18 and older, any sex, with Von Willebrand Disease. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Overall Hemostatic Efficacy as Assessed by the Investigator (Hemophilia Physician)Primary· 24 hours after last peri-operative infusion or at completion of Day 14 (± 2 days) visit, whichever occurs earlier
Hemostatic efficacy will be rated on a scale of excellent - good - moderate - none. Excellent: Intra-, and postoperative hemostasis achieved with rVWF with our without ADVATE was as good or better than that expected for the type of surgical procedure performed in a hemostatically normal subject. Good: Intra-, and postoperative hemostasis achieved with rVWF with or without ADVATE was probably as good as that expected for the type of surgical procedure performed in a hemostatically normal subject. Moderate: Intra-, and postoperative hemostasis with rVWF with or without ADVATE was clearly less th
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
11
Minor Surgery
4
Major Surgery
7
Oral Surgery
0
Von Willebrand Disease Type 1
2
Von Willebrand Disease Type 2A
1
Von Willebrand Disease Type 2B
1
Von Willebrand Disease Type 2M
0
Von Willebrand Disease Type 3
7
Recombinant Von Willebrand Factor (rVWF)
4
Minor Surgery
0
Major Surgery
3
Oral Surgery
1
Von Willebrand Disease Type 1
1
Von Willebrand Disease Type 2A
1
Von Willebrand Disease Type 2B
0
Von Willebrand Disease Type 2M
1
Von Willebrand Disease Type 3
1
Recombinant Von Willebrand Factor (rVWF)
0
Minor Surgery
0
Major Surgery
0
Oral Surgery
0
Von Willebrand Disease Type 1
0
Von Willebrand Disease Type 2A
0
Von Willebrand Disease Type 2B
0
Von Willebrand Disease Type 2M
0
Von Willebrand Disease Type 3
0
Recombinant Von Willebrand Factor (rVWF)
0
Minor Surgery
0
Major Surgery
0
Oral Surgery
0
Von Willebrand Disease Type 1
0
Von Willebrand Disease Type 2A
0
Von Willebrand Disease Type 2B
0
Von Willebrand Disease Type 2M
0
Von Willebrand Disease Type 3
0
Intraoperative Actual Versus Predicted Blood Loss as Assessed by the Operating SurgeonSecondary· Day 0 (at completion of surgery)
The predicted blood loss will be estimated preoperatively by the operating surgeon based on a hemostatically normal individual of the same sex, age, stature and co-morbidities as the participant. The actual blood loss will be assessed consisting of the estimated blood loss, including into swabs, towels and suction during the procedure, per the anesthesiologist's record.
Actual blood loss
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
94.3
± 177.88
Minor Surgery
0.0
± 0.00
Major Surgery
127.0
± 209.27
Oral Surgery
145.0
± NA
Von Willebrand Disease Type 1
115.0
± 103.32
Von Willebrand Disease Type 2A
42.5
± 53.03
Von Willebrand Disease Type 2B
50.0
± NA
Von Willebrand Disease Type 2M
50.0
± NA
Von Willebrand Disease Type 3
110.6
± 240.87
Predicted blood loss
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
106.1
± 161.82
Minor Surgery
2.5
± 5.00
Major Surgery
152.8
± 186.33
Oral Surgery
100.0
± NA
Von Willebrand Disease Type 1
100.0
± 100.00
Von Willebrand Disease Type 2A
10.0
± NA
Von Willebrand Disease Type 2B
50.0
± NA
Von Willebrand Disease Type 2M
50.0
± NA
Von Willebrand Disease Type 3
134.4
± 206.46
Intraoperative Actual Blood Loss Relative to Predicted Blood LossSecondary· Day 0 (at completion of surgery)
Actual blood loss relative to predicted blood loss will be calculated as \[Actual Blood loss (mL)\] divided by \[Predicted Blood Loss (mL) multiplied by 100.
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
69.6
± 44.77
Minor Surgery
0.0
± NA
Major Surgery
68.9
± 34.48
Oral Surgery
145.0
± NA
Von Willebrand Disease Type 1
122.5
± 31.82
Von Willebrand Disease Type 2A
50.0
± NA
Von Willebrand Disease Type 2B
100.0
± NA
Von Willebrand Disease Type 2M
100.0
± NA
Von Willebrand Disease Type 3
45.0
± 38.92
Intraoperative Actual Versus Predicted Blood Loss Score as Assessed by the Operating SurgeonSecondary· Day 0 (at completion of surgery)
Hemostatic efficacy will be rated on a scale of excellent - good - moderate - none. Excellent: Intraoperative blood loss was less than or equal to the maximum blood loss expected for the type of procedure performed in a hemostatically normal subject (≤ 100%). Good: Intraoperative blood loss was up to 50% more than the maximum expected blood loss for the type of procedure performed in a hemostatically normal subject (101-150%) Moderate: Intraoperative blood loss was more than 50% of the maximum expected blood loss for the type of procedure performed in a hemostatically normal subject (\>150%).
