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Hemophilia APhase 3ZEBRHA 1NCT07416526

A Clinical Study to Evaluate the Effects of NXT007 Compared to Factor VIII Prophylaxis in Participants With Hemophilia A

A Phase 3 study testing NXT007 and Human Coagulation Factor VIII in people with Hemophilia A, run by Hoffmann-La Roche at 36 sites in 18 countries.

Recruiting

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

Sites and contacts
Official record
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Trial summary

The purpose of this study is to evaluate the efficacy, safety, pharmacokinetics and pharmacodynamics of NXT007 prophylaxis compared with Factor VIII (FVIII) prophylaxis in participants with severe or moderate congenital hemophilia A without FVIII inhibitors. Read more about this study

Who is it for?
Ages 12 years and older
Conditions the study is for
Hemophilia A
What is being tested?
NXT007 and Human Coagulation Factor VIII
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
138 participants
Where
36 sitesin 18 countries
Study dates
15 May 2026to 23 Sep 2031
Phase
Phase 3
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 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Diagnosis of severe (FVIII:C <1 IU/dL [International Unit per decilitre]) or moderate (FVIII:C between ≥1 IU/dL and ≤5 IU/dL) congenital hemophilia A without inhibitors against FVIII
  • No documented inhibitor (i.e., <0.6 BU/mL [Bethesda unit per millilitre]), FVIII half-life ≥6 hours, or FVIII recovery >66% in the last 3 years prior to screening
  • Documented historical negative test for FVIII inhibitor (i.e., <0.6 BU/mL) within 12 months prior to enrollment
  • Documentation of the details of prophylactic and episodic FVIII treatment and of the number and type of bleeding episodes for at least the last 6 months prior to screening
  • Agreement to adhere to the contraception requirements (for potential participants with childbearing potential)

Who cannot join

  • Sensitivity to any of the study investigations, or components thereof, or drug or other allergy that, in the opinion of the investigator, contraindicates participation in the study
  • Use of systemic immunomodulators (e.g., interferon or rituximab) at the time of enrollment or planned use during the study, except for anti-retroviral therapy to treat HIV
  • Planned surgery (excluding minor procedures such as non-molar tooth extraction, incision and drainage) during the study
  • 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) or ECG evidence or clinical history of prior myocardial infarction
  • Refusal to accept plasma-derived and/or blood product transfusion support in an emergency scenario
  • 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)

Trial locations and contacts

36 sites in 18 countries. Contact the study team or a site near you to ask about taking part.

Reference Study ID Number: WO45886 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

36 sites in 18 countries

Spain5 sites, 5 recruiting
  • Hospital Universitario Vall d'Hebron - PPDS

    Barcelona, 08035

    Recruiting
  • Hospital Universitario La Paz - PPDS

    Madrid, 28046

    Recruiting
  • Hospital Regional Universitario de Malaga ? Hospital General

    Málaga, 29010

    Recruiting
  • Hospital Universitario Virgen del Rocio - PPDS

    Seville, 41013

    Recruiting
  • Hospital Universitari i Politecnic La Fe de Valencia

    Valencia, 46026

    Recruiting

Other trials in Spain

Italy4 sites, 4 recruiting
  • Azienda Ospedaliera Universitaria Careggi

    Florence, Tuscany, 50134

    Recruiting
  • Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico

    Milan, Lombardy, 20122

    Recruiting
  • Azienda Ospedaliera Universitaria Federico II

    Naples, Campania, 80131

    Recruiting
  • IRCCS Istituto Clinico Humanitas

    Rozzano, Lombardy, 20089

    Recruiting

Other trials in Italy

United Kingdom4 sites, 4 recruiting
  • University Hospital of Wales

    Cardiff, CF14 4XW

    Recruiting
  • The Royal London Hospital

    London, Middlesex, E1 1FR

    Recruiting
  • St Thomas' Hospital

    London, SE1 7EH

    Recruiting
  • Churchill Hospital

    Oxford, OX3 7LE

    Recruiting

Other trials in United Kingdom

France3 sites, 3 recruiting
  • Groupement Hospitalier Est-Hopital Femme Mere enfant/Hospice civils de lyon

    Bron, 69500

    Recruiting
  • AP-HP - Hôpital Bicêtre

    Le Kremlin-Bicêtre, Val-de-Marne, 94270

    Recruiting
  • CHU de Lille - Institut Cœur Poumon

    Lille, 59037

    Recruiting

Other trials in France

United States2 sites, 2 recruiting
  • University of Colorado Hemophilia and Thrombosis Center

