Full Press Release Details
Fitusiran prophylaxis reduced bleeds by 61% in people with hemophilia A or B, with or without
inhibitors, compared to prior factor or bypassing agent prophylaxis
2022 Positive data from the Phase 3 ATLAS-PPX study evaluating the efficacy and safety of once-monthly fitusiran (80 mg) in adults and adolescents with severe hemophilia A or B who were previously
treated with prior factor or bypassing agent (BPA) prophylaxis were presented today in a late-breaking session at the International Society on Thrombosis and Haemostasis (ISTH) 2022 Congress. The study met the primary endpoint and demonstrated
fitusiran prophylaxis significantly reduced bleeding episodes compared to prior factor or BPA prophylaxis.
Investigator, professor of Hematology, Director of the Israeli National Hemophilia Center at Sheba Medical Center and head of the Amalia Biron
Thrombosis Research Institute of Tel Aviv University, Tel Aviv, Israel
There is a continued need for transformative therapies
that offer people with hemophilia consistent protection while also reducing treatment burden. These phase 3 results are encouraging and support fitusiran s potential to provide people with hemophilia A or B, regardless of inhibitor status, with
a meaningful reduction in bleeding episodes.
Key findings in the Phase 3 ATLAS-PPX study include the following:
Dietmar Berger MD, PhD
Global Head of Development and Chief Medical Officer
These positive data support fitusiran s potential to transform prophylaxis treatment for people
with hemophilia A or B, with or without inhibitors, with a median annual bleed rate of zero across all patient populations. Moreover, we are excited to continue to explore fitusiran
under an amended protocol that focuses on dose optimization, including lower doses and less frequent dosing regimens, with the potential for as few as six injections per year.
Additional data from the fitusiran clinical program will be shared at the congress including:
Collectively, these data add to a growing body of evidence, including results from
the ATLAS A/B and ATLAS-INH Phase 3 studies, supporting fitusiran s potential to transform
treatment for all people with hemophilia. Hemophilia A and B are rare congenital bleeding disorders caused by a deficiency of factor VIII and IX, respectively, resulting in insufficient thrombin generation and ineffective clot formation further
complicated in patients who develop inhibitors to their factor treatment.
Sanofi is currently investigating the efficacy and safety of
fitusiran under an amended protocol which includes lower doses and a less frequent dosing regimen maintaining an antithrombin target range of 15-35% in all ongoing studies. Fitusiran has the potential to
provide prophylactic treatment for all people with hemophilia A or B, with or without inhibitors, with as few as six subcutaneous injections per year.
ATLAS-PPX Phase 3 study design (NCT03549871)
ATLAS-PPX is a multinational, open-label, Phase 3 study designed to evaluate the efficacy and safety of fitusiran
in adult and adolescents aged 12 years with severe hemophilia A or B, with or without inhibitors, who have switched from prior factor or bypassing agent prophylaxis. A total of 80 participants
were enrolled. In the study, participants continued their pre-study prophylaxis regimen with factor or bypassing agents for a six-month period followed by a switch to
once-monthly fitusiran (80 mg) administered subcutaneously for seven months.
The primary endpoint of the study was annualized bleeding rate.
Fitusiran is an investigational, subcutaneously administered small interference RNA therapeutic in development for the prophylactic treatment of people
with hemophilia A or B, with or without inhibitors. Fitusiran is designed to lower antithrombin, a protein that inhibits blood clotting, with the goal of promoting thrombin generation to rebalance hemostasis and prevent bleeds. Fitusiran utilizes
Alnylam Pharmaceutical Inc. s ESC-GalNAc conjugate technology, which enables subcutaneous dosing with increased potency and durability. Fitusiran is currently under clinical investigation and has not been evaluated by any regulatory authority.
We are an innovative global healthcare company, driven by one purpose: we chase the miracles of science to improve people s lives. Our team, across
some 100 countries, is dedicated to transforming the practice of medicine by working to turn the impossible into the possible. We provide potentially life-changing treatment options and life-saving vaccine protection to millions of people globally,
while putting sustainability and social responsibility at the center of our ambitions.
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