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
13
Minor Surgery
4
Major Surgery
8
Oral Surgery
1
Von Willebrand Disease Type 1
3
Von Willebrand Disease Type 2A
1
Von Willebrand Disease Type 2B
1
Von Willebrand Disease Type 2M
1
Von Willebrand Disease Type 3
7
Recombinant Von Willebrand Factor (rVWF)
2
Minor Surgery
0
Major Surgery
2
Oral Surgery
0
Von Willebrand Disease Type 1
0
Von Willebrand Disease Type 2A
1
Von Willebrand Disease Type 2B
0
Von Willebrand Disease Type 2M
0
Von Willebrand Disease Type 3
1
Recombinant Von Willebrand Factor (rVWF)
0
Minor Surgery
0
Major Surgery
0
Oral Surgery
0
Von Willebrand Disease Type 1
0
Von Willebrand Disease Type 2A
0
Von Willebrand Disease Type 2B
0
Von Willebrand Disease Type 2M
0
Von Willebrand Disease Type 3
0
Recombinant Von Willebrand Factor (rVWF)
0
Minor Surgery
0
Major Surgery
0
Oral Surgery
0
Von Willebrand Disease Type 1
0
Von Willebrand Disease Type 2A
0
Von Willebrand Disease Type 2B
0
Von Willebrand Disease Type 2M
0
Von Willebrand Disease Type 3
0
Intraoperative Hemostatic Efficacy Score as Assessed by the Operating SurgeonSecondary· Day 0 (at completion of surgery)
Hemostatic efficacy will be rated on a scale of excellent - good - moderate - none. Excellent: Intraoperative hemostasis achieved with rVWF with our without ADVATE was as good or better than that expected for the type of surgical procedure performed in a hemostatically normal subject. Good: Intraoperative hemostasis achieved with rVWF with or without ADVATE was probably as good as that expected for the type of surgical procedure performed in a hemostatically normal subject. Moderate: Intraoperative hemostasis with rVWF with or without ADVATE was clearly less than optimal for the type of proced
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
13
Minor Surgery
4
Major Surgery
8
Oral Surgery
1
Von Willebrand Disease Type 1
3
Von Willebrand Disease Type 2A
1
Von Willebrand Disease Type 2B
1
Von Willebrand Disease Type 2M
1
Von Willebrand Disease Type 3
7
Recombinant Von Willebrand Factor (rVWF)
2
Minor Surgery
0
Major Surgery
2
Oral Surgery
0
Von Willebrand Disease Type 1
0
Von Willebrand Disease Type 2A
1
Von Willebrand Disease Type 2B
0
Von Willebrand Disease Type 2M
0
Von Willebrand Disease Type 3
1
Recombinant Von Willebrand Factor (rVWF)
0
Minor Surgery
0
Major Surgery
0
Oral Surgery
0
Von Willebrand Disease Type 1
0
Von Willebrand Disease Type 2A
0
Von Willebrand Disease Type 2B
0
Von Willebrand Disease Type 2M
0
Von Willebrand Disease Type 3
0
Recombinant Von Willebrand Factor (rVWF)
0
Minor Surgery
0
Major Surgery
0
Oral Surgery
0
Von Willebrand Disease Type 1
0
Von Willebrand Disease Type 2A
0
Von Willebrand Disease Type 2B
0
Von Willebrand Disease Type 2M
0
Von Willebrand Disease Type 3
0
Daily Intra- and Postoperative Weight-adjusted Dose of rVWF With or Without ADVATESecondary· Daily, from day of surgery through postoperative Day 14 (± 2 days)
intraoperative
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
18.1
18.1 – 18.1
postoperative day 1
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
23.5
16.9 – 47.2
postoperative day 2
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
42.3
23.2 – 50.6
postoperative day 3
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
28.6
20.6 – 48.9
postoperative day 4
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
33.9
23.2 – 44.3
postoperative day 5
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
31.5
18.8 – 47.2
postoperative day 6
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
23.2
18.8 – 23.6
postoperative day 7
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
23.8
23.6 – 50.8
Occurrence of Adverse EventsSecondary· From first infusion of investigational product through study completion (ie, 14 (± 2) days post surgery)
Treatment emergent adverse events (TEAEs) and treatment emergent serious adverse events (TESAEs) will be evaluated.
Occurrence of Thrombotic EventsSecondary· From first infusion of investigational product through study completion (ie, 14 (± 2) days post surgery)
Treatment emergent adverse events (TEAEs) and treatment emergent serious adverse events (TESAEs) will be evaluated for thrombotic events.
