ClinicalTrials.gg
Active, not recruitingNCT05135559Explorer10Updated Sep 18, 2026

A Research Study on How Well Concizumab Works for You if You Have Haemophilia A or B With or Without Inhibitors

A Phase 3 interventional study of Concizumab in Haemophilia A and B With and Without Inhibitors, sponsored by Novo Nordisk A/S. Active, not recruiting at 91 sites in 24 countries. Per ClinicalTrials.gov, last updated 2026-09-18.

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

Phase
Phase 3
Study type
Interventional
Enrollment
153
Allocation
Non-randomized
Sex
All
01

Study summary

This study will test how well a new medicine called concizumab works for participants who have haemophilia A or B with or without inhibitors. The purpose is to show that concizumab can prevent bleeds and is safe to use.

Participants will have to inject the study medicine every day under the skin with a pen-injector.

The study will last for at least 2 years and up to about 4 years. The length of time the participant will be in the study depends on if the study medicine will be available for purchase in their country.

02

Conditions studied

  • Haemophilia A and B With and Without Inhibitors

Browse trials for

03

In context

Hemophilia A

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

This study's planned enrollment of 153 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
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
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

  • /assent obtained before any study-related activities. Study-related activities are any procedures that are carried out as part of the study, including activities to determine suitability for the study.
  • Diagnosis of congenital severe haemophilia A (FVIII below 1%) or moderate/severe congenital haemophilia B (FIX (coagulation factor IX) below or equal to 2%), or congenital haemophilia with inhibitors.
  • For arm 1 only: Male aged below 12 years of age at the time of signing informed consent.
  • For arm 1 only: Patients with inhibitors (haemophilia A with inhibitors or haemophilia B with inhibitors)

    1. Patients with HAwI (haemophilia A with inhibitors) with historical medical records of a total of at least 26 weeks of on-demand treatment (On-demand or PPX treatment qualifying for this study is understood as patient-treatment solely for bleeds with intravenous coagulation factor-containing products) within the last 52 weeks prior to enrolment (For patients below 1 year of age that have been diagnosed with haemophilia \<1 year prior to enrolment, historical medical records from time of diagnosis will suffice as long as medical records of a total of at least 26 weeks of relevant treatment is available).
    2. Patients with HBwI (haemophilia B with inhibitors) with historical medical records of a total of at least 26 weeks of on-demand treatment (On-demand or PPX treatment qualifying for this study is understood as patient-treatment solely for bleeds with intravenous coagulation factor-containing products) within the last 52 weeks prior to enrolment (For patients below 1 year of age that have been diagnosed with haemophilia \<1 year prior to enrolment, historical medical records from time of diagnosis will suffice as long as medical records of a total of at least 26 weeks of relevant treatment is available).
    3. Patients with HBwI regardless of the regimen and duration of previous haemophilia treatment (On-demand or PPX treatment qualifying for this study is understood as patient-treatment solely for bleeds with intravenous coagulation factor-containing products)
  • For arm 1 only: Patients without inhibitors (haemophilia A or haemophilia B)

    1. Patients with historical medical records of at least 52 weeks of on-demand treatment (On-demand or PPX treatment qualifying for this study is understood as patient-treatment solely for bleeds with intravenous coagulation factor-containing products; Surgery related PPX or short-term PPX (e.g., in relation to a severe bleed) is not allowed) during the last year prior to enrolment and with at least 3 documented treated bleeds (For participants less than (\<) 2 years of age there is no limitation for number of documented treated bleeds in the medical history) during this period
    2. Patients with historical medical records of a total of at least 26 weeks of PPX (prophylaxis) treatment (On-demand or PPX treatment qualifying for this study is understood as patient-treatment solely for bleeds with intravenous coagulation factor-containing products) within the last 52 weeks prior to enrolment (For patients below 1 year of age that have been diagnosed with haemophilia \<1 year prior to enrolment, historical medical records from time of diagnosis will suffice as long as medical records of a total of at least 26 weeks of relevant treatment is available)
  • For arm 2 only: Male patients (regardless of age) previously treated with concizumab via compassionate use.

