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Congenital Bleeding DisorderPhase 3pathfinder™5NCT01731600

A Multinational, Open-Label, Non-Controlled Trial on Safety, Efficacy and Pharmacokinetics of NNC 0129-0000-1003 in Previously Treated Paediatric Patients With Severe Haemophilia A

A Phase 3 study testing turoctocog alfa pegol in people with Congenital Bleeding Disorder and Haemophilia A, run by Novo Nordisk A/S at 51 sites in 16 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This trial is conducted globally. The aim of the trial is to investigate safety, efficacy and pharmacokinetics (the exposure of the trial drug in the body) of NNC 0129-0000-1003 (N8-GP) in children with severe haemophilia A who have undergone treatment with previous factor VIII (FVIII) products. Read more about this study

Who is it for?
Ages 0 to 11 years, men only
Conditions the study is for
Congenital Bleeding Disorder, Haemophilia A
What is being tested?
turoctocog alfa pegol
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
68 participants
Where
51 sitesin 16 countries
Study dates
20 Feb 2013to 28 Sep 2018
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 0 to 11 years
  • Men only
  • No healthy volunteers
  • Child

Who may be able to join

  • Male patients with severe congenital haemophilia A (FVIII activity level below 1%)
  • Weight above or equal to 10 kg - Documented history of 150 exposure days (ED) to FVIII products for patients aged 6-11 years and above 50 ED to FVIII products for patients aged 0-5 years

Who cannot join

  • Any history of FVIII inhibitors

Trial locations and contacts

51 sites in 16 countries.

51 sites in 16 countries

United States24 sites
  • Novo Nordisk Investigational Site

    Boise, Idaho, 83712

  • Novo Nordisk Investigational Site

    Boston, Massachusetts, 02115

  • Novo Nordisk Investigational Site

    Charleston, South Carolina, 29425

  • Novo Nordisk Investigational Site

    Charlotte, North Carolina, 28204

  • Novo Nordisk Investigational Site

    Charlottesville, Virginia, 22903

  • Novo Nordisk Investigational Site

    Cincinnati, Ohio, 45229

  • Novo Nordisk Investigational Site

    Dallas, Texas, 75235

  • Novo Nordisk Investigational Site

    Dayton, Ohio, 45404

  • Novo Nordisk Investigational Site

    Houston, Texas, 77030

  • Novo Nordisk Investigational Site

    Iowa City, Iowa, 52242

  • Novo Nordisk Investigational Site

    Long Beach, California, 90806

  • Novo Nordisk Investigational Site

    Minneapolis, Minnesota, 55404

  • Novo Nordisk Investigational Site

    Nashville, Tennessee, 37232-9830

  • Novo Nordisk Investigational Site

    New Hyde Park, New York, 11040

  • Novo Nordisk Investigational Site

    New Orleans, Louisiana, 70118-5720

  • Novo Nordisk Investigational Site

    Omaha, Nebraska, 68198-6828

  • Novo Nordisk Investigational Site

    Orange, California, 92868

  • Novo Nordisk Investigational Site

    Orlando, Florida, 32827

  • Novo Nordisk Investigational Site

    Philadelphia, Pennsylvania, 19104

  • Novo Nordisk Investigational Site

    Philadelphia, Pennsylvania, 19134

  • Novo Nordisk Investigational Site

    Phoenix, Arizona, 85016-7710

  • Novo Nordisk Investigational Site

    Spokane, Washington, 99204

  • Novo Nordisk Investigational Site

    Tampa, Florida, 33607

  • Novo Nordisk Investigational Site

    Washington D.C., District of Columbia, 20010-2978

Other trials in United States

Turkey (Türkiye)4 sites
  • Novo Nordisk Investigational Site

    Antalya, 01010

  • Novo Nordisk Investigational Site

    Bornova-IZMIR, 35100

  • Novo Nordisk Investigational Site

    İzmit, 41380

  • Novo Nordisk Investigational Site

    Samsun

Other trials in Turkey (Türkiye)

