Clinical trial Recruiting at 68 sites Phase 3 Interventional Ages 1 Year to 74 Men only

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

PhasePhase 3
Study typeInterventional
Ages1 Year to 74 Years
SexMen only
Enrollment245 (estimated)
SponsorPfizer
Industry-sponsored
Drugs / interventionsrituximab, marstacimab
Locations78 sites (Iowa City, Iowa and 77 other locations)
StatusRecruiting
StartedNovember 17, 2021
Main results expectedJuly 31, 2030
Study endsJuly 31, 2030
Registry record updatedOctober 26, 2026
Trial IDNCT05145127 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.