Haemophilia APhase 3NCT05053139
A Research Study Investigating Mim8 in Adults and Adolescents With Haemophilia A With or Without Inhibitors
A Phase 3 study testing NNC0365-3769 (Mim8) in people with Haemophilia A and Haemophilia A With Inhibitors, run by Novo Nordisk A/S at 163 sites in 34 countries.
Trial summary
This study is investigating how Mim8 works compared to other medicines in people with haemophilia A, who either have inhibitors or do not have inhibitors. Mim8 is a new medicine that will be used for prevention of bleeding episodes. Mim8 works by replacing the function of the missing clotting factor VIII (FVIII). Read more about this study
- Who is it for?
- Ages 12 years and older
- Conditions the study is for
- Haemophilia A, Haemophilia A With Inhibitors
- What is being tested?
- NNC0365-3769 (Mim8)
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 281 participants
- Where
- 163 sitesin 34 countries
- Study dates
- 2 Dec 2021to 17 Dec 2024
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 12 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Informed consent 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.
- Male or female participants with diagnosis of congenital haemophilia A of any severity based on medical records.
- Participant has been prescribed treatment with factor VIII concentrates or bypassing agent in the last 26 weeks prior to screening.
- Age above or equal to 12 years at the time of signing informed consent.
- Body weight greater than or equal to 30 kg.
- Applicable to participants treated with on-demand/no prophylaxis prior to enrolment: ≥5 bleeds in the last 26 weeks prior to screening visit, for which factor VIII concentrates or bypassing agent has been prescribed.
- Applicable to participants with FVIII activity ≥1% who are on prophylactic treatment: ≥1 bleed in the last 26 weeks prior to screening visit, for which factor VIII concentrates or bypassing agent has been prescribed.
- Willingness and ability to comply with scheduled visits and study procedures, including the completion of diary and patient-reported outcomes questionnaires.
Who cannot join
- Previous participation in this study. Participation is defined as signed informed consent.
- Participation (i.e., signed informed consent) in any interventional clinical study with receipt of the last dose within 6 months (or 5 half-lives of the investigational medicinal product, whichever is shorter) before planned randomisation.
- Exposure to non-factor haemostatic products for bleeding prophylaxis within 6 months (or 5 half-lives of the medicinal product, whichever is shorter) before planned randomisation, for participants not included in the run-in.
- Female who is pregnant, breast-feeding or intends to become pregnant or is of child-bearing potential and not using a highly effective contraceptive method. Breast feeding is allowed only during the run-in period.
- Any disorder, except for conditions associated with haemophilia A, which in the investigator's opinion might jeopardise participant's safety or compliance with the protocol.
- Known or suspected hypersensitivity to trial product(s), any constituents of the product or to related products.
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- Receipt of gene therapy at any given time point.
- Ongoing or planned immune tolerance induction (ITI) therapy.
- Major surgery planned to take place after screening.
- Known congenital or acquired coagulation disorders other than haemophilia A.
- Hepatic dysfunction defined as aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) above 3 times the upper limit combined with total bilirubin above1.5 times the upper limit measured at screening.
- Renal impairment defined as estimated Glomerular Filtration Rate (eGFR) below or equal to 30 ml/min/1.73 m^2 for serum creatinine measured at screening.
- Previous or current thromboembolic disease or events (with the exception of previous catheter-associated thrombosis for which anti-thrombotic treatment is not currently ongoing) or risk of thromboembolic disease, as evaluated by investigator.
- Mental incapacity, unwillingness to cooperate, or a language barrier precluding adequate understanding and cooperation.
- Other conditions (e.g., autoimmune disease) or laboratory abnormality that may increase risk of bleeding or thrombosis as evaluated by the investigator.
Trial locations and contacts
163 sites in 34 countries.
