Evaluation of Safety and Efficacy, Including Pharmacokinetics, of NNC 0129-0000-1003 When Administered for Treatment and Prophylaxis of Bleeding in Subjects With Haemophilia A
pathfinder™2
A Multi-national Trial Evaluating Safety and Efficacy, Including Pharmacokinetics, of NNC 0129-0000-1003 When Administered for Treatment and Prophylaxis of Bleeding in Patients With Haemophilia A
4 other identifiers
interventional
186
24 countries
93
Brief Summary
This trial is conducted globally. The aim of the trial is to evaluate the safety and efficacy, including pharmacokinetics (the exposure of the trial drug in the body) of NNC 0129-0000-1003 (N8-GP) in subjects with Haemophilia A.
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 Jan 2012
Longer than P75 for phase_3
93 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
November 23, 2011
CompletedFirst Posted
Study publicly available on registry
November 28, 2011
CompletedStudy Start
First participant enrolled
January 30, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 10, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
December 10, 2018
CompletedResults Posted
Study results publicly available
April 20, 2020
CompletedNovember 23, 2020
November 1, 2020
6.9 years
November 23, 2011
December 10, 2019
November 3, 2020
Conditions
Outcome Measures
Primary Outcomes (6)
The Incidence Rate of FVIII-inhibitors ≥0.6 BU: After Approximately 19 Months
All participants with neutralizing antibodies were included in the numerator and any participant with a minimum 50 exposure days plus any participant with inhibitory inhibitors was included in the denominator. A positive inhibitor test was defined as ≥0.6 bethesda unit (BU). Estimates are based on exact calculations for a binomial distribution. For the calculation of the 'inhibitor rate' the nominator included all participants with neutralising antibodies while the denominator included all participants with a minimum of 50 exposures plus any participant with less than 50 exposures but with neutralising inhibitors.
After approximately 19 months
Annualised Bleeding Rate in the Prophylaxis Arm: After Approximately 19 Months
Annualised bleeding rate (ABR) is the number of bleeding episodes per year. This was assessed only for the prophylaxis treatment with N8-GP.
After approximately 19 months
The Incidence Rate of FVIII-inhibitors ≥0.6 BU: After Approximately 25 Months
All participants with neutralizing antibodies were included in the numerator and any participant with a minimum 50 exposure days plus any participant with inhibitory inhibitors was included in the denominator. A positive inhibitor test was defined as ≥0.6 bethesda unit (BU). Estimates are based on exact calculations for a binomial distribution. For the calculation of the 'inhibitor rate' the nominator included all participants with neutralising antibodies while the denominator included all participants with a minimum of 50 exposures plus any participant with less than 50 exposures but with neutralising inhibitors.
After approximately 25 months
Annualised Bleeding Rate in the Prophylaxis Arm: After Approximately 25 Months
ABR is the number of bleeding episodes per year. This was assessed only for the prophylaxis treatment with N8-GP.
After approximately 25 months
Incidence Rate of FVIII-inhibitors ≥0.6 BU: At Approximately 80 Months
All participants with neutralizing antibodies were included in the numerator and any participant with a minimum 50 exposure days plus any participant with inhibitory inhibitors was included in the denominator. A positive inhibitor test was defined as ≥0.6 bethesda unit (BU). Estimates are based on exact calculations for a binomial distribution. For the calculation of the 'inhibitor rate' the nominator included all participants with neutralising antibodies while the denominator included all participants with a minimum of 50 exposures plus any participant with less than 50 exposures but with neutralising inhibitors.
At approximately 80 months
Annualised Bleeding Rate in the Prophylaxis Arm: After Approximately 80 Months
Annualised bleeding rate (ABR) is the number of bleeding episodes per year reported during the prophylactic treatment with N8-GP.
