Recruiting
Phase 1

Marstacimab

Sponsor:

Pfizer

Code:

NCT06703606

Conditions

Severe Hemophilia A

Eligibility Criteria

Sex: Male

Age: 12 - 70+

Healthy Volunteers: Not accepted

Interventions

MARSTACIMAB

Study Details

Brief summary:

The purpose of the study is to learn about safety, how the body processes marstacimab and how it works in patients with severe hemophilia A without inhibitors. Hemophilia A is rare bleeding disorder where the blood doesn't clot normally. This causes a person to bleed a lot, even from a small cut.

These patients who are on emicizumab medicine for routine prophylaxis for at least 6 months, and desire to switch to marstacimab medicine. Inhibitors are antibodies that the immune system develops because it sees the infused clotting factor as a foreign substance that needs to be destroyed. Antibodies are proteins that eat up the activated factor before it has time to stop the bleeding. Prophylaxis are preventive medicines.

This study is seeking for participants:

  • with severe Hemophilia A withouth inhibitors who are on emicizumab treatment for at least 6 months.
  • must be 12 to less than 75 years old
  • must have a body weight of at least 35 kilograms. The results from this study will serve as a guide to doctors and their hemophilia A patients who will change their medicines in the real-world clinical setting. Patients who can take part in the study will receive marstacimab medicine as weekly injections under the skin of 150 milligrams for 4 months. Study treatment with marstacimab will be initiated no earlier than 14 days after last dose of emicizumab. The study can last up to 6 months. The sponsor will provide marstacimab. Patients will continue their usual treatment with the infused clotting factor for their bleeds when taking part in the study. Roll-over into an optional study treatment extension period will be available to participants who wish to continue prophylaxis with marstacimab in countries where it is not commercially available.

Conditions

Severe Hemophilia A

Study ID

NCT06703606

Start date

May 13, 2025

Status verified date

Jun, 2026

Completion date

May 5, 2027

Anticipated

Primary completion date

May 5, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: Male

Age: 12 - 70+

Healthy Volunteers: Not accepted

Inclusion Criteria:

1. Male and 12 to <75 years of age with a minimum body weight of 35 kg at the time of signing the informed consent.
2. Diagnosis of severe hemophilia A (FVIII activity <1%) without inhibitors.
3. On emicizumab therapy at a standard clinical dose for ≥6 months.

Exclusion Criteria:

1. Previous or current treatment for or history of coronary artery diseases, venous or arterial thrombosis, or ischemic disease.
2. Any medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
3. Known hemostatic defect other than hemophilia A.
4. Current use of any prohibited concomitant medication(s) or unwillingness or inability to use a required concomitant medication(s).
5. Previous administration of an investigational product (drug or vaccine) within 30 days or 5 half-lives preceding the first dose of study intervention used in this study (whichever is longer). Participation in studies of other investigational products (drug or vaccine) at any time during participation in this study.
6. Platelet count <100,000/μl or hemoglobin <10 g/dL.
7. Clinically significant renal or hepatic function abnormality based on laboratory results at screening, or known kidney or liver disease.
8. CD4 cell count ≤200/μl if HIV positive.
9. Screening 12-lead ECG that demonstrates clinically significant abnormalities that, in the opinion of the investigator, may affect participant safety or interpretation of study results.
10. Known planned surgical procedure.
11. Hypersensitivity or allergic reaction to hamster protein or other components of the study intervention.
12. Investigator site staff directly involved in the conduct of the study and their family members, site staff otherwise supervised by the investigator, and sponsor and sponsor-delegate employees directly involved in the conduct of the study and their family members.

Study Design

Enrollment

15 participants

Anticipated

Allocation

Non randomized

Intervention Model

Single group

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: MARSTACIMAB

Marstacimab 150 mg subcutaneous (SC) once weekly (QW)

Interventions

MARSTACIMAB

Marstacimab 150 mg administered subcutaneous (SC) once weekly (QW)

Primary outcome measure

  • Incidence of marstacimab-related adverse events (AEs) [ Time Frame: Approximately 178 days: from the time the participant provides informed consent, through and including a minimum of 28 calendar days after last dose of study treatment ]
  • Incidence of marstacimab-related serious AEs (SAEs) [ Time Frame: Approximately 178 days: from the time the participant provides informed consent, through and including a minimum of 28 calendar days after last dose of study treatment ]

Central Contacts and Locations

Central contacts

Locations

Orthopaedic Institute for Children/Orthopaedic Hemophilia Treatment Center

Recruiting

Los Angeles, California, United States, 90007

Brody School of Medicine at East Carolina University

Recruiting

Greenville, North Carolina, United States, 27834

ECU Health Medical Center

Recruiting

Greenville, North Carolina, United States, 27834

More Information

Sponsor

Pfizer

Last update posted

Jun 3, 2026

Last verified

Jun, 2026

Keywords

  • Hemophilia A
  • Severe Hemophilia A
  • Severe Hemophilia A Without Inhibitors

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by Pfizer on 2026-06-03.