163 sites in 34 countries
United States34 sites
University Of Michigan
Ann Arbor, Michigan, 48109
Children HC Atlanta-Adv Pediat
Atlanta, Georgia, 30329
Augusta University
Augusta, Georgia, 30912
Univ of Colorado Sch of Med
Aurora, Colorado, 80045
Torrence Hemby Ped Hem/Onc Ctr
Charlotte, North Carolina, 28203
St. Jude Clinic Novant Health
Charlotte, North Carolina, 28204
Rush University Med. Cntr
Chicago, Illinois, 60612
Cincinnati Child's Hsp Med Ctr
Cincinnati, Ohio, 45229
Univ Hosp Cleveland Med Ctr
Cleveland, Ohio, 44106
Nationwide Children's Hospital
Columbus, Ohio, 43205
Children's Medical Center_Dallas
Dallas, Texas, 75235
Dayton Children Hemostati Ctr
Dayton, Ohio, 45404
Michigan State University
East Lansing, Michigan, 48823
Penn State MS Hershey Med Ctr
Hershey, Pennsylvania, 17033-2360
Univ TX Hlth Sci Ctr Houston
Houston, Texas, 77030
Indiana Hemophilia-Thromb Ctr
Indianapolis, Indiana, 46260
University of Iowa_Iowa City
Iowa City, Iowa, 52242
University Of Iowa
Iowa City, Iowa, 52242
Balad Hlth Sys-Welmont CardCVA
Kingsport, Tennessee, 37660
Cure 4 the Kids Foundation
Las Vegas, Nevada, 89135
Hemophilia Treatment Center
Los Angeles, California, 90007
Children's Hospital Los Angeles - Endocrinology
Los Angeles, California, 90027
Univ of Miami/SCCC
Miami, Florida, 33136
Children's Hospital of Wisconsin
Milwaukee, Wisconsin, 53226
Vanderbilt Hemostasis Thrombosis Clinic
Nashville, Tennessee, 37232-9830
Children's Hosp-New Orleans
New Orleans, Louisiana, 70118-5720
Univ of NE Med Center_Omaha
Omaha, Nebraska, 68105
Arnold Palmer Hospital for Children
Orlando, Florida, 32806
St Christopher Hosp for Child
Philadelphia, Pennsylvania, 19134
Arizona H&T Phoenix Child Hosp
Phoenix, Arizona, 85016-7710
Memorial Health Univ Med Ctr
Savannah, Georgia, 31404
Providence Sacred Heart Medical Center & Children's Hospital
Spokane, Washington, 99204
Washington University School of Medicine_St. Louis
St Louis, Missouri, 63110
St Joseph's Hospital Foundation
Tampa, Florida, 33607
China14 sites
Beijing Children's Hospital, Capital Medical University
Beijing, Beijing Municipality, 100045
Xiangya Hospital Central-South University
Changsha, Hunan, 410008
Chengdu Women's and Children's Central Hospital
Chengdu, Sichuan, 610074
Haemotology, Nanfang Hospital, Southern Medical University
Guangzhou, Guangdong, 510515
Nanfang Hospital, Southern Medical University-Haematology
Guangzhou, Guangdong, 510515
Children's Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310052
The Children's Hospital, Zhejiang University school of medicine
Hangzhou, Zhejiang, 310052
Jinan Central Hospital
Ji'Nan, Shandong, 250000
Jinan Central Hospital
Jinan, Shandong, 250000
The Second Affiliated Hospital of Kunming Medical University
Kunming, Yunnan, 650101
The First Affiliated Hospital of Soochow University
Suzhou, Jiangsu, 215006
Institute of Hematology and Blood Diseases Hospital, Tianjin-Hematology
Tianjin, Tianjin Municipality, 300020
Tongji Hospital, Tongji Medical College of HUST-Hematology
Wuhan, Hubei, 430030
Tongji Hospital, Tongji Medical College of HUST
Wuhan, Hubei, 430030
Japan10 sites
Nagoya University Hospital_Blood Transfusion
Aichi, 466-8560
Hospital of the University of Occupational And Environmental Health Japan, Pediatrics
Kitakyusyu-shi, Fukuoka, 807 8555
Nanbu Medical Center & Children's Medical Center
Okinawa, 901-1193
Saitama Children's Med Centre_Hematology-Oncology
Saitama, 330-8777
Shizuoka Children's Hospital, Hematology-Oncology
Shizuoka, 420-8660
Jichi Medical University Hospital_Hematology
Tochigi, 329-0498
Jichi Medical University Hospital_Pediatrics
Tochigi, 329-0498
National Center for Child Health and Development_Hematology
Tokyo, 157-8535
Tokyo Medical Univ. Hospital_Laboratory Medicine
Tokyo, 160-0023
Ogikubo Hospital_Pediatries & Blood
Tokyo, 167-0035
Canada9 sites
McMaster University Medical Center
Hamilton, Ontario, L8N 3Z5
McMaster University
