This clinical trial is focused on studying the effects of two treatments for patients with Hemophilia A and Hemophilia B. These are genetic disorders where blood does not clot properly, leading to excessive bleeding. The treatments being studied are called efmoroctocog alfa and eftrenonacog alfa. Efmoroctocog alfa is a recombinant fusion protein that acts like a human coagulation factor VIII, while eftrenonacog alfa is a similar protein that acts like factor IX. These treatments are given as injections and are used to prevent bleeding episodes in patients with hemophilia.
The purpose of this study is to assess the health of joints in patients with hemophilia who are receiving these treatments over an 18-month period. The study will use ultrasound, a type of imaging that uses sound waves to create pictures of the inside of the body, to evaluate joint health. Participants will receive either efmoroctocog alfa or eftrenonacog alfa as part of their regular treatment plan. Some participants may receive a placebo, which is a substance with no active medication, to compare the effects of the treatments.
Throughout the study, participants will have regular check-ups to monitor their joint health and overall well-being. The study aims to understand how these treatments affect joint health and to gather information that could help improve care for people with hemophilia. The study will last for 18 months, during which participants will continue their usual care while being monitored for any changes in their condition.



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