ClinicalTrials.gg
Active, not recruitingNCT04082429explorer8Updated Sep 16, 2026Results posted

Research Study to Look at How Well the Drug Concizumab Works in Your Body if You Have Haemophilia Without Inhibitors

A Phase 3 interventional study of Concizumab in Haemophilia A Without Inhibitors and Haemophilia B Without Inhibitors, sponsored by Novo Nordisk A/S. Active, not recruiting at 113 sites in 33 countries. Open to male participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2026-09-16.

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

Phase
Phase 3
Study type
Interventional
Enrollment
156
Allocation
Randomized
Ages
12 Years and older
Sex
Male
01

Study summary

This study will test how well a new medicine called concizumab works in the body of people with haemophilia A or B without inhibitors. The purpose is to show that concizumab can prevent bleeds in the body and is safe to use. Participants who usually only take medicine to treat bleeds (on-demand) will be placed in one of two groups. In one group participants will get study medicine from the start of the study. In the other group participants will continue with their normal medicine and get study medicine after 6 months. Which treatment the participant gets is decided by chance. Participants who usually take medicine to prevent bleeds (prophylaxis treatment) or who are already being treated with concizumab (study medicine) will receive the study medicine from the start of the study. Participants will have to inject themselves with the study medicine 1 time every day under the skin. This can be done at home. The study doctor will hand out the medicine in the form of a pen-injector. The pen-injector will contain the study medicine. The study will last for up to 8 years. The length of time the participant will be in the study depends on when they agreed to take part and when the medicine is available for purchase in their country (or 31 December 2027 at the latest). The time between visits will be approximately 4 weeks for the first 6 to 12 months depending on the group participants are in, and approximately 8 weeks for the rest of the study. If the participant attends extra visits due to the prescription medicine not being available for purchase in their country, these will be 14 weeks apart. Participants will be asked to record information in an electronic diary during the study and may also be asked to wear an activity tracker.

02

Conditions studied

  • Haemophilia A Without Inhibitors
  • Haemophilia B Without Inhibitors
03

In context

Hemophilia A

844 studies on the registry are indexed under Hemophilia A; 138 are open to participants now.

This study's enrollment of 156 is above the median of 30 across 499 interventional studies indexed under Hemophilia A.

Browse Hemophilia A 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
12 Years and older
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 aged 12 years or older at the time of signing informed consent.
  • Congenital severe haemophilia A (FVIII below 1%) or B (FIX equal to or below 2%).

Exclusion criteria

Exclusion Criteria:

  • Known or suspected to any constituent of the trial product or related products.
  • Known inherited or acquired coagulation disorder other than congenital haemophilia.
  • Presence of confirmed inhibitors 0.6 BU or greater at screening.
  • History of thromboembolic disease (includes arterial and venous thrombosis including myocardial infarction, pulmonary embolism, cerebral infarction/thrombosis, deep vein thrombosis, other thromboembolic events and peripheral artery occlusion). Current clinical signs of, or treatment for thromboembolic disease. Patients who in the judgement of the investigator are considered at high risk of thromboembolic events (thromboembolic risk factors could include, but are not limited to, hypercholesterolemia, diabetes mellitus, hypertension, obesity, smoking, family history of thromboembolic events, arteriosclerosis, other conditions associated with increased risk of thromboembolic events.)
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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
156 participants (actual)

Study arms

  • Experimental
    Arm 1: No prophylaxis (PPX)

    Haemophilia A (HA) and haemophilia B (HB) patients, previously treated on-demand, will be randomised 1:2 to no prophylaxis versus concizumab prophylaxis. In the extension phase, this group will receive treatment with concizumab.

    Drug: Concizumab

  • Experimental
    Arm 2: Concizumab prophylaxis

    HA and HB patients, previously treated on-demand, will be randomised 1:2 to no prophylaxis versus concizumab prophylaxis.

    Drug: Concizumab

  • Experimental
    Arm 3: Concizumab prophylaxis

    The HA patients enrolled into the concizumab phase 2 trial NN7415-4255 (explorer 5) will be offered enrolment into this arm.

    Drug: Concizumab

  • Experimental
    Arm 4: Concizumab prophylaxis

    Arm 4 will include patients previously on prophylaxis with factor products with a minimum of 24 weeks observation in NN7415-4322 (explorer 6) (at least 30 HA and 30 HB patients). In addition, arm 4 will also include: 1) Patients who were randomised to arms 1 and 2 before the treatment pause. 2) HA patients who were in NN7415-4255 (explorer 5) at the time of the treatment pause, and who have now completed explorer 5. 3) On demand patients included after arms 1 and 2 are closed.

    Drug: Concizumab

Interventions

  • When patients are randomised/allocated to concizumab prophylaxis, they will receive a loading dose of 1.0 mg/kg concizumab at visit 2a (week (Wk) 0) (arm 2, 3 and 4) or visit 9a (Wk 24) (arm 1) followed by an initial daily dose of 0.20 mg/kg concizumab from treatment day 2. Within an initial 5-8-week dose adjustment period on 0.20 mg/kg concizumab, the patients can be increased or decreased in dose to 0.25 mg/kg or 0.15 mg/kg concizumab. A potential dose adjustment will take place at visit 4a.1 (Wk 6) or 9a.3 (Wk 30) and will be based on the concizumab exposure level measured at the previous visit 4a (Wk 6) or 9a.2 (Wk 28). Patients who have concizumab exposure levels of 200-4000 ng/mL will stay at 0.20 mg/kg concizumab. Patients in arm 1 will continue on-demand treatment with their usual replacement therapy until visit 9a (week 24; end of main part). In the extension part, patients in arm 1 will receive daily concizumab subcutaneous injections.

06

What researchers measure

Primary outcomes

  1. Haemophilia A Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Bleeding Episodes

    Rate of treated spontaneous and traumatic bleeding episodes for haemophilia A participants without inhibitors is presented. The observation period used for reporting this endpoint is on-treatment without ancillary therapy excluding data before restart (OTwoATexBR). It is defined as the time period after the restart where participants are treated by concizumab treatment or are treated by on-demand treatment and additionally have not used factor-containing products not related to treatment of a bleeding episode. The data is reported in the terms of annualised bleeding rate (ABR). Week 0 is defined as time of randomisation to on-demand administration after the pause or time of start of the new concizumab dosing regimen. Confirmatory analyses cut-off was defined as when all participants on no PPX (arm 1) had completed the 24-week visit or withdrawn and all participants on concizumab PPX (in arms 2 and 4) had completed the 32-week visit or withdrawn.

    Time frame: On demand (arm 1): From week 0 up until start of concizumab treatment (week 24); Concizumab (arm 2): From week 0 up until the confirmatory analyses cut-off

  2. Haemophilia B Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Bleeding Episodes

    Rate of treated spontaneous and traumatic bleeding episodes for haemophilia B participants without inhibitors is presented. The observation period used for reporting this endpoint is OTwoATexBR. It is defined as the time period after the restart where participants are treated by concizumab treatment or are treated by on-demand treatment and additionally have not used factor-containing products not related to treatment of a bleeding episode. The data is reported in the terms of ABR. Week 0 is defined as time of randomisation to on-demand administration after the pause or time of start of the new concizumab dosing regimen. Confirmatory analyses cut-off was defined as when all participants on no PPX (arm 1) had completed the 24-week visit or withdrawn and all participants on concizumab PPX (in arms 2 and 4) had completed the 32-week visit or withdrawn.

