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Recombinant Activated Factor VII

Phase 3

Intracerebral Hemorrhage | Monoclonal antibody | Neurology |Novo Nordisk A/S|Last Updated: Jan 21, 2026

Target and mechanism

Molecular targetF9
Target classExogenous Protein
ModalityMonoclonal antibody

Also known as Recombinant Activated Factor VII (rFVIIa)

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment860

FDA Designations

No designations recorded

Clinical trial landscape

Recombinant Activated Factor VII · 1 trial · 1 indication

Phase 3 1
NCT03496883Recombinant Factor VIIa (rFVIIa) for Hemorrhagic Stroke TrialIntracerebral Hemorrhage
ACTIVE NOT_RECRUITING860 Analytics
PHASE3ACTIVE NOT_RECRUITING
Recombinant Factor VIIa (rFVIIa) for Hemorrhagic Stroke Trial
Intracerebral HemorrhageUnlock trial analytics

Study Endpoints

Primary Endpoints

Modified Rankin Scale (mRS)
180 days

Ordinal distribution with the following steps: 0-2, 3, 4-6

Secondary Endpoints

mRS
180 days
EQ-5D
180 days
Change in the volume of ICH and ICH+IVH
Between baseline CT and 24-hour CT
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Recombinant Activated Factor VII (rFVIIa)ACTIVE_COMPARATORrFVIIa given as IV injection over 2 minutes within 120 minutes of stroke onset
PlaceboPLACEBO_COMPARATORMatching placebo given as IV injection over 2 minutes within 120 minutes of stroke onset

Interventions

NameTypeDescription
Recombinant Activated Factor VII (rFVIIa)BIOLOGICALParticipants will be randomized in a double-blinded fashion to rFVIIa 80 µg/kg dose (maximum 10 mg dose) or matching placebo. Participants in both arms will receive best standard therapy as per published AHA Guidelines for ICH, including a target systolic blood pressure of 140 mm Hg.
PlaceboBIOLOGICALParticipants will be randomized in a double-blinded fashion to rFVIIa 80 µg/kg dose (maximum 10 mg dose) or matching placebo. Participants in both arms will receive best standard therapy as per published AHA Guidelines for ICH, including a target systolic blood pressure of 140 mm Hg.
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Eligibility Criteria

Age Range18 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites88

Inclusion Criteria: 1. Patients aged 18-80 years, inclusive 2. Patients with spontaneous ICH 3. Able to treat with study medication (rFVIIa/placebo) within 120 minutes of stroke onset or last known well 4. Efforts to obtain informed consent per EFIC guidelines (U.S.) or adherence to country-specifi...

Countries:United StatesCanadaGermanyJapanSpainUnited Kingdom
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Frequently asked questions about Recombinant Activated Factor VII

What is Recombinant Activated Factor VII used for in Intracerebral Hemorrhage?

Recombinant Activated Factor VII (rFVIIa) is being investigated for the treatment of intracerebral hemorrhage, a type of bleeding within the brain. It is currently in Phase 3 clinical development as an investigational therapy for this condition. The drug is being studied to assess its potential benefit in managing this serious neurological emergency.

What does Recombinant Activated Factor VII target?

Recombinant Activated Factor VII is a monoclonal antibody that targets the coagulation pathway. It works by activating factor VII, which plays a key role in the blood clotting cascade, potentially helping to reduce bleeding in patients with intracerebral hemorrhage. The drug is designed to promote hemostasis at the site of bleeding in the brain.

Who makes Recombinant Activated Factor VII?

Recombinant Activated Factor VII is being developed by Novo Nordisk A/S, a global healthcare company. Novo Nordisk is listed on the stock exchange under the ticker symbol NVO. The company is conducting clinical trials to evaluate the safety and efficacy of this drug for intracerebral hemorrhage.

What phase is Recombinant Activated Factor VII in?

Recombinant Activated Factor VII is currently in Phase 3 clinical development. It is an investigational drug and has not yet been approved by regulatory authorities. The ongoing Phase 3 trial is designed to evaluate its effectiveness and safety in patients with intracerebral hemorrhage, with results expected to inform potential regulatory submissions.

What clinical trials is Recombinant Activated Factor VII in?

Recombinant Activated Factor VII is being studied in a Phase 3 clinical trial registered as NCT03496883, titled 'Recombinant Factor VIIa (rFVIIa) for Hemorrhagic Stroke Trial'. This randomized, double-blind, placebo-controlled trial is enrolling 860 participants with intracerebral hemorrhage across the United States, Canada, Germany, Japan, Spain, and the United Kingdom.

Is Recombinant Activated Factor VII the same as rFVIIa?

Yes, Recombinant Activated Factor VII is also known as rFVIIa. The abbreviation rFVIIa stands for recombinant activated factor VII, which is the same drug. This naming is commonly used in clinical and research settings to refer to this investigational therapy for intracerebral hemorrhage.