Table 2.

Novel nonfactor agents for the treatment of hemophilia

Novel therapeuticMechanism of actionIntended applicationStatus of clinical developmentClinicalTrials.gov
Emicizumab Bispecific antibody to FX and FIXa HA with and without inhibitors FDA approved NCT02847637 
NCT03361137 
NCT02795767 
NCT02622321 
NCT03191799 
NCT03315455 
NCT03020160 
BS027125 Bispecific antibody to FX and FIXa Hemophilia A with and without inhibitors Preclinical N/A 
Fitusiran siRNA knockdown of AT Cross segment Phase 3 NCT03549871 
NCT03417102 
NCT03417245 
Concizumab Monoclonal antibody against TFPI Cross segment Phase 2 NCT03196297 
NCT03196284 
PF-06741086 Monoclonal antibody against TFPI Cross segment Phase 2 NCT02974855 
NCT03363321 
BAY1093884 Monoclonal antibody against TFPI Cross segment Phase 1 NCT02571569 
NCT03597022 
NCT03481946 
SerpinPC Serine protease inhibitor of APC Cross segment Preclinical N/A 
HAPC1573 Monoclonal antibody against APC Cross segment Preclinical N/A 
PS siRNA siRNA knockdown of PS Cross segment Preclinical N/A 
Novel therapeuticMechanism of actionIntended applicationStatus of clinical developmentClinicalTrials.gov
Emicizumab Bispecific antibody to FX and FIXa HA with and without inhibitors FDA approved NCT02847637 
NCT03361137 
NCT02795767 
NCT02622321 
NCT03191799 
NCT03315455 
NCT03020160 
BS027125 Bispecific antibody to FX and FIXa Hemophilia A with and without inhibitors Preclinical N/A 
Fitusiran siRNA knockdown of AT Cross segment Phase 3 NCT03549871 
NCT03417102 
NCT03417245 
Concizumab Monoclonal antibody against TFPI Cross segment Phase 2 NCT03196297 
NCT03196284 
PF-06741086 Monoclonal antibody against TFPI Cross segment Phase 2 NCT02974855 
NCT03363321 
BAY1093884 Monoclonal antibody against TFPI Cross segment Phase 1 NCT02571569 
NCT03597022 
NCT03481946 
SerpinPC Serine protease inhibitor of APC Cross segment Preclinical N/A 
HAPC1573 Monoclonal antibody against APC Cross segment Preclinical N/A 
PS siRNA siRNA knockdown of PS Cross segment Preclinical N/A 

Cross segment: HA and HB, with and without inhibitors.

APC, activated protein C; FDA, US Food and Drug Administration; FIXa, activated FIX; N/A, not applicable; PS, protein S; TFPI, tissue factor pathway inhibitor.

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