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Hemophilia APhase 1/2NCT05987449

A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of NXT007 in Persons With Severe or Moderate Hemophilia A

A Phase 1/2 study testing NXT007 in people with Hemophilia A, run by Hoffmann-La Roche at 14 sites in 6 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

WP44714 is a Phase I/II, open-label, non-randomized, global, multicenter trial consisting of two parts: Part 1 is a multiple-ascending dose (MAD) study in adult and adolescent male participants with severe or moderate hemophilia A with or without factor VIII (FVIII) inhibitors. Read more about this study

Who is it for?
Ages 2 to 59 years, men only
Conditions the study is for
Hemophilia A
What is being tested?
NXT007
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
14 sitesin 6 countries
Study dates
21 Sep 2023to 11 Dec 2033
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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 2 to 59 years
  • Men only
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Diagnosis of severe (Factor VIII coagulant activity [FVIII:C] <1 IU/dL) or moderate (FVIII:C ≥1 IU/dL and ≤5 IU/dL) congenital hemophilia A with or without inhibitors against FVIII
  • Participants with FVIII inhibitors: participants using recombinant activated factor VII (rFVIIa) or willing to switch to rFVIIa as primary bypassing agent for the treatment of breakthrough bleeds, trauma, or procedures
  • Historic local FVIII inhibitor test results being available during screening to confirm any previous inhibitor history and current status
  • Participants who previously successfully completed immune tolerance induction (ITI) must have done so at least 5 years before screening and must have no evidence of inhibitor recurrence (permanent or temporary) since. FVIII tolerance defined as <0.6 Bethesda unit (BU)/mL (<1.0 BU/mL only for laboratories with an historical sensitivity cutoff for inhibitor detection of 1.0 BU/mL) and in vivo recovery >66%
  • Documentation of number and type of bleeding episodes in the last 24 weeks prior to enrollment
  • Adequate hematologic function, defined as platelet count ≥100,000 cells/μL and hemoglobin ≥11 g/dL at the time of screening
Show all 10Show fewer
  • Adequate hepatic function defined as total bilirubin ≤1.5× age-adapted upper limit of normal (ULN) (excluding Gilbert syndrome) and both aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤3× age-adapted ULN at the time of screening, and no clinical signs or known laboratory/radiographic evidence consistent with cirrhosis. For patients with Gilbert syndrome, bilirubin should be <4 mg/dL or 68.4 umol/L at the time of screening.
  • For Part 1 only: Adequate renal function, defined as serum creatinine ≤2.5× age-adapted ULN and calculated creatinine clearance ≥30 mL/min by Cockroft-Gault formula
  • For Part 2 only: Adequate renal function, defined as serum creatinine ≤1.5× age-adapted ULN. When the serum creatinine is ≥1.5× ULN, creatinine clearance by Bedside Schwartz formula must be >70 mL/min/1.73m^2.
  • Willingness and ability to comply with schedules visits, treatment plans, laboratory tests, and other study procedures

Who cannot join

  • Inherited or acquired bleeding disorders other than congenital hemophilia A
  • Ongoing or planned ITI therapy
  • 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
  • At high risk for thrombotic microangiopathy (TMA), including past personal or family history of TMA, in the investigator's judgment
  • For Part 1 only: Personal history of ischemic heart disease, cerebrovascular disease, or diabetes mellitus
  • For Part 1 only: Strong family history of ischemic heart disease or cerebrovascular disease (i.e., first degree relatives such as parents, full siblings, or children): male relatives diagnosed under the age of 55 years and females under the age of 65 years
Show all 19Show fewer
  • For Part 1 only: Previous or concomitant malignancies or leukemia
  • Other conditions (e.g., autoimmune conditions such as Systemic Lupus erythematosus and other systemic inflammatory disorders) that may currently increase the risk of bleeding or thrombosis
  • History of clinically significant allergies
  • Receipt of any of the following:
  • An investigational drug to treat or reduce the risk of hemophilic bleeds within 5 half-lives of last drug administration or normalization of targeted parameters (e.g., anti-thrombin), whichever is longer; ii) A non-hemophilia-related investigational drug within last 30 days or 5 half-lives, whichever is shorter; iii) Any other investigational drug currently being administered or planned to be administered; iv) Prior gene therapy or gene therapy planned to be administered; v) Use of systemic immunomodulators (e.g., interferon or rituximab) at enrollment or planned use during the study, with the exception of anti-retroviral therapy to treat HIV.
  • Protein C activity, protein S free antigen, or anti-thrombin III activity levels below the lower limit of the reference range at screening
  • Known HIV infection with CD4 counts <200 cells/μL
  • History of severe allergic or anaphylactic reactions to monoclonal antibody therapy and to chimeric or humanized antibodies or fusion proteins
  • Known hypersensitivity to Chinese hamster ovary cell products or to excipient content
  • History or presence of an abnormal ECG that is deemed clinically significant, (e.g., complete left bundle branch block, second- or third -degree atrioventricular heart block), including atrial fibrillation or evidence of prior myocardial infarction
  • QT interval corrected through use of Fridericia's formula (QTcF) >450 ms demonstrated by at least two ECGs >30 minutes apart
  • History of ventricular dysrhythmias or risk factors for ventricular dysrhythmias such as structural heart disease (e.g., severe left ventricular systolic dysfunction, left ventricular hypertrophy), coronary heart disease (symptomatic or with ischemia demonstrated by diagnostic testing), clinically significant electrolyte abnormalities (e.g., hypokalemia, hypomagnesemia, hypocalcemia), or family history of sudden unexplained death or long QT syndrome
  • Current treatment with medications that are well known to prolong the QT interval

Trial locations and contacts

14 sites in 6 countries. Contact the study team or a site near you to ask about taking part.

