DrugEvidence

Diseases / Hemophilia A

Hemophilia A

Disease

Hemophilia A is an inherited bleeding disorder caused by deficiency or dysfunction of clotting factor VIII, leading to impaired coagulation and prolonged bleeding. Clinical severity ranges from mild to severe and can include spontaneous joint and muscle hemorrhage in severe disease. It is the most common form of hemophilia.

Trials
777
Recruiting
70
Completed
458
With results
166

Last revised

Pipeline

Phase by status

PhaseRecruitingNot yetBy invitationActiveCompletedTerminatedWithdrawnSuspendedUnknownApproved for marketingTotal
Early Phase 1 2211 6
Phase 1 42158523 75
Phase 1/2 541031 23
Phase 2 112372 34
Phase 2/3 111911 14
Phase 3 11214871347 138
Phase 4 9338737 67
Not applicable 6731688224 119
Unknown 31177121631161521 301

Trials started per year

2021
13
2022
41
2023
41
2024
51
2025
37
2026
36
2027
2

Conditions studied, by phase

ConditionEarly Phase 1Phase 1Phase 1/2Phase 2Phase 2/3Phase 3Phase 4Not applicableUnknownTotal
Hemophilia A 67523341413867119301 777
Hemophilia B 1213611551171 134
Hematologic Diseases 6110313 33
Blood Coagulation Disorders 26112317 32
Joint Diseases 11316 30
Coagulation Protein Disorders 1611027 27
Hemostatic Disorders 3163112 26
Hemorrhagic Disorders 6196 22
Genetic Diseases, Inborn 677 20
Motor Activity 99 18

Most active sponsors

#SponsorTrialsPhase 3
1Novo Nordisk A/S6716
2Bayer568
3Baxalta now part of Shire4019
4Pfizer339
5Investigación en Hemofilia y Fisioterapia190
6Hoffmann-La Roche1610
7Octapharma158
8Swedish Orphan Biovitrum142
9CSL Behring137
10Wyeth is now a wholly owned subsidiary of Pfizer125

Most studied interventions

#InterventionTrials
1Factor VIII123
2F8 protein, human52
3emicizumab33
4BAY 14-222222
5factor VIII-Fc fusion protein19
6recombinant factor VIII N819
7BAX 85518
8Injections16
9recombinant factor VIII SQ14
10Blood Specimen Collection11

Evidence

Results reported
36.2%166 of 458 completed
Published
13.8%63 of 458 completed
Primary endpoint met
74.5%41 of 55 analyses
Median months to report
11

Documents disclosed

Protocol available
104
Statistical analysis plan
97
PubMed citations
254

Trial profile

Median enrollment
42
Median duration
24months
Countries
89
Study sites
5437

Who is enrolled

Adults
706
Children
501
Older adults
559
Healthy volunteers
76

Median enrollment by phase

Early Phase 1
5
Phase 1
17
Phase 1/2
15
Phase 2
23
Phase 2/3
40
Phase 3
66
Phase 4
30
Not applicable
24
Unknown
81

Where trials run

United States
268
Spain
164
France
140
United Kingdom
139
Italy
134
Germany
132
Canada
94
Turkey (Türkiye)
89
China
85
Japan
73

Busiest cities

#CityCountryTrials
1LondonUnited Kingdom104
2MadridSpain93
3MilanItaly92
4Los AngelesUnited States77
5BerlinGermany69
6BonnGermany66
7FlorenceItaly63
8IndianapolisUnited States61
9TianjinChina60
10HoustonUnited States58

Terminations

Terminated
55
Withdrawn
18
Suspended
1
Stopped for recruitment
1.4%11 of 777 trials

Stated reasons

Other / unclear
42
Business decision
11
Recruitment
11
Funding
4
Lack of efficacy
2
Safety
2
COVID-19
1
Regulatory
1

Reasons are grouped from the sponsor's own wording with a rule-based classifier; the original text is shown below.

Recently stopped

TrialStatusStated reasonStopped
NCT06297486 Withdrawn Withdrawn Strategic Decision 2035-09-04
NCT02196207 Withdrawn Withdrawn The trial was revised to be two protocols, one Prevention, one Eradication Trials. 2027-07-31
NCT04690322 Withdrawn Withdrawn Due to COVID-19 pandemic, recruitment was temporarily put on hold. We are withdrawing this registration due to a recent amendment to the protocol that includes major changes to data elements. A new registration will be submitted for the new protocol. 2027-07-31
NCT06345833 Withdrawn Withdrawn Lack of Participants 2026-07-01
NCT06702579 Terminated Terminated The study was discontinued due to a lack of available personnel to complete the study 2026-06-16
NCT06273865 Suspended Suspended Performing interim analysis before continuing with next center 2026-05-01
NCT06634836 Withdrawn Withdrawn Business decision 2025-12-31
NCT06530030 Terminated Terminated Early discontinuation based on sponsor decision not driven by any safety concerns. 2025-09-18
NCT05695391 Terminated Terminated Feasibility considerations - extended timelines to complete recruitment 2025-07-07
NCT05789524 Terminated Terminated Study terminated due to business and strategic decision 2025-02-28

Trial records