BioMarin Withdrawing Hemophilia A Gene Therapy
After failing to find a buyer, BioMarin has decided to voluntarily withdraw from the market its Roctavian (valoctocogene roxaparvovec-rvox) gene therapy for treating adults with severe hemophilia A without antibodies to adeno-associated virus serotype 5.
Since its 2023 approval, Roctavian failed to achieve commercial success due to low adoption caused by its complex administration, narrow patient eligibility, and limited, unpredictable durability of its gene-therapy effects, industry observers say. Despite a high $2.9 million price tag, patient reluctance to switch from effective, standard chronic treatments and slow, complicated reimbursement processes resulted in poor sales.
Hemophilia A is a rare, genetic condition caused by a mutation in the gene responsible for producing the Factor VIII protein (FVIII), which is necessary for blood clotting, according to the company. The one-time, single-dose infusion is designed to replace the function of the mutated gene, allowing people with severe hemophilia A to produce their own FVIII and thereby limit bleeding episodes.