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

A Study to Investigate the Pharmacokinetics, Safety, and Tolerability of Emicizumab in Healthy Chinese Volunteers

Phase 1
Completed
Conditions
Hemophilia A
Healthy Volunteers
Interventions
First Posted Date
2017-12-21
Last Posted Date
2019-09-30
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
16
Registration Number
NCT03380780
Locations
🇨🇳

Peking University Third Hospital, Beijing, China

Study of Emicizumab Prophylaxis in Participants With Hemophilia A With or Without Inhibitors Undergoing Minor Surgical Procedures

Phase 4
Terminated
Conditions
Hemophilia A
Interventions
First Posted Date
2017-12-04
Last Posted Date
2021-03-01
Lead Sponsor
Genentech, Inc.
Target Recruit Count
14
Registration Number
NCT03361137
Locations
🇺🇸

Childrens Hospital of LA, Los Angeles, California, United States

🇺🇸

Indiana Hemophilia & Thrombosis center, Indianapolis, Indiana, United States

🇺🇸

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

and more 5 locations

Efficacy, Safety, and Pharmacokinetic Study of Prophylactic Emicizumab Versus No Prophylaxis in Hemophilia A Participants

Phase 3
Active, not recruiting
Conditions
Hemophilia A
Interventions
First Posted Date
2017-10-20
Last Posted Date
2025-04-02
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
85
Registration Number
NCT03315455
Locations
🇨🇳

Beijing Children's Hospital, Capital Medical University, Beijing City, China

🇨🇳

Ruijin Hospital Shanghai Jiaotong University School of Medicine, Shanghai City, China

🇭🇰

Queen Mary Hospital, Hong kong, Hong Kong

and more 10 locations

A Study to Evaluate the Safety and Tolerability of Prophylactic Emicizumab in Hemophilia A Patients With Inhibitors

Phase 3
Completed
Conditions
Hemophilia A
Interventions
First Posted Date
2017-06-19
Last Posted Date
2021-06-11
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
195
Registration Number
NCT03191799
Locations
🇨🇦

Kaye Edmonton Clinic, Edmonton, Alberta, Canada

🇩🇪

Universitätsklinikum Bonn; Institut für Experimentelle Hämatologie und Transfusionsmedizin, Bonn, Germany

🇩🇪

Vivantes Klinikum im Friedrichshain - Landsberger Allee, Angiologie und Hämostaseologie, Berlin, Germany

and more 69 locations

A Study to Evaluate the Efficacy, Safety, Pharmacokinetics, and Pharmacodynamics of Emicizumab Given Every 4 Weeks in Participants With Hemophilia A

Phase 3
Completed
Conditions
Hemophilia A
Interventions
First Posted Date
2017-01-13
Last Posted Date
2023-01-11
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
48
Registration Number
NCT03020160
Locations
🇦🇺

Royal Brisbane Hospital; Clinical Haematology, Brisbane, Queensland, Australia

🇯🇵

National Center for Child Health and Development, Tokyo, Japan

🇺🇸

University of Michigan, C.S. Mott Children's Hospital, Ann Arbor, Michigan, United States

and more 14 locations

A Clinical Trial to Evaluate Prophylactic Emicizumab Versus no Prophylaxis in Hemophilia A Participants Without Inhibitors

Phase 3
Completed
Conditions
Hemophilia A
Interventions
Drug: Factor VIII (FVIII)
First Posted Date
2016-07-28
Last Posted Date
2022-11-16
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
152
Registration Number
NCT02847637
Locations
🇮🇹

AOU Careggi; SOD Malattie Emorragiche, Firenze, Toscana, Italy

🇺🇸

University of Florida, Gainesville, Florida, United States

🇩🇪

Universitätsklinikum Bonn; Institut für Experimentelle Hämatologie und Transfusionsmedizin, Bonn, Germany

and more 36 locations

A Study of Emicizumab Administered Subcutaneously (SC) in Pediatric Participants With Hemophilia A and Factor VIII (FVIII) Inhibitors

Phase 3
Completed
Conditions
Hemophilia A
Interventions
First Posted Date
2016-06-10
Last Posted Date
2021-06-02
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
88
Registration Number
NCT02795767
Locations
🇺🇸

Rush Medical Center, Chicago, Illinois, United States

🇺🇸

Children's Hospital of Michigan; Pediatrics, Detroit, Michigan, United States

🇺🇸

North Shore/Long Island Jewish PRIME; Pediatric Hematology/Oncology & Stem Cell Transplantation, New Hyde Park, New York, United States

and more 25 locations

A Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of Prophylactic Emicizumab Versus no Prophylaxis in Hemophilia A Participants With Inhibitors

Phase 3
Completed
Conditions
Hemophilia A
Interventions
First Posted Date
2015-12-04
Last Posted Date
2021-06-24
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
113
Registration Number
NCT02622321
Locations
🇺🇸

Children's Hospital Los Angeles, Los Angeles, California, United States

🇺🇸

Boston Childrens Hospital, Boston, Massachusetts, United States

🇯🇵

Hospital of the University of Occupational and Environmental Health,Japan, Kitakyushu-shi, Japan

and more 41 locations

Hemophilia Inhibitor Clinical Trials (INHIBIT) Platform

First Posted Date
2014-07-21
Last Posted Date
2019-08-20
Lead Sponsor
Margaret Ragni
Registration Number
NCT02196207
Locations
🇺🇸

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

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