Monitoring anti‑TFPI antibodies in adult men with severe hemophilia
Official title: Monitoring of Anti-TFPI in Hemophilia EUREKA
Run by Hospices Civils de Lyon · NCT07101926 · Data updated 2026-11-12
This project tests blood-based lab methods to monitor anti-TFPI antibodies in adult men with severe hemophilia who are on prophylaxis.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 11 (estimated) |
| Sponsor | Hospices Civils de Lyon Academic / other |
| Drugs / interventions | Marstacimab, emicizumab |
| Locations | 2 sites (Bron and 1 other locations) |
| Status | Recruiting |
| Started | October 23, 2025 |
| Main results expected | August 2026 |
| Study ends | August 2026 |
| Registry record updated | March 23, 2026 |
| Trial ID | NCT07101926 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Men aged 18 or older with severe hemophilia A (FVIII < 1%) or B (FIX ≤ 2%) who are on prophylaxis (including marstacimab) and can meet the study's washout and extra blood‑draw requirements.
✕Probably not a fit
Patients with other coagulation disorders, those unwilling to provide additional blood samples, or those who cannot comply with the required washout periods are unlikely to benefit or be eligible.
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 collects blood samples from adult men with severe hemophilia A or B on prophylaxis, including those receiving marstacimab, to measure thrombin generation and related coagulation markers. Investigators will perform both in vitro spiking experiments and ex vivo analyses of patient samples, comparing assay reagents and biological materials (for example platelet-poor versus platelet-rich plasma) to better reflect anti‑TFPI mechanism of action. The aim is to optimize thrombin generation assay conditions to improve sensitivity for detecting the hemostatic effects of anti‑TFPI antibodies. Sampling is timed after specified washout periods for factor concentrates and includes additional tubes reserved for research testing.
Why it matters
Potential benefit: If successful, this work could provide a reliable laboratory assay to monitor anti‑TFPI therapies and help clinicians better judge treatment effect and bleeding risk.
How similar studies have gone: Assay optimization has previously improved monitoring for emicizumab, but routine laboratory monitoring of anti‑TFPI antibodies remains largely unvalidated clinically.
Who can join: the full rules
Show full inclusion / exclusion criteria
* Inclusion Criteria : * \- Male Patient * 18 years old * severe hemophilia patients A or B (FVIII \< 1%,FIX\<=2%) * on prophylaxis with FVIII or IX concentrates after an adequate washout period of 48h for SHL FVIII molecules, at least 4 days for EHL-FVIII Fc and at least 10 days for EHL-FIX molecules. * On prophylaxis with Marstacimab * Willing to participate * Capable of following protocol procedures under investigator appreciation * Exclusion Criteria : * \- patients refusing to provide 4 additional blood tubes for research * Patient with an other coagulation disorder * patients who received an injection of FVIII or FIX during the required washout period
Where it's running
-
Groupement hospitalier Est Hôpital Cardilogique Service d'hémostase clinique
Bron, France Recruiting -
Centre de Référence Hémophilie et autres déficits rares en protéine de la coagulationCentre de Traitemendes Hémophiles F. Josso
Paris, France Not yet recruiting
Study contacts
- Study coordinator: Yesim DARGAUD, Pr
- Email: gamze.dargaud@chu-lyon.fr
- Phone: 0472118822
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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.