Related Experiment Video
Updated: Jul 30, 2025

Tail Vein Transection Bleeding Model in Fully Anesthetized Hemophilia A Mice
Published on: September 30, 2021
Design of a Real-World Observational Study in Previously Untreated and Minimally Treated Hemophilia A Patients:
Johannes Oldenburg1, Susan Halimeh2, Georgina W Hall3
1Institute of Experimental Haematology and Transfusion Medicine, University Clinic Bonn, Bonn, Germany.
Insights
The Protect-NOW study evaluates real-world effectiveness and safety of Nuwiq, octanate, and wilate in previously untreated patients with severe hemophilia A. This research aids clinical decisions for hemophilia A treatment in routine practice.
Area of Science:
- Hematology
- Pharmacology
- Clinical Research
Background:
- Previous clinical trials assessed Octapharma's factor VIII (FVIII) products (Nuwiq, octanate, wilate) in severe hemophilia A patients.
- Real-world data are crucial for complementing clinical trial findings and understanding treatment in routine practice.
Purpose of the Study:
- To evaluate the real-world effectiveness, safety, and utilization of Nuwiq, octanate, and wilate.
- To assess treatment patterns in previously untreated patients (PUPs) and minimally treated patients (MTPs) with severe hemophilia A.
Main Methods:
- The Protect-NOW study is a prospective, observational, real-world study.
- It involves 140 PUPs and MTPs with severe hemophilia A treated with Nuwiq or plasma-derived FVIII concentrates.
- Patients are followed for 100 exposure days or up to 3 years.
Main Results:
- Primary objectives include assessing bleeding episode prevention and treatment effectiveness, and overall safety, including inhibitor development.
- Secondary objectives focus on utilization patterns and effectiveness in surgical prophylaxis.
Conclusions:
- The Protect-NOW study will offer insights into the treatment of PUPs and MTPs in clinical practice.
- Findings will support future clinical decision-making for managing severe hemophilia A.
Abstract:
Background The efficacy, safety, and immunogenicity of each of Octapharma's factor VIII (FVIII) products, Nuwiq, octanate, and wilate, have been investigated in previously untreated patients (PUPs) with severe hemophilia A in prospective clinical trials. The aim of the Protect-NOW study is to evaluate the effectiveness, safety, and utilization patterns of Nuwiq, octanate, and wilate in PUPs and minimally treated patients (MTPs; <5 exposure days [EDs] to FVIII concentrates or other blood products containing FVIII) with severe hemophilia A in a real-world setting. Real-world data provide valuable information that complement data obtained from interventional clinical trials. Methods Protect-NOW (ClinicalTrials.gov identifier: NCT03695978; ISRCTN identifier: 11492145) is a real-world study in PUPs and MTPs treated with either the human cell line-derived recombinant FVIII Nuwiq (simoctocog alfa) or a plasma-derived FVIII concentrate containing von Willebrand factor (octanate or wilate). It is a prospective and (partly) retrospective, observational, international, noncontrolled, noninterventional study. A total of 140 PUPs and MTPs with severe hemophilia A will be enrolled across around 50 specialized centers worldwide and followed for either 100 EDs or a maximum period of 3 years from ED1. The primary objectives are to assess effectiveness in the prevention and treatment of bleeding episodes and overall safety, including inhibitor development. The secondary objectives are to assess utilization patterns (including dosage and frequency of administration) and the effectiveness in surgical prophylaxis. Conclusions The Protect-NOW study will provide information on the treatment of PUPs and MTPs in routine clinical practice, which will help guide clinical decision making for treating these patients in the future.
More Related Videos
09:38A Microfluidic Flow Chamber Model for Platelet Transfusion and Hemostasis Measures Platelet Deposition and Fibrin Formation in Real-time
Published on: February 14, 2017
08:44An In Vitro Hemodynamic Loop Model to Investigate the Hemocytocompatibility and Host Cell Activation of Vascular Medical Devices
Published on: August 21, 2020
Related Concept Videos
Anticoagulant Drugs: Low-Molecular-Weight Heparins
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Study Designs in Epidemiology
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
Blinding
Disorders of Hemostasis
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
Extrinsic and Intrinsic Pathways of Hemostasis
The Extrinsic Pathway
The extrinsic pathway of coagulation is typically initiated by tissue damage that exposes blood to tissue factor (TF), a protein released by the damaged tissue cells outside the blood vessels—this interaction with TF triggers biochemical reactions involving specific clotting factors. The key player here is Factor VII, which...