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catridecacog

Phase 3

Congenital Bleeding Disorder | Small molecule | Rare Disease |Novo Nordisk A/S|Last Updated: Jan 24, 2018

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials8
Total Enrollment252
FDA Designations
No designations recorded
Clinical Trials (8)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01253811Safety and Efficacy of Monthly Replacement Therapy With Recombinant Factor XIII (rFXIII) in Paediatric Subjects With Congenital Factor XIII A-subunit DeficiencyPHASE3 COMPLETED 6Jan 1, 2011Mar 1, 2015Jun 24, 20164 United States, Israel +1
NCT01230021Safety of a Single Intravenous Dose of Recombinant Factor XIII in Children With Congenital FXIII A-subunit DeficiencyPHASE3 COMPLETED 6Nov 1, 2010Jan 1, 2012Feb 24, 201710 United States, Israel +1
NCT00978380Safety of Monthly Recombinant Factor XIII Replacement Therapy in Subjects With Congenital Factor XIII Deficiency: An Extension to Trial F13CD-1725PHASE3 COMPLETED 63Sep 21, 2009Oct 20, 2015Jan 24, 201834 United States, Austria +10
NCT00713648Evaluation of Recombinant Factor XIII for Prevention of Bleeding in Patients With FXIII Inherited DeficiencyPHASE3 COMPLETED 41Aug 1, 2008Apr 1, 2010Feb 24, 201735 United States, Austria +9
NCT01082406Comparison of a Blood Clotting Drug (Recombinant Factor XIII) Produced by Two Different Manufacturers in Healthy Male SubjectsPHASE1 COMPLETED 51Mar 1, 2010Jul 1, 2010Sep 21, 20161 United Kingdom
NCT01848002Safety and Pharmacokinetics of Recombinant Factor XIII Administration in Healthy VolunteersPHASE1 COMPLETED 24May 1, 2003Aug 1, 2003Nov 26, 20131 United Kingdom
NCT00056589Safety and Pharmacokinetics of Recombinant Factor XIII in Patients With Congenital Factor Xlll DeficiencyPHASE1 COMPLETED 11Mar 1, 2003Oct 1, 2003Jan 11, 20171 United States
NCT01847989Safety and Pharmacokinetics of Recombinant Factor XIII in Healthy VolunteersPHASE1 COMPLETED 50Jan 1, 2003May 1, 2003Jan 11, 20171 United Kingdom
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Study Endpoints
Primary Endpoints
Number of Treatment Emergent (Serious and Non-serious) Adverse Events
Week 0 to end of trial visit (week 173) for a minimum period of 52 weeks.

An adverse event was described as any untoward medical occurrence in a subject or clinical investigation subject administered a pharmaceutical product, and which does not necessarily have a causal relationship with this treatment. Treatment emergent adverse events (serious and non-serious), defined as adverse events occurring from first trial product administration to the end of the subject's participation in the trial.

Area Under the Concentration vs. Time Curve (AUC)
At pre-dose, 30 minutes, 24 hours, 7, 14, 21 and 30 days after dosing

A measure of the exposure. Blood samples for the PK assessment were drawn pre-dose and up to 30 days after dosing. The PK of FXIII in children was assessed after a single i.v. dose of rFXIII 35 IU/kg.

Adverse Events (AEs)(Serious and Non-serious)
All AEs were collected and reported from screening (week 0) for a minimum period of 52 weeks or until the end of trial visit.

An AE was defined as any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Trial AEs (serious) included any event such as death, life-threatening experience, in-subject hospitalisation, significant disability/ congential anomaly experienced from the trial product.

Rate (Number Per Subject Year) of Bleeding Episodes Requiring Treatment With a FXIII Containing Product During the Treatment Period
For a period of 322 days (approximately one year) comprised of a screening visit (Visit 1), treatment period (Visits 2-15), unscheduled visit and end-of-trial visit (Visit 16).

It represents the incidence of bleeding episodes requiring treatment with a FXIII-containing product.

Plasma concentration-time curve (Area under Curve 0-28 days) for factor XIII activityfor both drug substances measured by the Berichrom® assay
after 4 weeks of treatment
Incidence of adverse events
Days 0-33
Secondary Endpoints
Percentage of Subjects With Development of Anti-rFXIII Antibodies, Including Inhibitors.
Week 0 to end of trial visit (week 173).
Clinical Laboratory Assessments: Biochemistry: Creatinine
Every 6th month, from week 24 to end of trial visit (week 173).
Clinical Laboratory Assessments: Biochemistry: Urea
Every 6th month, week 24 to end of trial visit (week 173).
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
rFXIII 35 IU/kgEXPERIMENTAL -
recombinant factor XIIIEXPERIMENTAL -
AEXPERIMENTAL -
rFXIIIEXPERIMENTAL -
Trial part 1EXPERIMENTAL -
Trial part 2EXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Interventions
NameTypeDescription
catridecacogDRUGIntravenous injection of a single dose of recombinant factor XIII, 35 IU/kg body weight every 4th week
recombinant factor XIIIDRUGSingle dose of 35 IU/kg body weight recombinant factor XIII (Avecia) to be administered iv (into the vein) followed by a single dose of 35 IU/kg body weight recombinant factor XIII (catridecacog) (Novo Nordisk) administered iv.
placeboDRUGFor 5 consecutive days, one daily dose of placebo was administered intravenously (IV) to two subjects in each dose group (10 or 25 U/kg).
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Eligibility Criteria
Age Range1 Year — 6 Years
SexALL
Healthy VolunteersNo
Study Sites4

Inclusion Criteria: * Completed participation in trial F13CD-3760 (NCT01230021) Exclusion Criteria: * Known or suspected hypersensitivity to trial product or related products * Known history of development of inhibitors against FXIII (factor XIII) * Hereditary or acquired coagulation disorder oth...

Countries:United StatesIsraelUnited KingdomAustriaCanadaFinlandFranceGermanyItalyJapanSpainSwitzerland
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