After approximately 80 months
Secondary Outcomes (69)
Haemostatic Effect of N8-GP When Used for Treatment of Bleeds, Assessed on a Four-point Scale for Haemostatic Response (Excellent, Good, Moderate and None): After Approximately 19 Months
After approximately 19 months
Haemostatic Effect of N8-GP When Used for Treatment of Bleeds, Assessed on a Four-point Scale for Haemostatic Response (Excellent, Good, Moderate and None): After Approximately 25 Months
After approximately 25 months
Haemostatic Effect of N8-GP When Used for Treatment of Bleeds, Assessed on a Four-point Scale for Haemostatic Response (Excellent, Good, Moderate and None): After Approximately 80 Months
After approximately 80 months
Consumption of N8-GP Per Bleeding Episode (Number of Infusions): After Approximately 19 Months
After approximately 19 months
Consumption of N8-GP Per Bleeding Episode (Number of Infusions): After Approximately 25 Months
After approximately 25 months
- +64 more secondary outcomes
Study Arms (2)
Prophylaxis
EXPERIMENTALOn-demand
EXPERIMENTALInterventions
Eligibility Criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (93)
Novo Nordisk Investigational Site
Phoenix, Arizona, 85016, United States
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Long Beach, California, 90806, United States
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Sacramento, California, 95817, United States
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Torrance, California, 90502-2004, United States
Novo Nordisk Investigational Site
Washington D.C., District of Columbia, 20007, United States
Novo Nordisk Investigational Site
Washington D.C., District of Columbia, 20010-2978, United States
Novo Nordisk Investigational Site
Orlando, Florida, 32827, United States
Novo Nordisk Investigational Site
Tampa, Florida, 33607, United States
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Augusta, Georgia, 30912, United States
Novo Nordisk Investigational Site
Boise, Idaho, 83712, United States
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Iowa City, Iowa, 52242, United States
Novo Nordisk Investigational Site
New Orleans, Louisiana, 70118-5720, United States
Novo Nordisk Investigational Site
Baltimore, Maryland, 21205, United States
Novo Nordisk Investigational Site
Boston, Massachusetts, 02115, United States
Novo Nordisk Investigational Site
Detroit, Michigan, 48201, United States
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East Lansing, Michigan, 48823, United States
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Minneapolis, Minnesota, 55404, United States
Novo Nordisk Investigational Site
Omaha, Nebraska, 68198-5456, United States
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New Brunswick, New Jersey, 08901, United States
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Newark, New Jersey, 07102, United States
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Cincinnati, Ohio, 452289, United States
Novo Nordisk Investigational Site
Dayton, Ohio, 45404, United States
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Portland, Oregon, 97239, United States
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Philadelphia, Pennsylvania, 19104, United States
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Philadelphia, Pennsylvania, 19134, United States
Novo Nordisk Investigational Site
Charleston, South Carolina, 29425, United States
Novo Nordisk Investigational Site
Nashville, Tennessee, 37232-9830, United States
Novo Nordisk Investigational Site
Houston, Texas, 77030, United States
Novo Nordisk Investigational Site
Charlottesville, Virginia, 22908, United States
Novo Nordisk Investigational Site
Norfolk, Virginia, 23507, United States
Novo Nordisk Investigational Site
Spokane, Washington, 99204, United States
Novo Nordisk Investigational Site
Camperdown, New South Wales, 2050, Australia
Novo Nordisk Investigational Site
South Brisbane, Queensland, 4101, Australia
Novo Nordisk Investigational Site
Parkville, Victoria, 3052, Australia
Novo Nordisk Investigational Site
Campinas, São Paulo, 13081-970, Brazil
Novo Nordisk Investigational Site
Sofia, 1756, Bulgaria
Novo Nordisk Investigational Site
Split, 21 000, Croatia
Novo Nordisk Investigational Site
Zagreb, 10 000, Croatia
Novo Nordisk Investigational Site
Århus N, 8200, Denmark
Novo Nordisk Investigational Site
København Ø, 2100, Denmark
