Central Sensitisation in Patients With Haemophilia and Degenerative Arthropathy
Study Details
- Hemophilia
- Patients diagnosed with haemophilia A and B.
- Over 35 years of age.
- With a medical diagnosis of bilateral haemophilic ankle arthropathy.
- With a clinical assessment using the Hemophilia Joint Health Score greater than 4 points.
- On prophylactic treatment with FVIII/FIX coagulation concentrates or monoclonal antibodies.
- Sign the informed consent document.
- Patients with neurological or cognitive impairments that prevent them from understanding the questionnaires and physical tests.
- Patients who have had ankle or knee haemarthrosis in the 6 months prior to the start of the study.
- Patients who have taken analgesic or anti-inflammatory drugs in the 10 days prior to the study.
- Patients who are undergoing an intervention (physiotherapy or orthopaedic) at the time of the study.
Protocol Summary
This study is looking at how safe it is to switch from emicizumab to Mim8, in people with haemophilia A. Mim8 is a new medicine that is used to prevent bleeding episodes in people with haemophilia A. Mim8 works by replacing the function of the missing clotting factor VIII (FVIII). Mim8 will be injected under the skin using a pen-injector either once every week, once every two weeks or once every month. The participants will be trained in using the pen injector. The participants can choose themselves, in collaboration with the study doctor how often they get Mim8 in this study. When the participant will get their first Mim8 injection depends on their current treatment with emicizumab. The participants will get their first Mim8 injection at Visit 2. Participants will have between 6 and 27 Mim8 injections. The total number of injections participants will have depends on their dosing frequency. The study will last for about 6-12 months. While taking part in this study, there are some restrictions about what medicine participant can use. The study doctor will tell the participants more about this. In case the participants experience bleeds, these can be treated with additional haemostatic medicine as agreed with the study doctor. Female participants cannot take part if they are pregnant, breast-feeding or plan to get pregnant during the study period.