Haemophilia A With or Without InhibitorsPhase 3NCT05306418
A Research Study Looking at Mim8 in Children With Haemophilia A With or Without Inhibitors
A Phase 3 study testing Mim8 in people with Haemophilia A With or Without Inhibitors, run by Novo Nordisk A/S at 52 sites in 19 countries.
Trial summary
This study is looking at how Mim8 works compared to other medicines in children with haemophilia A, who either have inhibitors or do not have inhibitors. Mim8 is a new medicine that will be used for prevention of bleeds. Mim8 will be injected with a thin needle into the skin. Read more about this study
- Who is it for?
- Ages 1 year to 11 years
- Conditions the study is for
- Haemophilia A With or Without Inhibitors
- What is being tested?
- Mim8
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 70 participants
- Where
- 52 sitesin 19 countries
- Study dates
- 4 Apr 2022to 13 Nov 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 1 year to 11 years
- All sexes
- No healthy volunteers
- Child
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 and female participants with the diagnosis of congenital haemophilia A of any severity based on medical records.
- Aged 1-11 years (both inclusive) at the time of signing informed consent.
- For previously treated participants :
- Participant has been prescribed treatment with FVIII concentrate or bypassing agent in the last 26 weeks prior to screening.
- Participants with endogenous FVIII activity greater than or equal to 1%, based on medical records, must have at least 1 treated bleed during the previous 26 weeks before screening for which factor VIII concentrate or bypassing agent has been prescribed (no requirements for participants with FVIII activity below 1%).
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- For previously untreated participants:
- Diagnosis of severe haemophilia A (endogenous FVIII activity below 1%) based on medical records.
- Child and parent/caregiver willingness and ability to comply with scheduled visits and study procedures, including the completion of diary and patient-reported outcomes questionnaires.( For China mainland; assessed at the investigator's discretion unless otherwise stated.)
Who cannot join
- Known or suspected hypersensitivity to trial product or related products.(For China mainland; assessed at the investigator's discretion unless otherwise stated.)
- 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 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.
- Known congenital or acquired coagulation disorders other than haemophilia A.
- Other conditions (e.g. autoimmune disease) or laboratory abnormality that may increase risk of bleeding or thrombosis, as evaluated by the investigator.(For China mainland; assessed at the investigator's discretion unless otherwise stated.)
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- Any disorder, except for conditions associated with haemophilia A, that in the investigator's opinion might jeopardise the participant's safety or compliance with the protocol.(For China mainland; assessed at the investigator's discretion unless otherwise stated.)
- Mental incapacity, unwillingness to cooperate or a language barrier precluding adequate understanding and cooperation.(For China mainland; assessed at the investigator's discretion unless otherwise stated.)
- Lack of adequate parental/caregiver support to enter accurately and timely information regarding treatment and bleeding episodes into an (electronic) diary.(For China mainland; assessed at the investigator's discretion unless otherwise stated.)
- Previous or current treatment for thromboembolic disease (with the exception of previous catheter-associated thrombosis for which anti-thrombotic treatment is not currently ongoing) or signs of thromboembolic disease.
- Major surgery planned to take place after screening.(For China mainland; assessed at the investigator's discretion unless otherwise stated.)
- Immune tolerance induction planned to take place after treatment initiation.(For China mainland; assessed at the investigator's discretion unless otherwise stated.)
- Hepatic dysfunction defined as aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) greater than 3 times the upper limit of normal combined with total bilirubin greater than 1.5 times the upper limit of normal measured at screening.
- Serum creatinine above 1.5 x upper limit of normal (ULN), measured at screening.
- Pregnancy (female participants).(Will be assessed at investigator's discretion, according to suspicion of pregnancy.)
Trial locations and contacts
52 sites in 19 countries.