Exclusion criteria

Exclusion Criteria:

  • Known or suspected to study intervention or related products.
  • Known inherited or acquired coagulation disorder other than congenital haemophilia.
  • Ongoing or planned Immune Tolerance Induction treatment.
  • History of thromboembolic disease (aIncludes 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
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
153 participants (estimated)

Study arms

  • Experimental
    Concizumab-naïve patients

    Concizumab-naïve participants below 12 years of age at the time of consent/assent

    Drug: Concizumab

  • Experimental
    Patients coming from compassionate use

    Patients previously treated with concizumab via compassionate use, either on an individual patient basis or through the concizumab compassionate use programme NN7415-4807

    Drug: Concizumab

Interventions

  • Participants in Arm 1 will be assigned to concizumab prophylaxis starting with a loading dose on treatment day 0 followed by daily injections of an individual maintenance dose. Participants in Arm 2 will be assigned to concizumab prophylaxis with daily injections of an individual maintenance dose.

06

What researchers measure

Primary outcomes

  1. For inhibitor patients with at least 26 weeks on-demand treatment during the last 52 weeks prior enrolment: Number of treated spontaneous and traumatic bleeding episodes

    Count of episode(s)

    Time frame: From start of treatment (week 0) up until the primary analysis cut-off (at least 32 weeks)

  2. For non-inhibitor patients treated on demand during at least the last 52 weeks prior enrolment: Number of treated spontaneous and traumatic bleeding episodes

    Count of episode(s)

    Time frame: From start of treatment (week 0) up until the primary analysis cut-off (at least 32 weeks)

Secondary outcomes

  1. For inhibitor patients with at least 26 weeks on-demand treatment during the last 52 weeks prior enrolment: Number of all bleeding episodes (spontaneous and traumatic)

    Count of episode(s)

    Time frame: From start of treatment (week 0) up until the primary analysis cut-off (at least 32 weeks)

  2. For inhibitor patients with at least 26 weeks on-demand treatment during the last 52 weeks prior enrolment: Number of treated spontaneous bleeding episodes

    Count of episode(s)

    Time frame: From start of treatment (week 0) up until the primary analysis cut-off (at least 32 weeks)

  3. For inhibitor patients with at least 26 weeks on-demand treatment during the last 52 weeks prior enrolment: Number of treated joint bleeding episodes

    Count of episode(s)

    Time frame: From start of treatment (week 0) up until the primary analysis cut-off (at least 32 weeks)

  4. For inhibitor patients with at least 26 weeks on-demand treatment during the last 52 weeks prior enrolment: Number of treated bleeding episodes in baseline target joints

    Count of episode(s)

    Time frame: From start of treatment (week 0) up until the primary analysis cut-off (at least 32 weeks)

  5. For non-inhibitor patients treated on-demand during at least the last 52 weeks prior enrolment: Number of all bleeding episodes (spontaneous and traumatic)

    Count of episode(s)

    Time frame: From start of treatment (week 0) up until the primary analysis cut-off (at least 32 weeks)

  6. For non-inhibitor patients treated on-demand during at least the last 52 weeks prior enrolment: Number of treated spontaneous bleeding episodes

    Count of episode(s)

    Time frame: From start of treatment (week 0) up until the primary analysis cut-off (at least 32 weeks)

  7. For non-inhibitor patients treated on-demand at least the last 52 weeks prior enrolment: Number of treated joint bleeding episodes

    Count of episode(s)

    Time frame: From start of treatment (week 0) up until the primary analysis cut-off (at least 32 weeks)

  8. For non-inhibitor patients treated on-demand at least the last 52 weeks prior enrolment: Number of treated bleeding episodes in baseline target joints

    Count of episode(s)

    Time frame: From start of treatment (week 0) up until the primary analysis cut-off (at least 32 weeks)

  9. For non-inhibitor patients with at least 26 weeks PPX treatment during the last 52 weeks prior enrolment: Number of treated spontaneous and traumatic bleeding episodes

    Count of episode(s)

    Time frame: From start of treatment (week 0) up until the primary analysis cut-off (at least 32 weeks)

  10. For non-inhibitor patients with at least 26 weeks PPX treatment during the last 52 weeks prior enrolment: Number of all bleeding episodes (spontaneous and traumatic)

