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Completed

NCT Number: NCT04204408

A Research Study Investigating Mim8 in People With Haemophilia A

This study is investigating how Mim8 works in people with haemophilia A, who either have inhibitors or do not have inhibitors. Mim8 is a new medication that will be used for prevention of bleeding episodes. Mim8 works by replacing the function of the missing clotting factor VIII (FVIII). Mim8 will be injected with a thin needle in the skin of the stomach, using a pen-injector.

The study will last for up to 44 months. It consists of a main phase (part 1 and part 2) and an extension phase. In part 1, participants will be injected only once with either Mim8 or a "dummy" medicine (placebo) - which one will be decided by chance. In part 2 and the extension phase participants will get an Mim8 injection weekly or monthly.

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Key information

Age range

12 year and older

Sex eligibility

Male

Study type

Interventional

Phase

Phase 2

Primary location

Universitätsklinik für Innere Medizin V, Innsbruck, Austria

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Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Single ascending dose part 1:

  • Male, aged 18-45 years (both inclusive) at the time of signing informed consent
  • Considered to be generally healthy based on the medical history, physical examination, and the results of vital signs, electrocardiogram and clinical laboratory tests performed during the screening visit, as judged by the investigator

Multiple ascending dose part 2:

  • Male, aged 12-64 years (both inclusive) at the time of signing informed consent (Germany and Japan have local requirements)
  • Diagnosis of congenital haemophilia A with FVIII activity below 1% based on medical records

Exploratory biomarker cohort:

  • Male, aged equal to or above 12 years at the time of signing informed consent (Germany and Japan have local requirements)
  • Diagnosis of congenital haemophilia A with FVIII activity below 1% based on medical recordsv

Exclusion criteria

Part 1:

  • Factor VIII activity equal to or above 150% at screening
  • Increased risk of thrombosis, e.g. known history of personal or first degree relative(s) with unprovoked deep vein thrombosis
  • Any clinical signs or established diagnosis of venous or arterial thromboembolic disease

Part 2:

  • Known congenital or acquired coagulation disorders other than haemophilia A
  • Increased risk of thrombosis as evaluated by the investigator. E.g. known history of personal or first degree relative(s) with unprovoked deep vein thrombosis with exception of previous catheter-associated thrombosis for which anti-thrombotic treatment is not currently ongoing
  • Any clinical signs or established diagnosis of venous or arterial thromboembolic disease with exception of previous catheter-associated thrombosis for which anti-thrombotic treatment is not currently ongoing
  • Advanced atherosclerotic disease (e.g. known history of ischemic heart disease, ischemic stroke) as evaluated by the investigator
  • Any autoimmune disease that may increase the risk of thrombosis
  • Receipt of emicizumab or drugs with similar modes of action within 5 half-lives before trial product administration
  • Ongoing or planned immune tolerance induction therapy

Exploratory biomarker cohort:

  • Known congenital or acquired coagulation disorders other than haemophilia A
  • Increased risk of thrombosis as evaluated by the investigator. E.g. known history of personal or first degree relative(s) with unprovoked deep vein thrombosis with exception of previous catheter-associated thrombosis for which anti-thrombotic treatment is not currently ongoing
  • Any clinical signs or established diagnosis of venous or arterial thromboembolic disease with exception of previous catheter-associated thrombosis for which anti-thrombotic treatment is not currently ongoing
  • Advanced atherosclerotic disease (e.g. known history of ischemic heart disease, ischemic stroke) as evaluated by the investigator
  • Any autoimmune disease that may increase the risk of thrombosis
  • Ongoing or planned immune tolerance induction therapy

Treatment and study plan

NNC0365-3769 (Mim8)

Drug

Mim8 administered subcutaneously (s.c., under the skin). The treatment period will consist of 12 once-weekly doses or 3 once-monthly doses

Placebo (Mim8)

Drug

Mim8 placebo administered subcutaneously (s.c., under the skin)

Primary outcomes

  1. Part 1: Number of treatment emergent adverse events

    Time frame: From time of dosing (Day 1) to Week 16

    Count

  2. Part 2: Number of treatment emergent adverse events

    Time frame: From time of first dosing (Day 1) to Week 12

    Count

  3. Part 2, extension: Number of treatment emergent adverse events

    Time frame: From Week 12 up to Week 176 (16 weeks after last dose)

