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Investigation of the Pharmacokinetics of Turoctocog Alfa in Subjects With Haemophilia A

Primary Purpose

Congenital Bleeding Disorder, Haemophilia A

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
turoctocog alfa
turoctocog alfa
Sponsored by
Novo Nordisk A/S
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Congenital Bleeding Disorder

Eligibility Criteria

18 Years - undefined (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 subjects with the diagnosis of severe haemophilia A (FVIII<1%) from age 18 years
  • Documented history of at least 150 exposure days to any other FVIII products (prevention or treatment of bleeds)
  • Immunocompetent (HIV (Human Immunodeficiency Virus) positive subjects should have CD4+ (Cluster of differentiation 4; a glycoprotein expressed on the surface) lymphocyte count >200/microL)

Exclusion Criteria:

  • Detectable inhibitors to FVIII (above or equal to 0.6 Bethesda Units (BU))
  • History of FVIII inhibitors
  • Severe current hepatic dysfunction or severe hepatic disease during the last 12 months
  • Known or suspected allergy to trial product (FVIII) or related products
  • Subjects receiving immune modulating medication or immune tolerance induction (ITI) regimens
  • Body mass index (BMI) above 30 kg/m^2

Sites / Locations

  • 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 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Lot A

Lot B

Lot C

Lot D

Arm Description

Each subject will receive two single doses of turocotocog alfa from two lots of trial product on two separate days.

Each subject will receive two single doses of turocotocog alfa from two lots of trial product on two separate days.

Each subject will receive two single doses of turocotocog alfa from two lots of trial product on two separate days.

Each subject will receive two single doses of turocotocog alfa from two lots of trial product on two separate days.

Outcomes

Primary Outcome Measures

Dose normalised area under the curve (AUC/actual dose) based on chromogenic assay

Secondary Outcome Measures

Dose normalised area under the FVIII activity-time curve (AUC/actual dose) based on one stage clot assay
Incremental recovery (IR30min) (defined as the peak FVIII level recorded 30 min after injection and reported as[IU/mL]/[IU/kg])
Area under the FVIII activity-time curve (AUC)
Terminal half-life of FVIII (t½)
Clearance of FVIII (CL)
Incidence of adverse events (AEs) including FVIII inhibitors

Full Information

First Posted
September 21, 2012
Last Updated
February 9, 2017
Sponsor
Novo Nordisk A/S
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1. Study Identification

Unique Protocol Identification Number
NCT01692925
Brief Title
Investigation of the Pharmacokinetics of Turoctocog Alfa in Subjects With Haemophilia A
Official Title
Multi-centre, Open-labelled Trial Investigating the Pharmacokinetics of Four Lots of Turoctocog Alfa in Subjects With Haemophilia A
Study Type
Interventional

2. Study Status

Record Verification Date
February 2017
Overall Recruitment Status
Completed
Study Start Date
December 2012 (undefined)
Primary Completion Date
March 2013 (Actual)
Study Completion Date
March 2013 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This trial is conducted in Europe. The aim of the trial is to investigate the pharmacokinetics (the exposure of the trial drug in the body) of four lots of turoctocog alfa (a human recombinant coagulation factor VIII (FVIII)) in subjects with haemophilia A.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
15 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Lot A
Arm Type
Experimental
Arm Description
Each subject will receive two single doses of turocotocog alfa from two lots of trial product on two separate days.
Arm Title
Lot B
Arm Type
Experimental
Arm Description
Each subject will receive two single doses of turocotocog alfa from two lots of trial product on two separate days.
Arm Title
Lot C
Arm Type
Experimental
Arm Description
Each subject will receive two single doses of turocotocog alfa from two lots of trial product on two separate days.
Arm Title
Lot D
Arm Type
Experimental
Arm Description
Each subject will receive two single doses of turocotocog alfa from two lots of trial product on two separate days.
Intervention Type
Drug
Intervention Name(s)
turoctocog alfa
Intervention Description
Trial product, 2000 IU/vial will be administered as an i.v. (intravenous) bolus injection.
Intervention Type
Drug
Intervention Name(s)
turoctocog alfa
Intervention Description
Trial product, 3000 IU/vial will be administered as an i.v. (intravenous) bolus injection.
Primary Outcome Measure Information:
Title
Dose normalised area under the curve (AUC/actual dose) based on chromogenic assay
Time Frame
up to 48 hours after i.v. administration
Secondary Outcome Measure Information:
Title
Dose normalised area under the FVIII activity-time curve (AUC/actual dose) based on one stage clot assay
Time Frame
up to 48 hours after i.v. administration
Title
Incremental recovery (IR30min) (defined as the peak FVIII level recorded 30 min after injection and reported as[IU/mL]/[IU/kg])
Time Frame
up to 48 hours after i.v. administration
Title
Area under the FVIII activity-time curve (AUC)
Time Frame
up to 48 hours after i.v. administration
Title
Terminal half-life of FVIII (t½)
Time Frame
up to 48 hours after i.v. administration
Title
Clearance of FVIII (CL)
Time Frame
up to 48 hours after i.v. administration
Title
Incidence of adverse events (AEs) including FVIII inhibitors
Time Frame
After approximately 3 months (at end of trial)

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 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 subjects with the diagnosis of severe haemophilia A (FVIII<1%) from age 18 years Documented history of at least 150 exposure days to any other FVIII products (prevention or treatment of bleeds) Immunocompetent (HIV (Human Immunodeficiency Virus) positive subjects should have CD4+ (Cluster of differentiation 4; a glycoprotein expressed on the surface) lymphocyte count >200/microL) Exclusion Criteria: Detectable inhibitors to FVIII (above or equal to 0.6 Bethesda Units (BU)) History of FVIII inhibitors Severe current hepatic dysfunction or severe hepatic disease during the last 12 months Known or suspected allergy to trial product (FVIII) or related products Subjects receiving immune modulating medication or immune tolerance induction (ITI) regimens Body mass index (BMI) above 30 kg/m^2
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Global Clinical Registry (GCR, 1452)
Organizational Affiliation
Novo Nordisk A/S
Official's Role
Study Director
Facility Information:
Facility Name
Novo Nordisk Investigational Site
City
Berlin
ZIP/Postal Code
10249
Country
Germany
Facility Name
Novo Nordisk Investigational Site
City
Frankfurt/M.
ZIP/Postal Code
60590
Country
Germany
Facility Name
Novo Nordisk Investigational Site
City
Riga
ZIP/Postal Code
1006
Country
Latvia
Facility Name
Novo Nordisk Investigational Site
City
Kuala Lumpur
ZIP/Postal Code
50400
Country
Malaysia
Facility Name
Novo Nordisk Investigational Site
City
Madrid
ZIP/Postal Code
28046
Country
Spain

12. IPD Sharing Statement

Citations:
PubMed Identifier
25495795
Citation
Jimenez-Yuste V, Lejniece S, Klamroth R, Suzuki T, Santagostino E, Karim FA, Saugstrup T, Moss J. The pharmacokinetics of a B-domain truncated recombinant factor VIII, turoctocog alfa (NovoEight(R)), in patients with hemophilia A. J Thromb Haemost. 2015 Mar;13(3):370-9. doi: 10.1111/jth.12816. Epub 2015 Feb 13.
Results Reference
result
Links:
URL
http://novonordisk-trials.com
Description
Clinical Trials at Novo Nordisk

Learn more about this trial

Investigation of the Pharmacokinetics of Turoctocog Alfa in Subjects With Haemophilia A

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