A Research Study on How Well Concizumab Works for You if You Have Haemophilia A or B With or Without Inhibitors

NCT ID: NCT05135559

Last Updated: 2025-12-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

153 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-03-24

Study Completion Date

2029-11-02

Brief Summary

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This study will test how well a new medicine called concizumab works for participants who have haemophilia A or B with or without inhibitors. The purpose is to show that concizumab can prevent bleeds and is safe to use.

Participants will have to inject the study medicine every day under the skin with a pen-injector.

The study will last for at least 2 years and up to about 4 years. The length of time the participant will be in the study depends on if the study medicine will be available for purchase in their country.

Detailed Description

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Conditions

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Haemophilia A and B With and Without Inhibitors

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Concizumab-naïve patients

Concizumab-naïve participants below 12 years of age at the time of consent/assent

Group Type EXPERIMENTAL

Concizumab

Intervention Type DRUG

Participants in Arm 1 will be assigned to concizumab prophylaxis starting with a loading dose on treatment day 0 followed by daily injections of an individual maintenance dose.

Participants in Arm 2 will be assigned to concizumab prophylaxis with daily injections of an individual maintenance dose.

Patients coming from compassionate use

Patients previously treated with concizumab via compassionate use, either on an individual patient basis or through the concizumab compassionate use programme NN7415-4807

Group Type EXPERIMENTAL

Concizumab

Intervention Type DRUG

Participants in Arm 1 will be assigned to concizumab prophylaxis starting with a loading dose on treatment day 0 followed by daily injections of an individual maintenance dose.

Participants in Arm 2 will be assigned to concizumab prophylaxis with daily injections of an individual maintenance dose.

Interventions

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Concizumab

Participants in Arm 1 will be assigned to concizumab prophylaxis starting with a loading dose on treatment day 0 followed by daily injections of an individual maintenance dose.

Participants in Arm 2 will be assigned to concizumab prophylaxis with daily injections of an individual maintenance dose.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Informed consent/assent obtained before any study-related activities. Study-related activities are any procedures that are carried out as part of the study, including activities to determine suitability for the study.
* Diagnosis of congenital severe haemophilia A (FVIII below 1%) or moderate/severe congenital haemophilia B (FIX (coagulation factor IX) below or equal to 2%), or congenital haemophilia with inhibitors.
* For arm 1 only: Male aged below 12 years of age at the time of signing informed consent.
* For arm 1 only: Patients with inhibitors (haemophilia A with inhibitors or haemophilia B with inhibitors)

1. Patients with HAwI (haemophilia A with inhibitors) with historical medical records of a total of at least 26 weeks of on-demand treatment (On-demand or PPX treatment qualifying for this study is understood as patient-treatment solely for bleeds with intravenous coagulation factor-containing products) within the last 52 weeks prior to enrolment (For patients below 1 year of age that have been diagnosed with haemophilia \<1 year prior to enrolment, historical medical records from time of diagnosis will suffice as long as medical records of a total of at least 26 weeks of relevant treatment is available).
2. Patients with HBwI (haemophilia B with inhibitors) with historical medical records of a total of at least 26 weeks of on-demand treatment (On-demand or PPX treatment qualifying for this study is understood as patient-treatment solely for bleeds with intravenous coagulation factor-containing products) within the last 52 weeks prior to enrolment (For patients below 1 year of age that have been diagnosed with haemophilia \<1 year prior to enrolment, historical medical records from time of diagnosis will suffice as long as medical records of a total of at least 26 weeks of relevant treatment is available).
3. Patients with HBwI regardless of the regimen and duration of previous haemophilia treatment (On-demand or PPX treatment qualifying for this study is understood as patient-treatment solely for bleeds with intravenous coagulation factor-containing products)
* For arm 1 only: Patients without inhibitors (haemophilia A or haemophilia B)

1. Patients with historical medical records of at least 52 weeks of on-demand treatment (On-demand or PPX treatment qualifying for this study is understood as patient-treatment solely for bleeds with intravenous coagulation factor-containing products; Surgery related PPX or short-term PPX (e.g., in relation to a severe bleed) is not allowed) during the last year prior to enrolment and with at least 3 documented treated bleeds (For participants less than (\<) 2 years of age there is no limitation for number of documented treated bleeds in the medical history) during this period
2. Patients with historical medical records of a total of at least 26 weeks of PPX (prophylaxis) treatment (On-demand or PPX treatment qualifying for this study is understood as patient-treatment solely for bleeds with intravenous coagulation factor-containing products) within the last 52 weeks prior to enrolment (For patients below 1 year of age that have been diagnosed with haemophilia \<1 year prior to enrolment, historical medical records from time of diagnosis will suffice as long as medical records of a total of at least 26 weeks of relevant treatment is available)
* For arm 2 only: Male patients (regardless of age) previously treated with concizumab via compassionate use.

