Monitoring the success of novel hemophilia therapies
1. Hemostasis restoration |
a. Bleeding (patient-reported bleeding, objective documentation with US, MRI) |
b. Factor level: one-stage and chromogenic assays |
c. Global assay of hemostasis: thrombin generation, thromboelastography, microfluidic assay |
2. Joint damage |
a. Sensitive physical exam, such as the HJHS |
b. Structural changes on ultrasound or MRI |
c. Functional impact on gait via gait lab assessment |
d. Bone health: bone density scanning, bone biomarkers |
3. Patient-reported outcomes |
a. Quality of life |
i. Generic: SF36, PROMIS measures, Peds QL |
ii. Hemophilia specific: PROBE61 and Canadian Hemophilia Outcomes-Kids Life Assessment Tool (CHO-KLAT) |
b. Pain |
i. McGill Pain Scale |
ii. Brief Pain Inventory |
iii. PROMIS |
iv. PROBE |
v. CHO-KLAT |
1. Hemostasis restoration |
a. Bleeding (patient-reported bleeding, objective documentation with US, MRI) |
b. Factor level: one-stage and chromogenic assays |
c. Global assay of hemostasis: thrombin generation, thromboelastography, microfluidic assay |
2. Joint damage |
a. Sensitive physical exam, such as the HJHS |
b. Structural changes on ultrasound or MRI |
c. Functional impact on gait via gait lab assessment |
d. Bone health: bone density scanning, bone biomarkers |
3. Patient-reported outcomes |
a. Quality of life |
i. Generic: SF36, PROMIS measures, Peds QL |
ii. Hemophilia specific: PROBE61 and Canadian Hemophilia Outcomes-Kids Life Assessment Tool (CHO-KLAT) |
b. Pain |
i. McGill Pain Scale |
ii. Brief Pain Inventory |
iii. PROMIS |
iv. PROBE |
v. CHO-KLAT |
US, ultrasound.