Novo Nordisk Investigational Site
Bron, 69677, France
Novo Nordisk Investigational Site
Le Kremlin-Bicêtre, 94270, France
Novo Nordisk Investigational Site
Nantes, 44093, France
Novo Nordisk Investigational Site
Paris, 75015, France
Novo Nordisk Investigational Site
Berlin, 10249, Germany
Novo Nordisk Investigational Site
Bonn, 53127, Germany
Novo Nordisk Investigational Site
Frankfurt/M., 60590, Germany
Novo Nordisk Investigational Site
Hanover, 30625, Germany
Novo Nordisk Investigational Site
Homburg, 66421, Germany
Novo Nordisk Investigational Site
München, 80336, 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
Udine, 33100, Italy
Novo Nordisk Investigational Site
Vicenza, 36100, Italy
Novo Nordisk Investigational Site
Aichi, 466-8560, Japan
Novo Nordisk Investigational Site
Hiroshima, 734-8551, Japan
Novo Nordisk Investigational Site
Kitakyusyu, Fukuoka, 807 8555, Japan
Novo Nordisk Investigational Site
Nara, 634-8522, Japan
Novo Nordisk Investigational Site
Saitama, 350-0225, Japan
Novo Nordisk Investigational Site
Shimotsuke-shi, Tochigi, 329 0498, Japan
Novo Nordisk Investigational Site
Shizuoka, 420-8660, Japan
Novo Nordisk Investigational Site
Tokyo, 108-8639, Japan
Novo Nordisk Investigational Site
Tokyo, 160-0023, Japan
Novo Nordisk Investigational Site
Tokyo, 167-0035, Japan
Novo Nordisk Investigational Site
Yokohama-shi, Kanagawa, 241-0811, Japan
Novo Nordisk Investigational Site
Kuala Lumpur, 50400, Malaysia
Novo Nordisk Investigational Site
Selangor Darul Ehsan, 68000, Malaysia
Novo Nordisk Investigational Site
Groningen, 9713 GZ, Netherlands
Novo Nordisk Investigational Site
Rotterdam, 3015 CE, Netherlands
Novo Nordisk Investigational Site
Oslo, 0027, Norway
Novo Nordisk Investigational Site
San Juan, 00935, Puerto Rico
Novo Nordisk Investigational Site
Saint Petersburg, 191065, Russia
Novo Nordisk Investigational Site
Daejeon, 302-799, South Korea
Novo Nordisk Investigational Site
Madrid, 28046, Spain
Novo Nordisk Investigational Site
Málaga, 29010, Spain
Novo Nordisk Investigational Site
Malmo, 205 02, Sweden
Novo Nordisk Investigational Site
Geneva, 1211, Switzerland
Novo Nordisk Investigational Site
Lausanne, 1011, Switzerland
Novo Nordisk Investigational Site
Zurich, 8091, Switzerland
Novo Nordisk Investigational Site
Changhua, 500, Taiwan
Novo Nordisk Investigational Site
Taipei, 100, Taiwan
Novo Nordisk Investigational Site
Adana, 01130, Turkey (Türkiye)
Novo Nordisk Investigational Site
Bornova-IZMIR, 35100, Turkey (Türkiye)
Novo Nordisk Investigational Site
Samsun, 55319, 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
Oxford, OX3 7LJ, United Kingdom
Novo Nordisk Investigational Site
Sheffield, S10 2JF, United Kingdom
Related Publications (3)
Giangrande P, Chowdary P, Enhrenforth S, Hanabusa H, Leebeek FW, Lentz SR, Nemes L, Poulsen LH, Santagostino E, You CW, Clausen WHO, Oldenburg J and on behalf of for the pathfinder™2 Investigators. Clinical evaluation of novel recombinant glycopegylated FVIII (turoctocog alfa pegol, N8-GP): efficacy and safety in previously treated patients with severe hemophilia A - results of pathfinder™2 international trial. Journal of Thrombosis and Haemostasis (Abstracts) 2015; 13 (Supplement S2): 1-997 [OR212]
RESULTGiangrande P, Andreeva T, Chowdary P, Ehrenforth S, Hanabusa H, Leebeek FW, Lentz SR, Nemes L, Poulsen LH, Santagostino E, You CW, Clausen WH, Jonsson PG, Oldenburg J; Pathfinder2 Investigators. Clinical evaluation of glycoPEGylated recombinant FVIII: Efficacy and safety in severe haemophilia A. Thromb Haemost. 2017 Jan 26;117(2):252-261. doi: 10.1160/TH16-06-0444. Epub 2016 Dec 1.
PMID: 27904904RESULTGiangrande P, Abdul Karim F, Nemes L, You CW, Landorph A, Geybels MS, Curry N. Long-term safety and efficacy of N8-GP in previously treated adults and adolescents with hemophilia A: Final results from pathfinder2. J Thromb Haemost. 2020 Sep;18 Suppl 1(Suppl 1):5-14. doi: 10.1111/jth.14959.
PMID: 32544297RESULT
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Clinical Reporting Anchor and Disclosure (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
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 23, 2011
First Posted
November 28, 2011
Study Start
January 30, 2012
Primary Completion
December 10, 2018
Study Completion
December 10, 2018
Last Updated
November 23, 2020
Results First Posted
April 20, 2020
Record last verified: 2020-11