ClinicalTrials.gg
CompletedNCT03938792Updated Aug 14, 2026Results posted

Study of the Efficacy and Safety PF-06741086 in Adult and Teenage Participants With Severe Hemophilia A or Moderately Severe to Severe Hemophilia B

A Phase 3 interventional study of PF-06741086 in Hemophilia A and Hemophilia B, sponsored by Pfizer. Completed at 62 sites in 20 countries. Open to male participants aged 12 Years to 74 Years. Per ClinicalTrials.gov, last updated 2026-08-14.

Sponsored by Pfizer · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
188
Allocation
Not applicable
Ages
12 Years to 74 Years
Sex
Male
01

Study summary

Treatment with PF-06741086 is anticipated to demonstrate a clinically relevant advantage and/or a major contribution to patient care in comparison to current methods of treatment for hemophilia A or B because it works differently than factor replacement products and will work in the presence of inhibitors. The potential for once weekly (QW) subcutaneous (SC) administration provides for treatment options in the absence of reliable vascular access, increased convenience and may enable better compliance. Combined, these qualities should result in a reduction of bleeding episodes.

02

Conditions studied

  • Hemophilia A
  • Hemophilia B

Keywords

  • Factor VIII
  • Factor IX
  • Inhibitors
  • Anti-Tissue Factor Pathway Inhibitor (TFPI)
  • Subcutaneous (sc)
  • Prophylaxis
  • On-Demand
  • BASIS
  • Inhibitor
  • SC
  • Subcutaneous
  • Injection
  • On demand
  • aTFPI
  • Anti-TFPI
  • Severe hemophilia
  • Severe bleeding
  • Hemophilia
  • PF-06741086
  • PF 06741086
  • Marstacimab
03

In context

Hemophilia A

844 studies on the registry are indexed under Hemophilia A; 138 are open to participants now.

This study's enrollment of 188 is above the median of 30 across 499 interventional studies indexed under Hemophilia A.

Browse Hemophilia A studies →

Lead sponsor

Pfizer is the lead sponsor of 3,334 studies on the registry; 149 are open to participants now.

Of its 601 completed or terminated interventional studies of FDA-regulated products, 391 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
12 Years to 74 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Participants with a diagnosis of severe hemophilia A or moderately severe to severe hemophilia B with a minimum weight of 35 kg at screening.
  • Participant or legally authorized representative, or participant's caregiver capable of giving signed (or minor assent, when applicable).

Participants who are enrolled into the Non-Inhibitor Cohort must also meet the following criteria:

  • No detectable or documented history of inhibitors
  • Participants on FVIII/FIX routine prophylaxis who have demonstrated at least 80% compliance with scheduled prophylaxis regimen during 6 months prior to enrollment and are willing to continue to receive routine prophylaxis treatment with FVIII/FIX replacement during the Observational Phase.
  • Participants with on-demand treatment regimen with ≥6 acute bleeding episodes (spontaneous or traumatic) that required coagulation factor infusion during the 6 months period prior to enrollment and willing to continue to receive on demand treatment during the Observational Phase.

Participants who are enrolled into the Inhibitor Cohort must also meet the following criteria:

  • Documentation of current high titer inhibitor (≥5 BU/mL) or current low titer inhibitor (\<5 BU/mL) to FVIII or FIX replacement and with FVIII or FIX recovery \<60% of expected within previous 6 months prior to enrolment into the Observational Phase
  • Hemophilia A participants with on-demand treatment regimen with ≥6 bleeding episodes or hemophilia B participants with ≥4 bleeding episodes (spontaneous or traumatic) necessitating treatment with bypass factor during the 6 months prior to Enrollment into Observational Phase and willing to continue to receive on-demand treatment during the Observational Phase.
  • Participants who have documented inhibitors while on factor-replacement therapy but who do not meet the quantitative inhibitor criteria described in the prior bullet at the time of Screening (eg, participant with a previously documented high-titer inhibitor (≥5 BU/mL) and whose condition precludes re-challenge with FVIII or FIX replacement) may be considered for eligibility on a case-by-case basis with prior agreement from the Pfizer Medical Monitor
  • Participants who meet the bleeding criteria noted above and who are on routine prophylaxis (defined as treatment by IV injection of bypass factor to prevent bleeding) and have demonstrated at least 80% compliance with scheduled prophylaxis regimen during the 6 months prior to enrollment, may be considered for eligibility on a case-by-case basis with discussion and agreement from the Pfizer medical monitor.

