ClinicalTrials.gg
CompletedNCT02141074paradigm™6Updated Dec 23, 2025Results posted

Safety and Efficacy of Nonacog Beta Pegol (N9-GP) in Previously Untreated Patients With Haemophilia B

A Phase 3 interventional study of nonacog beta pegol in Congenital Bleeding Disorder and Haemophilia B, sponsored by Novo Nordisk A/S. Completed at 93 sites in 24 countries. Open to male participants aged 0 Years to 6 Years. Per ClinicalTrials.gov, last updated 2025-12-23.

Sponsored by Novo Nordisk A/S · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
54
Allocation
Not applicable
Ages
0 Years to 6 Years
Sex
Male
01

Study summary

This trial is conducted globally. The aim of the trial is to investigate the safety and efficacy of nonacog beta pegol (N9-GP) in previously untreated patients with Haemophilia B.

02

Conditions studied

  • Congenital Bleeding Disorder
  • Haemophilia B

Browse trials for

03

In context

Hemophilia B

292 studies on the registry are indexed under Hemophilia B; 51 are open to participants now.

This study's enrollment of 54 is above the median of 26 across 171 interventional studies indexed under Hemophilia B.

Browse Hemophilia B studies →

Lead sponsor

Novo Nordisk A/S is the lead sponsor of 1,404 studies on the registry; 101 are open to participants now.

Of its 205 completed or terminated interventional studies of FDA-regulated products, 100 (49%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
0 Years to 6 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 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, age below 6 years at the time of signing informed consent
  • Patients with the diagnosis of haemophilia B (FIX (coagulation factor IX) activity level below or equal to 2%) based on medical records or central laboratory results
  • Previously untreated or exposed to FIX containing products less than or equal to 3 exposure days (5 previous exposures to blood components is acceptable)

Exclusion criteria

Exclusion Criteria:

  • Any history of FIX inhibitors (defined by medical records)
  • Known or suspected to trial product or related products
  • Previous participation in this trial. Participation is defined as first dose administered of trial product
  • Receipt of any medicinal product within 30 days before screening
  • Congenital or acquired coagulation disorder other than haemophilia B
  • Any chronic disorder or severe disease which, in the opinion of the Investigator, might jeopardise the patient's safety or compliance with the protocol
  • Patient's parent(s)/LAR(s) (legally acceptable representative) mental incapacity, unwillingness to cooperate, or a language barrier precluding adequate understanding and cooperation
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
54 participants (actual)

Study arms

  • Experimental
    50 EDs (exposure days)

    Drug: nonacog beta pegol

Interventions

  • For intravenous (i.v.) injection. A single dose of 40 U/kg, unless the bleeding episode is severe in which case it should be treated with 80 U/kg.

06

What researchers measure

Primary outcomes

  1. Number of Participants With Incidence of Inhibitory Antibodies Against Coagulation Factor IX (FIX) (50 Exposure Days)

    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.

    Time frame: When minimum 20 previously untreated patients (PUPs) have reached at least 50 exposure days (ED) (up to 156 weeks)

  2. Number of Participants With Incidence of Inhibitory Antibodies Against FIX (100 ED)

    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.

    Time frame: When minimum 40 PUPs have reached at least 100 ED (up to 208 weeks)

  3. Number of Participants With Incidence of Inhibitory Antibodies Against FIX (At End of Trial)

    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.

    Time frame: At end of trial (up to 434 weeks)

Secondary outcomes

  1. Number of Adverse Events

    Number of adverse events after 50 ED, after 100 ED, and at end of trial is presented. An adverse event was defined as any untoward medical occurrence in a participant who was administered a product, and which does not necessarily have a causal relationship with this treatment. All presented adverse events are treatment emergent adverse events, defined as an event that occured while the participant was on treatment in the period from first dosing with nonacog beta pegol to the end of trial/discontinuation of treatment.

    Time frame: When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks); at end of trial (up to 434 weeks)

  2. Frequency of Adverse Events

    Frequency of adverse events after 50 ED, after 100 ED, and at end of trial is presented. Frequency of adverse events was expressed as number of adverse events per participant years of exposure (total number of events /total time in trial). An adverse event was defined as any untoward medical occurrence in a participant who was administered a product, and which does not necessarily have a causal relationship with this treatment. All presented adverse events are treatment emergent adverse events, defined as an event that occured while the participant was on treatment in the period from first dosing with nonacog beta pegol to the end of trial/discontinuation of treatment.