Hamilton, Ontario, L8N 3Z5
London Health Sciences Center Ontario
London, Ontario, N6A 5W9
Hopital Maisonneuve Rosemont
Montreal, Quebec, HIT 2M4
St. John Regional Hospital
Saint John, New Brunswick, E2L 4L4
Royal University Hospital
Saskatoon, Saskatchewan, S7N 0W8
Eastern Health Authority
St. John's, Newfoundland and Labrador, A1B 3V6
The Hospital for Sick Children
Toronto, Ontario, M5G 1X8
University of Manitoba
Winnipeg, Manitoba, R3T 2N2
Turkey (Türkiye)9 sites
Acıbadem Adana Hastanesi-Hematoloji
Adana, 01130
Gazi University
Ankara, Beşevler/Ankara, 06500
Gazi Üniversitesi Hastanesi- Hematoloji
Ankara, Beşevler/Ankara, 06500
Akdeniz Üniversitesi Hastanesi- Hematoloji
Antalya, Konyaaltı/ Antalya, 01010
Akdeniz Universitesi
Antalya, 01010
Ege Universitesi Tip Fakultesi
Bornova-IZMIR, 35100
Ege Üniversitesi Hastanesi- Hematoloji
Bornova-IZMIR, 35100
Istanbul University Oncology Institute
Capa-ISTANBUL, Capa-ISTANBUL, 34093
İstanbul Üniversitesi İstanbul Tıp Fakültesi Hastanesi- Onkoloji Enstitüsü
Capa-ISTANBUL, Capa-ISTANBUL, 34093
France8 sites
Centre Hospitalier Universitaire de Bordeaux-Hopital Pellegrin
Bordeaux, 33076
Hospices Civils de Lyon- Hopital Louis Pradel-1
Bron, 69500
Hôpital Cardiologique Louis Pradel
Bron, 69500
Ap-Hp-Hopital de Bicetre-1
Le Kremlin-Bicêtre, 94275
Centre Hospitalier Universitaire de Lille-Institut Coeur Poumon
Lille, 59037
Centre Hospitalier Universitaire de Nantes-Hopital Hotel-Dieu
Nantes, Nantes
Ap-Hp-Hopital Necker-1
Paris, 75015
Centre Hospitalier Universitaire de Rennes - Hopital Pontchaillou
Rennes, 35033
Russia7 sites
Reg. State Budget Healthc. Inst. Regional Clinical Hospital
Barnaul, 656024
SAHI Kuzbass Hospital(former Regional clinical hospital)
Kemerovo, 650066
Children Regional Clinical Hospital
Krasnodar, 350007
Morozovskaya municipal children hospital
Moscow, 119049
National Medical Research institution of haemotology
Moscow, 125167
Republican Hospital n.a. V. A. Baranov
Petrozavodsk, 185019
City out-patient clinic 37, City Hemophilia Centre
Saint Petersburg, 191186
India5 sites
Christian medical college
Ludhiana, Punjab, 141008
Seth GS Medical College & KEM Hospital
Mumbai, Maharashtra, 400012
Post Graduate Institute of Child Health
Noida, Uttar Pradesh, 201303
CMCV
Ranipet, Tamil Nadu, 632517
Nirmal Hospital Pvt. Ltd.
Surat, Gujarat, 395002
Slovakia5 sites
Nemocnica sv. Cyrila a Metoda, UNB,Klinika hemat. a transfuz
Bratislava, 851 07
Unilabs Slovensko, s. r. o.
Košice, 04001
Univerzitna Nemocnica Martin
Martin, 036 59
Vseobecna nemocnica Rimavska Sobota
Rimavská Sobota, 979 12
Vranovska nemocnica, a.s.
Vranov nad Topľou, 09327
Portugal4 sites
Unidade Local de Saúde de Coimbra, E.P.E.
Coimbra, 3000-561
Unidade Local de Saúde de Santo António, E.P.E
Porto, 4099-001
Centro Hospitalar de São João_Porto
Porto, 4200-319
ULS São João, E.P.E.
Porto, 4200-319
Romania4 sites
Institutul Clinic Fundeni
Bucharest, 022328
Institut Oncologic "Prof. Dr. Ion Chiricuta" Cluj Napoca
Cluj-Napoca, 400015
Spitalul Clinic Municipal Filantropia Craiova
Craiova, Dolj, 200143
Spitalul Clinic Municipal de Urgenta Timisoara
Timișoara, 300254
Taiwan4 sites
Kaohsiung Medical University Chung-Ho Memorial Hospital_Dept of Pediatrics
Kaohsiung City, 807
Chung Shan Medical University Hospital
Taichung, 402
Taichung Veterans General Hospital
Taichung, 407
National Taiwan University Hospital_Dept of Hematology
Taipei, 100
United Kingdom4 sites
Arthur Bloom Haemophilia Centre
Cardiff, CF14 4XW
Royal Free Haemophilia Comprehensive Care Centre
London, NW3 2QG
St Thomas' Hospital - Haemostasis and Thrombosis Centre
London, SE1 7EH
Oxford Haemophilia Comprehensive Care Center
Oxford, OX3 7LJ
Belgium3 sites
Cliniques universitaires Saint-Luc - Service Hématologie
Brussels, 1200
UZ Antwerpen - UZA - Kinderhemato-Oncologie
Edegem, 2650
UZ Leuven - Kindergeneeskunde
Leuven, 3000
Germany3 sites
Vivantes Netzwerk für Gesundheit GmbH - Vivantes Klinikum im Friedrichshain
