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Fesomersen

Phase 2

End Stage Renal Disease Requiring Hemodialysis | RNA therapy | Nephrology |Bayer AG|Trials Updated: Jul 3, 2023

Fesomersen target and mechanism

Target class-Sen (Aso)
ModalityRNA therapy

Also known as Fesomersen sodium (BAY2976217), Factor XI LICA

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment307

FDA Designations

No designations recorded

Fesomersen clinical trials

Fesomersen · 1 trial · 1 indication

Phase 2 1
NCT04534114Factor XI LICA to Reduce Events Such as Heart Attack and Stroke in Patients Whose Kidneys Are no Longer Able to Work as They Should and Require Treatment to Filter Wastes From the Blood: Focus is on the Safety of BAY2976217 and the Way the Body Absorbs, Distributes and Removes the Study DrugEnd Stage Renal Disease Requiring Hemodialysis
COMPLETED307 Analytics
PHASE2COMPLETED
Factor XI LICA to Reduce Events Such as Heart Attack and Stroke in Patients Whose Kidneys Are no Longer Able to Work as They Should and Require Treatment to Filter Wastes From the Blood: Focus is on the Safety of BAY2976217 and the Way the Body Absorbs, Distributes and Removes the Study Drug
End Stage Renal Disease Requiring HemodialysisUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence of Composite of Major Bleeding (MB) and Clinically-relevant Non-major Bleeding (CRNMB) During the Main Treatment Period and Within the On-treatment Time Window, as Assessed by Blinded Central Independent Adjudication Committee (CIAC)
Up to 24 weeks

MB is defined as symptomatic bleeding and: 1) Fatal bleeding, and/or; 2) Bleeding in a critical area or organ, such as intracranial, intraspinal, intraocular, retroperitoneal, intraarticular or pericardial, or intramuscular with compartment syndrome, and/or; 3) Bleeding causing a fall in hemoglobin level of 20 g/L (2.0 g/dL) (1.24 mmol/L) or more, or leading to transfusion of two or more units of whole blood or red cells. CRNMB is defined as any sign or symptom of hemorrhage that does not fit the criteria for the ISTH definition of major bleeding but does meet at least one of the following criteria: 1) Requiring medical intervention by a healthcare professional; 2) Leading to hospitalization or increased level of care; 3) Prompting a face-to-face evaluation. n/100 person-years: number of subjects with incident events divided by the cumulative at-risk time in the reference population, where a subject is no longer at risk once an incident event occurred.

Secondary Endpoints

Incidence of Composite of MB and CRNMB During the Main and Extended Treatment Periods and Within the On-treatment Time Window, as Assessed by Blinded CIAC
Up to 48 weeks
Number of Participants With Treatment-emergent Adverse Events (TEAEs) During the Main Treatment Period and Within the On-treatment Time Window and Their Severity
Up to 24 weeks
Number of Participants With TEAEs During the Main and Extended Treatment Periods and Within the On-treatment Time Window and Their Severity
Up to 48 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Pooled PlaceboPLACEBO_COMPARATORParticipants received subcutaneous treatment with matching placebo.
40 mg BAY2976217EXPERIMENTALParticipants received subcutaneous treatment with 40 mg BAY2976217.
80 mg BAY2976217EXPERIMENTALParticipants received subcutaneous treatment with 80 mg BAY2976217.
120 mg BAY2976217EXPERIMENTALParticipants received subcutaneous treatment with 120 mg BAY2976217.

Interventions

NameTypeDescription
Fesomersen sodium (BAY2976217)DRUGStudy intervention will be injected subcutaneously.
PlaceboDRUGMatching placebo to BAY2976217 will be injected subcutaneously.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites69

Inclusion Criteria: * Participant must be at least 18 years of age at the time of signing the informed consent form (ICF) * Participants with ESRD on hemodialysis (HD) for ≥3 months at the time of signing of the ICF, receiving dialysis at least 9 hours a week and stable in the view of the investiga...

Countries:United StatesBelgiumBulgariaCanadaCzechiaGermanyGreeceHungaryJapanLatviaRussiaSouth KoreaSpainTaiwanUkraine
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Frequently asked questions about Fesomersen

What is Fesomersen used for?

Fesomersen is being developed for people with end stage renal disease who require hemodialysis. It is an investigational RNA therapy studied in this patient population, with the goal of reducing the risk of events such as heart attack and stroke. It is not approved for use.

How does Fesomersen work?

Fesomersen is an antisense oligonucleotide, an RNA therapy that targets factor XI. By reducing factor XI, a protein involved in blood clotting, the drug is designed to lower clot formation. Its development focuses on reducing thrombotic events such as heart attack and stroke in patients on hemodialysis.

Who is developing Fesomersen?

Fesomersen is being developed by Bayer AG, which trades on the OTC market under the ticker BAYRY. Bayer sponsored the clinical program evaluating the drug in patients with end stage renal disease requiring hemodialysis.

What phase is Fesomersen in?

Fesomersen is in Phase 2 development. It is an investigational drug and has not been approved by the FDA. The Phase 2 trial in patients with end stage renal disease requiring hemodialysis has been completed.

What clinical trials is Fesomersen in?

Fesomersen has been studied in one completed Phase 2 trial, NCT04534114. That randomized, double-blind, placebo-controlled study enrolled 307 patients with end stage renal disease requiring hemodialysis across the United States, Europe, and Asia, and assessed safety along with how the body absorbs, distributes, and removes the drug.

Is Fesomersen the same as BAY2976217?

Yes. Fesomersen is also known as fesomersen sodium, or BAY2976217, Bayer's internal compound code. Both names refer to the same investigational antisense RNA therapy targeting factor XI.