Thrombotic TEAEs
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
2
Thrombotic TESAEs
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
1
Occurrence of Severe Allergic Reactions (eg, Anaphylaxis)Secondary· From first infusion of investigational product through study completion (ie, 14 (± 2) days post surgery)
Treatment emergent adverse events (TEAEs) and treatment emergent serious adverse events (TESAEs) will be evaluated for severe allergic reactions.
Severe allergic reaction TEAEs
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
0
Severe allergic reaction TESAEs
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
0
Number of Participants Who Developed Inhibitory and Total Binding Antibodies to Von Willebrand Factor (VWF) and Inhibitory Antibodies to Factor VIII (FVIII)Secondary· Testing occurred throughout the study at screening, prior PK infusion, pre-surgery, post surgery in case of excessive bleeding or unexplained bleeding, at postoperative day 7 and at study completion visit (ie. 14 (± 2) days post surgery).
Participants were treated with recombinant van Willebrand Factor (rVWF) with or without ADVATE.
Development of inhibitory antibodies to VWF
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
0
Development of total binding antibodies to VWF
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
1
Development of inhibitory antibodies to FVIII
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
0
Number of Participants Who Developed Antibodies to Chinese Hamster Ovary (CHO) Proteins, Mouse Immunoglobulin G (IgG) or Recombinant Furin (rFurin)Secondary· Testing occurred throughout the study at screening, prior PK infusion, pre-surgery, post surgery in case of excessive bleeding or unexplained bleeding, at postoperative day 7 and at study completion visit (ie. 14 (± 2) days post surgery).
Participants were treated with recombinant van Willebrand Factor (rVWF) with or without ADVATE.
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
0
Pharmacokinetics: Area Under the Plasma Concentration Versus Time Curve From 0 to 72 Hours Post-infusion (AUC 0-72 h/Dose)Secondary· PK measurements were done within 30 minutes pre-infusion, and post infusion at 30 (± 5) minutes, 60 (± 5) minutes, 6 (± 1) hours, 12 (± 1) hours, 24 (± 2) hours, 48 (± 2) hours and 72 (± 2) hours.
This assessment is only required for subjects undergoing major surgery. Subjects will receive a PK infusion at a dose of 50±5 IU/kg rVWF:RCo within 42 days prior to surgery. The area under the plasma concentration/time curve from 0 to 72 hours post-infusion will be computed using the linear trapezoidal rule. For the calculation of AUC(0-72h) the levels at 72 hours will be linearly interpolated/extrapolated from the 2 nearest sampling time points. PK analysis was performed for the following analytes: VWF Ristocetin Cofactor Activity (VWF:RCo), VWF Antigen Activity (VWF:Ag), VWF Collagen Binding
VWF:RCo
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
31.91
± 37.5
VWF:Ag
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
57.08
± 25.6
VWF:CB
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
63.91
± 29.4
VWF:Ac
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
54.61
± 28.1
FVIII:C
Group
Value
95% CI
Recombinant Von Willebrand Factor (rVWF)
67.49
± 31.1
Adverse events — posted to ClinicalTrials.gov
Time frame: Throughout the study period (from the first exposure to investigational product until study completion or discontinuation date). Total study duration: 1 year and 3 months. Per participant: up to 58 days..
Reporting threshold: 0%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
The purpose of the study is to assess the efficacy and safety of recombinant von Willebrand factor (rVWF) with or without ADVATE in major and minor elective surgical procedures in adult patients with hereditary severe von Willebrand disease (VWD).
Publications & conference data
6 peer-reviewed publications reference this trial (live from Europe PMC):
Other recruiting trials for Von Willebrand Disease
Currently open trials in the same condition.
NCT02932618 — A Study of Recombinant Von Willebrand Factor (rVWF) With or Without ADVATE in Children With Severe Von Willebrand Diseas
· Phase 3
· recruiting
Other Baxalta now part of Shire trials
Trials by the same sponsor.
NCT04985682 — A Study of ADVATE in People With Hemophilia A in India
· Phase 4
· completed
NCT04578535 — A Study to Assess the Tolerability, Safety, and Pharmacokinetics of Subcutaneous Immune Globulin Infusion 10% (Human) Wi
· Phase 1
· completed
NCT04346108 — A Study of Immune Globulin Subcutaneous (Human), 20% Solution (IGSC, 20%) in Japanese Participants With Primary Immunode
· Phase 3
· completed
NCT04158934 — A Long-term Study of ADYNOVI/ADYNOVATE in Participants With Haemophilia A
· active not recruiting
NCT04394286 — A Phase 1/2 Study of SHP648, an Adeno-Associated Viral Vector for Gene Transfer in Hemophilia B Subjects
· Phase 1, PHASE2
· terminated
Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Baxalta now part of Shire
Last refreshed: 19 May 2021
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02283268.