Long-term treatment with marstacimab for hemophilia patients
Official title: AN OPEN-LABEL EXTENSION STUDY TO EVALUATE THE LONG-TERM SAFETY, TOLERABILITY, AND EFFICACY OF MARSTACIMAB PROPHYLAXIS IN SEVERE (COAGULATION FACTOR ACTIVITY <1%) HEMOPHILIA A PARTICIPANTS WITH OR WITHOUT INHIBITORS OR MODERATELY SEVERE TO SEVERE HEMOPHILIA B PARTICIPANTS (COAGULATION FACTOR ACTIVITY ≤2%) WITH OR WITHOUT INHIBITORS
Run by Pfizer · NCT05145127 · Data updated 2026-11-12
This study is testing a long-term treatment called marstacimab to see if it can safely help people with severe hemophilia A or B manage their condition better.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 1 Year to 74 Years |
| Sex | Men only |
| Enrollment | 245 (estimated) |
| Sponsor | Pfizer Industry-sponsored |
| Drugs / interventions | rituximab, marstacimab |
| Locations | 78 sites (Iowa City, Iowa and 77 other locations) |
| Status | Recruiting |
| Started | November 17, 2021 |
| Main results expected | July 31, 2030 |
| Study ends | July 31, 2030 |
| Registry record updated | October 26, 2026 |
| Trial ID | NCT05145127 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are individuals aged 12 to under 75 years with severe hemophilia A or moderately severe to severe hemophilia B who have completed prior studies without early termination.
✕Probably not a fit
Patients with a history of severe cardiovascular issues, unstable hepatic function, or those requiring planned surgical procedures during the study may not benefit from this treatment.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This open-label extension study evaluates the long-term safety, tolerability, and efficacy of marstacimab, a prophylactic treatment, in participants with severe hemophilia A or B, including those with and without inhibitors. Participants must have previously completed parent studies without early termination. The study aims to provide ongoing treatment through subcutaneous injections of marstacimab, assessing its effectiveness over an extended period. The trial includes both adolescent and adult participants, as well as pediatric patients under 18 years of age.
Why it matters
Potential benefit: If successful, this treatment could significantly improve the management of hemophilia, reducing bleeding episodes and enhancing quality of life for patients.
How similar studies have gone: Other studies involving similar prophylactic treatments for hemophilia have shown promising results, indicating potential for success in this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * All participants will have a minimum body weight as defined by parent studies * Participants who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, and other study procedures. * Participants have successfully completed participation in parent studies, defined as did not require "Early Termination" Exclusion Criteria: * Previous or current treatment for or history of coronary artery disease, venous or arterial thrombosis (CTCAE Grade \>3), or ischemic disease (except catheter-associated thrombosis) * Abnormal renal function as defined by eGFR \<30 mL.min/1.73 m(2) * Known planned surgical procedure during the planned study period * Unstable hepatic function as determined by the Investigator clinical assessment and review of the participant's most recent laboratory results, which would make the participant inappropriate for the study * For participants known to be HIV+, worsening disease status as determined by the Investigator clinical assessment and review of participant's most recent laboratory results, to include recent locally available CD4 count (if available), which would make the participant inappropriate for the study * Regular, concomitant therapy with immunomodulatory drugs (eg, IVIG, and routine systemic corticosteroids, rituximab) * Ongoing or planned use of immune tolerance induction or prophylaxis with FVIII or FIX replacement during the study * Participation in other study involving investigational drug(s) or investigational vaccine(s) within 30 days or 5 half-lives prior to or during study participation, with the exception of participation in parent studies * Investigator site staff or Pfizer employees directly involved in the conduct of the study, site staff otherwise supervised by the Investigator, and their respective family members
Where it's running
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Northwell Health HTC
New Hyde Park, New York, United States Recruiting -
The Feinstein Institutes for Medical Research
Philadelphia, Pennsylvania, United States Recruiting -
Washington Institute for Coagulation d/b/a WACBD
Seattle, Washington, United States Recruiting -
Arbesu Hematología
Mendoza, Argentina Recruiting -
Royal Children's Hospital
Melbourne, Victoria, Australia Recruiting -
Hemoes
Vitória, Espírito Santo, Brazil Recruiting
Show 44 more locations
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Stollery Children's Hospital
Edmonton, Alberta, Canada Recruiting -
Hamilton Health Sciences - McMaster University Medical Centre
Hamilton, Ontario, Canada Recruiting -
Hamilton Health Sciences - McMaster University Medical Centre
Hamilton, Ontario, Canada Recruiting -
Nanfang Hospital, Southern Medical University
Guangzhou, Guangdong, China Recruiting -
The Affiliated Hospital of Guizhou Medical University
Guiyang, Guizhou, China Recruiting -
Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology
Wuhan, Hubei, China Recruiting -
Jiangxi Provincial People's Hospital
Nanchang, Jiangxi, China Recruiting -
Jiangxi Provincial People's Hospital
Nanchang, Jiangxi, China Recruiting -
Institute of hematology&blood disease hospital
Tianjin, Tianjin Municipality, China Recruiting -
Beijing Children's Hospital, Capital Medical University
Beijing, China Recruiting -
Klinicki bolnicki centar Zagreb
Zagreb, Croatia Recruiting -
Aarhus Universitetshospital, Skejby
Aarhus, Central Jutland, Denmark Recruiting -
Hôpital Universitaire Necker Enfants Malades
Paris, France Recruiting -
The University of Hong Kong (HKU)-Queen Mary Hospital (QMH)
Hong Kong, Hong Kong Recruiting -
Prince of Wales Hospital
Hong Kong, Hong Kong Recruiting -
Queen Mary Hospital
Hong Kong, Hong Kong Recruiting -
The Chinese University of Hong Kong
Ma Liu Shui, Hong Kong Recruiting -
Nirmal Hospital Pvt Ltd.