    Time frame: When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks); at end of trial (up to 434 weeks)

  3. Number of Serious Adverse Events

    Number of serious adverse events after 50 ED, after 100 ED, and at end of trial is presented. A serious adverse event was an experience that at any dose resulted in: death; life-threatening experience; in-patient hospitalisation or prolongation of existing hospitalisation; a persistent or significant disability/incapacity; congenital anomaly/birth defect; important medical events that may not result in death, be life-threatening/require hospitalisation could be considered a serious adverse event based upon appropriate medical judgement.

    Time frame: When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks); at end of trial (up to 434 weeks)

  4. Frequency of Serious Adverse Events

    Frequency of serious adverse events after 50 ED, after 100 ED, and at end of trial is presented. Frequency of serious adverse events was expressed as number of serious adverse events per participant years of exposure (total number of events /total time in trial). A serious adverse event was an experience that at any dose resulted in: death; life-threatening experience; in-patient hospitalisation or prolongation of existing hospitalisation; a persistent or significant disability/incapacity; congenital anomaly/birth defect; important medical events that may not result in death, be life-threatening/require hospitalisation could be considered a serious adverse event based upon appropriate medical judgement.

    Time frame: When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks); at end of trial (up to 434 weeks)

  5. Number of Medical Events of Special Interest

    Number of medical events of special interest after 50 ED, after 100 ED, and at end of trial is presented. A medical event of special interest (MESI) was an event that, in the evaluation of safety, has a special focus. A MESI was an adverse event (serious or non-serious adverse event) that fulfils one or more of the following MESI criteria: 1. Medication errors concerning the trial product; 2. Inhibitor formation against FIX; 3. Thromboembolic events; 4. Anaphylactic reaction; 5. Allergic reaction including, but not limited to, any acute immunoglobulin E mediated reaction of delayed-type hypersensitivity (clinical signs may include various types of skin rashes) that does not meet the definition of anaphylaxis; 6. CNS-related adverse events including, but not limited to, any learning and behavioral deficits; 7. Renal adverse events including new onset of renal disorder or renal impairment or acute and chronic renal failure.

    Time frame: When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks); at end of trial (up to 434 weeks)

  6. Frequency of Medical Events of Special Interest

    Frequency of medical events of special interest after 50 ED, after 100 ED, and at end of trial is presented. It was expressed as number of MESI per participant years of exposure (total number of events/total time in trial). A MESI was an event that, in the evaluation of safety, has a special focus. A MESI was an adverse event that fulfils one or more of the MESI criteria: 1. Medication errors concerning the trial product; 2. Inhibitor formation against FIX; 3. Thromboembolic events; 4. Anaphylactic reaction; 5. Allergic reaction including, but not limited to, any acute immunoglobulin E mediated reaction of delayed-type hypersensitivity (clinical signs may include various types of skin rashes) that does not meet the definition of anaphylaxis; 6. CNS-related adverse events including, but not limited to, any learning and behavioral deficits; 7. Renal adverse events including new onset of renal disorder or renal impairment or acute and chronic renal failure.

    Time frame: When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks); at end of trial (up to 434 weeks)

  7. Number of Breakthrough Bleeding Episodes During Prophylaxis (Annualised Bleeding Rate)

    Number of breakthrough bleeding episodes during prophylaxis (annualised bleeding rate) after 50 ED, after 100 ED, and at end of trial is presented. Annualised bleeding rate is the number of bleeding episodes per year.

    Time frame: When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks); at end of trial (up to 434 weeks)

  8. Haemostatic Effect of Nonacog Beta Pegol in Treatment of Bleeding Episodes by 4-point Haemostatic Response Scale ("Excellent", "Good", "Moderate" and "Poor")

    Haemostatic effect of nonacog beta pegol in treatment of bleeding episodes by 4-point haemostatic response scale after 50 ED, after 100 ED, and at end of trial is presented. The haemostatic response after treatment of a bleed with nonacog beta pegol was evaluated on a 4-point scale as excellent, good, moderate or poor. Excellent: abrupt pain relief and/or clear improvement in objective signs of bleeding; Good: noticeable pain relief and/or improvement in signs of bleeding; Moderate: probable or slight beneficial effect after the first injection; Poor: no improvement or worsening of symptoms. If the haemostatic response was rated as excellent or good, the treatment of the bleed was considered a success. If the haemostatic response was rated as moderate or poor, the treatment was considered a failure.

    Time frame: When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks); at end of trial (up to 434 weeks)

  9. Incremental Recovery at 30 Minutes (IR30min)

    Incremental recovery 30 minutes post dosing (IR30min) after 50 ED, after 100 ED is presented. IR30min was defined as the rise in FIX activity per international units per kilogram (IU/kg) administered and was recorded 30 minutes after the end of nonacog beta pegol injection. It was calculated as the baseline adjusted FIX activity recorded 30 minutes after ended nonacog beta pegol injection divided by the administered dose (IU/kg body weight). It was recorded as international units per milliliter (IU/mL)/international units per kilogram (IU/kg).