Berlin, 10249
Universitätsklinikum Bonn - Institut für Experimentelle Hämatologie
Bonn, 53127
HZRM Haemophilie-Zentrum Rhein Main GmbH
Frankfurt am Main, 60596
Lithuania3 sites
Hospital of LUHS "Kauno Klinikos"
Kaunas, LT-50161
Children Oncohaematology department Children's Hospital,
Vilnius, 08406
Vilnius University hospital Santaros klinikos
Vilnius, LT-08661
Malaysia3 sites
Hospital Ampang
Ampang, Selangor, 68000
Hospital Queen Elizabeth 1
Kota Kinabalu, Sabah, 88586
Hospital Ampang
Selangor Darul Ehsan, 68000
Netherlands3 sites
Academisch Medisch Centrum
Amsterdam, 1105 AZ
Erasmus MC
Rotterdam, 3015 GD
UMC Utrecht, Van Creveldkliniek
Utrecht, 3584 CX
Poland3 sites
Szpital Uniwersytecki, Oddzial Kliniczny Hematologii
Krakow, Lesser Poland Voivodeship, 30-688
Uniwersytecki Szpital Dzieciecy, Dzial Krwiolecznictwa
Lublin, 20-093
Uniwersytecki Szpital Kliniczny im. J.Mikulicza-Radeckiego
Wroclaw, Lower Silesian Voivodeship, 50-556
South Korea3 sites
Daejeon Eulji Medical Center, Eulji University
Daejeon, 35233
Severance Hospital, Yonsei University Health System
Seoul, 03722
Kyung Hee University Hospital at Gangdong
Seoul, 05278
Spain3 sites
Hospital Vall d'Hebron
Barcelona, 08035
Hospital Universitario La Paz
Madrid, 28046
Hospital Regional Universitario de Málaga
Málaga, 29009
Switzerland3 sites
Universitätsklinik für Hämatologie
Bern, 3010
Zentrum für Labormedizin
Sankt Gallen, 9008
Universitätsspital Zürich - Klinik für Medizinische Onkologie und Hämatologie
Zurich, 8091
Austria2 sites
Universitätsklinik für Innere Medizin V
Innsbruck, 6020
AKH - Klin. Abt. f. Haematologie u. Haemostaseologie
Vienna, 1090
Ireland2 sites
St James's CRF
Dublin, Leinster, D08 A978
CHI Crumlin Haematology
Dublin, D12 N512
Italy2 sites
Dipartimento di Ematologia Univ. Firenze
Florence, 50134
IRCCS Humanitas Research Hospital - Centro Trombosi e Malattie Emorragiche
Milan, 20089
Latvia2 sites
Stradini Clinic of Oncology
Riga, 1002
Children University Clinical Hospital
Riga, 1004
Serbia2 sites
Clinical Centre of Serbia, Institute for Haematology
Belgrade, 11000
Clinical Centre of Vojvodina
Novi Sad, 21000
South Africa2 sites
Wits Bara Clinical Trial Site
Johannesburg, Gauteng, 2013
Charlotte Maxeke Johannesburg Academic Hospital
Parktown, Johannesburg, Gauteng, 2193
Ukraine2 sites
City Clinical Hospital #4 (Dnipro) - Haematology centre
Dnipro, 49102
Institute of blood pathology and transfusion medicine of NAMSU - General and haematol. surgery
Lviv, 79044
Denmark1 site
Rigshospitalet - Department of Haematology, 2081
København Ø, 2100
Israel1 site
Sheba MC - The Israeli National Hemophilia Center
Tel HaShomer, 52621
Mexico1 site
Centro Multidisciplinario Para El Desarrollo Especializado De La Investigación Clínica En Yucatán S.C.P. (CEMDEICY S.C.P.)
Mérida, 97130
Saudi Arabia1 site
King Faisal Specialist Hospital & Research Centre, Riyadh
Riyadh, 12713
About this study
Official title: A Multinational, Open-label, Randomised, Controlled Study to Investigate Efficacy and Safety of NNC0365-3769 (Mim8) in Adults and Adolescents With Haemophilia A With or Without Inhibitors
This study is investigating how Mim8 works compared to other medicines in people with haemophilia A, who either have inhibitors or do not have inhibitors. Mim8 is a new medicine that will be used for prevention of bleeding episodes. Mim8 works by replacing the function of the missing clotting factor VIII (FVIII).
When and how often participants will receive Mim8 is dependent on their previous treatment - but is otherwise decided by chance. Mim8 will be injected into a skinfold on the stomach with a thin needle either once a week or once a month.
The study will last 54-124 weeks (12-29 months) depending on how long participants will be followed in run-in before they start treatment and if they continue in the follow period or transfer to an open label extension study. Participants will have 12-17 clinic visits.