    Count of episode(s)

    Time frame: From start of treatment (week 0) up until the primary analysis cut-off (at least 32 weeks)

  11. For non-inhibitor patients with at least 26 weeks PPX treatment during the last 52 weeks prior enrolment: Number of treated spontaneous bleeding episodes

    Count of episode(s)

    Time frame: From start of treatment (week 0) up until the primary analysis cut-off (at least 32 weeks)

  12. For non-inhibitor patients with at least 26 weeks PPX treatment during the last 52 weeks prior enrolment: Number of treated joint bleeding episodes

    Count of episode(s)

    Time frame: From start of treatment (week 0) up until the primary analysis cut-off (at least 32 weeks)

  13. For non-inhibitor patients with at least 26 weeks PPX treatment during the last 52 weeks prior enrolment: Number of treated bleeding episodes in baseline target joints

    Count of episode(s)

    Time frame: From start of treatment (week 0) up until the primary analysis cut-off (at least 32 weeks)

  14. Concizumab-naïve pateints - Number of treatment emergent adverse events, reported both separately for inhibitor and non-inhibitor patients and combined

    Count of event(s)

    Time frame: From start of treatment (week 0) up until the primary analysis cut-off (at least 32 weeks)

  15. Number of thromboembolic events, reported both separately for inhibitor and non-inhibitor patients and combined

    Count of event(s)

    Time frame: From start of treatment (week 0) up until the primary analysis cut-off (at least 32 weeks)

  16. Number of hypersensitivity type reactions, reported both separately for inhibitor and non-inhibitor patients and combined

    Count of event(s)

    Time frame: From start of treatment (week 0) up until the primary analysis cut-off (at least 32 weeks)

  17. Number of injection site reactions, reported both separately for inhibitor and non-inhibitor patients and combined

    Count of event(s)

    Time frame: From start of treatment (week 0) up until the primary analysis cut-off (at least 32 weeks)

  18. Number of patients who develop antibodies to concizumab - yes/no, reported both separately for inhibitor and non-inhibitor patients and combined

    Count of patient(s)

    Time frame: From start of treatment (week 0) up until the primary analysis cut-off (at least 32 weeks)

  19. Number of treatment emergent adverse events, reported both separately for inhibitor and non-inhibitor patients and combined

    Count of event(s)

    Time frame: From start of treatment (week 0) up until the primary analysis cut-off (at least 32 weeks)

  20. Concizumab plasma concentrations prior to dosing, reported both separately for inhibitor and non-inhibitor patients and combined

    Measured in ng/mL

    Time frame: Week 32

  21. Peak thrombin generation prior to dosing, reported both separately for inhibitor and non-inhibitor patients and combined

    Measured in nM

    Time frame: Week 32

  22. Free TFPI concentration prior to dosing, reported both separately for inhibitor and non-inhibitor patients and combined

    Measured in ng/mL

    Time frame: Week 32

  23. Pre-dose (trough) concizumab plasma concentration (Ctrough), reported both separately for inhibitor and non-inhibitor patients and combined

    Measured in ng/mL

    Time frame: Prior to the concizumab administration at week 20

  24. Maximum concizumab plasma concentration (Cmax), reported both separately for inhibitor and non-inhibitor patients and combined

    Measured in ng/mL

    Time frame: From 0 to 24 hours where 0 is the time of the concizumab dose at week 20

  25. Area under the concizumab plasma concentration-time curve (AUC), reported both separately for inhibitor and non-inhibitor patients and combined

    Measured in ng\*hr/mL

    Time frame: From 0 to 24 hours where 0 is the time of the concizumab dose at week 20

07

Study locations

91 sites
08

References and documents

Individual participant data

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

Data sharing details ↗ · novonordisk-trials.com

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05135559
Lead sponsor
Novo Nordisk A/S
Responsible party
Sponsor
First posted
Nov 26, 2021
Start date
Mar 24, 2022
Primary completion
Apr 21, 2026
Completion
Nov 2, 2029 (estimated)
Last update
Sep 18, 2026

Study contacts

Clinical Transparency (dept. 2834)
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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Studies of the drug tested here: Concizumab

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