    Time frame: When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks)

  10. FIX Activity at 30 Minutes (C30min)

    FIX Activity 30 minutes post dosing (C30min) after 50 ED, after 100 ED is presented. The FIX activity was measured by one-stage clotting assay - a modified activated partial thromboplastin time (aPTT) assay.

    Time frame: When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks)

  11. FIX Trough Levels

    FIX trough levels after 50 ED, after 100 ED, and at end of trial is presented. FIX trough level was defined as the activity recorded immediately before nonacog beta pegol injection was given and was measured by one-stage clotting assay - a modified activated partial thromboplastin time (aPTT) assay. The analysis is based on a mixed model on the log-transformed plasma concentrations with participant as a random effect. The mean trough level is presented back-transformed to the natural scale.

    Time frame: When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks); at end of trial (up to 434 weeks)

  12. Amount of Drug Administered to Treat a Bleeding Episode

    Amount of nonacog beta pegol administered (average dose of nonacog beta pegol) to treat a bleeding episode after 50 ED, after 100 ED, and at end of trial is presented as international units per kilogram per bleed (IU/kg/bleed).

    Time frame: When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks); at end of trial (up to 434 weeks)

  13. Number of Injections Needed to Treat a Bleeding Episode

    The mean number of injections needed to treat a bleeding episode is presented.

    Time frame: When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks); at end of trial (up to 434 weeks)

07

Results

Posted Dec 29, 2023

Participant flow

The trial was conducted at 29 sites in 11 countries as follows (number of sites that screened participants/ number of sites that randomised participants): Australia (1/1); Austria (2/2); Canada (1/1); Israel (1/1); Japan (1/1); Malaysia (4/4); Spain (3/3); Taiwan (2/2); Thailand (2/2); United Kingdom (3/3); United States (9/9).

Pre-prophylaxis
Participant flow — Pre-prophylaxis
MilestonePre-prophylaxisProphylaxis
Started340
Completed310
Not completed30
Withdrew: Adverse event30
Prophylaxis
Participant flow — Prophylaxis
MilestonePre-prophylaxisProphylaxis
Started051
Completed041
Not completed010
Withdrew: Withdrawal by parent/guardian02
Withdrew: Adverse event04
Withdrew: Withdrawn due to closure of trial03
Withdrew: Withdrawal by subject01

Outcome measures

PrimaryNumber of Participants With Incidence of Inhibitory Antibodies Against Coagulation Factor IX (FIX) (50 Exposure Days)

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.

Time frame:
When minimum 20 previously untreated patients (PUPs) have reached at least 50 exposure days (ED) (up to 156 weeks)
Reported as:
Count of participants · Participants
Number of Participants With Incidence of Inhibitory Antibodies Against Coagulation Factor IX (FIX) (50 Exposure Days)
ParticipantsPre-prophylaxisProphylaxis
Number of Participants With Incidence of Inhibitory Antibodies Against Coagulation Factor IX (FIX) (50 Exposure Days)20
PrimaryNumber of Participants With Incidence of Inhibitory Antibodies Against FIX (100 ED)

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.

Time frame:
When minimum 40 PUPs have reached at least 100 ED (up to 208 weeks)
Reported as:
Count of participants · Participants
Number of Participants With Incidence of Inhibitory Antibodies Against FIX (100 ED)
ParticipantsPre-prophylaxisProphylaxis
Number of Participants With Incidence of Inhibitory Antibodies Against FIX (100 ED)22
PrimaryNumber of Participants With Incidence of Inhibitory Antibodies Against FIX (At End of Trial)

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.

Time frame:
At end of trial (up to 434 weeks)
Reported as:
Count of participants · Participants
Number of Participants With Incidence of Inhibitory Antibodies Against FIX (At End of Trial)
ParticipantsPre-prophylaxisProphylaxis
Number of Participants With Incidence of Inhibitory Antibodies Against FIX (At End of Trial)22
SecondaryNumber of Adverse Events

Number of adverse events after 50 ED, after 100 ED, and at end of trial is presented. An adverse event was defined as any untoward medical occurrence in a participant who was administered a product, and which does not necessarily have a causal relationship with this treatment. All presented adverse events are treatment emergent adverse events, defined as an event that occured while the participant was on treatment in the period from first dosing with nonacog beta pegol to the end of trial/discontinuation of treatment.

