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turoctocog alfa

Phase 4

Congenital Bleeding Disorder | Small molecule | Rare Disease |Novo Nordisk A/S|Trials Updated: Nov 30, 2020

turoctocog alfa development status

Highest phase Phase 4 (NCT03449342)
Phase scored for NVOPhase 3
Registered trials 18 across 1 sponsor since Feb 2009

turoctocog alfa target and mechanism

Molecular targetF8
Target classExogenous Protein
ModalitySmall molecule

Also known as N8, recombinant factor VIII, recombinant FVIII

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials10
Total Enrollment640

FDA Designations

No designations recorded

turoctocog alfa clinical trials

turoctocog alfa · 10 trials · 2 indications

Phase 3 5Phase 1 5
NCT02938585Efficacy and Safety of Turoctocog Alfa for Prophylaxis and Treatment of Bleeding Episodes in Previously Treated Chinese Patients With Haemophilia ACongenital Bleeding Disorder
COMPLETED68 Analytics
NCT01493778Safety and Efficacy of Turoctocog Alfa in Prevention and Treatment of Bleeds in Previously Untreated Children With Haemophilia ACongenital Bleeding Disorder
COMPLETED60 Analytics
NCT01138501Safety and Efficacy of Turoctocog Alfa in Previously Treated Male Children With Haemophilia ACongenital Bleeding Disorder
COMPLETED65 Analytics
NCT00984126Safety and Efficacy of Turoctocog Alfa (N8) in Prevention and On-demand Treatment of Bleeding Episodes in Subjects With Haemophilia A: An Extension to Trials NN7008-3543, NN7008-3545, NN7008-3600, NN7008-3893 and NN7008-4015Congenital Bleeding Disorder
COMPLETED214 Analytics
NCT00840086Safety and Efficacy of Turoctocog Alfa in Haemophilia A SubjectsCongenital Bleeding Disorder
COMPLETED150 Analytics
PHASE3COMPLETED
Efficacy and Safety of Turoctocog Alfa for Prophylaxis and Treatment of Bleeding Episodes in Previously Treated Chinese Patients With Haemophilia A
Congenital Bleeding DisorderUnlock trial analytics
PHASE3COMPLETED
Safety and Efficacy of Turoctocog Alfa in Prevention and Treatment of Bleeds in Previously Untreated Children With Haemophilia A
Congenital Bleeding DisorderUnlock trial analytics
PHASE3COMPLETED
Safety and Efficacy of Turoctocog Alfa in Previously Treated Male Children With Haemophilia A
Congenital Bleeding DisorderUnlock trial analytics
PHASE3COMPLETED
Safety and Efficacy of Turoctocog Alfa (N8) in Prevention and On-demand Treatment of Bleeding Episodes in Subjects With Haemophilia A: An Extension to Trials NN7008-3543, NN7008-3545, NN7008-3600, NN7008-3893 and NN7008-4015
Congenital Bleeding DisorderUnlock trial analytics
PHASE3COMPLETED
Safety and Efficacy of Turoctocog Alfa in Haemophilia A Subjects
Congenital Bleeding DisorderUnlock trial analytics

Study Endpoints

Primary Endpoints

Haemostatic Effect of Turoctocog Alfa (Treatment of Bleeds): 6 Months
Month 0-6

The haemostatic effect of turoctocog alfa when used for treatment of bleeding episodes in both prophylaxis and on-demand regimen was evaluated during month 0-6. The effect was assessed on a four-point scale for haemostatic response, excellent, good, moderate and none.

Incidence Rate of Factor VIII Inhibitors (Above or Equal to 0.6 BU (Bethesda Units)/mL) for the Main Phase of the Trial
From Visit 2 (21 days after screening) to Visit 5 (50-55 exposure day)

The incidence rate (percentage of participants with inhibitors) of inhibitors defined as inhibitor titres ≥0.6 BU for main phase of the trial.

The Incidence Rate of FVIII Inhibitors (Greater Than or Equal to 0.6 Bethesda Units (BU))
The adverse events were collected throughout the trial, corresponding to an average of 138 days per subject.

The incidence rate of FVIII inhibitors was calculated by including all patients with inhibitors in the nominator and including all patients with a minimum 50 exposure plus any patients with less than 50 exposures but with inhibitors in denominator.

Frequency of Development of FVIII Inhibitors (Greater Than or Equal to 0.6 Bethesda Units (BU)/mL)
After 90 months

The frequency of inhibitors was calculated as number of patients with inhibitors during the trial divided by number of patients in the trial. This endpoint was measured during the trial.