- Conditions
- Haemophilia A, Haemophilia A With Inhibitors
- Being tested
- NNC0365-3769 (Mim8)
- Medical subject headings
- Hemophilia A
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
NNC0365-3769 (Mim8)Drug
Mim8 will be injected into a skinfold on the stomach with a thin needle either once a week or once a month.
| Study group | Role | What they receive |
|---|---|---|
| no PPX- no PPX - Mim8 PPXQW/QM | Experimental | Participants not receiving prophylaxis will not enter the run-in period. In arm 1, participants will be randomised to continue no prophylaxis (on-demand treatment with their Standard of Care products) or Mim8 once-weekly or once-monthly prophylaxis in agreement with investigators in the main part of the study (26 weeks). After the main part, participants will continue in the extension part of the study (26 weeks) in agreement with the investigator, either weekly or monthly Mim8 prophylaxis regimen. Receives: Drug: NNC0365-3769 (Mim8) |
| no PPX - Mim8 PPXQW - Mim8 PPXQW | Experimental | Participants not receiving prophylaxis will not enter the run-in period. In arm 2a, participants will be randomised to Mim8 once-weekly prophylaxis in the main part of the study (26 weeks). After the main part, participants will continue in the extension part of the study (26 weeks) on once-weekly Mim8 prophylaxis regimen. Receives: Drug: NNC0365-3769 (Mim8) |
| no PPX - Mim8 PPXQM - Mim8 PPXQM | Experimental | Participants not receiving prophylaxis will not enter the run-in period. In arm 2b, participants will be randomised to Mim8 once-monthly prophylaxis in the main part of the study (26 weeks). After the main part, participants will continue in the extension part of the study (26 weeks) on once-monthy Mim8 prophylaxis regimen. Receives: Drug: NNC0365-3769 (Mim8) |
| PPX - Mim8 PPXQW | Experimental | Participants on coagulation factor prophylaxis prior to enrolment will preferably continue the same product type and dosing frequency in the run-in period for at least 26 weeks before they can be randomised into the main part of the study. These participants will only be allowed to receive coagulation factor prophylaxis. In arm 3, participants will be randomised to once-weekly Mim8 prophylaxis regimen in the main part of the study (26 weeks). After the main part, participants will continue in the extension part of the study (26 weeks) on once-weekly Mim8 prophylaxis regimen. Receives: Drug: NNC0365-3769 (Mim8) |
| PPX- Mim8 PPXQM | Experimental | Participants on coagulation factor prophylaxis prior to enrolment will preferably continue the same product type and dosing frequency in the run-in period for at least 26 weeks before they can be randomised into the main part of the study. These participants will only be allowed to receive coagulation factor prophylaxis. In arm 4, participants will be randomised to once-monthly Mim8 prophylaxis regimen in the main part of the study (26 weeks). After the main part, participants will continue in the extension part of the study (26 weeks) on once-monthly Mim8 prophylaxis regimen. Receives: Drug: NNC0365-3769 (Mim8) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of treated bleeds
Count
Measured: No prophylaxis treatment (Arms 1, 2a and 2b): From randomisation (week 0) to end of main (week 26)
Number of treated bleeds
Count
Measured: Prophylaxis treatment (Arms 3 and 4): From initiation of run-in (26-52 weeks prior to week 0) to week 0 and from randomisation (week 0) to end of main (week 26)
Secondary outcomes (10)
Number of injection site reactions
Count
Measured: All participants receiving Mim8 (Arms 2a, 2b, 3 and 4): From randomisation (week 0) to end of main (week 26)
Occurrence of anti-Mim8 antibodies
Count
Measured: All participants receiving Mim8 (Arms 2a, 2b, 3 and 4): From randomisation (week 0) to end of extension (week 52)
Number of treated spontaneous bleeds
Count
Measured: No prophylaxis treatment (Arms 1, 2a and 2b): From randomisation (week 0) to end of main (Week 26) Prophylaxis treatment (Arms 3 and 4): From initiation of run-in (26-52 weeks prior to week 0) to week 0 and from week 0 to end of main (week 26)
Number of treated joint bleeds
Count
Measured: No prophylaxis treatment (Arms 1, 2a and 2b): From randomisation (week 0) to end of main (Week 26) Prophylaxis treatment (Arms 3 and 4): From initiation of run-in (26-52 weeks prior to week 0) to week 0 and from week 0 to end of main (week 26)
Number of treated traumatic bleeds
Count
Measured: No prophylaxis treatment (Arms 1, 2a and 2b): From randomisation (week 0) to end of main (Week 26) Prophylaxis treatment (Arms 3 and 4): From initiation of run-in (26-52 weeks prior to week 0) to week 0 and from week 0 to end of main (week 26)
Number of target joint bleeds
Count