Reference Study ID Number: WP44714 https://forpatients.roche.com/ No attachments to email below. contact

888-662-6728 (U.S. Only)

global-roche-genentech-trials@gene.com

Fastest response: use the inquiry form. https://www.gene.com/contact-us/submit-medical-inquiry contact

14 sites in 6 countries

United States4 sites, 3 recruiting
  • Indiana Hemophilia & Thrombosis center

    Indianapolis, Indiana, 46260

    Recruiting
  • University of Iowa Hospitals and Clnics Dept of Pediatrics

    Iowa City, Iowa, 52242

    Recruiting
  • UC Davis Cancer Center

    Sacramento, California, 95817

    Recruiting
  • Georgetown Uni Medical Center

    Washington D.C., District of Columbia, 20007

    Withdrawn

Other trials in United States

Spain3 sites, 2 recruiting
  • Hospital Sant Joan de Deu

    Esplugues de Llobregat, Barcelona, 08950

    Recruiting
  • Hospital Universitario la Paz

    Madrid, 28046

    Recruiting
  • Hospital Regional Universitario Carlos Haya

    Málaga, 29010

    Active, not recruiting

Other trials in Spain

Canada2 sites, 2 recruiting
  • Hamilton Health Sciences Corporation

    Hamilton, Ontario, L8N 3Z5

    Recruiting
  • British Columbia Children's Hospital

    Vancouver, British Columbia, V6H 3N1

    Recruiting

Other trials in Canada

Italy2 sites, 2 recruiting
  • IRCCS Ca' Granda Ospedale Maggiore Policlinico

    Milan, Lombardy, 20122

    Recruiting
  • Istituto Clinico Humanitas

    Rozzano (MI), Lombardy, 20089

    Recruiting

Other trials in Italy

Poland2 sites, 2 recruiting
  • Uniwersyteckie Centrum Kliniczne

    Gda?sk, 80-214

    Recruiting
  • Instytut Hematologii i Transfuzjologii

    Warsaw, 02-776

    Recruiting

Other trials in Poland

New Zealand1 site, 1 recruiting
  • Auckland Cancer Trial Centre

    Auckland, 1023

    Recruiting

Other trials in New Zealand

About this study

Official title: A Phase I/II Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of NXT007 in Persons With Severe or Moderate Hemophilia A

WP44714 is a Phase I/II, open-label, non-randomized, global, multicenter trial consisting of two parts:

  • Part 1 is a multiple-ascending dose (MAD) study in adult and adolescent male participants with severe or moderate hemophilia A with or without factor VIII (FVIII) inhibitors.
  • Part 2 is a multiple-dose study in pediatric male participants with severe or moderate hemophilia A with or without FVIII inhibitors.

The overall aim of the study is to investigate the safety, tolerability, pharmacokinetics, pharmacodynamics, immunogenicity, and efficacy of NXT007.

Conditions
Hemophilia A
Being tested
NXT007
Medical subject headings
Hemophilia A

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • NXT007Drug

    Also called Zemocimig, RO7589655, RG6512

    Participants will receive NXT007 administered subcutaneously (SC), 2 loading doses once every two weeks (Q2W) followed by once every 4 weeks (Q4W) maintenance doses based on the schedule.

Study groups in NCT05987449
Study groupRoleWhat they receive
Part 1: Cohort 1 - NXT007 Dose Level 1 (Low)ExperimentalNot described
Receives: Drug: NXT007
Part 1: Cohort 2 - NXT007 Dose Level 2ExperimentalNot described
Receives: Drug: NXT007
Part 1: Cohort 3 - NXT007 Dose Level 3ExperimentalNot described
Receives: Drug: NXT007
Part 1: Cohort 4 - NXT007 Dose Level 4ExperimentalNot described
Receives: Drug: NXT007
Part 1: Cohort 5 - NXT007 Dose Level 5 (High)ExperimentalNot described
Receives: Drug: NXT007
Part 2: Cohort A - NXT007ExperimentalNot described
Receives: Drug: NXT007

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence and Severity of Adverse Events, with Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events Grading Scale

    Measured: From Baseline until study completion or discontinuation (up to 7.5 years)

  2. Number of Participants with at Least One Clinical Laboratory Test Abnormality for Hematology Parameters

    Measured: From Baseline until study completion or discontinuation (up to 7.5 years)

  3. Number of Participants with at Least One Clinical Laboratory Test Abnormality for Blood Chemistry Parameters

    Measured: From Baseline until study completion or discontinuation (up to 7.5 years)

  4. Number of Participants with at Least One Vital Sign Abnormality

    The vital signs that will be assessed are body temperature, pulse rate, respiratory rate, and systolic and diastolic blood pressure.

