The main purposes of this study are to determine if use of emicizumab prophylaxis treatment reduces number of bleeding episodes, if it improves quality of life of individuals and if improves arthropathy in persons with hemophilia A.
The main purpose of this study is to determine if use of emicizumab prophylaxis treatment reduces number of bleeding episodes and if it affects quality of life of individuals with hemophilia. Patients with hemophilia A, especially those with severe disease, have recurrent bleeding in joints, muscles and deep tissue and recurrent bleeding in the same joint can result in irreversible damage in bone and cartilage and lead to disabling arthropathy. Treatment involves replacement with exogenous recombinant factor concentrates that can prevent further bleeding episodes but not the ongoing joint damage. In addition, treatment with recombinant factor concentrates can lead to inhibitory antibodies resulting in inability to use those for further treatment. The burden of this disease on patients and caregivers is well recognized. Participant will be asked about bleeding episodes needing additional factor replacement in addition to checking bleeding log prior to starting emicizumab and at additional times after starting emicizumab. In addition, investigators would ask participant to complete questionnaire about participant's and/or their caregiver's quality of life prior to starting emicizumab and at additional times after starting emicizumab. Participant will also have joint scores measured before and at additional times after starting emicizumab. All the information collected will remain confidential and would only be shared with members of study team.
Study Type
OBSERVATIONAL
Enrollment
50
Emicizumab in Hemophilia A
Newark Beth Israel Medical Center
Newark, New Jersey, United States
To obtain and compare the annual bleeding rate in patients with hemophilia A on emicizumab before and after being on emicizumab.
Annualized Bleeding Rates (ABR)
Time frame: 12 months
To evaluate the health related quality of life in patients with hemophilia A before and after being on emicizumab.
Quality of Life Questionaries
Time frame: 12 months
To study any clinical changes in arthropathy.
Joint score measurements
Time frame: 12 months
To study practitioner's preference for emicizumab schedule and how it affects compliance
ABR
Time frame: 12 months
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