleeding episodes per year

Time frame: Up to 24 months

Number of administrations of Voncento® needed to treat a non-surgical bleeding episode and for the long term prophylaxis

Time frame: Up to 24 months

Total dose of Voncento® (in IU/kg of VWF) needed to treat a non-surgical bleeding episode and for the long term prophylaxis

Time frame: Up to 24 months

Secondary Outcomes

Assessment by the investigator of the hemostatic efficacy of Voncento® during the treatment and the prophylaxis of surgical bleedings and after surgical procedures

Time frame: Up to 24 months

Number of administrations of Voncento® needed to prevent or treat surgical bleeding episode

Time frame: Up to 24 months

Total dose of Voncento® (in IU/kg of VWF) needed to prevent or treat surgical bleeding episode

Time frame: Up to 24 months

Nature and impact of adverse events and in particular serious adverse events, adverse events related to Voncento®

Time frame: Up to 24 months

Collection of available biological data (ex: FVIII, VWF:Rco, VWF:Ag)

Time frame: At baseline and up to 24 months

Data from ClinicalTrials.gov

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