MedPath

Emicizumab

Generic Name
Emicizumab
Brand Names
Hemlibra
Drug Type
Biotech
CAS Number
1610943-06-0
Unique Ingredient Identifier
7NL2E3F6K3
Background

Emicizumab is a humanized recombinant monoclonal antibody that mimics the function of the coagulation Factor VIII and it has the capacity to bind simultaneously to activated Factor IX and Factor X. The ability of Emicizumab to bind to all these three different factors allows it to overcome immunogenicity and unstable hemostatic efficacy produced by previous Factor VII agents. Emicizumab was originated as an improved form of hBS23 and it was approved on November 16, 2017. It was created by Chugai Pharmaceuticals Co. Ltd. and co-developed with Roche and Genentech.

Indication

The main function of Emicizumab is the prevention of bleeding episodes. Thus, Emicizumab is approved for the routine prophylaxis to prevent or reduce the frequency of bleeding episodes of adult and pediatric patients with hemophilia A with or without Factor VIII inhibitors.

Hemophilia A is a deficiency of coagulation Factor VIII which causes a serious bleeding disorder. The standard treatment is done with the administration of recombinant or serum-deriver Factor VIII which induces the formation of anti-factor VIII alloantibodies (Factor VIII inhibitors) and renders the standard treatment ineffective.

Associated Conditions
Bleeding caused by Hemophilia A

Low Dose Emicizumab vs Low Dose Factor VIII in Prophylaxis in Hemophilia A Patients

Phase 2
Not yet recruiting
Conditions
Hemophilia A
Interventions
Drug: Factor VIII (FVIII)
First Posted Date
2025-04-22
Last Posted Date
2025-04-22
Lead Sponsor
Dhaka Medical College
Target Recruit Count
20
Registration Number
NCT06938659
Locations
🇧🇩

Dhaka Medical College Hospital, Dhaka, Bangladesh

Health-Related Quality of Life Outcomes and Bleeding Rates Among Patients With Severe Hemophilia A on Emicizumab

Not yet recruiting
Conditions
Hemophilia A
First Posted Date
2023-10-27
Last Posted Date
2023-10-30
Lead Sponsor
Newark Beth Israel Medical Center
Target Recruit Count
50
Registration Number
NCT06104826
Locations
🇺🇸

Newark Beth Israel Medical Center, Newark, New Jersey, United States

Emicizumab for Severe Von Willebrand Disease (VWD) and VWD/Hemophilia A

Phase 1
Recruiting
Conditions
Concomitant VWD and Hemophilia
Von Willebrand Disease, Type 3
Interventions
First Posted Date
2022-08-15
Last Posted Date
2023-03-01
Lead Sponsor
Bleeding and Clotting Disorders Institute Peoria, Illinois
Target Recruit Count
40
Registration Number
NCT05500807
Locations
🇺🇸

Bleeding and Clotting Disorders Institute, Peoria, Illinois, United States

Emicizumab in Patients With Acquired Hemophilia A

Phase 2
Recruiting
Conditions
Acquired Hemophilia A
Interventions
First Posted Date
2022-04-25
Last Posted Date
2025-01-28
Lead Sponsor
University of Washington
Target Recruit Count
51
Registration Number
NCT05345197
Locations
🇺🇸

Hemophilia Center of Western Pennsylvania, Pittsburgh, Pennsylvania, United States

🇺🇸

UVA Comprehensive Cancer Center, Charlottesville, Virginia, United States

🇺🇸

UCSD Hemophilia and Thrombosis Treatment Center, San Diego, California, United States

and more 13 locations

Outcomes of Prophylaxis With Emicizumab in Children With Severe Hemophilia A in Ivory Coast

Not Applicable
Completed
Conditions
Hemophilia A
Interventions
First Posted Date
2022-03-15
Last Posted Date
2022-10-26
Lead Sponsor
Cliniques universitaires Saint-Luc- Université Catholique de Louvain
Target Recruit Count
33
Registration Number
NCT05279924
Locations
🇨🇮

CHU de Yopougon, Abidjan, Côte D'Ivoire

Real World Use of Emicizumab in Infants and Children Ages 0-3 Years With Hemophilia A

Recruiting
Conditions
Hemophilia A
First Posted Date
2022-02-21
Last Posted Date
2025-02-03
Lead Sponsor
Montefiore Medical Center
Target Recruit Count
50
Registration Number
NCT05248594
Locations
🇺🇸

Connecticut Children's Hemophilia Treatment Center - Connecticut Children's Medical Center, Hartford, Connecticut, United States

🇺🇸

Yale Hemophilia Treatment Center, New Haven, Connecticut, United States

🇺🇸

Dartmouth Hitchcock Hemophilia Center - Mary Hitchcock Memorial Hospital, Lebanon, New Hampshire, United States

and more 7 locations

A Study to Evaluate Overall Health, Physical Activity, and Joint Outcomes in Participants With Severe or Moderate Hemophilia A Without Factor VIII Inhibitors on Emicizumab Prophylaxis

Phase 4
Active, not recruiting
Conditions
Severe Hemophilia A
Moderate Hemophilia A
Interventions
First Posted Date
2022-01-06
Last Posted Date
2025-05-06
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
136
Registration Number
NCT05181618
Locations
🇮🇹

Policlinico Univ. A. Gemelli, Roma, Lazio, Italy

🇮🇹

AOU Careggi, Firenze, Toscana, Italy

🇪🇸

Complejo Hospitalario Universitario A Coruña (CHUAC), La Coruna, Spain

and more 24 locations

Prevention of Bleeding in Patients With Moderate and Severe Hemophilia A Playing Sports: A Comparison Between Factor VIII and Emicizumab Prophylaxis

Recruiting
Conditions
Hemophilia A
Interventions
Drug: FVIII
First Posted Date
2021-08-26
Last Posted Date
2025-05-06
Lead Sponsor
Wayne State University
Target Recruit Count
120
Registration Number
NCT05022459
Locations
🇺🇸

Arkansas Children's Hospital, Little Rock, Arkansas, United States

🇺🇸

Johns Hopkins All Children's Hospital, Saint Petersburg, Florida, United States

🇺🇸

Boston Children's Hospital, Boston, Massachusetts, United States

and more 4 locations

The Safety of Emicizumab SC Injection in Korean Hemophilia A Patients With/Without FVIII Inhibitors

Recruiting
Conditions
Hemophilia A With Inhibitor
Hemophilia A Without Inhibitor
Interventions
First Posted Date
2021-03-18
Last Posted Date
2021-07-21
Lead Sponsor
JW Pharmaceutical
Target Recruit Count
17
Registration Number
NCT04805801
Locations
🇰🇷

Yonsei University Severance Hospital, Seoul, Korea, Republic of

POCUS: Hemostatic Potential and Joint Health in Patients With Severe Hemophilia A on Novel Replacement Therapies

Phase 4
Recruiting
Conditions
Factor VIII
Hemophilia A
Interventions
First Posted Date
2020-12-30
Last Posted Date
2025-03-03
Lead Sponsor
University of Texas Southwestern Medical Center
Target Recruit Count
28
Registration Number
NCT04690322
Locations
🇺🇸

The University of Texas Southwestern Medical Center, Dallas, Texas, United States

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