ClinicalTrials.gg
RecruitingNCT07416526ZEBRHA 1Updated Oct 26, 2026

A Clinical Study to Evaluate the Effects of NXT007 Compared to Factor VIII Prophylaxis in Participants With Hemophilia A

A Phase 3 interventional study of NXT007 and Human Coagulation Factor VIII in Hemophilia A, sponsored by Hoffmann-La Roche. Recruiting at 36 sites in 18 countries. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2026-10-26.

Sponsored by Hoffmann-La Roche · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started May 2026; still recruiting 5 months later.
Updated Oct 26, 2026First site in AustriaSite recruiting status changed+1 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
138
Allocation
Randomized
Ages
12 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy, safety, pharmacokinetics and pharmacodynamics of NXT007 prophylaxis compared with Factor VIII (FVIII) prophylaxis in participants with severe or moderate congenital hemophilia A without FVIII inhibitors. The study will include people aged ≥12 years old who have been on FVIII prophylaxis treatment prior to study entry.

02

Conditions studied

  • Hemophilia A

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 138 is above the median of 30 across 499 interventional studies indexed under Hemophilia A.

Browse Hemophilia A studies →

Lead sponsor

Hoffmann-La Roche is the lead sponsor of 2,101 studies on the registry; 87 are open to participants now.

Of its 330 completed or terminated interventional studies of FDA-regulated products, 248 (75%) 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
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

  • Diagnosis of severe (FVIII:C \<1 IU/dL [International Unit per decilitre]) or moderate (FVIII:C between ≥1 IU/dL and ≤5 IU/dL) congenital hemophilia A without inhibitors against FVIII
  • No documented inhibitor (i.e., \<0.6 BU/mL [Bethesda unit per millilitre]), FVIII half-life ≥6 hours, or FVIII recovery >66% in the last 3 years prior to screening
  • Documented historical negative test for FVIII inhibitor (i.e., \<0.6 BU/mL) within 12 months prior to enrollment
  • Documentation of the details of prophylactic and episodic FVIII treatment and of the number and type of bleeding episodes for at least the last 6 months prior to screening
  • Agreement to adhere to the requirements (for potential participants with )

Exclusion criteria

Exclusion Criteria:

  • Sensitivity to any of the study investigations, or components thereof, or drug or other allergy that, in the opinion of the investigator, contraindicates participation in the study
  • Use of systemic immunomodulators (e.g., interferon or rituximab) at the time of enrollment or planned use during the study, except for anti-retroviral therapy to treat
  • Planned surgery (excluding minor procedures such as non-molar tooth extraction, incision and drainage) during the study
  • History or presence of an abnormal that is deemed , (e.g., complete left bundle branch block, second- or third- degree atrioventricular heart block) or ECG evidence or clinical history of prior myocardial infarction
  • Refusal to accept plasma-derived and/or blood product transfusion support in an emergency scenario
  • History of ventricular dysrhythmias or risk factors for ventricular dysrhythmias such as structural heart disease (e.g., severe left ventricular systolic dysfunction, left ventricular hypertrophy), coronary heart disease (symptomatic or with ischemia demonstrated by diagnostic testing)
Terms in these criteria, in plain language(5)

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

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
138 participants (estimated)

Study arms

  • Experimental
    Main Study Treatment Period: NXT007 Prophylaxis

    Participants randomized to this arm will receive NXT007 prophylaxis for the main study treatment period.

    Combination Product: NXT007

  • Active comparator
    Main Study Treatment Period: FVIII SOC Prophylaxis

    Participants randomized to this arm will receive FVIII standard of care (SOC) prophylaxis for the main study treatment period.

    Drug: Human Coagulation Factor VIII

  • Experimental
    Open-Label Extension Period: NXT007 Prophylaxis

    After the main study treatment period, participants in the NXT007 arm will be able to continue with NXT007 dosing, and participants in the FVIII arm will be able to switch to NXT007, in the open-label extension period.

    Combination Product: NXT007

Interventions

  • Combination productNXT007

    NXT007 will be administered subcutaneously (SC) using an integrated drug-device combination product.

    Also known as: Zemocimig, RO7589655, RG6512

  • Factor VIII (FVIII) prophylaxis standard of care (SOC) will be administered at the dose and frequency as stated in the local labels and per local country practice.

