A study of long-term safety and effectiveness of denecimig in people with haemophilia A with or without inhibitors

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What is this study about?

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.

1 Initial enrollment and first visit

At the beginning of the study, your first visit will take place at week 0. This marks the start of your participation in the long-term treatment phase.

During this visit, baseline assessments will be performed to establish your starting health status.

You will receive instructions on how to administer the study medication and how to complete your daily diary to record any bleeding episodes or side effects.

2 Treatment with denecimig

You will receive denecimig, also referred to as Mim8, as your preventive treatment for haemophilia A. Haemophilia A is a bleeding disorder caused by low levels of a clotting protein called factor VIII.

The medication is a solution for injection that will be administered under the skin (subcutaneous injection).

The treatment will continue for up to 262 weeks (approximately 5 years).

The exact dosage and frequency of injections will be determined based on the treatment plan established for you in the previous study you participated in.

3 Regular monitoring visits

Throughout the study, you will attend scheduled visits at the study site for monitoring and assessments.

During these visits, blood samples will be collected to measure the concentration of Mim8 in your blood and to check for the development of anti-Mim8 antibodies (proteins your immune system might produce in response to the medication).

The study team will examine any injection site reactions, such as redness, swelling, or pain at the location where you administered the medication.

All side effects and adverse events will be recorded and evaluated from the first visit at week 0 until the end of the study at up to 283 weeks.

4 Recording bleeding episodes

You will be required to record all bleeding episodes that occur during the study in your diary.

This includes spontaneous bleeding episodes (bleeding that occurs without any known injury), traumatic bleeding episodes (bleeding caused by an injury), and joint bleeding episodes (bleeding into your joints).

If you have a target joint (a joint that has experienced repeated bleeding), any bleeding episodes in that joint will also be recorded separately.

All bleeding episodes that require treatment will be documented from week 0 until the end of treatment at up to 262 weeks.

5 Device handling assessment

If applicable to your treatment group, you may be asked to complete a Haemophilia Device Assessment Tool questionnaire.

This tool evaluates your experience with handling and using the injection device for administering the medication.

The assessment helps to understand how easy or difficult it is for you to use the device at home.

6 End of treatment visit

After up to 262 weeks of treatment, you will attend an end of treatment visit.

During this visit, final assessments will be performed, including blood tests and evaluation of any side effects.

You will stop receiving denecimig at this point.

7 Follow-up period

After the end of treatment visit, you will enter a follow-up period that lasts for approximately 21 weeks.

During this time, continued monitoring for any late side effects or adverse events will occur.

The total study duration, including treatment and follow-up, will be up to 283 weeks (approximately 5.5 years).

8 End of study

The study is expected to be completed by April 2028.

At the final visit, all remaining assessments will be completed, and your participation in the study will conclude.

Any ongoing safety concerns will be addressed, and you will receive information about your future treatment options.

Who Can Join the Study?

  • You must provide informed consent (agreement to participate) before any study activities begin. Study activities are any procedures done as part of the study, including checks to see if you are suitable for the study.
  • You must be male or female with a diagnosis of congenital haemophilia A (a bleeding disorder you were born with that affects blood clotting) based on your medical records.
  • You must be currently participating in one of the following studies: 4513, 4514, 4516, or 4728 at the time of transfer. You should meet one of these requirements: you are from study 4513 and have participated in the extension part of that study for at least 12 weeks before joining this study, or you have completed the final treatment visit for study 4514, 4516, or 4728. If you are younger than 1 year old at the start of this study, you are not required to be joining from another study.
  • You and/or your parent or legally acceptable representative (a person legally allowed to make decisions on your behalf) must be willing and able to follow the planned visits and study procedures, including completing a diary.

Who Cannot Join the Study?

  • The study does not list specific exclusion criteria in the provided information, which means the detailed reasons why someone cannot participate are not available in this document.
  • Generally, clinical trials have exclusion criteria to ensure participant safety and study accuracy, but these specific details would need to be obtained from the complete study documentation.
  • If you have haemophilia A, which is a bleeding disorder where blood does not clot properly due to missing or low levels of a protein called Factor VIII, you may still need to check with the study team about your eligibility.
  • The presence or absence of inhibitors, which are antibodies that block the clotting factor treatment from working properly, does not automatically exclude you from this study.
  • Both male and female participants can be considered for this study.
  • The study includes participants of different age groups, including infants, children, and adults.

