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Nonacog beta pegol

Phase 3

Haemophilia B | Small molecule | Hematology |Novo Nordisk A/S|Last Updated: Jan 12, 2026

Success Probability

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Trial Design

CONTROLLED
Total Trials1
Total Enrollment30

FDA Designations

No designations recorded

Clinical trial landscape

Nonacog beta pegol · 7 trials · 2 indications

Phase 3 6Phase 1 1
NCT05365217A Research Study Investigating Nonacog Beta Pegol (N9-GP) for Treatment and Prevention of Bleedings in Chinese People With Haemophilia BHaemophilia B
COMPLETED30 Analytics
NCT02141074Safety and Efficacy of Nonacog Beta Pegol (N9-GP) in Previously Untreated Patients With Haemophilia BCongenital Bleeding Disorder
COMPLETED54 Analytics
NCT01386528Efficacy and Safety of NNC-0156-0000-0009 During Surgical Procedures in Subjects With Haemophilia BCongenital Bleeding Disorder
COMPLETED13 Analytics
NCT01467427Safety, Efficacy and Pharmacokinetics of NNC-0156-0000-0009 in Previously Treated Children With Haemophilia B.Congenital Bleeding Disorder
COMPLETED25 Analytics
NCT01395810Safety and Efficacy of NNC-0156-0000-0009 After Long-Term Exposure in Patients With Haemophilia B: An Extension to Trials NN7999-3747 and NN7999-3773Congenital Bleeding Disorder
COMPLETED71 Analytics
NCT01333111Safety and Efficacy of NNC-0156-0000-0009 in Haemophilia B PatientsCongenital Bleeding Disorder
COMPLETED74 Analytics
PHASE3COMPLETED
A Research Study Investigating Nonacog Beta Pegol (N9-GP) for Treatment and Prevention of Bleedings in Chinese People With Haemophilia B
Haemophilia BUnlock trial analytics
PHASE3COMPLETED
Safety and Efficacy of Nonacog Beta Pegol (N9-GP) in Previously Untreated Patients With Haemophilia B
Congenital Bleeding DisorderUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of NNC-0156-0000-0009 During Surgical Procedures in Subjects With Haemophilia B
Congenital Bleeding DisorderUnlock trial analytics
PHASE3COMPLETED
Safety, Efficacy and Pharmacokinetics of NNC-0156-0000-0009 in Previously Treated Children With Haemophilia B.
Congenital Bleeding DisorderUnlock trial analytics
PHASE3COMPLETED
Safety and Efficacy of NNC-0156-0000-0009 After Long-Term Exposure in Patients With Haemophilia B: An Extension to Trials NN7999-3747 and NN7999-3773
Congenital Bleeding DisorderUnlock trial analytics
PHASE3COMPLETED
Safety and Efficacy of NNC-0156-0000-0009 in Haemophilia B Patients
Congenital Bleeding DisorderUnlock trial analytics

Study Endpoints

Primary Endpoints

Haemostatic Effect of Nonacog Beta Pegol When Used for Treatment of Bleeding Episodes During on Demand and Prophylaxis (PPX)
From start of treatment (week 0) until end of treatment (up to week 50)

Haemostatic effect of N9-GP for treatment of bleeding episodes was assessed by 4-point response scale: none, moderate, good or excellent. Evaluation during trial was done by participant and/or parent(s)/caregiver within approximately 8 hours after a single injection as follows: Excellent: Abrupt pain relief and/or clear improvement in objective signs of bleeding within approximately 8 hrs after a single injection; Good: Definite pain relief and/or improvement in signs of bleeding within approximately 8 hrs after a single injection, but possibly requiring more than one injection for complete resolution; Moderate: Probable or slight beneficial effect within approximately 8 hours after the first injection, but usually requiring more than one injection; None: No improvement, or worsening of symptoms.

