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Phase 3 N=186 Treatment

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

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

OutcomeResultp-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
View full record on ClinicalTrials.gov →

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.

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