    Count

Secondary outcomes

  1. Part 1: Number of injection site reactions

    Time frame: From time of dosing (Day 1) to Week 16

    Count

  2. Part 1: Relative change in D-dimer

    Time frame: From baseline (Day 1) to Week 16

    Percent

  3. Part 1: Relative change in prothrombin fragment 1 and 2

    Time frame: From baseline (Day 1) to Week 16

    Percent

  4. Part 1: Relative change in fibrinogen

    Time frame: From baseline (Day 1) to Week 16

    Percent

  5. Part 1: Relative change in platelets

    Time frame: From baseline (Day 1) to Week 16

    Percent

  6. Part 1: Cmax, SD: the maximum concentration of Mim8 after a single dose

    Time frame: From baseline (Day 1) to Week 16

    μg/mL

  7. Part 1: AUC0-inf, SD: the area under the Mim8 concentration-time curve from time 0 to infinity after a single dose

    Time frame: From baseline (Day 1) to Week 16

    μg*day/mL

  8. Part 1: t1/2, SD: the terminal half-life of Mim8 after a single dose

    Time frame: From baseline (Day 1) to Week 16

    Days

  9. Part 1: tmax, SD: the time to maximum concentration of Mim8 after a single dose

    Time frame: From baseline (Day 1) to Week 16

    Days

  10. Part 1: Change in activated partial thromboplastin time

    Time frame: From baseline (Day 1) to Week 16

    Seconds

  11. Part 2 (weekly and monthly dosing): Number of injection site reactions

    Time frame: From time of first dosing (Day 1) to Week 12

    Count

  12. Part 2 (weekly and monthly dosing): Occurrence of anti-Mim8 antibodies

    Time frame: From baseline (Day 1) to Week 12

    Count

  13. Part 2 (weekly and monthly dosing): Relative change in D-dimer

    Time frame: From baseline (Day 1) to Week 12

    Percent

  14. Part 2 (weekly and monthly dosing): Relative change in prothrombin fragment 1 and 2

    Time frame: From baseline (Day 1) to Week 12

    Percent

  15. Part 2 (weekly and monthly dosing): Relative change in fibrinogen

    Time frame: From baseline (Day 1) to Week 12

    Percent

  16. Part 2 (weekly and monthly dosing): Relative change in platelets

    Time frame: From baseline (Day 1) to Week 12

    Percent

  17. Part 2 PK session 2 (weekly dosing): Cmax, MD: the maximum concentration of Mim8 after multiple doses

    Time frame: From Day 57 to Day 64

    μg/mL

  18. Part 2 PK session 2 (weekly dosing): AUCτ, MD: the area under the Mim8 concentration-time curve in the dosing interval after multiple doses

    Time frame: From Day 57 to Day 64

    μg*day/mL

  19. Part 2 PK session 2 (monthly dosing): Cmax, MD: the maximum concentration of Mim8 after multiple doses

    Time frame: From Day 57 to Day 85

    μg/mL

  20. Part 2 PK session 2 (monthly dosing): AUCτ, MD: the area under the Mim8 concentration-time curve in the dosing interval after multiple doses

    Time frame: From Day 57 to Day 85

    μg*day/mL

  21. Part 2 (weekly dosing): Mean of maximum thrombin generation (peak height)

    Time frame: From Day 57 to Day 64

    nM

  22. Part 2 (monthly dosing): Mean of maximum thrombin generation (peak height)

    Time frame: From Day 57 to Day 85

    nM

  23. Part 2, extension: Number of injection site reactions

    Time frame: From Week 12 up to Week 176 (16 weeks after last dose)

    Count

  24. Part 2, extension: Occurrence of anti-Mim8 antibodies

    Time frame: From Week 12 up to Week 176 (16 weeks after last dose)

    Count

Sponsors and collaborators

Lead sponsor

Novo Nordisk A/S

Industry

Registry information

Official study title

Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Single and Multiple Subcutaneous Doses of NNC0365-3769 (Mim8) in Healthy Subjects and in Subjects With Haemophilia A With or Without Factor VIII Inhibitors

Acronym: FRONTIER1

Important dates

Study start
2020
Primary completion
2023
Study completion
2023
First posted
Dec 19, 2019
Registry last updated
Dec 19, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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