Status:

RECRUITING

A Pilot Crossover Trial of Prophylactic Wilate Compared to Placebo for Heavy Menstrual Bleeding in Patients with VWD

Lead Sponsor:

Unity Health Toronto

Conditions:

Von Willebrand Diseases

Eligibility:

FEMALE

18+ years

Phase:

PHASE3

Brief Summary

The EMPOWER trial is a pilot multi-center, placebo-controlled (normal saline), double-blind (patient and outcome assessor), crossover, 2-year randomized trial in female outpatients with von Willebrand...

Detailed Description

The EMPOWER trial is a pilot multi-center, placebo-controlled (normal saline), double-blind (patient and outcome assessor), crossover, 2-year randomized trial in female outpatients with von Willebrand...

Eligibility Criteria

Inclusion

  • Patient capable of providing informed consent;
  • Female patients with HMB over the age of 18 years, for whom prophylactic treatment with Wilate® is deemed clinically appropriate according to the medical discretion (based on their expert opinion given consideration of the patient's bleeding history and responsiveness to treatment) of the treating hemostasis-focused physician practicing at a Hemophilia Treatment Center;
  • Modified PBAC score \> 100 at screening;
  • Patients with a diagnosis of inherited von Willebrand disease (any type);
  • Stable treatment for HMB and iron deficiency anemia for 3 cycles before entering the study and anticipated to remain unchanged for the duration of the study;
  • Patients willing to have an infusion administered by a nurse over the course of the study period;
  • Patients who agree to use only the feminine hygiene products supplied by the sponsor.

Exclusion

  • Diagnosed with any other known bleeding disorder;
  • Pregnancy or plans to become pregnant within the duration of the study;
  • Breastfeeding or plans to breastfeed within the duration of the study;
  • Known hypersensitivity reactions to human plasma-derived products or any ingredient in the formulation;
  • Known antibodies to VWF or FVIII;
  • Severe liver disease;
  • Anticipated initiation of the following: oral, transdermal, injectable, and vaginal ring hormonal contraceptives; GnRH analogues; or a hormonal intrauterine device (IUD) within the study period;
  • Anticipated elective procedure that is expected to require intensive treatment with VWF or FVIII for \>10 days during the study period;
  • Patients with \>2 risk factors for VTE (risk factors are determined at discretion of treating physician) or recent history of thrombosis (i.e. within the last year).
  • Patient concurrently receiving desmopressin (desmopressin cannot be taken concurrently with Wilate®, except for in the context of escalation treatment for excessive bleeding).
  • Anticipated initiation of any new therapies for the treatment of heavy menstrual bleeding 3 weeks prior to enrollment

Key Trial Info

Start Date :

October 21 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2026

Estimated Enrollment :

20 Patients enrolled

Trial Details

Trial ID

NCT06205095

Start Date

October 21 2024

End Date

September 1 2026

Last Update

December 24 2024

Active Locations (1)

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1

St. Michael's Hospital

Toronto, Ontario, Canada, M5B1W8