    Aurora, Colorado, 80045-7202

    Recruiting
  • University of Iowa Hospitals and Clinics

    Iowa City, Iowa, 52242-1009

    Recruiting

Other trials in United States

Argentina2 sites, 2 recruiting
  • Arbesu Hematologia

    Godoy Cruz, Mendoza Province, M5504FKD

    Recruiting
  • Instituto de Hematología Y Medicina Clínica Dr. Rubén Dávoli

    Rosario, Santa Fe Province, S2000CFK

    Recruiting

Other trials in Argentina

Brazil2 sites, 2 recruiting
  • Hemocentro Da UNICAMP

    Campinas, São Paulo, 13083-878

    Recruiting
  • Hospital Das Clinicas da Faculdade de Medicina de Ribeirão Preto - USP - PPDS

    Ribeirão Preto, São Paulo, 14051-140

    Recruiting

Other trials in Brazil

Japan2 sites, 2 recruiting
  • Nara Medical University Hospital

    Kashihara-shi, Nara, 634-8522

    Recruiting
  • Tokyo Medical University Hospital

    Shinjuku-Ku, Tokyo, 160-0023

    Recruiting

Other trials in Japan

South Korea2 sites, 2 recruiting
  • Kyung Hee University Hospital at Gangdong

    Gangdong-gu, Seoul, 05278

    Recruiting
  • Chonnam National University Hwasun Hospital

    Hwasun-gun, 58128

    Recruiting

Other trials in South Korea

Taiwan2 sites, 2 recruiting
  • Taichung Veterans General Hospital

    Taichung, 40705

    Recruiting
  • Tri-Service General Hospital

    Taipei, 11490

    Recruiting

Other trials in Taiwan

Austria1 site, 1 recruiting
  • Universitätsklinikum AKH Wien

    Vienna, 1090

    Recruiting

Other trials in Austria

China1 site, 1 recruiting
  • Peking University People's Hospital

    Beijing, Beijing Municipality, 100044

    Recruiting

Other trials in China

Denmark1 site, 1 recruiting
  • Rigshospitalet-Blegdamsvej 9

    Copenhaen, 2100

    Recruiting

Other trials in Denmark

Germany1 site, 1 recruiting
  • Universitätsklinikum Bonn

    Bonn, North Rhine-Westphalia, 53127

    Recruiting

Other trials in Germany

Hungary1 site, 1 recruiting
  • Eszak-Pesti Centrumkorhaz -Honvedkorhaz

    Budapest, Pest County, 1134

    Recruiting

Other trials in Hungary

Netherlands1 site, 1 recruiting
  • Universitair Medisch Centrum Utrecht

    Utrecht, 3584 CX

    Recruiting

Other trials in Netherlands

South Africa1 site, 1 recruiting
  • Haemophilia Comprehensive Care Centre

    Parktown, Gauteng, 2193

    Recruiting

Other trials in South Africa

Switzerland1 site, 1 recruiting
  • Universitätsspital Zürich

    Zurich, 8091

    Recruiting

Other trials in Switzerland

About this study

Official title: A Multicenter, Randomized, Open-Label, Phase III Clinical Trial to Evaluate the Efficacy, Safety, Pharmacokinetics, and Pharmacodynamics of NXT007 Prophylaxis Versus Factor VIII Prophylaxis in People With Hemophilia A Without Inhibitors

The purpose of this study is to evaluate the efficacy, safety, pharmacokinetics and pharmacodynamics of NXT007 prophylaxis compared with Factor VIII (FVIII) prophylaxis in participants with severe or moderate congenital hemophilia A without FVIII inhibitors. The study will include people aged ≥12 years old who have been on FVIII prophylaxis treatment prior to study entry.

Conditions
Hemophilia A
Being tested
NXT007, Human Coagulation Factor VIII
Medical subject headings
Hemophilia A

What participants receive

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

  • NXT007Combination product

    Also called Zemocimig, RO7589655, RG6512

    NXT007 will be administered subcutaneously (SC) using an integrated drug-device combination product.

  • Human Coagulation Factor VIIIDrug

    Factor VIII (FVIII) prophylaxis standard of care (SOC) will be administered at the dose and frequency as stated in the local labels and per local country practice.

