New Once-Weekly shot could prevent bleeds in kids with hemophilia
NCT ID NCT05306418
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a new medicine called Mim8, given as a shot under the skin, to prevent bleeding episodes in children aged 1-11 with hemophilia A (with or without inhibitors). The trial involved 70 participants and compared once-weekly and once-monthly dosing over about 54-98 weeks. The goal was to see if Mim8 is safe and effective at reducing bleeds compared to other treatments.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Mim8 (a medicine injected under the skin to prevent bleeding episodes)
- What this could lead to
- If successful, Mim8 could offer a convenient, less frequent injection option to prevent bleeds in children with hemophilia A, reducing the burden of daily or frequent infusions.
- What could go wrong
- This is a relatively small Phase 3 trial (70 children) and results may not apply to all patients. Side effects or lack of efficacy compared to existing treatments remain possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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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70 people
The number who actually took part.
- Started
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Apr 2022
- Finished
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Nov 2024
- 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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1 year to 11 years
- 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: 1. Informed consent 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. 2. Male and female participants with the diagnosis of congenital haemophilia A of any severity based on medical records. 3. Aged 1-11 years (both inclusive) at the time of signing informed consent. 4. For previously treated participants : 1. Participant has been prescribed treatment with FVIII concentrate or bypassing agent in the last 26 weeks prior to screening. 2. Participants with endogenous FVIII activity greater than or equal to 1%, based on medical records, must have at least 1 treated bleed during the previous 26 weeks before screening for which factor VIII concentrate or bypassing agent has been prescribed (no requirements for participants with FVIII activity below 1%). 5. For previously untreated participants: a. Diagnosis of severe haemophilia A (endogenous FVIII activity below 1%) based on medical records. 6. Child and parent/caregiver willingness and ability to comply with scheduled visits and study procedures, including the completion of diary and patient-reported outcomes questionnaires.( For China mainland; assessed at the investigator's discretion unless otherwise stated.) Exclusion criteria: 1. Known or suspected hypersensitivity to trial product or related products.(For China mainland; assessed at the investigator's discretion unless otherwise stated.) 2. Previous participation in this study. Participation is defined as signed informed consent. 3. Participation (i.e., signed informed consent) in any interventional clinical study with receipt of last dose within 6 months (or 5 half-lives of the investigational medicinal product, whichever is shorter) before planned randomisation. 4. Exposure to non-factor haemostatic products for bleeding prophylaxis within 6 months (or 5 half-lives of the medicinal product, whichever is shorter) before planned randomisation, for participants not included in the run-in. 5. Known congenital or acquired coagulation disorders other than haemophilia A. 6. Other conditions (e.g. autoimmune disease) or laboratory abnormality that may increase risk of bleeding or thrombosis, as evaluated by the investigator.(For China mainland; assessed at the investigator's discretion unless otherwise stated.) 7. Any disorder, except for conditions associated with haemophilia A, that in the investigator's opinion might jeopardise the participant's safety or compliance with the protocol.(For China mainland; assessed at the investigator's discretion unless otherwise stated.) 8. Mental incapacity, unwillingness to cooperate or a language barrier precluding adequate understanding and cooperation.(For China mainland; assessed at the investigator's discretion unless otherwise stated.) 9. Lack of adequate parental/caregiver support to enter accurately and timely information regarding treatment and bleeding episodes into an (electronic) diary.(For China mainland; assessed at the investigator's discretion unless otherwise stated.) 10. Previous or current treatment for thromboembolic disease (with the exception of previous catheter-associated thrombosis for which anti-thrombotic treatment is not currently ongoing) or signs of thromboembolic disease. 11. Major surgery planned to take place after screening.(For China mainland; assessed at the investigator's discretion unless otherwise stated.) 12. Immune tolerance induction planned to take place after treatment initiation.(For China mainland; assessed at the investigator's discretion unless otherwise stated.) 13. Hepatic dysfunction defined as aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) greater than 3 times the upper limit of normal combined with total bilirubin greater than 1.5 times the upper limit of normal measured at screening. 14. Serum creatinine above 1.5 x upper limit of normal (ULN), measured at screening. 15. Pregnancy (female participants).(Will be assessed at investigator's discretion, according to suspicion of pregnancy.)
