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Efficacy and Safety of Turoctocog Alfa Pegol (N8-GP) for Prophylaxis and Treatment of Bleeding Episodes in Previously Treated Chinese Patients With Haemophilia A (pathfinder10) (Pathfinder10)

Primary Purpose

Haemophilia A

Status
Completed
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
turoctocog alfa pegol (N8-GP)
Sponsored by
Novo Nordisk A/S
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Haemophilia A

Eligibility Criteria

12 Years - undefined (Child, Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Informed consent obtained before any trial-related activities. Trial-related activities are any procedures that are carried out as part of the trial, including activities to determine suitability for the trial.
  • Male Chinese patient with severe congenital haemophilia A with a FVIII activity below 1% according to medical records.
  • Aged greater than or equal to 12 years at the time of signing informed consent.
  • History of at least 150 exposure days (EDs) to other FVIII products.
  • The patient and/or caregiver is capable of assessing a bleeding episode, keeping a diary, performing home treatment of bleeding episodes and otherwise following the trial procedures at the discretion of the investigator.

Exclusion Criteria:

  • Known or suspected hypersensitivity to trial product or related products.
  • Previous participation in this trial. Participation is defined as signed informed consent.
  • Participation in any clinical trial of an approved or non-approved investigational medicinal product within 5 half-lives or 30 days from screening, whichever is longer.
  • Known history of FVIII inhibitors based on existing medical records, laboratory report reviews and patient and/or caregiver interviews.
  • Current FVIII inhibitors greater than or equal to 0.6 BU.
  • Congenital or acquired coagulation disorder other than haemophilia According to medical records.
  • HIV positive, defined by medical records, with CD4+ count less than or equal 200/L and a viral load greater than 200 particles/μl or greater than 400000 copies/mL within 6 months of the trial entry. If the data are not available in medical records within last 6 months, then the test must be performed at screening visit.
  • Previous significant thromboembolic events (e.g. myocardial infarction, cerebrovascular disease or deep venous thrombosis) as defined by available medical records.
  • Hepatic dysfunction defined as aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) greater than 3 times limit of normal combined with total bilirubin greater than 1.5 times the upper limit of normal at screening, as defined by central laboratory
  • Renal impairment defined as estimated glomerular filtration rate (eGFR) below or equal to 30 mL/min/1.73 m^2 for serum creatinine measured at screening, as defined by central laboratory.
  • Platelet count below 50×109/L at screening based on central laboratory values at screening.
  • Ongoing immune modulating or chemotherapeutic medication.
  • Any disorder, except for conditions associated with haemophilia A, which in the investigator's opinion might jeopardise the patient's safety or compliance with the protocol.
  • Mental incapacity, unwillingness or language barriers precluding adequate understanding or cooperation.

Sites / Locations

  • Novo Nordisk Investigational Site
  • Novo Nordisk Investigational Site
  • Novo Nordisk Investigational Site
  • Novo Nordisk Investigational Site
  • Novo Nordisk Investigational Site
  • Novo Nordisk Investigational Site
  • Novo Nordisk Investigational Site
  • Novo Nordisk Investigational Site

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

N8-GP prophylaxis

Arm Description

All patients will receive prophylaxis with 50 IU/kg N8-GP every 4 days for a treatment period of at least 28 weeks (with the possibility of switching to twice-weekly dosing during the treatment period at the discretion of the investigator).

Outcomes

Primary Outcome Measures

Number of bleeding episodes
Count

Secondary Outcome Measures

Haemostatic effect of N8-GP when used for treatment of bleeding episodes, assessed on a four-point scale for haemostatic response (excellent, good, moderate and none)
Count
Consumption of N8-GP for treatment of bleeding episodes
IU/kg/bleed
Consumption of N8-GP for prophylaxis
IU/kg/year
FVIII trough activity during prophylaxis
IU/mL
Incidence rate of confirmed FVIII inhibitors greater than or equal to 0.6 BU (Bethesda Units)
Rate
Number of adverse events (AEs)
Count
Number of serious adverse events (SAEs)
Count
FVIII activity 30 minutes post-injection (C30min)
IU/mL
FVIII activity 30 minutes post-injection (C30min)
IU/mL
Incremental recovery (IR)
(IU/mL)/(IU/kg)
Incremental recovery (IR)
(IU/mL)/(IU/kg)
Area under the curve (AUC)
hours*(IU/mL)
Area under the curve (AUC)
hours*(IU/mL)
Terminal half-life (t½)
Hours
Terminal half-life (t½)
Hours
Clearance (CL)
mL/h/kg
Clearance (CL)
mL/h/kg
FVIII trough activity 96 hours post-injection (C96h)
IU/mL
FVIII trough activity 96 hours post-injection (C96h)
IU/mL

