Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Also known as BMN 270 (GENEr8), BMN 270
Valoctocogene roxaparvovec · 6 trials · 4 indications
The change from baseline in FVIII activity, as measured by chromogenic substrate assay, during Weeks 49 to 52 post-BMN 270 infusion. Each subject's FVIII activity level during Week 49 to 52 is defined as the median of the values obtained during week 49-52 with the analysis window defined. Baseline: prior to BMN 270 infusion while receiving FVIII prophylaxis. The baseline value is imputed as 1 IU/dL for each subject.
The change from baseline (assuming no treatment for severe hemophilia A) in FVIII activity, as measured by chromogenic substrate assay (CSA), at Week 52 (during Weeks 49 - 52) post-BMN 270 infusion. Each participant's FVIII activity level at Week 52 is defined as the median of the values obtained within the analysis window at Weeks 49-52. The baseline value will be imputed as 1 IU/dL, since there will be no washout of severe hemophilia A participants' usual FVIII prophylaxis (in order to avoid increasing the risk of bleeding) prior to BMN 270 infusion. Post-BMN 270 infusion values for FVIII activity will be excluded from analysis if obtained within 72 hours (or 3 calendar days if time is not available) since the last infusion of exogenous FVIII replacement therapy. Baseline: prior to BMN 270 infusion while receiving FVIII prophylaxis.
Change of the FVIII activity, as measured by chromogenic substrate assay, at Week 52 post-BMN 270 infusion.
All bleeds comprises both treated and non-treated bleeds. In this definition, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. All bleeds are any reported bleeding events regardless of the use of FVIII or other treatments. ABR for all bleeds= Number of bleeding episodes for all bleeds during the calculation period / total number of days during the calculation period \* 365.25. Baseline: prior to BMN 270 infusion while receiving FVIII prophylaxis. EEP: From Week 5 post-BMN 270 infusion (Study Day 33) or the end of FVIII prophylaxis plus the washout period (3 days for products of standard half-life or plasma-derived and 5 days for products of extended half-life), whichever is later, to last visit by the data cut-off for the 2-year analysis, hereafter referred to as "Post FVIII Prophylaxis to Last Visit").
Adverse events (AEs) with onset or worsening after the investigational product were included. Participants with more than one AE of the same category were counted only once for that category. Serious adverse event (SAE)
Responder/Non responder status, where a responder was defined as a participant with median FVIII activity of \>= 5 IU/dL during Week 13-16 post-BMN 270 infusion
Values for FVIII activity were excluded from analysis if obtained within 72 hours since the last infusion of exogenous FVIII replacement therapy FVIII activity levels below the Lower limit of quantitation (LLOQ) will be imputed with 0 IU/dL Q1: 25% Percentile; Q3: 75% Percentile
| Arm | Type | Description |
|---|---|---|
| Valoctocogene roxaparvovec | EXPERIMENTAL | Single administration of valoctocogene roxaparvovec at a dose of 6E13 vg/kg |
| Valoctocogene Roxaparvovec Open Label | EXPERIMENTAL | Single administration of valoctocogene roxaparvovec at a dose of 4E13 vg/kg |
| Name | Type | Description |
|---|---|---|
| Valoctocogene roxaparvovec | BIOLOGICAL | Adeno-Associated Virus Vector-Mediated Gene Transfer of Human Factor VIII in Severe Hemophilia A |
Inclusion Criteria: * Japanese males ≥18 years of age with HA and endogenous FVIII activity levels \<1 IU/dL as evidenced by medical history, at the time of signing the informed consent * Must have been on prophylactic FVIII replacement therapy for at least 12 months prior to study entry. High-qual...
Top 8 of 9 competitors
| Company | Ticker | Trials | Lead Phase | Drugs |
|---|---|---|---|---|
| Novo Nordisk A/S Sponsored ADR Class B | NVO | 15 | PHASE3 | Concizumab, Mim8, Denecimig, NNC0442-0344 A, turoctocog alfa pegol |
| Sanofi SA Sponsored ADR | SNY | 5 | PHASE3 | Fitusiran, efanesoctocog alfa |
| Pfizer Inc. | PFE | 8 | PHASE3 | Fidanacogene elaparvovec, Marstacimab |
| BioMarin Pharmaceutical Inc. | BMRN | 2 | PHASE3 | Valoctocogene roxaparvovec |
| Hoffmann-La Roche | RHHBY | 8 | PHASE3 | Emicizumab, NXT007, SPK-8011QQ, SPK-8011, SPK-8016 |
| Regeneron Pharmaceuticals, Inc. | REGN | 2 | PHASE1 | REGV131, LNP1265 |
| Takeda Pharmaceutical Co. Ltd. Sponsored ADR | TAK | 2 | PHASE1 | AskBio009 |
| Bayer | BAYRY | 6 | - | Damoctocog-alfa-pegol |
Valoctocogene roxaparvovec is an investigational gene therapy being developed for hemophilia A, including severe hemophilia A and hemophilia A with inhibitors. It is designed as a one-time treatment approach and is currently in Phase 3 clinical development. It is being developed by BioMarin Pharmaceutical Inc.
Valoctocogene roxaparvovec is being studied for the treatment of hemophilia A, including severe hemophilia A and hemophilia A with active or prior inhibitors. Clinical trials have enrolled adult male patients aged 18 years and older. It remains investigational and has not been established as a marketed treatment.
Valoctocogene roxaparvovec targets factor IX, the F9 gene product. It is an exogenous protein gene therapy designed to deliver a functional copy of the F9 gene so that patients with hemophilia A can produce factor IX. Hemophilia A results from deficient factor VIII activity, and factor IX is a key component of the coagulation cascade.
Valoctocogene roxaparvovec is being developed by BioMarin Pharmaceutical Inc., which trades under the ticker BMRN. BioMarin is the sponsor of the clinical program evaluating the gene therapy across hemophilia A patient populations, including those with inhibitors.
Valoctocogene roxaparvovec is in Phase 3 clinical development. It is an investigational gene therapy and is not described as approved. The program includes completed Phase 3 studies and one active Phase 3 study in Japanese patients with severe hemophilia A, which is currently not recruiting.
Valoctocogene roxaparvovec has been studied in four clinical trials. These include NCT06224907, an active Phase 3 study in Japanese patients with severe hemophilia A; NCT04684940, a completed Phase 1 study in hemophilia A with inhibitors; NCT04323098, a completed Phase 3 study with prophylactic steroids; and NCT03392974, a completed Phase 3 single-arm study.