A Phase 3 interventional study of catridecacog in Congenital Bleeding Disorder and Congenital FXIII Deficiency, sponsored by Novo Nordisk A/S. Completed at 4 sites in 3 countries. Open to participants aged 1 Year to 6 Years. Per ClinicalTrials.gov, last updated 2016-06-24.
Sponsored by Novo Nordisk A/S · Phase 3, Interventional, and Treatment
This trial will be conducted in Asia, Europe and the United States of America (USA).
The aim of this clinical trial is to investigate long-term safety of rFXIII when administered for prevention of bleeding episodes in children aged between 1 and 6 years with congenital FXIII A-subunit deficiency. This trial is an extension to trial F13CD-3760 (mentor™4, NCT01230021). If applicable the trial will be extended up to maximum 3 years dependent on when recombinant factor XIII will be commercially available in subject's respective country for use in children of 1-6 years of age.
503 studies on the registry are indexed under Hemostatic Disorders; 71 are open to participants now.
This study's enrollment of 6 is below the median of 51 across 253 interventional studies indexed under Hemostatic Disorders.
Browse Hemostatic Disorders studies →Novo Nordisk A/S is the lead sponsor of 1,370 studies on the registry; 102 are open to participants now.
Of its 198 completed or terminated interventional studies of FDA-regulated products, 94 (47%) have results posted.
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Exclusion Criteria:
Drug: catridecacog
Intravenous injection of a single dose of recombinant factor XIII, 35 IU/kg body weight every 4th week
Also known as: recombinant factor XIII
Number of Treatment Emergent (Serious and Non-serious) Adverse Events
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.
Time frame: Week 0 to end of trial visit (week 173) for a minimum period of 52 weeks.
Percentage of Subjects With Development of Anti-rFXIII Antibodies, Including Inhibitors.
All subjects who received rFXIII were monitored for the frequency of development of anti-rFXIII antibodies. Samples passed through 2 tiers of ELISA testing: an initial screen with a specific cut-off point (including \~5% false positives) and a second confirmatory assay for samples yielding a result above the screening cut-off point. If samples were confirmed as antibody positive in the confirmation assay, an inhibitor assay was also carried out to detect functional inhibitors.
Time frame: Week 0 to end of trial visit (week 173).
Clinical Laboratory Assessments: Biochemistry: Creatinine
Clinical laboratory assessments for creatinine at week 24 to end of trial visit.
Time frame: Every 6th month, from week 24 to end of trial visit (week 173).
Clinical Laboratory Assessments: Biochemistry: Urea
Clinical laboratory assessments for urea at week 24 to end ot trial visit.
Time frame: Every 6th month, week 24 to end of trial visit (week 173).
Clinical Laboratory Assessments: Biochemistry: Alanine Aminotransferase (ALAT)
Clinical laboratory assessments for ALAT at week 24 to end of trial visit.
Time frame: Every 6th month, from week 24 to end of trial visit (week 173).
Clinical Laboratory Assessments: Biochemistry: Aspartate Aminotransferase (ASAT)
Clinical laboratory assessments for ASAT at week 24 to end of trial visit.
Time frame: Every 6th month, from week 24 to end of trial visit (week 173).
Clinical Laboratory Assessments: Haematology: Haemoglobin
Clinical values for haemoglobin collected from week 0 to end of trial visit.
Time frame: Every 6th month, from week 0 to end of trial visit (week 173).
Clinical Laboratory Assessments: Haematology: Leucocytes
Clinical laboratory values for leucocytes collected from week 0 to end of trial visit.
Time frame: Every 6th month, from week 0 to end of trial visit (week 173).
Clinical Laboratory Assessments: Haematology: Thrombocytes
Clinical laboratory values for thrombocytes collected from week 0 to end of trial visit.
Time frame: Every 6th month, from week 0 to end of trial visit (week 173).
Clinical Laboratory Assessments: Haematology: Erythrocytes
Clinical laboratory values for erythrocytes collected from week 0 to end of trial visit.
Time frame: Every 6th month, from week 0 to end of trial visit (week 173).
Clinical Laboratory Assessments: Haematology: Haematocrit
Clinical laboratory values for haematocrit collected from week 0 to end of trial visit.
Time frame: Every 6th month, from week 0 to end of trial visit (week 173).
