Open-Label Extension Study of Marstacimab in Hemophilia Participants With or Without Inhibitors

NCT ID: NCT05145127

Last Updated: 2024-12-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

245 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-11-17

Study Completion Date

2030-07-31

Brief Summary

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Study B7841007 is an open-label extension study to assess the long-term safety, tolerability, and efficacy of prophylaxis treatment with marstacimab in participants who did not require "Early Termination" from the Phase 3 Study B7841005 and from the Phase 3 Study B7841008.

Study B7841005: approximately 145 adolescent and adult participants 12 to \<75 years of age with severe hemophilia A or moderately severe to severe hemophilia B (defined as FVIII activity \<1% or FIX activity ≤2%, respectively) with or without inhibitors are expected to be enrolled in Study B7841005 during which they will receive prophylaxis (defined as treatment by SC injection of marstacimab).

Study B7841008: this is an ongoing Phase 3, open-label study in pediatric participants \<18 years of age with severe hemophilia A (FVIII Coagulation Factor Activity \<1%) or moderately severe to severe hemophilia B (FIX Coagulation Factor Activity ≤2%). A sequential approach will be used in enrolling at least 100 pediatric participants, at least 20 of which will be aged ≥12 to \<18 years and at least 80 participants will be aged ≥1 to \<12 years. At the start of study B7841008, the dosing and data available in adolescent and adult participants in Study B7841005 supported the initiation of B7841008 study in participants aged ≥12 to \<18 years. Subsequently, additional safety and efficacy data from adolescent participants in Study B7841005 became available for benefit/risk assessment in support of dosing participants aged ≥6 to \<12 years. Based on the positive benefit/risk assessment conducted by both internal Pfizer review and eDMC review, dosing of the ≥6 to \<12 years age group was initiated in June 2023 in B7841008 Study. Data from participants ≥6 years from B7841008 Study and Study B7841005 will support the dosing of participants aged ≥1 to \<6 years.

All participants will be provided the prefilled pen (PFP) for administration of marstacimab in the study. Use of the prefilled syringe (PFS) will be permitted at the investigator's discretion for those participants who have difficulty with administration of the PFP. Additionally, participants will be provided the PFS for use in this study in countries where the PFS is anticipated to be the only presentation available commercially. An optional, open-label, single arm, substudy using the PFP was completed in the first 23 participants rolled over from Study B7841005 who agreed to participate in the substudy.

Detailed Description

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Conditions

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Hemophilia A Hemophilia B

Keywords

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Factor VIII Inhibitor Factor IX Inhibitor PF-06741086 Marstacimab Anti-TFPI

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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PF-06741086

For participants aged ≥12 years 300 milligrams(mg) subcutaneous (sc) loading dose followed by 150 mg sq once weekly (qw). 300 mg sc qw is prescribed for participants who meet dose escalation criteria.

For participants aged ≥6 to \<12 years is marstacimab 150 mg SC for initial loading dose followed by 75 mg SC QW. 150 mg sc qw is prescribed for participants who meet dose escalation criteria.

Group Type EXPERIMENTAL

PF-06741086

Intervention Type DRUG

For participants aged ≥12 years 300 milligrams(mg) subcutaneous (sc) loading dose followed by 150 mg sq once weekly (qw). 300 mg sc qw is prescribed for participants who meet dose escalation criteria.

For participants aged ≥6 to \<12 years is marstacimab 150 mg SC for initial loading dose followed by 75 mg SC QW. 150 mg sc qw is prescribed for participants who meet dose escalation criteria.

Interventions

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PF-06741086

For participants aged ≥12 years 300 milligrams(mg) subcutaneous (sc) loading dose followed by 150 mg sq once weekly (qw). 300 mg sc qw is prescribed for participants who meet dose escalation criteria.

For participants aged ≥6 to \<12 years is marstacimab 150 mg SC for initial loading dose followed by 75 mg SC QW. 150 mg sc qw is prescribed for participants who meet dose escalation criteria.