52 sites in 19 countries
United States9 sites
Children's Healthcare Atlanta
Atlanta, Georgia, 30322
Univ of Colorado Sch of Med
Aurora, Colorado, 80045
Univ Hosp Cleveland Med Ctr
Cleveland, Ohio, 44106
Penn State MS Hershey Med Ctr
Hershey, Pennsylvania, 17033-2360
University of Iowa_Iowa City
Iowa City, Iowa, 52242
Children's Hospital Los Angeles - Endocrinology
Los Angeles, California, 90027
St Christopher Hosp for Child
Philadelphia, Pennsylvania, 19134
Children's Hospital at Memorial Health
Savannah, Georgia, 31404
St Joseph's Hospital Foundation
Tampa, Florida, 33607
China6 sites
Beijing Children's Hospital, Capital Medical University
Beijing, Beijing Municipality, 100045
Beijing Children's Hospital,Capital Medical University
Beijing, Beijing Municipality, 100045
Chengdu Women's and Children's Central Hospital
Chengdu, Sichuan, 610000
Nanfang Hospital, Southern Medical University-Haematology
Guangzhou, Guangdong, 510515
Children's Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310052
Institute of Hematology and Blood Diseases Hospital, Tianjin-Hematology
Tianjin, Tianjin Municipality, 300020
India5 sites
J K Lon Hospital
Jaipur, Rajasthan, 302004
Seth GS Medical College & KEM Hospital
Mumbai, Maharashtra, 400012
Post Graduate Institute of Child Health
Noida, Uttar Pradesh, 201303
Sahyadri Super Speciality Hospital
Pune, Maharashtra, 411004
Nirmal Hospital Pvt. Ltd.
Surat, Gujarat, 395002
Japan4 sites
Ota Memorial Hospital_Pediatrics
Gunma, 373-8585
Sapporo Tokushukai Hospital_Pediatrics
Hokkaido, 004-0041
Saitama Children's Med Centre_Hematology-Oncology
Saitama, 330-8777
Ogikubo Hospital_Pediatries & Blood
Tokyo, 167-0035
Russia4 sites
SAHI Kuzbass Hospital(former Regional clinical hospital)
Kemerovo, 650066
Children Regional Clinical Hospital
Krasnodar, 350007
Morozovskaya municipal children hospital
Moscow, 119049
Republican Hospital n.a. V. A. Baranov
Petrozavodsk, 185019
Poland3 sites
CSK UM Uniwersyteckie Centrum Pediatrii im. M. Konopnickiej
Lodz, 91-738
Uniwersytecki Szpital Dzieciecy, Dzial Krwiolecznictwa
Lublin, 20-093
Uniwersytecki Szpital Kliniczny im. J.Mikulicza-Radeckiego
Wroclaw, Lower Silesian Voivodeship, 50-556
Canada2 sites
McMaster Children's Hospital
Hamilton, Ontario, L8N 3Z5
The Hospital for Sick Children
Toronto, Ontario, M5G 1X8
Italy2 sites
Ospedale Pediatrico Bambino Ges
Rome, 00165
A.O.U. Città della Salute e della Scienza di Torino-Ospedale
Torino, 10126
Netherlands2 sites
Academisch Medisch Centrum
Amsterdam, 1105 AZ
UMC Utrecht, Van Creveldkliniek
Utrecht, 3584 CX
Portugal2 sites
Unidade Local de Saúde São José EPE- Hospital D. Estefânia
Lisbon, 1169-045
ULS São João, E.P.E.
Porto, 4200-319
South Korea2 sites
Daejeon Eulji Medical Center, Eulji University
Daejeon, 35233
Severance Hospital, Yonsei University Health System
Seoul, 03722
Spain2 sites
Hospital Sant Joan de Déu
Esplugues Llobregat, 08950
Hospital Universitario La Paz
Madrid, 28046
Switzerland2 sites
Universitätsklinik für Kinderheilkunde
Bern, 3010
Pädiatrische Onkologie-Hämatologie
Lucerne, 6000
United Kingdom2 sites
Arthur Bloom Haemophilia Centre
Cardiff, CF14 4XW
St Thomas' Hospital - Haemostasis and Thrombosis Centre
London, SE1 7EH
Germany1 site
Universitätsklinikum Bonn - Institut für Experimentelle Hämatologie
Bonn, 53127
Israel1 site
Sheba MC - The Israeli National Hemophilia Center
Tel HaShomer, 52621
Lithuania1 site
Children Oncohaematology department Children's Hospital,
Vilnius, 08406
South Africa1 site
Charlotte Maxeke Johannesburg Academic Hospital
Parktown, Johannesburg, Gauteng, 2193
About this study
Official title: Safety, Efficacy and Exposure of Subcutaneously Administered NNC0365-3769 (Mim8) Prophylaxis in Children With Haemophilia A With or Without FVIII Inhibitors
This study is looking at how Mim8 works compared to other medicines in children with haemophilia A, who either have inhibitors or do not have inhibitors.