    Time frame: On demand (arm 1): From week 0 up until start of concizumab treatment (week 24); Concizumab (arm 2): From week 0 up until the confirmatory analyses cut-off

Secondary outcomes

  1. Haemophilia A Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Bleeding Episodes

    Rate of treated spontaneous and traumatic bleeding episodes for haemophilia A participants without inhibitors in arm 4 participants who had been on stable PPX at least 24 weeks in study 4322 is presented. The observation period used for reporting this endpoint is on stable treatment without ancillary therapy excluding data before restart (OT stable woATexBR). It is defined as the time period where participants are on stable PPX in study NN7415-4322 combined with the time period after the treatment pause in NN7415-4307 where the same participants are on the maintenance dose and have not used factor-containing products not related to treatment of a bleed. The data is reported in the terms of ABR.

    Time frame: For previous PPX (study 4322): After an initial period on PPX treatment of at least 24 weeks until end of study (maximum 115 weeks) For concizumab PPX (trial 4307): After an initial 5-8 weeks dose adjustment period and up until 56 week cut off

  2. Haemophilia B Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Bleeding Episodes

    Rate of treated spontaneous and traumatic bleeding episodes for haemophilia B participants without inhibitors in arm 4 participants who had been on stable PPX at least 24 weeks in study 4322 is presented. The observation period used for reporting this endpoint is OT stable woATexBR. It is defined as the time period where participants are on stable PPX in study NN7415-4322 combined with the time period after the treatment pause in NN7415-4307 where the same participants are on the maintenance dose and have not used factor-containing products not related to treatment of a bleed. The data is reported in the terms of ABR.

    Time frame: For previous PPX (study 4322): After an initial period on PPX treatment of at least 24 weeks until end of study (maximum 115 weeks) For concizumab PPX (trial 4307): After an initial 5-8 weeks dose adjustment period and up until 56 week cut off

  3. Haemophilia A Participants Without Inhibitors: Rate of Treated Spontaneous Bleeding Episodes

    Rate of treated spontaneous bleeding episodes for haemophilia A participants without inhibitors is presented. The observation period used for reporting this endpoint is OTwoATexBR. It is defined as the time period after the restart where participants are treated by concizumab treatment or are treated by on-demand treatment and additionally have not used factor-containing products not related to treatment of a bleeding episode. The data is reported in the terms of ABR. Week 0 is defined as time of randomisation to on-demand administration after the pause or time of start of the new concizumab dosing regimen.

    Time frame: On demand (arm 1): From randomisation after the pause (week 0) up until start of concizumab treatment (week 24) Concizumab (arm 2): From start of the new concizumab dosing regimen (week 0) up until the 56 week cut-off

  4. Haemophilia B Participants Without Inhibitors: Rate of Treated Spontaneous Bleeding Episodes

    Rate of treated spontaneous bleeding episodes for haemophilia B participants without inhibitors is presented. The observation period used for reporting this endpoint is OTwoATexBR. It is defined as the time period after the restart where participants are treated by concizumab treatment or are treated by on-demand treatment and additionally have not used factor-containing products not related to treatment of a bleeding episode. The data is reported in the terms of ABR. Week 0 is defined as time of randomisation to on-demand administration after the pause or time of start of the new concizumab dosing regimen.

    Time frame: On demand (arm 1): From randomisation after the pause (week 0) up until start of concizumab treatment (week 24) Concizumab (arm 2): From start of the new concizumab dosing regimen (week 0) up until the 56 week cut-off

  5. Haemophilia A Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Joint Bleeding Episodes

    Rate of treated spontaneous and traumatic joint bleeding episodes for haemophilia A participants without inhibitors is presented. The observation period used for reporting this endpoint is OTwoATexBR. It is defined as the time period after the restart where participants are treated by concizumab treatment or are treated by on-demand treatment and additionally have not used factor-containing products not related to treatment of a bleeding episode. The data is reported in the terms of ABR. Week 0 is defined as time of randomisation to on-demand administration after the pause or time of start of the new concizumab dosing regimen.

    Time frame: On demand (arm 1): From randomisation after the pause (week 0) up until start of concizumab treatment (week 24) Concizumab (arm 2): From start of the new concizumab dosing regimen (week 0) up until the 56 week cut-off

  6. Haemophilia B Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Joint Bleeding Episodes

    Rate of treated spontaneous and traumatic joint bleeding episodes for haemophilia B participants without inhibitors is presented. The observation period used for reporting this endpoint is OTwoATexBR. It is defined as the time period after the restart where participants are treated by concizumab treatment or are treated by on-demand treatment and additionally have not used factor-containing products not related to treatment of a bleeding episode. The data is reported in the terms of ABR. Week 0 is defined as time of randomisation to on-demand administration after the pause or time of start of the new concizumab dosing regimen.

    Time frame: On demand (arm 1): From randomisation after the pause (week 0) up until start of concizumab treatment (week 24) Concizumab (arm 2): From start of the new concizumab dosing regimen (week 0) up until the 56 week cut-off

  7. Haemophilia A Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Target Joint Bleeding Episodes

    Rate of treated spontaneous and traumatic target joint bleeding episodes for haemophilia A participants without inhibitors is presented. The observation period used for reporting this endpoint is OTwoATexBR. It is defined as the time period after the restart where participants are treated by concizumab treatment or are treated by on-demand treatment and additionally have not used factor-containing products not related to treatment of a bleeding episode. The data is reported in the terms of ABR. Week 0 is defined as time of randomisation to on-demand administration after the pause or time of start of the new concizumab dosing regimen.

    Time frame: On demand (arm 1): From randomisation after the pause (week 0) up until start of concizumab treatment (week 24) Concizumab (arm 2): From start of the new concizumab dosing regimen (week 0) up until the 56 week cut-off

  8. Haemophilia B Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Target Joint Bleeding Episodes

    Rate of treated spontaneous and traumatic target joint bleeding episodes for haemophilia B participants without inhibitors is presented. The observation period used for reporting this endpoint is OTwoATexBR. It is defined as the time period after the restart where participants are treated by concizumab treatment or are treated by on-demand treatment and additionally have not used factor-containing products not related to treatment of a bleeding episode. The data is reported in the terms of ABR. Week 0 is defined as time of randomisation to on-demand administration after the pause or time of start of the new concizumab dosing regimen.

    Time frame: On demand (arm 1): From randomisation after the pause (week 0) up until start of concizumab treatment (week 24) Concizumab (arm 2): From start of the new concizumab dosing regimen (week 0) up until the 56 week cut-off

  9. Haemophila A and Haemophilia B Participants Without Inhibitors: Number of Thromboembolic Events

    Number of thromboembolic events in haemophilia A and haemophilia B participants without inhibitors is presented. The observation period used for reporting this endpoint is on-treatment (OT). It is defined as the time period where participants were considered to be affected by no PPX (on-demand treatment) or concizumab PPX. Week 0 is defined as time of randomisation to on-demand administration after the pause or time of start of the new concizumab dosing regimen.