Time frame:
When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks); at end of trial (up to 434 weeks)
Reported as:
Number · Events
Number of Adverse Events
EventsPre-prophylaxisProphylaxis
50 ED86291
100 ED131610
End of trial (Week 434)134794
SecondaryFrequency of Adverse Events

Frequency of adverse events after 50 ED, after 100 ED, and at end of trial is presented. Frequency of adverse events was expressed as number of adverse events per participant years of exposure (total number of events /total time in trial). An adverse event was defined as any untoward medical occurrence in a participant who was administered a product, and which does not necessarily have a causal relationship with this treatment. All presented adverse events are treatment emergent adverse events, defined as an event that occured while the participant was on treatment in the period from first dosing with nonacog beta pegol to the end of trial/discontinuation of treatment.

Time frame:
When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks); at end of trial (up to 434 weeks)
Reported as:
Number · Events per participant years of exposure
Frequency of Adverse Events
Events per participant years of exposurePre-prophylaxisProphylaxis
50 ED5.595.87
100 ED5.925.08
End of trial (Week 434)5.524.10
SecondaryNumber of Serious Adverse Events

Number of serious adverse events after 50 ED, after 100 ED, and at end of trial is presented. A serious adverse event was an experience that at any dose resulted in: death; life-threatening experience; in-patient hospitalisation or prolongation of existing hospitalisation; a persistent or significant disability/incapacity; congenital anomaly/birth defect; important medical events that may not result in death, be life-threatening/require hospitalisation could be considered a serious adverse event based upon appropriate medical judgement.

Time frame:
When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks); at end of trial (up to 434 weeks)
Reported as:
Number · Events
Number of Serious Adverse Events
EventsPre-prophylaxisProphylaxis
50 ED914
100 ED1327
End of trial (Week 434)1430
SecondaryFrequency of Serious Adverse Events

Frequency of serious adverse events after 50 ED, after 100 ED, and at end of trial is presented. Frequency of serious adverse events was expressed as number of serious adverse events per participant years of exposure (total number of events /total time in trial). A serious adverse event was an experience that at any dose resulted in: death; life-threatening experience; in-patient hospitalisation or prolongation of existing hospitalisation; a persistent or significant disability/incapacity; congenital anomaly/birth defect; important medical events that may not result in death, be life-threatening/require hospitalisation could be considered a serious adverse event based upon appropriate medical judgement.

Time frame:
When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks); at end of trial (up to 434 weeks)
Reported as:
Number · Events per participant years of exposure
Frequency of Serious Adverse Events
Events per participant years of exposurePre-prophylaxisProphylaxis
50 ED0.590.28
100 ED0.590.22
End of trial (Week 434)0.580.15
SecondaryNumber of Medical Events of Special Interest

Number of medical events of special interest after 50 ED, after 100 ED, and at end of trial is presented. A medical event of special interest (MESI) was an event that, in the evaluation of safety, has a special focus. A MESI was an adverse event (serious or non-serious adverse event) that fulfils one or more of the following MESI criteria: 1. Medication errors concerning the trial product; 2. Inhibitor formation against FIX; 3. Thromboembolic events; 4. Anaphylactic reaction; 5. Allergic reaction including, but not limited to, any acute immunoglobulin E mediated reaction of delayed-type hypersensitivity (clinical signs may include various types of skin rashes) that does not meet the definition of anaphylaxis; 6. CNS-related adverse events including, but not limited to, any learning and behavioral deficits; 7. Renal adverse events including new onset of renal disorder or renal impairment or acute and chronic renal failure.

Time frame:
When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks); at end of trial (up to 434 weeks)
Reported as:
Number · Events
Number of Medical Events of Special Interest
EventsPre-prophylaxisProphylaxis
50 ED59
100 ED631
End of trial (Week 434)638
SecondaryFrequency of Medical Events of Special Interest

Frequency of medical events of special interest after 50 ED, after 100 ED, and at end of trial is presented. It was expressed as number of MESI per participant years of exposure (total number of events/total time in trial). A MESI was an event that, in the evaluation of safety, has a special focus. A MESI was an adverse event that fulfils one or more of the MESI criteria: 1. Medication errors concerning the trial product; 2. Inhibitor formation against FIX; 3. Thromboembolic events; 4. Anaphylactic reaction; 5. Allergic reaction including, but not limited to, any acute immunoglobulin E mediated reaction of delayed-type hypersensitivity (clinical signs may include various types of skin rashes) that does not meet the definition of anaphylaxis; 6. CNS-related adverse events including, but not limited to, any learning and behavioral deficits; 7. Renal adverse events including new onset of renal disorder or renal impairment or acute and chronic renal failure.