Physical Examinations
Number of subjects in percentage with changes in values of physical examinations from week 0 to end of trial visit were collected.
Time frame: Week 0 to end of trial visit (week 173).
Vital Signs: Systolic BP (Blood Pressure)
Values collected for systolic BP from week 0 to end of trial visit.
Time frame: Week 0 to end of trial visit (week 173).
Vital Signs: Diastolic BP (Blood Pressure)
Values collected for diastolic BP from week 0 to end of trial visit.
Time frame: Week 0 to end of trial visit (week 173).
Vital Signs: Pulse
Values collected for pulse from week 0 to end of trial visit.
Time frame: Week 0 to end of trial visit (week 173).
Rate (Number Per Subject Year) of All Bleeding Episodes Requiring Treatment With a FXIII Containing Product Other Than Recombinant Factor XIII.
The rate (number per subject year) of all spontaneous, traumatic and intracranial bleeding episodes requiring treatment with FXIII-containing products during the rFXIII treatment period was assessed for treatment period.
Time frame: Weeks 0 to end of trial visit (week 173).
The trial was conducted at 5 sites in 3 countries as follows: Israel (IS): 1 site; United Kingdom (UK): 2 sites; and United States (US): 2 sites.
| Milestone | rFXIII 35 IU/kg |
|---|---|
| Started | 6 |
| Exposed | 6 |
| Completed | 5 |
| Not completed | 1 |
| Withdrew: Withdrawal criteria | 1 |
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.
| number of events | rFXIII 35 IU/kg |
|---|---|
| All adverse events | 100 |
| Serious adverse events | 2 |
| Non-serious adverse events | 98 |
All subjects who received rFXIII were monitored for the frequency of development of anti-rFXIII antibodies. Samples passed through 2 tiers of ELISA testing: an initial screen with a specific cut-off point (including \~5% false positives) and a second confirmatory assay for samples yielding a result above the screening cut-off point. If samples were confirmed as antibody positive in the confirmation assay, an inhibitor assay was also carried out to detect functional inhibitors.
| percentage of subjects | rFXIII 35 IU/kg |
|---|---|
| Percentage of Subjects With Development of Anti-rFXIII Antibodies, Including Inhibitors. | 0 |
Clinical laboratory assessments for creatinine at week 24 to end of trial visit.
| mmol/L | rFXIII 35 IU/kg |
|---|---|
| Week 24 (pre-dose), N=5 | 30.20 ± 8.23 |
| Week 48 (pre-dose), N=5 | 28.00 ± 6.16 |
| Week 72 (pre-dose), N=6 | 28.67 ± 5.13 |
| Week 96 (pre-dose), N=5 | 37.00 ± 4.74 |
| Week 120 (pre-dose), N=4 | 31.50 ± 5.92 |
| Week 144 (pre-dose), N=3 | 31.00 ± 6.00 |
| Week 168 (pre-dose), N=1 | 55.00 ± 0.00 |
| End of trial (week 173) pre-dose, N= 6 | 35.17 ± 9.79 |
Clinical laboratory assessments for urea at week 24 to end ot trial visit.
| mmol/L | rFXIII 35 IU/kg |
|---|---|
| Week 24 (pre-dose), N=5 | 5.50 ± 1.63 |
| Week 48 (pre-dose), N=5 | 4.00 ± 1.22 |
| Week 72 (pre-dose), N=6 | 3.99 ± 0.69 |
| Week 96 (pre-dose), N=5 | 4.50 ± 1.14 |
| Week 120 (pre-dose), N=4 | 3.48 ± 0.73 |
| Week 144 (pre-dose), N=3 | 4.52 ± 1.35 |
| Week 168 (pre-dose), N=1 | 5.00 ± 0.00 |
| End of trial (week 173) pre-dose, N= 6 | 4.28 ± 0.84 |
Clinical laboratory assessments for ALAT at week 24 to end of trial visit.
| IU/L | rFXIII 35 IU/kg |
|---|---|
| Week 24 (pre-dose), N=4 | 17.75 ± 5.85 |
| Week 48 (pre-dose), N=5 | 16.20 ± 2.39 |
| Week 72 (pre-dose), N=5 | 16.40 ± 4.93 |
| Week 96 (pre-dose), N=4 | 12.50 ± 3.70 |
| Week 120 (pre-dose), N=3 | 21.33 ± 12.10 |
| Week 144 (pre-dose), N=2 | 17.00 ± 1.41 |
| Week 168 (pre-dose), N=1 | 14.00 ± 0.00 |
| End of trial (week 173) pre-dose, N=5 | 16.00 ± 3.94 |
Clinical laboratory assessments for ASAT at week 24 to end of trial visit.
