Bleeding Risk Evaluation in Haemophilia Patients Under Antiplatelet Therapies

NCT ID: NCT03157154

Last Updated: 2020-01-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

259 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-06-27

Study Completion Date

2017-07-30

Brief Summary

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Life expectancy of haemophilia patients (specially severe) has dramatically increase in the last decades, which lead to the apparition of aging diseases such as cardiovascular disease, with the potential bleeding risk of antiplatelet therapies and anticoagulants.

The primary endpoint of the study is to evaluate this bleeding risk in haemophilia patients (all severity) with such treatment in comparison to non treated patients, according to the number of bleeding events in the last year reported by the haemophilia patients under study treatment (antiplatelet and anticoagulant) in comparison to haemophilia patients free of such treatment. The main hypothesis is that antiplatelet and anticoagulant therapy can be safely used in minor haemophilia patients but might lead to increase bleeding risk in other haemophilia patients.

Secondary endpoint consist in:

* Evaluate the impact of know cardio-vascular risk in haemophilia patients (Odd ratios=OR)
* Evaluate the number of sever bleeding event in patient under study treatments compared to the control group
* Evaluate the overall consumption of factor VIII or IX supply in patients under study treatments compared to control group
* Estimate the stenosis relapse risk in haemophilia patients with arterial STENT
* Estimate the embolic risk of haemophilia patients with atrial fibrillation

Population description:

Haemophilia patients (man, all severity)

Age above 50 years, followed during the last 5 years in one of the study centre

Detailed Description

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Conditions

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Hemophilia

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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First group

Haemophilia patients with history of either cardiovascular disease or atrial fibrillation undergoing an antiplatelet or anticoagulant prophylaxis

Non interventional study

Intervention Type OTHER

A query form to all concerned patients by each investigating centre will be send

Control group

Haemophilia patient without such history or treatment matched on age and disease status (haemophilia A or B and the severity of the disease : severe, mild, minor).

Non interventional study

Intervention Type OTHER

A query form to all concerned patients by each investigating centre will be send

Interventions

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Non interventional study

A query form to all concerned patients by each investigating centre will be send

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Male
* Age above 50 years
* Hemophilia A or B carriers
* Followed within the 5 last years in one of the research center

Exclusion Criteria

* Jurisdictional prevention procedures
* Other medical condition that might interfere with the bleeding risk (Willebrand's disease, Other coagulation factor deficiencies, haematological malignancies, …)
* Other drugs that might interfere with the bleeding risk (Serotonin reuptake inhibitors)
* Patient refusal
Minimum Eligible Age

50 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Nantes University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Marc Trossaërt, Dr

Role: PRINCIPAL_INVESTIGATOR

Nantes University Hospital

Locations

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Angers University Hospital

Angers, , France

Site Status

Brest University Hospital

Brest, , France

Site Status

Le Mans Hospital

La Mans, , France

Site Status

Lyon University Hospital

Lyon, , France

Site Status

Rennes University Hospital

Rennes, , France

Site Status

Tours University Hospital

Tours, , France

Site Status

Countries

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France

References

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Desjonqueres A, Guillet B, Beurrier P, Pan-Petesch B, Ardillon L, Pineau-Vincent F, Sigaud M, Fouassier M, Ternisien C, Gillet B, Bene MC, Horvais V, Lienhart A, Trossaert M. Bleeding risk for patients with haemophilia under antithrombotic therapy. Results of the French multicentric study ERHEA. Br J Haematol. 2019 May;185(4):764-767. doi: 10.1111/bjh.15606. Epub 2018 Oct 18. No abstract available.

Reference Type DERIVED
PMID: 30338508 (View on PubMed)

Other Identifiers

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RC17_0150

Identifier Type: -

Identifier Source: org_study_id

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