Full Information

First Posted
September 21, 2021
Last Updated
June 2, 2023
Sponsor
Novo Nordisk A/S
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1. Study Identification

Unique Protocol Identification Number
NCT05082116
Brief Title
Efficacy and Safety of Turoctocog Alfa Pegol (N8-GP) for Prophylaxis and Treatment of Bleeding Episodes in Previously Treated Chinese Patients With Haemophilia A (pathfinder10)
Acronym
Pathfinder10
Official Title
A Multi-centre, Open-label Trial Evaluating Efficacy, Safety and Pharmacokinetics of Turoctocog Alfa Pegol (N8-GP) When Used for Treatment and Prophylaxis of Bleeding Episodes in Previously Treated Chinese Patients With Haemophilia A
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Completed
Study Start Date
September 27, 2021 (Actual)
Primary Completion Date
December 28, 2022 (Actual)
Study Completion Date
December 28, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novo Nordisk A/S

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
The study investigates how well the medicine called turoctocog alfa pegol (N8-GP) works in previously treated Chinese patients with severe haemophilia A. Participants will be treated with N8-GP. This is a medicine that doctors can already prescribe in other countries. The medicine will be injected into a vein (intravenous injections) and blood samples will be collected. The study will last for about 7-8 months. Participants will have between 8 and 15 visits to the clinic and possibly a number of phone calls with the study doctor.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Haemophilia A

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
36 (Actual)

8. Arms, Groups, and Interventions

Arm Title
N8-GP prophylaxis
Arm Type
Experimental
Arm Description
All patients will receive prophylaxis with 50 IU/kg N8-GP every 4 days for a treatment period of at least 28 weeks (with the possibility of switching to twice-weekly dosing during the treatment period at the discretion of the investigator).
Intervention Type
Drug
Intervention Name(s)
turoctocog alfa pegol (N8-GP)
Intervention Description
N8-GP will be injected into a vein (intravenous injections) every 4 days in at least 28 weeks
Primary Outcome Measure Information:
Title
Number of bleeding episodes
Description
Count
Time Frame
From start of treatment (week 0) until visit 7 (week 28)
Secondary Outcome Measure Information:
Title
Haemostatic effect of N8-GP when used for treatment of bleeding episodes, assessed on a four-point scale for haemostatic response (excellent, good, moderate and none)
Description
Count
Time Frame
From start of treatment (week 0) until visit 7 (week 28)
Title
Consumption of N8-GP for treatment of bleeding episodes
Description
IU/kg/bleed
Time Frame
From start of treatment (week 0) until visit 7 (week 28)
Title
Consumption of N8-GP for prophylaxis
Description
IU/kg/year
Time Frame
From start of treatment (week 0) until visit 7 (week 28)
Title
FVIII trough activity during prophylaxis
Description
IU/mL
Time Frame
From start of treatment (week 0) (excluding the first exposure) until visit 7 (week 28)
Title
Incidence rate of confirmed FVIII inhibitors greater than or equal to 0.6 BU (Bethesda Units)
Description
Rate
Time Frame
From start of treatment (week 0) until visit 7 (week 28)
Title
Number of adverse events (AEs)
Description
Count
Time Frame
From start of treatment (week 0) to end of trial (week 28 + 30 days)
Title
Number of serious adverse events (SAEs)
Description
Count
Time Frame
From start of treatment (week 0) to end of trial (week 28 + 30 days)
Title
FVIII activity 30 minutes post-injection (C30min)
Description
IU/mL
Time Frame
Single-dose: 30 minutes plus/minus 5 minutes post-injection at visit 2a (week 0)
Title
FVIII activity 30 minutes post-injection (C30min)
Description
IU/mL
Time Frame
Steady state: 30 minutes plus/minus 5 min post-injection at visit 7 (week 28)
Title
Incremental recovery (IR)
Description
(IU/mL)/(IU/kg)
Time Frame
Single-dose: 30 minutes plus/minus 5 minutes post-injection at visit 2a (week 0)
Title
Incremental recovery (IR)
Description
(IU/mL)/(IU/kg)
Time Frame
Steady state: 30 minutes plus/minus 5 minutes post-injection at visit 7 (week 28)
Title
Area under the curve (AUC)
Description
hours*(IU/mL)
Time Frame
Single-dose: 0-inf post-injection at visit 2a (week 0)
Title
Area under the curve (AUC)
Description
hours*(IU/mL)
Time Frame
Steady state: 0-inf post-injection at visit 7 (week 28)
Title
Terminal half-life (t½)
Description
Hours
Time Frame
Single-dose: 0-96 hours post-injection at visit 2a (week 0)
Title
Terminal half-life (t½)
Description
Hours
Time Frame
Steady state: 0-96 hours post-injection at visit 7 (week 28)
Title
Clearance (CL)
Description
mL/h/kg
Time Frame
Single-dose: 0-96 hours post-injection at visit 2a (week 0)
Title
Clearance (CL)
Description
mL/h/kg
Time Frame
Steady state: 0-96 hours post-injection at visit 7 (week 28)
Title
FVIII trough activity 96 hours post-injection (C96h)
Description
IU/mL
Time Frame
Single-dose: 96 hours plus/minus 8 hours post-injection at visit 2a (week 0)
Title
FVIII trough activity 96 hours post-injection (C96h)
Description
IU/mL
Time Frame
Steady state: 96 hours plus/minus 8 hours post-injection at visit 7 (week 28)