Time frame:
When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks); at end of trial (up to 434 weeks)
Reported as:
Number · Events per participant years of exposure
Frequency of Medical Events of Special Interest
Events per participant years of exposurePre-prophylaxisProphylaxis
50 ED0.330.18
100 ED0.270.26
End of trial (Week 434)0.250.20
SecondaryNumber of Breakthrough Bleeding Episodes During Prophylaxis (Annualised Bleeding Rate)

Number of breakthrough bleeding episodes during prophylaxis (annualised bleeding rate) after 50 ED, after 100 ED, and at end of trial is presented. Annualised bleeding rate is the number of bleeding episodes per year.

Time frame:
When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks); at end of trial (up to 434 weeks)
Reported as:
Median · bleeds/participant/year
Number of Breakthrough Bleeding Episodes During Prophylaxis (Annualised Bleeding Rate)
bleeds/participant/yearProphylaxis
50 ED0.00 (0.00 to 2.60)
100 ED0.25 (0.00 to 17.39)
End of trial (Week 434)0.33 (0.00 to 17.39)
SecondaryHaemostatic Effect of Nonacog Beta Pegol in Treatment of Bleeding Episodes by 4-point Haemostatic Response Scale ("Excellent", "Good", "Moderate" and "Poor")

Haemostatic effect of nonacog beta pegol in treatment of bleeding episodes by 4-point haemostatic response scale after 50 ED, after 100 ED, and at end of trial is presented. The haemostatic response after treatment of a bleed with nonacog beta pegol was evaluated on a 4-point scale as excellent, good, moderate or poor. Excellent: abrupt pain relief and/or clear improvement in objective signs of bleeding; Good: noticeable pain relief and/or improvement in signs of bleeding; Moderate: probable or slight beneficial effect after the first injection; Poor: no improvement or worsening of symptoms. If the haemostatic response was rated as excellent or good, the treatment of the bleed was considered a success. If the haemostatic response was rated as moderate or poor, the treatment was considered a failure.

Time frame:
When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks); at end of trial (up to 434 weeks)
Reported as:
Number · Number of bleeds treated
Haemostatic Effect of Nonacog Beta Pegol in Treatment of Bleeding Episodes by 4-point Haemostatic Response Scale ("Excellent", "Good", "Moderate" and "Poor")
Number of bleeds treatedPre-prophylaxisProphylaxis
50 ED Excellent239
50 ED Good85
50 ED Moderate21
50 ED Poor00
100 ED Excellent4444
100 ED Good1730
100 ED Moderate23
100 ED Poor00
End of trial (Week 434) Excellent4586
End of trial (Week 434) Good1845
End of trial (Week 434) Moderate24
End of trial (Week 434) Poor00
SecondaryIncremental Recovery at 30 Minutes (IR30min)

Incremental recovery 30 minutes post dosing (IR30min) after 50 ED, after 100 ED is presented. IR30min was defined as the rise in FIX activity per international units per kilogram (IU/kg) administered and was recorded 30 minutes after the end of nonacog beta pegol injection. It was calculated as the baseline adjusted FIX activity recorded 30 minutes after ended nonacog beta pegol injection divided by the administered dose (IU/kg body weight). It was recorded as international units per milliliter (IU/mL)/international units per kilogram (IU/kg).

Time frame:
When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks)
Reported as:
Geometric mean · (IU/mL)/(IU/kg)
Incremental Recovery at 30 Minutes (IR30min)
(IU/mL)/(IU/kg)Prophylaxis
50 ED0.012 ± 13.9
100 ED0.014 ± 20.1
SecondaryFIX Activity at 30 Minutes (C30min)

FIX Activity 30 minutes post dosing (C30min) after 50 ED, after 100 ED is presented. The FIX activity was measured by one-stage clotting assay - a modified activated partial thromboplastin time (aPTT) assay.

Time frame:
When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks)
Reported as:
Geometric mean · IU/mL
FIX Activity at 30 Minutes (C30min)
IU/mLProphylaxis
50 ED0.652 ± 39.5
100 ED0.824 ± 21.6
SecondaryFIX Trough Levels

FIX trough levels after 50 ED, after 100 ED, and at end of trial is presented. FIX trough level was defined as the activity recorded immediately before nonacog beta pegol injection was given and was measured by one-stage clotting assay - a modified activated partial thromboplastin time (aPTT) assay. The analysis is based on a mixed model on the log-transformed plasma concentrations with participant as a random effect. The mean trough level is presented back-transformed to the natural scale.

Time frame:
When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks); at end of trial (up to 434 weeks)
Reported as:
Mean · IU/mL
FIX Trough Levels
IU/mLProphylaxis
50 ED0.150 (0.141 to 0.160)
100 ED0.156 (0.144 to 0.170)
End of trial (Week 434)0.167 (0.155 to 0.179)
SecondaryAmount of Drug Administered to Treat a Bleeding Episode

Amount of nonacog beta pegol administered (average dose of nonacog beta pegol) to treat a bleeding episode after 50 ED, after 100 ED, and at end of trial is presented as international units per kilogram per bleed (IU/kg/bleed).