Study groups in NCT07416526
Study groupRoleWhat they receive
Main Study Treatment Period: NXT007 ProphylaxisExperimentalParticipants randomized to this arm will receive NXT007 prophylaxis for the main study treatment period.
Receives: Combination Product: NXT007
Main Study Treatment Period: FVIII SOC ProphylaxisActive comparatorParticipants randomized to this arm will receive FVIII standard of care (SOC) prophylaxis for the main study treatment period.
Receives: Drug: Human Coagulation Factor VIII
Open-Label Extension Period: NXT007 ProphylaxisExperimentalAfter the main study treatment period, participants in the NXT007 arm will be able to continue with NXT007 dosing, and participants in the FVIII arm will be able to switch to NXT007, in the open-label extension period.
Receives: Combination Product: NXT007

What is being measured

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

  1. Annualized Bleed Rate (ABR) for Treated Bleeds Over the Main Study Treatment Period

    Measured: 6 months

Secondary outcomes (22)
  1. ABR for All Bleeds Over the Main Study Treatment Period

    Measured: 6 months

  2. ABR for Treated Spontaneous Bleeds Over the Main Study Treatment Period

    Measured: 6 months

  3. ABR for Treated Joint Bleeds Over the Main Study Treatment Period

    Measured: 6 months

  4. Adjusted Mean Treatment Burden Domain Score in Comprehensive Assessment Tool of Challenges in Hemophilia (CATCH) Questionnaire - Adult Version at Month 7

    Measured: Month 7

  5. ABR for Treated Target Joint Bleeds Over the Main Study Treatment Period

    Measured: 6 months

  6. Percentage of Participants with Zero Treated Bleeds Over the Main Study Treatment Period

    Measured: 6 months

  7. Number of Injections and Dose per Bleed of Coagulation Factors Administered to Treat a Bleed Over the Main Study Treatment Period

    Measured: 6 months

  8. Annualized FVIII Injection Rate Over the Main Study Treatment Period

    Measured: 6 months

  9. Annualized FVIII Consumption Rate Over the Main Study Treatment Period

    Measured: 6 months

  10. Mean Treatment Burden Domain Score in CATCH Questionnaire - Adolescent Version at Month 7

    Measured: Month 7

  11. Change From Baseline in Preoccupation Domain Score of the CATCH Questionnaire (Adult and Adolescent Versions)

    Measured: At prespecified timepoints from Baseline until Study Completion (approximately 3.5 years)

  12. Change From Baseline in Social Activity Impact Domain Score of the CATCH Questionnaire (Adult and Adolescent Versions)

    Measured: At prespecified timepoints from Baseline until Study Completion (approximately 3.5 years)

  13. Change From Baseline in Recreational Activity Impact Domain Score of the CATCH Questionnaire (Adult and Adolescent Versions)

    Measured: At prespecified timepoints from Baseline until Study Completion (approximately 3.5 years)

  14. Physical Impact Domain Score of the Treatment Administration Satisfaction Questionnaire (TASQ) at Specified Timepoints

    Measured: At prespecified timepoints from Baseline to Month 10

  15. Incidence and Severity of Adverse Events, With Severity Determined According To National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE V5.0) Grading Scale

    Measured: From Baseline until Study Completion (approximately 3.5 years)

  16. Incidence and Severity of Thromboembolic Events and Thrombotic Microangiopathy

    Measured: From Baseline until Study Completion (approximately 3.5 years)

  17. Incidence and Severity of Injection-Site Reactions

    Measured: From Baseline until Study Completion (approximately 3.5 years)

  18. Incidence of Adverse Events Leading to Discontinuation of Assigned Study Treatment

    Measured: From Baseline until Study Completion (approximately 3.5 years)

  19. Incidence of Severe Hypersensitivity, Anaphylaxis, or Anaphylactoid Reactions

    Measured: From Baseline until Study Completion (approximately 3.5 years)

  20. Plasma Concentration of NXT007

    Measured: At prespecified timepoints from Baseline to Study Completion (approximately 3.5 years)

  21. Percentage of Participants With Anti-Drug Antibodies (ADAs) Against NXT007 at Baseline and During the Study

    Measured: At prespecified timepoints from Baseline to Study Completion (approximately 3.5 years)

  22. Percentage of Participants With Neutralizing ADAs Against NXT007

    Measured: At prespecified timepoints from Baseline to Study Completion (approximately 3.5 years)

Timeline

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

  1. First posted18 Feb 2026
  2. Study start15 May 2026
  3. Primary completion23 Sep 2027 (estimated)
  4. Study completion23 Sep 2031 (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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
138 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07416526
Sponsor's protocol ID
WO45886
Other IDs
2025-522434-32-00, 2025
Acronym
ZEBRHA 1
Status last verified
Oct 2026
First submitted
11 Feb 2026
Last updated
26 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: 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 3 study testing NXT007 and Human Coagulation Factor VIII in people with Hemophilia A, run by Hoffmann-La Roche at 36 sites in 18 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 5 inclusion and 6 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 26 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 36 sites in Spain, Italy, United Kingdom, France, United States and 13 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?

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: WO45886 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?

Annualized Bleed Rate (ABR) for Treated Bleeds Over the Main Study Treatment Period (time frame: 6 months). 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 26 Oct 2026.

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