    Measured: From Baseline until study completion or discontinuation (up to 7.5 years)

  5. Number of Participants with at Least One Abnormality on Electrocardiogram (ECG) Recordings

    The ECG parameters that will be assessed are heart rate, PR interval, QRS interval, QT interval, and QTcF inteval.

    Measured: From Baseline until study completion or discontinuation (up to 7.5 years)

Secondary outcomes (18)
  1. Plasma Concentration of NXT007 at Specified Timepoints

    Measured: At prespecified timepoints from Week 1 to Week 23, every 28 days from Week 25 until Week 49, and every 12 weeks thereafter until study completion or discontinuation (up to 7.5 years)

  2. Maximum Observed Plasma Concentration (Cmax) of NXT007 After the First Dose

    Measured: At prespecified timepoints from Day 1 to Day 15

  3. Time to Maximum Observed Plasma Concentration (tmax) of NXT007 After the First Dose

    Measured: At prespecified timepoints from Day 1 to Day 15

  4. Area Under the Plasma Concentration-Time Curve (AUC) of NXT007 After the First Dose

    Measured: At prespecified timepoints from Day 1 to Day 15

  5. Number of Participants Testing Positive for Anti-Drug Antibodies Against NXT007 at Baseline and During Treatment with Study Drug

    Measured: Baseline (predose on Day 1) and from first dose of study drug until study completion or discontinuation (up to 7.5 years)

  6. Number of Participants Testing Positive for Anti-Factor VIII Inhibitors at Baseline and During Treatment with Study Drug

    Measured: Baseline (predose on Day 1) and from first dose of study drug until study completion or discontinuation (up to 7.5 years)

  7. Model-Based Annualized Bleeding Rate for Treated Bleeds

    Measured: From first dose of study drug until study completion or discontinuation (up to 7.5 years)

  8. Mean Calculated Annualized Bleeding Rate for Treated Bleeds

    Measured: From first dose of study drug until study completion or discontinuation (up to 7.5 years)

  9. Median Calculated Annualized Bleeding Rate for Treated Bleeds

    Measured: From first dose of study drug until study completion or discontinuation (up to 7.5 years)

  10. Model-Based Annualized Bleeding Rate for All Bleeds

    Measured: From first dose of study drug until study completion or discontinuation (up to 7.5 years)

  11. Mean Calculated Annualized Bleeding Rate for All Bleeds

    Measured: From first dose of study drug until study completion or discontinuation (up to 7.5 years)

  12. Median Calculated Annualized Bleeding Rate for All Bleeds

    Measured: From first dose of study drug until study completion or discontinuation (up to 7.5 years)

  13. Model-Based Annualized Bleeding Rate for Treated Spontaneous Bleeds

    Measured: From first dose of study drug until study completion or discontinuation (up to 7.5 years)

  14. Mean Calculated Annualized Bleeding Rate for Treated Spontaneous Bleeds

    Measured: From first dose of study drug until study completion or discontinuation (up to 7.5 years)

  15. Median Calculated Annualized Bleeding Rate for Treated Spontaneous Bleeds

    Measured: From first dose of study drug until study completion or discontinuation (up to 7.5 years)

  16. Model-Based Annualized Bleeding Rate for Treated Joint Bleeds

    Measured: From first dose of study drug until study completion or discontinuation (up to 7.5 years)

  17. Mean Calculated Annualized Bleeding Rate for Treated Joint Bleeds

    Measured: From first dose of study drug until study completion or discontinuation (up to 7.5 years)

  18. Median Calculated Annualized Bleeding Rate for Treated Joint Bleeds

    Measured: From first dose of study drug until study completion or discontinuation (up to 7.5 years)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Aug 2023
  2. Study start21 Sep 2023
  3. Primary completion11 Dec 2033 (estimated)
  4. Study completion11 Dec 2033 (estimated)

Resources

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 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05987449
Sponsor's protocol ID
WP44714
Other IDs
2023-503906-35-00, 2023
Status last verified
Nov 2026
First submitted
4 Aug 2023
Last updated
5 Nov 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data\_sharing

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing NXT007 in people with Hemophilia A, run by Hoffmann-La Roche at 14 sites in 6 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 10 inclusion and 19 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: looking for participants now, as of the sponsor's last update on 5 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in United States, Spain, Canada, Italy, Poland and 1 more country. 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Reference Study ID Number: WP44714 https://forpatients.roche.com/ No attachments to email below. (888-662-6728 (U.S. Only), global-roche-genentech-trials@gene.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence and Severity of Adverse Events, with Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events Grading Scale (time frame: From Baseline until study completion or discontinuation (up to 7.5 years)). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 5 Nov 2026.

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