    Time frame: On demand (arm 1): from week 0 until start of concizumab treatment (week 24). Concizumab (arms 2-4): From week 0 up until the 56 week cut-off. Concizumab (arm 1 extension part): From start of concizumab treatment (week 25) up until the 56 week cut-off

  10. Haemophila A and Haemophilia B Participants Without Inhibitors: Number of Thromboembolic Events

    Time frame: From week 0 to end of trial (up to 384 weeks)

  11. Haemophila A and Haemophilia B Participants Without Inhibitors: Number of Hypersensitivity Type Reactions

    Number of hypersensitivity type reactions in haemophilia A and haemophilia B participants without inhibitors is presented. The observation period used for reporting this endpoint is OT. It is defined as the time period where participants were considered to be affected by no PPX (on-demand treatment) or concizumab PPX. Week 0 is defined as time of randomisation to on-demand administration after the pause or time of start of the new concizumab dosing regimen.

    Time frame: On demand (arm 1): from week 0 until start of concizumab treatment (week 24). Concizumab (arms 2-4): From week 0 up until the 56 week cut-off. Concizumab (arm 1 extension part): From start of concizumab treatment (week 25) up until the 56 week cut-off

  12. Haemophila A and Haemophilia B Participants Without Inhibitors: Number of Hypersensitivity Type Reactions

    Time frame: From week 0 to end of trial (up until 384 weeks)

  13. Haemophila A and Haemophilia B Participants Without Inhibitors: Number of Injection Site Reactions

    Number of injection site reactions in haemophilia A and haemophilia B participants without inhibitors is presented. The observation period used for reporting this endpoint is OT. It is defined as the time period where participants were considered to be affected by no PPX (on-demand treatment) or concizumab PPX. Week 0 is defined as time of randomisation to on-demand administration after the pause or time of start of the new concizumab dosing regimen.

    Time frame: On demand (arm 1 main part): from randomisation (week 0) until start of concizumab treatment (week 24). Concizumab (arms 2-4): From week 0 up until the 56 week cut-off. Concizumab (arm 1 extension part): From week 25 up until the 56 week cut-off

  14. Haemophila A and Haemophilia B Participants Without Inhibitors: Number of Injection Site Reactions

    Time frame: From week 0 to end of trial (up until 384 weeks)

  15. Haemophila A and Haemophilia B Participants Without Inhibitors: Number of Participants With Antibodies to Concizumab

    Time frame: Concizumab (arms 2-4): From start of concizumab treatment (week 0) up until the 56 week cut-off. Concizumab (arm 1 extension part): From start of concizumab treatment (week 25) up until the 56 week cut-off

  16. Haemophila A and Haemophilia B Participants Without Inhibitors: Number of Participants With Antibodies to Concizumab

    Time frame: From week 0 to end of trial (up until 384 weeks)

  17. Haemophila A and Haemophilia B Participants Without Inhibitors: Pre-dose (Trough) Concizumab Plasma Concentration (Ctrough)

    Ctrough for haemophilia A and haemophilia B participants without inhibitors is presented. The observation period used for reporting this endpoint is on-treatment without data before re-start (OTexBR). It is defined as the time period after restart where participants were considered to be affected by no PPX (on-demand treatment) or treatment with the new concizumab regimen.

    Time frame: Pre-dose (prior to the concizumab administration at week 24)

  18. Haemophila A and Haemophilia B Participants Without Inhibitors: Pre-dose Thrombin Peak

    Pre-dose thrombin peak for haemophilia A and haemophilia B participants without inhibitors is presented. The observation period used for reporting this endpoint is OTexBR. It is defined as the time period after restart where participants were considered to be affected by no PPX (on-demand treatment) or treatment with the new concizumab regimen.

    Time frame: Pre-dose (prior to the concizumab administration at week 24)

  19. Haemophila A and Haemophilia B Participants Without Inhibitors: Pre-dose Free Tissue Factor Pathway Inhibitor (TFPI) Concentration

    Pre-dose free TFPI for haemophilia A and haemophilia B participants without inhibitors is presented. The observation period used for reporting this endpoint is OTexBR. It is defined as the time period after restart where participants were considered to be affected by no PPX (on-demand treatment) or treatment with the new concizumab regimen.

    Time frame: Pre-dose (prior to the concizumab administration at week 24)

  20. Haemophila A and Haemophilia B Participants Without Inhibitors: Maximum Concizumab Plasma Concentration (Cmax)

    Cmax for haemophilia A and haemophilia B participants without inhibitors is presented. The observation period used for reporting this endpoint is OTexBR. It is defined as the time period after restart where participants were considered to be affected by no PPX (on-demand treatment) or treatment with the new concizumab regimen.

    Time frame: Pre-dose, Week 24: 3 hours (h), 6h, 9h, 24h

  21. Haemophila A and Haemophilia B Participants Without Inhibitors: Area Under the Concizumab Plasma Concentration-time Curve (AUC)

    AUC for haemophilia A and haemophilia B participants without inhibitors is presented. The observation period used for reporting this endpoint is OTexBR. It is defined as the time period after restart where participants were considered to be affected by no PPX (on-demand treatment) or treatment with the new concizumab regimen.

    Time frame: Pre-dose, Week 24: 3 hours (h), 6h, 9h, 24h

07

Results

Posted Oct 31, 2025
Limitations and caveats
There was a pause in the concizumab clinical development programme during the period from March to August 2020, while thromboembolic events were investigated. As of 19 March 2020, all participants on concizumab had stopped treatment and switched to another available treatment as per investigator's discretion. Based on the investigation, risk mitigation actions (including new concizumab dosing regimen) were implemented and trial protocols updated before resuming.

Participant flow

The trial was conducted at 68 sites in 31 countries.

Main Part (Before the Treatment Pause)
Participant flow — Main Part (Before the Treatment Pause)
MilestoneArm 1: Previous On Demand (OnD) Treatment: No Prophylaxis (PPX) - Participants With HAExtension Phase Arm 1: Concizumab PPX - Participants With HAArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HAArm 3: Concizumab Non-naive: Concizumab PPX - Participants With HAArm 4: Concizumab PPX - Participants With HAArm 1: Previous OnD Treatment: No PPX - Participants With HBExtension Phase Arm 1: Concizumab PPX - Participants With HBArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HBArm 4: Concizumab PPX - Participants With HB
Started10310181022
Completed0029131022
Not completed101150000
Withdrew: Withdrawal by subject101130000
Withdrew: Physician decision000020000
Main Part (After the Treatment Pause)
Participant flow — Main Part (After the Treatment Pause)
MilestoneArm 1: Previous On Demand (OnD) Treatment: No Prophylaxis (PPX) - Participants With HAExtension Phase Arm 1: Concizumab PPX - Participants With HAArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HAArm 3: Concizumab Non-naive: Concizumab PPX - Participants With HAArm 4: Concizumab PPX - Participants With HAArm 1: Previous OnD Treatment: No PPX - Participants With HBExtension Phase Arm 1: Concizumab PPX - Participants With HBArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HBArm 4: Concizumab PPX - Participants With HB
Started90189461202430
Completed70176451002325
Not completed201312015
Withdrew: Death000010000
Withdrew: Physician decision000201000
Withdrew: Withdrawal by subject001100015
Withdrew: Unspecified reason200001000
Extension Part
Participant flow — Extension Part
MilestoneArm 1: Previous On Demand (OnD) Treatment: No Prophylaxis (PPX) - Participants With HAExtension Phase Arm 1: Concizumab PPX - Participants With HAArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HAArm 3: Concizumab Non-naive: Concizumab PPX - Participants With HAArm 4: Concizumab PPX - Participants With HAArm 1: Previous OnD Treatment: No PPX - Participants With HBExtension Phase Arm 1: Concizumab PPX - Participants With HBArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HBArm 4: Concizumab PPX - Participants With HB
Started07176450102325
Completed000000000
Not completed07176450102325
Withdrew: Ongoing07176450102325

