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rFIXFc

Phase 3

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

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment43

FDA Designations

No designations recorded

Clinical trial landscape

rFIXFc · 3 trials · 2 indications

Phase 3 2Phase 1 1
NCT02234310Study to Determine the Safety and Efficacy of rFIXFc in Previously Untreated Males With Severe Hemophilia BHemophilia B
COMPLETED33 Analytics
NCT01425723Long-Term Safety and Efficacy of rFIXFc in the Prevention and Treatment of Bleeding Episodes in Previously Treated Participants With Hemophilia BSevere Hemophilia B
COMPLETED120 Analytics
PHASE3COMPLETED
Study to Determine the Safety and Efficacy of rFIXFc in Previously Untreated Males With Severe Hemophilia B
Hemophilia BUnlock trial analytics
PHASE3COMPLETED
Long-Term Safety and Efficacy of rFIXFc in the Prevention and Treatment of Bleeding Episodes in Previously Treated Participants With Hemophilia B
Severe Hemophilia BUnlock trial analytics

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 With Any Positive Inhibitor Development
Approximately 5 years

An inhibitor test result greater than or equal to (\>=)0.6 Bethesda units per milliliter (BU/mL), confirmed on 2 separate samples drawn 2 to 4 weeks apart, was considered positive. Both tests were to be performed by the central laboratory using the Nijmegen-modified Bethesda Assay. Data was summarized by treatment regimen for participants from Study 998HB102 and by age cohort (\<6 years and 6 to \<12 years old) and treatment regimen for participants from Study 9HB02PED per planned analysis. Participants were included in summary of more than 1 treatment regimen if their regimen changed during study.

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.
On-DemandEXPERIMENTALThe individual dose of rFIXFc to treat bleeding episodes will be based on participant's clinical condition, type and severity of the bleeding event, and if indicated, Factor IX peak (recovery) levels.
ProphylaxisEXPERIMENTALWeekly prophylaxis, individualized prophylaxis or personalized prophylaxis available.
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 to 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 KingdomBelgiumBrazilCanadaChinaGermanyHong KongIndiaJapanSouth Africa
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Frequently asked questions about rFIXFc

What is rFIXFc used for?

rFIXFc is an investigational therapy for hemophilia B, including severe hemophilia B. It is being developed to prevent and treat bleeding episodes in patients with this condition. The drug is currently in clinical development and has not been approved by regulatory authorities.

Who makes rFIXFc?

rFIXFc is being developed by Sanofi, a global biopharmaceutical company traded on the stock exchange under the ticker SNY. Sanofi is conducting clinical trials to evaluate the safety and efficacy of rFIXFc in patients with hemophilia B.

What phase is rFIXFc in?

rFIXFc is in Phase 3 clinical development. It has completed Phase 3 trials, including studies in previously treated patients and previously untreated patients with severe hemophilia B. The drug remains investigational and is not yet approved for commercial use.

What clinical trials is rFIXFc in?

rFIXFc has been studied in clinical trials including NCT00716716, a Phase 1/2a study in hemophilia B patients, and NCT01425723, a Phase 3 long-term safety and efficacy study in previously treated patients with severe hemophilia B. Another Phase 3 trial, NCT02234310, evaluated rFIXFc in previously untreated males with severe hemophilia B.

Is rFIXFc the same as FIXFc?

rFIXFc is also referred to as FIXFc in clinical trial documentation. The drug is a recombinant factor IX Fc fusion protein being investigated for the treatment of hemophilia B. Both names refer to the same investigational therapy developed by Sanofi.