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| ID | Type | Description | Link |
|---|---|---|---|
| 2013-004025-88 | EudraCT Number | ||
| U1111-1148-1897 | Other Identifier | WHO | |
| REec-2014-0898 | Registry Identifier | Spanish Register of Clinical Studies (REec) | |
| JapicCTI-142577 | Other Identifier | JAPIC |
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This trial is conducted globally. The aim of the trial is to investigate the safety and efficacy of turoctocog alfa pegol (N8-GP) in previously untreated patients (PUPs) with haemophilia A.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 50 EDs (exposure days) | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| turoctocog alfa pegol | Drug | For intravenous (i.v.) injection. Frequency and dosage (20-75 U/kg) dependent on whether given as treatment for bleeding episode or as prophylaxis |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Inhibitory Antibodies Against Coagulation Factor VIII (FVIII) | Number of participants with inhibitory antibodies against coagulation factor VIII (FVIII) was reported during the main and extension phase of the trial. | From start of the treatment up to 7 years |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Adverse Events Including Serious Adverse Events and Medical Events of Special Interest | Number of adverse events including serious adverse events and medical events of special interest reported during the main and extension phase of the trial. An adverse event (AE) is any untoward medical occurrence in a patient administered a product, and which does not necessarily have a causal relationship with this treatment. Serious adverse event (SAE) is an experience that at any dose results in any of the following: Death, a life-threatening experience, in-patient hospitalisation or prolongation of existing hospitalisation, persistent or significant disability or incapacity, congenital anomaly or birth defect and important medical events that may not result in death, be life threatening or require hospitalisation. Medical event of special interest (MESI) is an event which, in the evaluation of safety, has a special focus. |
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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 |
|---|---|---|---|---|---|---|
| Arizona H&T Phoenix Child Hosp | Phoenix | Arizona | 85016-7710 | United States | ||
| Miller Children's Hospital Long Beach |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37597724 | Derived | Kenet G, Young G, Chuansumrit A, Matsushita T, Yadav V, Zak M, Male C. The immunogenicity, safety, and efficacy of N8-GP in previously untreated patients with severe hemophilia A: pathfinder6 end-of-trial results. J Thromb Haemost. 2023 Nov;21(11):3109-3116. doi: 10.1016/j.jtha.2023.07.030. Epub 2023 Aug 18. | |
| 35858373 | Derived |
| Label | URL |
|---|---|
| Clinical Trials at Novo Nordisk | View source |
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A total of 81 participants were exposed to Turoctocog alfa pegol (N8-GP). Trial consists of main phase: pre-prophylaxis, prophylaxis & immune tolerance induction (ITI) and extension phase: prophylaxis period until end of treatment. Pre-prophylaxis was optional and allowed participants to receive treatment until 24 months of age/upon reaching 20EDs, whichever came first. Other participants directly started on prophylaxis treatment at visit 1.
The trial was conducted in 14 countries as follows: Australia (2), Austria (2), Bulgaria (1), Canada (1), Germany (1), Greece (2), Israel (1), Italy (1), Japan (3), Malaysia (3), Spain (2), Taiwan (1), Thailand (3), United States (8).
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| ID | Title | Description |
|---|---|---|
| FG000 | Pre-prophylaxis | At the beginning of the main phase of the trial, slow start prophylaxis and on-demand treatment of bleeding episodes with trial product (Turoctocog alfa pegol (N8-GP)) were allowed at the discretion of the investigator and participants parent(s)/ legally acceptable representative (LAR). The N8-GP dose for pre-prophylaxis treatment (except for bleeding episodes) was 60 International unit per kilogram (IU/kg) body weight (within the range of 50-75 IU/kg) to be administered as a single bolus dose intravenously (i.v.) with more than one week between doses (at the discretion of the investigator). Participants who developed FVIII inhibitors in the trial were shifted to ITI treatment. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Main Phase: Pre-Prophylaxis |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Jun 15, 2020 |
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|
| From start of the treatment up to 8.9 years |
