Actively Recruiting

Phase 3
Age: 0 - 17Years
All Genders
ID05582993

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

Age: 0 - 17Years
All Genders

Eligibility Criteria

Eligible

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
Not Eligible

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

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

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

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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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