France3 sites
  • Novo Nordisk Investigational Site

    Bron, 69677

  • Novo Nordisk Investigational Site

    Lille, 59097

  • Novo Nordisk Investigational Site

    Paris, 75015

Other trials in France

Switzerland3 sites
  • Novo Nordisk Investigational Site

    Bellinzona, 6500

  • Novo Nordisk Investigational Site

    Lucerne, 6000

  • Novo Nordisk Investigational Site

    Zurich, 8032

Other trials in Switzerland

United Kingdom3 sites
  • Novo Nordisk Investigational Site

    Leicester, LE1 5WW

  • Novo Nordisk Investigational Site

    London, SE1 7EH

  • Novo Nordisk Investigational Site

    Oxford, OX3 9DU

Other trials in United Kingdom

Greece2 sites
  • Novo Nordisk Investigational Site

    Athens, GR-11527

  • Novo Nordisk Investigational Site

    Thessaloniki, GR 54642

Other trials in Greece

Japan2 sites
  • Novo Nordisk Investigational Site

    Kitakyusyu, Fukuoka, 807 8555

  • Novo Nordisk Investigational Site

    Tokyo, 167-0035

Other trials in Japan

Ukraine2 sites
  • Novo Nordisk Investigational Site

    Donetsk, 83045

  • Novo Nordisk Investigational Site

    Lviv, 79044

Other trials in Ukraine

Brazil1 site
  • Novo Nordisk Investigational Site

    Rio de Janeiro, 20211-030

Other trials in Brazil

Canada1 site
  • Novo Nordisk Investigational Site

    Toronto, Ontario, M5G 1X8

Other trials in Canada

Israel1 site
  • Novo Nordisk Investigational Site

    Tel HaShomer, 52621

Other trials in Israel

Italy1 site
  • Novo Nordisk Investigational Site

    Vicenza, 36100

Other trials in Italy

Lithuania1 site
  • Novo Nordisk Investigational Site

    Vilnius, LT-08406

Other trials in Lithuania

Malaysia1 site
  • Novo Nordisk Investigational Site

    Kuala Lumpur, 50400

Other trials in Malaysia

Portugal1 site
  • Novo Nordisk Investigational Site

    Porto, 4200-319

Other trials in Portugal

Puerto Rico1 site
  • Novo Nordisk Investigational Site

    San Juan, 00935

Other trials in Puerto Rico

About this study

This trial is conducted globally. The aim of the trial is to investigate safety, efficacy and pharmacokinetics (the exposure of the trial drug in the body) of NNC 0129-0000-1003 (N8-GP) in children with severe haemophilia A who have undergone treatment with previous factor VIII (FVIII) products.

Being tested
turoctocog alfa pegol
Medical subject headings
Hemophilia A

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • turoctocog alfa pegolDrug

    Also called NNC 0129-0000-1003, N8-GP

    Fixed dose of turoctocog alfa pegol for intravenous injections (i.v.) twice weekly for prophylaxis. In addition, turoctocog alfa pegol will be administered to treat bleeding episodes during the trial period. Bleeding episodes will be treated with doses of 20-75 U/kg body weight.

Study groups in NCT01731600
Study groupRoleWhat they receive
N8-GPExperimentalNot described
Receives: Drug: turoctocog alfa pegol

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Inhibitory Antibodies Against Coagulation Factor VIII (FVIII) ≥0.6 Bethesda Units

    The number of participants with inhibitory antibodies against coagulation factor VIII (FVIII) ≥0.6 Bethesda units was presented.

    Measured: During the main phase of the trial (from 0-26 weeks of treatment)

Secondary outcomes (16)
  1. Frequency of Adverse Events Including Serious Adverse Events Reported During the Trial Period

    The frequency of adverse events including serious adverse events reported during the main and extension phase of the trial. The data presented is the rate of AE i.e. number of AEs per patient years of exposue.

    Measured: Main phase: (from 0-26 weeks of treatment) and full trial: (0 weeks to last patient's completion of the trial, an average of 4.5 years)

  2. Haemostatic Effect of N8-GP When Used for Treatment of Bleeding Episodes and Assessed as: Excellent, Good, Moderate, or None

    Haemostatic effect of N8-GP for treatment of bleeding episodes was assessed by 4-point response scale: none, moderate, good or excellent. Evaluation during trial was done by patient and/or parent(s)/caregiver 8 hours after first injection as follows: 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.