Outcome measures

PrimaryHaemophilia A Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Bleeding Episodes

Rate of treated spontaneous and traumatic bleeding episodes for haemophilia A participants without inhibitors is presented. The observation period used for reporting this endpoint is on-treatment without ancillary therapy excluding data before restart (OTwoATexBR). It is defined as the time period after the restart where participants are treated by concizumab treatment or are treated by on-demand treatment and additionally have not used factor-containing products not related to treatment of a bleeding episode. The data is reported in the terms of annualised bleeding rate (ABR). Week 0 is defined as time of randomisation to on-demand administration after the pause or time of start of the new concizumab dosing regimen. Confirmatory analyses cut-off was defined as when all participants on no PPX (arm 1) had completed the 24-week visit or withdrawn and all participants on concizumab PPX (in arms 2 and 4) had completed the 32-week visit or withdrawn.

Time frame:
On demand (arm 1): From week 0 up until start of concizumab treatment (week 24); Concizumab (arm 2): From week 0 up until the confirmatory analyses cut-off
Reported as:
Median · Events per year
Haemophilia A Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Bleeding Episodes
Events per yearArm 1: Previous On Demand (OnD) Treatment: No Prophylaxis (PPX) - Participants With HAArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HA
Haemophilia A Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Bleeding Episodes19.6 (17.3 to 30.4)2.9 (0.0 to 5.2)
Statistical analysis
  • Arm 1: Previous On Demand (OnD) Treatment: No Prophylaxis (PPX) - Participants With HA vs Arm 2: Previous OnD Treatment: Concizumab PPX - Participants With HA · Negative binomial regression · p = <0.001 · Abr ratio: 0.14 · 95% CI 0.07 to 0.29
PrimaryHaemophilia B Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Bleeding Episodes

Rate of treated spontaneous and traumatic bleeding episodes for haemophilia B participants without inhibitors is presented. The observation period used for reporting this endpoint is OTwoATexBR. It is defined as the time period after the restart where participants are treated by concizumab treatment or are treated by on-demand treatment and additionally have not used factor-containing products not related to treatment of a bleeding episode. The data is reported in the terms of ABR. Week 0 is defined as time of randomisation to on-demand administration after the pause or time of start of the new concizumab dosing regimen. Confirmatory analyses cut-off was defined as when all participants on no PPX (arm 1) had completed the 24-week visit or withdrawn and all participants on concizumab PPX (in arms 2 and 4) had completed the 32-week visit or withdrawn.

Time frame:
On demand (arm 1): From week 0 up until start of concizumab treatment (week 24); Concizumab (arm 2): From week 0 up until the confirmatory analyses cut-off
Reported as:
Median · Events per year
Haemophilia B Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Bleeding Episodes
Events per yearArm 1: Previous OnD Treatment: No PPX - Participants With HBArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HB
Haemophilia B Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Bleeding Episodes14.9 (3.3 to 22.1)1.6 (0.0 to 4.8)
Statistical analysis
  • Arm 1: Previous OnD Treatment: No PPX - Participants With HB vs Arm 2: Previous OnD Treatment: Concizumab PPX - Participants With HB · Negative binomial regression · p = <0.001 · Abr ratio: 0.21 · 95% CI 0.10 to 0.45
SecondaryHaemophilia A Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Bleeding Episodes

Rate of treated spontaneous and traumatic bleeding episodes for haemophilia A participants without inhibitors in arm 4 participants who had been on stable PPX at least 24 weeks in study 4322 is presented. The observation period used for reporting this endpoint is on stable treatment without ancillary therapy excluding data before restart (OT stable woATexBR). It is defined as the time period where participants are on stable PPX in study NN7415-4322 combined with the time period after the treatment pause in NN7415-4307 where the same participants are on the maintenance dose and have not used factor-containing products not related to treatment of a bleed. The data is reported in the terms of ABR.

Time frame:
For previous PPX (study 4322): After an initial period on PPX treatment of at least 24 weeks until end of study (maximum 115 weeks) For concizumab PPX (trial 4307): After an initial 5-8 weeks dose adjustment period and up until 56 week cut off
Reported as:
Median · Events per year
Haemophilia A Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Bleeding Episodes
Events per yearArm 4: Previous PPX (Study 4322) - Participants With HAArm 4: Concizumab PPX (Study 4307) - Participants With HA
Haemophilia A Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Bleeding Episodes2.2 (0.8 to 6.2)1.7 (0.5 to 4.8)
SecondaryHaemophilia B Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Bleeding Episodes

Rate of treated spontaneous and traumatic bleeding episodes for haemophilia B participants without inhibitors in arm 4 participants who had been on stable PPX at least 24 weeks in study 4322 is presented. The observation period used for reporting this endpoint is OT stable woATexBR. It is defined as the time period where participants are on stable PPX in study NN7415-4322 combined with the time period after the treatment pause in NN7415-4307 where the same participants are on the maintenance dose and have not used factor-containing products not related to treatment of a bleed. The data is reported in the terms of ABR.

Time frame:
For previous PPX (study 4322): After an initial period on PPX treatment of at least 24 weeks until end of study (maximum 115 weeks) For concizumab PPX (trial 4307): After an initial 5-8 weeks dose adjustment period and up until 56 week cut off
Reported as:
Median · Events per year
Haemophilia B Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Bleeding Episodes
Events per yearArm 4: Previous PPX (Study 4322) - Participants With HBArm 4: Concizumab PPX (Study 4307) - Participants With HA
Haemophilia B Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Bleeding Episodes2.1 (0.9 to 4.2)1.3 (0.0 to 6.4)
SecondaryHaemophilia A Participants Without Inhibitors: Rate of Treated Spontaneous Bleeding Episodes

Rate of treated spontaneous bleeding episodes for haemophilia A participants without inhibitors is presented. The observation period used for reporting this endpoint is OTwoATexBR. It is defined as the time period after the restart where participants are treated by concizumab treatment or are treated by on-demand treatment and additionally have not used factor-containing products not related to treatment of a bleeding episode. The data is reported in the terms of ABR. Week 0 is defined as time of randomisation to on-demand administration after the pause or time of start of the new concizumab dosing regimen.