Measured: No prophylaxis treatment (Arms 1, 2a and 2b): From randomisation (week 0) to end of main (Week 26) Prophylaxis treatment (Arms 3 and 4): From initiation of run-in (26-52 weeks prior to week 0) to week 0 and from week 0 to end of main (week 26)
Consumption of factor product per bleed treatment (number of injections)
Count
Measured: No prophylaxis treatment (Arms 1, 2a and 2b): From randomisation (week 0) to end of main (Week 26) Prophylaxis treatment (Arms 3 and 4): From initiation of run-in (26-52 weeks prior to week 0) to week 0 and from week 0 to end of main (week 26)
Change in physical function domain of PEDS-QL (pediatric quality of life inventory)
Score points Minimum score per question (best) = 0 Maximum score per question (worst) = 4 Total score for 13 questions: 0 (best) to 92 (worst)
Measured: All participants (Arms 1, 2a, 2b, 3 and 4): From randomisation (week 0) to the end of the main part (week 26)
Change in patient's treatment burden using the Hemo-TEM (haemophilia treatment experience measure)
Score points
Ranges from 0 (best) - 4 (worst) representing answers ranging:
'Not at all difficult' - 'Extremely difficult' 'Never' - 'always' 'Not at all bothered' - 'Extremely bothered' 'Not at all interfering' - 'Extremely interfering' 'Not at all burdened' - 'Extremely burdened'
Measured: All participants (Arms 1, 2a, 2b, 3 and 4): From randomisation (week 0) to the end of the main part (week 26)
Change in patient's joint pain score using Joint Pain Rating Scale
Score points ranges from 0 = 'not at all' (best) to 4 = 'extremely' (worst)
Measured: All participants (Arms 1, 2a, 2b, 3 and 4): From randomisation (week 0) to the end of the main part (week 26)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Sep 2021
- Study start2 Dec 2021
- Primary completion11 Mar 2024
- Study completion17 Dec 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Haemophilia AStudies of the same condition, open and under way.
- More trials run by Novo Nordisk A/SThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 281 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novo Nordisk A/S
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Transparency (dept. 2834), Study director, Novo Nordisk A/S
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05053139
- Sponsor's protocol ID
- NN7769-4514
- Other IDs
- U1111-1249-4378, 2020-001048-24, jRCT2031210643
- Status last verified
- Dec 2025
- First submitted
- 13 Sep 2021
- Last updated
- 8 Dec 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
Publications
Jimenez-Yuste V, Abraham A, Tomuleasa C, Alzahrani H, van Vulpen L, Yang R, Obaji S, Ahuja S, Susen S, Lentz SR, Hogh AR, Rakhmatullin I, Hermans C. Denecimig (Mim8) prophylaxis over 52 weeks in adolescents and adults with hemophilia A: FRONTIER2 extension study. Res Pract Thromb Haemost. 2026 Aug 27;10(6):106915. doi: 10.1016/j.rpth.2026.106915. eCollection 2026 Aug.
PubMed 42824064Mancuso ME, Chan AKC, Shanmukhaiah C, Lyu CJ, Zdziarska J, Mahlangu J, van Vulpen LFD, Chowdary P, Yang R, Lentz SR, Matsushita T, Clausen WHO, Rakhmatullin I, Oldenburg J; FRONTIER2 Investigators. Mim8 Bispecific Antibody Prophylaxis in Hemophilia A with or without Inhibitors. N Engl J Med. 2026 Apr 30;394(17):1696-1709. doi: 10.1056/NEJMoa2517384.
PubMed 42054679Ong Clausen WH, Latendorf T, Stehr R, Ezban M, Lund J. Comparative ex vivo analysis of Mim8 in thrombin generation assays triggered by activated factor XI or tissue factor. Res Pract Thromb Haemost. 2025 Oct 10;9(7):103209. doi: 10.1016/j.rpth.2025.103209. eCollection 2025 Oct.
PubMed 41257207
Study at a glance
From the registry record, last updated by the sponsor on 8 Dec 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multinational, Open-label, Randomised, Controlled Study to Investigate Efficacy and Safety of NNC0365-3769 (Mim8) in Adults and Adolescents With Haemophilia A With or Without Inhibitors
- ClinicalTrials.gov ID
- NCT05053139
- Acronym / sponsor ID
- NN7769-4514
- Conditions
- Haemophilia A, Haemophilia A With Inhibitors
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 281 participants (actual)
- Lead sponsor
- Novo Nordisk A/SIndustry (pharma, biotech, devices)
- Study start
- 2 Dec 2021 (actual)
- Primary completion
- 11 Mar 2024 (actual)
- Study completion
- 17 Dec 2024 (actual)
- First posted
- 22 Sep 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is investigating how Mim8 works compared to other medicines in people with haemophilia A, who either have inhibitors or do not have inhibitors. Mim8 is a new medicine that will be used for prevention of bleeding episodes. Mim8 works by replacing the function of the missing clotting factor VIII (FVIII).
When and how often participants will receive Mim8 is dependent on their previous treatment - but is otherwise decided by chance. Mim8 will be injected into a skinfold on the stomach with a thin needle either once a week or once a month.
