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Clinical Trial NCT07406139 (2022PCC-A) for Hemophilia, Inhibitors is recruiting. See the Trial Radar Card View and AI discovery tools for all the details. Or ask anything here. | ||
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PCC Treatment for Hemophilia Patients With Inhibitor(2022PCC-A) Phase 4 30
Clinical Trial NCT07406139 (2022PCC-A) is designed to study Treatment for Hemophilia, Inhibitors. It is a Phase 4 interventional study that is recruiting, having started on March 1, 2026, with plans to enroll 30 participants. Led by Institute of Hematology & Blood Diseases Hospital, China, it is expected to complete by December 20, 2026. The latest data from ClinicalTrials.gov was last updated on February 12, 2026.
Brief Summary
This study is a multicenter, prospective, single-arm exploratory clinical trial designed to evaluate the efficacy and safety of prothrombin complex concentrate (PCC) in the treatment of bleeding episodes in patients with hemophilia A with inhibitors. All participants received on-demand PCC therapy during bleeding episodes, with dosing adjusted by investigators according to the type of bleeding. The recommended dose w...Show More
Detailed Description
Hemophilia A is a severe and common hereditary bleeding disorder caused by a deficiency of coagulation factor VIII (FVIII). Recurrent bleeding episodes, if not treated promptly, can lead to joint deformities or pseudotumor formation and may even be life-threatening in severe cases. In recent years, with the widespread use of plasma-derived and recombinant FVIII products, the management of hemophilia A has made signif...Show More
Official Title
A Multicenter, Prospective, Single-arm Exploratory Study of Prothrombin Complex Concentrate in the Treatment of Bleeding Episodes in Patients With Hemophilia A With Inhibitors
Conditions
HemophiliaInhibitorsOther Study IDs
- 2022PCC-A
- IIT2022048
NCT ID Number
Start Date (Actual)
2026-03-01
Last Update Posted
2026-02-12
Completion Date (Estimated)
2026-12-20
Enrollment (Estimated)
30
Study Type
Interventional
PHASE
Phase 4
Status
Recruiting
Primary Purpose
Treatment
Design Allocation
N/A
Interventional Model
Single Group
Masking
None (Open Label)
Arms / Interventions
| Participant Group/Arm | Intervention/Treatment |
|---|---|
ExperimentalPCC treatment | PCC On-demand PCC therapy during bleeding episodes. The recommended dose was 50 IU/kg per infusion, administered every 8-12 hours, with a maximum total daily dose not exceeding 150 IU/kg. |
Primary Outcome Measures
Secondary Outcome Measures
| Outcome Measure | Measure Description | Time Frame |
|---|---|---|
Efficacy of prothrombin complex concentrate (PCC) in the treatment of bleeding episodes in patients with hemophilia A with inhibitors. | Hemostatic Efficacy Rate:
Bleeding symptoms were evaluated at 8 hours and 24 hours after treatment. The assessment of hemostatic response included four categories: excellent, good, moderate, and ineffective. | From enrollment to the end of treatment at 24 hours |
| Outcome Measure | Measure Description | Time Frame |
|---|---|---|
To evaluate the improvement score of bleeding symptoms and signs within 24 hours after the first infusion of prothrombin complex concentrate (PCC) for each bleeding episode in patients with hemophilia A with inhibitors. | From enrollment to the end of treatment at 24 hours |
Participation Assistant
Eligibility Criteria
Eligible Ages
Child, Adult, Older Adult
Minimum Age
12 Years
Eligible Sexes
All
- Diagnosed with hemophilia A with inhibitors. For high-responding patients (those who have previously had an inhibitor titer >5 BU), the inhibitor titer at enrollment must be >0.6 BU;
- Age between 12 and 65 years;
- At least three joint bleeding episodes within the past six months;
- Signed informed consent form.
- Presence of other congenital or acquired bleeding disorders;
- Liver function tests (ALT, AST) >2.5 times the upper limit of normal, or renal function tests (BUN, Cr) >1.5 times the upper limit of normal;
- Currently receiving immune tolerance induction (ITI) therapy with an inhibitor titer <5 BU;
- History of thrombotic events;
- Known history of drug allergy, asthma, urticaria, or other allergic conditions;
- Deemed unsuitable for study participation by the investigator.
Study Central Contact
Contact: Mankai Ju, +8615620988690, [email protected]
Contact: Feng Xue, +862223608174, [email protected]
1 Study Locations in 1 Countries
Tianjin Municipality
Institute of haematology and Blood diseases hospital, Tianjin, Tianjin Municipality, 300020, China
Mankai Ju, Contact, +8615620988690, [email protected]
Lei Zhang, Contact, 2223608177, [email protected]
Recruiting