Efficacy and Safety of NNC-0156-0000-0009 During Surgical Procedures in Subjects With Haemophilia B
paradigm™ 3
An Open-label, Multi-centre, Un-controlled Trial to Assess Efficacy and Safety of NNC-0156-0000-0009 During Surgical Procedures in Patients With Haemophilia B
3 other identifiers
interventional
13
17 countries
41
Brief Summary
This trial is conducted in Africa, Asia, Europe and the United States of America (USA). The aim of the trial is to evaluate the safety and efficacy of NNC-0156-0000-0009 (nonacog beta pegol) during surgical procedures 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 Jun 2012
41 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
June 30, 2011
CompletedFirst Posted
Study publicly available on registry
July 1, 2011
CompletedStudy Start
First participant enrolled
June 7, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2013
CompletedResults Posted
Study results publicly available
July 24, 2017
CompletedAugust 23, 2017
July 1, 2017
1.5 years
June 30, 2011
June 21, 2017
July 24, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Haemostatic Effect During Surgery Evaluated by the Four-point Response Scale (Excellent, Good, Moderate, Poor)
Haemostatic effect during surgery was evaluated immediately after surgery (last stitch) using a fourpoint response scale: \- Four-point response scale: Excellent, good, moderate, poor. The evaluation was done by the surgeon, anaesthesiologist and/or investigator based on experience as follows: 1. Excellent: Better than expected/predicted in this type of procedure. 2. Good: As expected in this type of procedure. 3. Moderate: Less than optimal for the type of procedure but haemostatic response maintained without change of treatment regimen. 4. Poor: Bleeding due to inadequate therapeutic response with adequate dosing, change of regimen required.
At the day of surgery
Secondary Outcomes (6)
Consumption of NNC-0156-0000-0009 (U/kg Body Weight)
During surgery (the time from knife to skin until last stitch) and post-operative period (day 1 to day 13)
Transfusion Requirements (Fulfilling Transfusion Criteria)
during surgery (the time from knife to skin until last stitch) and post-operative period (day 1 to day 13)
Haemoglobin Pre- and Post-surgery Start
0, 1 hour, 24 hours.
Incidence of Adverse Events (AEs)
during the trial period (2-8 weeks prior to day of surgery (transferred subjects) or 2-4 weeks prior to day of surgery (new subjects) until 4 weeks after post-operative period (day 1 to day 13)
Incidence of Serious Adverse Events (SAE)
During the trial period (2-8 weeks prior to day of surgery (transferred subjects) or 2-4 weeks prior to day of surgery (new subjects) until 4 weeks after post-operative period (day 1 to day 13)
- +1 more secondary outcomes
Study Arms (1)
Patients enrolled in trial
EXPERIMENTALNew patients will be included as well as transferred patients from Paradigm™ 2 or Paradigm™ 4 trial
Interventions
The patients will receive nonacog beta pegol at screening just prior to and during surgical intervention, administered intravenously (into the vein).
Eligibility Criteria
You may qualify if:
- Patients with haemophilia B with a FIX activity below or equal to 2%
- Male patients with moderately severe or severe congenital haemophilia B with a FIX activity below or equal to 2% according to medical records
- History of at least 150 exposure days to other FIX products
- Scheduled major surgery
You may not qualify if:
- Known history of FIX (coagulation factor nine) inhibitors based on existing medical records, laboratory report reviews and patient and LAR (legal acceptable representative) interviews
- Current FIX (coagulation factor nine) inhibitors above or equal to 0.6 Bethesda Units (central laboratory)
- 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)
- ALT (alanine aminotransferase) 3 times the upper limit of normal reference ranges at screening (central laboratory)
- Immune modulating or chemotherapeutic medication
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (41)
Novo Nordisk Investigational Site
Los Angeles, California, 90027, United States
Novo Nordisk Investigational Site
San Francisco, California, 94143, United States
Novo Nordisk Investigational Site
Washington D.C., District of Columbia, 20007, 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
Syracuse, New York, 13210, United States
Novo Nordisk Investigational Site
Houston, Texas, 77030, United States
Novo Nordisk Investigational Site
Vienna, 1090, Austria
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
Athens, GR-11527, Greece
Novo Nordisk Investigational Site
Florence, 50134, Italy
Novo Nordisk Investigational Site
Milan, 20124, Italy
Novo Nordisk Investigational Site
Kashihara-shi, Nara, 634 8522, Japan
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
Suginami-ku, Tokyo, 167 0035, Japan
Novo Nordisk Investigational Site
Tokyo, 108-8639, 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
Timișoara, Timiș County, 300011, Romania
Novo Nordisk Investigational Site
Parktown Johannesburg, Gauteng, 2193, South Africa
Novo Nordisk Investigational Site
Madrid, 28046, Spain
Novo Nordisk Investigational Site
Valencia, 46026, Spain
Novo Nordisk Investigational Site
Taipei, 100, Taiwan
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)
Escobar M, Colberg T, Karim F, Caliskan U, Chowdary P, Giangrande P, Giermasz A, Mancuso ME, Serban M, Tsay W, Zak M and Mahlangu J. Perioperative hemostatic management of major surgery in hemophilia B with long-acting recombinant glycopegylated factor IX: results from the paradigm™3 clinical trial. Journal of Thrombosis and Haemostasis (Abstracts) 2015; 13 (Supplement S2): 1-997 [OR348]
BACKGROUND
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Limitations and Caveats
This is a single armed study having no comparator.
Results Point of Contact
- Title
- Global Clinical Registry (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
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 30, 2011
First Posted
July 1, 2011
Study Start
June 7, 2012
Primary Completion
December 1, 2013
Study Completion
December 1, 2013
Last Updated
August 23, 2017
Results First Posted
July 24, 2017
Record last verified: 2017-07