Exclusion criteria

Exclusion Criteria

  • Previous or current treatment for and/or history of coronary artery diseases, venous or arterial thrombosis or ischemic disease
  • Known planned surgical procedure during the planned study period.
  • Known hemostatic defect other than hemophilia A or B.
  • Abnormal renal or hepatic function
  • Current unstable liver or biliary disease
  • Abnormal hematologic parameters
  • Other acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or product administration or may interfere with the interpretation of study results and, in the judgment of the investigator,
  • Current routine prophylaxis with bypassing agent or non-coagulation non-factor- replacement therapy, or any previous treatment with a gene therapy product for treatment of hemophilia (participants treated with prophylaxis using bypassing agents or who had prior treatment with non-factor products may be considered on a case-by-case basis).
  • Regular, concomitant therapy with immunomodulatory drugs

    - Ongoing or planned use of immune tolerance induction during the Observational Phase or Active Treatment Phase, or prophylaxis with FVIII or FIX replacement at any time after initiation of treatment with study intervention during the Active Treatment Phase

  • Previous exposure to PF 06741086 during participation in studies B7841002 and B7841003.
  • Participation in other studies involving investigational drug(s) or investigational vaccines within 30 days (or as determined by local requirements) or 5 half-lives prior to study entry and/or during study participation.
  • ≤200/uL if (HIV)-positive
  • Screening that demonstrates abnormalities that may affect participant safety or interpretation of study results.
  • Individuals with or an allergic reaction to hamster protein or other components of the study intervention.
  • Investigator site staff members directly involved in the conduct of the study and their family members, site staff members otherwise supervised by the investigator, or participants who are Pfizer employees, including their family members, directly involved in the conduct of the study.
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

CD4 count

The number of CD4 cells, a type of white blood cell, in a given amount of blood. It is used to follow how well the immune system is doing in HIV.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
188 participants (actual)

Study arms

  • Experimental
    PF-06741086

    Participants will be assigned to treatment with PF-06741086 after a 6 month Observation Phase on their current hemophilia regimen.

    Drug: PF-06741086

Interventions

  • 300 milligrams(mg) subcutaneous (sc) loading dose followed by 150 mg sq once weekly (qw). 300 mg sc qw is prescribed for participants who meet dose escalation criteria.

06

What researchers measure

Primary outcomes

  1. Model-Based Annualized Bleeding Rate (ABR) of Treated Bleeding Events: Inhibitor Cohort (Participants With Prior OD Therapy at OP)

    ABR is defined as number of bleeding episodes per year. ABR was calculated as number of bleeds requiring treatments/ (days on treatment period/365.25). If a participant did not complete a treatment period, days on treatment ended at last dosing date + 6 days. Treated bleed: If a bleed was treated with factor replacement or bypass agents within 48 hours of start of bleeding, regardless of the type of treatment (preventive, prophylaxis or OD medication). A model-based ABR using a repeated measures negative binomial model is reported for this outcome measure.

    Time frame: OP reporting group: Up to 6 months; ATP reporting group: up to 12 months

  2. Model-Based ABR of Treated Bleeding Events: Non-Inhibitor Cohort (Participants With Prior OD Therapy at OP)

    ABR is defined as number of bleeding episodes per year. ABR was calculated as number of bleeds requiring treatments/ (days on treatment period/365.25). If a participant did not complete a treatment period, days on treatment ended at last dosing date + 6 days. Treated bleed: If a bleed was treated with factor replacement or bypass agents within 48 hours of start of bleeding, regardless of the type of treatment (preventive, prophylaxis or OD medication). A model-based ABR using a repeated measures negative binomial model is reported for this outcome measure.

    Time frame: OP reporting group: Up to 6 months; ATP reporting group: up to 12 months

  3. Model-Based ABR of Treated Bleeding Events: Non-Inhibitor Cohort (Participants With RP at OP)

    ABR is defined as number of bleeding episodes per year. ABR was calculated as number of bleeds requiring treatments/ (days on treatment period/365.25). If a participant did not complete a treatment period, days on treatment ended at last dosing date + 6 days. Treated bleed: If a bleed was treated with factor replacement or bypass agents within 48 hours of start of bleeding, regardless of the type of treatment (preventive, prophylaxis or OD medication). A model-based ABR using a repeated measures negative binomial model is reported for this outcome measure.