| Number of Participants With Confirmed High Titre Inhibitors (Defined as Inhibitor Titre Above 5 Bethesda Units (BU) | Number of participants with confirmed high titre inhibitors (defined as inhibitor titre above 5 Bethesda Units (BU) was reported during the main and extension phase of the trial. | From start of the treatment up to 8.9 years |
| Number of Breakthrough Bleeding Episodes During Prophylaxis With N8-GP (Annualised Bleeding Rate) | The number of bleeding episodes per year reported during the prophylactic treatment with N8-GP was reported. | From start of the treatment up to 8.9 years |
| Haemostatic Effect of N8-GP in Treatment of Bleeding Episodes, Assessed by a Predefined 4-point Haemostatic Response Scale ("Excellent", "Good", "Moderate" and "None") | Haemostatic effect of turoctocog alfa pegol for treatment of bleeding episodes was assessed by 4-point response scale: none, moderate, good or excellent. Excellent: Abrupt pain relief and/or clear improvement in objective signs of bleeding within approximately 8 hours after a single injection; Good: Definite pain relief and/or improvement in signs of bleeding within approximately 8 hours after a single injection, but possibly requiring more than one injection for complete resolution; Moderate: Probable or slight beneficial effect within approximately 8 hours after the first injection, but usually requiring more than one injection; None: No improvement, or worsening of symptoms. Number of bleeding episodes in each category is reported. | From start of the treatment up to 8.9 years |
| Consumption of N8-GP for Prophylaxis (International Unit Per Kilogram (IU/Kg)) | Consumption of N8-GP for prophylaxis is reported. Consumption used for treatment includes all doses given. Yearly consumption is only calculated for patients with a exposure time of at least 30 days. Average dose consumption in IU/kg during main and extension phase is reported. | From start of the treatment up to 8.9 years |
| Consumption of N8-GP for Prophylaxis (Number of Injections) | Consumption of N8-GP for prophylaxis is reported. Consumption used for treatment includes all doses given. Yearly consumption is only calculated for patients with a exposure time of at least 30 days. Number of injections consumption per patient during main and extension phase is reported. | From start of the treatment up to 8.9 years |
| Consumption of N8-GP for Treatment of Bleeding Episodes (International Unit Per Kilogram Per Bleed (IU/kg/Bleed)) | Consumption of N8-GP for treatment of bleeding episodes (IU/kg/bleed) is reported. Average dose consumption in IU/kg/bleed during main and extension phase is reported. | From start of the treatment up to 8.9 years |
| Consumption of N8-GP for Treatment of Bleeding Episodes (Number of Injections) | Consumption of N8-GP for treatment of bleeding episodes (number of injections) is reported. Number of average injections required for treatment of per bleed is reported. | From start of the treatment up to 8.9 years |
| Total Consumption of N8-GP Per Patient (Prevention and Treatment of Bleeding Episodes) Annualised Value | Total consumption of N8-GP per patient (prevention and treatment of bleeding episodes) annualised value is presented. Consumption used for treatment includes all doses given. Yearly consumption is only calculated for patients with a exposure time of at least 30 days. Consumption used for treatment per year per patient (IU/kg/year/patient) is reported. | From start of the treatment up to 8.9 years |
| Outcome of ITI, Assessed by a Predefined 4-point ITI Outcome Scale ("Success", "Partial Success", "Failure", "Other") | The outcome of ITI was evaluated by predefined 4-point outcome of ITI scale ('success', 'partial success', 'failure', 'other'). Success: An inhibitor titre less than (<) 0.6 BU. A normalised FVIII recovery, defined as greater than or equal to (≥) 66 percentage (%) of expected incremental recovery. An N8-GP half-life (t½) ≥9 hours after a 72-hour treatment-free washout period. Partial success: Reduction in inhibitor titre to less than or equal to (≤) 5 BU. Clinical effect of N8-GP therapy as judged by the investigator. Failure: Failure to attain defined success or partial success within 24 months of uninterrupted ITI with N8-GP. Inhibitor decrease less than (<) 20% after one year of ITI treatment. Other: Not fulfilling the above criteria. Number of participants in each category is reported. | From start of the treatment up to 8.9 years |
| Long Beach |
| California |
| 90806 |
| United States |
| Children's Hospital Los Angeles - Endocrinology | Los Angeles | California | 90027 | United States |
| Children's Hosp Of Orange | Orange | California | 92868-3835 | United States |
| Harbor-UCLA Medical Center | Torrance | California | 90502-2004 | United States |
| Shands Hospital at the University of Florida | Gainesville | Florida | 32610 | United States |
