Turoctocog Alfa in Haemophilic Italian Patients: Protection and Engagement in Recreational Activities

Study Overview
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Brief Summary
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This is a study on Italian patients with haemophilia A in prophylaxis treatment with Turoctocog alfa under routine clinical conditions. The purpose of the study is to investigate the therapeutic scheme in a population of patients treated with Turoctocog alfa and to investigate the participation in recreational activities, the level of physical activity, and quality of life. Participants will get NovoEight® (Turoctocog alfa) as prescribed to them by the study doctor. The study will last for about 12 months. Participants will be requested to fill in the Questionnaires investigating the participation in recreational activities, the level of physical activity, and quality of life.

Official Title
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Turoctocog Alfa in Haemophilic Italian Patients: Protection and Engagement in Recreational Activities (THIRd). An Observational, Prospective, Multicentre, Cohort Study on Italian Patients With Haemophilia A in Prophylaxis Treatment With Turoctocog Alfa Under Current Clinical Conditions

Conditions
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Haemophilia A

Intervention / Treatment
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* Drug: Turoctocog alfa


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Informed consent obtained before any study-related activities. Study-related activities are any procedures that are carried out as part of the study, including activities to determine suitability for the study. Male or female, age above or equal to 12 years at the time of signing informed consent. Haemophilia A (any severity), needing prophylactic therapy (with the usual recommended doses). Decision to treat with turoctocog alfa, made by the treating Physician and the subject/Legally Acceptable Representative (LAR) based on local label before and independently from the decision to include the subject in this study. Exclusion Criteria: Previous participation in this study, defined as previously signed informed consent; Presence of other coagulation disorders; Presence of any inhibitor; Mental problems, poor compliance, linguistic barriers or other conditions which can impede the understanding of the study aims and the participation to it.

Ages Eligible for Study
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Minimum Age: 12 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Haemophilia A<br>Patients enrolled will have Haemophilia A (any severity), needing turoctocog alpha prophylactic therapy. | Drug: Turoctocog alfa<br>* Patients will be treated with commercially available NovoEight® (turoctocog alfa) according to routine clinical practice at the discretion of the treating physician. The decision to initiate treatment with commercially available NovoEight® has been made by the patient/Legally Acceptable Representative (LAR) and the treating physician before and independently from the decision to include the patient in this study.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Individual prophylaxis (PPX) regimen with turoctocog alfa: Every second day, or three times a week (3TW), or twice a week (2TW) | Count | Baseline (week 0) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Individual PPX regimen with turoctocog alfa: every second day, or 3TW, or 2TW | Count | Final visit (12 months) | 
| Change of PPX regimen: YES/NO | Count (participants who have changed regimen or not) | 12 months after treatment initiation | 
| Reported reasons for change of PPX regimens | Count (reasons according to the predefined list, see below) Individual reported reasons for switch will be selected among the following predefined: to improve articular protection due to bleedings due to patients' needs, including: physical inactivity, work, recreational activity, travel, other. | Final visit (12 months) | 
| Difference in score of 'Bridging Hemophilia Experiences, Results, and Opportunities' BHERO questionnaire | Points The following sections of the BHERO questionnaire will be used: Haemophilia Activities List (HAL: measures the impact of haemophilia on self-perceived functional abilities in patients (42 questions in 7 domains). Scores from 1 (worst) to 6 (best). The final score is the sum of all the scores.) Recreational and sport activities Brief pain inventory, exploring the presence and intensity of physical pain, and its impact on performance of daily activities. International Physical Activities questionnaire (IPAQ) score (Score<700 = Inactive Patient, Score 700 to 2519 = Sufficiently active patient, Score ≥ 2520 = Active or very active patient. | Final visit (12 months) vs Baseline (week 0) | 
| Difference in circulating turoctocog alfa levels | IU/mL Before 12 months visit, monitoring will be reported only if measured in clinical practice due to bleedings or other clinical reasons. | Final visit (12 months) vs Baseline (week 0) | 
| Individual Annual Bleeding Rate (ABR) | Count | From baseline to final visit (12 months) |