E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Congenital Haemophilia and Inhibitors |
|
E.1.1.1 | Medical condition in easily understood language |
Born with Haemophilia and having Inhibitors |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Blood and lymphatic diseases [C15] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 13.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10056492 |
E.1.2 | Term | Haemophilia A with anti factor VIII |
E.1.2 | System Organ Class | 10010331 - Congenital, familial and genetic disorders |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 13.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10056494 |
E.1.2 | Term | Haemophilia B with anti factor IX |
E.1.2 | System Organ Class | 10010331 - Congenital, familial and genetic disorders |
|
E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To demonstrate the efficacy of NNC 0078-0000-0007 in controlling acute bleeding episodes in patients with haemophilia and inhibitors. |
|
E.2.2 | Secondary objectives of the trial |
• To confirm the safety of NNC 0078-0000-0007 when administered for treatment of acute bleeds • To evaluate the immunogenicity of NNC 0078-0000-0007 (formation of neutralising antibodies) • To evaluate health economic impact of treatment with NNC 0078-0000-0007 |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
• Male patient with clinical diagnosis of congenital haemophilia A or B and inhibitors to coagulation factors VIII or IX • Minimum of five bleeds requiring haemostatic drug treatment within the previous 12 months at trial entry • 12 years of age or older |
|
E.4 | Principal exclusion criteria |
• Previous participation in this trial defined as withdrawal after administration of trial product • Patient has received an investigational medicinal product within 30 days prior to this trial • Congenital or acquired coagulation disorders other than haemophilia A or B • Any clinical signs or known history of arterial thrombotic events or of deep venous thrombosis or pulmonary embolism (as defined by available medical records) • Platelet count < 50,000 platelets/µl (at the screening visit) • ALAT > 3 times the upper normal limit (according to laboratory reference ranges) • FVIII/IX Immune Tolerance Induction regimen planned to occur during the trial • Ongoing bleeding prophylaxis regimens or planned bleeding prophylaxis to occur during the trial • HIV positive with current CD4+ count < 200/mL (defined by medical records |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Effective bleeding control defined as no additional haemostatic medication (other than
trial product) given within 12 hours after first dose of trial product |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
12 hours after first dose of trial product administration |
|
E.5.2 | Secondary end point(s) |
1. Effective and sustained bleeding control
2. Number of doses of trial product given for each acute bleed
3 Adverse Events and Immunogenicity |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
1. after 24 hrs and 48 hrs after trial product administration
2. within 9 hrs after first trial product administration
3. will be assessed for each patient throughout the trial |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
Random sequence of two different treatment regimens |
|
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 2 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 14 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Austria |
Brazil |
Croatia |
Denmark |
France |
Greece |
Hungary |
India |
Italy |
Japan |
Malaysia |
Poland |
Romania |
Russian Federation |
Serbia |
South Africa |
Spain |
Switzerland |
Taiwan |
Thailand |
Turkey |
United Kingdom |
United States |
|
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 10 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 10 |
E.8.9.2 | In all countries concerned by the trial days | 0 |