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efanesoctocog alfa

Phase 3

Hemophilia A | Small molecule | Hematology |Sanofi|Last Updated: Sep 18, 2025

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
CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment348
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04644575Long-term Safety and Efficacy of Efanesoctocog Alfa (BIVV001) in Previously Treated Patients With Hemophilia APHASE3 ACTIVE NOT_RECRUITING 261Feb 23, 2021Jan 15, 2027Aug 1, 202585 United States, Argentina +21
NCT04759131Safety, Efficacy and PK of BIVV001 in Pediatric Patients With Hemophilia APHASE3 COMPLETED 74Feb 19, 2021Jan 18, 2023Sep 11, 202540 United States, Australia +13
NCT05042440Pharmacokinetic Assessment of Standard Half-Life (SHL) FVIII, Extended Half-Life (EHL) FVIII, and Efanesoctocog Alfa (BIVV001) in Severe Hemophilia APHASE1 COMPLETED 13Aug 11, 2021Nov 24, 2021Sep 18, 20251 Bulgaria
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Study Endpoints
Primary Endpoints
Number of participants with the occurrence of inhibitor development (neutralizing antibodies detected against factor VIII [FVIII])
Baseline to month 48

The number of participants with the occurrence of inhibitor development (neuatralizing antibodies detected against factor VIII \[FVIII\]) as determined via the Nijmegen modified Bethesda assay.

Number of Participants With Neutralising Antibodies (Development of Inhibitors) Directed Against Factor VIII
Baseline up to Week 52

Inhibitor development was defined as an inhibitor result of greater than or equal to (\>=0.6) Bethesda units (BU/mL) that was confirmed by a second test result from a separate sample, drawn 2 to 4 weeks following the date when the original sample was drawn. Both tests must have been performed by the central laboratory using the Nijmegen modified Bethesda assay.

Half-life of BIVV001
BIVV001 period: Predose, and post-dose from 0.17 hr to 336 hr, and at day 28
Half-life of SHL rFVIII
Advate® period: Predose, and post-dose from 0.17 hr to 72 hr
Half-Life of EHL rFVIII
Adynovi® period: Predose, and post-dose from 0.17 hr to 120 hr
Secondary Endpoints
Annual bleeding rate (ABR)
Baseline to month 48
Annualized bleeding rate (ABR) by type of bleed
Baseline to month 48
Annualized bleeding rate (ABR) by location
Baseline to month 48
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Arm A: Previously treated in BIVV001 studyEXPERIMENTALThis arm includes participants who have completed study EFC16293 or study EFC16295, participants who have completed Arm B or Arm C of this study (LTS16294) and roll over into Arm A, and participants who have completed any other potential BIVV001 study. Participants in this arm will continue receiving BIVV001 prophylaxis treatment once weekly (QW) for a total of 100 exposure days (EDs) cumulative from the parent study and this study. Participants will have the opportunity to continue in this study for up to 4 years, unless BIVV001 is commercially available in their applicable participating country.
Arm B: Newly initiated (China Only) in BIVV001EXPERIMENTALThis arm includes Chinese participants of any age who will be newly initiated on BIVV001 prophylaxis treatment once-weekly (QW) for 52 weeks. After 52 weeks of treatment in this arm B, participants will be able to roll over into arm A.
Arm C: Newly initiated in BIVV001 with planned major surgeryEXPERIMENTALThis arm includes participants of any age who will be newly initiated on BIVV001 prophylaxis treatment once-weekly (QW) and will undergo planned major surgery after at least 6 initial EDs with BIVV001, and within 26 weeks from Day 1. After 52 weeks of treatment in arm C, participants will be able to roll into arm A.
BIVV001: Participants aged <6 YearsEXPERIMENTALParticipants aged less than (\<) 6 years received BIVV001 at a dose of 50 international units per kilogram (IU/kg) intravenous (IV) injection once-weekly (QW) prophylaxis for 52 weeks.
BIVV001: Participants aged 6 to <12 YearsEXPERIMENTALParticipants aged 6 to \<12 years received BIVV001 at a dose of 50 IU/kg IV injection QW prophylaxis for 52 weeks.
efanesoctocog alfa (BIVV001)EXPERIMENTALEach participant will be sequentially dosed with three single intravenous (IV) doses of first rFVIII (Advate®), second Polyethylene Glycol (PEG)-rFVIII (Adynovi® or Adynovate®), and lastly, BIVV001
Interventions
NameTypeDescription
efanesoctocog alfa (BIVV001)DRUGPharmaceutical form:Solution for Injection Route of administration: Intravenous
Efanesoctocog alfaDRUGSolution for injection Intravenous
Octocog alfaDRUGSolution for injection Intravenous
Rurioctocog alfa pegolDRUGSolution for injection Intravenous
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Eligibility Criteria
Age RangeN/A — 11 Years
SexALL
Healthy VolunteersNo
Study Sites85

Inclusion criteria : * For participants rolling over into Arm A * Participants who have completed the studies EFC16923, EFC16925, Arm B or Arm C of the current study, or any other potential BIVV001 study. * Male or Female * For participants new to BIVV001 (Arm B and C) * Participants who ha...

Countries:United StatesArgentinaAustraliaBelgiumBrazilBulgariaCanadaChinaFranceGermanyGreeceHungaryIrelandItalyJapanNetherlandsSouth KoreaSpainSwedenSwitzerlandTaiwanTurkey (Türkiye)United Kingdom
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