The study will last 54-124 weeks (12-29 months) depending on how long participants will be followed in run-in before they start treatment and if they continue in the follow period or transfer to an open label extension study. Participants will have 12-17 clinic visits.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| no PPX- no PPX - Mim8 PPXQW/QM | Experimental | Drug: NNC0365-3769 (Mim8)Participants not receiving prophylaxis will not enter the run-in period. In arm 1, participants will be randomised to continue no prophylaxis (on-demand treatment with their Standard of Care products) or Mim8 once-weekly or once-monthly prophylaxis in agreement with investigators in the main part of the study (26 weeks). After the main part, participants will continue in the extension part of the study (26 weeks) in agreement with the investigator, either weekly or monthly Mim8 prophylaxis regimen. |
| no PPX - Mim8 PPXQW - Mim8 PPXQW | Experimental | Drug: NNC0365-3769 (Mim8)Participants not receiving prophylaxis will not enter the run-in period. In arm 2a, participants will be randomised to Mim8 once-weekly prophylaxis in the main part of the study (26 weeks). After the main part, participants will continue in the extension part of the study (26 weeks) on once-weekly Mim8 prophylaxis regimen. |
| no PPX - Mim8 PPXQM - Mim8 PPXQM | Experimental | Drug: NNC0365-3769 (Mim8)Participants not receiving prophylaxis will not enter the run-in period. In arm 2b, participants will be randomised to Mim8 once-monthly prophylaxis in the main part of the study (26 weeks). After the main part, participants will continue in the extension part of the study (26 weeks) on once-monthy Mim8 prophylaxis regimen. |
| PPX - Mim8 PPXQW | Experimental | Drug: NNC0365-3769 (Mim8)Participants on coagulation factor prophylaxis prior to enrolment will preferably continue the same product type and dosing frequency in the run-in period for at least 26 weeks before they can be randomised into the main part of the study. These participants will only be allowed to receive coagulation factor prophylaxis. In arm 3, participants will be randomised to once-weekly Mim8 prophylaxis regimen in the main part of the study (26 weeks). After the main part, participants will continue in the extension part of the study (26 weeks) on once-weekly Mim8 prophylaxis regimen. |
| PPX- Mim8 PPXQM | Experimental | Drug: NNC0365-3769 (Mim8)Participants on coagulation factor prophylaxis prior to enrolment will preferably continue the same product type and dosing frequency in the run-in period for at least 26 weeks before they can be randomised into the main part of the study. These participants will only be allowed to receive coagulation factor prophylaxis. In arm 4, participants will be randomised to once-monthly Mim8 prophylaxis regimen in the main part of the study (26 weeks). After the main part, participants will continue in the extension part of the study (26 weeks) on once-monthly Mim8 prophylaxis regimen. |
Who may qualify
- Ages
- 12 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (8 listed)
- Informed consent 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.
- Male or female participants with diagnosis of congenital haemophilia A of any severity based on medical records.
- Participant has been prescribed treatment with factor VIII concentrates or bypassing agent in the last 26 weeks prior to screening.
- Age above or equal to 12 years at the time of signing informed consent.
- Body weight greater than or equal to 30 kg.
Key exclusion criteria (15 listed)
- Previous participation in this study. Participation is defined as signed informed consent.
- Participation (i.e., signed informed consent) in any interventional clinical study with receipt of the last dose within 6 months (or 5 half-lives of the investigational medicinal product, whichever is shorter) before planned randomisation.
- Exposure to non-factor haemostatic products for bleeding prophylaxis within 6 months (or 5 half-lives of the medicinal product, whichever is shorter) before planned randomisation, for participants not included in the run-in.
- Female who is pregnant, breast-feeding or intends to become pregnant or is of child-bearing potential and not using a highly effective contraceptive method. Breast feeding is allowed only during the run-in period.
