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| ID | Type | Description | Link |
|---|---|---|---|
| 2008-003960-20 | EudraCT Number | ||
| 101151 | Registry Identifier | JAPIC |
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This trial is conducted in Asia, Europe, and North and South America. The trial consists of a main trial and a sub-trial. The main trial investigates safety and efficacy of turoctocog alfa (recombinant factor VIII, rFVIII (N8)) in haemophilia A subjects, while the sub-trial investigates safety and efficacy of turoctocog alfa in prevention and treatment of bleeding episodes during surgical procedures.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| rFVIII | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| turoctocog alfa | Drug | Subjects will receive bleeding preventive treatment (home treatment with self-injection i.v.) with turoctocog alfa at a dose of 20-40 IU/kg body weight every second day or 20-50 IU/kg body weight three times per week at the investigator's discretion. |
| Measure | Description | Time Frame |
|---|---|---|
| The Incidence Rate of FVIII Inhibitors (Greater Than or Equal to 0.6 Bethesda Units (BU)) | The incidence rate of FVIII inhibitors was calculated by including all patients with inhibitors in the nominator and including all patients with a minimum 50 exposure plus any patients with less than 50 exposures but with inhibitors in denominator. | The adverse events were collected throughout the trial, corresponding to an average of 188 days per subject. |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency of Adverse Events (AEs) | Adverse event was defined as events occurring after administration of trial product. Severe AEs: considerable interference with subject's daily activities, unacceptable. Moderate AEs: Marked symptoms, moderate interference with the patient's daily activities. Mild AEs: No or transient symptoms, no interference with the patient's daily activities. Serious AEs: AE that at any dose results in any of the following: death, a life-threatening experience, in-subject hospitalization/prolongation of existing hospitalization, persistent/significant disability/incapacity/congenital anomaly/birth defect. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Global Clinical Registry (GCR, 1452) | Novo Nordisk A/S | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Novo Nordisk Investigational Site | Little Rock | Arkansas | 72202 | United States | ||
| Novo Nordisk Investigational Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23647704 | Result | Lentz SR, Misgav M, Ozelo M, Salek SZ, Veljkovic D, Recht M, Cerqueira M, Tiede A, Brand B, Mancuso ME, Seremetis S, Lindblom A, Martinowitz U. Results from a large multinational clinical trial (guardian1) using prophylactic treatment with turoctocog alfa in adolescent and adult patients with severe haemophilia A: safety and efficacy. Haemophilia. 2013 Sep;19(5):691-7. doi: 10.1111/hae.12159. Epub 2013 May 7. | |
| 25273984 |
| Label | URL |
|---|---|
| Clinical Trials at Novo Nordisk | View source |
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The patients were recruited at 48 sites in 15 countries: Republic of Serbia (5), Turkey (5), Germany (4), Japan (8), the United Kingdom (3) and the United States of America (10). Two sites each in Brazil, Italy, Spain and Croatia. One site each in Switzerland, Taiwan, Israel, Malaysia and Russian Federation.
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| ID | Title | Description |
|---|---|---|
| FG000 | All Subjects Treated With Turoctocog Alfa | All subjects participating in the study (Part A + Part B + Part C). |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| The adverse events were collected throughout the trial, corresponding to an average of 188 days per subject |
| Long Beach |
| California |
| 90806 |
| United States |
| Novo Nordisk Investigational Site | Tampa | Florida | 33607 | United States |
| Novo Nordisk Investigational Site | Atlanta | Georgia | 30322 | United States |
| Novo Nordisk Investigational Site | Augusta | Georgia | 30912 | United States |
| Novo Nordisk Investigational Site | Indianapolis | Indiana | 46260 | United States |
| Novo Nordisk Investigational Site | Iowa City | Iowa | 52242 | United States |
| Novo Nordisk Investigational Site | Omaha | Nebraska | 68198-2168 | United States |
| Novo Nordisk Investigational Site | Newark | New Jersey | 07102 | United States |
| Novo Nordisk Investigational Site | Cincinnati | Ohio | 45229 | United States |
| Novo Nordisk Investigational Site | Dayton | Ohio | 45404 | United States |
| Novo Nordisk Investigational Site | Portland | Oregon | 97239 | United States |
| Novo Nordisk Investigational Site | Philadelphia | Pennsylvania | 19134-1095 | United States |
| Novo Nordisk Investigational Site | Providence | Rhode Island | 02903 | United States |
| Novo Nordisk Investigational Site | Memphis | Tennessee | 38163 | United States |