| Nemours Chld Clnc Jacksonville | Jacksonville | Florida | 32207 | United States |
| Nemours Child Orlando Hem/Onc | Orlando | Florida | United States |
| St Joseph's Hospital Foundation | Tampa | Florida | 33607 | United States |
| Emory University_Atlanta_1 | Atlanta | Georgia | 30322 | United States |
| Medical College Of Georgia | Augusta | Georgia | 30912 | United States |
| St. Luke's Mountain States Tumor Institute | Boise | Idaho | 83712 | United States |
| Rush University Med. Cntr | Chicago | Illinois | 60612 | United States |
| University Of Iowa | Iowa City | Iowa | 52242 | United States |
| Tulane University School of Medicine | New Orleans | Louisiana | 70112 | United States |
| Children's Hosp-New Orleans | New Orleans | Louisiana | 70118-5720 | United States |
| Univ of NE Med Center_Omaha | Omaha | Nebraska | 68198-6828 | United States |
| Hemostasis and Thrombosis Center of Nevada | Las Vegas | Nevada | 89113 | United States |
| Rutgers-Robert Wood Johnson Medical School | New Brunswick | New Jersey | 08901 | United States |
| The Brooklyn Hsptl Center | Brooklyn | New York | 11201-5425 | United States |
| North Shore Long Island Jewish Medical Center | New Hyde Park | New York | 11042 | United States |
| Torrence Hemby Ped Hem/Onc Ctr | Charlotte | North Carolina | 28203 | United States |
| Novant Hlth Vasc Ins Charlotte | Charlotte | North Carolina | 28204 | United States |
| Univ Hosp Cleveland Med Ctr | Cleveland | Ohio | 44106 | United States |
| Dayton Children Hemostati Ctr | Dayton | Ohio | 45404 | United States |
| Univ Oklahoma Sci Ctr OK City | Oklahoma City | Oklahoma | 73104 | United States |
| Oregon Health & Science University_Portland_5 | Portland | Oregon | 97239 | United States |
| Children's Hosptl Philadelphia | Philadelphia | Pennsylvania | 19104 | United States |
| St Christopher Hosp for Child | Philadelphia | Pennsylvania | 19134 | United States |
| Medical University Of SC | Charleston | South Carolina | 29425 | United States |
| Vanderbilt Hemostasis Thrombosis Clinic | Nashville | Tennessee | 37232 | United States |
| Univ of Utah Primary Children's Hospital | Salt Lake City | Utah | 84113 | United States |
| University Of Virginia Hospitl | Charlottesville | Virginia | 22908 | United States |
| Children's Hsptl Of The Kings | Norfolk | Virginia | 23507 | United States |
| Beni Messous Hospital Issaad Hassani | Algiers | 16000 | Algeria |
| University Hospital Saadna Abdenour of Setif | Sétif | 19000 | Algeria |
| Hospital de Pediatría S.A.M.I.C. "Prof. Dr. Juan P. Garrahan | CABA | C1245AAM | Argentina |
| Sanatorio Mayo Privado S.A | Córdoba | X5000FAL | Argentina |
| Lady Cilento Children's Hospital | South Brisbane | Queensland | 4101 | Australia |
| Royal Children's Hospital | Parkville | Victoria | 3052 | Australia |
| Med. Univ. Graz -Klinische Abteilung f. Allgemeine Pädiatrie | Graz | 8036 | Austria |
| Universitätsklinik Kinder-Jugendheilkunde Innsbruck | Innsbruck | 6020 | Austria |
| Klinikum Klagenfurt am Wörthersee (LKH Klagenfurt) | Klagenfurt | 9020 | Austria |
| Landes-Frauen und Kinderklinik Linz | Linz | 4020 | Austria |
| LKH Salzburg- Univ. Klinik f. Kinder- und Jugendheilkunde | Salzburg | 5020 | Austria |
| LKH St. Poelten, Kinder-und Jugendheilkunde | Sankt Pölten | 3100 | Austria |
| Universitätsklinik für Kinder- und Jugendheilkunde | Vienna | A 1090 | Austria |
| UMHAT Sveti Georgi EAD, Plovdiv, Clinic of Pediatrics | Plovdiv | 4002 | Bulgaria |
| Health Science Centre | St. John's | Newfoundland and Labrador | A1B 3V6 | Canada |
| Hamltn Hth Sci/McMstr Child Hosp | Hamilton | Ontario | L8N 3Z5 | Canada |
| Hospices Civils de Lyon- Hopital Louis Pradel-1 | Bron | 69500 | France |
| CHU Estaing | Clermont-Ferrand | 63003 | France |
| Centre Hospitalier Universitaire de Nantes-Hopital Hotel-Dieu | Nantes | 44093 | France |
| Ap-Hp-Hopital Necker-1 | Paris | 75015 | France |
| Master centre for France | Paris La Défense | 92936 | France |
| Coagulation Research Center | Duisburg | 47051 | Germany |
| HZRM Haemophilie-Zentrum Rhein Main GmbH | Frankfurt am Main | 60596 | Germany |
| Werlhof-Institut | Hanover | 30159 | Germany |
| Werlhof-Institut | Hanover | Germany |
| Universitätsklinikum des Saarlandes - Pädiatrische Onkologie und Hämatologie | Homburg/Saar | 66424 | Germany |
| Aghia Sophia Childrens' Hospital | Athens | GR-11527 | Greece |
| 'Ippokrateio' General Hospital of Thessaloniki | Thessaloniki | 54642 | Greece |
| Sheba MC - The Israeli National Hemophilia Center | Tel Litwinsky | 52621 | Israel |
| Dipartimento di Ematologia Univ. Firenze | Florence | 50134 | Italy |
| IRCCS Meyer Firenze | Florence | 50139 | Italy |
| A.O.U. Città della Salute e della Scienza di Torino-Ospedale | Torino | 10126 | Italy |
