Safety and Efficacy of NNC-0156-0000-0009 in Haemophilia B Patients
paradigm™ 2
A Multi-centre, Single-blind Trial Evaluating Safety and Efficacy, Including Pharmacokinetics, of NNC-0156-0000-0009 When Used for Treatment and Prophylaxis of Bleeding Episodes in Patients With Haemophilia B
4 other identifiers
interventional
74
15 countries
43
Brief Summary
This trial is conducted in Africa, Asia, Europe, Japan and North America. The aim of this trial is to evaluate the safety and efficacy, including pharmacokinetics (the rate at which the body eliminates the trial drug), of NNC-0156-0000-0009 (nonacog beta pegol) when used for treatment and prophylaxis of bleeding episodes in patients with haemophilia B.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Apr 2011
43 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
April 8, 2011
CompletedFirst Posted
Study publicly available on registry
April 11, 2011
CompletedStudy Start
First participant enrolled
April 27, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 31, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
March 31, 2013
CompletedResults Posted
Study results publicly available
July 28, 2017
CompletedJuly 28, 2017
June 1, 2017
1.9 years
April 8, 2011
June 27, 2017
June 27, 2017
Conditions
Outcome Measures
Primary Outcomes (2)
Incidence of Inhibitory Antibodies Against Factor IX Defined as Titre Equal to or Above 0.6 BU (Bethesda Units)
Inhibitors were analysed with either the Nijmegen modified factor IX Bethesda assay or a heat/cold Nijmegen modified factor IX Bethesda assay. Number of subjects who developed inhibitory antibodies against factor IX are reported.
52 weeks after treatment start for patients on prophylaxis
Incidence of Inhibitory Antibodies Against Factor IX Defined as Titre Equal to or Above 0.6 BU (Bethesda Units)
Inhibitors were analysed with either the Nijmegen modified factor IX Bethesda assay or a heat/cold Nijmegen modified factor IX Bethesda assay. Number of subjects who developed inhibitory antibodies against factor IX are reported.
28 weeks after treatment start on on-demand treatment
Secondary Outcomes (10)
Haemostatic Effect of NNC-0156-0000-0009 When Used for Prophylaxis of Bleeding Episodes, Assessed as Success/Failure Based on a Four-point Scale for Haemostatic Response
52 weeks after treatment start for patients on prophylaxis
Haemostatic Effect of NNC-0156-0000-0009 When Used for Treatment of Bleeding Episodes, Assessed as Success/Failure Based on a Four-point Scale for Haemostatic Response
28 weeks after treatment start on on-demand treatment
Number of Bleeding Episodes Per Patient During Routine Prophylaxis
52 weeks after treatment start for patients on prophylaxis
Factor IX Trough Levels
52 weeks after treatment start for patients on prophylaxis
Incidence of Adverse Events (AEs)
at 56 weeks ±2 weeks for patients on prophylaxis
- +5 more secondary outcomes
Study Arms (3)
Prophylaxis, high dose (trial duration 52 weeks)
EXPERIMENTALProphylaxis, low dose (trial duration 52 weeks)
EXPERIMENTALOn-demand (trial duration 28 weeks)
EXPERIMENTALInterventions
One single dose administered intravenously (into the vein) once weekly. Patients will receive instruction on how to treat any bleeding episode they may experience
Eligibility Criteria
You may qualify if:
- Male patients with moderately severe or severe congenital haemophilia B with a factor IX activity of 2% or below according to medical records
- History of at least 150 exposure days to other factor IX products
- Patients currently treated on-demand with at least 6 bleeding episodes during the last 12 months or at least 3 bleeding episodes during the last 6 months, or patients currently on prophylaxis
You may not qualify if:
- Known history of factor IX inhibitors based on existing medical records, laboratory report reviews and patient and legally acceptable representative (LAR) interviews