    Time frame: OP reporting group: Up to 6 months; ATP reporting group: up to 12 months

  4. Number of Participants With Adverse Events (AEs): Inhibitor and Non-Inhibitor Cohort

    An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. AEs included both serious AEs and all other AEs.

    Time frame: OP reporting group: Up to 6 months; ATP reporting group: up to 13 months (includes 28-35 days of safety follow-up post last dose of study drug)

  5. Number of Participants With Serious Adverse Events (SAEs): Inhibitor and Non-Inhibitor Cohort

    AE: any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. SAE: any untoward medical occurrence at any dose that resulted in any of the following outcomes: death; life-threatening; required inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect; or that was considered as an important medical event.

    Time frame: OP reporting group: Up to 6 months; ATP reporting group: up to 13 months (includes 28-35 days of safety follow-up post last dose of study drug)

  6. Number of Participants With Thrombotic Events: Inhibitor and Non-Inhibitor Cohort

    Thrombotic events are when a blood clot (thrombus) forms in a blood vessel in the arm, leg, lung, or head and can be life-threatening. A thrombus can occur in veins (venous thrombosis) or arteries (arterial thrombosis).

    Time frame: OP reporting group: Up to 6 months; ATP reporting group: up to 13 months (includes 28-35 days of safety follow-up post last dose of study drug)

  7. Number of Participants With Thrombotic Microangiopathy: Inhibitor and Non-Inhibitor Cohort

    Thrombotic microangiopathy: pathological state where micro-vessels are occluded by platelet rich thrombi leading to thrombocytopenia (low platelets) and microangiopathic haemolytic anaemia (red blood cell destruction) and potential end organ damage.

    Time frame: OP reporting group: Up to 6 months; ATP reporting group: up to 13 months (includes 28-35 days of safety follow-up post last dose of study drug)

  8. Number of Participants With Disseminated Intravascular Coagulation/ Consumption Coagulopathy: Inhibitor and Non-Inhibitor Cohort

    Disseminated intravascular coagulation is characterized by widespread clotting in small blood vessels, and consumption of platelets and clotting factors by the clots, leading to bleeding.

    Time frame: OP reporting group: Up to 6 months; ATP reporting group: up to 13 months (includes 28-35 days of safety follow-up post last dose of study drug)

  9. Number of Participants With Anti-drug Antibodies (ADA) and Neutralizing Antibodies (NAb) Against PF- 06741086: Inhibitor and Non-Inhibitor Cohort

    ADA positive: A participant with \>=1 treatment induced or treatment-boosted ADA response. NAb positive: An ADA positive participant with \>=1 treatment induced or treatment boosted NAb response.

    Time frame: During prophylaxis treatment in ATP (12 months)

  10. Number of Participants With Transient and Persistent ADA and NAb Against PF-06741086: Inhibitor and Non-Inhibitor Cohort

    Persistent ADA: participant with treatment-induced or treatment-boosted ADA detected at 2 or more times during treatment including any follow-up, where first and last ADA positive samples separated by \>=16 weeks. Transient ADA: treatment-induced or treatment-boosted ADA detected at only 1 time during treatment or follow-up. Persistent NAb: NAb-positive participant with first and last positive NAb samples detected \>=16 weeks posttreatment, irrespective of any negative samples in between. Transient NAb: NAb-positive participant with (1) treatment-induced/treatment-boosted NAb sample detected at only 1 time posttreatment or (2) treatment-induced/treatment-boosted NAb samples detected at 2 or more times where first and last positive samples separated by \<16 weeks, and participant's last sample was NAb or ADA negative.

    Time frame: During prophylaxis treatment in ATP (12 months)

  11. Number of Participants With Injection Site Reactions (ISRs): Inhibitor and Non-Inhibitor Cohort

    ISR included: injection site haematoma, injection site pain, injection site bruising, injection site erythema, injection site induration, injection site oedema, Injection site pruritus and Injection site swelling. ISR graded according to Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 where grade 1: tenderness with or without associated symptoms (warmth, erythema, itching), grade 2: pain, lipodystrophy, edema, phlebitis, grade 3: ulceration or necrosis, severe tissue damage, operative intervention indicated, grade 4: life-threatening consequences, urgent intervention indicated and grade 5: death. In this outcome measure only categories with non-zero values reported.

