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PF-06838435

Phase 3

Hemophilia B | Monoclonal antibody | Hematology |Pfizer, Inc.|Last Updated: Jun 1, 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
UNCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment72
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03861273A Study to Evaluate the Efficacy and Safety of Factor IX Gene Therapy With PF-06838435 in Adult Males With Moderately Severe to Severe Hemophilia BPHASE3 ACTIVE NOT_RECRUITING 51Jul 29, 2019Feb 25, 2031Jun 1, 202667 United States, Australia +14
NCT03307980Long-term Safety and Efficacy Study and Dose-Escalation Substudy of PF 06838435 in Individuals With Hemophilia BPHASE2 ACTIVE NOT_RECRUITING 21Jun 22, 2017Oct 25, 2029May 12, 202625 United States, Australia +2
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Study Endpoints
Primary Endpoints
Annualized Bleeding Rate (ABR) for Total Bleeds (Treated and Untreated) From Week 12 to Month 15
Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)

ABR = number of total bleeding episodes on study during the given time period) \*365.25/ (Date of last day - date of first day +1) in that time period. Surgical procedures were excluded from summary/analyses. Treated Bleed: An event necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding (protocol definition, unless specifically referring to untreated bleed). Untreated Bleed: A bleeding event not necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. This outcome measure compared data collected from lead-in study C0371004 and from current study C0371002. Pre-infusion period = at least 6 months of prospectively collected data while receiving FIX prophylaxis replacement therapy in lead-in study C0371004 up to dosing in current study C0371002.

Incidence of PF-06838435 related adverse events
Baseline up to Year 6
Secondary Endpoints
ABR for Treated Bleeds From Week 12 to Month 15
Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)
Annualized Infusion Rate (AIR) of Exogenous FIX From Week 12 to Month 15
Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)
Steady State Circulating Factor IX (FIX:C) From Week 12 to Month 15
Week 12 to Month 15
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PF-06838435/ fidanacogene elaparvovecEXPERIMENTAL -
PF-06838435 Dose-EscalationEXPERIMENTALSingle intravaneous infusion of PF-06838435. After 2 participants receive initial dose, data will be evaluated and a decision will be made to escalate or reduce the dose being evaluated, increase the number of participants receiving the dose, or stop dosing. Multiple iterations may be undertaken.
Interventions
NameTypeDescription
PF-06838435/ fidanacogene elaparvovecBIOLOGICALGene Therapy
PF-06838435 (formerly SPK-9001)BIOLOGICALGene Therapy: A novel, bioengineered adeno-associated viral vector carrying human factor IX variant
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Eligibility Criteria
Age Range18 Years — 65 Years
SexMALE
Healthy VolunteersNo
Study Sites67

Inclusion Criteria * Males who completed 6 months of Factor IX prophylaxis therapy during the lead-in study (C0371004) prior to providing consent at the screening visit for this study. * Documented moderately severe to severe hemophilia B (Factor IX activity \< =2%) * Previous experience with FIX t...

Countries:United StatesAustraliaBrazilCanadaFranceGermanyGreeceItalyJapanSaudi ArabiaSouth KoreaSpainSwedenTaiwanTurkey (Türkiye)United Kingdom
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Recent Changes (Last 90 Days)
MEDIUMJun 2, 2026NCT03861273lastUpdatePostDate: changed
MEDIUMJun 2, 2026NCT03861273lastUpdatePostDate: changed
MEDIUMJun 2, 2026NCT03861273lastUpdatePostDate: changed
MEDIUMMay 26, 2026NCT03861273primaryCompletionDate: changed
LOWMay 26, 2026NCT03307980primaryCompletionDate: changed
LOWMay 24, 2026NCT03861273studyFirstPostDate: changed
LOWMay 24, 2026NCT03307980studyFirstPostDate: changed