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HemophiliaJuly 2024Summary reviewed August 2026

A Weekly Injection Stopped Almost All Bleeding in Kids With Severe Hemophilia A

Seventy-four boys under age 12 with severe hemophilia A got a once-a-week injection for a year. Nearly two-thirds had zero bleeding episodes. Most of the boys who did bleed needed just one shot to stop it. The treatment kept their blood clotting factor in a healthy range for days after each dose.

What the trial was testing

The XTEND-KIDS enrolled 74 patients with hemophilia. The study was sponsored by Bioverativ, a Sanofi company and tracked outcomes across the full group of patients who matched the trial's eligibility profile.

It was a large trial designed to confirm whether the treatment works well enough for wider use. Trials at this stage are designed to produce evidence regulators and physicians can act on — not just observations to follow up later.

What the results showed

Sixty-four percent of kids had no bleeding episodes at all over the course of a year.

The New England journal of medicine · 2024 · NCT04759131

These findings — that no bleeding episodes for an entire year on weekly injections — were published in the The New England journal of medicine and represent the headline result of the study.

Researchers tracked outcomes across 74 patients enrolled in the trial. The result was consistent enough across the group that the team felt confident reporting it.

What this means for patients

For patients with hemophilia, this result changes the calculus on what to ask their care team about. Whether it changes day-to-day care depends on factors like disease subtype, prior treatments, and where the patient is in their care journey.

What you can do now

If your child has severe hemophilia A, this once-a-week injection might mean far fewer bleeds and less time dealing with treatment. Most kids in this study didn't bleed at all. This treatment is FDA-approved and available now. Talk to your hematologist about whether it's right for your child.

Eligibility for the treatments mentioned above depends on specific test results and clinical history. Bring this summary, the trial name, and your most recent labs or pathology report to your next visit.