| Nagoya University Hospital_Blood Transfusion | Aichi | 466-8560 | Japan |
| Hyogo prefectural kobe children's hospital | Hyōgo | 654-0047 | Japan |
| Univ.HP, Kyoto Pref Univ of Medicine, Dept. of Pediatrics | Kyoto | 602-8566 | Japan |
| Saitama Children's Med Centre_Hematology-Oncology | Saitama | 330-8777 | Japan |
| Shizuoka Children's Hospital, Hematology-Oncology | Shizuoka | 420-8660 | Japan |
| National Center for Child Health and Development_Hematology | Tokyo | 157-8535 | Japan |
| Hospital Pulau Pinang_Georgetown, Penang | George Town | Pulau Pinang | 10450 | Malaysia |
| Hospital Wanita dan Kanak-Kanak Kuala Lumpur | Kuala Lumpur | 50300 | Malaysia |
| National Blood Centre | Kuala Lumpur | 50400 | Malaysia |
| Centro Medico Nacional SXXI-Hospital de Pediatria, IMSS | Mexico City | México, D.F. | 06720 | Mexico |
| Hospital Universitario Dr. José Eleuterio González_Monterrey | Monterrey | Nuevo León | 64460 | Mexico |
| Centro Hospitalar Lisboa Norte-HSM | Lisbon | 1649-035 | Portugal |
| ULS São João, E.P.E. | Porto | 4200-319 | Portugal |
| Pediatric Hemophilia Program University | San Juan | 00935 | Puerto Rico |
| ,,Louis Ţurcanu'' Emergency Hospital for Children | Timișoara | Timiș County | 300011 | Romania |
| 1st Paediatric Department, Fundeni Clinical Institute | Bucharest | 022328 | Romania |
| Emergency County Hospital Constanta | Constanța | 900591 | Romania |
| University Children's Hospital Tirsova | Belgrade | 11000 | Serbia |
| Hospital Teresa Herrera Materno Infantil . E.O.X.I. A Coruña | A Coruña | 15006 | Spain |
| Hospital Sant Joan de Déu | Esplugues Llobregat | 08950 | Spain |
| Hospital Universitario La Paz | Madrid | 28046 | Spain |
| Changhua Christian Hospital_Hematology Dept. | Changhua | 500 | Taiwan |
| Kaohsiung Medical University Chung-Ho Memorial Hospital_Dept of Pediatrics | Kaohsiung City | 807 | Taiwan |
| China Medical University Children's Hospital | Taichung | 40447 | Taiwan |
| National Taiwan University Children's Hospital | Taipei | 100 | Taiwan |
| Sunpasitthiprasong Hospital_Pediatrics Department | Ubon Ratchathani | Mueang Distirct, | 34000 | Thailand |
| Ramathibodi Hospital_Paediatrics | Bangkok | 10400 | Thailand |
| Maharaj Nakorn Chiang Mai Hospital _Pediatric Hematology and Oncology | Chiang Mai | 50200 | Thailand |
| SI Institute of Urgent and Recovery Surgery - Haematology | Donetsk | 83045 | Ukraine |
| Institute of blood pathology and transfusion medicine of NAMSU - General and haematol. surgery | Lviv | 79044 | Ukraine |
| Male C, Konigs C, Dey S, Matsushita T, Millner AH, Zak M, Young G, Kenet G. The safety and efficacy of N8-GP (turoctocog alfa pegol) in previously untreated pediatric patients with hemophilia A. Blood Adv. 2023 Feb 28;7(4):620-629. doi: 10.1182/bloodadvances.2022007529. |
| FG001 | Prophylaxis | For prophylaxis treatment, regular N8-GP administration was initiated no later than at the participants age of 24 months, or after 20 EDs on pre-prophylaxis, whatever came first. During the main phase of the trial, participants received prophylaxis with i.v. injections of N8-GP preferably twice weekly, with doses separated by at least 3, and no more than 4, calendar days. Furthermore, it was permissible to start prophylaxis in the main phase with an every 3rd day or once-weekly dosing regimen. The N8-GP dose for prophylaxis treatment was 60 IU/kg (within the range of 50-75 IU/kg) to be administered as a single bolus dose i.v. on each administration day. Participants who developed FVIII inhibitors in the trial were shifted to ITI treatment. |
| FG002 | Immune Tolerance Induction (ITI) | Participants who developed FVIII inhibitors in the trial were offered ITI treatment with N8-GP. If a newly diagnosed inhibitor participant still responded well to treatment with N8-GP, initiation of ITI could be postponed with up to 6 months, or ITI could be cancelled if the inhibitors had resolved during the 6 months. N8-GP treatment could continue in case of low titre FVIII inhibitor (lesser than or equal (≤) 5 Bethesda Units). In case of high titre FVIII inhibitor (greater than (>) 5 Bethesda Units), the investigator had to decide how to proceed with treatment. ITI with N8-GP had to be initiated within 6 months of the confirmatory inhibitor test. The N8-GP dose for ITI treatment was according to local standard. Maximum of 75 IU/kg as single dose, maximum of 200 IU/kg over 24 hours. |
| COMPLETED |
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| NOT COMPLETED |
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| Main Phase: Prophylaxis |
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| Immune Tolerance Induction |
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| Extension Phase: Prophylaxis |
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All participants that started the study.
