New daily shot could help kids with hemophilia avoid bleeds
NCT ID NCT05135559
First seen Jun 27, 2026 · Last updated Sep 18, 2026 · Updated 3 times
Summary
This study tests a daily injection called concizumab in children under 12 with hemophilia A or B, with or without inhibitors. The goal is to see if it safely prevents bleeding episodes. Participants receive daily shots under the skin for at least 2 years, and the study tracks how many bleeds occur.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 153 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2022
- Expected to finish
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Nov 2029
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Informed consent/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: * Known or suspected hypersensitivity 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 clinically significant 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).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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'Ippokrateio' General Hospital of Thessaloniki
Thessaloniki, 54642, Greece
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'Ippokrateio' General Hospital of Thessaloniki
Thessaloniki, GR 54642, Greece
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A.O.U policlinico "G. Rodolico-San Marco"
Catania, 95123, Italy
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AP-HP-HOPITAL NECKER_Service d'hématologie
Paris, 75015, France
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Acibadem Adana Hastanesi
Adana, 01130, Turkey (Türkiye)
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Acıbadem Adana Hastanesi-Hematoloji
Adana, 01130, Turkey (Türkiye)
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Aghia Sophia Childrens' Hospital
Athens, GR-11527, Greece
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Ap-Hp-Hopital de Bicetre-1
Le Kremlin-Bicêtre, 94275, France
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Arnold Palmer Children's Hospital
Orlando, Florida, 32806, United States
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Augusta Univ/Childrens Hosp-GA
Augusta, Georgia, 30912, United States
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Azienda Ospedaliera di Padova _
Padova, 35128, Italy
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Azienda Ospedaliera-Universitaria Parma
Parma, 43126, Italy
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BC Children's Hospital
Vancouver, British Columbia, V6H 3V4, Canada
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Birmingham Children's Hospital
Birmingham, B4 6NH, United Kingdom
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CHU Constantine BEN BADIS/ Hematology department
Constantine, 25000, Algeria
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Centre Hospitalier Metropole Savoie
Chambéry, 73000, France
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Centre of Oncology and Hematology, Vilnius University
Vilnius, LT-08406, Lithuania
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Charlotte Maxeke Johannesburg Academic Hospital
Parktown, Johannesburg, Gauteng, 2193, South Africa
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Children's Hosp-New Orleans
New Orleans, Louisiana, 70118, United States
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Children's Nebraska
Omaha, Nebraska, 68114, United States
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Childrens Hospital of Chicago
Chicago, Illinois, 60611, United States
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Clinic of Haematology, Fundeni Clinical Institute
Bucharest, 022328, Romania
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Cook Children's Hospital-Hematology-Oncology
Fort Worth, Texas, 76104, United States
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Dipartimento di Ematologia Univ. Firenze
Florence, 50134, Italy
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ECU Sickle Cell Comp Clinic
Greenville, North Carolina, 27834, United States
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Ege Universitesi Tip Fakultesi
Izmir, 35100, Turkey (Türkiye)
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Ege Üniversitesi Hastanesi- Hematoloji
Izmir, 35100, Turkey (Türkiye)
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Evelina London Children's Hospital - Haemophilia
London, SE1 7EH, United Kingdom
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Gazi University
Ankara, Beşevler/Ankara, 06500, Turkey (Türkiye)
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Gazi Üniversitesi Hastanesi- Hematoloji
Ankara, Beşevler/Ankara, 06500, Turkey (Türkiye)
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Great Ormond Street Hospital for Children
London, WC1N 3HR, United Kingdom
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Guwahati Medical College
Guwahati, Assam, 781032, India
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Haematology and Blood Bank Department
Algiers, 16000, Algeria
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Hospital Nini
Tripoli, 1434, Lebanon
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Hospital Pulau Pinang
George Town, Pulau Pinang, 10450, Malaysia
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Hospital Regional Universitario de Málaga
Málaga, 29009, Spain
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Hospital Sultanah Nur Zahirah
Kuala Terengganu, Terengganu, 20400, Malaysia
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Hospital Tunku Azizah
Kampung Baru, Kuala Lumpur, 50300, Malaysia
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Hospital Universitario La Paz
Madrid, 28046, Spain
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Hospital Vall d'Hebron
Barcelona, 08035, Spain
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Hospital Virgen de la Arrixaca - Hematología
El Palmar, Murcia, 30120, Spain
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Indiana Hemophilia-Thromb Ctr
Indianapolis, Indiana, 46260, United States
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J K Lon Hospital
Jaipur, Rajasthan, 302004, India
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K.J Somaiya Hospital and Research Centre
Mumbai, Maharashtra, 400022, India
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King Chulalongkorn Memorial Hospital_Bangkok_0
Bangkok, 10330, Thailand
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King Chulalongkorn Memorial Hospital_Pediatric Hematology-Oncology
Bangkok, 10330, Thailand
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Klinisk forskningspost
Oslo, 0372, Norway
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MCGM - Comprehensive Thalassemia Care
Mumbai, Maharashtra, 400066, India
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McMaster Children's Hospital
Hamilton, Ontario, L8N 3Z5, Canada
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Memorial Health University Medical Center
Savannah, Georgia, 31404, United States
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Monroe Carell Jr. Children's Hospital at Vanderbilt
Nashville, Tennessee, 37232, United States
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Nationwide Children's Hospital
Columbus, Ohio, 43205, United States
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Nemours Child Orlando Hem/Onc.