    Time frame: During prophylaxis treatment in ATP (12 months)

  12. Number of Participants With Clinically Significant Changes in Physical Examinations: Inhibitor and Non-Inhibitor Cohort

    Physical examination included assessments of the head, ears, eyes, nose, mouth, skin, heart and lung examinations, lymph nodes, gastrointestinal, musculoskeletal, and neurological systems. Height and weight were also measured and recorded. Clinical significance in physical examinations was determined by investigator.

    Time frame: OP reporting group: Up to 6 months; ATP reporting group: up to 13 months (includes 28-35 days of safety follow-up post last dose of study drug)

  13. Number of Participants With Clinically Significant Changes in Vital Signs: Inhibitor and Non-Inhibitor Cohort

    Vital signs included temperature, pulse rate, respiratory rate, and blood pressure. Blood pressure and pulse rate were measured in a supine position using completely automated device after at least 5 minutes of rest for the participant in a quiet setting without distractions. Respiratory rate was measured by observing and counting the respirations of the participant for 30 seconds and multiplied by 2. Clinical significance of vital signs was determined by investigator.

    Time frame: OP reporting group: Up to 6 months; ATP reporting group: up to 13 months (includes 28-35 days of safety follow-up post last dose of study drug)

  14. Number of Participants With Clinically Significant Abnormalities in Laboratory Parameters: Inhibitor and Non-Inhibitor Cohort

    Hematology included: hemoglobin; leukocytes; neutrophils; and platelets. Chemistry included: potassium; aspartate aminotransferase; creatinine; alkaline phosphatase; total bilirubin; albumin; calcium corrected, estimated decreased; sodium; and calcium. Clinical significance of laboratory parameters was determined by investigator.

    Time frame: OP reporting group: Up to 6 months; ATP reporting group: up to 13 months (includes 28-35 days of safety follow-up post last dose of study drug)

  15. Number of Participants With Severe/ Systematic Hypersensitivity and Anaphylactic Reactions: Inhibitor and Non-Inhibitor Cohort

    Systemic hypersensitivity is a complex immune response where the immune system reacts excessively to an antigen, often leading to severe allergic reactions, including widespread symptoms (which may affect multiple organs), such as rash, swelling of your face, lips, mouth, or tongue, trouble breathing, wheezing, dizziness, fainting, fast heartbeat, pounding in your chest or sweating. Anaphylaxis is a severe, potentially fatal, systemic allergic reaction that occurs suddenly after contact with an allergy causing substance.

    Time frame: During prophylaxis treatment in ATP (12 months)

Secondary outcomes

  1. Model-Based ABR of Joint Bleeds: Inhibitor and Non-Inhibitor Cohort

    ABR: number of bleeding episodes per year. ABR was calculated as number of bleeds requiring treatments/ (days on treatment period/365.25). If a participant did not complete a treatment period, days on treatment ended at last dosing date + 6 days. Joint bleed: bleeding episode characterized by rapid loss of range of motion as compared with baseline that was associated with any combination of the following: pain or an unusual sensation in the joint, palpable swelling, and warmth of the skin over the joint. A model-based ABR using a repeated measures negative binomial model is reported for this outcome measure.

    Time frame: OP reporting group: Up to 6 months; ATP reporting group: up to 12 months

  2. Model-Based ABR of Spontaneous Bleeds: Inhibitor and Non-Inhibitor Cohort

    ABR: number of bleeding episodes per year. ABR was calculated as the number of bleeds requiring treatments/ (days on treatment period/365.25). If a participant did not complete a treatment period, the days on treatment ended at the last dosing date + 6 days. Spontaneous bleed: Bleeding for no apparent/known reason particularly into the joints, muscles, and soft tissues. A model-based ABR using a repeated measures negative binomial model is reported for this outcome measure.

    Time frame: OP reporting group: Up to 6 months; ATP reporting group: up to 12 months

  3. Model-Based ABR of Target Joint Bleeds: Inhibitor and Non-Inhibitor Cohort

    ABR: number of bleeding episodes per year. ABR was calculated as number of bleeds requiring treatments/ (days on treatment period/365.25). If participant did not complete a treatment period, days on treatment ended at last dosing date + 6 days. Target joint: a major joint into which repeated bleeds occurred. Joint bleed: bleeding episode characterized by rapid loss of range of motion as compared with baseline that was associated with any combination of following: pain or unusual sensation in joint, palpable swelling, and warmth of the skin over joint. A model-based ABR using a repeated measures negative binomial model is reported for this outcome measure.

