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BAY94-9027+ Recombinant Factor VIII

Phase 3

Hemophilia A | Monoclonal antibody | Hematology |Bayer AG|Trials Updated: Nov 7, 2023

BAY94-9027+ Recombinant Factor VIII target and mechanism

ModalityMonoclonal antibody

Also known as BAY94-9027

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDDMC
Total Trials3
Total Enrollment232

FDA Designations

No designations recorded

BAY94-9027+ Recombinant Factor VIII clinical trials

BAY94-9027+ Recombinant Factor VIII · 3 trials · 1 indication

Phase 3 1Phase 2 1Phase 1 1
NCT01775618Safety and Efficacy of BAY94-9027 in Previously Treated Male Children With Haemophilia AHemophilia A
COMPLETED73 Analytics
PHASE3COMPLETED
Safety and Efficacy of BAY94-9027 in Previously Treated Male Children With Haemophilia A
Hemophilia AUnlock trial analytics

Study Endpoints

Primary Endpoints

Annualized number of all bleeds
At least 50 exposure days (ED) over 6 months, on average 245 days
Pharmacokinetics profile of BAY94-9027 based on blood concentration over the defined time period
Pre-dose to 72 hours post-dose

Pharmacokinetics profile includes maximum concentration (Cmax), half-life (t1/2), area under the concentration versus time curve (AUC), mean residence time (MRT), volume of distribution at steady state (Vss), and clearance (CL)

Response of acute bleeding events to treatment based on a 4-point scale (poor, moderate, good, or excellent)
At least 50 exposure days (ED) over 6 months, on average 245 days
Characterization of a potential immune response
12 weeks
Inhibitor development in the extension study
At least 50 additional EDs to achieve at least 100 cumulative EDs, on average 5 years
Annualized Number of Total Bleeds in On-demand Treatment Arm (Weeks 0 -36) and in Each Prophylaxis Arm (Weeks 10 - 36, Excluding Rescue Bleeds) - Part A, Main Trial
On-demand: Weeks 0 -36 and Prophylaxis: Weeks 10 - 36 during Part A

Annualized number of total bleeds was defined as the annualized sum of spontaneous bleeds and trauma bleeds. A participant who had the one-time increase in dose frequency was regarded as rescued. A rescue bleed was a bleed that occured after the dose frequency was increased. Rescue bleeds and periods were not considered for the annualized bleeding rate (ABR).

Safety as assessed by measuring immunogenicity
Up to 8 weeks

Antibodies to FVIII, polyethylene glycol (PEG) and BAY94-9027

Adverse events collection
Up to 8 weeks
Area under the plasma concentration vs time curve from time 0 to the last data point (AUC0-tlast)
Up to 8 weeks
Area under the plasma concentration vs time curve from zero to infinity after single (first) dose (AUC0-inf)
Up to 8 weeks
Maximum drug concentration in plasma (Cmax)
Up to 8 weeks
Half-life associated with the terminal slope (t1/2)
Up to 8 weeks
Time to reach maximum drug concentration in plasma after single (first) dose (Tmax)
Up to 8 weeks
Mean residence time (MRT)
Up to 8 weeks
Total body clearance (CL)
Up to 8 weeks

Total body clearance of drug from plasma (volume/time) or (volume/time/body weight) or ((volume/time)\*(1.73/body surface area)) calculated after intravenous administration

Apparent volume of distribution at steady state (Vss)
Up to 8 weeks

Based on the chromogenic, one-stage and PEG capture assays

Incremental recovery of FVIII
Up to 8 weeks

Recovery was assessed using two different assays (chromogenic and one-stage assay)

