About this trial
Rationale:
Haemophilia is a rare disease; to improve knowledge international collaboration is needed. Well-defined clinical data will be collected from complete cohorts in order to prevent selection bias.
Objective:
To collect data on bleeding during neonatal period, endogenous (genetic) and exogenous (treatment-related) determinants of inhibitor development and long term outcome.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosed with Haemophilia A or B
Factor VIII/ IX activity of <1 to 25%
Complete records of Factor treatment and bleeds
Treated in one of the participating centres
Disqualifiers
Patients referred because of an inhibitor*
Informed consent not obtained
Trial population
Children with mild ( FVIII/IX 6 to 25%), moderate (FVIII/IX 1 to 5%) or severe (FVIII/IX \<1%) haemophilia A or B, born from January 1st 2000 until January 1st 2030 who have been or are to be treated in one of the participating centres
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Number of patients with antibody development to exogenous clotting factors
Allo-antibodies against Factor VIII and IX; Blood test: measurement in Bethesda units (BU), positive according to local standards, for most labs \>0.5 BU
Secondary outcomes
Long term outcome of haemophilia on joint status using the Hemophilia Joint Health Score (HJHS) and MRI techniques.
Effect of different prophylactic regimen on bleeding and joint damage
Long term outcome different Immune Tolerance Induction (ITI) therapies in patients with inhibitor.
Effect of different ITI therapies on bleeding and joint damage. Joint damage is assessed using the HJHS and MRI.
Sponsors and contacts
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