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
12 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Informed consent obtained before any trial-related activities. Trial-related activities are any procedures that are carried out as part of the trial, including activities to determine suitability for the trial. Male Chinese patient with severe congenital haemophilia A with a FVIII activity below 1% according to medical records. Aged greater than or equal to 12 years at the time of signing informed consent. History of at least 150 exposure days (EDs) to other FVIII products. The patient and/or caregiver is capable of assessing a bleeding episode, keeping a diary, performing home treatment of bleeding episodes and otherwise following the trial procedures at the discretion of the investigator. Exclusion Criteria: Known or suspected hypersensitivity to trial product or related products. Previous participation in this trial. Participation is defined as signed informed consent. Participation in any clinical trial of an approved or non-approved investigational medicinal product within 5 half-lives or 30 days from screening, whichever is longer. Known history of FVIII inhibitors based on existing medical records, laboratory report reviews and patient and/or caregiver interviews. Current FVIII inhibitors greater than or equal to 0.6 BU. Congenital or acquired coagulation disorder other than haemophilia According to medical records. HIV positive, defined by medical records, with CD4+ count less than or equal 200/L and a viral load greater than 200 particles/μl or greater than 400000 copies/mL within 6 months of the trial entry. If the data are not available in medical records within last 6 months, then the test must be performed at screening visit. Previous significant thromboembolic events (e.g. myocardial infarction, cerebrovascular disease or deep venous thrombosis) as defined by available medical records. Hepatic dysfunction defined as aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) greater than 3 times limit of normal combined with total bilirubin greater than 1.5 times the upper limit of normal at screening, as defined by central laboratory Renal impairment defined as estimated glomerular filtration rate (eGFR) below or equal to 30 mL/min/1.73 m^2 for serum creatinine measured at screening, as defined by central laboratory. Platelet count below 50×109/L at screening based on central laboratory values at screening. Ongoing immune modulating or chemotherapeutic medication. Any disorder, except for conditions associated with haemophilia A, which in the investigator's opinion might jeopardise the patient's safety or compliance with the protocol. Mental incapacity, unwillingness or language barriers precluding adequate understanding or cooperation.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Transparency (dept. 1452)
Organizational Affiliation
Novo Nordisk A/S
Official's Role
Study Director
Facility Information:
Facility Name
Novo Nordisk Investigational Site
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100045
Country
China
Facility Name
Novo Nordisk Investigational Site
City
Fuzhou
State/Province
Fujian
ZIP/Postal Code
350001
Country
China
Facility Name
Novo Nordisk Investigational Site
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510515
Country
China
Facility Name
Novo Nordisk Investigational Site
City
Guiyang
State/Province
Guizhou
ZIP/Postal Code
550004
Country
China
Facility Name
Novo Nordisk Investigational Site
City
Xining
State/Province
Qinghai
ZIP/Postal Code
810007
Country
China
Facility Name
Novo Nordisk Investigational Site
City
Jin'an
State/Province
Shandong
ZIP/Postal Code
250013
Country
China
Facility Name
Novo Nordisk Investigational Site
City
Tianjin
State/Province
Tianjin
ZIP/Postal Code
300020
Country
China
Facility Name
Novo Nordisk Investigational Site
City
Kunming
State/Province
Yunnan
ZIP/Postal Code
650101
Country
China

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
IPD Sharing URL
http://novonordisk-trials.com

Learn more about this trial

Efficacy and Safety of Turoctocog Alfa Pegol (N8-GP) for Prophylaxis and Treatment of Bleeding Episodes in Previously Treated Chinese Patients With Haemophilia A (pathfinder10)

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