| Novo Nordisk Investigational Site | Nashville | Tennessee | 37232-9830 | United States |
| Novo Nordisk Investigational Site | Fort Worth | Texas | 76104 | United States |
| Novo Nordisk Investigational Site | Spokane | Washington | 99204 | United States |
| Novo Nordisk Investigational Site | Rio de Janeiro | Rio de Janeiro | 20211-030 | Brazil |
| Novo Nordisk Investigational Site | Split | 21 000 | Croatia |
| Novo Nordisk Investigational Site | Zagreb | 10 000 | Croatia |
| Novo Nordisk Investigational Site | Copenhagen | 2100 | Denmark |
| Novo Nordisk Investigational Site | Berlin | 10249 | Germany |
| Novo Nordisk Investigational Site | Bonn | 53127 | Germany |
| Novo Nordisk Investigational Site | Giessen | 35392 | Germany |
| Novo Nordisk Investigational Site | Hanover | 30625 | Germany |
| Novo Nordisk Investigational Site | Budapest | H-1134 | Hungary |
| Novo Nordisk Investigational Site | Debrecen | 4012 | Hungary |
| Novo Nordisk Investigational Site | Tel Litwinsky | 52621 | Israel |
| Novo Nordisk Investigational Site | Florence | 50134 | Italy |
| Novo Nordisk Investigational Site | Milan | 20124 | Italy |
| Novo Nordisk Investigational Site | Hiroshima-shi, Hiroshima | 734 8551 | Japan |
| Novo Nordisk Investigational Site | Itabashi-ku, Tokyo | 173 8606 | Japan |
| Novo Nordisk Investigational Site | Kashihara-shi, Nara | 634 8522 | Japan |
| Novo Nordisk Investigational Site | Maebashi-shi, Gunma | 371-8511 | Japan |
| Novo Nordisk Investigational Site | Nagoya-shi, Aichi | 466 8560 | Japan |
| Novo Nordisk Investigational Site | Shimotsuke-shi, Tochigi | 329 0498 | Japan |
| Novo Nordisk Investigational Site | Shinjuku-ku, Tokyo | 160 0023 | Japan |
| Novo Nordisk Investigational Site | Shizuoka-shi, Shizuoka | 4208660 | Japan |
| Novo Nordisk Investigational Site | Suginami-ku, Tokyo | 1670035 | Japan |
| Novo Nordisk Investigational Site | Kuala Lumpur | 50400 | Malaysia |
| Novo Nordisk Investigational Site | Saint Petersburg | 191119 | Russia |
| Novo Nordisk Investigational Site | Belgrade | 11000 | Serbia and Montenegro |
| Novo Nordisk Investigational Site | Belgrade | 11070 | Serbia and Montenegro |
| Novo Nordisk Investigational Site | Nis | 18000 | Serbia and Montenegro |
| Novo Nordisk Investigational Site | Novi Sad | 21 000 | Serbia and Montenegro |
| Novo Nordisk Investigational Site | Novi Sad | 21000 | Serbia and Montenegro |
| Novo Nordisk Investigational Site | Belgrade | 11000 | Serbia |
| Novo Nordisk Investigational Site | Belgrade | 11070 | Serbia |
| Novo Nordisk Investigational Site | Niš | 18000 | Serbia |
| Novo Nordisk Investigational Site | Novi Sad | 21000 | Serbia |
| Novo Nordisk Investigational Site | Madrid | 28046 | Spain |
| Novo Nordisk Investigational Site | Valencia | 46026 | Spain |
| Novo Nordisk Investigational Site | Zurich | 8091 | Switzerland |
| Novo Nordisk Investigational Site | Taipei | 100 | Taiwan |
| Novo Nordisk Investigational Site | Adana | 01130 | Turkey (Türkiye) |
| Novo Nordisk Investigational Site | Antalya | 01010 | Turkey (Türkiye) |
| Novo Nordisk Investigational Site | Bornova-IZMIR | 35100 | Turkey (Türkiye) |
| Novo Nordisk Investigational Site | İzmit | 41380 | Turkey (Türkiye) |
| Novo Nordisk Investigational Site | Samsun | 55319 | Turkey (Türkiye) |
| Novo Nordisk Investigational Site | London | NW3 2QG | United Kingdom |
| Novo Nordisk Investigational Site | London | SE1 7EH | United Kingdom |
| Novo Nordisk Investigational Site | Manchester | M13 9WL | United Kingdom |
| Result |
| Santagostino E, Lentz SR, Misgav M, Brand B, Chowdary P, Savic A, Kilinc Y, Amit Y, Amendola A, Solimeno LP, Saugstrup T, Matytsina I. Safety and efficacy of turoctocog alfa (NovoEight(R)) during surgery in patients with haemophilia A: results from the multinational guardian clinical trials. Haemophilia. 2015 Jan;21(1):34-40. doi: 10.1111/hae.12518. Epub 2014 Oct 2. |
| 25677761 | Result | Ozelo M, Chowdary P, Regnault A, Busk AK. Impact of severe haemophilia A on patients' health status: results from the guardian() 1 clinical trial of turoctocog alfa (NovoEight((R)) ). Haemophilia. 2015 Jul;21(4):451-7. doi: 10.1111/hae.12617. Epub 2015 Feb 12. |
| 26679394 | Result | Ozelo MC. Updates from guardian: a comprehensive registration programme. Eur J Haematol. 2015 Dec;95 Suppl 81:22-9. doi: 10.1111/ejh.12648. |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | All Subjects Treated With Turoctocog Alfa | All subjects participating in the study (Part A + Part B + Part C). |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| ||||||||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| |||||||||||||||||||||||
| Race/Ethnicity, Customized | Number | participants |
| |||||||||||||||||||||||
