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Recombinant von Willebrand Factor

Phase 3

Von Willebrand Disease | Monoclonal antibody | Hematology |Takeda Pharmaceutical Company Limited|Trials Updated: May 19, 2021

Recombinant von Willebrand Factor target and mechanism

Molecular targetF9
Target classExogenous Protein
ModalityMonoclonal antibody

Also known as Recombinant von Willebrand Factor (rVWF)

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMC
Total Trials2
Total Enrollment73

FDA Designations

No designations recorded

Recombinant von Willebrand Factor clinical trials

Recombinant von Willebrand Factor · 2 trials · 1 indication

Phase 3 2
NCT02283268Recombinant Von Willebrand Factor in Subjects With Severe Von Willebrand Disease Undergoing SurgeryVon Willebrand Disease
COMPLETED24 Analytics
NCT01410227Pharmacokinetics, Safety and Efficacy of Recombinant Von Willebrand Factor (rVWF) in the Treatment of Bleeding Episodes in Von Willebrand Disease (VWD)Von Willebrand Disease
COMPLETED49 Analytics
PHASE3COMPLETED
Recombinant Von Willebrand Factor in Subjects With Severe Von Willebrand Disease Undergoing Surgery
Von Willebrand DiseaseUnlock trial analytics
PHASE3COMPLETED
Pharmacokinetics, Safety and Efficacy of Recombinant Von Willebrand Factor (rVWF) in the Treatment of Bleeding Episodes in Von Willebrand Disease (VWD)
Von Willebrand DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall Hemostatic Efficacy as Assessed by the Investigator (Hemophilia Physician)
24 hours after last peri-operative infusion or at completion of Day 14 (± 2 days) visit, whichever occurs earlier

Hemostatic efficacy will be rated on a scale of excellent - good - moderate - none. Excellent: Intra-, and postoperative hemostasis achieved with rVWF with our without ADVATE was as good or better than that expected for the type of surgical procedure performed in a hemostatically normal subject. Good: Intra-, and postoperative hemostasis achieved with rVWF with or without ADVATE was probably as good as that expected for the type of surgical procedure performed in a hemostatically normal subject. Moderate: Intra-, and postoperative hemostasis with rVWF with or without ADVATE was clearly less than optimal for the type of procedure performed but was maintained without the need to change the rVWF concentrate. None: Participant experienced uncontrolled bleeding that was the result of inadequate therapeutic response despite proper dosing, necessitating a change of rVWF concentrate.

Percentage of Participants With Treatment Success for Treated Bleeding Episodes
For 12 months after first infusion of rVWF:rFVIII or rVWF

Treatment success was defined as the extent of control of bleeding episodes (BEs) using a mean efficacy rating score of \<2.5 for a participant's BEs treated with study product (recombinant von Willebrand Factor \[rVWF\] with or without recombinant factor VIII \[rFVIII\]) during the study period. Scores used: Excellent = 1 - actual infusions ≤ estimated number of infusions required to treat BE; no additional VWF required (all BEs); Good = 2 - \>1-2 infusions (minor/moderate BEs) or \<1.5 infusions (major BEs) greater than estimated required to control BE; no additional VWF required (all BEs); Moderate = 3 ≥ 3 infusions (minor/moderate BEs) or ≥ 1.5 infusions (major BEs) greater than estimated required to control BE; no additional VWF required (all BEs); None = 4 - severe uncontrolled bleeding or intensity of bleeding not changed; additional VWF required. Included participants with available primary efficacy rating (prospective-excluding gastrointestinal bleeds) in the Full Analysis Set.

Secondary Endpoints

Intraoperative Actual Versus Predicted Blood Loss as Assessed by the Operating Surgeon
Day 0 (at completion of surgery)
Intraoperative Actual Blood Loss Relative to Predicted Blood Loss
Day 0 (at completion of surgery)
Intraoperative Actual Versus Predicted Blood Loss Score as Assessed by the Operating Surgeon
Day 0 (at completion of surgery)
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Recombinant von Willebrand Factor (rVWF)EXPERIMENTALSurgery participants treated with Recombinant von Willebrand Factor (rVWF)
PK 80 Arm (minimum of 22 subjects with severe VWD)EXPERIMENTALPK assessment (80 IU/kg rVWF) + 12-month treatment period
PK 50 Arm (14 subjects with type 3 VWD)EXPERIMENTALTwo single-blinded PK assessments (50 IU/kg rVWF + rFVIII/placebo) + 12-month treatment period
PK 50 Only Arm (minimum of 7 subjects with type 3 VWD)EXPERIMENTALPK assessment (50 IU/kg rVWF) only, no treatment of bleeding episodes
Treatment Only (up to 7 subjects independent of VWD subtype)EXPERIMENTALTreatment of bleeding episodes for a total of 12 months

Interventions

NameTypeDescription
Recombinant von Willebrand Factor (rVWF)BIOLOGICALrVWF will be administered by intravenous bolus infusion. Participants planned for major surgery will undergo a baseline pharmacokinetic assessment prior to surgery. The peri- and postoperative substitution regimen will be individualized according to the PK results, intensity and duration of the hemostatic challenge, and the institution´s standard of care.
PlaceboDRUGSyringe supplied with physiologic saline solution for infusion
Recombinant factor VIIII (rFVIII)BIOLOGICALIntravenous administration
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites34

Inclusion Criteria: * Diagnosis of severe von Willebrand disease (VWD) as listed below and elective surgical procedure planned 1. Type 1 (Von Willebrand factor : Ristocetin cofactor activity (VWF:RCo) \<20 IU/dL), or 2. Type 2A (as verified by multimer pattern), Type 2B (as diagnosed by genoty...

Countries:United StatesAustraliaAustriaCzechiaGermanyItalyNetherlandsRussiaSpainTaiwanTurkey (Türkiye)UkraineUnited KingdomBelgiumBulgariaCanadaIndiaJapanPolandSweden
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Competitive Landscape -Von Willebrand Disease 12 trials

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Frequently asked questions about Recombinant von Willebrand Factor

What is Recombinant von Willebrand Factor used for?

Recombinant von Willebrand Factor is used to treat von Willebrand disease, a bleeding disorder. It is studied in patients with severe von Willebrand disease, including those undergoing surgery and those experiencing bleeding episodes. It is a recombinant form of the von Willebrand factor protein.

What does Recombinant von Willebrand Factor target?

Recombinant von Willebrand Factor targets factor IX (F9). It is an exogenous protein, meaning it is a recombinant version of a naturally occurring protein. By targeting F9, it is designed to support blood clotting in patients with von Willebrand disease.

Who makes Recombinant von Willebrand Factor?

Recombinant von Willebrand Factor is developed by Takeda Pharmaceutical Company Limited, which trades under the ticker TAK. Takeda is the company responsible for its clinical development.

What phase is Recombinant von Willebrand Factor in?

Recombinant von Willebrand Factor is in Phase 3 clinical development. It is an investigational product and has not been approved by the FDA. Two Phase 3 trials have been completed.

What clinical trials is Recombinant von Willebrand Factor in?

Recombinant von Willebrand Factor has been studied in two completed Phase 3 trials: NCT02283268, which evaluated it in subjects with severe von Willebrand disease undergoing surgery, and NCT01410227, which assessed its pharmacokinetics, safety, and efficacy in treating bleeding episodes in von Willebrand disease.

Is Recombinant von Willebrand Factor the same as rVWF?

Yes, Recombinant von Willebrand Factor is also known as rVWF, which stands for recombinant von Willebrand factor. Both names refer to the same investigational product developed by Takeda.