Time frame:
When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks); at end of trial (up to 434 weeks)
Reported as:
Mean · IU/kg/bleed
Amount of Drug Administered to Treat a Bleeding Episode
IU/kg/bleedPre-prophylaxisProphylaxis
50 ED55.0 ± 28.748.8 ± 16.9
100 ED47.7 ± 17.658.5 ± 70.0
End of trial (Week 434)47.5 ± 17.454.0 ± 53.5
SecondaryNumber of Injections Needed to Treat a Bleeding Episode

The mean number of injections needed to treat a bleeding episode is presented.

Time frame:
When minimum 20 PUPs have reached at least 50 ED (up to 156 weeks); when minimum 40 PUPs have reached at least 100 ED (up to 208 weeks); at end of trial (up to 434 weeks)
Reported as:
Mean · Injections per bleed
Number of Injections Needed to Treat a Bleeding Episode
Injections per bleedPre-prophylaxisProphylaxis
50 ED1.3 ± 0.71.0 ± 0.0
100 ED1.1 ± 0.41.3 ± 1.5
End of trial (Week 434)1.1 ± 0.41.2 ± 1.2

Adverse events

Collected over Up to Week 434. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Pre-prophylaxis1/34 (2.9%)9/34 (26.5%)22/34 (64.7%)
Prophylaxis1/51 (2%)19/51 (37.3%)46/51 (90.2%)
Most frequent serious events
Showing 10 of 32
Most frequent serious events
EventPre-prophylaxisProphylaxis
PneumoniaInfections and infestations0/344/51
Factor IX inhibitionBlood and lymphatic system disorders2/342/51
Haemorrhage intracranialNervous system disorders2/341/51
Dental cariesGastrointestinal disorders0/342/51
Anaphylactic reactionImmune system disorders1/340/51
BronchiolitisInfections and infestations1/340/51
BronchitisInfections and infestations1/340/51
FallInjury, poisoning and procedural complications1/340/51
Gastroenteritis salmonellaInfections and infestations1/340/51
Gastroenteritis viralInfections and infestations1/340/51
Most frequent other events
Showing 10 of 45
Most frequent other events
EventPre-prophylaxisProphylaxis
PyrexiaGeneral disorders11/3427/51
NasopharyngitisInfections and infestations5/3423/51
Upper respiratory tract infectionInfections and infestations5/3419/51
CoughRespiratory, thoracic and mediastinal disorders4/3417/51
DiarrhoeaGastrointestinal disorders3/3411/51
VomitingGastrointestinal disorders2/3411/51
Ear infectionInfections and infestations3/349/51
RhinorrhoeaRespiratory, thoracic and mediastinal disorders3/349/51
FallInjury, poisoning and procedural complications1/348/51
Head injuryInjury, poisoning and procedural complications0/347/51

Baseline characteristics

Full analysis set: all participants exposed to study drug. Participants switched from pre-prophylaxis treatment to prophylaxis treatment. Other participants directly started on prophylaxis treatment at visit 1. Pre-prophylaxis and Prophylaxis arms are not mutually exclusive so the data in this section is provided for all participants that started the study.

Age, Continuous
Age, Continuous(years)Nonacog Beta Pegol
Mean0.8 ± 1.1
Sex: Female, Male
Sex: Female, Male(Participants)Nonacog Beta Pegol
Female0
Male54
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Nonacog Beta Pegol
Hispanic or Latino2
Not Hispanic or Latino52
Unknown or Not Reported0
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Nonacog Beta Pegol
Asian19
Black or African American7
White25
Other3
08