Orlando, Florida, 32827, United States
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Nirmal Hospital Pvt. Ltd.
Surat, Gujarat, 395002, India
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Ochsner Clinic Foundation
New Orleans, Louisiana, 70121, United States
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Ondokuz Mayis University Medical Faculty Ped. Haematology
Samsun, 55139, Turkey (Türkiye)
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Ondokuz Mayıs Üniversitesi Hastanesi - Hematoloji
Samsun, 55139, Turkey (Türkiye)
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PHI University Clinic for Children's Diseases Skopje
Skopje, 1000, North Macedonia
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Pediatrics Hematology/Oncology Clinic Battle Building
Charlottesville, Virginia, 22908, United States
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Post Graduate Institute of Child Health
Noida, Uttar Pradesh, 201303, India
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Rady Childrens Hosp San Diego
San Diego, California, 92123, United States
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Ramathibodi Hospital
Bangkok, 10400, Thailand
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S.C.B. Medical College
Cuttack, Odisha, 753007, India
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SGPGI
Lucknow, Uttart Pradesh, 226014, India
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SSSH_Dept. of Clinical Haematology & Haemato Oncology
Kolhāpur, Maharashtra, 416005, India
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Sahlgrenska US - Koagulationscentrum
Gothenburg, 413 46, Sweden
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Sahyadri Super Speciality Hospital
Pune, Maharashtra, 411004, India
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Saint George Hospital University Medical Center
Beirut, 961, Lebanon
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Saitama Children's Med Centre_Hematology-Oncology
Saitama, 330-8777, Japan
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Sarawak General Hospital
Kuching, Sarawak, 93586, Malaysia
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Seth GS Medical College & KEM Hospital
Mumbai, Maharashtra, 400012, India
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Siriraj Hospital - Hematology and Oncology
Bangkok, 10700, Thailand
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Spitalul Clinic Judetean De Urgenta Bihor
Oradea, 410469, Romania
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Spitalul Clinic de Urgenta pentru Copii Cluj Napoca
Cluj-Napoca, 400177, Romania
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St Christopher Hosp for Child
Philadelphia, Pennsylvania, 19134, United States
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St. Marianna University School of Medicine Hospital_Pediatrics
Kanagawa, 216-8511, Japan
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Sunpasitthiprasong Hospital_Pediatrics Department
Ubon Ratchathani, Mueang Distirct,, 34000, Thailand
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Tallinn Children's Hospital
Tallinn, 13419, Estonia
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Texas Children's Hospital_Houston
Houston, Texas, 77030, United States
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The Children's Mercy Hospital
Kansas City, Missouri, 64108, United States
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UMHAT Sveta Marina EAD, Clinic of Pediatric Clinical Hematology and Oncology
Varna, 9010, Bulgaria
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UMHAT Sveti Georgi EAD, Plovdiv, Clinic of Pediatrics
Plovdiv, 4002, Bulgaria
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UMHAT Tsaritsa Yoanna - ISUL EAD, Pediatric clinical hematology and oncology
Sofia, 1527, Bulgaria
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University Clinical Center of Republic Srpska (545)
Banja Luka, 78000, Bosnia and Herzegovina
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University Clinical Centre Tuzla
Tuzla, 75000, Bosnia and Herzegovina
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University Hospitals Bristol & Weston NHS Foundation Trust
Bristol, BS2 8BJ, United Kingdom
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University of Colorado Hospital
Aurora, Colorado, 80045, United States
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Uniwersytecki Szpital Dzieciecy, Dzial Krwiolecznictwa
Lublin, 20-093, Poland
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Uniwersytecki Szpital Kliniczny im. J.Mikulicza-Radeckiego
Wroclaw, Lower Silesian Voivodeship, 50-556, Poland
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Uniwersyteckie Centrum Kliniczne
Gdansk, 80-952, Poland
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Uniwersyteckie Centrum Kliniczne WUM
Warsaw, 02-091, Poland
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