A Study to Evaluate Overall Health, Physical Activity, and Joint Outcomes in Participants With Severe or Moderate Hemophilia A Without Factor VIII Inhibitors on Emicizumab Prophylaxis

Exclusion Criteria

• •Inherited or acquired bleeding disorder other than severe congenital hemophilia A (intrinsic FVIII level \<1%) or moderate congenital hemophilia A (intrinsic FVIII level ≤5%) without FVIII inhibitors who were previously prescribed prophylaxis for at least 24 weeks
• •Participants who have previously received emicizumab prophylaxis
• •Participants that plan to have joint replacement, joint procedure, synovectomy or synoviorthesis at screening
• •Participants who had joint replacement, joint procedure, synovectomy or synoviorthesis: Less than 2 years ago; OR, More than 3 years ago and are still experiencing pain in the joint. For participants who had joint replacement, joint procedure, synovectomy or synoviorthesis more than 2 years ago who are not experiencing pain in the joint(s), the participant may be enrolled but the specific joint(s) in which the procedure was conducted will be excluded from the study
• •Participants who have conditions other than hemophilia A that can affect joint health and structure (e.g., osteoarthritis) or with severely impaired mobility due to conditions other than hemophilia A
• •Participants with known reduced bone mineral density defined as clinically relevant vitamin D deficiency
• •Participants with pre-existing uncontrolled or unstable cardiovascular disease not receiving targeted medication or in a stable condition
• •History of illicit drug or alcohol abuse within 48 weeks prior to screening in the investigator's judgement
• •Participants who are at high risk for thrombotic microangiopathy (TMA)
• •Previous (within the last 12 months) or current treatment for thromboembolic disease (with the exception of previous catheter-associated thrombosis for which anti-thrombotic treatment is not currently ongoing) or signs of thromboembolic disease
• •Other conditions (e.g., certain autoimmune diseases) that may currently increase the risk of bleeding or thrombosis
• •History of clinically significant hypersensitivity associated with monoclonal antibody therapies or components of the emicizumab injection
• •Planned surgery during the emicizumab loading dose phase
• •Known HIV infection not controlled by medication
• •Concomitant disease, condition, significant abnormality on screening evaluation or laboratory tests, or treatment that could interfere with the conduct of the study, or that would in the opinion of the investigator, pose an additional unacceptable risk in administering study drug to the participant
• •Receipt of any of the following: An investigational drug to treat or reduce the risk of hemophilic bleeds within 5 half-lives of last drug administration at screening; A non-hemophilia-related investigational drug within last 30 days or 5 half-lives at screening, whichever is shorter; or, Any other investigational drug currently being administered or planned to be administered
• •Inability to comply with the study protocol
• •Pregnant or breastfeeding, or intending to become pregnant during the study