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| ID | Title | Description |
|---|---|---|
| BG000 | All Participants | Participants received pre-prophylaxis treatment of N8-GP 60 IU/kg intravenous injection as slow start prophylaxis and on-demand treatment of bleeding episodes until they were 24 months of age or until 20 exposure days (ED) on pre-prophylaxis, whichever came first in the main phase. After which they switched to prophylaxis treatment. In prophylaxis, participants received N8-GP 60 IU/kg intravenous injection twice weekly with doses separated by at least 3, and no more than 4, calendar days. Furthermore, it was permissible to start prophylaxis in the main phase with an every 3rd day or once-weekly dosing regimen. In the extension phase, subjects were to continue the prophylaxis dosing regimen as prescribed at the end of the main phase. |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | Years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| 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 | Number of Participants With Inhibitory Antibodies Against Coagulation Factor VIII (FVIII) | Number of participants with inhibitory antibodies against coagulation factor VIII (FVIII) was reported during the main and extension phase of the trial. | Results were based on safety analysis set (SAS). The SAS consist of all participants exposed to N8-GP. Number of participants analyzed=participants with available data for this endpoint. This outcome is applicable only for the reported arms. | Posted | Count of Participants | Participants | From start of the treatment up to 7 years |
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| Secondary | Number of Adverse Events Including Serious Adverse Events and Medical Events of Special Interest | Number of adverse events including serious adverse events and medical events of special interest reported during the main and extension phase of the trial. An adverse event (AE) is any untoward medical occurrence in a patient administered a product, and which does not necessarily have a causal relationship with this treatment. Serious adverse event (SAE) is an experience that at any dose results in any of the following: Death, a life-threatening experience, in-patient hospitalisation or prolongation of existing hospitalisation, persistent or significant disability or incapacity, congenital anomaly or birth defect and important medical events that may not result in death, be life threatening or require hospitalisation. Medical event of special interest (MESI) is an event which, in the evaluation of safety, has a special focus. | Results were based on SAS. The SAS consists of all participants exposed to N8-GP. | Posted | Number | Events | From start of the treatment up to 8.9 years |
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| Secondary | Number of Participants With Confirmed High Titre Inhibitors (Defined as Inhibitor Titre Above 5 Bethesda Units (BU) | Number of participants with confirmed high titre inhibitors (defined as inhibitor titre above 5 Bethesda Units (BU) was reported during the main and extension phase of the trial. | Results were based on safety analysis set (SAS). The SAS consist of all participants exposed to N8-GP. Number of participants analyzed=participants with available data for this endpoint. This outcome is applicable only for the reported arms. | Posted | Count of Participants | Participants | From start of the treatment up to 8.9 years |
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| Secondary | Number of Breakthrough Bleeding Episodes During Prophylaxis With N8-GP (Annualised Bleeding Rate) | The number of bleeding episodes per year reported during the prophylactic treatment with N8-GP was reported. | Results were based on full analysis set (FAS). The FAS consists of all participants exposed to N8-GP. The endpoint is applicable for only reported group. This outcome is applicable only for the reported arms. | Posted | Median | Inter-Quartile Range | bleeds/patient/year | From start of the treatment up to 8.9 years |
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| Secondary | Haemostatic Effect of N8-GP in Treatment of Bleeding Episodes, Assessed by a Predefined 4-point Haemostatic Response Scale ("Excellent", "Good", "Moderate" and "None") | Haemostatic effect of turoctocog alfa pegol for treatment of bleeding episodes was assessed by 4-point response scale: none, moderate, good or excellent. Excellent: Abrupt pain relief and/or clear improvement in objective signs of bleeding within approximately 8 hours after a single injection; Good: Definite pain relief and/or improvement in signs of bleeding within approximately 8 hours after a single injection, but possibly requiring more than one injection for complete resolution; Moderate: Probable or slight beneficial effect within approximately 8 hours after the first injection, but usually requiring more than one injection; None: No improvement, or worsening of symptoms. Number of bleeding episodes in each category is reported. | Results were based on full analysis set (FAS). The FAS consists of all participants exposed to N8-GP. Number of participants analyzed=participants with available data for this endpoint. | Posted | Number | Bleeding episodes | From start of the treatment up to 8.9 years | Bleeds | Bleeds |
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| Secondary | Consumption of N8-GP for Prophylaxis (International Unit Per Kilogram (IU/Kg)) | Consumption of N8-GP for prophylaxis is reported. Consumption used for treatment includes all doses given. Yearly consumption is only calculated for patients with a exposure time of at least 30 days. Average dose consumption in IU/kg during main and extension phase is reported. | Results were based on full analysis set (FAS). The FAS consists of all participants exposed to N8-GP. The endpoint is applicable for only reported arm. | Posted | Mean | Standard Deviation | IU/kg | From start of the treatment up to 8.9 years |