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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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A.O.U. Città della Salute e della Scienza di Torino-Ospedale
Torino, 10126, Italy
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Academisch Medisch Centrum
Amsterdam, 1105 AZ, Netherlands
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Arthur Bloom Haemophilia Centre
Cardiff, CF14 4XW, United Kingdom
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Beijing Children's Hospital, Capital Medical University
Beijing, Beijing Municipality, 100045, China
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Beijing Children's Hospital,Capital Medical University
Beijing, Beijing Municipality, 100045, China
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CSK UM Uniwersyteckie Centrum Pediatrii im. M. Konopnickiej
Lodz, 91-738, Poland
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Charlotte Maxeke Johannesburg Academic Hospital
Parktown, Johannesburg, Gauteng, 2193, South Africa
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Chengdu Women's and Children's Central Hospital
Chengdu, Sichuan, 610000, China
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Children Oncohaematology department Children's Hospital,
Vilnius, 08406, Lithuania
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Children Regional Clinical Hospital
Krasnodar, 350007, Russia
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Children's Healthcare Atlanta
Atlanta, Georgia, 30322, United States
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Children's Hospital Los Angeles - Endocrinology
Los Angeles, California, 90027, United States
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Children's Hospital at Memorial Health
Savannah, Georgia, 31404, United States
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Children's Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310052, China
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Daejeon Eulji Medical Center, Eulji University
Daejeon, 35233, South Korea
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Hospital Sant Joan de Déu
Esplugues Llobregat, 08950, Spain
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Hospital Universitario La Paz
Madrid, 28046, Spain
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Institute of Hematology and Blood Diseases Hospital, Tianjin-Hematology
Tianjin, Tianjin Municipality, 300020, China
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J K Lon Hospital
Jaipur, Rajasthan, 302004, India
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McMaster Children's Hospital
Hamilton, Ontario, L8N 3Z5, Canada
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Morozovskaya municipal children hospital
Moscow, 119049, Russia
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Nanfang Hospital, Southern Medical University-Haematology
Guangzhou, Guangdong, 510515, China
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National Taiwan University Children's Hospital
Taipei, 100, Taiwan
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Nirmal Hospital Pvt. Ltd.
Surat, Gujarat, 395002, India
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Ogikubo Hospital_Pediatries & Blood
Tokyo, 167-0035, Japan
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Ospedale Pediatrico Bambino Ges
Rome, 00165, Italy
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Ota Memorial Hospital_Pediatrics
Gunma, 373-8585, Japan
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Penn State MS Hershey Med Ctr
Hershey, Pennsylvania, 17033-2360, United States
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Post Graduate Institute of Child Health
Noida, Uttar Pradesh, 201303, India
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Pädiatrische Onkologie-Hämatologie
Lucerne, 6000, Switzerland
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Republican Hospital n.a. V. A. Baranov
Petrozavodsk, 185019, Russia
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SAHI Kuzbass Hospital(former Regional clinical hospital)
Kemerovo, 650066, Russia
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Sahyadri Super Speciality Hospital
Pune, Maharashtra, 411004, India
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Saitama Children's Med Centre_Hematology-Oncology
Saitama, 330-8777, Japan
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Sapporo Tokushukai Hospital_Pediatrics
Hokkaido, 004-0041, Japan
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Seth GS Medical College & KEM Hospital
Mumbai, Maharashtra, 400012, India
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Severance Hospital, Yonsei University Health System
Seoul, 03722, South Korea
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Sheba MC - The Israeli National Hemophilia Center
Tel Litwinsky, 52621, Israel
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St Christopher Hosp for Child
Philadelphia, Pennsylvania, 19134, United States
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St Joseph's Hospital Foundation
Tampa, Florida, 33607, United States
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St Thomas' Hospital - Haemostasis and Thrombosis Centre
London, SE1 7EH, United Kingdom
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The Hospital for Sick Children
Toronto, Ontario, M5G 1X8, Canada
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ULS São João, E.P.E.
Porto, 4200-319, Portugal
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UMC Utrecht, Van Creveldkliniek
Utrecht, 3584 CX, Netherlands
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Unidade Local de Saúde São José EPE- Hospital D. Estefânia
Lisbon, 1169-045, Portugal
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Univ Hosp Cleveland Med Ctr
Cleveland, Ohio, 44106, United States
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Univ of Colorado Sch of Med
Aurora, Colorado, 80045, United States
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University of Iowa_Iowa City
Iowa City, Iowa, 52242, United States
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Universitätsklinik für Kinderheilkunde
Bern, 3010, Switzerland
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Universitätsklinikum Bonn - Institut für Experimentelle Hämatologie
Bonn, 53127, Germany
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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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