Prevention of bleeding in haemophilia A by prophylactic treatment with Nuwiq®

ISRCTN ISRCTN57549638
DOI https://doi.org/10.1186/ISRCTN57549638
Secondary identifying numbers GENA-100
Submission date
23/02/2015
Registration date
23/03/2015
Last edited
11/06/2025
Recruitment status
No longer recruiting
Overall study status
Ongoing
Condition category
Haematological Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Haemophilia A is an inherited condition where there's not enough of a substance called clotting factor VIII in the blood as there should be, so the patient bleeds for longer than usual. Octanate® and Wilate® are human plasma-derived factor VIII concentrate, and Nuwiq® is an engineered version of clotting factor VIII. The aim of this study is to find out whether treatment with Octanate®, Wilate® or Nuwiq prevents bleeding in patients with haemophilia A.

Who can participate?
Haemophilia A patients being treated with Octanate®, Wilate® or Nuwiq®

What does the study involve?
The routine treatment of haemophilia A patients is documented, including all treatments with Nuwiq, any bleeding episodes, surgical procedures, and quality of life.

What are the possible benefits and risks of participating?
Not provided at time of registration

Where is the study run from?
Vivantes Klinikum (Germany)

When is the study starting and how long is it expected to run for?
March 2015 to March 2030

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Jennifer Feddern

Contact information

Ms Angela Habier
Scientific

Elisabeth-Selbert-Strasse 11
Langenfeld
40764
Germany

Study information

Study designOpen prospective multi-centre multi-national non-interventional study
Primary study designObservational
Secondary study designCohort study
Study setting(s)Other
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titlePrevention and treatment of bleeding in haemophilia A with Nuwiq®: Octanate®, Wilate®: A prospective, non-interventional study to evaluate prophylactic and on-demand treatment schedules and factor VIII requirement in routine clinical practice
Study acronymPEAQ-NOW
Study objectivesTo assess the influence of weekly FVII dose on annualized bleeding rate.
Ethics approval(s)Ethics Committee of the Medical Association Berlin, 18/11/2015, ref: Eth-11/15
Health condition(s) or problem(s) studiedHaemophilia A
InterventionCurrent interventions as of 19/03/2024:
NIS-Previq is a non-interventional study for which the routine treatment of haemophilia A patients on prophylaxis is documented. All treatments with Octanate®, Wilate®or Nuwiq®, any bleeding episode occuring or surgical procedures are carefully documented. Additionally, a joint score (HJHS) and/or a pharmacokinetic evaluation with individually calculated dosing schedules can be documented on an optional basis.

Previous interventions:
NIS-Previq is a non-interventional study for which the routine treatment of haemophilia A patients on prophylaxis is documented. All treatments with Nuwiq, any bleeding episode occuring or surgical procedures are carefully documented. Additionally, a joint score (HJHS), quality of life questionnaire (SF-36) and/or a pharmacokinetic evaluation with individually calculated dosing schedules can be documented on an optional basis.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Simoctocog alfa, Octanate®, Wilate®
Primary outcome measureCurrent primary outcome measure as of 19/03/2024:
Annual bleeding rate (ABR) during prophylaxis with Octanate®, Wilate® or Nuwiq® and ABR by weekly Nuwiq doses (IU/kg)

Previous primary outcome measure:
Annual bleeding rate (ABR) during prophylaxis with Nuwiq and ABR by weekly Nuwiq doses (IU/kg)
Secondary outcome measuresCurrent secondary outcome measures as of 19/03/2024:
1. Frequency distribution of the infusion intervals used – e.g. once, twice, thrice weekly or more frequently.
1.1. FVIII Dose/kg body weight per injection
1.2. Weekly FVIII Dose/kg body weight
2. Changes in HJHS Score results over time and after PK-based adjustments of prophylactic schedule.
3. Efficacy assessments for treatment of bleeding episodes according to a 4-point verbal rating scale
4. ADR rates per infusion and per patient