Time frame:
On demand (arm 1): From randomisation after the pause (week 0) up until start of concizumab treatment (week 24) Concizumab (arm 2): From start of the new concizumab dosing regimen (week 0) up until the 56 week cut-off
Reported as:
Median · Events per year
Haemophilia A Participants Without Inhibitors: Rate of Treated Spontaneous Bleeding Episodes
Events per yearArm 1: Previous On Demand (OnD) Treatment: No Prophylaxis (PPX) - Participants With HAArm 2: Concizumab PPX - Participants With HA
Haemophilia A Participants Without Inhibitors: Rate of Treated Spontaneous Bleeding Episodes19.3 (7.2 to 20.5)1.0 (0.0 to 3.6)
SecondaryHaemophilia B Participants Without Inhibitors: Rate of Treated Spontaneous Bleeding Episodes

Rate of treated spontaneous bleeding episodes for haemophilia B participants without inhibitors is presented. The observation period used for reporting this endpoint is OTwoATexBR. It is defined as the time period after the restart where participants are treated by concizumab treatment or are treated by on-demand treatment and additionally have not used factor-containing products not related to treatment of a bleeding episode. The data is reported in the terms of ABR. Week 0 is defined as time of randomisation to on-demand administration after the pause or time of start of the new concizumab dosing regimen.

Time frame:
On demand (arm 1): From randomisation after the pause (week 0) up until start of concizumab treatment (week 24) Concizumab (arm 2): From start of the new concizumab dosing regimen (week 0) up until the 56 week cut-off
Reported as:
Median · Events per year
Haemophilia B Participants Without Inhibitors: Rate of Treated Spontaneous Bleeding Episodes
Events per yearArm 1: Previous OnD Treatment: No PPX - Participants With HBArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HB
Haemophilia B Participants Without Inhibitors: Rate of Treated Spontaneous Bleeding Episodes10.8 (3.3 to 17.8)1.0 (0.0 to 2.5)
SecondaryHaemophilia A Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Joint Bleeding Episodes

Rate of treated spontaneous and traumatic joint bleeding episodes for haemophilia A participants without inhibitors is presented. The observation period used for reporting this endpoint is OTwoATexBR. It is defined as the time period after the restart where participants are treated by concizumab treatment or are treated by on-demand treatment and additionally have not used factor-containing products not related to treatment of a bleeding episode. The data is reported in the terms of ABR. Week 0 is defined as time of randomisation to on-demand administration after the pause or time of start of the new concizumab dosing regimen.

Time frame:
On demand (arm 1): From randomisation after the pause (week 0) up until start of concizumab treatment (week 24) Concizumab (arm 2): From start of the new concizumab dosing regimen (week 0) up until the 56 week cut-off
Reported as:
Median · Events per year
Haemophilia A Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Joint Bleeding Episodes
Events per yearArm 1: Previous On Demand (OnD) Treatment: No Prophylaxis (PPX) - Participants With HAArm 2: Concizumab PPX - Participants With HA
Haemophilia A Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Joint Bleeding Episodes13.0 (10.7 to 28.3)2.0 (0.0 to 4.0)
SecondaryHaemophilia B Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Joint Bleeding Episodes

Rate of treated spontaneous and traumatic joint bleeding episodes for haemophilia B participants without inhibitors is presented. The observation period used for reporting this endpoint is OTwoATexBR. It is defined as the time period after the restart where participants are treated by concizumab treatment or are treated by on-demand treatment and additionally have not used factor-containing products not related to treatment of a bleeding episode. The data is reported in the terms of ABR. Week 0 is defined as time of randomisation to on-demand administration after the pause or time of start of the new concizumab dosing regimen.

Time frame:
On demand (arm 1): From randomisation after the pause (week 0) up until start of concizumab treatment (week 24) Concizumab (arm 2): From start of the new concizumab dosing regimen (week 0) up until the 56 week cut-off
Reported as:
Median · Events per year
Haemophilia B Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Joint Bleeding Episodes
Events per yearArm 1: Previous OnD Treatment: No PPX - Participants With HBArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HB
Haemophilia B Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Joint Bleeding Episodes10.0 (3.3 to 18.0)2.0 (0.0 to 3.7)
SecondaryHaemophilia A Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Target Joint Bleeding Episodes

Rate of treated spontaneous and traumatic target joint bleeding episodes for haemophilia A participants without inhibitors is presented. The observation period used for reporting this endpoint is OTwoATexBR. It is defined as the time period after the restart where participants are treated by concizumab treatment or are treated by on-demand treatment and additionally have not used factor-containing products not related to treatment of a bleeding episode. The data is reported in the terms of ABR. Week 0 is defined as time of randomisation to on-demand administration after the pause or time of start of the new concizumab dosing regimen.

Time frame:
On demand (arm 1): From randomisation after the pause (week 0) up until start of concizumab treatment (week 24) Concizumab (arm 2): From start of the new concizumab dosing regimen (week 0) up until the 56 week cut-off
Reported as:
Median · Events per year
Haemophilia A Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Target Joint Bleeding Episodes
Events per yearArm 1: Previous On Demand (OnD) Treatment: No Prophylaxis (PPX) - Participants With HAArm 2: Concizumab PPX - Participants With HA
Haemophilia A Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Target Joint Bleeding Episodes4.3 (1.6 to 13.0)1.7 (0.0 to 3.0)
SecondaryHaemophilia B Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Target Joint Bleeding Episodes

Rate of treated spontaneous and traumatic target joint bleeding episodes for haemophilia B participants without inhibitors is presented. The observation period used for reporting this endpoint is OTwoATexBR. It is defined as the time period after the restart where participants are treated by concizumab treatment or are treated by on-demand treatment and additionally have not used factor-containing products not related to treatment of a bleeding episode. The data is reported in the terms of ABR. Week 0 is defined as time of randomisation to on-demand administration after the pause or time of start of the new concizumab dosing regimen.

Time frame:
On demand (arm 1): From randomisation after the pause (week 0) up until start of concizumab treatment (week 24) Concizumab (arm 2): From start of the new concizumab dosing regimen (week 0) up until the 56 week cut-off
Reported as:
Median · Events per year
Haemophilia B Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Target Joint Bleeding Episodes
Events per yearArm 1: Previous OnD Treatment: No PPX - Participants With HBArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HB
Haemophilia B Participants Without Inhibitors: Rate of Treated Spontaneous and Traumatic Target Joint Bleeding Episodes2.2 (0.0 to 8.1)0.7 (0.0 to 1.5)
SecondaryHaemophila A and Haemophilia B Participants Without Inhibitors: Number of Thromboembolic Events

Number of thromboembolic events in haemophilia A and haemophilia B participants without inhibitors is presented. The observation period used for reporting this endpoint is on-treatment (OT). It is defined as the time period where participants were considered to be affected by no PPX (on-demand treatment) or concizumab PPX. Week 0 is defined as time of randomisation to on-demand administration after the pause or time of start of the new concizumab dosing regimen.