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Other Sites

Site Name City Country Status
Universitair Medisch Centrum Utrecht Utrecht The Netherlands
Vilniaus universiteto ligonine Santaros klinikos VšĮ Vilnius Lithuania
Institute Of Oncology Prof. Dr. Ion Chiricuta Cluj-Napoca Cluj Napoca Romania
L’Azienda Ospedaliera Di Rilievo Nazionale Santobono-Pausilipon Naples Italy
Pauls Stradins Clinical University Hospital Riga Latvia
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico Milan Italy
Samodzielny Publiczny Zaklad Opieki Zdrowotnej Szpital Uniwersytecki W Krakowie Cracow Poland
Rheinische Friedrich-Wilhelms-Universitaet Bonn Bonn Germany
Hospices Civils De Lyon Lyon France
Uniwersytecki Szpital Kliniczny W Poznaniu Poznan Poland
Rigshospitalet Copenhagen Denmark
Centro Hospitalar Universitario De Santo Antonio E.P.E. Porto Portugal
Hospital Sant Joan De Deu Barcelona Esplugues De Llobregat Spain
Instytut Hematologii I Transfuzjologii Warsaw Poland
Univerzitna Nemocnica Martin Martin Slovakia
Penta Hospitals SK a.s. Rimavska Sobota Slovakia
Ospedale Pediatrico Bambino Gesu’ Rome Italy
HZRM Haemophilie-Zentrum Rhein Main GmbH Mörfelden-Walldorf Germany
Specialized Hospital For Active Treatment Of Hematological Diseases EAD Sofia Bulgaria
Vranovska nemocnica a.s. Vranov Nad Toplou Slovakia
Bicetre Hospital Le Kremlin-Bicetre France
Hospital Hotel Dieu Nantes France
Aiwlirh Oxbmtoqiqfe Udoaelkmarukj Cfqprtgcqwnq Djsld Sonebr E Dddxp Sblxzid Dm Trcraw Turin Italy
Vnwhfnki Nicwlamf fmpq Gdwtrkoeka Giij Berlin Germany
Cyzswavhm Utagzfusdgglzr Sxgcdnzjl Woluwe-Saint-Lambert Belgium
Auszknykn Usr Amsterdam The Netherlands
Ulmkyslgbc Dorkq Sflby Dv Rlcl Lr Srhhggmy Rome Italy
Fxxffdfqb Pmow Lu Iqtekiuywoyeb Bplsetksz Dka Humsexnf Utatmzgzvkrgn Lv Ped Madrid Spain
Bomqn Kcwnqqvs Uqjctplocqwtj Slcqxtqq Voja Riga Latvia
Hjdaaizi Vpjd djdinoet Barcelona Spain
Conozw Hsoixqizzy E Uzjsbvzocducu Dv Cbvgtcj Ecgpdp Coimbra Portugal

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Austria Austria
Not recruiting
15.02.2023
Belgium Belgium
Not recruiting
15.02.2023
Bulgaria Bulgaria
Not recruiting
15.02.2023
Denmark Denmark
Not recruiting
15.02.2023
France France
Not recruiting
15.02.2023
Germany Germany
Not recruiting
15.02.2023
Ireland Ireland
Not recruiting
15.02.2023
Italy Italy
Not recruiting
15.02.2023
Latvia Latvia
Not recruiting
15.02.2023
Lithuania Lithuania
Not recruiting
15.02.2023
Poland Poland
Not recruiting
15.02.2023
Portugal Portugal
Not recruiting
15.02.2023
Romania Romania
Not recruiting
15.02.2023
Slovakia Slovakia
Not recruiting
15.02.2023
Spain Spain
Not recruiting
15.02.2023
The Netherlands The Netherlands
Not recruiting
15.02.2023

Trial locations

Mim8 is an investigational medication being studied for the long-term prevention of bleeding episodes in people with haemophilia A. Haemophilia A is a bleeding disorder where the blood does not clot properly due to a missing or deficient clotting protein. This medication is being tested in patients with or without inhibitors, which are antibodies that can interfere with treatment. The study will look at how safe and effective this medication is when used regularly over a long period of time to prevent bleeding.

Haemophilia A – Haemophilia A is a bleeding disorder caused by a lack or deficiency of clotting factor VIII in the blood. This condition prevents blood from clotting properly, leading to prolonged bleeding after injuries or spontaneous bleeding episodes without an obvious cause. People with haemophilia A may experience bleeding into joints, which can cause pain and swelling, and repeated joint bleeding can lead to long-term joint damage. The severity of the condition depends on the level of factor VIII in the blood, with lower levels causing more frequent and severe bleeding episodes. In some cases, the body may develop inhibitors, which are antibodies that work against replacement clotting factor, making treatment more challenging. Bleeding can occur spontaneously or after trauma, affecting joints, muscles, and other parts of the body.

Trial ID:
2022-502215-10-00
Protocol code:
NN7769-4532
NCT ID:
NCT05685238
Trial Phase:
Therapeutic confirmatory (Phase III)

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