Mim8 is a new medicine that will be used for prevention of bleeds. Mim8 will be injected with a thin needle into the skin. The study will last for about 54-98 weeks, from screening to follow-up visit, In case the participant experiences bleeds, these can be treated with additional haemostatic medicine as agreed with the study doctor.
- Conditions
- Haemophilia A With or Without Inhibitors
- Being tested
- Mim8
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Mim8Drug
For treatment part 1, all participants will start on once-weekly treatment and continue on this regimen until week 26. For treatment part 2, starting at week 26, all participants will be offered the choice to remain on once-weekly or switch to once-monthly dosing.
Mim8 will be injected with a thin needle into the skin
| Study group | Role | What they receive |
|---|---|---|
| Mim8 | Experimental | 52-week treatment period with a part 1 and part 2, where all participants receive Mim8 prophylaxis Receives: Drug: Mim8 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of treatment emergent adverse events
Count of events
Measured: From treatment initiation to follow up visit (week 0 to week 72)
Secondary outcomes (12)
Number of treated bleeds
Count of bleeds
Measured: From treatment initiation to end of treatment (week 0 to week 52)
Number of treated spontaneous bleeds
Count of bleeds
Measured: From treatment initiation to end of treatment (week 0 to week 52)
Number of treated traumatic bleeds
Count of bleeds
Measured: From treatment initiation to end of treatment (week 0 to week 52)
Number of treated joint bleeds
Count of bleeds
Measured: From treatment initiation to end of treatment (week 0 to week 52)
Number of treated target joint bleeds
Count of bleeds
Measured: From treatment initiation to end of treatment (week 0 to week 52)
Number of injection site reactions
Count of reactions
Measured: From treatment initiation to end of treatment (week 0 to week 52)
Consumption of factor product per bleed treatment (number of injections)
Count of injections
Measured: From run-in initiation to end of treatment (week -26 to week 52)
Occurrence of anti-Mim8 antibodies
Count of participants
Measured: From treatment initiation to end of treatment (week 0 to week 52)
Mim8 plasma concentration
µg/mL
Measured: From treatment initiation to end of treatment (week 0 to week 52)
Change in physical function domain of PEDS QL (Paediatric Quality of Life inventory) Generic Core Scales
Score on a scale 0-100 (applies for scale scores and total score). A higher score indicates a better health-related quality of life
Measured: From treatment initiation to end of treatment (week 0 to week 52)
Treatment preference for Mim8 versus previous treatment using Caregiver H PPQ (Caregiver Haemophilia Patient Preference )
Percentage of participants
Measured: Once during treatment (week 26)
Change in participants' treatment burden using the Hemo TEM (Haemophilia treatment experience measure)
Score on a scale 0-100 (applies for scale scores and total score). A lower score indicates a lower treatment burden.
Measured: From treatment initiation to end of treatment (week 0 to week 52)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Apr 2022
- Study start4 Apr 2022
- Primary completion13 Nov 2024
- Study completion13 Nov 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Haemophilia A With or Without InhibitorsStudies 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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 70 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
- NCT05306418
- Sponsor's protocol ID
- NN7769-4516
- Other IDs
- U1111-1255-1540, 2020-003467-26, jRCT2031220670
- Status last verified
- Nov 2025
- First submitted
- 23 Mar 2022
- Last updated
- 13 Nov 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
Kenet G, Berrueco R, Fijnvandraat K, Kjollerstrom P, Luciani M, Mahlangu J, Radhakrishnan N, Wu R, Paramo Florencio A, Thaung Zaw JJ, Carcao M. Denecimig (Mim8) prophylaxis in children with hemophilia A with or without factor VIII inhibitors. Res Pract Thromb Haemost. 2026 Aug 20;10(6):106914. doi: 10.1016/j.rpth.2026.106914. eCollection 2026 Aug.
PubMed 42835127
Study at a glance
From the registry record, last updated by the sponsor on 13 Nov 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Safety, Efficacy and Exposure of Subcutaneously Administered NNC0365-3769 (Mim8) Prophylaxis in Children With Haemophilia A With or Without FVIII Inhibitors
- ClinicalTrials.gov ID
- NCT05306418
- Acronym / sponsor ID
- NN7769-4516
- Conditions
- Haemophilia A With or Without Inhibitors
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 70 participants (actual)
- Lead sponsor
- Novo Nordisk A/SIndustry (pharma, biotech, devices)
- Study start
- 4 Apr 2022 (actual)
- Primary completion
- 13 Nov 2024 (actual)
- Study completion
- 13 Nov 2024 (actual)
- First posted
- 1 Apr 2022 (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 looking at how Mim8 works compared to other medicines in children with haemophilia A, who either have inhibitors or do not have inhibitors.