Time frame:
On demand (arm 1): from week 0 until start of concizumab treatment (week 24). Concizumab (arms 2-4): From week 0 up until the 56 week cut-off. Concizumab (arm 1 extension part): From start of concizumab treatment (week 25) up until the 56 week cut-off
Reported as:
Number · Events
Haemophila A and Haemophilia B Participants Without Inhibitors: Number of Thromboembolic Events
EventsArm 1: Previous On Demand (OnD) Treatment: No Prophylaxis (PPX) - Participants With HAArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HAArm 3: Concizumab Non-naive: Concizumab PPX - Participants With HAArm 4: Concizumab PPX - Participants With HAExtension Phase Arm 1: Concizumab PPX - Participants With HAArm 1: Previous OnD Treatment: No PPX - Participants With HBArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HBArm 4: Concizumab PPX - Participants With HBExtension Phase Arm 1: Concizumab PPX - Participants With HB
Haemophila A and Haemophilia B Participants Without Inhibitors: Number of Thromboembolic Events000400000
SecondaryHaemophila A and Haemophilia B Participants Without Inhibitors: Number of Thromboembolic Events
Time frame:
From week 0 to end of trial (up to 384 weeks)

Results for this outcome have not been posted.

SecondaryHaemophila A and Haemophilia B Participants Without Inhibitors: Number of Hypersensitivity Type Reactions

Number of hypersensitivity type reactions in haemophilia A and haemophilia B participants without inhibitors is presented. The observation period used for reporting this endpoint is OT. It is defined as the time period where participants were considered to be affected by no PPX (on-demand treatment) or concizumab PPX. Week 0 is defined as time of randomisation to on-demand administration after the pause or time of start of the new concizumab dosing regimen.

Time frame:
On demand (arm 1): from week 0 until start of concizumab treatment (week 24). Concizumab (arms 2-4): From week 0 up until the 56 week cut-off. Concizumab (arm 1 extension part): From start of concizumab treatment (week 25) up until the 56 week cut-off
Reported as:
Number · Reactions
Haemophila A and Haemophilia B Participants Without Inhibitors: Number of Hypersensitivity Type Reactions
ReactionsArm 1: Previous On Demand (OnD) Treatment: No Prophylaxis (PPX) - Participants With HAArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HAArm 3: Concizumab Non-naive: Concizumab PPX - Participants With HAArm 4: Concizumab PPX - Participants With HAExtension Phase Arm 1: Concizumab PPX - Participants With HAArm 1: Previous OnD Treatment: No PPX - Participants With HBArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HBArm 4: Concizumab PPX - Participants With HBExtension Phase Arm 1: Concizumab PPX - Participants With HB
Haemophila A and Haemophilia B Participants Without Inhibitors: Number of Hypersensitivity Type Reactions000000000
SecondaryHaemophila A and Haemophilia B Participants Without Inhibitors: Number of Hypersensitivity Type Reactions
Time frame:
From week 0 to end of trial (up until 384 weeks)

Results for this outcome have not been posted.

SecondaryHaemophila A and Haemophilia B Participants Without Inhibitors: Number of Injection Site Reactions

Number of injection site reactions in haemophilia A and haemophilia B participants without inhibitors is presented. The observation period used for reporting this endpoint is OT. It is defined as the time period where participants were considered to be affected by no PPX (on-demand treatment) or concizumab PPX. Week 0 is defined as time of randomisation to on-demand administration after the pause or time of start of the new concizumab dosing regimen.

Time frame:
On demand (arm 1 main part): from randomisation (week 0) until start of concizumab treatment (week 24). Concizumab (arms 2-4): From week 0 up until the 56 week cut-off. Concizumab (arm 1 extension part): From week 25 up until the 56 week cut-off
Reported as:
Number · Reactions
Haemophila A and Haemophilia B Participants Without Inhibitors: Number of Injection Site Reactions
ReactionsArm 1: Previous On Demand (OnD) Treatment: No Prophylaxis (PPX) - Participants With HAArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HAArm 3: Concizumab Non-naive: Concizumab PPX - Participants With HAArm 4: Concizumab PPX - Participants With HAExtension Phase Arm 1: Concizumab PPX - Participants With HAArm 1: Previous OnD Treatment: No PPX - Participants With HBArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HBArm 4: Concizumab PPX - Participants With HBExtension Phase Arm 1: Concizumab PPX - Participants With HB
Haemophila A and Haemophilia B Participants Without Inhibitors: Number of Injection Site Reactions01014102280
SecondaryHaemophila A and Haemophilia B Participants Without Inhibitors: Number of Injection Site Reactions
Time frame:
From week 0 to end of trial (up until 384 weeks)

Results for this outcome have not been posted.

SecondaryHaemophila A and Haemophilia B Participants Without Inhibitors: Number of Participants With Antibodies to Concizumab
Time frame:
Concizumab (arms 2-4): From start of concizumab treatment (week 0) up until the 56 week cut-off. Concizumab (arm 1 extension part): From start of concizumab treatment (week 25) up until the 56 week cut-off

Results for this outcome have not been posted.

SecondaryHaemophila A and Haemophilia B Participants Without Inhibitors: Number of Participants With Antibodies to Concizumab
Time frame:
From week 0 to end of trial (up until 384 weeks)

Results for this outcome have not been posted.

SecondaryHaemophila A and Haemophilia B Participants Without Inhibitors: Pre-dose (Trough) Concizumab Plasma Concentration (Ctrough)

Ctrough for haemophilia A and haemophilia B participants without inhibitors is presented. The observation period used for reporting this endpoint is on-treatment without data before re-start (OTexBR). It is defined as the time period after restart where participants were considered to be affected by no PPX (on-demand treatment) or treatment with the new concizumab regimen.

Time frame:
Pre-dose (prior to the concizumab administration at week 24)
Reported as:
Geometric mean · nanograms per milliliter (ng/mL)
Haemophila A and Haemophilia B Participants Without Inhibitors: Pre-dose (Trough) Concizumab Plasma Concentration (Ctrough)
nanograms per milliliter (ng/mL)Arm 2: Previous OnD Treatment: Concizumab PPX - Participants With HAArm 3: Concizumab Non-naive: Concizumab PPX - Participants With HAArm 4: Concizumab PPX (IPAS) + Concizumab PPX (Others) - Participants With HAArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HBArm 4: Concizumab PPX (IPAS) + Concizumab PPX (Others) - Participants With HB
Haemophila A and Haemophilia B Participants Without Inhibitors: Pre-dose (Trough) Concizumab Plasma Concentration (Ctrough)767.7 ± 112.4612.3 ± 274.9729.3 ± 158.6413.6 ± 234.7719.7 ± 189.7
SecondaryHaemophila A and Haemophilia B Participants Without Inhibitors: Pre-dose Thrombin Peak

Pre-dose thrombin peak for haemophilia A and haemophilia B participants without inhibitors is presented. The observation period used for reporting this endpoint is OTexBR. It is defined as the time period after restart where participants were considered to be affected by no PPX (on-demand treatment) or treatment with the new concizumab regimen.

