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Recombinant Factor VIIa

Phase 3

Intracerebral Hemorrhage | Monoclonal antibody | Neurology |Novo Nordisk A/S|Last Updated: Aug 20, 2026

Target and mechanism

Molecular targetF9
Target classExogenous Protein
ModalityMonoclonal antibody

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment350

FDA Designations

No designations recorded

Clinical trial landscape

Recombinant Factor VIIa · 1 trial · 1 indication

Phase 3 1
NCT07227246Recombinant Factor VIIa (rFVIIa) for Hemorrhagic Stroke Trial - Part 2Intracerebral Hemorrhage
RECRUITING350 Analytics
PHASE3RECRUITING
Recombinant Factor VIIa (rFVIIa) for Hemorrhagic Stroke Trial - Part 2
Intracerebral HemorrhageUnlock trial analytics

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 to 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)

LOWAug 20, 2026NCT07227246lastUpdatePostDate: changed
LOWAug 20, 2026NCT07227246lastUpdatePostDate: changed

Frequently asked questions about Recombinant Factor VIIa

What is Recombinant Factor VIIa used for in Intracerebral Hemorrhage?

Recombinant Factor VIIa is being investigated for the treatment of Intracerebral Hemorrhage, a type of hemorrhagic stroke. 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 patients with this serious neurological emergency.

What does Recombinant Factor VIIa target?

Recombinant Factor VIIa is a monoclonal antibody that targets and activates the coagulation cascade, specifically by binding to tissue factor and factor VIIa to promote clot formation. This mechanism is being studied for its potential to limit bleeding in patients with Intracerebral Hemorrhage, though the drug remains investigational.

Who makes Recombinant Factor VIIa?

Recombinant Factor VIIa is being developed by Novo Nordisk A/S, a pharmaceutical company traded on the New York Stock Exchange under the ticker symbol NVO. The company is conducting a Phase 3 clinical trial to evaluate this drug for the treatment of Intracerebral Hemorrhage.

What phase is Recombinant Factor VIIa in?

Recombinant Factor VIIa is currently in Phase 3 clinical development for Intracerebral Hemorrhage. It is an investigational drug and has not been approved by regulatory authorities for this indication. The ongoing Phase 3 trial is actively recruiting participants to evaluate the drug's safety and efficacy.

What clinical trials is Recombinant Factor VIIa in?

Recombinant Factor VIIa is being studied in a Phase 3 clinical trial registered as NCT07227246, titled 'Recombinant Factor VIIa (rFVIIa) for Hemorrhagic Stroke Trial - Part 2'. This randomized, double-blind, placebo-controlled trial is recruiting 350 participants across the United States, Canada, Germany, Japan, Spain, and the United Kingdom.

Is Recombinant Factor VIIa the same as rFVIIa?

Yes, Recombinant Factor VIIa is also known as rFVIIa. The ongoing Phase 3 clinical trial for Intracerebral Hemorrhage, NCT07227246, uses the abbreviated name rFVIIa in its title. This investigational drug is being developed by Novo Nordisk A/S for the treatment of hemorrhagic stroke.