PCC treatment for hemophilia A patients with inhibitors
Official title: A Multicenter, Prospective, Single-arm Exploratory Study of Prothrombin Complex Concentrate in the Treatment of Bleeding Episodes in Patients With Hemophilia A With Inhibitors
Run by Institute of Hematology & Blood Diseases Hospital, China · NCT07406139 · Data updated 2026-11-12
This trial tests whether giving prothrombin complex concentrate (PCC) during bleeding episodes can stop bleeds in people aged 12–65 with hemophilia A who have inhibitors.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 12 Years to 65 Years |
| Sex | All |
| Enrollment | 30 (estimated) |
| Sponsor | Institute of Hematology & Blood Diseases Hospital, China Academic / other |
| Locations | 1 site (Tianjin, Tianjin Municipality) |
| Status | Recruiting |
| Started | March 1, 2026 |
| Main results expected | December 20, 2026 |
| Study ends | December 20, 2026 |
| Registry record updated | February 12, 2026 |
| Trial ID | NCT07406139 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are people aged 12–65 with diagnosed hemophilia A and inhibitors who have had at least three joint bleeds in the past six months and can give informed consent.
✕Probably not a fit
Patients with other bleeding disorders, significant liver or kidney impairment, active immune tolerance induction with low-titer inhibitors, a history of thrombosis, or relevant allergies 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 is a multicenter, prospective, single-arm study that gives on-demand PCC to patients with hemophilia A and inhibitors during bleeding episodes. Dosing was guided by investigators with a recommended 50 IU/kg per infusion every 8–12 hours and a maximum total daily dose of 150 IU/kg. If bleeding was not controlled within 24 hours, investigators could add other hemostatic agents or switch treatments. Safety and hemostatic effectiveness were recorded across participating centers.
Why it matters
Potential benefit: If successful, PCC could provide an effective on-demand option to stop bleeding in patients with inhibitors when standard factor VIII replacement does not work.
How similar studies have gone: Bypassing agents such as activated PCC (aPCC) and recombinant activated factor VII (rFVIIa) have achieved >80% hemostatic success in prior studies, so the general bypassing approach has established efficacy though formulations and availability vary.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Diagnosed with hemophilia A with inhibitors. For high-responding patients (those who have previously had an inhibitor titer \>5 BU), the inhibitor titer at enrollment must be \>0.6 BU; 2. Age between 12 and 65 years; 3. At least three joint bleeding episodes within the past six months; 4. Signed informed consent form. Exclusion Criteria: 1. Presence of other congenital or acquired bleeding disorders; 2. Liver function tests (ALT, AST) \>2.5 times the upper limit of normal, or renal function tests (BUN, Cr) \>1.5 times the upper limit of normal; 3. Currently receiving immune tolerance induction (ITI) therapy with an inhibitor titer \<5 BU; 4. History of thrombotic events; 5. Known history of drug allergy, asthma, urticaria, or other allergic conditions; 6. Deemed unsuitable for study participation by the investigator.
Where it's running
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Institute of haematology and Blood diseases hospital
Tianjin, Tianjin Municipality, China Recruiting
Study contacts
- Study coordinator: Mankai Ju
- Email: jumankai@ihcams.ac.cn
- Phone: +8615620988690
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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.