Time frame:
Pre-dose (prior to the concizumab administration at week 24)
Reported as:
Geometric mean · nanomoles per liter (nmol/L)
Haemophila A and Haemophilia B Participants Without Inhibitors: Pre-dose Thrombin Peak
nanomoles per liter (nmol/L)Arm 1: Previous On Demand (OnD) Treatment: No Prophylaxis (PPX) - Participants With HAArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HAArm 3: Concizumab Non-naive: Concizumab PPX - Participants With HAArm 4: Concizumab PPX (IPAS) + Concizumab PPX (Others) - Participants With HAArm 1: Previous OnD Treatment: No PPX - Participants With HBArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HBArm 4: Concizumab PPX (IPAS) + Concizumab PPX (Others) - Participants With HB
Haemophila A and Haemophilia B Participants Without Inhibitors: Pre-dose Thrombin Peak19.9 ± 117.798.3 ± 53.392.3 ± 69.092.1 ± 57.89.6 ± 110.754.6 ± 111.979.4 ± 57.1
SecondaryHaemophila A and Haemophilia B Participants Without Inhibitors: Pre-dose Free Tissue Factor Pathway Inhibitor (TFPI) Concentration

Pre-dose free TFPI for haemophilia A and haemophilia B participants without inhibitors is presented. The observation period used for reporting this endpoint is OTexBR. It is defined as the time period after restart where participants were considered to be affected by no PPX (on-demand treatment) or treatment with the new concizumab regimen.

Time frame:
Pre-dose (prior to the concizumab administration at week 24)
Reported as:
Geometric mean · ng/mL
Haemophila A and Haemophilia B Participants Without Inhibitors: Pre-dose Free Tissue Factor Pathway Inhibitor (TFPI) Concentration
ng/mLArm 1: Previous On Demand (OnD) Treatment: No Prophylaxis (PPX) - Participants With HAArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HAArm 3: Concizumab Non-naive: Concizumab PPX - Participants With HAArm 4: Concizumab PPX (IPAS) + Concizumab PPX (Others) - Participants With HAArm 1: Previous OnD Treatment: No PPX - Participants With HBArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HBArm 4: Concizumab PPX (IPAS) + Concizumab PPX (Others) - Participants With HB
Haemophila A and Haemophilia B Participants Without Inhibitors: Pre-dose Free Tissue Factor Pathway Inhibitor (TFPI) Concentration70.1 ± 12.311.1 ± 74.815.9 ± 75.89.6 ± 87.988.1 ± 14.616.3 ± 130.310.5 ± 107.4
SecondaryHaemophila A and Haemophilia B Participants Without Inhibitors: Maximum Concizumab Plasma Concentration (Cmax)

Cmax for haemophilia A and haemophilia B participants without inhibitors is presented. The observation period used for reporting this endpoint is OTexBR. It is defined as the time period after restart where participants were considered to be affected by no PPX (on-demand treatment) or treatment with the new concizumab regimen.

Time frame:
Pre-dose, Week 24: 3 hours (h), 6h, 9h, 24h
Reported as:
Geometric mean · ng/mL
Haemophila A and Haemophilia B Participants Without Inhibitors: Maximum Concizumab Plasma Concentration (Cmax)
ng/mLArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HAArm 3: Concizumab Non-naive: Concizumab PPX - Participants With HAArm 4: Concizumab PPX (IPAS) + Concizumab PPX (Others) - Participants With HAArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HBArm 4: Concizumab PPX (IPAS) + Concizumab PPX (Others) - Participants With HB
Haemophila A and Haemophilia B Participants Without Inhibitors: Maximum Concizumab Plasma Concentration (Cmax)1158.2 ± 61.9583.4 ± 282.21029.7 ± 130.9689.2 ± 190.5828.0 ± 111.2
SecondaryHaemophila A and Haemophilia B Participants Without Inhibitors: Area Under the Concizumab Plasma Concentration-time Curve (AUC)

AUC for haemophilia A and haemophilia B participants without inhibitors is presented. The observation period used for reporting this endpoint is OTexBR. It is defined as the time period after restart where participants were considered to be affected by no PPX (on-demand treatment) or treatment with the new concizumab regimen.

Time frame:
Pre-dose, Week 24: 3 hours (h), 6h, 9h, 24h
Reported as:
Geometric mean · nanograms*hour/milliliter (ng*hr/mL)
Haemophila A and Haemophilia B Participants Without Inhibitors: Area Under the Concizumab Plasma Concentration-time Curve (AUC)
nanograms*hour/milliliter (ng*hr/mL)Arm 2: Previous OnD Treatment: Concizumab PPX - Participants With HAArm 3: Concizumab Non-naive: Concizumab PPX - Participants With HAArm 4: Concizumab PPX (IPAS) + Concizumab PPX (Others) - Participants With HAArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HBArm 4: Concizumab PPX (IPAS) + Concizumab PPX (Others) - Participants With HB
Haemophila A and Haemophilia B Participants Without Inhibitors: Area Under the Concizumab Plasma Concentration-time Curve (AUC)23582.5 ± 68.211082.7 ± 268.020355.6 ± 135.213020.5 ± 182.716191.8 ± 118.2

Adverse events

Collected over Up to week 56 cut-off. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Arm 1: Previous On Demand (OnD) Treatment: No Prophylaxis (PPX) - Participants With HA0/9 (0%)0/9 (0%)2/9 (22.2%)
Extension Phase Arm 1: Concizumab PPX - Participants With HA0/7 (0%)0/7 (0%)5/7 (71.4%)
Arm 2: Previous OnD Treatment: Concizumab PPX - Participants With HA0/18 (0%)1/18 (5.6%)10/18 (55.6%)
Arm 3: Concizumab Non-naive: Concizumab PPX - Participants With HA0/10 (0%)1/10 (10%)8/10 (80%)
Arm 4: Concizumab PPX - Participants With HA1/52 (1.9%)10/52 (19.2%)40/52 (76.9%)
Arm 1: Previous OnD Treatment: No PPX - Participants With HB0/12 (0%)2/12 (16.7%)2/12 (16.7%)
Extension Phase Arm 1: Concizumab PPX - Participants With HB0/10 (0%)0/10 (0%)5/10 (50%)
Arm 2: Previous OnD Treatment: Concizumab PPX - Participants With HB0/24 (0%)6/24 (25%)12/24 (50%)
Arm 4: Concizumab PPX - Participants With HB0/30 (0%)2/30 (6.7%)24/30 (80%)
Most frequent serious events
Showing 10 of 33
Most frequent serious events
EventArm 1: Previous On Demand (OnD) Treatment: No Prophylaxis (PPX) - Participants With HAExtension Phase Arm 1: Concizumab PPX - Participants With HAArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HAArm 3: Concizumab Non-naive: Concizumab PPX - Participants With HAArm 4: Concizumab PPX - Participants With HAArm 1: Previous OnD Treatment: No PPX - Participants With HBExtension Phase Arm 1: Concizumab PPX - Participants With HBArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HBArm 4: Concizumab PPX - Participants With HB
Cardiac failureCardiac disorders0/90/70/181/100/520/120/100/240/30
ArthropathyMusculoskeletal and connective tissue disorders0/90/70/180/100/521/120/100/240/30
AscitesGastrointestinal disorders0/90/70/180/100/521/120/100/240/30
COVID-19Infections and infestations0/90/70/180/101/521/120/100/240/30
Hepatic failureHepatobiliary disorders0/90/70/180/100/521/120/100/240/30
Hepatorenal syndromeHepatobiliary disorders0/90/70/180/100/521/120/100/240/30
Liver disorderHepatobiliary disorders0/90/70/180/100/521/120/100/240/30
Renal failureRenal and urinary disorders0/90/70/180/100/521/120/100/240/30
Abdominal painGastrointestinal disorders0/90/71/180/100/520/120/100/240/30
Abdominal injuryInjury, poisoning and procedural complications0/90/70/180/100/520/120/101/240/30
Most frequent other events
Showing 10 of 68
Most frequent other events
EventArm 1: Previous On Demand (OnD) Treatment: No Prophylaxis (PPX) - Participants With HAExtension Phase Arm 1: Concizumab PPX - Participants With HAArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HAArm 3: Concizumab Non-naive: Concizumab PPX - Participants With HAArm 4: Concizumab PPX - Participants With HAArm 1: Previous OnD Treatment: No PPX - Participants With HBExtension Phase Arm 1: Concizumab PPX - Participants With HBArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HBArm 4: Concizumab PPX - Participants With HB
COVID-19Infections and infestations0/90/72/183/1014/520/120/103/249/30
ArthralgiaMusculoskeletal and connective tissue disorders0/90/70/182/105/520/121/103/240/30
HeadacheNervous system disorders0/90/70/182/102/520/120/103/242/30
Prothrombin fragment 1.2 increasedInvestigations0/90/70/182/106/520/120/100/242/30
PyrexiaGeneral disorders0/90/70/182/103/520/120/100/242/30
Fibrin D dimer increasedInvestigations0/90/70/181/108/520/120/101/243/30
NasopharyngitisInfections and infestations0/90/71/181/108/520/121/102/240/30
HypoaesthesiaNervous system disorders0/91/71/180/100/520/120/100/240/30
InfluenzaInfections and infestations0/91/71/180/102/520/120/101/244/30
RhinitisInfections and infestations0/91/70/180/102/520/120/100/241/30