    Time frame: OP reporting group: Up to 6 months; ATP reporting group: up to 12 months

  4. Model-Based ABR of Total Bleeds: Inhibitor and Non-Inhibitor Cohort

    ABR: number of bleeding episodes per year. ABR was calculated as number of bleeds requiring treatments/ (days on treatment period/365.25). If participant did not complete treatment period, days on treatment ended at last dosing date + 6 days. Treated bleed: If a bleed was treated with factor replacement or bypass agents within 48 hours of start of bleeding, regardless of the type of treatment (preventive, prophylaxis or on-demand medication). Untreated bleed: If a bleed was untreated with factor replacement or bypass agents within 48 hours of start of bleeding, regardless of the type of treatment (preventive, prophylaxis or on-demand medication), it was considered as an untreated bleed. Total bleeds: Treated bleeds + untreated bleeds. A model-based ABR using a repeated measures negative binomial model is reported for this outcome measure.

    Time frame: OP reporting group: Up to 6 months; ATP reporting group: up to 12 months

  5. Change From Baseline in Hemophilia Joint Health Score (HJHS) at Month 6: Non-Inhibitor Cohort

    HJHS evaluated total joint score for 6 joints (left ankle, right ankle, left elbow, right elbow, left knee, right knee) and the global gait score. Joint total score per joint ranged from 0 to 20 (evaluated as: swelling \[0-3\], duration of swelling \[0-1\], muscle atrophy \[0-2\], crepitus on motion \[0-2\], flexion loss \[0-3\], extension loss \[0-3\], joint pain \[0-2\], and strength \[0-4\]). Global gait score ranged from 0 to 4 based on walking, stairs, running, and hopping on 1 leg. HJHS total score was sum of total joint score for 6 joints (0 to 120) and global gait score (0 to 4). The total HJHS score ranged from 0 to 124, where higher scores indicated worse joint health.

    Time frame: OP reporting group: Baseline (Day 1, day of study enrollment), Month 6; ATP reporting group: Baseline (before dose on Day 1 of ATP), Month 6

  6. Change From Baseline in HJHS at Month 6: Inhibitor Cohort

    HJHS evaluated total joint score for 6 joints (left ankle, right ankle, left elbow, right elbow, left knee, right knee) and the global gait score. Joint total score per joint ranged from 0 to 20 (evaluated as: swelling \[0-3\], duration of swelling \[0-1\], muscle atrophy \[0-2\], crepitus on motion \[0-2\], flexion loss \[0-3\], extension loss \[0-3\], joint pain \[0-2\], and strength \[0-4\]). Global gait score ranged from 0 to 4 based on walking, stairs, running, and hopping on 1 leg. HJHS total score was sum of total joint score for 6 joints (0 to 120) and global gait score (0 to 4). The total HJHS score ranged from 0 to 124, where higher scores indicated worse joint health.

    Time frame: OP reporting group: Baseline (Day 1, day of study enrollment), Month 6; ATP reporting group: Baseline (before dose on Day 1 of ATP), Month 6

  7. Change From Baseline in Hemophilia Quality of Life Questionnaire for Adults (Haem-A-QoL) Total Score and Physical Health Domain at Month 6: Non-Inhibitor Cohort, Participants >=17 Years

    Haem-A-QoL assessed health-related quality of life (QoL) in adult participants (\>=17 years of age) with hemophilia. It contained 46 items with 10 domains that assessed health in the following areas: physical health; feelings; view of self; sports and leisure; work and school; dealing with haemophilia; treatment; future; family planning; partnership and sexuality. All items were based on a 5-point Likert type scale (1= never, 2= rarely, 3= sometimes, 4= often, 5= all the time). Scoring was performed by averaging non-missing item responses for each domain, then each domain score was rescaled from 0 to 100, lower scores signified higher QoL. Total Haem-A-QoL score was averaged across the 46 items values and then rescaled from 0 to 100, lower Haem-A-QoL scores signified better QoL.

    Time frame: OP reporting group: Baseline (Day 1, day of study enrollment), Month 6; ATP reporting group: Baseline (before dose on Day 1 of ATP), Month 6

  8. Change From Baseline in Haem-A-QoL Total Score and Physical Health Domain at Month 6: Inhibitor Cohort, Participants >=17 Years

    Haem-A-QoL assessed health-related quality of life (QoL) in adult participants (\>=17 years of age) with hemophilia. It contained 46 items with 10 domains that assessed health in the following areas: physical health; feelings; view of self; sports and leisure; work and school; dealing with haemophilia; treatment; future; family planning; partnership and sexuality. All items were based on a 5-point Likert type scale (1= never, 2= rarely, 3= sometimes, 4= often, 5= all the time). Scoring was performed by averaging non-missing item responses for each domain, then each domain score was rescaled from 0 to 100, lower scores signified higher QoL. Total Haem-A-QoL score was averaged across the 46 items values and then rescaled from 0 to 100, lower Haem-A-QoL scores signified better QoL.

