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NXT007

Phase 3

Hemophilia A | Small molecule | Hematology |Roche Holding AG|Last Updated: Sep 4, 2026

Success Probability

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Trial Design

RandomizedCONTROLLEDDMC
Total Trials3
Total Enrollment546

FDA Designations

No designations recorded

Clinical trial landscape

NXT007 · 4 trials · 2 indications

Phase 3 2Phase 1 2
NCT07416526A Clinical Study to Evaluate the Effects of NXT007 Compared to Factor VIII Prophylaxis in Participants With Hemophilia AHemophilia A
RECRUITING126 Analytics
NCT07416604A Clinical Study to Evaluate the Effects of NXT007 Compared to Emicizumab Prophylaxis in People With Hemophilia AHemophilia A
RECRUITING360 Analytics
PHASE3RECRUITING
A Clinical Study to Evaluate the Effects of NXT007 Compared to Factor VIII Prophylaxis in Participants With Hemophilia A
Hemophilia AUnlock trial analytics
PHASE3RECRUITING
A Clinical Study to Evaluate the Effects of NXT007 Compared to Emicizumab Prophylaxis in People With Hemophilia A
Hemophilia AUnlock trial analytics

Study Endpoints

Primary Endpoints

Annualized Bleed Rate (ABR) for Treated Bleeds Over the Main Study Treatment Period
6 months
Area Under the Plasma Concentration Versus Time Curve Extrapolated to Infinity (AUC0-inf) of NXT007
At prespecified timepoints from Day 1 until Day 253
Maximum Observed Plasma Concentration (Cmax) of NXT007
At prespecified timepoints from Day 1 until Day 253
Incidence and Severity of Adverse Events, with Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events Grading Scale
From Baseline until study completion or discontinuation (up to 7.5 years)
Number of Participants with at Least One Clinical Laboratory Test Abnormality for Hematology Parameters
From Baseline until study completion or discontinuation (up to 7.5 years)
Number of Participants with at Least One Clinical Laboratory Test Abnormality for Blood Chemistry Parameters
From Baseline until study completion or discontinuation (up to 7.5 years)
Number of Participants with at Least One Vital Sign Abnormality
From Baseline until study completion or discontinuation (up to 7.5 years)

The vital signs that will be assessed are body temperature, pulse rate, respiratory rate, and systolic and diastolic blood pressure.

Number of Participants with at Least One Abnormality on Electrocardiogram (ECG) Recordings
From Baseline until study completion or discontinuation (up to 7.5 years)

The ECG parameters that will be assessed are heart rate, PR interval, QRS interval, QT interval, and QTcF inteval.

Secondary Endpoints

ABR for All Bleeds Over the Main Study Treatment Period
6 months
ABR for Treated Spontaneous Bleeds Over the Main Study Treatment Period
6 months
ABR for Treated Joint Bleeds Over the Main Study Treatment Period
6 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Main Study Treatment Period: NXT007 ProphylaxisEXPERIMENTALParticipants randomized to this arm will receive NXT007 prophylaxis for the main study treatment period.
Main Study Treatment Period: FVIII SOC ProphylaxisACTIVE_COMPARATORParticipants randomized to this arm will receive FVIII standard of care (SOC) prophylaxis for the main study treatment period.
Open-Label Extension Period: NXT007 ProphylaxisEXPERIMENTALAfter the main study treatment period, participants in the NXT007 arm will be able to continue with NXT007 dosing, and participants in the FVIII arm will be able to switch to NXT007, in the open-label extension period.
Main Study Treatment Period: Emicizumab ProphylaxisACTIVE_COMPARATORParticipants randomized to this arm will receive emicizumab prophylaxis for the main study treatment period at 3 mg/kg once weekly (QW) for 4 weeks as loading doses, followed by maintenance dosing of either 1.5 mg/kg QW, 3 mg/kg once every 2 weeks (Q2W), or 6 mg/kg once every 4 weeks (Q4W). Loading doses are not required for participants who were taking emicizumab prior to study start.
A: Single NXT007 SC Injection Into AbdomenEXPERIMENTAL -
B: Single NXT007 SC Injection Into Upper ArmEXPERIMENTAL -
C: Single NXT007 SC Injection Into ThighEXPERIMENTAL -
D: Single NXT007 IV InfusionEXPERIMENTAL -
Part 1: Cohort 1 - NXT007 Dose Level 1 (Low)EXPERIMENTAL -
Part 1: Cohort 2 - NXT007 Dose Level 2EXPERIMENTAL -
Part 1: Cohort 3 - NXT007 Dose Level 3EXPERIMENTAL -
Part 1: Cohort 4 - NXT007 Dose Level 4EXPERIMENTAL -
Part 1: Cohort 5 - NXT007 Dose Level 5 (High)EXPERIMENTAL -
Part 2: Cohort A - NXT007EXPERIMENTAL -

