Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Also known as BeneFIX
Nonacog alfa · 4 trials · 1 indication
The annualized bleed rate (ABR) or the annualized number of bleeding episodes per year, will be derived for each participant for each treatment period by using the following formula: ABR = number of bleeds / (Days on treatment period / 365.25) The number of bleeds for the ABR calculation includes all bleeds requiring treatment with factor IX product during the time on treatment.
Investigator Hemostatic Efficacy Assessment was based on response of bleeding episodes to BeneFIX treatment on 4-point rating scale: Excellent(1): definite pain relief or improvement in signs of bleeding starting within 8 hrs after infusion, with no additional infusion; Good(2): definite pain relief or improvement in signs of bleeding starting within 8 hrs or following infusion; Moderate(3): probable or slight improvement starting after 8 hours following infusion; No Response(4): no improvement at all between infusions or during 24 hour interval following an infusion, or condition worsens.
Investigator Hemostatic Efficacy Assessment was based on response of bleeding episodes to BeneFIX treatment on 4-point rating scale: Excellent(1): definite pain relief or improvement in signs of bleeding starting within 8 hrs after infusion, with no additional infusion; Good(2): definite pain relief or improvement in signs of bleeding starting within 8 hrs or following infusion; Moderate(3): probable or slight improvement starting after 8 hours following infusion; No Response(4): no improvement at all between infusions or during 24 hour interval following an infusion, or condition worsens.
Incidence of FIX inhibitor was defined as any result determined as positive at local laboratory, and confirmed at central laboratory with Nijmegen assay result \>=0.6 Bethesda Unit (BU). Incidence was stratified by participant exposure history - Minimally Treated Patients (MTPs): those who had received at least one prior FIX infusion, and \<= 100 documented Exposure Days (EDs); while Previously Treated Patients (PTPs): those who had received \>100 documented prior EDs. When number of prior EDs for an individual was not known to be at least 100, participants were included in the MTP population.
Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. Vss is the apparent volume of distribution at steady-state.
Linear regression of the log linear concentration time curve. Only those data points judged to describe the terminal log linear decline were used in the regression.
AUMCinf/AUCinf, where AUMCinf is the area under the first moment curve from time 0 extrapolated to infinite time, calculated using the linear/log trapezoidal method.
Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.
CL is a quantitative measure of the rate at which a drug substance is removed from the body.
Incremental recovery: Increase in circulating increase in FIX activity for every IU of BeneFIX administered per kg of body weight.
| Arm | Type | Description |
|---|---|---|
| BeneFIX | OTHER | - |
| Name | Type | Description |
|---|---|---|
| Nonacog alfa | BIOLOGICAL | Period 1: During on-demand period, dosing at the discretion of investigator. |
| Benefix | BIOLOGICAL | BeneFIX for on-demand treatment of bleeding episodes were according to investigator prescription. FIX recovery was assessed by determining the FIX activity (FIX:C) levels in individual subjects. BeneFIX dosage for recovery assessments: single 75 IU/kg (±5 IU/kg) IV bolus infusion. |
Inclusion Criteria: * Documented history of moderately-severe to severe hemophilia B (FIX activity \</=2%). * Male subjects, aged 12 years to 65 years. * Subjects with at least 100 exposure days (EDs) to factor IX products. * Subjects with a minimum of 12 bleeding episodes, 6 of which must be joint...
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 |
Nonacog alfa is used to treat hemophilia B, a bleeding disorder caused by deficient or defective coagulation factor IX. It is studied in patients with moderately severe to severe hemophilia B, including on-demand treatment of bleeding episodes and prophylaxis regimens. The clinical program enrolled males aged 12 years and older.
Nonacog alfa targets coagulation factor IX, encoded by the F9 gene. It is an exogenous protein that supplies functional factor IX to replace the missing or defective protein in hemophilia B, supporting the coagulation cascade and clot formation. Its target class is an exogenous protein rather than a small molecule or antibody.
Nonacog alfa is developed by Pfizer, Inc., which trades under the ticker PFE. Pfizer is the sponsor responsible for the clinical development program in hemophilia B, including the Phase 3 study comparing on-demand treatment with a prophylaxis regimen.
Nonacog alfa is in Phase 3 clinical development for hemophilia B. The program includes one completed Phase 3 trial with 25 enrolled participants. It is an investigational product in this development stage and is not described as approved.
Nonacog alfa has been studied in the Phase 3 trial NCT01335061, titled Study To Compare On-Demand Treatment To A Prophylaxis Regimen Of BeneFIX In Subjects With Moderately Severe to Severe Hemophilia B. The trial is completed, enrolled 25 participants, and was conducted in Bulgaria, Canada, Croatia, Malaysia, Mexico, Poland, Singapore, South Korea, and Turkey.