Study locations

93 sites
  • Miller Children's Hospital Long Beach
    Long Beach, California 90806, United States
  • Children's Hospital Los Angeles - Endocrinology
    Los Angeles, California 90027, United States
  • Shands Hospital at the University of Florida
    Gainesville, Florida 32610, United States
  • Nemours Chld Clnc Jacksonville
    Jacksonville, Florida 32207, United States
  • Augusta University
    Augusta, Georgia 30912, United States
  • Hope for Kids
    Macon, Georgia 31201, United States
  • St. Luke's Mountain States Tumor Institute
    Boise, Idaho 83712, United States
  • University Of Iowa
    Iowa City, Iowa 52242, United States
  • Children's Hosp-New Orleans
    New Orleans, Louisiana 70118-5720, United States
  • Johns Hopkins University_Baltimore_3
    Baltimore, Maryland 21205, United States
  • Univ of NE Med Center_Omaha
    Omaha, Nebraska 68198-6828, United States
  • North Shore Long Island Jewish Medical Center
    New Hyde Park, New York 11040, United States
  • University of North Carlolina-Chapel Hill
    Chapel Hill, North Carolina 27514, United States
  • Novant Hlth Vasc Ins Charlotte
    Charlotte, North Carolina 28204, United States
  • Univ Hosp Cleveland Med Ctr
    Cleveland, Ohio 44106, United States
  • Dayton Children Hemostati Ctr
    Dayton, Ohio 45404, United States
  • Penn State MS Hershey Med Ctr
    Hershey, Pennsylvania 17033, United States
  • St Christopher Hosp for Child
    Philadelphia, Pennsylvania 19134, United States
  • Medical University Of SC
    Charleston, South Carolina 29425, United States
  • Vanderbilt Hemostasis Thrombosis Clinic
    Nashville, Tennessee 37232, United States
  • Univ of Utah Primary Children's Hospital
    Salt Lake City, Utah 84113, United States
  • University of Virginia Children's Hospital
    Charlottesville, Virginia 22903, United States
  • Children's Hsptl Of The Kings
    Norfolk, Virginia 23507, United States
  • Beni Messous Hospital Issaad Hassani
    Algiers, 16000, Algeria
  • University Hospital Saadna Abdenour of Setif
    Sétif, 19000, Algeria
  • Hospital de Pediatría S.A.M.I.C. "Prof. Dr. Juan P. Garrahan
    CABA, C1245AAM, Argentina
  • Sanatorio Mayo Privado S.A
    Córdoba, X5000FAL, Argentina
  • Lady Cilento Children's Hospital
    South Brisbane, Queensland 4101, Australia
  • Royal Children's Hospital
    Parkville, Victoria 3052, Australia
  • Med. Univ. Graz -Klinische Abteilung f. Allgemeine Pädiatrie
    Graz, 8036, Austria
  • Universitätsklinik Kinder-Jugendheilkunde Innsbruck
    Innsbruck, 6020, Austria
  • Klinikum Klagenfurt am Wörthersee (LKH Klagenfurt)
    Klagenfurt, 9020, Austria
  • Landes-Frauen und Kinderklinik Linz
    Linz, 4020, Austria
  • LKH Salzburg- Univ. Klinik f. Kinder- und Jugendheilkunde
    Salzburg, 5020, Austria
  • Ordination Prof. Zwiauer
    Sankt Pölten, A 3100, Austria
  • Universitätsklinik für Kinder- und Jugendheilkunde
    Vienna, A 1090, Austria
  • UMHAT Sveti Georgi EAD, Plovdiv, Clinic of Pediatrics
    Plovdiv, 4002, Bulgaria
  • Hamltn Hth Sci/McMstr Child Hosp
    Hamilton, Ontario L8N 3Z5, Canada
  • The Hospital for Sick Children
    Toronto, Ontario M5G 1X8, Canada
  • CHU Estaing
    Clermont-Ferrand, 63003, France
  • Ap-Hp-Hopital de Bicetre-1
    Le Kremlin-Bicêtre, 94275, France
  • Centre Hospitalier Universitaire de Nantes-Hopital Hotel-Dieu
    Nantes, 44093, France
  • Centre Hospitalier Universitaire de Rennes - Hopital Pontchaillou
    Rennes, 35033, France
  • CHU Haute Pierre
    Strasbourg, 67098, France
  • Universitätsklinikum Bonn - Institut für Experimentelle Hämatologie
    Bonn, 53127, Germany
  • Coagulation Research Center
    Duisburg, 47051, Germany
  • HZRM Haemophilie-Zentrum Rhein Main GmbH
    Frankfurt am Main, 60596, Germany
  • Werlhof-Institut
    Hanover, 30159, Germany
  • Aghia Sophia Childrens' Hospital
    Athens, GR-11527, Greece
  • 'Ippokrateio' General Hospital of Thessaloniki
    Thessaloniki, 54642, Greece
  • Sheba MC - The Israeli National Hemophilia Center
    Tel Litwinsky, 52621, Israel
  • Dipartimento di Ematologia Univ. Firenze
    Florence, 50134, Italy
  • IRCCS Meyer Firenze
