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NXT007

Phase 3

Hemophilia A | Small molecule | Hematology |Roche Holding AG|Trials Updated: Oct 19, 2026

NXT007 development status

Highest phase Phase 3
Registered trials 5 across 1 sponsor since Aug 2023

NXT007 target and mechanism

ModalitySmall molecule

Also known as Zemocimig, RO7589655, RG6512

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDDMC
Total Trials4
Total Enrollment608

FDA Designations

No designations recorded

NXT007 clinical trials

NXT007 · 4 trials · 1 indication

Phase 3 3Phase 1 1
NCT07838194Clinical Trial of NXT007 for the Prophylactic Treatment of Hemophilia A in Infants and ChildrenHemophilia A
NOT YET_RECRUITING50 Analytics
NCT07416526A Clinical Study to Evaluate the Effects of NXT007 Compared to Factor VIII Prophylaxis in Participants With Hemophilia AHemophilia A
RECRUITING138 Analytics
NCT07416604A Clinical Study to Evaluate the Effects of NXT007 Compared to Emicizumab Prophylaxis in People With Hemophilia AHemophilia A
RECRUITING360 Analytics
PHASE3NOT YET_RECRUITING
Clinical Trial of NXT007 for the Prophylactic Treatment of Hemophilia A in Infants and Children
Hemophilia AUnlock trial 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
From Month 2 until the clinical cutoff date (at least 7 months of study treatment)
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
From Month 2 until the clinical cutoff date (at least 7 months of study treatment)
ABR for Treated Spontaneous Bleeds Over the Main Study Treatment Period
From Month 2 until the clinical cutoff date (at least 7 months of study treatment)
ABR for Treated Joint Bleeds Over the Main Study Treatment Period
From Month 2 until the clinical cutoff date (at least 7 months of study treatment)
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
NXT007 ProphylaxisEXPERIMENTAL -
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.
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
NXT007DRUGNXT007 will be administered subcutaneously (SC) according to the schedule in the protocol.
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 Range0 Years to 17 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Age \<12 years at the time of signing Informed Consent Form; or age ≥12 and \<18 years with body weight \<40 kg * Diagnosis of severe (Factor VIII coagulation protein activity \[FVIII:C\] \<1 International Unit per decilitre \[IU/dL\]) or moderate (FVIII:C between ≥1 IU/dL and...

Countries:United StatesArgentinaBrazilChinaDenmarkFranceGermanyHungaryItalyJapanNetherlandsSouth AfricaSouth KoreaSpainSwitzerlandTaiwanUnited KingdomAustraliaBelgiumCanadaIrelandIsraelNew ZealandPoland
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Recent Changes (Last 90 Days)

LOWOct 19, 2026NCT07838194lastUpdatePostDate: changed
LOWOct 19, 2026NCT07838194lastUpdatePostDate: changed
LOWOct 19, 2026NCT07838194lastUpdatePostDate: changed
LOWOct 8, 2026NCT05987449lastUpdatePostDate: changed
LOWOct 8, 2026NCT05987449lastUpdatePostDate: changed
LOWOct 8, 2026NCT05987449lastUpdatePostDate: changed
LOWOct 6, 2026NCT07416604lastUpdatePostDate: changed
LOWOct 6, 2026NCT07416604lastUpdatePostDate: changed
LOWSep 24, 2026NCT07838194NEW_TRIAL: changed
LOWSep 24, 2026NCT07838194NEW_TRIAL: changed
LOWSep 23, 2026NCT07416526Enrollment: 126 → 138
LOWSep 23, 2026NCT07416526Enrollment: 126 → 138
LOWSep 23, 2026NCT07416526Enrollment: 126 → 138
LOWSep 11, 2026NCT05987449lastUpdatePostDate: changed
LOWSep 11, 2026NCT05987449lastUpdatePostDate: changed
LOWSep 9, 2026NCT07416526lastUpdatePostDate: changed
LOWSep 9, 2026NCT07416526lastUpdatePostDate: changed
LOWSep 4, 2026NCT07416604lastUpdatePostDate: changed
LOWSep 4, 2026NCT07416604lastUpdatePostDate: changed
LOWAug 6, 2026NCT07416526lastUpdatePostDate: changed

Frequently asked questions about NXT007

What is NXT007 used for in hemophilia A?

NXT007 is an investigational therapy being developed for the treatment of hemophilia A, including prophylactic treatment in infants, children, and adults. It is being studied both as a preventive treatment and in comparison with existing prophylaxis options such as emicizumab and Factor VIII. It has not been approved for any indication.

Who is developing NXT007?

NXT007 is being developed by Roche Holding AG, which trades on the OTC market under the ticker RHHBY. Roche is running the clinical development program for NXT007 across multiple Phase 3 trials and one Phase 1 study in hemophilia A.

What phase is NXT007 in?

NXT007 is in Phase 3 clinical development for hemophilia A. Three of its four trials are Phase 3 studies, and one is a Phase 1 study evaluating safety, tolerability, pharmacokinetics, pharmacodynamics, and efficacy. NXT007 is investigational and has not been approved by the FDA.

What clinical trials is NXT007 in?

NXT007 is being studied in four clinical trials. NCT07416604 compares NXT007 with emicizumab prophylaxis, and NCT07416526 compares it with Factor VIII prophylaxis, both in participants aged 12 and older. NCT07838194 evaluates prophylactic treatment in infants and children, and NCT05987449 is a Phase 1 study in severe or moderate hemophilia A.

How many patients are enrolled in NXT007 trials?

The NXT007 clinical program has a total planned enrollment of 608 participants across four trials. NCT07416604 plans to enroll 360 participants, NCT07416526 plans 138, NCT05987449 plans 60, and NCT07838194 plans 50. All four trials are controlled, and the program includes randomized studies.

Which countries are running NXT007 trials?

NXT007 trials are being conducted across North America, Europe, Asia, Latin America, and other regions. Countries include the United States, Canada, the United Kingdom, Germany, France, Italy, Spain, Japan, China, South Korea, Taiwan, Brazil, Argentina, Australia, New Zealand, South Africa, and several others.