Personalized Medicine for Canadians With Hemophilia
Hemophilia A | Hemophilia BPerforming 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
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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 ColumbiaVancouver, British Columbia
Canada
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Queen's University
Queen's UniversityKingston, Ontario
Canada
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University of Alberta
University of AlbertaEdmonton, Alberta
Canada
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McMaster University
McMaster UniversityHamilton, Ontario
Canada
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University of Manitoba
University of ManitobaWinnipeg, Manitoba
Canada
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University of Calgary
University of CalgaryCalgary, Alberta
Canada
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McMaster University
McMaster UniversityHamilton, Ontario
Canada
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- Étude parrainée par
- McMaster University
- Participants recherchés
- Plus d'informations
- ID de l'étude:
NCT03615053