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turoctocog alfa

Phase 3

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

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
RandomizedCONTROLLEDBiomarker
Total Trials9
Total Enrollment617
FDA Designations
No designations recorded
Clinical Trials (9)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02938585Efficacy and Safety of Turoctocog Alfa for Prophylaxis and Treatment of Bleeding Episodes in Previously Treated Chinese Patients With Haemophilia APHASE3 COMPLETED 68Dec 12, 2016Dec 12, 2018Jul 27, 202011 China
NCT01493778Safety and Efficacy of Turoctocog Alfa in Prevention and Treatment of Bleeds in Previously Untreated Children With Haemophilia APHASE3 COMPLETED 60Sep 17, 2012Dec 5, 2018Nov 30, 202069 United States, Algeria +16
NCT01138501Safety and Efficacy of Turoctocog Alfa in Previously Treated Male Children With Haemophilia APHASE3 COMPLETED 65Jun 1, 2010Nov 1, 2011Mar 17, 201738 United States, Brazil +11
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 NN7008-4015PHASE3 COMPLETED 214Oct 26, 2009Jun 29, 2016Jul 27, 201757 United States, Brazil +18
NCT00840086Safety and Efficacy of Turoctocog Alfa in Haemophilia A SubjectsPHASE3 COMPLETED 150Apr 1, 2009Sep 1, 2011Mar 17, 201763 United States, Brazil +16
NCT02941354Evaluating the Pharmacokinetics of NovoEight® (Turoctocog Alfa) in Relation to BMI in Subjects With Haemophilia APHASE1 COMPLETED 35Oct 10, 2016Jun 20, 2017Jan 30, 201915 United States, Austria +5
NCT01692925Investigation of the Pharmacokinetics of Turoctocog Alfa in Subjects With Haemophilia APHASE1 COMPLETED 15Dec 1, 2012Mar 1, 2013Feb 10, 20175 Germany, Latvia +2
NCT01365520A Single Dose Trial of NNC 0155-0000-0004 in Patients With Haemophilia APHASE1 COMPLETED 4Jun 1, 2011Sep 1, 2011Feb 10, 20173 Malaysia, United Kingdom
NCT01238367A Single Dose Trial of Recombinant Factor VIII (N8) in Japanese Subjects With Haemophilia A: An Extension to Trial NN7008-3543PHASE1 COMPLETED 6Nov 1, 2010Oct 1, 2011Feb 10, 20176 Japan
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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
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 -
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.
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Eligibility Criteria
Age Range0 Years — 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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