Exclusion Criteria

* Known or suspected hypersensitivity to study intervention or related products.
* Known inherited or acquired coagulation disorder other than congenital haemophilia.
* Ongoing or planned Immune Tolerance Induction treatment.
* History of thromboembolic disease (aIncludes arterial and venous thrombosis including myocardial infarction, pulmonary embolism, cerebral infarction/thrombosis, deep vein thrombosis, other clinically significant thromboembolic events and peripheral artery occlusion.). Current clinical signs of or treatment for thromboembolic disease. Patients who in the judgement of the investigator are considered at high risk of thromboembolic events (Thromboembolic risk factors could include, but are not limited to, hypercholesterolemia, diabetes mellitus, hypertension, obesity, smoking, family history of thromboembolic events, arteriosclerosis, other conditions associated with increased risk of thromboembolic events).
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novo Nordisk A/S

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Transparency (dept. 2834)

Role: STUDY_DIRECTOR

Novo Nordisk A/S

Locations

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Rady Childrens Hosp San Diego

San Diego, California, United States

Site Status

University of Colorado Hospital

Aurora, Colorado, United States

Site Status

Arnold Palmer Children's Hospital

Orlando, Florida, United States

Site Status

Nemours Child Orlando Hem/Onc.

Orlando, Florida, United States

Site Status

Augusta Univ/Childrens Hosp-GA

Augusta, Georgia, United States

Site Status

Memorial Health University Medical Center

Savannah, Georgia, United States

Site Status

Childrens Hospital of Chicago

Chicago, Illinois, United States

Site Status

Indiana Hemophilia-Thromb Ctr

Indianapolis, Indiana, United States

Site Status

Children's Hosp-New Orleans

New Orleans, Louisiana, United States

Site Status

Ochsner Clinic Foundation

New Orleans, Louisiana, United States

Site Status

The Children's Mercy Hospital

Kansas City, Missouri, United States

Site Status

Children's Nebraska

Omaha, Nebraska, United States

Site Status

ECU Sickle Cell Comp Clinic

Greenville, North Carolina, United States

Site Status

Nationwide Children's Hospital

Columbus, Ohio, United States

Site Status

St Christopher Hosp for Child

Philadelphia, Pennsylvania, United States

Site Status

Vanderbilt Hemostasis Treatment Clinic

Nashville, Tennessee, United States

Site Status

Cook Children's Hospital-Hematology-Oncology

Fort Worth, Texas, United States

Site Status

Texas Children's Hospital_Houston

Houston, Texas, United States

Site Status

Pediatrics Hematology/Oncology Clinic Battle Building

Charlottesville, Virginia, United States

Site Status

Haematology and Blood Bank Department

Algiers, , Algeria

Site Status

CHU Constantine BEN BADIS/ Hematology department

Constantine, , Algeria

Site Status

University Clinical Center of Republic Srpska (545)

Banja Luka, , Bosnia and Herzegovina

Site Status

University Clinical Centre Tuzla

Tuzla, , Bosnia and Herzegovina

Site Status

UMHAT Sveti Georgi EAD, Plovdiv, Clinic of Pediatrics

Plovdiv, , Bulgaria

Site Status

UMHAT Tsaritsa Yoanna - ISUL EAD, Pediatric clinical hematology and oncology

Sofia, , Bulgaria

Site Status

UMHAT "Sveta Marina" EAD

Varna, , Bulgaria

Site Status

BC Children's Hospital

Vancouver, British Columbia, Canada

Site Status

McMaster Children's Hospital

Hamilton, Ontario, Canada

Site Status

Tallinn Children's Hospital

Tallinn, , Estonia

Site Status

Centre Hospitalier Metropole Savoie

Chambéry, , France

Site Status

Ap-Hp-Hopital de Bicetre-1

Le Kremlin-Bicêtre, , France

Site Status

AP-HP-HOPITAL NECKER_Service d'hématologie

Paris, , France

Site Status

Aghia Sophia Childrens' Hospital

Athens, , Greece

Site Status

'Ippokrateio' General Hospital of Thessaloniki

Thessaloniki, , Greece

Site Status

'Ippokrateio' General Hospital of Thessaloniki

Thessaloniki, , Greece

Site Status

Guwahati Medical College

Guwahati, Assam, India

Site Status

Nirmal Hospital Pvt. Ltd.

Surat, Gujarat, India

Site Status

SSSH_Dept. of Clinical Haematology & Haemato Oncology

Kolhāpur, Maharashtra, India

Site Status

Seth GS Medical College & KEM Hospital

Mumbai, Maharashtra, India

Site Status

K.J Somaiya Hospital and Research Centre

Mumbai, Maharashtra, India

Site Status

MCGM - Comprehensive Thalassemia Care

Mumbai, Maharashtra, India

Site Status

Sahyadri Super Speciality Hospital

Pune, Maharashtra, India

Site Status

S.C.B. Medical College

Cuttack, Odisha, India

Site Status

J K Lon Hospital

Jaipur, Rajasthan, India

Site Status

Post Graduate Institute of Child Health

Noida, Uttar Pradesh, India

Site Status

SGPGI

Lucknow, Uttart Pradesh, India

Site Status

A.O.U policlinico "G. Rodolico-San Marco"

