Pfizer BLA for Hemophilia Accepted for Review
FDA has accepted for review a Pfizer BLA for its anti-tissue factor pathway inhibitor (anti-TFPI) candidate marstacimab for treating hemophilia A or hemophilia B without inhibitors to Factor VIII or Factor IX. The agency has set a user fee review action target date in the fourth quarter of 2024. If approved, marstacimab is expected to become the “first once-weekly subcutaneous treatment for people living with hemophilia B and the first treatment administered as a flat dose for people living with hemophilia A or B,” the company says.
“For more than five decades, the most common treatment approach for hemophilia A and B has been factor replacement therapy, which replaces missing clotting factors to facilitate proper blood coagulation,” Pfizer says. “Marstacimab is a novel, investigational treatment for hemophilia that is designed to restore hemostasis by inhibiting TFPI.”
The submission is based on data from the Phase 3 BASIS trial (NCT03938792) that were recently presented at the American Society of Hematology annual meeting. The data showed that marstacimab reduced annualized bleeding rate by 35% and 92% compared to routine prophylaxis and on-demand treatment in patients with hemophilia A and B without inhibitors, respectively, according to the company.
Marstacimab is a monoclonal immunoglobulin G isotype, subclass 1 (IgG1) that targets the Kunitz 2 domain of TFPI, a natural anticoagulation protein that functions to prevent the formation of blood clots, Pfizer says.