- HIV (Human immunodeficiency virus) positive, with a viral load equal to or above 400,000 copies/mL and/or CD4+ lymphocyte count equal to or below 200/microL
- Congenital or acquired coagulation disorders other than haemophilia B
- Previous arterial thrombotic events (e.g. myocardial infarction and intracranial thrombosis) or previous deep venous thrombosis or pulmonary embolism (as defined by available medical records)
- Immune modulating or chemotherapeutic medication
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (43)
Novo Nordisk Investigational Site
Los Angeles, California, 90027-6016, United States
Novo Nordisk Investigational Site
Jacksonville, Florida, 32207, United States
Novo Nordisk Investigational Site
Augusta, Georgia, 30912, United States
Novo Nordisk Investigational Site
Iowa City, Iowa, 52242, United States
Novo Nordisk Investigational Site
Baltimore, Maryland, 21287, United States
Novo Nordisk Investigational Site
Minneapolis, Minnesota, 55404, United States
Novo Nordisk Investigational Site
Omaha, Nebraska, 68198-5456, United States
Novo Nordisk Investigational Site
Newark, New Jersey, 07102, United States
Novo Nordisk Investigational Site
New York, New York, 10029, United States
Novo Nordisk Investigational Site
Syracuse, New York, 13210, United States
Novo Nordisk Investigational Site
Hershey, Pennsylvania, 17033, United States
Novo Nordisk Investigational Site
Houston, Texas, 77030, United States
Novo Nordisk Investigational Site
Edmonton, Alberta, T6G 2B7, Canada
Novo Nordisk Investigational Site
Le Kremlin-Bicêtre, 94270, France
Novo Nordisk Investigational Site
Lyon, 69003, France
Novo Nordisk Investigational Site
Bonn, 53127, Germany
Novo Nordisk Investigational Site
Duisburg, 47051, 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
Florence, 50134, Italy
Novo Nordisk Investigational Site
Milan, 20124, Italy
Novo Nordisk Investigational Site
Kawasaki-shi, Kanagawa, 216-8511, Japan
Novo Nordisk Investigational Site
Nagoya-shi, Aichi, 466 8560, Japan
Novo Nordisk Investigational Site
Nishinomiya-shi, 663 8051, Japan
Novo Nordisk Investigational Site
Shinjuku-ku, Tokyo, 160 0023, Japan
Novo Nordisk Investigational Site
Suginami-ku, Tokyo, 167 0035, Japan
Novo Nordisk Investigational Site
Kuala Lumpur, 50400, Malaysia
Novo Nordisk Investigational Site
Utrecht, 3584 CX, Netherlands
Novo Nordisk Investigational Site
Skopje, 1000, North Macedonia
Novo Nordisk Investigational Site
Moscow, 105077, Russia
Novo Nordisk Investigational Site
Saint Petersburg, 191119, Russia
Novo Nordisk Investigational Site
Parktown Johannesburg, Gauteng, 2193, South Africa
Novo Nordisk Investigational Site
Bangkok, 10400, Thailand
Novo Nordisk Investigational Site
Ankara, 06500, Turkey (Türkiye)
Novo Nordisk Investigational Site
Kayseri, 38010, Turkey (Türkiye)
Novo Nordisk Investigational Site
Konya, 42090, Turkey (Türkiye)
Novo Nordisk Investigational Site
Basingstoke, RG24 9NA, United Kingdom
Novo Nordisk Investigational Site
Cardiff, CF14 4XW, United Kingdom
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
Novo Nordisk Investigational Site
Oxford, OX3 7LJ, United Kingdom
Related Publications (1)
Collins PW, Young G, Knobe K, Karim FA, Angchaisuksiri P, Banner C, Gursel T, Mahlangu J, Matsushita T, Mauser-Bunschoten EP, Oldenburg J, Walsh CE, Negrier C; paradigm 2 Investigators. Recombinant long-acting glycoPEGylated factor IX in hemophilia B: a multinational randomized phase 3 trial. Blood. 2014 Dec 18;124(26):3880-6. doi: 10.1182/blood-2014-05-573055. Epub 2014 Sep 26.
PMID: 25261199BACKGROUND
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Global Clinical Regstry (GCR, 1452)
- 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
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 8, 2011
First Posted
April 11, 2011
Study Start
April 27, 2011
Primary Completion
March 31, 2013
Study Completion
March 31, 2013
Last Updated
July 28, 2017
Results First Posted
July 28, 2017
Record last verified: 2017-06