    Florence, 50139, Italy
  • Nagoya University Hospital_Blood Transfusion
    Aichi, 466-8560, Japan
  • Kanagawa Children's Medical Center _ Hematology / Oncology
    Kanagawa, 232-8555, Japan
  • Saitama Children's Med Centre_Hematology-Oncology
    Saitama, 330-8777, Japan
  • Shizuoka Children's Hospital, Hematology-Oncology
    Shizuoka, 420-8660, Japan
  • National Center for Child Health and Development_Hematology
    Tokyo, 157-8535, Japan
  • Ogikubo Hospital_Pediatries & Blood
    Tokyo, 167-0035, Japan
  • Hospital Tengku Ampuan Afzan
    Kuantan, Pahang 25100, Malaysia
  • Hospital Pulau Pinang_Georgetown, Penang
    George Town, Pulau Pinang 10450, Malaysia
  • Hospital Tengku Ampuan Rahimah
    Klang, Selangor, 41200, Malaysia
  • National Blood Centre
    Kuala Lumpur, 50400, Malaysia
  • Centro Medico Nacional SXXI-Hospital de Pediatria, IMSS
    Mexico City, México, D.F. 06720, Mexico
  • Hospital Universitario Dr. José Eleuterio González_Monterrey
    Monterrey, Nuevo León 64460, Mexico
  • Radboudumc
    Nijmegen, 6525 GA, Netherlands
  • Centro Hospitalar Lisboa Norte-HSM
    Lisbon, 1649-035, Portugal
  • ULS São João, E.P.E.
    Porto, 4200-319, Portugal
  • ,,Louis Ţurcanu'' Emergency Hospital for Children
    Timișoara, Timiș County 300011, Romania
  • 1st Paediatric Department, Fundeni Clinical Institute
    Bucharest, 022328, Romania
  • University Children's Hospital Tirsova
    Belgrade, 11000, Serbia
  • Institute for Mother and Child Health Care of Serbia
    Belgrade, 11070, Serbia
  • Hospital Sant Joan de Déu
    Esplugues Llobregat, 08950, Spain
  • Hospital Universitario La Paz
    Madrid, 28046, Spain
  • Hospital La Fe - Endocrinología y Nutrición
    Valencia, 46026, Spain
  • Changhua Christian Hospital_Hematology Dept.
    Changhua, 500, Taiwan
  • Changhua Christian Hospital
    Changhua, 500, Taiwan
  • Kaohsiung Medical University Chung-Ho Memorial Hospital_Dept of Pediatrics
    Kaohsiung City, 807, Taiwan
  • China Medical University Children's Hospital
    Taichung, 40447, Taiwan
  • China Medical University Hospital - Children Building
    Taichung, 40447, Taiwan
  • National Taiwan University Children's Hospital
    Taipei, 100, Taiwan
  • King Chulalongkorn Memorial Hospital_Pediatric Hematology-Oncology
    Bangkok, 10330, Thailand
  • Ramathibodi Hospital_Paediatrics
    Bangkok, 10400, Thailand
  • Maharaj Nakorn Chiang Mai Hospital _Pediatric Hematology and Oncology
    Chiang Mai, 50200, Thailand
  • SI Institute of Urgent and Recovery Surgery - Haematology
    Donetsk, 83045, Ukraine
  • Institute of blood pathology and transfusion medicine of NAMSU - General and haematol. surgery
    Lviv, 79044, Ukraine
  • Birmingham Children's Hospital
    Birmingham, B4 6NH, United Kingdom
  • Kent and Canterbury Hospital - Kent Haemophilia and Thrombosis Centre
    Canterbury, CT1 3NG, United Kingdom
  • Royal Hospital for Children
    Glasgow, G51 4TF, United Kingdom
  • Leicester Royal Infirmary - Haemostasis & Thrombosis Unit
    Leicester, LE1 5WW, United Kingdom
  • St Thomas' Hospital - Haemostasis and Thrombosis Centre
    London, SE1 7EH, United Kingdom
  • Royal Manchester Children's Hospital
    Manchester, M13 9WL, United Kingdom
  • John Radcliffe Hospital
    Oxford, OX3 9DU, United Kingdom
09

References and documents

Publications

  • Chan AK, Alamelu J, Barnes C, Chuansumrit A, Garly ML, Meldgaard RM, Young G. Nonacog beta pegol (N9-GP) in hemophilia B: First report on safety and efficacy in previously untreated and minimally treated patients. Res Pract Thromb Haemost. 2020 Jul 29;4(7):1101-1113. doi: 10.1002/rth2.12412. eCollection 2020 Oct. PubMed 33134776 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 23, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02141074
Lead sponsor
Novo Nordisk A/S
Responsible party
Sponsor
First posted
May 19, 2014
Start date
Jul 2, 2014
Primary completion
Oct 27, 2022
Completion
Oct 27, 2022
Results posted
Dec 29, 2023
Last update
Dec 23, 2025

Study contacts

Global Clinical Registry (GCR, 1452)
study director · Novo Nordisk A/S

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Nonacog beta pegol

Start the discussion