| IU/L | rFXIII 35 IU/kg |
|---|---|
| Week 24 (pre-dose), N=4 | 30.75 ± 5.68 |
| Week 48 (pre-dose), N=5 | 38.20 ± 10.99 |
| Week 72 (pre-dose), N=5 | 31.20 ± 8.11 |
| Week 96 (pre-dose), N=4 | 26.25 ± 1.71 |
| Week 120 (pre-dose), N=3 | 27.00 ± 3.00 |
| Week 144(pre-dose), N=2 | 26.00 ± 1.41 |
| Week 168 (pre-dose), N=1 | 25.00 ± 0.00 |
| End of trial (week 173) pre-dose, N=5 | 28.00 ± 3.61 |
Clinical values for haemoglobin collected from week 0 to end of trial visit.
| mmol/L | rFXIII 35 IU/kg |
|---|---|
| Week 0 (pre-dose), N=6 | 7.366 ± 0.25 |
| Week 24 (pre-dose), N=4 | 7.624 ± 0.19 |
| Week 48 (pre-dose), N=3 | 7.138 ± 0.31 |
| Week 72 (pre-dose), N=3 | 7.262 ± 0.65 |
| Week 96 (pre-dose), N=3 | 7.635 ± 0.27 |
| Week 120 (pre-dose), N=3 | 7.821 ± 0.38 |
| Week 144 (pre-dose), N=3 | 7.717 ± 0.70 |
| Week 168 (pre-dose), N=2 | 7.759 ± 0.53 |
| End of trial (week 173) pre-dose, N=6 | 8.048 ± 0.45 |
Clinical laboratory values for leucocytes collected from week 0 to end of trial visit.
| 10^9 cells/L | rFXIII 35 IU/kg |
|---|---|
| Week 0 (pre-dose), N=6 | 8.367 ± 2.20 |
| Week 24 (pre-dose), N=4 | 7.373 ± 1.88 |
| Week 48 (pre-dose), N=3 | 5.387 ± 1.06 |
| Week 72 (pre-dose), N=4 | 5.863 ± 1.96 |
| Week 96 (pre-dose), N=4 | 6.643 ± 1.89 |
| Week 120(pre-dose), N=3 | 5.027 ± 2.12 |
| Week 144(pre-dose), N=3 | 4.850 ± 3.00 |
| Week 168(pre-dose), N=2 | 4.275 ± 2.65 |
| End of trial (week 173) pre-dose, N=6 | 7.605 ± 1.25 |
Clinical laboratory values for thrombocytes collected from week 0 to end of trial visit.
| 10^9 cells/L | rFXIII 35 IU/kg |
|---|---|
| Week 0 (pre-dose), N=6 | 316.3 ± 50.75 |
| Week 24 (pre-dose), N=4 | 296.0 ± 54.17 |
| Week 48 (pre-dose), N=3 | 277.0 ± 93.72 |
| Week 72 (pre-dose), N=4 | 283.3 ± 41.63 |
| Week 96 (pre-dose), N=4 | 332.3 ± 107.3 |
| Week 120 (pre-dose), N=3 | 269.7 ± 102.2 |
| Week 144 (pre-dose), N=3 | 324.3 ± 44.64 |
| Week 168 (pre-dose), N=2 | 307.0 ± 15.56 |
| End of trial (week 173) pre-dose, N=6 | 321.3 ± 60.45 |
Clinical laboratory values for erythrocytes collected from week 0 to end of trial visit.
| 10^12 cells/L | rFXIII 35 IU/kg |
|---|---|
| Week 0 (pre-dose), N=6 | 4.863 ± 0.43 |
| Week 24 (pre-dose), N=4 | 4.745 ± 0.18 |
| Week 48 (pre-dose), N=3 | 4.587 ± 0.12 |
| Week 72 (pre-dose), N=4 | 4.505 ± 0.22 |
| Week 96 (pre-dose), N=4 | 4.628 ± 0.26 |
| Week 120 (pre-dose), N=3 | 4.247 ± 1.19 |
| Week 144 (pre-dose), N=3 | 4.627 ± 0.11 |
| Week 168 (pre-dose), N=2 | 4.875 ± 0.11 |
| End of trial (week 173), N=6 | 4.662 ± 0.21 |
Clinical laboratory values for haematocrit collected from week 0 to end of trial visit.
