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Personalized Medicine for Canadians With Hemophilia

Hemophilia A | Hemophilia B

Performing an individual pharmacokinetic (PK) estimate is only the first step in implementing tailored prophylaxis, which requires using the PK profile information to design a personalized treatment regimen matching the treatment needs of individual patients. The overarching goal of WAPPS-Hemo is to provide an easy-to-use web application supporting all the steps needed to accomplish tailoring care of individual patients by matching their unique characteristics to the most appropriate treatment regimen, realizing the promise of personalized medicine.

This study will assess the impact of adopting population PK (popPK) based tailored prophylaxis in clinical practice, including proportion of patients eligible for tailoring, and encountered barriers. The impact on patient important outcomes and on societal outcomes, particularly financial impact, vs. current standardized regimens will be measured. It is hypothesized that WAPPS-Hemo, via estimation of precise individual PK profiles and by supporting the simulation of treatment regimens will:

1. improve or maintain patient important outcomes, while reducing wastage of factor concentrates; and
2. establish best practices and effective knowledge translation strategies for the implementation of personalized medicine.

Additionally, a solid base of data will be generated to model the bleeding risk of severe hemophilia A/B patients undergoing tailored prophylaxis which will enable evaluation of a combination of patient and treatment characteristics predictive of individual bleeding risk.

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Conditions de participation

  • Sexe:

    ALL
  • Âges admissibles:

    6 and up

Critères de participation

Inclusion Criteria:

* individuals with severe congenital hemophilia A and B;
* on continuous factor prophylaxis;
* must be registered on CBDR (iCHIP in BC)

Exclusion Criteria:

* a history of explicit and documented previous treatment tailoring based on pharmacokinetic profiling;
* another congenital or acquired bleeding disorders other than Hemophilia A or B;
* active inhibitors (\> 5 Bethesda units) or currently undergoing immune tolerance induction.

Lieu de l'étude

University of British Columbia
University of British Columbia
Vancouver, British Columbia
Canada

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Queen's University
Queen's University
Kingston, Ontario
Canada

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Primary Contact

Julie Grabell, MD

[email protected]
University of Alberta
University of Alberta
Edmonton, Alberta
Canada

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Primary Contact

Vicki Voong, RN

[email protected]
McMaster University
McMaster University
Hamilton, Ontario
Canada

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Primary Contact

Theresa Almonte

[email protected]
University of Manitoba
University of Manitoba
Winnipeg, Manitoba
Canada

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Primary Contact

Ming Yang

[email protected]
University of Calgary
University of Calgary
Calgary, Alberta
Canada

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Primary Contact

Julia Hews-Girard, RN

[email protected]
McMaster University
McMaster University
Hamilton, Ontario
Canada

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Primary Contact

Noella Noronha, BSc

[email protected]
Étude parrainée par
McMaster University
Participants recherchés
Plus d'informations
ID de l'étude: NCT03615053