    Measured: Main phase: (from 0-26 weeks of treatment) and full trial: (0 weeks to last patient's completion of the trial, an average of 4.5 years)

  3. Number of Bleeding Episodes During Prophylactic Treatment With N8-GP (Annualised Bleeding Rate)

    The number of bleeding episodes per year reported during the prophylactic treatment with N8-GP.

    Measured: Main phase: (from 0-26 weeks of treatment) and full trial: (0 weeks to last patient's completion of the trial, an average of 4.5 years)

  4. Consumption of N8-GP Per Bleeding Episode (Number of Injections)

    The mean number of injections of N8-GP used for treatment of a bleed from start to stop of a bleed.

    Measured: Main phase: (from 0-26 weeks of treatment) and full trial: (0 weeks to last patient's completion of the trial, an average of 4.5 years)

  5. Consumption of N8-GP Per Bleeding Episode (U/kg)

    The mean consumption of N8-GP used for treatment of a bleed from start to stop of a bleed.

    Measured: Main phase: (from 0-26 weeks of treatment) and full trial: (0 weeks to last patient's completion of the trial, an average of 4.5 years)

  6. Consumption of N8-GP During Prophylaxis (Number of Injections)

    The mean number of injections of N8-GP used for treatment of a bleed from start to stop of a bleed during prophylaxis.

    Measured: Main phase: (from 0-26 weeks of treatment) and full trial: (0 weeks to last patient's completion of the trial, an average of 4.5 years)

  7. Consumption of N8-GP During Prophylaxis (U/kg Per Month)

    The mean consumption of N8-GP used for treatment of a bleed from start to stop of a bleed during prophylaxis (per month per subject). Consumption used for treatment includes all doses given (prophylaxis, treatment of bleed, minor surgery and pharmacokinetics [PK])

    Measured: Main phase: (from 0-26 weeks of treatment) and full trial: (0 weeks to last patient's completion of the trial, an average of 4.5 years)

  8. Consumption of N8-GP During Prophylaxis (U/kg Per Year)

    The mean consumption of N8-GP used for treatment of a bleed from start to stop of a bleed during prophylaxis (per year per subject). Consumption used for treatment includes all doses given (prophylaxis, treatment of bleed, minor surgery and pharmacokinetics)

    Measured: Main phase: (from 0-26 weeks of treatment) and full trial: (0 weeks to last patient's completion of the trial, an average of 4.5 years)

  9. Incremental Recovery (Defined as the Peak Level Recorded 60 Min After End of Injection) Evaluated for Previous FVIII Product

    The incremental recovery was defined as the increase in plasma FVIII activity per IU/kg of factor administered recorded 60 minutes after end of injection. It was calculated as (Factor VIII procoagulant [FVIII:C] activity measured in plasma 60 min after dosing - FVIII:C activity measured in plasma immediately before dosing) / (dose injected at time 0 min), where the dose was expressed as U FVIII product per kg body weight. A chromogenic assay with normal human plasma (NHP) as calibrator was used.

    Measured: 2-6 weeks prior to initial dosing with N8-GP and up to 30 hours after administration of previous FVIII product

  10. Incremental Recovery (Defined as the Peak Level Recorded 60 Min After End of Injection) Evaluated for N8-GP

    The incremental recovery was defined as the peak level recorded 60 min after end of injection and dose-normalised. It was calculated as (FVIII:C activity measured in plasma 60 min after dosing - FVIII:C activity measured in plasma immediately before dosing) / (dose injected at time 0 min), where the dose was expressed as U FVIII product per kg body weight. A chromogenic assay with product specific calibrator (PSS) as calibrator was used.

    Measured: From 1 hour prior to and up to 96 hours after initial administration of N8-GP

  11. Area Under the Curve Evaluated for Previous FVIII Product

    Area under the curve (AUC) versus time from zero to infinity. This is calculated as AUC = AUClast + (C(t) / λz), where C(t) is the last measurable concentration. A chromogenic assay with NHP as calibrator was used.