| percentage of red blood cells | rFXIII 35 IU/kg |
|---|---|
| Week 0 (pre-dose), N=6 | 35.07 ± 0.99 |
| Week 24 (pre-dose), N=4 | 36.05 ± 1.90 |
| Week 48 (pre-dose), N=3 | 32.83 ± 1.76 |
| Week 72 (pre-dose), N=4 | 34.80 ± 2.49 |
| Week 96 (pre-dose), N=4 | 36.85 ± 1.07 |
| Week 120 (pre-dose), N=3 | 32.83 ± 8.61 |
| Week 144 (pre-dose), N=3 | 36.6 ± 3.44 |
| Week 168 (pre-dose), N=2 | 36.40 ± 2.26 |
| End of trial (week 173), N=6 | 37.45 ± 3.22 |
Number of subjects in percentage with changes in values of physical examinations from week 0 to end of trial visit were collected.
| percentage of subjects | rFXIII 35 IU/kg |
|---|---|
| Skin | 3 |
| Musculo-skeletal system | 1 |
Values collected for systolic BP from week 0 to end of trial visit.
| mmHg | rFXIII 35 IU/kg |
|---|---|
| Week 0, N=6 | 107.0 ± 13.7 |
| Week 4, N=6 | 101.0 ± 8.4 |
| Week 8, N=6 | 99.0 ± 9.4 |
| Week 12, N=6 | 106.3 ± 9.4 |
| Week 16, N=6 | 106.0 ± 4.1 |
| Week 20, N=6 | 100.7 ± 10.0 |
| Week 24, N=6 | 112.0 ± 12.6 |
| Week 28, N=6 | 101.3 ± 11.4 |
| Week 32, N=6 | 103.7 ± 20.6 |
| Week 36, N=6 | 102.3 ± 11.9 |
| Week 40, N=6 | 99.7 ± 8.3 |
| Week 44, N=6 | 99.7 ± 13.0 |
| Week 48, N=6 | 103.5 ± 19.4 |
| Week 60, N=5 | 105.4 ± 7.8 |
| Week 72, N=6 | 101.7 ± 7.3 |
| Week 84, N=6 | 100.7 ± 10.7 |
| Week 96, N=5 | 101.2 ± 4.8 |
| Week 108, N=5 | 109.6 ± 10.9 |
| Week 120, N=4 | 107.0 ± 7.0 |
| Week 132, N=4 | 99.3 ± 6.2 |
| Week 144, N=3 | 101.7 ± 7.8 |
| Week 156, N=3 | 110.7 ± 7.0 |
| Week 168, N=2 | 107.0 ± 7.1 |
| End of trial (week 173), N=6 | 96.5 ± 4.8 |
Values collected for diastolic BP from week 0 to end of trial visit.
| mmHg | rFXIII 35 IU/kg |
|---|---|
| Week 0, N=6 | 64.0 ± 7.6 |
| Week 4, N=6 | 62.7 ± 11.4 |
| Week 8, N=6 | 58.3 ± 19.1 |
| Week 12, N=6 | 57.5 ± 7.9 |
| Week 16, N=6 | 52.0 ± 3.3 |
| Week 20, N=6 | 65.2 ± 6.5 |
| Week 24, N=6 | 64.0 ± 4.4 |
| Week 28, N=6 | 58.3 ± 10.4 |
| Week 32, N=6 | 61.7 ± 16.4 |
| Week 36, N=6 | 66.2 ± 11.1 |
| Week 40, N=6 | 62.5 ± 6.4 |
| Week 44, N=6 | 60.3 ± 7.3 |
| Week 48, N=6 | 64.7 ± 10.9 |
| Week 60, N=5 | 69.4 ± 10.9 |
| Week 72, N=6 | 58.2 ± 4.6 |
| Week 84, N=6 | 57.5 ± 8.1 |
| Week 96, N=5 | 62.0 ± 6.3 |
| Week 108, N=5 | 57.6 ± 10.4 |
| Week 120, N=4 | 62.0 ± 3.4 |
| Week 132, N=4 | 55.8 ± 8.4 |
| Week 144, N=3 | 52.0 ± 9.2 |
| Week 156, N=3 | 57.7 ± 6.7 |
| Week 168, N=2 | 53.5 ± 2.1 |
| End of trial (week 173), N=6 | 56.2 ± 5.5 |
Values collected for pulse from week 0 to end of trial visit.