- Any disorder, except for conditions associated with haemophilia A, which in the investigator's opinion might jeopardise participant's safety or compliance with the protocol.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| NNC0365-3769 (Mim8)Mim8 will be injected into a skinfold on the stomach with a thin needle either once a week or once a month. | Drug | PPX - Mim8 PPXQW, PPX- Mim8 PPXQM, no PPX - Mim8 PPXQM - Mim8 PPXQM, no PPX - Mim8 PPXQW - Mim8 PPXQW, no PPX- no PPX - Mim8 PPXQW/QM |
Primary outcome
Number of treated bleeds
Time frame: No prophylaxis treatment (Arms 1, 2a and 2b): From randomisation (week 0) to end of main (week 26)
Count
Number of treated bleeds
Time frame: Prophylaxis treatment (Arms 3 and 4): From initiation of run-in (26-52 weeks prior to week 0) to week 0 and from randomisation (week 0) to end of main (week 26)
Count
10 secondary outcomes
Number of injection site reactions
Time frame: All participants receiving Mim8 (Arms 2a, 2b, 3 and 4): From randomisation (week 0) to end of main (week 26)
Occurrence of anti-Mim8 antibodies
Time frame: All participants receiving Mim8 (Arms 2a, 2b, 3 and 4): From randomisation (week 0) to end of extension (week 52)
Number of treated spontaneous bleeds
Time frame: No prophylaxis treatment (Arms 1, 2a and 2b): From randomisation (week 0) to end of main (Week 26) Prophylaxis treatment (Arms 3 and 4): From initiation of run-in (26-52 weeks prior to week 0) to week 0 and from week 0 to end of main (week 26)
Number of treated joint bleeds
Time frame: No prophylaxis treatment (Arms 1, 2a and 2b): From randomisation (week 0) to end of main (Week 26) Prophylaxis treatment (Arms 3 and 4): From initiation of run-in (26-52 weeks prior to week 0) to week 0 and from week 0 to end of main (week 26)
Number of treated traumatic bleeds
Time frame: No prophylaxis treatment (Arms 1, 2a and 2b): From randomisation (week 0) to end of main (Week 26) Prophylaxis treatment (Arms 3 and 4): From initiation of run-in (26-52 weeks prior to week 0) to week 0 and from week 0 to end of main (week 26)
Number of target joint bleeds
Time frame: No prophylaxis treatment (Arms 1, 2a and 2b): From randomisation (week 0) to end of main (Week 26) Prophylaxis treatment (Arms 3 and 4): From initiation of run-in (26-52 weeks prior to week 0) to week 0 and from week 0 to end of main (week 26)
Consumption of factor product per bleed treatment (number of injections)
Time frame: No prophylaxis treatment (Arms 1, 2a and 2b): From randomisation (week 0) to end of main (Week 26) Prophylaxis treatment (Arms 3 and 4): From initiation of run-in (26-52 weeks prior to week 0) to week 0 and from week 0 to end of main (week 26)
Change in physical function domain of PEDS-QL (pediatric quality of life inventory)
Time frame: All participants (Arms 1, 2a, 2b, 3 and 4): From randomisation (week 0) to the end of the main part (week 26)
Change in patient's treatment burden using the Hemo-TEM (haemophilia treatment experience measure)
Time frame: All participants (Arms 1, 2a, 2b, 3 and 4): From randomisation (week 0) to the end of the main part (week 26)
Change in patient's joint pain score using Joint Pain Rating Scale
Time frame: All participants (Arms 1, 2a, 2b, 3 and 4): From randomisation (week 0) to the end of the main part (week 26)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Dec 2025.
- Derived from this study: PubMed 42824064Jimenez-Yuste V, Abraham A, Tomuleasa C, Alzahrani H, van Vulpen L, Yang R, Obaji S, Ahuja S, Susen S, Lentz SR, Hogh AR, Rakhmatullin I, Hermans C. Denecimig (Mim8) prophylaxis over 52 weeks in adolescents and adults with hemophilia A: FRONTIER2 extension study. Res Pract Thromb Haemost. 2026 Aug 27;10(6):106915. doi: 10.1016/j.rpth.2026.106915. eCollection 2026 Aug.
- Derived from this study: PubMed 42054679Mancuso ME, Chan AKC, Shanmukhaiah C, Lyu CJ, Zdziarska J, Mahlangu J, van Vulpen LFD, Chowdary P, Yang R, Lentz SR, Matsushita T, Clausen WHO, Rakhmatullin I, Oldenburg J; FRONTIER2 Investigators. Mim8 Bispecific Antibody Prophylaxis in Hemophilia A with or without Inhibitors. N Engl J Med. 2026 Apr 30;394(17):1696-1709. doi: 10.1056/NEJMoa2517384.
- Derived from this study: PubMed 41257207Ong Clausen WH, Latendorf T, Stehr R, Ezban M, Lund J. Comparative ex vivo analysis of Mim8 in thrombin generation assays triggered by activated factor XI or tissue factor. Res Pract Thromb Haemost. 2025 Oct 10;9(7):103209. doi: 10.1016/j.rpth.2025.103209. eCollection 2025 Oct.
- Individual participant dataSharing planned: Yes. According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Transparency (dept. 2834) study director
Novo Nordisk A/S
163 sites in 34 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing NNC0365-3769 (Mim8) in people with Haemophilia A and Haemophilia A With Inhibitors, run by Novo Nordisk A/S at 163 sites in 34 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 8 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 163 sites in United States, China, Japan, Canada, Turkey (Türkiye) and 29 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of treated bleeds (time frame: No prophylaxis treatment (Arms 1, 2a and 2b): From randomisation (week 0) to end of main (week 26)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05053139, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Dec 2025.