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| Secondary | Consumption of N8-GP for Prophylaxis (Number of Injections) | Consumption of N8-GP for prophylaxis is reported. Consumption used for treatment includes all doses given. Yearly consumption is only calculated for patients with a exposure time of at least 30 days. Number of injections consumption per patient during main and extension phase is reported. | Results were based on full analysis set (FAS). The FAS consists of all participants exposed to N8-GP. The endpoint is applicable for only reported arm. | Posted | Mean | Standard Deviation | Injections/patient | From start of the treatment up to 8.9 years |
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| Secondary | Consumption of N8-GP for Treatment of Bleeding Episodes (International Unit Per Kilogram Per Bleed (IU/kg/Bleed)) | Consumption of N8-GP for treatment of bleeding episodes (IU/kg/bleed) is reported. Average dose consumption in IU/kg/bleed during main and extension phase is reported. | Results were based on full analysis set (FAS). The FAS consists of all participants exposed to N8-GP. This outcome is applicable only for the reported arms. | Posted | Mean | Standard Deviation | IU/kg/bleed | From start of the treatment up to 8.9 years |
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| Secondary | Consumption of N8-GP for Treatment of Bleeding Episodes (Number of Injections) | Consumption of N8-GP for treatment of bleeding episodes (number of injections) is reported. Number of average injections required for treatment of per bleed is reported. | Results were based on full analysis set (FAS). The FAS consists of all participants exposed to N8-GP. | Posted | Mean | Standard Deviation | Injections/bleed | From start of the treatment up to 8.9 years |
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| Secondary | Total Consumption of N8-GP Per Patient (Prevention and Treatment of Bleeding Episodes) Annualised Value | Total consumption of N8-GP per patient (prevention and treatment of bleeding episodes) annualised value is presented. Consumption used for treatment includes all doses given. Yearly consumption is only calculated for patients with a exposure time of at least 30 days. Consumption used for treatment per year per patient (IU/kg/year/patient) is reported. | Results were based on full analysis set (FAS). The FAS consists of all participants exposed to N8-GP. Number of participants analyzed=participants with available data for this endpoint. This outcome is applicable only for the reported arms. | Posted | Mean | Standard Deviation | IU/kg/year/patient | From start of the treatment up to 8.9 years |
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| Secondary | Outcome of ITI, Assessed by a Predefined 4-point ITI Outcome Scale ("Success", "Partial Success", "Failure", "Other") | The outcome of ITI was evaluated by predefined 4-point outcome of ITI scale ('success', 'partial success', 'failure', 'other'). Success: An inhibitor titre less than (<) 0.6 BU. A normalised FVIII recovery, defined as greater than or equal to (≥) 66 percentage (%) of expected incremental recovery. An N8-GP half-life (t½) ≥9 hours after a 72-hour treatment-free washout period. Partial success: Reduction in inhibitor titre to less than or equal to (≤) 5 BU. Clinical effect of N8-GP therapy as judged by the investigator. Failure: Failure to attain defined success or partial success within 24 months of uninterrupted ITI with N8-GP. Inhibitor decrease less than (<) 20% after one year of ITI treatment. Other: Not fulfilling the above criteria. Number of participants in each category is reported. | Results were based on full analysis set (FAS). This outcome is applicable only for the reported arm. | Posted | Count of Participants | Participants | From start of the treatment up to 8.9 years |
|
From start of the treatment up to 8.9 years
All the presented adverse events (AEs) are treatment emergent adverse events (TEAEs). AEs occurring in a patient before being exposed to N8-GP. Safety analysis set included all patients exposed to N8-GP. Collective data for main and extension phase is reported for each group.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Pre-prophylaxis | At the beginning of the main phase of the trial, slow start prophylaxis and on-demand treatment of bleeding episodes with trial product (Turoctocog alfa pegol (N8-GP)) were allowed at the discretion of the investigator and participants parent(s)/ legally acceptable representative (LAR). The N8-GP dose for pre-prophylaxis treatment (except for bleeding episodes) was 60 International unit per kilogram (IU/kg) body weight (within the range of 50-75 IU/kg) to be administered as a single bolus dose intravenously (i.v.) with more than one week between doses (at the discretion of the investigator). Participants who developed FVIII inhibitors in the trial were shifted to ITI treatment. | 0 | 55 | 18 | 55 | 28 | 55 |
| EG001 | Prophylaxis | For prophylaxis treatment, regular N8-GP administration was initiated no later than at the participants age of 24 months, or after 20 EDs on pre-prophylaxis, whatever came first. During the main phase of the trial, participants received prophylaxis with i.v. injections of N8-GP preferably twice weekly, with doses separated by at least 3, and no more than 4, calendar days. Furthermore, it was permissible to start prophylaxis in the main phase with an every 3rd day or once-weekly dosing regimen. The N8-GP dose for prophylaxis treatment was 60 IU/kg (within the range of 50-75 IU/kg) to be administered as a single bolus dose i.v. on each administration day. Participants who developed FVIII inhibitors in the trial were shifted to ITI treatment. | 0 | 69 | 34 | 69 | 51 | 69 |