| beats/minute | rFXIII 35 IU/kg |
|---|---|
| Week 0, N=6 | 113.2 ± 10.6 |
| Week 4, N=6 | 97.7 ± 16.9 |
| Week 8, N=6 | 106.2 ± 4.6 |
| Week 12, N=6 | 104.5 ± 7.3 |
| Week 16, N=6 | 109.8 ± 9.8 |
| Week 20, N=6 | 105.3 ± 19.7 |
| Week 24, N=6 | 103.7 ± 6.4 |
| Week 28, N=6 | 102.2 ± 9.3 |
| Week 32, N=6 | 108.3 ± 20.5 |
| Week 36, N=6 | 95.5 ± 22.2 |
| Week 40, N=6 | 93.2 ± 19.5 |
| Week 44, N=6 | 95.5 ± 23.2 |
| Week 48, N=6 | 100.5 ± 7.9 |
| Week 60, N=5 | 109.0 ± 15.1 |
| Week 72, N=6 | 100.8 ± 11.4 |
| Week 84, N=6 | 99.3 ± 7.9 |
| Week 96, N=4 | 96.5 ± 16.2 |
| Week 108, N=5 | 98.4 ± 18.0 |
| Week 120, N=4 | 85.0 ± 16.4 |
| Week 132, N=4 | 86.3 ± 16.7 |
| Week 144, N=3 | 88.0 ± 11.1 |
| Week 156, N=3 | 100.7 ± 11.0 |
| Week 168, N=2 | 92.0 ± 9.9 |
| End of trial (week 173), N=6 | 94.0 ± 16.8 |
The rate (number per subject year) of all spontaneous, traumatic and intracranial bleeding episodes requiring treatment with FXIII-containing products during the rFXIII treatment period was assessed for treatment period.
No measurements were reported for this outcome.
Collected over All adverse events were collected and reported from screening (visit 1) and until the end of trial visit for a minimum period of 52 weeks.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| rFXIII 35 IU/kg | — | 1/6 (16.7%) | 6/6 (100%) |
| Event | rFXIII 35 IU/kg |
|---|---|
| Head injuryInjury, poisoning and procedural complications | 1/6 |
| Event | rFXIII 35 IU/kg |
|---|---|
| PyrexiaGeneral disorders | 4/6 |
| DiarrhoeaGastrointestinal disorders | 3/6 |
| Upper respiratory tract infectionInfections and infestations | 3/6 |
| ContusionInjury, poisoning and procedural complications | 3/6 |
| FallInjury, poisoning and procedural complications | 3/6 |
| HeadacheNervous system disorders | 3/6 |
| NauseaGastrointestinal disorders | 2/6 |
| VomitingGastrointestinal disorders | 2/6 |
| Infusion site extravasationGeneral disorders | 2/6 |
| PainGeneral disorders | 2/6 |
The safety analysis set (SAS) included all patients exposed to trial drug (rFXIII).
| Age, Continuous(years) | rFXIII 35 IU/kg |
|---|---|
| Mean | 3.0 ± 1.3 |
| Sex: Female, Male(Participants) | rFXIII 35 IU/kg |
|---|---|
| Female | 3 |
| Male | 3 |
| Ethnicity (NIH/OMB)(Participants) | rFXIII 35 IU/kg |
|---|---|
| Hispanic or Latino | 0 |
| Not Hispanic or Latino | 6 |
| Unknown or Not Reported | 0 |
| Race (NIH/OMB)(Participants) | rFXIII 35 IU/kg |
|---|---|
| American Indian or Alaska Native | 0 |
| Asian | 3 |
| Native Hawaiian or Other Pacific Islander | 0 |
| Black or African American | 1 |
| White | 2 |
| More than one race | 0 |
| Unknown or Not Reported | 0 |
This study is completed, as verified in May 2016. You cannot join it, but the record below documents what was studied.
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