Intervention Type DRUG

Other Intervention Names

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marstacimab

Eligibility Criteria

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Inclusion Criteria

* All participants will have a minimum body weight as defined by parent studies
* Participants who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, and other study procedures.
* Participants have successfully completed participation in parent studies, defined as did not require "Early Termination"

Exclusion Criteria

* Previous or current treatment for or history of coronary artery disease, venous or arterial thrombosis (CTCAE Grade \>3), or ischemic disease (except catheter-associated thrombosis)
* Abnormal renal function as defined by eGFR \<30 mL.min/1.73 m(2)
* Known planned surgical procedure during the planned study period
* Unstable hepatic function as determined by the Investigator clinical assessment and review of the participant's most recent laboratory results, which would make the participant inappropriate for the study
* For participants known to be HIV+, worsening disease status as determined by the Investigator clinical assessment and review of participant's most recent laboratory results, to include recent locally available CD4 count (if available), which would make the participant inappropriate for the study
* Regular, concomitant therapy with immunomodulatory drugs (eg, IVIG, and routine systemic corticosteroids, rituximab)
* Ongoing or planned use of immune tolerance induction or prophylaxis with FVIII or FIX replacement during the study
* Participation in other study involving investigational drug(s) or investigational vaccine(s) within 30 days or 5 half-lives prior to or during study participation, with the exception of participation in parent studies
* Investigator site staff or Pfizer employees directly involved in the conduct of the study, site staff otherwise supervised by the Investigator, and their respective family members
Minimum Eligible Age

1 Year

Maximum Eligible Age

74 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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University of Iowa

Iowa City, Iowa, United States

Site Status RECRUITING

Northwell Health HTC

New Hyde Park, New York, United States

Site Status RECRUITING

Washington Institute for Coagulation d/b/a WACBD

Seattle, Washington, United States

Site Status RECRUITING

Royal Children's Hospital

Melbourne, Victoria, Australia

Site Status RECRUITING

Stollery Children's Hospital

Edmonton, Alberta, Canada

Site Status RECRUITING

Hamilton Health Sciences - McMaster University Medical Centre

Hamilton, Ontario, Canada

Site Status RECRUITING

Hamilton Health Sciences - McMaster University Medical Centre

Hamilton, Ontario, Canada

Site Status RECRUITING

Nanfang Hospital, Southern Medical University

Guangzhou, Guangdong, China

Site Status RECRUITING

The Affiliated Hospital of Guizhou Medical University

Guiyang, Guizhou, China

Site Status RECRUITING

The Affiliated Hospital of Guizhou Medical University

Guiyang, Guizhou, China

Site Status NOT_YET_RECRUITING

Tongji Hospital Tongji Medical,Science & Technology

Wuhan, Hubei, China

Site Status RECRUITING

Jiangxi Provincial People's Hospital

Nanchang, Jiangxi, China

Site Status RECRUITING

Institute of hematology&blood disease hospital

Tianjin, Tianjin Municipality, China

Site Status RECRUITING

Institute of hematology&blood disease hospital

Tianjin, Tianjin Municipality, China

Site Status RECRUITING

Beijing Children's Hospital, Capital Medical University

Beijing, , China

Site Status RECRUITING

Klinicki bolnicki centar Zagreb

Zagreb, , Croatia

Site Status RECRUITING

Hôpital Universitaire Necker Enfants Malades

Paris, , France

Site Status RECRUITING

Prince of Wales Hospital

Hong Kong, , Hong Kong

Site Status RECRUITING

Queen Mary Hospital

Hong Kong, , Hong Kong

Site Status RECRUITING

Nirmal Hospital Pvt Ltd.

Surat, Gjuarat, India

Site Status RECRUITING

K.J. Somaiya Hospital

Mumbai, Maharashtra, India

Site Status RECRUITING

Sahyadri Super Speciality Hospital

Pune, Maharashtra, India

Site Status RECRUITING

Nil Ratan Sircar Medical College and Hospital

Kolkata, West Bengal, India

Site Status NOT_YET_RECRUITING

Sheba Medical Center

Ramat Gan, Central District, Israel

Site Status RECRUITING

AOU Policlinico Umberto I

Roma, RM, Italy

Site Status RECRUITING

Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico

Milan, , Italy

Site Status RECRUITING

Nagoya University Hospital - Transfusion Medicine

Nagoya, Aichi-ken, Japan

Site Status RECRUITING

Nagano Children's Hospital

Azumino, Nagano, Japan

Site Status RECRUITING

Nara Medical University Hospital

Kashihara, Nara, Japan

Site Status NOT_YET_RECRUITING

Saitama Children's Medical Center

Saitama-shi, Saitama, Japan

Site Status RECRUITING

Hiroshima University Hospital

Hiroshima, , Japan

Site Status RECRUITING

Centro Multidisciplinario para el Desarrollo Especializado de la Investigacion Clinica en Yucatan

Mérida, Yucatán, Mexico

Site Status RECRUITING

Centro Multidisciplinario para el Desarrollo Especializado de la Investigacion Clinica en Yucatán S.