Secondary Endpoints

Inhibitor development in the main study
After 10 to 15 and 50 exposure days (ED) over 6 months, on average 245 days
Assessment of incremental recovery in main study
At least 50 exposure days (ED) over 6 months, on average 245 days
Number of participants with adverse events as a measure of safety and tolerability
From the start of study treatment up to 7 days after the last dose (Main study: on average 245+7 days; Part 2: 12 weeks+7 days; Extension study: on average 5 years+7 days)
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Main studyEXPERIMENTALParticipants were treated and prophylaxis administered with BAY94-9027 at a dose of 25-60 international units/kilogram (IU/kg) twice per week or 45-60 IU/kg every 5 days or 60 IU/kg every 7 days as an intravenous (IV) infusion as per clinical needs of each subject up to at least 50 exposure days (EDs) and a minimum of at least 6 months.
Part 2 (Expansion group)EXPERIMENTALParticipants were administered with BAY94-9027 at a dose of 25-60 IU/kg twice per week for prophylaxis for 12 weeks.
Extension studyEXPERIMENTALParticipants were treated and prophylaxis administered with BAY94-9027 at a dose of 25- 60 IU/kg twice per week or 45-60 IU/kg every 5 days or 60 IU/kg every 7 days as an IV infusion as per clinical needs of each subject for at least 50 EDs or until marketing authorization of the drug.
Arm 1EXPERIMENTALOn-demand treatment of BAY94-9027 at individual dose and number of infusions based upon location and severity of bleeds
Arm 2EXPERIMENTALProphylaxis treatment of BAY94-9027; 2 infusions per week over 10 weeks followed by 2 infusions per week over 26 weeks in the main trial; and at least 1 day per week in the extension for at least 100 ED
Arm 3EXPERIMENTALProphylaxis treatment of BAY94-9027; 2 infusions per week over 10 weeks followed by infusion every 5 days over 26 weeks in the main trial; and at least 1 day per week in the extension for at least 100 ED
Arm 4EXPERIMENTALProphylaxis treatment of BAY94-9027; 2 infusions per week over 10 weeks followed by infusion every 7 days over 26 weeks in the main trial; and at least 1 day per week in the extension for at least 100 ED

Interventions

NameTypeDescription
BAY94-9027BIOLOGICALStudy drug dosing was adjusted to the clinical needs of each subject in the range of 25-60 IU/kg/administration, intravenous infusion, at least 50 EDs and a minimum of at least 6 months
BAY94-9027 + Recombinant Factor VIII (Kogenate FS, BAY14-2222)BIOLOGICALSingle dose of Kogenate FS and 16 doses of BAY94-9027 given 2 times a week for 8 weeks. Both drugs to be given intravenously.
BAY94-9027 + Recombinant Factor VIII (Kogenate FS, BAY14-2222))BIOLOGICALSingle dose of Kogenate FS and 9 doses of BAY94-9027 given once a week for 8 weeks. Both drugs to be given intravenously.
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Eligibility Criteria

Age RangeN/A to 12 Years
SexMALE
Healthy VolunteersNo
Study Sites37

Inclusion Criteria: * Males \< 12 years of age * Subjects with severe hemophilia A * Previously treated with FVIII for \> 50 exposure days Exclusion Criteria: * Subjects with current evidence of or history of inhibitors to FVIII * Any other inherited or acquired bleeding disorder * Platelet count...

Countries:United StatesArgentinaAustriaBelgiumBulgariaCanadaGreeceIsraelItalyLithuaniaNetherlandsNew ZealandNorwayPolandRomaniaSpainUnited KingdomColombiaDenmarkFranceGermanyJapanSingaporeSouth KoreaTaiwanTurkey (Türkiye)
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Frequently asked questions about BAY94-9027+ Recombinant Factor VIII

What is BAY94-9027 used for?

BAY94-9027 is being developed for the treatment of hemophilia A, a bleeding disorder. It is a recombinant factor VIII product studied in previously treated male patients with hemophilia A, including children and adults. All three of its clinical trials enrolled patients with hemophilia A.

Who makes BAY94-9027?

BAY94-9027 is developed by Bayer AG, which trades on the OTC market under the ticker BAYRY. Bayer is the sponsor of the clinical program evaluating the recombinant factor VIII product in hemophilia A.

What phase is BAY94-9027 in?

BAY94-9027 has completed Phase 3 clinical development. Its Phase 3 trial, NCT01775618, evaluated safety and efficacy in previously treated male children with hemophilia A. The program also includes a completed Phase 2 trial, NCT01580293, and a completed Phase 1 trial, NCT01184820.

What clinical trials is BAY94-9027 in?

BAY94-9027 has been studied in three completed trials: NCT01775618, a Phase 3 trial in previously treated male children with hemophilia A; NCT01580293, a Phase 2 trial in severe hemophilia A; and NCT01184820, a Phase 1 pharmacokinetics and safety trial. Total enrollment across the program was 232 patients.

Is BAY94-9027 the same as Kogenate FS?

BAY94-9027 is also known as BAY94-9027 plus recombinant factor VIII, and it has been referenced alongside Kogenate FS and BAY14-2222. These names appear in connection with the same Bayer recombinant factor VIII hemophilia A development program.

How many patients were enrolled in BAY94-9027 trials?

The BAY94-9027 clinical program enrolled 232 patients in total across three completed trials. The Phase 3 trial NCT01775618 enrolled 73 children, the Phase 2 trial NCT01580293 enrolled 145 patients aged 12 years and older, and the Phase 1 trial NCT01184820 enrolled 14 adults.