    Measured: 2-6 weeks prior to initial dosing with N8-GP and up to 30 hours after administration of previous FVIII product

  12. Area Under the Curve Evaluated for N8-GP

    Area under the curve versus time from zero to infinity. This is calculated as AUC = AUClast + (C(t) / λz), where C(t) is the last measurable concentration. A chromogenic assay with product specific standard (PSS) as calibrator was used.

    Measured: From 1 hour prior to and up to 96 hours after initial administration of N8-GP

  13. Terminal Half-life Evaluated for Previous FVIII Product

    t½ = ln(2) / λz, where t½ is terminal half-life and λz is the terminal elimination rate. The terminal elimination rate was planned estimated using linear regression on the terminal part of the time versus log(concentration) curve. A population-based method simultaneously estimating individual t½ values for all patients was applied, including patients with few values above the lower limit of quantification (LLOQ). This was estimated using time points from 1h to 30h. A chromogenic assay with PSS as calibrator was used.

    Measured: 2-6 weeks prior to initial dosing with N8-GP and up to 30 hours after administration of previous FVIII product

  14. Terminal Half-life Evaluated for N8-GP

    t½ = ln(2) / λz, where λz is the terminal elimination rate. The terminal elimination rate was planned estimated using linear regression on the terminal part of the time versus log(concentration) curve. A population-based method simultaneously estimating individual t½ values for all patients was applied, including patients with few values above the LLOQ. This was estimated using time points from 6h to 96h. A chromogenic assay with PSS as calibrator was used.

    Measured: From 1 hour prior to and up to 96 hours after initial administration of N8-GP

  15. Clearance Evaluated for Previous FVIII Product

    Total plasma clearance of drug after intravenous administration measured as actual dose/AUC. A chromogenic assay with NHP as calibrator was used.

    Measured: 2-6 weeks prior to initial dosing with N8-GP and up to 30 hours after administration of previous FVIII product

  16. Clearance Evaluated for N8-GP

    Total plasma clearance of drug after intravenous administration measured as actual dose/AUC. A chromogenic assay with PSS as calibrator was used.

    Measured: From 1 hour prior to and up to 96 hours after initial administration of N8-GP.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Nov 2012 (estimated)
  2. Study start20 Feb 2013
  3. Primary completion15 Sep 2014
  4. Study completion28 Sep 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
68 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01731600
Sponsor's protocol ID
NN7088-3885
Other IDs
U1111-1129-6009, 2012-001711-23, JapicCTI-132214
Acronym
pathfinder™5
Status last verified
Nov 2020
First submitted
9 Nov 2012
Last updated
23 Nov 2020
Data monitoring committee
No

Publications

  • Tosetto A, Neff A, Lentz SR, Santagostino E, Nemes L, Sathar J, Meijer K, Chowdary P, Shen C, Landorph A, Hampton K. Turoctocog alfa pegol provides effective management for major and minor surgical procedures in patients across all age groups with severe haemophilia A: Full data set from the pathfinder 3 and 5 phase III trials. Haemophilia. 2020 May;26(3):450-458. doi: 10.1111/hae.13980. Epub 2020 Apr 15.

    PubMed 32293786
  • Saulyte Trakymiene S, Economou M, Kenet G, Landorph A, Shen C, Kearney S. Long-term safety and efficacy of N8-GP in previously treated pediatric patients with hemophilia A: Final results from pathfinder5. J Thromb Haemost. 2020 Sep;18 Suppl 1(Suppl 1):15-25. doi: 10.1111/jth.15036.

    PubMed 32940955

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing turoctocog alfa pegol in people with Congenital Bleeding Disorder and Haemophilia A, run by Novo Nordisk A/S at 51 sites in 16 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 23 Nov 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 51 sites in United States, Turkey (Türkiye), France, Switzerland, United Kingdom and 11 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 30 Oct 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Inhibitory Antibodies Against Coagulation Factor VIII (FVIII) ≥0.6 Bethesda Units (time frame: During the main phase of the trial (from 0-26 weeks of treatment)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01731600, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Nov 2020.

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