Plasma FVIII activity at 30 minutes(C30min)
At 30 minutes post-dose

Based on samples taken at pre-dose (-1hour), 15minutes, 30minutes, 1hour, 3hours, 6hours, 9hours, 24hours, 28hours, 48hours, 72hours post-dose

Dose normalised area under the curve (AUC/actual dose) based on chromogenic assay
up to 48 hours after i.v. administration
Area under the curve
Infusion, 48 hours
Incremental recovery
Infusion, 30 minutes
In vivo t1/2
Infusion, 48 hours
Total clearance (CL)
Infusion, 48 hours
Recovery of FVIII 30 min after administration, half-life, AUC, and clearance
at 30 days

Secondary Endpoints

Haemostatic Effect of Turoctocog Alfa (Treatment of Bleeds): 24 Months
Month 0-24
Incidence Rate of Inhibitory Antibodies Against FVIII (≥0.6 BU): 6 Months
Month 0-6
Incidence Rate of Inhibitory Antibodies Against FVIII (≥0.6 BU): 24 Months
Month 0-24
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Prophylactic treatmentEXPERIMENTAL -
On-demand treatmentEXPERIMENTAL -
turoctocog alfaEXPERIMENTAL -
rFVIIIEXPERIMENTAL -
Lot AEXPERIMENTALEach subject will receive two single doses of turocotocog alfa from two lots of trial product on two separate days.
Lot BEXPERIMENTALEach subject will receive two single doses of turocotocog alfa from two lots of trial product on two separate days.
Lot CEXPERIMENTALEach subject will receive two single doses of turocotocog alfa from two lots of trial product on two separate days.
Lot DEXPERIMENTALEach subject will receive two single doses of turocotocog alfa from two lots of trial product on two separate days.
N8EXPERIMENTAL -
recombinant factor VIII (N8)EXPERIMENTAL -
Advate®/turoctocog alfaEXPERIMENTAL -

Interventions

NameTypeDescription
turoctocog alfaDRUGThe preventative treatment is administered intravenously (i.v.) at specific intervals either every second day or three times a week. Bleeding treatment will be administered if a bleed should occur.
Advate®DRUGSubjects will receive Advate® at a dose of 50 IU/kg body weight in the first session
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Eligibility Criteria

Age Range0 Years to 6 Years
SexMALE
Healthy VolunteersNo
Study Sites11

Inclusion Criteria: * Male patients * Age from 0 years * With the diagnosis of severe congenital haemophilia A (FVIII≤1%) * History of exposure days (ED) to any FVIII products fulfilling the criteria of previously treated patients: * Patients of 12 years or above: 100 exposures days (ED) or more * ...

Countries:ChinaUnited StatesAlgeriaAustriaBrazilDenmarkGreeceHong KongHungaryJapanLithuaniaPolandPortugalPuerto RicoRussiaSerbiaSpainTurkey (Türkiye)ItalyMalaysiaNorth MacedoniaTaiwanCroatiaGermanyIsraelLatviaSwitzerlandUnited KingdomSerbia and MontenegroBulgaria
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Frequently asked questions about turoctocog alfa

What is turoctocog alfa used for?

Turoctocog alfa is used to prevent and treat bleeding episodes in people with congenital bleeding disorder, specifically haemophilia A. It is a recombinant factor VIII therapy developed for previously treated and previously untreated patients, including children, and is studied for prophylaxis and on-demand treatment of bleeds.

What does turoctocog alfa target?

Turoctocog alfa targets factor VIII, encoded by the F8 gene. It is an exogenous protein that replaces missing or defective factor VIII, the clotting protein absent or dysfunctional in haemophilia A, thereby supporting normal blood coagulation and controlling or preventing bleeding episodes.

Who makes turoctocog alfa?

Turoctocog alfa is developed by Novo Nordisk A/S, which trades under the ticker NVO. Novo Nordisk is the sponsor of the clinical trial program evaluating the drug in haemophilia A and other congenital bleeding disorders.

What phase is turoctocog alfa in?

Turoctocog alfa has completed Phase 3 clinical development. Ten trials are registered, all completed, including Phase 1 pharmacokinetic studies and Phase 3 safety and efficacy studies. It is an investigational product in the context of these trials and is not described as approved in the available data.

What clinical trials is turoctocog alfa in?

Turoctocog alfa has been studied in completed trials including NCT02941354, a Phase 1 pharmacokinetic study in relation to BMI; NCT02938585, a Phase 3 efficacy and safety study in Chinese patients; NCT01692925, a Phase 1 pharmacokinetic study; and NCT01493778, a Phase 3 study in previously untreated children.

Is turoctocog alfa the same as NovoEight?

Yes, turoctocog alfa is also known as NovoEight. NovoEight is the brand name used for turoctocog alfa, a recombinant factor VIII product developed by Novo Nordisk for the treatment of haemophilia A and congenital bleeding disorder.