Surat, Gjuarat, India Recruiting -
K.J Somaiya Hospital & Research Centre, Somaiya Ayurvihar Complex
Mumbai, Maharashtra, India Recruiting -
Sahyadri Super Speciality Hospital
Pune, Maharashtra, India Recruiting -
Nil Ratan Sircar Medical College and Hospital
Kolkata, West Bengal, India Recruiting -
Sheba Medical Center
Ramat Gan, Central District, Israel Recruiting -
IRCCS Istituto Giannina Gaslini
Genoa, Liguria, Italy Recruiting -
Istituto Clinico Humanitas
Rozzano, Milano, Italy Recruiting -
AOU Policlinico Umberto I
Roma, Rm, Italy Recruiting -
Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico
Milan, Italy Recruiting -
Nagano Children's Hospital
Azumino, Nagano, Japan Recruiting -
Nara Medical University Hospital
Kashihara, Nara, Japan Recruiting -
Saitama Medical University Hospital
Lruma-gun, Saitama, Japan Recruiting -
Saitama Children's Medical Center
Saitama-shi, Saitama, Japan Recruiting -
Saga University Hospital
Saga, Japan Recruiting -
Centro Multidisciplinario para el Desarrollo Especializado de la Investigacion Clinica en Yucatán S.
Mérida, Yucatán, Mexico Recruiting -
Sultan Qaboos University Hospital
Muscat, Oman Recruiting -
Institute for Mother and Child healthcare "Dr Vukan Cupic"
Belgrade, Serbia Recruiting -
Clinical Center Nis
Niš, Serbia Recruiting -
Detska fakultna nemocnica Kosice
Košice, Slovakia Recruiting -
Univerzitna nemocnica Martin
Martin, Slovakia Recruiting -
Kyung Hee University Hospital at Gangdong
Seoul, Seoul-teukbyeolsi [seoul], South Korea Recruiting -
Severance Hospital, Yonsei University Health System
Seoul, Seoul-teukbyeolsi[seoul], South Korea Recruiting -
Kyungpook National University Hospital
Daegu, Taegu-kwangyǒkshi, South Korea Recruiting -
Hospital Universitario A Coruna
A Coruña, Spain Recruiting -
Hospital Universitario Vall d´Hebron
Barcelona, Spain Recruiting -
Hospital Universitario La Paz
Madrid, Spain Recruiting -
Hospital Universitario Miguel Servet
Zaragoza, Spain Recruiting
+28 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Pfizer CT.gov Call Center
- Email: ClinicalTrials.gov_Inquiries@pfizer.com
- Phone: 1-800-718-1021
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Testing marstacimab for treating hemophilia in children
This study is testing a new medication called marstacimab to see if it can help children with severe hemophilia control their bleeding and improve their health.
-
SR604: a new treatment tested in adults with Hemophilia A/B or congenital Factor VII deficiency
This study tests a single and multiple doses of SR604 to see if it is safe and effective for adults with Hemophilia A or B, with or without inhibitors, and for those with congenital Factor VII deficiency.
-
ATHNdataset registry for people with bleeding and clotting disorders
This registry collects health, treatment, and patient-reported information from people with bleeding and clotting disorders seen at ATHN-affiliated centers to help improve care and outcomes.
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Is synovial proliferation in haemophilia joints active or inactive?
This project will test whether ultrasound, MRI and elastography can tell if subclinical synovial proliferation in people with severe haemophilia is currently active so clinicians can treat earlier.
-
Observational study of blood clotting and bleeding disorders in Chinese patients
This study looks at blood clotting and bleeding problems in Chinese patients to see how common they are and what factors might affect them.
-
Evaluating the safety and effects of SR604 in healthy individuals and those with Hemophilia A or B
This study is testing a new drug called SR604 to see if it's safe and effective for healthy people and those with Hemophilia A or B.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.