Baseline characteristics

Baseline characteristics were analysed based on the on-treatment without data before restart (OTexBR) analysis set. OTexBR analysis data set was defined as the observation period after the restart of treatment where participants were considered to be affected by no PPX (on-demand treatment) or concizumab PPX with the new concizumab dosing regimen.

Age, Continuous
Age, Continuous(Years)Arm 1: Previous On Demand (OnD) Treatment: No Prophylaxis (PPX) - Participants With HAArm 1: Previous OnD Treatment: No PPX - Participants With HBArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HAArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HBArm 3: Concizumab Non-naive: Concizumab PPX - Participants With HAArm 4: Concizumab PPX - Participants With HAArm 4: Concizumab PPX - Participants With HBTotal
Mean34.7 ± 21.330.4 ± 17.530.7 ± 9.628.0 ± 12.043.7 ± 18.030.4 ± 13.431.6 ± 13.331.4 ± 14.2
Sex: Female, Male
Sex: Female, Male(Participants)Arm 1: Previous On Demand (OnD) Treatment: No Prophylaxis (PPX) - Participants With HAArm 1: Previous OnD Treatment: No PPX - Participants With HBArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HAArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HBArm 3: Concizumab Non-naive: Concizumab PPX - Participants With HAArm 4: Concizumab PPX - Participants With HAArm 4: Concizumab PPX - Participants With HBTotal
Female00000000
Male912182494630148
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Arm 1: Previous On Demand (OnD) Treatment: No Prophylaxis (PPX) - Participants With HAArm 1: Previous OnD Treatment: No PPX - Participants With HBArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HAArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HBArm 3: Concizumab Non-naive: Concizumab PPX - Participants With HAArm 4: Concizumab PPX - Participants With HAArm 4: Concizumab PPX - Participants With HBTotal
Hispanic or Latino110124312
Not Hispanic or Latino811182374127135
Unknown or Not Reported00000101
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Arm 1: Previous On Demand (OnD) Treatment: No Prophylaxis (PPX) - Participants With HAArm 1: Previous OnD Treatment: No PPX - Participants With HBArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HAArm 2: Previous OnD Treatment: Concizumab PPX - Participants With HBArm 3: Concizumab Non-naive: Concizumab PPX - Participants With HAArm 4: Concizumab PPX - Participants With HAArm 4: Concizumab PPX - Participants With HBTotal
American Indian or Alaska Native00000213
Asian16810313142
Native Hawaiian or Other Pacific Islander00000000
Black or African American10110014
White769126302797
More than one race00010001
Unknown or Not Reported00000101
08

Study locations

113 sites

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09

References and documents

Publications

  • Young G, Angchaisuksiri P, Apte SJ, Brown Frandsen R, Chan AK, Chowdary P, Eichler H, Lyu CJ, Martinez Garcia MF, Matsushita T, Trakymiene SS, Tran HA, Trinchero A, Windyga J, Astermark J. Concizumab in patients with hemophilia A or B without inhibitors: 56-week cut-off results of the phase 3 explorer8 study. Blood Adv. 2026 Jun 24:bloodadvances.2026019931. doi: 10.1182/bloodadvances.2026019931. Online ahead of print. PubMed 42341325 ↗
  • Angchaisuksiri P, von Mackensen S, Apte S, Benson G, Eichler H, Findley A, Matsushita T, Mazini Tavares CM, Puggaard Ravn M, Sathar J, Villarreal Martinez L, Young G. Concizumab prophylaxis in people with hemophilia A or B without inhibitors: patient-reported outcome results from the phase 3 explorer8 study. Res Pract Thromb Haemost. 2025 Feb 20;9(2):102705. doi: 10.1016/j.rpth.2025.102705. eCollection 2025 Feb. PubMed 40166710 ↗
  • Chowdary P, Angchaisuksiri P, Apte S, Astermark J, Benson G, Chan AKC, Jimenez Yuste V, Matsushita T, Hogh Nielsen AR, Sathar J, Sutton C, Saulyte Trakymiene S, Tran H, Villarreal Martinez L, Wheeler AP, Windyga J, Young G, Thaung Zaw JJ, Eichler H. Concizumab prophylaxis in people with haemophilia A or haemophilia B without inhibitors (explorer8): a prospective, multicentre, open-label, randomised, phase 3a trial. Lancet Haematol. 2024 Dec;11(12):e891-e904. doi: 10.1016/S2352-3026(24)00307-7. Epub 2024 Nov 6. PubMed 39521008 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — According to the Novo Nordisk disclosure commitment on novonordisk-trials.com

Data sharing details ↗ · novonordisk-trials.com

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04082429
Lead sponsor
Novo Nordisk A/S
Responsible party
Sponsor
First posted
Sep 9, 2019
Start date
Nov 13, 2019
Primary completion
Jul 12, 2022
Completion
Feb 21, 2028 (estimated)
Results posted
Oct 31, 2025
Last update
Sep 16, 2026

Study contacts

Clinical Reporting Anchor and Disclosure (1452)
study director · Novo Nordisk A/S

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Concizumab

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