A Study Evaluating Physical Activity and Joint Health in Severe Haemophilia A Patients ≥12 Years Treated Once Weekly With Efanesoctocog Alfa

Last updated: March 13, 2025
Sponsor: Swedish Orphan Biovitrum
Overall Status: Active - Not Recruiting

Phase

3

Condition

Hemophilia

Treatment

Efanesoctocog alfa

Clinical Study ID

NCT05817812
Sobi.BIVV001-001
  • Ages > 12
  • All Genders

Study Summary

FREEDOM is a multicentre, open-label, single-arm, phase 3b study in Europe that aims to enrol approximately 90 previously treated severe haemophilia A patients aged ≥12 years, currently on prophylaxis. After a run-in period of 30-45 days, patients will receive efanesoctocog alfa prophylaxis, 50 IU/kg once-weekly for 24 months (additional preventive dose not permitted). An activity tracker and an electronic patient diary will be used to collect data on physical activity, bleeds, factor dosing, pain, and injuries from screening throughout the study.

The primary objective is to describe changes in physical activities over 24 months on efanesoctocog alfa prophylaxis, with a primary endpoint of change from baseline in International Physical Activity Questionnaire (IPAQ) at month 24.

Secondary objectives include relationship between physical activity and other variables (bleeds, joint status, pain, injuries, and quality of life); changes in joint status as assessed by HEAD-US, HJHS and MRI; occurrence of bleeds, injuries, pain. Safety and tolerability of efanesoctocog alfa will also be evaluated.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  • Previous treatment for haemophilia A with any marketed recombinant and/orplasma-derived FVIII for at least 150 EDs.

  • Having received prophylactic treatment with any marketed recombinant and/or plasmaFVIII or emicizumab per local label for at least 12 months preceding enrolment.

  • Having 12 months documented pre-study treatment data regarding prophylactictreatment prescriptions and 6 months data on bleeding episodes prior to baselinevisit.

  • Willingness and ability to complete training in the use of the study ePD and to usethe ePD in their own smartphone throughout the study.

  • Willingness and ability to use the activity tracker provided by the sponsor tomeasure physical activity and heart rate.

  • Be able and willing to administer efanesoctocog alfa intravenously at home.

Exclusion

Key Exclusion Criteria:

  • Serious musculoskeletal and/or neurological impairment limiting the mobility and thephysical ability to a degree that makes the patient unsuitable for the study asjudged by the investigator.

  • Other known coagulation disorder(s) in addition to haemophilia A.

  • History and/or current positive inhibitor test defined as ≥0.6 BU/mL.

  • Treatment with NSAIDs above the maximum dose specified in the prescribinginformation within 2 weeks prior to screening.

  • Systematic treatment within 12 weeks prior to screening with chemotherapy and/orother immunosuppressive drugs.

  • Treatment with an investigational product within 30 days or 5.5 half-lives prior toscreening, whichever is longer.

  • Major surgery within 12 weeks prior to screening or planned major orthopaedicsurgery to occur during the study.

  • At baseline visit, patients who have not been compliant in using the activitytracker.

Study Design

Total Participants: 93
Treatment Group(s): 1
Primary Treatment: Efanesoctocog alfa
Phase: 3
Study Start date:
July 31, 2023
Estimated Completion Date:
June 12, 2026

Connect with a study center

  • Investigational Site

    Vienna,
    Austria

    Site Not Available

  • Investigational Site

    Brussel,
    Belgium

    Site Not Available

  • Investigational Site

    Zagreb,
    Croatia

    Site Not Available

  • Investigational Site

    Brno,
    Czechia

    Site Not Available

  • Investigational Site

    Praha,
    Czechia

    Site Not Available

  • Investigational Site

    Bordeaux,
    France

    Site Not Available

  • Investigational Site

    Caen,
    France

    Site Not Available

  • Investigational Site

    Le Kremlin-Bicêtre,
    France

    Site Not Available

  • Investigational Site

    Marseille,
    France

    Site Not Available

  • Investigational Site

    Strasbourg,
    France

    Site Not Available

  • Investigational Site

    Berlin,
    Germany

    Site Not Available

  • Investigational Site

    Frankfurt,
    Germany

    Site Not Available

  • Investigational Site

    Gießen,
    Germany

    Site Not Available

  • Investigational Site

    Hamburg,
    Germany

    Site Not Available

  • Investigational Site

    Homburg,
    Germany

    Site Not Available

  • Investigational Site

    Munich,
    Germany

    Site Not Available

  • Investigational Site

    Athens,
    Greece

    Site Not Available

  • Investigational Site

    Dublin,
    Ireland

    Site Not Available

  • Investigational Site

    Catanzaro,
    Italy

    Site Not Available

  • Investigational Site

    Florence,
    Italy

    Site Not Available

  • Investigational Site

    Naples,
    Italy

    Site Not Available

  • Investigational Site

    Parma,
    Italy

    Site Not Available

  • Investigational Site

    Rome,
    Italy

    Site Not Available

  • Investigational Site

    Utrecht,
    Netherlands

    Site Not Available

  • Investigational Site

    Oslo,
    Norway

    Site Not Available

  • Investigational Site

    Ljubljana,
    Slovenia

    Site Not Available

  • Investigational Site

    Barcelona,
    Spain

    Site Not Available

  • Investigational Site

    Madrid,
    Spain

    Site Not Available

  • Investigational Site

    Oviedo,
    Spain

    Site Not Available

  • Investigational Site

    Lund,
    Sweden

    Site Not Available

  • Investigational Site

    Solna,
    Sweden

    Site Not Available

  • Investigational Site

    Canterbury,
    United Kingdom

    Site Not Available

  • Investigational Site

    Newcastle Upon Tyne,
    United Kingdom

    Site Not Available

  • Investigational Site

    Oxford,
    United Kingdom

    Site Not Available

  • Investigational Site

    Sheffield,
    United Kingdom

    Site Not Available

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