Interventions

NameTypeDescription
NXT007COMBINATION_PRODUCTNXT007 will be administered subcutaneously (SC) using an integrated drug-device combination product.
Human Coagulation Factor VIIIDRUGFactor VIII (FVIII) prophylaxis standard of care (SOC) will be administered at the dose and frequency as stated in the local labels and per local country practice.
EmicizumabDRUGEmicizumab will be administered subcutaneously (SC) using vial and syringe.
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Eligibility Criteria

Age Range12 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites19

Inclusion Criteria: * Diagnosis of severe (FVIII:C \<1 IU/dL \[International Unit per decilitre\]) or moderate (FVIII:C between ≥1 IU/dL and ≤5 IU/dL) congenital hemophilia A without inhibitors against FVIII * No documented inhibitor (i.e., \<0.6 BU/mL \[Bethesda unit per millilitre\]), FVIII half-...

Countries:United StatesGermanyHungaryItalyJapanNetherlandsSouth KoreaSpainTaiwanUnited KingdomArgentinaBelgiumBrazilChinaDenmarkFranceIsraelNew ZealandSouth AfricaCanadaPoland
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Recent Changes (Last 90 Days)

LOWSep 4, 2026NCT07416604lastUpdatePostDate: changed
LOWAug 6, 2026NCT07416526lastUpdatePostDate: changed
LOWAug 6, 2026NCT07416604lastUpdatePostDate: changed
LOWAug 6, 2026NCT07416526lastUpdatePostDate: changed
LOWAug 6, 2026NCT07416604lastUpdatePostDate: changed

Frequently asked questions about NXT007

What is NXT007 used for?

NXT007 is an investigational small molecule being studied for the treatment of hemophilia A. It is being evaluated in clinical trials for people with severe or moderate hemophilia A, including those aged 12 years and older. It is also being studied in healthy male participants to assess its safety and how the body processes it.

Who is developing NXT007?

NXT007 is being developed by Roche Holding AG, which trades under the ticker RHHBY. Roche is conducting clinical trials of NXT007 in multiple countries, including the United States, Canada, Japan, and several European nations.

What phase is NXT007 in?

NXT007 is in Phase 1 clinical development. One Phase 1 trial in healthy male participants has been completed, and another Phase 1 trial in people with hemophilia A is currently recruiting. NXT007 is investigational and has not been approved by regulatory authorities.

What clinical trials is NXT007 in?

NXT007 is being studied in several clinical trials. NCT05987449 is a Phase 1 trial in people with severe or moderate hemophilia A. NCT06189508 is a completed Phase 1 trial in healthy male participants. NCT07416526 and NCT07416604 are Phase 3 trials comparing NXT007 to factor VIII prophylaxis and emicizumab prophylaxis, respectively, in people with hemophilia A.

Is NXT007 being tested in children?

Yes, one clinical trial of NXT007 includes children. NCT05987449, a Phase 1 study in people with hemophilia A, enrolls participants as young as 2 years old. Other trials of NXT007 enroll participants aged 12 years and older.

How is NXT007 administered in clinical trials?

In clinical trials, NXT007 is given as a subcutaneous injection. One completed study evaluated single subcutaneous doses of NXT007 administered at different injection sites, including the abdomen, upper arm, and thigh, in healthy male participants.