Safety and Efficacy of 3 Different Doses of Long Acting Factor VII in Haemophilia A or B Patients With Inhibitors
An Exploratory Multi-Centre, Multi-National, Randomised, Double Blinded, Parallel Arm Trial Evaluating Safety, Pharmacokinetics and Dose-finding of Prophylactic Administration of Long Acting rFVIIa (LA-rFVIIa) in Haemophilia A or B Patients With Inhibitors
4 other identifiers
interventional
23
9 countries
23
Brief Summary
This trial is conducted in Asia, Europe, Japan and North America. The aim of this clinical trial is to investigate the safety and the efficacy of a prophylactic treatment option with long acting coagulation factor VII (LA-rFVIIa) for haemophilia patients with inhibitors.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Sep 2009
23 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
August 3, 2009
CompletedFirst Posted
Study publicly available on registry
August 4, 2009
CompletedStudy Start
First participant enrolled
September 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 29, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
March 29, 2011
CompletedSeptember 5, 2018
September 1, 2018
1.6 years
August 3, 2009
September 3, 2018
Conditions
Outcome Measures
Primary Outcomes (2)
Thrombogenecity
at all scheduled visits (1 - 9)
Immunogenecity: Neutralising Antibody Development
at all scheduled visits (1 - 9)
Secondary Outcomes (2)
AUC(0-48h) and AUC: Area under the FVIIa activity-time profile in the given time period, which is a measure of total blood exposure
at visit 2 and visit 7 until 48 hours after trial product administration
Annualized bleeding rates
During observation period; from visit 1 until visit 2 and treatment period; from visit 2 until visit 7. In total a period of 6 to 8 months
Study Arms (3)
A
EXPERIMENTALB
EXPERIMENTALC
EXPERIMENTALInterventions
After an observation period of 3 months, every 2nd day intravenous (i.v.) injection with 25 microgrammes/kg activated recombinant human factor VII, long acting, for 3 months
Eligibility Criteria
You may qualify if:
- Male haemophilia A or B patients with inhibitors
- Willing to undergo a bleeding preventive regimen of 3 months' duration and a total trial length of approximately 8 months
- Historical or ongoing high titre inhibitor (more than or equal to 5 BU) based on either medical records, laboratory report reviews, patient and/or care provider interviews
- At least 2 bleeding episodes requiring bypassing haemostatic-drug-based treatment within the last month or 12 bleeding episodes within the last 6 months prior to observation period
- Body weight between 30 and 100 kg (both inclusive)
You may not qualify if:
- Body Mass Index (BMI) above 30 kg/m2
- Immune tolerance induction therapy within the last month prior to entering observation phase period
- Known active pseudo tumours
- Platelet count less than 50,000 platelets/microL (based on local laboratory value at screening visit)
- Congenital or acquired coagulation disorders other than haemophilia A or B
- Surgery within one month prior to the observation period. Catheter, stents and dental extractions do not count as surgeries, i.e. they will not exclude the patient. Port insertion is classified as surgery
- Scheduled major and/or orthopaedic surgery, during the trial period until Follow up visit. Catheter, stents and dental extractions do not count as surgeries and will not exclude the patient. Port insertion is classified as surgery
- Advanced atherosclerotic disease (i.e. known history of ischemic heart disease, or ischemic stroke)
- Any clinical signs or known history of thromboembolic events incl. known deep vein thrombosis (DVT)
- Known or clinically suspected allergy to activated recombinant human factor VII (NovoSeven®/NovoSeven RT®/Niastase®)
- Prothrombin Time (PT) prolongation (30% above normal limits, or more than 5 seconds compared to control or International Normalised Range (INR) more than 1.7 as defined by local laboratory ranges at screening visit
- Severe liver disease (ALAT more than 4 times of the upper limit of normal reference range) (as defined by local laboratory ranges) within a year of enrolment or at the screening
- Clinical signs of renal dysfunction (dialysis) and/or creatinine levels more than or equal to 20% above upper normal limit (according to local laboratory range at the screening visit)
- Dosing of any investigational drug within the last 30 days prior to the present trial
- Any disease or condition which, according to the investigator's judgement, could imply a potential hazard to the subject, interfere with the trial participation or trial outcome
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (25)
Novo Nordisk Investigational Site
Little Rock, Arkansas, 72202, United States
Novo Nordisk Investigational Site
Los Angeles, California, 90027, United States
Novo Nordisk Investigational Site
Orange, California, 92868, United States
Novo Nordisk Investigational Site
Tampa, Florida, 33607, United States
Novo Nordisk Investigational Site
Boston, Massachusetts, 02115, United States
Novo Nordisk Investigational Site
Portland, Oregon, 97239, United States
Novo Nordisk Investigational Site
Hershey, Pennsylvania, 17033, United States
Novo Nordisk Investigational Site
Rio de Janeiro, 20211-030, Brazil
Novo Nordisk Investigational Site
Le Kremlin-Bicêtre, 94270, France
Novo Nordisk Investigational Site
Paris, 75015, France
Novo Nordisk Investigational Site
Kashihara-shi, Nara, 634 8522, Japan
Novo Nordisk Investigational Site
Kitakyusyu, Fukuoka, 807 8555, Japan
Novo Nordisk Investigational Site
Nishinomiya-shi, 663 8051, Japan
Novo Nordisk Investigational Site
Shinjuku-ku, Tokyo, 160 0023, Japan
Novo Nordisk Investigational Site
Kuala Lumpur, 50400, Malaysia
Novo Nordisk Investigational Site
Belgrade, 11000, Serbia and Montenegro
Novo Nordisk Investigational Site
Belgrade, 11000, Serbia
Novo Nordisk Investigational Site
Parktown Johannesburg, Gauteng, 2193, South Africa
Novo Nordisk Investigational Site
Durban, KwaZulu-Natal, 4013, South Africa
Novo Nordisk Investigational Site
Malmo, 205 02, Sweden
Novo Nordisk Investigational Site
Ankara, 06500, Turkey (Türkiye)
Novo Nordisk Investigational Site
Istanbul, 34098, Turkey (Türkiye)
Novo Nordisk Investigational Site
London, NW3 2QG, United Kingdom
Novo Nordisk Investigational Site
London, SE1 7EH, United Kingdom
Novo Nordisk Investigational Site
Oxford, OX3 7LJ, United Kingdom
Related Publications (1)
Ljung R, Karim FA, Saxena K, Suzuki T, Arkhammar P, Rosholm A, Giangrande P; Pioneer1 Investigators. 40K glycoPEGylated, recombinant FVIIa: 3-month, double-blind, randomized trial of safety, pharmacokinetics and preliminary efficacy in hemophilia patients with inhibitors. J Thromb Haemost. 2013 Jul;11(7):1260-8. doi: 10.1111/jth.12237.
PMID: 23578227DERIVED
Related Links
Study Officials
- STUDY DIRECTOR
Global Clinical Registry (GCR, 1452)
Novo Nordisk A/S
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 3, 2009
First Posted
August 4, 2009
Study Start
September 1, 2009
Primary Completion
March 29, 2011
Study Completion
March 29, 2011
Last Updated
September 5, 2018
Record last verified: 2018-09