Actively Recruiting
A Phase 3, Open-label Study on Efficacy and Safety of Prophylaxis With Vonicog Alfa (rVWF) in Children With Severe Von Willebrand Disease
Led by Takeda · Updated on 2026-05-27
24
Participants Needed
21
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are studying the effectiveness of prophylactic treatment with vonicog alfa, a recombinant von Willebrand factor (rVWF), in children diagnosed with severe Von Willebrand Disease (VWD). This Phase 3, open-label study aims to evaluate how well vonicog alfa works in preventing bleeding episodes in participants who have previously been treated with VWF or plasma-derived VWF products. The focus is on children under 18 years of age with severe VWD who require ongoing replacement therapy to control bleeding. Participants will receive intravenous infusions of vonicog alfa twice weekly for 12 months. The initial dose will range from 40 to 60 international units per kilogram, adjusted by age groups: under 6 years, 6 to under 12 years, and 12 to under 18 years. Some participants may also receive ADVATE, another intravenous treatment, as needed to manage breakthrough bleeding episodes or bleeding related to surgery. Treatment is personalized and monitored throughout the study. During the 12-month treatment period, participants will visit the study clinic five times to assess their response and safety. Researchers will monitor the annualized bleeding rate (ABR) for spontaneous or traumatic bleeding events and record any adverse events. Blood samples will be taken to measure vonicog alfa levels and antibody development. Other assessments include vital signs, laboratory tests, and evaluation of breakthrough bleeding treatment efficacy. The study also collects data on infusion frequency and the amount of vonicog alfa used.
CONDITIONS
Brief Title
A Study of Vonicog Alfa (rVWF) in Children With Severe Von Willebrand Disease (vWD)
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Documented diagnosis of severe Von Willebrand Disease (VWD) with baseline VWF:RCo <20 IU/dL and history of VWF replacement therapy
- Diagnosis of VWD type 1, 2 (2A, 2B, 2M, 2N), or 3 confirmed by genetic testing and/or multimer analysis
- Participant is under 18 years of age at screening
- For participants aged 2 years and older: at least 12 months of prior on-demand or prophylactic VWF treatment with documented bleeding events
- For participants under 2 years: at least 6 months of prior treatment with documented bleeding events
- Available reliable records of bleeding episodes for at least 6 to 12 months depending on age
- Body mass index (BMI) within specified ranges according to age and CDC growth charts
- Female participants of childbearing potential must have negative pregnancy test and agree to use effective birth control
- Voluntary assent and informed consent provided
- Willing and able to comply with study requirements as confirmed by prescreening evaluation
You will not qualify if you...
- Diagnosis of pseudo VWD or other coagulation disorders besides VWD
- History or presence of VWF or Factor VIII inhibitors
- Known hypersensitivity to study drug components such as mouse or hamster proteins
- History of immunological disorders excluding mild allergies
- History of thromboembolic events
- HIV-positive with low CD4 count (<200/mm3)
- Significant liver or renal disease based on medical assessment and lab values
- Platelet count below 100,000/mL at screening
- Recent treatment with immunomodulatory drugs
- Pregnancy or lactation
- Cervical or uterine conditions causing heavy menstrual bleeding
- Participation in another investigational study within 30 days
- No prior on-demand or prophylactic VWF treatment before this study
- Progressive fatal disease or life expectancy less than 15 months
- Inability to comply with protocol or complete screening
- Mental condition affecting study understanding or uncooperative behavior
- Relationship to study team members or employees that could affect participation
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 12 months
Participants receive vonicog alfa (rVWF) by intravenous infusion twice weekly for 12 months. Treatment may include additional infusions of ADVATE as needed for breakthrough bleeding or perioperative bleeding management.
Twice-weekly infusions
Trial Site Locations
Total: 21 locations
1
University of Alabama at Birmingham
Birmingham, Alabama, United States, 35223
Actively Recruiting
2
Bleeding and Clotting Disorders Institute
Peoria, Illinois, United States, 61614
Actively Recruiting
3
Riley Hospital for Children Indiana University Health
Indianapolis, Indiana, United States, 46202
Actively Recruiting
4
University of Iowa Hospitals & Clinics PARENT
Iowa City, Iowa, United States, 52242
Actively Recruiting
5
Childrens Hospital of Michigan
Detroit, Michigan, United States, 48201
Actively Recruiting
6
Michigan State University Center for Bleeding Disorders & Clotting Disorders
East Lansing, Michigan, United States, 48824
Actively Recruiting
7
Children's Health Care d/b/a Children's Minnesota
Minneapolis, Minnesota, United States, 55404
Actively Recruiting
8
Cure 4 the Kids
Las Vegas, Nevada, United States, 89135
Actively Recruiting
9
Rutgers - Robert Wood Johnson Medical School
New Brunswick, New Jersey, United States, 08901
Actively Recruiting
10
New York - Presbyterian/Weill Cornell Medical Center
New York, New York, United States, 10021
Actively Recruiting
11
Medical University of South Carolina (MUSC)
Charleston, South Carolina, United States, 29425
Actively Recruiting
12
Hemostase Clinique - Institut Cœur-Poumons (4eme étage aile est) Bureau 419
Lille, France, 59037
Actively Recruiting
13
Hopital Edouard Herriot - CHU Lyon
Lyon, France, 69677
Actively Recruiting
14
Children's Health Ireland
Dublin, Ireland, D12N512
Actively Recruiting
15
Azienda Ospedaliera Pediatrica Santobono Pausillipon
Naples, Italy, 80123
Active, Not Recruiting
16
Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino
Turin (Torino), Italy, 10126
Active, Not Recruiting
17
Japanese Red Cross Narita Hospital
Narita, Chiba, Japan, 286-8523
Actively Recruiting
18
Nara Medical University Hospital
Kashihara, Nara, Japan, 634-8522
Actively Recruiting
19
NHO Beppu Medical Center
Beppu, Oita Prefecture, Japan, 874-0011
Actively Recruiting
20
Nagasaki University Hospital
Nagasaki, Japan, 852-8501
Actively Recruiting
21
Haemophilia Comprehensive Care Centre, Great Ormond Street Hospital for Children NHS Foundation Trust
London, United Kingdom, WC1N 3HR
Actively Recruiting
Research Team
T
Takeda Contact
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
3
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