Phase 3
N=186
Evaluation of Safety and Efficacy, Including Pharmacokinetics, of NNC 0129-0000-1003 When Administered for Treatment and Prophylaxis of Bleeding in Subjects With Haemophilia A
Congenital Bleeding Disorder · Haemophilia A
Bottom Line
View on ClinicalTrials.gov: NCT01480180 ↗Enrolled (actual)
186
Serious AEs
13.6%
Results posted
Apr 2020
Primary outcome: Primary: The Incidence Rate of FVIII-inhibitors ≥0.6 BU: After Approximately 19 Months — 0.006; 0 Inhibitor rate
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- turoctocog alfa pegol (Drug)
- Age
- Pediatric, Adult, Older Adult · 12+ yrs
- Sex
- Male
- Sponsor
- Novo Nordisk A/S
- Primary completion
- Dec 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY The Incidence Rate of FVIII-inhibitors ≥0.6 BU: After Approximately 19 Months |
0.006; 0 | — |
| PRIMARY Annualised Bleeding Rate in the Prophylaxis Arm: After Approximately 19 Months |
1.33 | <0.001 sig |
| PRIMARY The Incidence Rate of FVIII-inhibitors ≥0.6 BU: After Approximately 25 Months |
0.006; 0; 0 | — |
| PRIMARY Annualised Bleeding Rate in the Prophylaxis Arm: After Approximately 25 Months |
1.36; 0 | <0.001 sig |
| PRIMARY Incidence Rate of FVIII-inhibitors ≥0.6 BU: At Approximately 80 Months |
0.006; 0 | — |
| PRIMARY Annualised Bleeding Rate in the Prophylaxis Arm: After Approximately 80 Months |
0.99; 1.95 | <0.001 sig |
| SECONDARY Haemostatic Effect of N8-GP When Used for Treatment of Bleeds, Assessed on a Four-point Scale for Haemostatic Response (Excellent, Good, Moderate and None): After Approximately 19 Months |
192; 320; 174; 170; 62; 41 | — |
| SECONDARY Haemostatic Effect of N8-GP When Used for Treatment of Bleeds, Assessed on a Four-point Scale for Haemostatic Response (Excellent, Good, Moderate and None): After Approximately 25 Months |
330; 9; 406; 270; 11; 233 | — |
| SECONDARY Haemostatic Effect of N8-GP When Used for Treatment of Bleeds, Assessed on a Four-point Scale for Haemostatic Response (Excellent, Good, Moderate and None): After Approximately 80 Months |
600; 75; 859; 532; 65; 339 | — |
| SECONDARY Consumption of N8-GP Per Bleeding Episode (Number of Infusions): After Approximately 19 Months |
1.4; 1.2 | — |
| SECONDARY Consumption of N8-GP Per Bleeding Episode (Number of Infusions): After Approximately 25 Months |
1.4; 1.3; 1.2 | — |
| SECONDARY Consumption of N8-GP Per Bleeding Episode (Number of Infusions): After Approximately 80 Months |
1.4; 1.3; 1.2 | — |
| SECONDARY Consumption of N8-GP Per Bleeding Episode (U/kg): After Approximately 19 Months |
64.6; 41.0 | — |
| SECONDARY Consumption of N8-GP Per Bleeding Episode (U/kg): After Approximately 25 Months |
67.8; 78.2; 39.3 | — |
| SECONDARY Consumption of N8-GP Per Bleeding Episode (U/kg): After Approximately 80 Months |
68.1; 88.7; 37.5 | — |
| SECONDARY Consumption of N8-GP (Number of Infusions) During Prophylaxis and On-demand Treatment: After Approximately 19 Months |
52.2; 46.3 | — |
| SECONDARY Consumption of N8-GP (Number of Infusions) During Prophylaxis and On-demand Treatment: After Approximately 25 Months |
52.2; 77.2; 44.8 | — |
| SECONDARY Consumption of N8-GP (Number of Infusions) During Prophylaxis and On-demand Treatment: After Approximately 80 Months |
52.2; 77.1; 37.5 | — |
| SECONDARY Consumption of N8-GP (U/kg Per Month) During Prophylaxis and On-demand Treatment: After Approximately 19 Months |
403.8; 129.2 | — |
| SECONDARY Consumption of N8-GP (U/kg Per Month) During Prophylaxis and On-demand Treatment: After Approximately 25 Months |
403.8; 349.2; 128.2 | — |
| SECONDARY Consumption of N8-GP (U/kg Per Month) During Prophylaxis and On-demand Treatment: After Approximately 80 Months |
402.4; 353.5; 130.2 | — |
| SECONDARY Consumption of N8-GP (U/kg Per Year) During Prophylaxis and On-demand Treatment: After Approximately 19 Months |
4845; 1550 | — |