Mérida, Yucatán, Mexico

Site Status RECRUITING

Sultan Qaboos University Hospital

Muscat, , Oman

Site Status RECRUITING

Institute for Mother and Child healthcare "Dr Vukan Cupic"

Belgrade, , Serbia

Site Status RECRUITING

Clinical Center Nis

Niš, , Serbia

Site Status RECRUITING

Worthwhile Clinical Trials

Benoni, Gauteng, South Africa

Site Status ACTIVE_NOT_RECRUITING

Charlotte Maxeke Johannesburg Academic Hospital

Johannesburg, Gauteng, South Africa

Site Status RECRUITING

Worthwhile Clinical Trials

Benoni, , South Africa

Site Status NOT_YET_RECRUITING

Charlotte Maxeke Johannesburg Academic Hospital

Johannesburg, , South Africa

Site Status NOT_YET_RECRUITING

Severance Hospital, Yonsei University Health System

Seoul, Seoul-teukbyeolsi [seoul], South Korea

Site Status RECRUITING

Kyung Hee University Hospital at Gangdong

Seoul, Seoul-teukbyeolsi [seoul], South Korea

Site Status RECRUITING

Severance Hospital, Yonsei University Health System

Seoul, Seoul-teukbyeolsi[seoul], South Korea

Site Status RECRUITING

Kyungpook National University Hospital

Daegu, Taegu-kwangyǒkshi, South Korea

Site Status RECRUITING

Hospital Universitario A Coruna

A Coruña, , Spain

Site Status RECRUITING

Hospital Universitario Vall d´Hebron

Barcelona, , Spain

Site Status RECRUITING

Hospital Universitario La Paz

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario La Paz

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario Miguel Servet

Zaragoza, , Spain

Site Status RECRUITING

ChangHua Christian Hospital

Changhua, Changhua County, Taiwan

Site Status RECRUITING

Taichung Veterans General Hospital

Taichung, , Taiwan

Site Status RECRUITING

Acibadem Adana Hospital

Adana, , Turkey (Türkiye)

Site Status RECRUITING

Hacettepe University Faculty of Medicine

Ankara, , Turkey (Türkiye)

Site Status RECRUITING

Gazi University Health Research and Application Center Gazi Hospital

Ankara, , Turkey (Türkiye)

Site Status RECRUITING

Gaziantep University Şahinbey Research and Practice Hospital

Gaziantep, , Turkey (Türkiye)

Site Status RECRUITING

Istanbul University Oncology Institute

Istanbul, , Turkey (Türkiye)

Site Status RECRUITING

Ege University Faculty of Medicine

Izmir, , Turkey (Türkiye)

Site Status RECRUITING

Ege University Faculty of Medicine

Izmir, , Turkey (Türkiye)

Site Status RECRUITING

Erciyes University Faculty of Medicine

Kayseri, , Turkey (Türkiye)

Site Status RECRUITING

Ondokuz Mayıs University Healthcare Practice and Research Center

Samsun, , Turkey (Türkiye)

Site Status RECRUITING

Countries

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Russia United States Australia Canada China Croatia France Hong Kong India Israel Italy Japan Mexico Oman Serbia South Africa South Korea Spain Taiwan Turkey (Türkiye)

Central Contacts

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Pfizer CT.gov Call Center

Role: CONTACT

Phone: 1-800-718-1021

Email: [email protected]

Related Links

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https://pmiform.com/clinical-trial-info-request?StudyID=B7841007

To obtain contact information for a study center near you, click here.

Other Identifiers

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PHASE 3 ANTI-TFPI OLE

Identifier Type: OTHER

Identifier Source: secondary_id

2022-500470-33-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

B7841007

Identifier Type: -

Identifier Source: org_study_id