Number of Participants With Incidence of Inhibitory Antibodies Against Coagulation Factor IX (FIX) (50 Exposure Days)
When minimum 20 previously untreated patients (PUPs) have reached at least 50 exposure days (ED) (up to 156 weeks)

Number of participants with incidence of inihibitory antibodies against FIX after 50 ED is presented and defined as an inhibitory antibody titre greater than equal to 0.6 Bethesda unit (BU) at two consecutive tests performed at the central laboratory and also tested positive for nonacog beta pegol binding antibodies.

Number of Participants With Incidence of Inhibitory Antibodies Against FIX (100 ED)
When minimum 40 PUPs have reached at least 100 ED (up to 208 weeks)

Number of participants with incidence of inihibitory antibodies against FIX after 100 ED is presented and defined as an inhibitory antibody titre greater than equal to 0.6 Bethesda unit (BU) at two consecutive tests performed at the central laboratory and also tested positive for nonacog beta pegol binding antibodies.

Number of Participants With Incidence of Inhibitory Antibodies Against FIX (At End of Trial)
At end of trial (up to 434 weeks)

Number of participants with incidence of inihibitory antibodies against FIX at end of trial is presented and defined as an inhibitory antibody titre greater than equal to 0.6 Bethesda unit (BU) at two consecutive tests performed at the central laboratory and also tested positive for nonacog beta pegol binding antibodies.

Haemostatic Effect During Surgery Evaluated by the Four-point Response Scale (Excellent, Good, Moderate, Poor)
At the day of surgery

Haemostatic effect during surgery was evaluated immediately after surgery (last stitch) using a fourpoint response scale: \- Four-point response scale: Excellent, good, moderate, poor. The evaluation was done by the surgeon, anaesthesiologist and/or investigator based on experience as follows: 1. Excellent: Better than expected/predicted in this type of procedure. 2. Good: As expected in this type of procedure. 3. Moderate: Less than optimal for the type of procedure but haemostatic response maintained without change of treatment regimen. 4. Poor: Bleeding due to inadequate therapeutic response with adequate dosing, change of regimen required.

Incidence of Inhibitory Antibodies Against Coagulation Factor IX (FIX) Defined as Titre Above or Equal to 0.6 Bethesda Units (BU)
From week 0 to week 52

Inhibitors were analysed with either the Nijmegen modified factor IX Bethesda assay or a heat/cold Nijmegen modified factor IX Bethesda assay. Number of participants who developed inhibitory antibodies against factor IX are reported.

Incidence of Inhibitory Antibodies Against FIX Defined as Titre Above or Equal to 0.6 BU (Bethesda Units)
From Day 1 up to 2 years

The primary endpoint was incidence of inhibitors against coagulation factor nine (FIX) defined as titre ≥0.6 Bethesda unit (BU). Number of subjects who developed inhibitors against FIX are reported.

Incidence of Inhibitory Antibodies Against Factor IX Defined as Titre Equal to or Above 0.6 BU (Bethesda Units)
52 weeks after treatment start for patients on prophylaxis

Inhibitors were analysed with either the Nijmegen modified factor IX Bethesda assay or a heat/cold Nijmegen modified factor IX Bethesda assay. Number of subjects who developed inhibitory antibodies against factor IX are reported.

Frequency of Adverse Events (AEs), Serious Adverse Events (SAEs) and Medical Events of Special Interests (MESIs) reported during the trial period
assessed up to five weeks after trial product administration
Antibody formation against 40K PEG-rFIX and test for inhibitors (Bethesda)
assessed up to five weeks after trial product administration

