UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000055156
Receipt number R000063017
Scientific Title Obtain Real World Insights of Acquired Hemophilia A Patients in Japan III
Date of disclosure of the study information 2024/08/08
Last modified on 2025/08/12 08:58:43

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Basic information

Public title

Obtain Real World Insights of Acquired Hemophilia A Patients in Japan III

Acronym

ORIHIME III study

Scientific Title

Obtain Real World Insights of Acquired Hemophilia A Patients in Japan III

Scientific Title:Acronym

ORIHIME III study

Region

Japan


Condition

Condition

Acquired hemophilia A

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The primary objective of this study is to describe the treatment practice and clinical outcomes in patients with acquired hemophilia A (AHA) who received emicizumab during the period from April 1, 2012 to June 30, 2024. The secondary objective of this study is to evaluate patient background and clinical outcomes in patients with or without emicizumab, respectively.

Basic objectives2

Others

Basic objectives -Others

Descriptive and Outcome Research of Retrospective Observational Study by Secondary Use of Public Health Care Database (NDB, DPC-DB, LTC-DB)

Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Current treatment status in patients with emicizumab
Actual use status of emicizumab, immunosuppressants, hemostatic agents and blood transfusions, rehabilitation, and duration of hospitalization
Clinical outcomes in patients with emicizumab
ADL (activities of daily living) at discharge, haemorrhage

Key secondary outcomes

Current treatment status in patients without emicizumab
Actual use status of immunosuppressants, hemostatic agents and blood transfusions, rehabilitation, and duration of hospitalization
Clinical outcomes in patients without emicizumab
ADL (activities of daily living) at discharge, haemorrhage
Other clinical outcomes in patients with or without emicizumab
Presence and time of onset of infection and thromboembolism, level of nursing care need after discharge and ADL (activities of daily living of nursing certified information in LTC-DB) and its changes from before hospitalization, recurrence of AHA, place of discharge, presence of dysphagia at admission, discharge and after discharge, presence of pressure sore at admission, discharge and after discharge, bleeding free survival time
Medical expenses (drug expenses for treatment of acquired hemophilia A [bleed control/hemostatic drugs])


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Emi cohort inclusion criteria
Patients who meet all of the following criteria will be included in the study.
1)Patients who have been given a claim injury/disease name of acquired hemophilia A
2)Patients for whom the health insurance claim for hospitalization has a health insurance claim name of acquired hemophilia A
3)Patients with prescription data of emicizumab from hospital admission given a health insurance claim injury name Acquired haemophilia A to the day before the next Index Date, the last receipt date, or the last day of the period covered by this data, whichever comes earlier

Non-Emi Cohort Enrollment Criteria
Patients who meet all of the following criteria will be included in the study.
1)Patients who have been given a claim injury/disease name of acquired hemophilia A
2)Patients for whom the health insurance claim for hospitalization has a health insurance claim name of acquired hemophilia A
3)Patients with prescription data of immunosuppressants during hospitalization given a health insurance claim injury name acquired hemophilia A
4)Hospitalization for which a health insurance claim injury name acquired hemophilia A was given, for which data on FVIII activity test or FVIII inhibitor titer test were obtained at least twice before the last day of the target period

Key exclusion criteria

Emi Cohort Exclusion Criteria
Patients with any of the following injury/disease name data will be excluded from the study. All data periods are included.
1)Patients who have been given a claim injury/disease name of antiphospholipid antibody syndrome
2)Patients who have been given a claim injury/disease name of lupus anticoagulant
3)Patients with a claim injury/disease name of acquired factor XIII deficiency
4)Patients with a health insurance claim injury/disease name of autoimmune acquired Von Willebrand's disease
5)Patients with a claim injury/disease name of acquired factor V deficiency
6)Patients with a claim injury/disease name of primary antiphospholipid antibody syndrome
Non-Emi Cohort Exclusion Criteria
In addition to the same exclusion criteria as those for the Emi cohort, cases where prescription data of emicizumab exist during the period from the Index Date to the day before the next Index Date, the date of occurrence of the last receipt, or the last date of the period covered by this data, whichever comes earlier, will be excluded.

Target sample size

1500


Research contact person

Name of lead principal investigator

1st name Akiko
Middle name
Last name Ioka

Organization

Chugai Pharmaceutical Co., Ltd.

Division name

Medical affairs division

Zip code

103-8324

Address

1-1 Nihonbashi-Muromachi 2-chome, Nihonbashi Mitsui Tower (Reception 12F) Chuo-ku, Tokyo

TEL

03-3273-0866

Email

kawano.mika64@chugai-pharm.co.jp


Public contact

Name of contact person

1st name Ayumu
Middle name
Last name Matsuoka

Organization

NTT DATA Japan Corporation

Division name

Healthcare Division

Zip code

135-8671

Address

Toyosu Center Bldg. Annex, 3-3-9, Toyosu, Koto-ku, Tokyo

TEL

050-5546-7992

Homepage URL


Email

data_science@kits.nttdata.co.jp


Sponsor or person

Institute

Chugai Pharmaceutical Co., Ltd.

Institute

Department

Personal name



Funding Source

Organization

Chugai Pharmaceutical Co., Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Japan Physicians Association Institutional Review Board

Address

Tokyo Physician Building 4F, 2-5 Kanda-Surugadai, Chiyoda-ku, Tokyo

Tel

03-3259-6111

Email

irb@nichirinnai.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2024 Year 08 Month 08 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2024 Year 06 Month 24 Day

Date of IRB

2024 Year 06 Month 24 Day

Anticipated trial start date

2025 Year 11 Month 30 Day

Last follow-up date

2025 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

None


Management information

Registered date

2024 Year 08 Month 05 Day

Last modified on

2025 Year 08 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000063017