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rFIXFc

Phase 3

Hemophilia B | Small molecule | Hematology |Sanofi|Last Updated: Mar 25, 2022

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 Enrollment43
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02234310Study to Determine the Safety and Efficacy of rFIXFc in Previously Untreated Males With Severe Hemophilia BPHASE3 COMPLETED 33Nov 13, 2014Aug 20, 2019Mar 25, 202227 United States, Australia +9
NCT00716716Phase I/IIa Study of FIXFc in Hemophilia B PatientsPHASE1 COMPLETED 10Apr 1, 2008Oct 1, 2009Dec 19, 20206 United States
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Study Endpoints
Primary Endpoints
Percentage of Participants With Confirmed Inhibitor Development as Measured by the Nijmegen-Modified Bethesda Assay
Up to 3 years

Development of an inhibitor was defined as an inhibitor test result of \>= 0.60 Bethesda units per milliliter (BU/mL) that was confirmed by a second test result of \>=0.60 BU/mL from a separate sample, drawn 2 to 4 weeks after the date when the original sample was drawn, with both tests performed by the central laboratory using Nijmegen-modified Bethesda assay.

Number of Participants experiencing Adverse Events
Up to 45 days
Secondary Endpoints
Annualized Number of Bleeding Episodes (Spontaneous and Traumatic) Per Participant (Annualized Bleeding Rate [ABR])
Up to 3 years
Annualized Number of Spontaneous Joint Bleeding Episodes
Up to 3 years
Number of rFIXFc Injections With Excellent or Good, Moderate or None Treatment Response Assessed Using a 4-Point Scale
Up to 3 years
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Recombinant Coagulation Factor IX Fc Fusion Protein (rFIXFc)EXPERIMENTALParticipants received rFIXFc intravenous (IV) injection as follows: Prophylactic treatment regimen: started with rFIXFc 50 International Units per kilogram (IU/kg) weekly until a participant reached at least 50 exposure days (ED=24-hour period in which greater than or equal to (\>=1) injection/dose of rFIXFc was given) to rFIXFc, withdrawal from study or end of study. Adjustments to dose and dosing interval was based on incremental recovery, subsequent Factor IX (FIX) levels, physical activity, bleeding pattern, in accordance with local standards of care for prophylactic regimen (PR). Treatment with episodic (on demand) regimen can be initiated before PR at investigators discretion. Episodic (On demand; optional): rFIXFc at individual doses based on participant's clinical condition, type and severity of bleeding event until PR.
rFIXFcEXPERIMENTALSix intravenous (IV) dose levels, 1, 5, 12.5, 25, 50, and 100 IU/kg
Interventions
NameTypeDescription
rFIXFcBIOLOGICALAdjustments to the dose and interval of rFIXFc was made in this study based on investigator discretion using available pharmacokinetic (PK) data, subsequent FIX trough and peak levels, level of physical activity, and bleeding pattern, in accordance with local standards of care for a prophylactic regimen. There was an option to start study dosing as episodic treatment (on-demand).
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Eligibility Criteria
Age RangeN/A — 17 Years
SexMALE
Healthy VolunteersNo
Study Sites27

Key Inclusion Criteria: * Weight \>=3.5 kilogram at the time of informed consent. * Severe hemophilia B was defined as less than or equal to (\<=)2 International Units per deciliter (IU/dL) (\<=2 percent \[%\]) endogenous FIX documented in the medical record or as tested during the Screening Period...

Countries:United StatesAustraliaDenmarkFranceIrelandItalyNetherlandsNew ZealandPolandSwedenUnited Kingdom
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