Changes in Intra-articular Parameters by Doppler Ultrasound in Patients With Hemophilic Ankle Arthropathy
Study Details
- Hemophilia
- Inclusion Criteria:
- Patients diagnosed with hemophilia A or B.
- Persons over 18 years of age.
- Patients with a medical diagnosis of ankle arthropathy (with clinical assessment of more than 4 points on the Hemophilia Joint Health Score.
- Patients on prophylactic or on-demand treatment with FVIII / FIX concentrates.
- Sign the informed consent document.
- Exclusion Criteria:
- Patients with inhibitors (antibodies against FVIII or FIX) without treatment with monoclonal antibodies.
- Patients with neurological or cognitive alterations that impede the comprehension of questionnaires and physical tests.
- Patients who have developed an ankle hemarthrosis in the 3 months prior to the study.
- Patients who at the time of the study are receiving ankle physiotherapy treatment.
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.