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      "title": "Post Approval Phase 4 Study to Learn More About How Safe Octocog Alfa is, and How Well it Works in Patients With Severe Hemophilia A in India",
      "scientificTitle": "A Prospective, Multicenter, Open-label, Phase IV Post-authorization Safety Study Conducted in India to Assess the Safety, and Treatment Outcomes of Octocog Alfa in Real-world Practice for On-demand Treatment of Acute Bleeds in Previously Treated Severe Hemophilia A Patients in India",
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        "primary": [
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          "Severity of treatment emergent adverse event (TEAEs) and serious adverse events (TESAEs)",
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        "criteria": "Inclusion Criteria:\n\n* Male patients aged 18 years or older with a documented diagnosis of severe Hemophilia A, defined by a baseline Factor VIII (FVIII) activity level of less than 1% (\\<0.01 IU/mL) in accordance with the Hemophilia Severity Classification\n* Previously treated with FVIII concentrate(s) (plasma derived or recombinant, including Octocog alfa) either on-demand or prophylactically for at least 100 Exposure Days (EDs).\n* Patients for whom the decision to initiate on-demand treatment with Octocog alfa for acute bleeding was made as per the investigator's routine treatment practice. This will include patients who are already on on-demand treatment with Octocog alfa as well.\n* Written informed consent from the patient or legal representative\n\nExclusion Criteria:\n\n* Known contraindication according to the local prescriber information\n* Patients who are participating in an investigational program with interventions outside of routine clinical practice.\n* Patients with any other diagnosis of bleeding/coagulation disorder other than Hemophilia A.\n* Patients who are on ongoing prophylactic treatment with any FVIII concentrate or non-factor treatments like emicizumab.\n* Patients exhibiting any of the following laboratory abnormalities at screening:\n* Known platelet count \\<100,000 mm3\n* Known Serum Creatinine \\>2 folds upper the normal limit\n* Known Hepatic AST or ALT \\>5 folds upper the normal limit\n* Patients who have received an on-demand infusion with any other FVIII (different to Octocog alfa), FVII or Activated prothrombin complex concentrate product (aPCC/FEIBA) 72 hours before the enrollment.\n* History or presence of FVIII inhibitor with a titer ≥ 0.6 with Nijmegen modified Bethesda Assay (NBA), or a clinical history suggestive of an inhibitor necessitating changes to treatment\n* Patient concerns or other barriers precluding adequate understanding or cooperation.",
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