| SECONDARY Consumption of N8-GP (U/kg Per Year) During Prophylaxis and On-demand Treatment: After Approximately 25 Months |
4846; 4190; 1538 | — |
| SECONDARY Consumption of N8-GP (U/kg Per Year) During Prophylaxis and On-demand Treatment: After Approximately 80 Months |
4829; 4242; 1562 | — |
| SECONDARY Haemostatic Effect as Measured by Recovery and Trough Levels FVIII:C (in All Patients Receiving Prophylaxis Treatment): After Approximately 19 Months |
1.276; 0.030; 1.359; 0.034 | — |
| SECONDARY Haemostatic Effect as Measured by Recovery and Trough Levels FVIII:C (in All Patients Receiving Prophylaxis Treatment): After Approximately 25 Months |
1.329; 1.868; 0.028; 0.015 | — |
| SECONDARY Haemostatic Effect as Measured by Recovery and Trough Levels FVIII:C (in All Patients Receiving Prophylaxis Treatment): After Approximately 80 Months |
— | — |
| SECONDARY Patient Reported Outcomes - Change in HAEMO-QOL Total Scores (Patients 13-16 Years Old) After Approx 19 and 25 Months |
-0.1; 0.8 | — |
| SECONDARY Patient Reported Outcomes - Change in HAEMO-QOL Total Scores (Patients 13-16 Years Old): After Approx 80 Months |
2.7; -0.9; 2.6; 2.1; -0.3 | — |
| SECONDARY Patient Reported Outcomes - Change in HAEMO-QOL Total Scores (Parents of Patients 13-16 Years Old): After Approx 19 and 25 Months |
-4.0; 1.8 | — |
| SECONDARY Patient Reported Outcomes - Change in HAEMO-QOL Total Scores (Parents of Patients 13-16 Years Old): After Approx 80 Months |
1.5; -8.1; -7.9; 1.6; 10.7 | — |
| SECONDARY Patient Reported Outcomes - Change in HAEM-A-QOL (>=17 Years) Total Scores: After Approx 19 and 25 Months |
-2.3; -3.1; 0.7; -0.6 | — |
| SECONDARY Patient Reported Outcomes - Change in HAEM-A-QOL (>=17 Years) Total Scores: After Approximately 80 Months |
-6.6; -2.6; -10.7; -2.3; -5.8; -3.1 | — |
| SECONDARY Patient Reported Outcomes - Change in HEMO-SAT (Patients) Scores: After Approx 19 and 25 Months |
-0.4; -4.5; 0.3; -6.3; -6.3; -11.3 | — |
| SECONDARY Patient Reported Outcomes - Change in HEMO-SAT (Patients) Scores: After Approximately 80 Months |
-2.2; -2.4; -23.8; -3.7; -10.5; -3.7 | — |
| SECONDARY Patient Reported Outcomes - Change in HEMO-SAT Scores (Parents): After Approx 19 and 25 Months |
27.8; 0.4; -6.3; 17.9; -5.2; 2.1 | — |
| SECONDARY Patient Reported Outcomes - Change in HEMO-SAT (Parents) Scores: After Approximately 80 Months |
-0.6; 9.1; -5.3; -3.6; 0.0; -6.3 | — |
| SECONDARY Patient Reported Outcomes - Change in EQ-5D-VAS Scores: After Approx 19 and 25 Months |
76.5; 74.5; 2.0; 4.1; -0.8; 2.7 | — |
| SECONDARY Patient Reported Outcomes - Change in EQ-5D-VAS Scores: After Approximately 80 Months |
4.9; 2.6; 9.5; 3.0; 7.3; 1.0 | — |
| SECONDARY Patient Reported Outcomes - Change in European Quality of Life Utility Index: After Approx 19 and 25 Months |
0.011; -0.028; -0.025; -0.028 | — |
| SECONDARY Patient Reported Outcomes - Change in European Quality of Life Utility Index Scores: After Approximately 80 Months |
0.052; -0.008; 0.000; 0.021; 0.000; 0.000 | — |
| SECONDARY Number of Hospital Admissions During the Trial |
49; 8; 3; 0; 0; 0 | — |
| SECONDARY Number of Days at the Hospital During the Trial |
0.1; 0.0; 0.5; 0.7; 0.5; 0.0 | — |
| SECONDARY Number of Admissions to the Emergency Room (ER) During the Trial |
49; 8; 1; 0; 2; 0 | — |
| SECONDARY Number of Days Missing School or Work |
0.5; 6.7; 0.8; 6.8; 2.6; 0.3 | — |
| SECONDARY Number of Days Using Mobility Aid |
4.4; 11.1; 7.0; 5.8; 1.0; 0.5 | — |
| SECONDARY Number of Participants Using Pain Medication |
19; 2; 39; 5; 5; 1 | — |
| SECONDARY Number of Bleeds Using Pain Medication |
0.1; 0.5 | — |
| SECONDARY Number of Adverse Events Reported During the Trial Period: After Approximately 19 Months |
423; 51 | — |
| SECONDARY Number of Adverse Events Reported During the Trial Period: After Approximately 25 Months |
701; 71; 75 | — |
| SECONDARY Number of Adverse Events Reported During the Trial Period: After Approximately 80 Months |
