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Phase 3 N=36 Treatment

Efficacy and Safety of Turoctocog Alfa Pegol (N8-GP) for Prophylaxis and Treatment of Bleeding Episodes in Previously Treated Chinese Patients With Haemophilia A (pathfinder10)

Haemophilia A

Enrolled (actual)
36
Serious AEs
0.0%
Results posted
Jan 2024
Primary outcome: Primary: Number of Bleeding Episodes Per Year (Annualised Bleeding Rate) — 0.00; 0.00 Bleeding episodes per year

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
turoctocog alfa pegol (N8-GP) (Drug)
Age
Pediatric, Adult, Older Adult · 12+ yrs
Sex
Male
Sponsor
Novo Nordisk A/S
Primary completion
Dec 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Bleeding Episodes Per Year (Annualised Bleeding Rate)
0.00; 0.00
SECONDARY
Haemostatic Effect of N8-GP When Used for Treatment of Bleeding Episodes, Assessed on a Four-point Scale for Haemostatic Response (Excellent, Good, Moderate and None)
18; 22; 3; 6; 3; 0
SECONDARY
Number of Injections Needed to Treat Bleeding Episodes
2; 1
SECONDARY
Consumption of N8-GP for Prophylaxis
4909.5; 4873.9
SECONDARY
FVIII Trough Activity During Prophylaxis
0.032; 0.034
SECONDARY
Percentage of Participants With Incidence Rate of Confirmed FVIII Inhibitors ≥0.6 BU
0.00; 0.00
SECONDARY
Number of Adverse Events (AEs)
15; 25
SECONDARY
Number of Serious Adverse Events (SAEs)
0; 0
SECONDARY
Incremental Recovery (IR)
0.023; 0.023; 0.029; 0.024
SECONDARY
FVIII Activity 30 Min Post-injection (C30min)
1.178; 1.196; 1.557; 1.302
SECONDARY
FVIII Trough Activity 96 h Post-injection (C96h)
0.033; 0.039; 0.032; 0.045
SECONDARY
Area Under the Curve (AUC0-inf)
31.556; 33.650; 37.274; 37.952
SECONDARY
Area Under the Curve (0-t)
30.578; 32.300; 36.467; 36.406
SECONDARY
Area Under the Curve (0-96h)
30.509; 32.269; 36.428; 36.398
SECONDARY
Accumulation Ratio
1.152; 1.086
SECONDARY
Terminal Half-life (t½)
19.106; 20.200; 17.729; 20.238
SECONDARY
Clearance (CL)
1.636; 1.550; 1.434; 1.434
SECONDARY
Apparent Volume of Distribution (Vz) Based on the Terminal Phase
45.098; 45.165; 36.673; 41.878
SECONDARY
Apparent Volume of Distribution (Vss) Based on Steady-state
34.511; 39.786
SECONDARY
Extrapolated Area Under the Curve (AUC Percent [%] Extrap
2.847; 3.392; 2.143; 3.424
SECONDARY
Mean Residence Time
27.101; 27.941; 24.070; 27.739
SECONDARY
Terminal Elimination Rate Constant (λz)
0.036; 0.034; 0.039; 0.034

Summary

The study investigates how well the medicine called turoctocog alfa pegol (N8-GP) works in previously treated Chinese patients with severe haemophilia A. Participants will be treated with N8-GP. This is a medicine that doctors can already prescribe in other countries. The medicine will be injected into a vein (intravenous injections) and blood samples will be collected. The study will last for about 7-8 months. Participants will have between 8 and 15 visits to the clinic and possibly a number of phone calls with the study doctor.

Eligibility Criteria

Inclusion Criteria

  • Informed consent obtained before any trial-related activities. Trial-related activities are any procedures that are carried out as part of the trial, including activities to determine suitability for the trial.
  • Male Chinese patient with severe congenital haemophilia A with a FVIII activity below 1% according to medical records.
  • Aged greater than or equal to 12 years at the time of signing informed consent.
  • History of at least 150 exposure days (EDs) to other FVIII products.
  • The patient and/or caregiver is capable of assessing a bleeding episode, keeping a diary, performing home treatment of bleeding episodes and otherwise following the trial procedures at the discretion of the investigator.

Exclusion Criteria

  • Known or suspected hypersensitivity to trial product or related products.
  • Previous participation in this trial. Participation is defined as signed informed consent.
  • Participation in any clinical trial of an approved or non-approved investigational medicinal product within 5 half-lives or 30 days from screening, whichever is longer.
  • Known history of FVIII inhibitors based on existing medical records, laboratory report reviews and patient and/or caregiver interviews.
  • Current FVIII inhibitors greater than or equal to 0.6 BU.
  • Congenital or acquired coagulation disorder other than haemophilia According to medical records.
  • HIV positive, defined by medical records, with CD4+ count less than or equal 200/L and a viral load greater than 200 particles/μl or greater than 400000 copies/mL within 6 months of the trial entry. If the data are not available in medical records within last 6 months, then the test must be performed at screening visit.
  • Previous significant thromboembolic events (e.g. myocardial infarction, cerebrovascular disease or deep venous thrombosis) as defined by available medical records.
  • Hepatic dysfunction defined as aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) greater than 3 times limit of normal combined with total bilirubin greater than 1.5 times the upper limit of normal at screening, as defined by central laboratory
  • Renal impairment defined as estimated glomerular filtration rate (eGFR) below or equal to 30 mL/min/1.73 m^2 for serum creatinine measured at screening, as defined by central laboratory.
  • Platelet count below 50×109/L at screening based on central laboratory values at screening.
  • Ongoing immune modulating or chemotherapeutic medication.
  • Any disorder, except for conditions associated with haemophilia A, which in the investigator's opinion might jeopardise the patient's safety or compliance with the protocol.
  • Mental incapacity, unwillingness or language barriers precluding adequate understanding or cooperation.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05082116). 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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