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.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 6 Years to 19 Years |
| Sex | All |
| Enrollment | 72 (estimated) |
| Sponsor | Wayne State University Academic / other |
| Drugs / interventions | Emicizumab |
| Locations | 10 sites (Little Rock, Arkansas and 9 other locations) |
| Status | Recruiting |
| Started | August 16, 2023 |
| Main results expected | January 2029 |
| Study ends | March 2029 |
| Registry record updated | July 2, 2026 |
| Trial ID | NCT05022459 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
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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
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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.
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NXT007 versus emicizumab to prevent bleeds in people with Hemophilia A
This will test whether NXT007 prevents bleeding better than emicizumab in people aged 12 and older with Hemophilia A, including those with or without factor VIII inhibitors.
-
Testing fitusiran to prevent bleeds in severe hemophilia A patients switching from emicizumab
This study is testing if fitusiran can help prevent bleeding in men with severe hemophilia A who are switching from another treatment called emicizumab.
-
First‑in‑human test of ARD001 in healthy adults and people with hemophilia A
This study tests ARD001 to see if it is safe and tolerable in healthy adults and in people with hemophilia A, using a single dose (Phase 1) and potentially repeated doses (Phase 2) if results look good.
-
Hemophilia A: comparing long-acting FVIII replacement vs non-FVIII therapy in kids
This study tests whether children with moderate to severe Hemophilia A on long-acting FVIII or non-FVIII therapies form clots differently and develop small joint bleeds or early joint changes.
-
SR604: a new treatment tested in adults with Hemophilia A/B or congenital Factor VII deficiency
This study tests a single and multiple doses of SR604 to see if it is safe and effective for adults with Hemophilia A or B, with or without inhibitors, and for those with congenital Factor VII deficiency.
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Bone health in severe hemophilia A: emicizumab vs efanesoctocog alfa
This study tests whether bone density and bone health markers differ in adults with severe hemophilia A who use emicizumab versus efanesoctocog alfa for prophylaxis.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.