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NCT06938659: AFEEL

Low Dose Emicizumab vs Low Dose Factor VIII in Prophylaxis in Hemophilia A Patients

Not yet recruiting Phase 2, PHASE3 Last updated 22 April 2025
What this trial tests

Phase 2, PHASE3 trial testing Emicizumab Injection in Hemophilia A in 20 participants. Not yet recruiting.

Timeline
1 June 2025
Primary endpoint
31 May 2026
31 July 2026

Quick facts

Lead sponsorDhaka Medical College
PhasePhase 2, PHASE3
StatusNot yet recruiting
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment20
Start date1 June 2025
Primary completion31 May 2026
Estimated completion31 July 2026
Sites1 location across Bangladesh

Drugs / interventions tested

Conditions studied

Sponsor

Dhaka Medical College

Who can join

Eligibility, any sex, with Hemophilia A. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Low dose factor VIII prophylaxis is practiced around the world. Role of standard dose Emicizumab prophylaxis is well established. Emicizumab is an expensive drug. Standard dose Emicizumab prophylaxis is very expensive for hemophilia A patients and troublesome for government to ensure continuous supply. This study intends to compare low dose Factor VIII prophylaxis with low dose Emicizumab prophylaxis and compare whether low dose Emicizumab is as effective as low dose Factor VIII prophylaxis. So, it is possible to continue prophylaxis program in hemophilia A patients with a cost-effective way in our country without risking the patient health. Moreover, Emicizumab prophylaxis reduces the chance of developing inhibitor to Factor VIII and it is convenient for administration due to less frequent and subcutaneous administration. 20 severe hemophilia A patients will be selected randomly from interested patients for this study. 6 patients with inhibitor will be randomized in Low dose Emicizumab with Inhibitor group (I) and rest 14 will be randomized by block randomization in Low dose Emicizumab (without inhibitor-WI) and low dose Factor VIII group at 4:10 ratio. Initial loading dose will be given and the participants will be followed up for 6 months. At the end of the study Annualized bleeding rate (ABR), Annualized joint bleeding rate (AJBR), Annualized spontaneous bleeding rate (ASBR), APTT will be compared among the groups. Inhibitor to factor VIII will also be evaluated after six months in Factor VIII group.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other trials of Emicizumab Injection

Trials testing the same drug.

Other recruiting trials for Hemophilia A

Currently open trials in the same condition.

Other Dhaka Medical College trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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