| Region of Enrollment | Number | participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | The Incidence Rate of FVIII Inhibitors (Greater Than or Equal to 0.6 Bethesda Units (BU)) | The incidence rate of FVIII inhibitors was calculated by including all patients with inhibitors in the nominator and including all patients with a minimum 50 exposure plus any patients with less than 50 exposures but with inhibitors in denominator. | The safety analysis set includes all 150 subjects who received at least one dose of the investigational product. The analysis of the primary endpoint included all subjects with at least 50 exposure days and/or with inhibitors. A total of 148 subjects had 50 exposure days (EDs). | Posted | Number | N with Inhibitors / N with ≥50 EDs | The adverse events were collected throughout the trial, corresponding to an average of 188 days per subject. |
|
|
| ||||||||||||||||||||||||||
| Secondary | Frequency of Adverse Events (AEs) | Adverse event was defined as events occurring after administration of trial product. Severe AEs: considerable interference with subject's daily activities, unacceptable. Moderate AEs: Marked symptoms, moderate interference with the patient's daily activities. Mild AEs: No or transient symptoms, no interference with the patient's daily activities. Serious AEs: AE that at any dose results in any of the following: death, a life-threatening experience, in-subject hospitalization/prolongation of existing hospitalization, persistent/significant disability/incapacity/congenital anomaly/birth defect. | Safety analysis set includes all subjects who received at least one dose of the investigational product. | Posted | Number | events | The adverse events were collected throughout the trial, corresponding to an average of 188 days per subject |
|
The adverse events were collected throughout the trial, corresponding to an average of 188 days per subject.
Safety analysis set includes all subjects who received at least one dose of the investigational product.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | All Subjects Treated With Turoctocog Alfa | All subjects participating in the study (Part A + Part B + Part C). | 7 | 150 | 36 | 150 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Sinus tachycardia | Cardiac disorders | MedDRA 14.0 | Systematic Assessment |
| |
| Melaena | Gastrointestinal disorders | MedDRA 14.0 | Systematic Assessment |
| |
| Upper gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA 14.0 | Systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA 14.0 | Systematic Assessment |
| |
| Road traffic accident | Injury, poisoning and procedural complications | MedDRA 14.0 | Systematic Assessment |
| |
| Hepatic enzyme increased | Investigations | MedDRA 14.0 | Systematic Assessment |
| |
| Insomnia | Psychiatric disorders | MedDRA 14.0 | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA 14.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nasopharyngitis | Infections and infestations | MedDRA 14.0 | Systematic Assessment |
| |
| Incorrect dose administered | Injury, poisoning and procedural complications | MedDRA 14.0 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 14.0 | Systematic Assessment |
|
The information obtained during the conduct of this trial is considered confidential and can be used by Novo Nordisk for regulatory purposes and for the general development of the trial product. The information obtained during this trial may be made available to other physicians who are conducting other clinical trials with the trial product, if deemed necessary by Novo Nordisk.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Public Access to Clinical Trials | Novo Nordisk A/S | clinicaltrials@novonordisk.com |
| ID | Term |
|---|---|
| D006467 | Hemophilia A |
| ID | Term |
|---|---|
| D025861 | Blood Coagulation Disorders, Inherited |
| D001778 | Blood Coagulation Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D020147 | Coagulation Protein Disorders |
| D006474 | Hemorrhagic Disorders |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
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| ID | Term |
|---|---|
| C577506 | recombinant factor VIII N8 |
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| Germany |
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| Israel |
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| Italy |
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| Japan |
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| Malaysia |
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| Russia |
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| Serbia |
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| Spain |
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| Switzerland |
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| Taiwan |
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| Turkey |
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| United Kingdom |
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| United States |
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| OG002 | All Subjects Treated With Turoctocog Alfa | All subjects participating in the study (Part A + Part B + Part C). |
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