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NCT Number: NCT06998524

A Study to Assess the Efficacy and Safety of Emicizumab in Participants With Type 3 Von Willebrand Disease

This is a Phase III, multicenter, open-label clinical study designed to evaluate the efficacy, safety, pharmacokinetics, and pharmacodynamics of emicizumab prophylaxis in participants aged 1 month and above, who have been diagnosed with Type 3 von Willebrand disease (VWD). Participants on prior standard of care (SOC) on-demand therapy will be assessed via a randomized comparison (Arm A - emicizumab prophylaxis and Arm B - continuation of SOC on-demand therapy), while participants on prior SOC prophylactic therapy (Arm C - emicizumab prophylaxis) will be assessed via intra-participant analysis with data obtained from the preceding non-interventional study (NIS), WP45335 (NCT06883240).

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Key information

Age range

1 month and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

UZ Leuven Gasthuisberg, Leuven, Belgium

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Confirmed diagnosis of Type 3 von Willebrand disease (VWD), based on medical records
  • Preexisting medical record verifying the status of von Willebrand factor (VWF) inhibitor (positive or negative, including titer if available)
  • Adequate hematologic, hepatic, and renal function
  • For participants of childbearing potential: agreement to remain abstinent or adhere to the contraception requirements

Additional Inclusion Criteria for Arms A and B:

  • Age ≥1 month at the time of signing Informed Consent/Assent Form
  • Documented previous use of on-demand therapy with intermittent (less than once a week) on-demand SOC therapy for VWD
  • Having ≥2 treated bleeds (except menstrual bleeds) with factor concentrate within 24 weeks prior to enrollment

Additional Inclusion Criteria for Arm C:

  • Age ≥2 years at the time of signing Informed Consent/Assent Form
  • Documented and confirmed previous use of SOC prophylactic therapy for VWD (1-3 times weekly, as per prescribed dose) as described in the eligibility of Study WP45335
  • Have completed all study requirements as defined in the WP45335 protocol for at least 24 weeks

Exclusion criteria

  • Inherited or acquired bleeding disorder other than Congenital Type 3 VWD
  • History of gastrointestinal bleeding within 18 months prior to enrollment, or any previous diagnosis of angiodysplasia
  • History of intracranial hemorrhage
  • Previous or current treatment for thromboembolic disease or signs of thromboembolic disease
  • Other conditions (e.g., certain autoimmune diseases) that may increase risk of bleeding or thrombosis
  • History of clinically significant hypersensitivity associated with monoclonal antibody therapies or components of the emicizumab injection
  • Use of systemic immunomodulators (e.g., interferon) at enrollment or planned use during the study, with the exception of anti-retroviral therapy

Treatment and study plan

Emicizumab

Drug

Participants will receive emicizumab 3 milligrams per kilogram (mg/kg) subcutaneous (SC) injections every week (QW) for the first 4 weeks as loading doses, followed by maintenance doses of emicizumab 3 mg/kg SC once every 2 weeks (Q2W).

During the extension period, participants may remain on maintenance dose of emicizumab 3 mg/kg Q2W, or change their emicizumab maintenance regimen to 1.5 mg/kg once every week (QW) or 6 mg/kg once every 4 weeks (Q4W), if they prefer and if agreed by the investigators.

Other names: Hemlibra, RO5534262, RG6013

von Willebrand Factor (VWF) Concentrates

Drug

Used according to local labeling or local treatment guidelines.

Factor VIII (FVIII) Concentrates

Drug

Used according to local labeling or local treatment guidelines.

von Willebrand Factor (VWF) and Factor VIII (FVIII) Concentrates

Drug

Used according to local labeling or local treatment guidelines.

Bypassing Agents

Drug

Used according to local labeling or local treatment guidelines.

Primary outcomes

  1. Annualized Bleed Rate (ABR) for Treated Bleeds in the Randomized Arms

    Time frame: From Baseline to at least 24 weeks

Secondary outcomes

  1. ABR for All Bleeds in the Randomized Arms

    Time frame: From Baseline to at least 24 weeks

  2. ABR for Treated Spontaneous Bleeds in the Randomized Arms

    Time frame: From Baseline to at least 24 weeks

  3. ABR for Treated Joint Bleeds in the Randomized Arms

    Time frame: From Baseline to at least 24 weeks

  4. Intra-Participant Comparison of the ABR for Treated Bleeds with Prophylactic Emicizumab Versus Prophylactic SOC from the Preceeding Non-Interventional Study (NIS) WP45335

    Time frame: From Baseline to at least 24 weeks

  5. Intra-Participant Comparison of the ABR for All Bleeds with Prophylactic Emicizumab Versus Prophylactic SOC from the Preceeding NIS WP45335

    Time frame: From Baseline to at least 24 weeks

  6. Intra-Participant Comparison of the ABR for Treated Spontaneous Bleeds with Prophylactic Emicizumab Versus Prophylactic SOC from the Preceeding NIS WP45335