Mim8 is a new medicine that will be used for prevention of bleeds. Mim8 will be injected with a thin needle into the skin. The study will last for about 54-98 weeks, from screening to follow-up visit, In case the participant experiences bleeds, these can be treated with additional haemostatic medicine as agreed with the study doctor.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Mim8 | Experimental | Drug: Mim852-week treatment period with a part 1 and part 2, where all participants receive Mim8 prophylaxis |
Who may qualify
- Ages
- 1 year to 11 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (9 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 and female participants with the diagnosis of congenital haemophilia A of any severity based on medical records.
- Aged 1-11 years (both inclusive) at the time of signing informed consent.
- For previously treated participants :
- For previously untreated participants:
Key exclusion criteria (15 listed)
- Known or suspected hypersensitivity to trial product or related products.(For China mainland; assessed at the investigator's discretion unless otherwise stated.)
- 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 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.
- Known congenital or acquired coagulation disorders other than haemophilia A.
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 |
|---|---|---|
| Mim8For treatment part 1, all participants will start on once-weekly treatment and continue on this regimen until week 26. For treatment part 2, starting at week 26, all participants will be offered the choice to remain on once-weekly or switch to once-monthly dosing. Mim8 will be injected with a thin needle into the skin | Drug | Mim8 |
Primary outcome
Number of treatment emergent adverse events
Time frame: From treatment initiation to follow up visit (week 0 to week 72)
Count of events
12 secondary outcomes
Number of treated bleeds
Time frame: From treatment initiation to end of treatment (week 0 to week 52)
Number of treated spontaneous bleeds
Time frame: From treatment initiation to end of treatment (week 0 to week 52)
Number of treated traumatic bleeds
Time frame: From treatment initiation to end of treatment (week 0 to week 52)
Number of treated joint bleeds
Time frame: From treatment initiation to end of treatment (week 0 to week 52)
Number of treated target joint bleeds
Time frame: From treatment initiation to end of treatment (week 0 to week 52)
Number of injection site reactions
Time frame: From treatment initiation to end of treatment (week 0 to week 52)
Consumption of factor product per bleed treatment (number of injections)
Time frame: From run-in initiation to end of treatment (week -26 to week 52)
Occurrence of anti-Mim8 antibodies
Time frame: From treatment initiation to end of treatment (week 0 to week 52)
Mim8 plasma concentration
Time frame: From treatment initiation to end of treatment (week 0 to week 52)
Change in physical function domain of PEDS QL (Paediatric Quality of Life inventory) Generic Core Scales
Time frame: From treatment initiation to end of treatment (week 0 to week 52)
Treatment preference for Mim8 versus previous treatment using Caregiver H PPQ (Caregiver Haemophilia Patient Preference )
Time frame: Once during treatment (week 26)
Change in participants' treatment burden using the Hemo TEM (Haemophilia treatment experience measure)
Time frame: From treatment initiation to end of treatment (week 0 to week 52)
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 13 Nov 2025.
- Derived from this study: PubMed 42835127Kenet G, Berrueco R, Fijnvandraat K, Kjollerstrom P, Luciani M, Mahlangu J, Radhakrishnan N, Wu R, Paramo Florencio A, Thaung Zaw JJ, Carcao M. Denecimig (Mim8) prophylaxis in children with hemophilia A with or without factor VIII inhibitors. Res Pract Thromb Haemost. 2026 Aug 20;10(6):106914. doi: 10.1016/j.rpth.2026.106914. eCollection 2026 Aug.
- 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
52 sites in 19 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Mim8 in people with Haemophilia A With or Without Inhibitors, run by Novo Nordisk A/S at 52 sites in 19 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 9 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 13 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 52 sites in United States, China, India, Japan, Russia and 14 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 treatment emergent adverse events (time frame: From treatment initiation to follow up visit (week 0 to week 72)). 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 NCT05306418, which also lists 1 linked publication.
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 13 Nov 2025.