06

What researchers measure

Primary outcomes

  1. Annualized Bleed Rate (ABR) for Treated Bleeds Over the Main Study Treatment Period

    Time frame: 6 months

Secondary outcomes

  1. ABR for All Bleeds Over the Main Study Treatment Period

    Time frame: 6 months

  2. ABR for Treated Spontaneous Bleeds Over the Main Study Treatment Period

    Time frame: 6 months

  3. ABR for Treated Joint Bleeds Over the Main Study Treatment Period

    Time frame: 6 months

  4. Adjusted Mean Treatment Burden Domain Score in Comprehensive Assessment Tool of Challenges in Hemophilia (CATCH) Questionnaire - Adult Version at Month 7

    Time frame: Month 7

  5. ABR for Treated Target Joint Bleeds Over the Main Study Treatment Period

    Time frame: 6 months

  6. Percentage of Participants with Zero Treated Bleeds Over the Main Study Treatment Period

    Time frame: 6 months

  7. Number of Injections and Dose per Bleed of Coagulation Factors Administered to Treat a Bleed Over the Main Study Treatment Period

    Time frame: 6 months

  8. Annualized FVIII Injection Rate Over the Main Study Treatment Period

    Time frame: 6 months

  9. Annualized FVIII Consumption Rate Over the Main Study Treatment Period

    Time frame: 6 months

  10. Mean Treatment Burden Domain Score in CATCH Questionnaire - Adolescent Version at Month 7

    Time frame: Month 7

  11. Change From Baseline in Preoccupation Domain Score of the CATCH Questionnaire (Adult and Adolescent Versions)

    Time frame: At prespecified timepoints from Baseline until Study Completion (approximately 3.5 years)

  12. Change From Baseline in Social Activity Impact Domain Score of the CATCH Questionnaire (Adult and Adolescent Versions)

    Time frame: At prespecified timepoints from Baseline until Study Completion (approximately 3.5 years)

  13. Change From Baseline in Recreational Activity Impact Domain Score of the CATCH Questionnaire (Adult and Adolescent Versions)

    Time frame: At prespecified timepoints from Baseline until Study Completion (approximately 3.5 years)

  14. Physical Impact Domain Score of the Treatment Administration Satisfaction Questionnaire (TASQ) at Specified Timepoints

    Time frame: At prespecified timepoints from Baseline to Month 10

  15. Incidence and Severity of Adverse Events, With Severity Determined According To National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE V5.0) Grading Scale

    Time frame: From Baseline until Study Completion (approximately 3.5 years)

  16. Incidence and Severity of Thromboembolic Events and Thrombotic Microangiopathy

    Time frame: From Baseline until Study Completion (approximately 3.5 years)

  17. Incidence and Severity of Injection-Site Reactions

    Time frame: From Baseline until Study Completion (approximately 3.5 years)

  18. Incidence of Adverse Events Leading to Discontinuation of Assigned Study Treatment

    Time frame: From Baseline until Study Completion (approximately 3.5 years)

  19. Incidence of Severe Hypersensitivity, Anaphylaxis, or Anaphylactoid Reactions

    Time frame: From Baseline until Study Completion (approximately 3.5 years)

  20. Plasma Concentration of NXT007

    Time frame: At prespecified timepoints from Baseline to Study Completion (approximately 3.5 years)

  21. Percentage of Participants With Anti-Drug Antibodies (ADAs) Against NXT007 at Baseline and During the Study

    Time frame: At prespecified timepoints from Baseline to Study Completion (approximately 3.5 years)

  22. Percentage of Participants With Neutralizing ADAs Against NXT007

    Time frame: At prespecified timepoints from Baseline to Study Completion (approximately 3.5 years)

07

Study locations

36 of 36 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data_sharing

09

Updates

1 registry update since Sep 25, 2026
Sites
4 sites added — first site in Austria. Peking University People's Hospital is now Recruiting
Show 4 added (1 Argentina, 1 Austria, 1 Brazil, 1 Italy)
  • Instituto de Hematología Y Medicina Clínica Dr. Rubén Dávoli · Rosario, Argentina
  • Universitätsklinikum AKH Wien · Vienna, Austria
  • Hemocentro Da UNICAMP · Campinas, Brazil
  • Azienda Ospedaliera Universitaria Federico II · Naples, Italy
Oct 26, 2026
Show all 1 update
  1. Oct 26, 2026
    4 sites added — first site in Austria. Peking University People's Hospital is now Recruiting
    Show 4 added (1 Argentina, 1 Austria, 1 Brazil, 1 Italy)
    • Instituto de Hematología Y Medicina Clínica Dr. Rubén Dávoli · Rosario, Argentina
    • Universitätsklinikum AKH Wien · Vienna, Austria
    • Hemocentro Da UNICAMP · Campinas, Brazil
    • Azienda Ospedaliera Universitaria Federico II · Naples, Italy
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07416526
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Feb 18, 2026
Start date
May 15, 2026
Primary completion
Sep 23, 2027 (estimated)
Completion
Sep 23, 2031 (estimated)
Last update
Oct 26, 2026

Study contacts

Reference Study ID Number: WO45886 https://forpatients.roche.com/ No attachments to email below.
Contact
global-roche-genentech-trials@gene.com
888-662-6728 (U.S. Only)
Fastest response: use the inquiry form. https://www.gene.com/contact-us/submit-medical-inquiry
Contact
Clinical Trials
study director · Hoffmann-La Roche

Oversight

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

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Studies of the drug tested here: NXT007

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