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Recombinant Factor VIIa

Phase 3

Intracerebral Hemorrhage | Monoclonal antibody | Other |Novo Nordisk A/S|Last Updated: Apr 22, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment350
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07227246Recombinant Factor VIIa (rFVIIa) for Hemorrhagic Stroke Trial - Part 2PHASE3 RECRUITING 350May 6, 2025Jun 1, 2029Apr 22, 202689 United States, Canada +4
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Study Endpoints
Primary Endpoints
Modified Rankin Scale
90 days

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

Secondary Endpoints
Modified Rankin Scale
90 days
EQ-5D
90 days
Change in the volume of ICH and ICH+IVH
Between baseline and 24 hours
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Recombinant Factor VIIaEXPERIMENTALrFVIIa given as IV injection over 2 minutes within 120 minutes of stroke onset
PlaceboPLACEBO_COMPARATORPlacebo given as IV injection over 2 minutes within 120 minutes of stroke onset
Interventions
NameTypeDescription
Recombinant Factor VIIaBIOLOGICALParticipants will be randomized in a double-blinded fashion to rFVIIa 80 µg/kg dose (maximum 10 mg dose) or matching placebo. All participants in FASTEST Part 2 must have a positive spot sign on baseline CTA and be treated within 120 minutes of onset or patients treated within 90 minutes of stroke onset, with or without a positive spot sign. 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.
Biological/Vaccine: PlaceboBIOLOGICALParticipants will be randomized in a double-blinded fashion to rFVIIa 80 µg/kg dose (maximum 10 mg dose) or matching placebo. All participants in FASTEST Part 2 must have a positive spot sign on baseline CTA and be treated within 120 minutes of onset or patients treated within 90 minutes of stroke onset, with or without a positive spot sign. 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 — 80 Years
SexALL
Healthy VolunteersNo
Study Sites89

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 with a positive spot sign on pretreatment CT angiography or treatment within 90 minutes with or ...

Countries:United StatesCanadaGermanyJapanSpainUnited Kingdom
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT07227246primaryCompletionDate: changed
LOWMay 24, 2026NCT07227246studyFirstPostDate: changed