Catania, , Italy

Site Status

Dipartimento di Ematologia Univ. Firenze

Florence, , Italy

Site Status

Azienda Ospedaliera di Padova

Padua, , Italy

Site Status

Azienda Ospedaliera-Universitaria Parma

Parma, , Italy

Site Status

St. Marianna University School of Medicine Hospital_Pediatrics

Kanagawa, , Japan

Site Status

Saitama Children's Med Centre_Hematology-Oncology

Saitama, , Japan

Site Status

Saint George Hospital University Medical Center

Beirut, , Lebanon

Site Status

Hospital Nini

Tripoli, , Lebanon

Site Status

Centre of Oncology and Hematology, Vilnius University

Vilnius, , Lithuania

Site Status

Hospital Tunku Azizah

Kampung Baru, Kuala Lumpur, Malaysia

Site Status

Hospital Pulau Pinang

George Town, Pulau Pinang, Malaysia

Site Status

Sarawak General Hospital

Kuching, Sarawak, Malaysia

Site Status

Hospital Sultanah Nur Zahirah

Kuala Terengganu, Terengganu, Malaysia

Site Status

PHI University Clinic for Children's Diseases Skopje

Skopje, , North Macedonia

Site Status

Klinisk forskningspost

Oslo, , Norway

Site Status

Uniwersytecki Szpital Kliniczny im. J.Mikulicza-Radeckiego

Wroclaw, Lower Silesian Voivodeship, Poland

Site Status

Uniwersyteckie Centrum Kliniczne

Gdansk, , Poland

Site Status

Uniwersytecki Szpital Dzieciecy, Dzial Krwiolecznictwa

Lublin, , Poland

Site Status

Uniwersyteckie Centrum Kliniczne WUM

Warsaw, , Poland

Site Status

Clinic of Haematology, Fundeni Clinical Institute

Bucharest, , Romania

Site Status

Spitalul Clinic de Urgenta pentru Copii Cluj Napoca

Cluj-Napoca, , Romania

Site Status

Spitalul Clinic Judetean De Urgenta Bihor

Oradea, , Romania

Site Status

Charlotte Maxeke Johannesburg Academic Hospital

Parktown, Johannesburg, Gauteng, South Africa

Site Status

Hospital Virgen de la Arrixaca - Hematología

El Palmar, Murcia, Spain

Site Status

Hospital Vall d'Hebron

Barcelona, , Spain

Site Status

Hospital Universitario La Paz

Madrid, , Spain

Site Status

Hospital Regional Universitario de Málaga

Málaga, , Spain

Site Status

Koagulationscentrum

Gothenburg, , Sweden

Site Status

Sunpasitthiprasong Hospital_Pediatrics Department

Ubon Ratchathani, Mueang Distirct,, Thailand

Site Status

King Chulalongkorn Memorial Hospital_Bangkok_0

Bangkok, , Thailand

Site Status

King Chulalongkorn Memorial Hospital_Pediatric Hematology-Oncology

Bangkok, , Thailand

Site Status

Ramathibodi Hospital

Bangkok, , Thailand

Site Status

Siriraj Hospital - Hematology and Oncology

Bangkok, , Thailand

Site Status

Gazi University

Ankara, Beşevler/Ankara, Turkey (Türkiye)

Site Status

Gazi Üniversitesi Hastanesi- Hematoloji

Ankara, Beşevler/Ankara, Turkey (Türkiye)

Site Status

Acibadem Adana Hastanesi

Adana, , Turkey (Türkiye)

Site Status

Acıbadem Adana Hastanesi-Hematoloji

Adana, , Turkey (Türkiye)

Site Status

Ege Universitesi Tip Fakultesi

Izmir, , Turkey (Türkiye)

Site Status

Ege Üniversitesi Hastanesi- Hematoloji

Izmir, , Turkey (Türkiye)

Site Status

Ondokuz Mayis University Medical Faculty Ped. Haematology

Samsun, , Turkey (Türkiye)

Site Status

Ondokuz Mayıs Üniversitesi Hastanesi - Hematoloji

Samsun, , Turkey (Türkiye)

Site Status

Birmingham Children's Hospital

Birmingham, , United Kingdom

Site Status

University Hospitals Bristol & Weston NHS Foundation Trust

Bristol, , United Kingdom

Site Status

Evelina London Children's Hospital - Haemophilia

London, , United Kingdom

Site Status

Great Ormond Street Hospital for Children

London, , United Kingdom

Site Status

Countries

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Russia United States Algeria Bosnia and Herzegovina Bulgaria Canada Estonia France Greece India Italy Japan Lebanon Lithuania Malaysia North Macedonia Norway Poland Romania South Africa Spain Sweden Thailand Turkey (Türkiye) United Kingdom

Other Identifiers

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U1111-1247-7330

Identifier Type: OTHER

Identifier Source: secondary_id

2020-000504-11

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

jRCT2031220097

Identifier Type: REGISTRY

Identifier Source: secondary_id

NN7415-4616

Identifier Type: -

Identifier Source: org_study_id