1326; 369; 132 | — |
| SECONDARY Number of Serious Adverse Events Reported During the Trial Period: After Approximately 19 Months |
13; 4 | — |
| SECONDARY Number of Serious Adverse Events Reported During the Trial Period: After Approximately 25 Months |
27; 1; 4 | — |
| SECONDARY Number of Serious Adverse Events Reported During the Trial Period: After Approximately 80 Months |
39; 16; 8 | — |
| SECONDARY Change in Blood Pressure: After Approximately 19 Months |
6.8; 1.3; 3.3; 9.0 | — |
| SECONDARY Change in Blood Pressure: After Approximately 25 Months |
-1.337; -6.000; 0.337; 2.000 | — |
| SECONDARY Change in Blood Pressure: After Approximately 80 Months |
— | — |
| SECONDARY Change in Pulse: After Approximately 19 Months |
5.3; 10.3 | — |
| SECONDARY Change in Pulse: After Approximately 25 Months |
-0.644; 3.143 | — |
| SECONDARY Change in Pulse: After Approximately 80 Months |
— | — |
| SECONDARY Change in Body Temperature: After Approximately 19 Months |
0.0; -0.1 | — |
| SECONDARY Change in Body Temperature: After Approximately 25 Months |
-0.079; -0.086 | — |
| SECONDARY Change in Body Temperature: After Approximately 80 Months |
— | — |
| SECONDARY Change in Respiratory Rate: After Approximately 19 Months |
-0.2; -2.3 | — |
| SECONDARY Change in Respiratory Rate: After Approximately 25 Months |
-0.067; -0.857 | — |
| SECONDARY Change in Respiratory Rate: After Approximately 80 Months |
— | — |
| SECONDARY FVIII Activity 30 Min Post -Injection (C30min) |
1.524; 1.601 | — |
| SECONDARY Incremental Recovery (Single Dose and Steady State) |
0.031; 0.034 | — |
| SECONDARY Trough Level (Single Dose and Steady State) |
0.032; 0.035 | — |
| SECONDARY Area Under the Curve (AUC0-inf) |
39.77; 41.44 | — |
| SECONDARY Area Under the Curve (AUC0-t) |
38.31; 39.87 | — |
| SECONDARY Terminal Half Life (t1/2) |
18.27; 18.18 | — |
| SECONDARY Clearance (CL) |
1.210; 1.139 | — |
| SECONDARY Mean Residence Time (MRT) |
25.12; 24.91 | — |
| SECONDARY Volume of Distribution at Steady State (Vss) |
30.40; 28.38 | — |
Summary
This trial is conducted globally. The aim of the trial is to evaluate the safety and efficacy, including pharmacokinetics (the exposure of the trial drug in the body) of NNC 0129-0000-1003 (N8-GP) in subjects with Haemophilia A.
Eligibility Criteria
Inclusion Criteria: - Male patients with severe congenital haemophilia A (FVIII activity below 1%, according to medical records) - Documented history of at least 150 EDs (exposure days) to other FVIII products - At least 12 years and body weight at least 35 kg (except for Croatia, France, Russia, Israel and the Netherlands where the lower age limit will be 18 years) Exclusion Criteria: - Previous participation in this trial defined as withdrawal after administration N8-GP - Any history of FVIII inhibitors - FVIII inhibitors above or equal to 0.6 BU/mL at screening - HIV (human immunodeficiency virus) positive, defined by medical records with CD4+ (T-lymphocyte subtype) count below or equal to 200/mcL or a viral load of more than 400000 copies/mL. If the data is not available in medical records within last 6 months, CD4+ will be measured at the screening visit - Congenital or acquired coagulation disorders other than haemophilia A - Previous significant thromboembolic events (e.g. myocardial infarction, cerebrovascular disease or deep venous thrombosis) as defined by available medical records - Platelet count below 50,000 platelets/mcL (laboratory value at the screening visit) - ALAT (alanine aminotransferase) above 3 times the upper limit of normal reference ranges at central laboratory - Creatinine level equal to or greater than 1.5 times above upper normal limit (according to central laboratory reference ranges) - Ongoing immune modulating or chemotherapeutic medication
Data sourced from ClinicalTrials.gov (NCT01480180). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.