Clinical trial Recruiting at 10 sites Observational Ages 6 to 19

Comparing Factor VIII and Emicizumab for Preventing Bleeding in Hemophilia A Patients Playing Sports

Official title: Prevention of Bleeding in Patients With Moderate and Severe Hemophilia A Playing Sports: A Comparison Between Factor VIII and Emicizumab Prophylaxis -STEP: SporTs Emicizumab Prophylaxis

Run by Wayne State University · NCT05022459 · Data updated 2026-11-12

This study tests whether Factor VIII or Emicizumab is better at preventing bleeding in boys aged 6 to 19 with Hemophilia A while they play sports.

More Hemophilia A trials

Quick facts

Study typeObservational
Ages6 Years to 19 Years
SexAll
Enrollment72 (estimated)
SponsorWayne State University
Academic / other
Drugs / interventionsEmicizumab
Locations10 sites (Little Rock, Arkansas and 9 other locations)
StatusRecruiting
StartedAugust 16, 2023
Main results expectedJanuary 2029
Study endsMarch 2029
Registry record updatedJuly 2, 2026
Trial IDNCT05022459 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are male patients aged 6 to 19 years with moderate to severe Hemophilia A who are currently on either Emicizumab or Factor VIII prophylaxis and actively engage in sports.

Probably not a fit

Patients who are not compliant with treatment logs or who do not participate in sports activities with a moderate to high risk of bleeding may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study aims to compare the effectiveness of two prophylactic treatments, Factor VIII and Emicizumab, in preventing bleeding episodes in male patients aged 6 to 19 years with moderate to severe Hemophilia A while they engage in sports activities. The study will involve participants who are compliant with treatment logs and are willing to maintain daily activity logs throughout the study period. By assessing the safety and bleeding risk associated with sports participation, the study seeks to identify optimal treatment strategies for these patients.

Why it matters

Potential benefit: If successful, this study could lead to improved safety and quality of life for young patients with Hemophilia A participating in sports.

How similar studies have gone: While the use of Emicizumab has been explored in other studies, this specific comparison with Factor VIII in the context of sports participation is novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Participant (if 18 years of age or older) or parent/LAR is willing and able to provide written informed consent; minor participant is willing and able to provide assent, if applicable based on site and local regulations
2. Males and females between 6 to ≤ 19 years of age at time of enrollment with moderate to severe Hemophilia A (FVIII activity ≤ 5%) without inhibitors are eligible for participation in this study
3. Participants must be on Emicizumab or standard FVIII prophylaxis per institutional/primary hematologist recommendations
4. Participants must be engaging in or registered to start participating in one or more sports activities with moderate to high risk of bleeding as defined by the NHF- Playing it Safe guidelines (numerical rating \>/= 2).
5. Participant must be willing to keep activity, bleed, and treatment logs for the duration of the study

Exclusion Criteria:

1. Participant/parent/LAR unwilling to provide informed consent/assent
2. Unwilling to log or document bleeds and treatment information as per study guidelines
3. Participants with any other bleeding disorders will be excluded
4. Patients who are pregnant, planning to become pregnant, or breastfeeding should not be enrolled in the study
5. Participants on concomittent FVIII replacement and emicizumab for sports participation

Where it's running

  • Arkansas Children's Hospital
    Little Rock, Arkansas, United States
    Recruiting
  • Stanford University
    Palo Alto, California, United States
    Recruiting
  • Rady Children's Hospital
    San Diego, California, United States
    Recruiting
  • Johns Hopkins All Children's Hospital
    St. Petersburg, Florida, United States
    Recruiting
  • Rush University Children's Hospital
    Chicago, Illinois, United States
    Recruiting
  • Indiana Hemophilia & Thrombosis Center
    Indianapolis, Indiana, United States
    Recruiting
Show 4 more locations
  • Boston Children's Hospital
    Boston, Massachusetts, United States
    Recruiting
  • Children's Hospital of Michigan
    Detroit, Michigan, United States
    Recruiting
  • Cincinnati Children's Hospital Medical Center
    Cincinnati, Ohio, United States
    Recruiting
  • Oklahoma Center for Bleeding and Clotting Disorders
    Oklahoma City, Oklahoma, United States
    Recruiting

Study contacts

  • Principal investigator: Meera Chitlur, MD — Wayne State University
  • Study coordinator: Amy Stolinski, MPH
  • Email: stepstudy@wayne.edu
  • Phone: 313-577-7500

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.