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Completed

NCT Number: NCT02830477

Study Evaluating "Real World" Treatment Pattern in Previously Treated Hemophilia A Patients Receiving KOVALTRY (Octocog Alfa) for Routine Prophylaxis

The primary objective of this study is to investigate weekly prophylaxis dosing regimens used in standard clinical practice.

In addition the study will capture reported bleed rate, pattern of change in KOVALTRY prophylaxis dose & dosing frequency, reason for choice of treatment regimen, FVIII product switch pattern, patient treatment satisfaction and adherence, KOVALTRY pharmacokinetic data (if performed), KOVALTRY consumption, as well as safety data.

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Key information

About this study

Open label, prospective, non-interventional, single arm study in patients receiving KOVALTRY as prophylaxis therapy.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Male patients diagnosed with moderate to severe hemophilia A (≤ 5% FVIII:C (Factor VIII Coagulant activity))
  • Any age
  • ≥ 50 exposure days (EDs) to any FVIII product
  • Patients with or without history of inhibitors
  • Patient with previous history of inhibitors, with at least 2 consecutive negative inhibitor tests and on standard prophylaxis therapy for at least 1 year prior to study entry
  • No current evidence of FVIII inhibitor or clinical suspicion of FVIII inhibitor
  • Evidence of FVIII inhibitor as measured by the Nijmegen-modified Bethesda assay [<0.6 Bethesda units (BU/mL)] or Bethesda assay [< 1.0 BU/mL] in 2 on consecutives samples
  • Documented or clinical suspicion of shortened FVIII half-life (< 6 hrs)
  • Currently on or plan to start prophylaxis therapy with KOVALTRY
  • Written informed consent

Exclusion criteria

  • Patients participating in an investigational program with interventions outside of routine clinical practice
  • Patients with an additional diagnosis of any bleeding/coagulation disorder other than hemophilia A
  • Patients on Immune Tolerance Induction (ITI) treatment at the time of enrollment

Treatment and study plan

Kovaltry (Antihemophilic Factor [Recombinant], BAY81-8973

Biological

unmodified, full length recombinant FVIII

Primary outcomes

  1. Proportion of patients on 2x and 3x weekly prophylaxis at end of observation period

    Time frame: Up to 2 years

Secondary outcomes

  1. Annualized composite number of reported bleeds (total, spontaneous, joint and trauma)

    Time frame: Up to 2 years

  2. Proportion of patients in predefined prophylaxis regimen per age group and per country

    Time frame: At the end of observational period, up to 2 years

    Age group: 0 to <6, ≥6 to <12, ≥12 to <18, 18 and above

    Weekly prophylaxis dosing regimens:

    • 2 injections a week
    • 3 injections a week
    • Injected on every other day
  3. Physician decision determinants of prophylaxis regimen

    Time frame: At baseline

    Age i.v. access Current treatment regimen Bleeding history with current treatment regimen Prior history of life threatening bleed Number of target joints Pharmacokinetic data Adherence/Compliance history Activity level Patient/caregiver preference Caregiver support Insurance coverage (US) Institution guidelines Country guidelines Other

  4. Change from baseline to one year and two years in treatment satisfaction (Hemo-SAT)

    Time frame: At baseline, 1 year and end of observational period, up to 2 years

    Hemo-SAT - Hemophilia treatment satisfaction questionnaire

  5. Change from baseline to six months, one year and two years in Validated Hemophilia Regimen Treatment Adherence Scale-Prophylaxis (VERITAS-PRO)

    Time frame: At baseline, 6 months and end of observational period, up to 2 years

    VERITAS - Validated Hemophilia Regimen Treatment Adherence Scale-Prophylaxis

  6. Incidence of adverse events (AEs) and serious adverse events (SAEs)

    Time frame: Up to 2 years

  7. Type of data relating to KOVALTRY PK

    Time frame: At routine visits, up to 2 years

    Pharmacokinectic (PK) parameters

    • Area under the curve (AUC)
    • Clearance (Cl)
    • Half-life
    • FVIII trough
    • FVIII peak levels
    • In-vivo recovery
  8. The total annualized factor consumption (injections)

    Time frame: Up to 2 years

  9. Change in prophylaxis dosing frequency (study start to end of observation period)

    Time frame: At baseline and end of observation period, up to 2 years

  10. Reasons for selection of initial dose / dosing frequency of Kovaltry (study start to end of observation period)

    Time frame: At baseline and end of observation period, up to 2 years

  11. Number of KOVALTRY PK assessments performed

    Time frame: At routine visits, up to 2 years

Sponsors and collaborators

Lead sponsor

Bayer

Industry

Registry information

Official study title

A Multinational Phase IV Study Evaluating "Real World" Treatment Pattern in Previously Treated Hemophilia A Patients Receiving KOVALTRY (Octocog Alfa) for Routine Prophylaxis

Acronym: TAURUS

Important dates

Study start
2016
Primary completion
2020
Study completion
2021
First posted
Jul 13, 2016
Registry last updated
Nov 7, 2023

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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