    Time frame: From Baseline to at least 24 weeks

  7. Intra-Participant Comparison of the ABR for Treated Joint Bleeds with Prophylactic Emicizumab Versus Prophylactic SOC from the Preceeding NIS WP45335

    Time frame: From Baseline to at least 24 weeks

  8. Incidence and Severity of Adverse Events, with Severity Determined According to the World Health Organization (WHO) Toxicity Grading Scale

    Time frame: From first dose of study treatment until 24 weeks after final dose of study treatment (up to 3 years, 11 months)

  9. Incidence and Severity of Thromboembolic Events

    Time frame: From first dose of study treatment until 24 weeks after final dose of study treatment (up to 3 years, 11 months)

  10. Incidence and Severity of Thrombotic Microangiopathy Events

    Time frame: From first dose of study treatment until 24 weeks after final dose of study treatment (up to 3 years, 11 months)

  11. Incidence and Severity of Injection-Site Reactions

    Time frame: From first dose of study treatment until 24 weeks after final dose of study treatment (up to 3 years, 11 months)

  12. Incidence of Adverse Events Leading to Drug Discontinuation

    Time frame: From first dose of study treatment until 24 weeks after final dose of study treatment (up to 3 years, 11 months)

  13. Incidence of Severe Hypersensitivity, Anaphylaxis, or Anaphylactoid Reactions

    Time frame: From first dose of study treatment until 24 weeks after final dose of study treatment (up to 3 years, 11 months)

  14. Incidence of Clinical Laboratory Abnormalities

    Time frame: From first dose of study treatment until 24 weeks after final dose of study treatment (up to 3 years, 11 months)

  15. Trough Plasma Concentration of Emicizumab at Prespecified Timepoints During the Treatment Period

    Time frame: Predose and at prespecified timepoints from first dose of emicizumab until study completion (up to 3 years, 11 months)

  16. Percentage of Participants with Anti-Drug Antibodies (ADAs) to Emicizumab at Baseline and with ADAs to Emicizumab During the Treatment Period

    Time frame: Baseline and at prespecified timepoints from first dose of emicizumab until study completion (up to 3 years, 11 months)

  17. Change from Baseline in Respiratory Rate Over Time

    Time frame: Baseline, Weeks 1, 2, 25, and every 12 weeks thereafter (weeks after switch to emicizumab for Arm B only) until study completion (up to 3 years, 11 months)

  18. Change from Baseline in Pulse Rate Over Time

    Time frame: Baseline, Weeks 1, 2, 25, and every 12 weeks thereafter (weeks after switch to emicizumab for Arm B only) until study completion (up to 3 years, 11 months)

  19. Change from Baseline in Systolic Blood Pressure Over Time

    Time frame: Baseline, Weeks 1, 2, 25, and every 12 weeks thereafter (weeks after switch to emicizumab for Arm B only) until study completion (up to 3 years, 11 months)

  20. Change from Baseline in Diastolic Blood Pressure Over Time

    Time frame: Baseline, Weeks 1, 2, 25, and every 12 weeks thereafter (weeks after switch to emicizumab for Arm B only) until study completion (up to 3 years, 11 months)

  21. Change from Baseline in Body Temperature Over Time

    Time frame: Baseline, Weeks 1, 2, 25, and every 12 weeks thereafter (weeks after switch to emicizumab for Arm B only) until study completion (up to 3 years, 11 months)

  22. Change from Baseline in Electrocardiogram (ECG) Parameters Over Time: QT, QTcF, RR, PR, and QRS Intervals

    Time frame: Baseline and study completion (up to 3 years, 11 months)

  23. Change from Baseline in Heart Rate Over Time, as Measured by Electrocardiogram (ECG)

    Time frame: Baseline and study completion (up to 3 years, 11 months)

  24. Change from Baseline in the PROMIS-29 Questionnaire Pain Interference Domain Score Over Time

    Time frame: Baseline and at prespecified timepoints until study completion (up to 3 years, 11 months)

    PROMIS-29 stands for Patient-Reported Outcomes Measurement Information System-29

  25. Change from Baseline in the PROMIS-29 Questionnaire Fatigue Domain Score Over Time

    Time frame: Baseline and at prespecified timepoints until study completion (up to 3 years, 11 months)

    PROMIS-29 stands for Patient-Reported Outcomes Measurement Information System-29

Study contacts

Contact information is provided by the study sponsor or research team.

Fastest response: use the inquiry form. No email attachments. https://www.gene.com/contact-us/submit-medical-inquiry

CONTACT

Reference Study ID Number: WP45338 https://forpatients.roche.com/

CONTACT

[email protected]

888-662-6728 (U.S. Only)

Sponsors and collaborators

Lead sponsor

Hoffmann-La Roche

Industry

Registry information

Official study title

A Phase III, Multicenter, Open-Label Study to Evaluate the Efficacy, Safety, Pharmacokinetics, and Pharmacodynamics of Emicizumab Prophylaxis in Patients With Type 3 Von Willebrand Disease

Acronym: WILL-EMI

Important dates

Study start
2025
Primary completion
2027
Study completion
2029
First posted
May 31, 2025
Registry last updated
Jul 10, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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