| EG002 | Immune Tolerance Induction (ITI) | Participants who developed FVIII inhibitors in the trial were offered ITI treatment with N8-GP. If a newly diagnosed inhibitor participant still responded well to treatment with N8-GP, initiation of ITI could be postponed with up to 6 months, or ITI could be cancelled if the inhibitors had resolved during the 6 months. N8-GP treatment could continue in case of low titre FVIII inhibitor (lesser than or equal (≤) 5 Bethesda Units). In case of high titre FVIII inhibitor (greater than (>) 5 Bethesda Units), the investigator had to decide how to proceed with treatment. ITI with N8-GP had to be initiated within 6 months of the confirmatory inhibitor test. The N8-GP dose for ITI treatment was according to local standard. Maximum of 75 IU/kg as single dose, maximum of 200 IU/kg over 24 hours. | 0 | 8 | 1 | 8 | 7 | 8 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA 22 | Systematic Assessment |
| |
| Angioedema | Skin and subcutaneous tissue disorders | MedDRA 22 | Systematic Assessment |
| |
| Anti factor VIII antibody positive | Investigations | MedDRA 22 | Systematic Assessment |
| |
| Arteriovenous fistula operation | Surgical and medical procedures | MedDRA 22 | Systematic Assessment |
| |
| Bronchiolitis | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Catheter site infection | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Cerebral haemorrhage | Nervous system disorders | MedDRA 22 | Systematic Assessment |
| |
| Contusion | Injury, poisoning and procedural complications | MedDRA 22 | Systematic Assessment |
| |
| Delirium | Psychiatric disorders | MedDRA 22 | Systematic Assessment |
| |
| Device issue | Product Issues | MedDRA 22 | Systematic Assessment |
| |
| Device related infection | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Enterobacter infection | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Factor VIII inhibition | Blood and lymphatic system disorders | MedDRA 22 | Systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA 22 | Systematic Assessment |
| |
| Febrile convulsion | Nervous system disorders | MedDRA 22 | Systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Haemarthrosis | Musculoskeletal and connective tissue disorders | MedDRA 22 | Systematic Assessment |
| |
| Haematoma | Vascular disorders | MedDRA 22 | Systematic Assessment |
| |
| Head injury | Injury, poisoning and procedural complications | MedDRA 22 | Systematic Assessment |
| |
| Heart rate increased | Investigations | MedDRA 22 | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Mouth haemorrhage | Gastrointestinal disorders | MedDRA 22 | Systematic Assessment |
| |
| Pharyngitis | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Pharyngotonsillitis | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Pneumonia haemophilus | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Post procedural fistula | Injury, poisoning and procedural complications | MedDRA 22 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA 22 | Systematic Assessment |
| |
| Rash erythematous | Skin and subcutaneous tissue disorders | MedDRA 22 | Systematic Assessment |
| |
| Respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA 22 | Systematic Assessment |
| |
| Respiratory syncytial virus bronchiolitis | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Respiratory syncytial virus infection | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Seizure | Nervous system disorders | MedDRA 22 | Systematic Assessment |
| |
| Sepsis | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Spinal epidural haematoma | Nervous system disorders | MedDRA 22 | Systematic Assessment |
| |
| Therapy non-responder | General disorders | MedDRA 22 | Systematic Assessment |
| |
| Tongue injury | Injury, poisoning and procedural complications | MedDRA 22 | Systematic Assessment |
| |
| Tonsillitis | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Tooth extraction | Surgical and medical procedures | MedDRA 22 | Systematic Assessment |
| |
| Tooth fracture | Injury, poisoning and procedural complications | MedDRA 22 | Systematic Assessment |
| |
| Tooth injury | Injury, poisoning and procedural complications | MedDRA 22 | Systematic Assessment |
| |
| Toxicity to various agents | Injury, poisoning and procedural complications | MedDRA 22 | Systematic Assessment |
| |
| Tracheitis | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Tracheobronchitis | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Traumatic haematoma | Injury, poisoning and procedural complications | MedDRA 22 | Systematic Assessment |
| |
| Urethral repair | Surgical and medical procedures | MedDRA 22 | Systematic Assessment |
| |
| Urogenital fistula repair | Surgical and medical procedures | MedDRA 22 | Systematic Assessment |
| |
| Vaccination site haemorrhage | General disorders | MedDRA 22 | Systematic Assessment |
| |
| Varicella zoster virus infection | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Vascular device infection | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Wound | Injury, poisoning and procedural complications | MedDRA 22 | Systematic Assessment |
| |
| Wound haemorrhage | Injury, poisoning and procedural complications | MedDRA 22 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA 22 | Systematic Assessment |
| |
| Anaesthetic complication | Injury, poisoning and procedural complications | MedDRA 22 | Systematic Assessment |
| |
| Anti factor VIII antibody positive | Investigations | MedDRA 22 | Systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Cellulitis | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Conjunctivitis | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Contusion | Injury, poisoning and procedural complications | MedDRA 22 | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 22 | Systematic Assessment |
| |
| Cyanosis | Cardiac disorders | MedDRA 22 | Systematic Assessment |
| |
| Dermatitis diaper | Skin and subcutaneous tissue disorders | MedDRA 22 | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA 22 | Systematic Assessment |
| |
| Ear infection | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Factor VIII inhibition | Blood and lymphatic system disorders | MedDRA 22 | Systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Hand-foot-and-mouth disease | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Otitis media | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Pharyngitis | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Pharyngotonsillitis | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA 22 | Systematic Assessment |
