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moroctocog alfa

Phase 3

Hemophilia A | Small molecule | Hematology |Pfizer, Inc.|Trials Updated: Jan 11, 2019

moroctocog alfa development status

Highest phase Phase 3
Registered trials 7 across 2 sponsors since May 2002

moroctocog alfa target and mechanism

Molecular targetF8
Target classExogenous Protein
ModalitySmall molecule

Also known as moroctocog alfa (AF-CC), Refacto AF

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDDMC
Total Trials6
Total Enrollment212

FDA Designations

No designations recorded

moroctocog alfa clinical trials

moroctocog alfa · 6 trials · 1 indication

Phase 3 5Phase 1 1
NCT00543439Study Evaluating Prophylaxis Treatment & Characterizing Efficacy, Safety, & PK Of B-Domain Deleted Recombinant FVIIIHemophilia A
COMPLETED66 Analytics
NCT00243659Study Evaluating B-Domain Deleted Recombinant Factor VIII (BDDrFVIII, ReFacto AF) in Patients With Hemophilia A Undergoing Elective Major SurgeryHemophilia A
COMPLETED30 Analytics
NCT00141843Study to Establish Bioequivalence of ReFacto AF (BDDrFVIII) With Advate (FLrFVIII) in Hemophilia AHemophilia A
COMPLETED100 Analytics
NCT00037544Study Evaluating ReFacto AF in Severe Hemophilia AHemophilia A
COMPLETED- Analytics
NCT00038935Study Evaluating BDDRFVIII and ReFacto AF in Hemophilia AHemophilia A
COMPLETED- Analytics
PHASE3COMPLETED
Study Evaluating Prophylaxis Treatment & Characterizing Efficacy, Safety, & PK Of B-Domain Deleted Recombinant FVIII
Hemophilia AUnlock trial analytics
PHASE3COMPLETED
Study Evaluating B-Domain Deleted Recombinant Factor VIII (BDDrFVIII, ReFacto AF) in Patients With Hemophilia A Undergoing Elective Major Surgery
Hemophilia AUnlock trial analytics
PHASE3COMPLETED
Study to Establish Bioequivalence of ReFacto AF (BDDrFVIII) With Advate (FLrFVIII) in Hemophilia A
Hemophilia AUnlock trial analytics
PHASE3COMPLETED
Study Evaluating ReFacto AF in Severe Hemophilia A
Hemophilia AUnlock trial analytics
PHASE3COMPLETED
Study Evaluating BDDRFVIII and ReFacto AF in Hemophilia A
Hemophilia AUnlock trial analytics

Study Endpoints

Primary Endpoints

Mean Annualized Bleed Rate (ABR) by Treatment: On Demand Cohort
Day 1 up to Month 6 (OD Cohort, OD Therapy, Period 1); Month 7 up to Month 18 (OD Cohort, RP 25 IU/kg, Period 2)

ABR for each participant was calculated as the number of bleeds requiring administration of moroctocog alfa (AF-CC) divided by the total therapy duration (in days), then multiplied by 365.25 (days in a year).

Number of Patients Who Achieved Hemostatic Efficacy After Surgery
6 weeks

Efficacy at the end of surgery as determined by the investigator and/or the surgeon using the 4 point ordinal scale (Excellent, Good, Moderate or None). Excellent: Achieved hemostatic comparable to non-hemophilic patients. Good: Prolonged time to hemostasis (with somewhat increased bleeding compared to non-hemophilic patients.

To determine the incidence rate of Factor VIII inhibitors in the study patient population.To establish bioequivalence of ReFacto AF as compared to Advate using the one stage Factor VIII activity assay.
Single dose pharmacokinetics of moroctocog alfa (AF-CC) using noncompartmental analysis (primary PK parameters include: Cmax, AUClast, and AUCinf)
Periods 1 and 2, Day 1 through 4

Secondary Endpoints

Mean Annualized Bleed Rate (ABR) by Treatment: Routine Prophylaxis Cohort
Day 1 up to Month 24 (RP Cohort, Period 1 and Period 2)
Mean of Moroctocog Alfa (AF-CC) Infusions Administered To Treat Bleeding Episode: All Participants
Day 1 up to Month 24
Number of Treated Bleeds Classified on Basis of Response to First Infusion of Moroctocog Alfa (AF-CC) as On-Demand Treatment: OD Therapy (OD and RP Cohort)
Day 1 up to Month 24
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1EXPERIMENTALOn-Demand therapy for 6 months, followed by Routine Prophylaxis treatment for 1 year.
2EXPERIMENTALRoutine Prophylaxis Crossover
AEXPERIMENTAL -
BEXPERIMENTAL -
Sequence 1EXPERIMENTALSubjects randomized to receive Treatment A during Period 1, then Treatment B during Period 2.
Sequence 2EXPERIMENTALSubjects randomized to receive Treatment B during Period 1, then Treatment B during Period 2.

Interventions

NameTypeDescription
Moroctocog alfa (AF-CC)BIOLOGICALOn-demand therapy for 6 months, followed by routine prophylaxis 25 IU/kg, administered every other day for 1 year.
ReFacto AFBIOLOGICAL -
B-Domain deleted Recombinant Factor VIIIGENETIC -
BDDrFVIIIGENETIC -
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Eligibility Criteria

Age Range6 Months to 15 Years
SexMALE
Healthy VolunteersNo
Study Sites28

Inclusion Criteria: * Male subjects, aged less than 6 years, with moderately severe to severe hemophilia A. * A negative FVIII inhibitor titer at screening, and a medical history negative for a past FVIII inhibitor. * At least 20 exposure days to any FVIII replacement product. * Adequate hepatic an...

Countries:United StatesArgentinaAustriaColombiaCroatiaJordanMexicoNew ZealandOmanPeruPolandRomaniaTurkey (Türkiye)AustraliaHungarySwedenBelgiumFinlandFranceGermanyItalyNetherlandsSpainBulgariaUnited Kingdom
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Frequently asked questions about moroctocog alfa

What is moroctocog alfa used for?

Moroctocog alfa is used to treat hemophilia A, a bleeding disorder caused by deficient or defective factor VIII. It is a recombinant factor VIII replacement therapy developed by Pfizer for patients with hemophilia A, including use as prophylaxis to reduce bleeding episodes.

What does moroctocog alfa target?

Moroctocog alfa targets factor VIII, also known as F8. It is an exogenous protein that supplies functional factor VIII to replace the missing or defective clotting protein in hemophilia A patients, thereby supporting normal blood coagulation.

Who makes moroctocog alfa?

Moroctocog alfa is developed and manufactured by Pfizer, Inc., which trades on the New York Stock Exchange under the ticker PFE. Pfizer conducted the clinical development program for this recombinant factor VIII product.

What phase is moroctocog alfa in?

Moroctocog alfa has been studied in Phase 3 clinical development for hemophilia A. It is an investigational recombinant factor VIII therapy, and both of its registered trials are completed with no active trials currently listed.

What clinical trials is moroctocog alfa in?

Moroctocog alfa has been evaluated in two completed trials. NCT00543439 was a Phase 3 study of prophylaxis treatment, efficacy, safety, and pharmacokinetics in hemophilia A with 66 patients. NCT01579903 was a Phase 1 relative bioavailability study of two formulations with 16 patients.

Is moroctocog alfa the same as moroctocog alfa (AF-CC)?

Yes, moroctocog alfa (AF-CC) is an alternative name for moroctocog alfa. The AF-CC designation refers to the albumin-free cell culture formulation of this recombinant factor VIII product, and both names refer to the same Pfizer hemophilia A therapy.