New shot could help control bleeding in hemophilia a
NCT ID NCT05987449
First seen Jun 27, 2026 · Last updated Sep 11, 2026 · Updated 3 times
Summary
This study tests a new drug, NXT007, in people with severe or moderate hemophilia A. The drug is given as a shot under the skin, first every two weeks, then every four weeks. The goal is to see if it is safe and helps control bleeding. About 60 adults, teens, and children will take part.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- NXT007 (also called Zemocimig or RO7589655)
- What this could lead to
- If successful, this could lead to a new treatment option that helps control bleeding in people with hemophilia A, reducing the need for frequent infusions.
- What could go wrong
- This is an early phase I/II trial with only 60 participants, so safety and effectiveness are not yet proven. The drug may cause side effects or not work as expected.
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 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 60 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2023
- Expected to finish
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Dec 2033
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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2 to 59 years
- Sex
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Male participants only
- 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: * Diagnosis of severe (Factor VIII coagulant activity \[FVIII:C\] \<1 IU/dL) or moderate (FVIII:C ≥1 IU/dL and ≤5 IU/dL) congenital hemophilia A with or without inhibitors against FVIII * Participants with FVIII inhibitors: participants using recombinant activated factor VII (rFVIIa) or willing to switch to rFVIIa as primary bypassing agent for the treatment of breakthrough bleeds, trauma, or procedures * Historic local FVIII inhibitor test results being available during screening to confirm any previous inhibitor history and current status * Participants who previously successfully completed immune tolerance induction (ITI) must have done so at least 5 years before screening and must have no evidence of inhibitor recurrence (permanent or temporary) since. FVIII tolerance defined as \<0.6 Bethesda unit (BU)/mL (\<1.0 BU/mL only for laboratories with an historical sensitivity cutoff for inhibitor detection of 1.0 BU/mL) and in vivo recovery \>66% * Documentation of number and type of bleeding episodes in the last 24 weeks prior to enrollment * Adequate hematologic function, defined as platelet count ≥100,000 cells/μL and hemoglobin ≥11 g/dL at the time of screening * Adequate hepatic function defined as total bilirubin ≤1.5× age-adapted upper limit of normal (ULN) (excluding Gilbert syndrome) and both aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤3× age-adapted ULN at the time of screening, and no clinical signs or known laboratory/radiographic evidence consistent with cirrhosis. For patients with Gilbert syndrome, bilirubin should be \<4 mg/dL or 68.4 umol/L at the time of screening. * For Part 1 only: Adequate renal function, defined as serum creatinine ≤2.5× age-adapted ULN and calculated creatinine clearance ≥30 mL/min by Cockroft-Gault formula * For Part 2 only: Adequate renal function, defined as serum creatinine ≤1.5× age-adapted ULN. When the serum creatinine is ≥1.5× ULN, creatinine clearance by Bedside Schwartz formula must be \>70 mL/min/1.73m\^2. * Willingness and ability to comply with schedules visits, treatment plans, laboratory tests, and other study procedures Exclusion Criteria: * Inherited or acquired bleeding disorders other than congenital hemophilia A * Ongoing or planned ITI therapy * 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 * At high risk for thrombotic microangiopathy (TMA), including past personal or family history of TMA, in the investigator's judgment * For Part 1 only: Personal history of ischemic heart disease, cerebrovascular disease, or diabetes mellitus * For Part 1 only: Strong family history of ischemic heart disease or cerebrovascular disease (i.e., first degree relatives such as parents, full siblings, or children): male relatives diagnosed under the age of 55 years and females under the age of 65 years * For Part 1 only: Previous or concomitant malignancies or leukemia * Other conditions (e.g., autoimmune conditions such as Systemic Lupus erythematosus and other systemic inflammatory disorders) that may currently increase the risk of bleeding or thrombosis * History of clinically significant allergies * Receipt of any of the following: i) An investigational drug to treat or reduce the risk of hemophilic bleeds within 5 half-lives of last drug administration or normalization of targeted parameters (e.g., anti-thrombin), whichever is longer; ii) A non-hemophilia-related investigational drug within last 30 days or 5 half-lives, whichever is shorter; iii) Any other investigational drug currently being administered or planned to be administered; iv) Prior gene therapy or gene therapy planned to be administered; v) Use of systemic immunomodulators (e.g., interferon or rituximab) at enrollment or planned use during the study, with the exception of anti-retroviral therapy to treat HIV. * Protein C activity, protein S free antigen, or anti-thrombin III activity levels below the lower limit of the reference range at screening * Known HIV infection with CD4 counts \<200 cells/μL * History of severe allergic or anaphylactic reactions to monoclonal antibody therapy and to chimeric or humanized antibodies or fusion proteins * Known hypersensitivity to Chinese hamster ovary cell products or to excipient content * History or presence of an abnormal ECG that is deemed clinically significant, (e.g., complete left bundle branch block, second- or third -degree atrioventricular heart block), including atrial fibrillation or evidence of prior myocardial infarction * QT interval corrected through use of Fridericia's formula (QTcF) \>450 ms demonstrated by at least two ECGs \>30 minutes apart * 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), clinically significant electrolyte abnormalities (e.g., hypokalemia, hypomagnesemia, hypocalcemia), or family history of sudden unexplained death or long QT syndrome * Current treatment with medications that are well known to prolong the QT interval
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
12 sites in 6 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Auckland Cancer Trial Centre
RECRUITINGAuckland, 1023, New Zealand
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British Columbia Children's Hospital
RECRUITINGVancouver, British Columbia, V6H 3N1, Canada
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Georgetown Uni Medical Center
WITHDRAWNWashington D.C., District of Columbia, 20007, United States
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Hamilton Health Sciences Corporation
RECRUITINGHamilton, Ontario, L8N 3Z5, Canada
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Hospital Regional Universitario Carlos Haya
ACTIVE_NOT_RECRUITINGMálaga, 29010, Spain
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Hospital Sant Joan de Deu
RECRUITINGEsplugues de Llobregat, Barcelona, 08950, Spain
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Hospital Universitario la Paz
RECRUITINGMadrid, 28046, Spain
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IRCCS Ca' Granda Ospedale Maggiore Policlinico
RECRUITINGMilan, Lombardy, 20122, Italy
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Indiana Hemophilia & Thrombosis center
RECRUITINGIndianapolis, Indiana, 46260, United States
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Instytut Hematologii i Transfuzjologii
RECRUITINGWarsaw, 02-776, Poland
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Istituto Clinico Humanitas
RECRUITINGRozzano (MI), Lombardy, 20089, Italy
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UC Davis Cancer Center
RECRUITINGSacramento, California, 95817, United States
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University of Iowa Hospitals and Clnics Dept of Pediatrics
RECRUITINGIowa City, Iowa, 52242, United States
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Uniwersyteckie Centrum Kliniczne
RECRUITINGGda?sk, 80-214, Poland
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a newer clotting factor keep its effectiveness in hemophilia a?
- Can a new injection tame hemophilia a bleeding?
- A Once-a-Week shot could transform hemophilia Care—Even for those with inhibitors
- Can a new clotting factor offer better bleed protection for severe hemophilia?
- Do newer hemophilia drugs protect joints better? study aims to find out
- Newborn screening study aims to catch rare diseases at birth