| |
| Rhinitis | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA 22 | Systematic Assessment |
| |
| Tonsillar hypertrophy | Respiratory, thoracic and mediastinal disorders | MedDRA 22 | Systematic Assessment |
| |
| Tonsillitis | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Tooth loss | Gastrointestinal disorders | MedDRA 22 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Varicella | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Viral infection | Infections and infestations | MedDRA 22 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA 22 | Systematic Assessment |
| |
| Vaccine complication | Injury, poisoning and procedural complications | MedDRA 22 | Systematic Assessment |
|
At the end of the trial, one or more scientific publications may be prepared collaboratively by the investigator(s) and Novo Nordisk. Novo Nordisk reserves the right to postpone publication and/or communication for up to 60 days to protect intellectual property.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Reporting Office (2834) | Novo Nordisk A/S | 866-867-7178 | (+1) | clinicaltrials@novonordisk.com |
| Sep 20, 2024 |
| Prot_SAP_000.pdf |
| 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 |
Not provided
Not provided
| Adverse Event |
|
| Lack of Efficacy |
|
| Other |
|
| Switched to ITI without completing main phase |
|
| Early site closure |
|
| Lost to Follow-up |
|
| Undergone minor surgery |
|
| Withdrawal by parent/guardian |
|
| Other |
|
| Early site closure |
|
| Unknown or Not Reported |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| OG001 | Prophylaxis | For prophylaxis treatment, regular N8-GP administration was initiated no later than at the participants age of 24 months, or after 20 EDs on pre-prophylaxis, whatever came first. During the main phase of the trial, participants received prophylaxis with i.v. injections of N8-GP preferably twice weekly, with doses separated by at least 3, and no more than 4, calendar days. Furthermore, it was permissible to start prophylaxis in the main phase with an every 3rd day or once-weekly dosing regimen. The N8-GP dose for prophylaxis treatment was 60 IU/kg (within the range of 50-75 IU/kg) to be administered as a single bolus dose i.v. on each administration day. Participants who developed FVIII inhibitors in the trial were shifted to ITI treatment. |
| OG002 | Immune Tolerance Induction (ITI) | Participants who developed FVIII inhibitors in the trial were offered ITI treatment with N8-GP. If a newly diagnosed inhibitor participant still responded well to treatment with N8-GP, initiation of ITI could be postponed with up to 6 months, or ITI could be cancelled if the inhibitors had resolved during the 6 months. N8-GP treatment could continue in case of low titre FVIII inhibitor (lesser than or equal (≤) 5 Bethesda Units). In case of high titre FVIII inhibitor (greater than (>) 5 Bethesda Units), the investigator had to decide how to proceed with treatment. ITI with N8-GP had to be initiated within 6 months of the confirmatory inhibitor test. The N8-GP dose for ITI treatment was according to local standard. Maximum of 75 IU/kg as single dose, maximum of 200 IU/kg over 24 hours. |
|
|
|
|
|
|
| OG001 | Prophylaxis | For prophylaxis treatment, regular N8-GP administration was initiated no later than at the participants age of 24 months, or after 20 EDs on pre-prophylaxis, whatever came first. During the main phase of the trial, participants received prophylaxis with i.v. injections of N8-GP preferably twice weekly, with doses separated by at least 3, and no more than 4, calendar days. Furthermore, it was permissible to start prophylaxis in the main phase with an every 3rd day or once-weekly dosing regimen. The N8-GP dose for prophylaxis treatment was 60 IU/kg (within the range of 50-75 IU/kg) to be administered as a single bolus dose i.v. on each administration day. Participants who developed FVIII inhibitors in the trial were shifted to ITI treatment. |
| OG002 | Immune Tolerance Induction (ITI) | Participants who developed FVIII inhibitors in the trial were offered ITI treatment with N8-GP. If a newly diagnosed inhibitor participant still responded well to treatment with N8-GP, initiation of ITI could be postponed with up to 6 months, or ITI could be cancelled if the inhibitors had resolved during the 6 months. N8-GP treatment could continue in case of low titre FVIII inhibitor (lesser than or equal (≤) 5 Bethesda Units). In case of high titre FVIII inhibitor (greater than (>) 5 Bethesda Units), the investigator had to decide how to proceed with treatment. ITI with N8-GP had to be initiated within 6 months of the confirmatory inhibitor test. The N8-GP dose for ITI treatment was according to local standard. Maximum of 75 IU/kg as single dose, maximum of 200 IU/kg over 24 hours. |
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| Participants |
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| Participants |
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For prophylaxis treatment, regular N8-GP administration was initiated no later than at the participants age of 24 months, or after 20 EDs on pre-prophylaxis, whatever came first. During the main phase of the trial, participants received prophylaxis with i.v. injections of N8-GP preferably twice weekly, with doses separated by at least 3, and no more than 4, calendar days. Furthermore, it was permissible to start prophylaxis in the main phase with an every 3rd day or once-weekly dosing regimen. The N8-GP dose for prophylaxis treatment was 60 IU/kg (within the range of 50-75 IU/kg) to be administered as a single bolus dose i.v. on each administration day. Participants who developed FVIII inhibitors in the trial were shifted to ITI treatment. |
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