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Vonicog alfa

Phase 3

Von Willebrand Disease | Monoclonal antibody | Hematology |Takeda Pharmaceutical Company Limited|Last Updated: May 15, 2026

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 Trials1
Total Enrollment47
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02932618A Study of Recombinant Von Willebrand Factor (rVWF) With or Without ADVATE in Children With Severe Von Willebrand Disease (VWD)PHASE3 COMPLETED 47Nov 6, 2017Apr 17, 2026May 15, 202646 United States, Austria +11
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Study Endpoints
Primary Endpoints
Hemostatic Efficacy
Within 24 hours after the last infusion of study drug following the onset of the bleeding episode (if/when the severity and/or duration of the bleeding requires the infusion of the study drug)

Treatment success for vonicog alfa-treated nonsurgical bleeding episodes (using a 4-point scale: Excellent, Good, Moderate, None).

Secondary Endpoints
Number of Treated Nonsurgical Bleeding Episodes With an Efficacy Rating of 'Excellent' or 'Good'
Throughout the study duration of approximately 8.5 years
Number of Infusions per Bleeding Episode
Throughout the study duration of approximately 8.5 years
Number of Vonicog Alfa Units per Bleeding Episode
Throughout the study duration of approximately 8.5 years
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
On-demand TreatmentEXPERIMENTALParticipants will receive vonicog alfa (recombinant von Willebrand factor \[rVWF\]) treatment for non-surgical bleeding episodes over a 12 to 18-month period.
Elective SurgeryEXPERIMENTAL12-24 hours prior to surgery and within 3 hours of surgery. Minor surgery: infuse every 12-24 hours for at least 48 hours based on post-operative dosing. Oral Surgery: infuse at least once within first 8-12 hours post-surgery based on post-operative dosing. Major Surgery: infuse every 12-24 hours for at least first 96 hours post-surgery based on post-operative dosing.
Emergency SurgeryEXPERIMENTALWithin 3 hours prior to surgery. Minor surgery: infuse every 12-24 hours for at least 48 hours based on post-operative dosing. Oral Surgery: infuse at least once within first 8-12 hours post-surgery based on post-operative dosing. Major Surgery: infuse every 12-24 hours for at least first 96 hours post-surgery based on post-operative dosing.
Interventions
NameTypeDescription
Vonicog alfaBIOLOGICALLyophilized powder and solvent to prepare solution for injection.
Antihemophilic Factor (Recombinant)BIOLOGICALPackaged in single boxes with 2 glass vials, with one vial containing the lyophilized ADVATE and the second vial containing the diluent.
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Eligibility Criteria
Age RangeN/A — 17 Years
SexALL
Healthy VolunteersNo
Study Sites46

Inclusion Criteria: * Diagnosis of severe von Willebrand disease (VWD) (defined as von Willebrand factor: ristocetin cofactor \[VWF:RCo\] less than \[\<\] 20 percent \[%\]): * Type 1 (VWF:RCo \<20 International Units per deciliter \[IU/dL\]); or * Type 2A (VWF:RCo \<20 IU/dL), Type 2B (as diag...

Countries:United StatesAustriaBelgiumCzechiaFranceGermanyItalyNetherlandsRussiaSpainTurkey (Türkiye)UkraineUnited Kingdom
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Recent Changes (Last 90 Days)
HIGHMay 26, 2026NCT02932618Status: RECRUITING → COMPLETED
LOWMay 24, 2026NCT02932618studyFirstPostDate: changed