This study involves haemophilia A, a bleeding disorder where the blood does not clot properly because it lacks enough of a protein called clotting factor VIII. People with this condition may experience prolonged bleeding after injuries or surgery, and sometimes bleeding can occur without any obvious cause, particularly into joints and muscles. Some people with haemophilia A also develop inhibitors, which are proteins made by the body’s immune system that block the clotting factor treatments from working properly. The study uses denecimig, also known as Mim8 or NNC0365-3769, which is given as an injection under the skin. This medication is a type of antibody that helps the blood clot by bringing together two clotting factors in the blood.
The purpose of the study is to learn about the long-term safety of Mim8 when used as a preventive treatment in people with haemophilia A, whether or not they have inhibitors. The study will look at what side effects occur over time and how well the treatment works to prevent bleeding episodes. Participants joining this study are already taking part in or have completed other research studies with Mim8, and this study allows them to continue receiving the treatment for a longer period. Some very young participants who have not yet received much treatment for haemophilia A may also join the study.
During the study, participants will receive regular injections of Mim8 under the skin for up to 262 weeks, which is about five years. Throughout this time, they will attend regular clinic visits where doctors will check their health, take blood samples to measure the level of medication in the blood and look for any antibodies the body might make against the treatment, and ask about any bleeding episodes or side effects. Participants or their caregivers will keep a diary to record any bleeding episodes, treatments used, and any problems with the injection device. The study will also look at how easy the injection device is to use for those participants who use it.



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