Safety and Efficacy of Turoctocog Alfa in Haemophilia A Subjects
guardian™1
A Multi-centre, Open-label, Non-controlled Trial on Safety and Efficacy of N8 in Prevention and Treatment of Bleeds in Previously Treated Subjects With Haemophilia A. Sub-trial: Safety and Efficacy of N8 in Prevention and Treatment of Bleeding During Surgical Procedures in Subjects With Haemophilia A
3 other identifiers
interventional
150
17 countries
59
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Apr 2009
59 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 6, 2009
CompletedFirst Posted
Study publicly available on registry
February 10, 2009
CompletedStudy Start
First participant enrolled
April 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2011
CompletedResults Posted
Study results publicly available
September 4, 2014
CompletedMarch 17, 2017
February 1, 2017
2.4 years
February 6, 2009
November 14, 2013
February 9, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
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.
Secondary Outcomes (1)
Frequency of Adverse Events (AEs)
The adverse events were collected throughout the trial, corresponding to an average of 188 days per subject
Study Arms (1)
rFVIII
EXPERIMENTALInterventions
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.
Eligibility Criteria
You may qualify if:
- Male subjects with the diagnosis of severe (FVIII less than or equal to 1%) haemophilia A from age 12 (except for Israel where the age limit will be 18 for the first 10 subjects recruited in the trial) to 56 years having a weight of 10 to 120 kg
- Documented history of at least 150 exposure days to any other FVIII products (prevention or treatment of bleeds)
- No history of FVIII inhibitors greater than or equal to 0.6 BU/mL. The inhibitor should be measured regularly for at least the last 8 years or since the first treatment of haemophilia A
- No detectable inhibitors to FVIII (greater than or equal to 0.6 BU/mL) (as assessed by a Central Laboratory at the time of screening)
You may not qualify if:
- Congenital or acquired coagulation disorders other than haemophilia A
- Creatinine levels 50% above normal level (as defined by central laboratory range)
- Known or suspected allergy to trial product (N8) or related products
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (63)
Novo Nordisk Investigational Site
Little Rock, Arkansas, 72202, United States
Novo Nordisk Investigational Site
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
Related Publications (4)
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.
PMID: 23647704RESULTSantagostino 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.
PMID: 25273984RESULTOzelo 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.
PMID: 25677761RESULTOzelo MC. Updates from guardian: a comprehensive registration programme. Eur J Haematol. 2015 Dec;95 Suppl 81:22-9. doi: 10.1111/ejh.12648.
PMID: 26679394RESULT
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Public Access to Clinical Trials
- Organization
- Novo Nordisk A/S
Study Officials
- STUDY DIRECTOR
Global Clinical Registry (GCR, 1452)
Novo Nordisk A/S
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 6, 2009
First Posted
February 10, 2009
Study Start
April 1, 2009
Primary Completion
September 1, 2011
Study Completion
September 1, 2011
Last Updated
March 17, 2017
Results First Posted
September 4, 2014
Record last verified: 2017-02