Secondary Endpoints

Number of Treated Bleeding Episodes During Prophylaxis (PPX) Treatment (Arm B Only)
From start of treatment (week 0) until end of treatment (week 50)
Consumption of Nonacog Beta Pegol for Treatment of Bleeding Episodes
From start of treatment (week 0) until end of treatment (up to week 50)
Consumption of Nonacog Beta Pegol for Prophylaxis (PPX) Treatment (Arm B Only)
From start of treatment (week 0) until end of treatment (week 50)
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm A - Nonacog beta pegol (On-demand/Prophylaxis)EXPERIMENTALParticipants on on-demand treatment for 28 weeks, thereafter prophylactic treatment
Arm B - Nonacog beta pegol (Prophylaxis)EXPERIMENTALParticipants on prophylactic treatment only
50 EDs (exposure days)EXPERIMENTAL -
Patients enrolled in trialEXPERIMENTALNew patients will be included as well as transferred patients from Paradigm™ 2 or Paradigm™ 4 trial
NNC-0156-000-0009EXPERIMENTAL -
Prophylaxis, high dose (once weekly)EXPERIMENTAL -
Prophylaxis, low dose (once weekly)EXPERIMENTAL -
On-demandEXPERIMENTAL -
Prophylaxis, high dose (every second week)EXPERIMENTAL -
Prophylaxis, high dose (trial duration 52 weeks)EXPERIMENTAL -
Prophylaxis, low dose (trial duration 52 weeks)EXPERIMENTAL -
On-demand (trial duration 28 weeks)EXPERIMENTAL -
25U/kgEXPERIMENTAL -
50U/kgEXPERIMENTAL -
100U/kgEXPERIMENTAL -

Interventions

NameTypeDescription
Nonacog beta pegolDRUGNonacog beta pegol is administered as intravenous injections. Participants will receive nonacog beta pegol as prophylaxis, as on-demand for treatment of bleeding episodes and in relation to surgery.
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Eligibility Criteria

Age Range12 Years to 70 Years
SexMALE
Healthy VolunteersNo
Study Sites15

Inclusion Criteria: * Informed consent obtained before any trial-related activities. Trial-related activities are any procedures that are carried out as part of the trial, including activities to determine suitability for the trial. * Male Chinese patient with moderate to severe congenital haemophi...

Countries:ChinaUnited StatesAlgeriaArgentinaAustraliaAustriaBulgariaCanadaFranceGermanyGreeceIsraelItalyJapanMalaysiaMexicoNetherlandsPortugalRomaniaSerbiaSpainTaiwanThailandUkraineUnited KingdomNorth MacedoniaSouth AfricaTurkey (Türkiye)BrazilCroatiaRussiaHungaryDenmarkSweden
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Frequently asked questions about Nonacog beta pegol

What is Nonacog beta pegol used for?

Nonacog beta pegol is an investigational therapy for congenital bleeding disorder and haemophilia B. It is being developed as a treatment for these conditions, which are characterized by a deficiency in clotting factor IX. The drug is intended for use in patients with haemophilia B to help manage bleeding episodes.

Who makes Nonacog beta pegol?

Nonacog beta pegol is being developed by Novo Nordisk A/S, a pharmaceutical company listed on the stock exchange under the ticker NVO. The company is conducting clinical trials to evaluate the safety and efficacy of this drug for the treatment of haemophilia B.

What phase is Nonacog beta pegol in?

Nonacog beta pegol is in Phase 3 clinical development. It is an investigational drug, meaning it has not yet been approved by regulatory authorities. The Phase 3 trials are designed to assess its safety and efficacy in patients with haemophilia B, including previously untreated patients and those undergoing surgical procedures.

What clinical trials is Nonacog beta pegol in?

Nonacog beta pegol has been studied in several clinical trials, including NCT00956345, a Phase 1 safety study, and Phase 3 trials NCT01386528, NCT01467427, and NCT02141074. These trials evaluated the drug in non-bleeding patients, during surgical procedures, in previously treated children, and in previously untreated patients with haemophilia B.

How does Nonacog beta pegol work?

Nonacog beta pegol is a small molecule therapy designed to address haemophilia B, a condition caused by a deficiency in clotting factor IX. While the specific molecular target is not detailed, the drug is intended to replace or supplement the missing clotting factor to help restore normal blood coagulation and reduce bleeding risk.

Is Nonacog beta pegol the same as NNC-0156-0000-0009?

Yes, Nonacog beta pegol is also known as NNC-0156-0000-0009, as referenced in clinical trial titles. This alternative name is used in studies such as NCT01386528 and NCT01467427, which evaluate the drug's efficacy and safety in patients with haemophilia B.