Previous secondary outcome measures:
1. Frequency distribution of the infusion intervals used – e.g. once, twice, thrice weekly or more frequently.
1.1. FVIII Dose/kg body weight per injection
1.2. Weekly FVIII Dose/kg body weight
2. Changes in SF-36 results over time and after PK-based adjustments of prophylactic schedule.
3. Changes in HJHS Score results over time and after PK-based adjustments of prophylactic schedule.
4 . Efficacy assessments for treatment of bleeding episodes according to a 4-point verbal rating scale
5. ADR rates per infusion and per patient
Overall study start date01/03/2015
Completion date31/03/2030

Eligibility

Participant type(s)Patient
Age groupAll
SexBoth
Target number of participants200
Key inclusion criteriaCurrent inclusion criteria as of 11/06/2025:

1. The patient suffers from haemophilia A or reduced factor VIII levels with bleeding tendency
2. Treated with Octanate®, Wilate®or Nuwiq®
3. One of the following criteria is met:
3.1. The Patient receives prophylaxis with FVIII and a duration of 6 month is foreseen
3.2. The Patient is treated on demand with FVIII and treatment within the next 6 month is likely
3.3. The Patient receives prophylaxis with non-factor preparation and is in actual need of factor VIII treatment
4. Good compliance regarding documentation of FVIII treatments and bleeding episodes (in case home treatment is performed)

_____

Previous inclusion criteria as of 19/03/2024:

1. Haemophilia A
2. Treated with Octanate®, Wilate®or Nuwiq®
3. Prophylactic treatment schedule for at least 6 months is to be expected
4. Good compliance regarding documentation of FVIII treatments and bleeding episodes (in case home treatment is performed)

_____

Previous inclusion criteria:

1. Haemophilia A
2. Treated with Nuwiq
3. Prophylactic treatment schedule for at least 6 months is to be expected
4. Good compliance regarding documentation of FVIII treatments and bleeding episodes (in case home treatment is performed)
Key exclusion criteriaPatients with known contraindications as specified in the SPC
Date of first enrolment01/03/2015
Date of final enrolment31/08/2024

Locations

Countries of recruitment

  • Germany

Study participating centre

Vivantes Klinikum Friedrichshain
Landsberger Allee 49
Berlin
10249
Germany

Sponsor information

Octapharma GmbH
Industry

Elisabeth-Selbert-Strasse 11
Langenfeld
40764
Germany

ROR logo "ROR" https://ror.org/002k5fe57

Funders

Funder type

Not defined

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date28/02/2026
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planPublication plans for the current study are not defined and will be made available at a later date
IPD sharing planThe data-sharing plans for the current study are unknown and will be made available at a later date

Editorial Notes

11/06/2025: The following changes were made to the trial record:
1. The scientific title was changed from "Prevention of bleeding in haemophilia A by prophylactic treatment with Octanate®, Wilate®, Nuwiq®: a prospective, multi-national, non-interventional study to evaluate routine practice prophylactic treatment schedules – NIS-Previq" to "Prevention and treatment of bleeding in haemophilia A with Nuwiq®: Octanate®, Wilate®: A prospective, non-interventional study to evaluate prophylactic and on-demand treatment schedules and factor VIII requirement in routine clinical practice".
2. The study acronym was changed from NIS-Previq to PEAQ-NOW.
3. The overall end date was changed from 28/02/2025 to 31/03/2030.
4.
19/03/2024: The following changes were made to the study record:
1. The scientific title was changed from 'Prevention of bleeding in haemophilia A by prophylactic treatment with Nuwiq®: a prospective, multi-national, non-interventional study to evaluate routine practice prophylactic treatment schedules – NIS-Previq' to 'Prevention of bleeding in haemophilia A by prophylactic treatment with Octanate®, Wilate®, Nuwiq®: a prospective, multi-national, non-interventional study to evaluate routine practice prophylactic treatment schedules – NIS-Previq'.
2. The interventions, primary and secondary outcome measures and inclusion criteria were updated.
3. The recruitment end date was changed from 31/03/2020 to 31/08/2024.
4. The overall study end date was changed from 31/03/2020 to 28/02/2025.
5. The study participating centre was changed from Vivantes Klinikum to Vivantes Klinikum Friedrichshain.
6. Octanate® and Wilate® were added to the drug/device/biological/vaccine name(s).
7. Publication and dissemination plan and IPD sharing plan added.
12/03/2024: Contact details updated.
30/03/2016: Ethics approval information added.
15/03/2016: Plain English summary added.