    Time frame: OP reporting group: Baseline (Day 1, day of study enrollment), Month 6; ATP reporting group: Baseline (before dose on Day 1 of ATP), Month 6

  9. Change From Baseline in Hemophilia Quality of Life Questionnaire for Children (Haemo-QoL) Total Score at Month 6: Non-Inhibitor Cohort, Participants 12 to <17 Years

    Haemo-QoL assessed health-related QoL in adolescent participants (12 to \<17 years of age) with hemophilia. It contains 12 items with 77 domains that assesses health in the following areas: physical health; feelings; attitude/view; family; friends; other people; sport and school; coping/dealing; treatment; perceived support; future and relationship. All items were based on 5-point Likert type scale (1= never, 2= rarely, 3= sometimes, 4= often, 5= all the time). Scoring was performed by averaging non-missing item responses for each domain, then rescaled from 0 to 100, lower scores signified higher QoL. Total Haem-A QoL score was averaged across the 77 items values and then rescaled from 0 to 100, lower Haemo-QoL scores signified better QoL.

    Time frame: OP reporting group: Baseline (Day 1, day of study enrollment), Month 6; ATP reporting group: Baseline (before dose on Day 1 of ATP), Month 6

  10. Change From Baseline in Haemo-QoL Total Score at Month 6: Inhibitor Cohort, Participants 12 to <17 Years

    Haemo-QoL assessed health-related QoL in adolescent participants (12 to \<17 years of age) with hemophilia. It contains 12 items with 77 domains that assesses health in the following areas: physical health; feelings; attitude/view; family; friends; other people; sport and school; coping/dealing; treatment; perceived support; future and relationship. All items were based on 5-point Likert type scale (1= never, 2= rarely, 3= sometimes, 4= often, 5= all the time). Scoring was performed by averaging non-missing item responses for each domain, then rescaled from 0 to 100, lower scores signified higher QoL. Total Haem-A QoL score was averaged across the 77 items values and then rescaled from 0 to 100, lower Haemo-QoL scores signified better QoL.

    Time frame: OP reporting group: Baseline (Day 1, day of study enrollment), Month 6; ATP reporting group: Baseline (before dose on Day 1 of ATP), Month 6

  11. Change From Baseline in Hemophilia Activities List (HAL) Total Score at Month 6: Non-Inhibitor Cohort, Participants >=17 Years

    The HAL was a multiple domain measure of the impact of hemophilia on functional abilities in adults (\>=17 years of age). The 7 domains of this instrument contained 42 items in total, as follows: lying/sitting/kneeling/standing; lower (leg) functioning; upper (arm) functioning; transportation; self-care; household tasks; and sports/leisure. Items were rated on 6-point scale 1 (impossible) to 6 (never) that described difficulty due to hemophilia. HAL total score was sum of all items and scored 42 to 252, which were transformed to 0 - 100, where higher scores indicated better functional status.

    Time frame: OP reporting group: Baseline (Day 1, day of study enrollment), Month 6; ATP reporting group: Baseline (before dose on Day 1 of ATP), Month 6

  12. Change From Baseline in HAL Total Score at Month 6: Inhibitor Cohort, Participants >=17 Years

    The HAL was a multiple domain measure of the impact of hemophilia on functional abilities in adults (\>=17 years of age). The 7 domains of this instrument contained 42 items in total, as follows: lying/sitting/kneeling/standing; lower (leg) functioning; upper (arm) functioning; transportation; self-care; household tasks; and sports/leisure. Items were rated on 6-point scale 1 (impossible) to 6 (never) that described difficulty due to hemophilia. HAL total score was sum of all items and scored 42 to 252, which were transformed to 0 - 100, where higher scores indicated better functional status.

    Time frame: OP reporting group: Baseline (Day 1, day of study enrollment), Month 6; ATP reporting group: Baseline (before dose on Day 1 of ATP), Month 6

  13. Change From Baseline in Pediatric Hemophilia Activities List (pedHAL) Total Score at Month 6: Non-Inhibitor Cohort, Participants 12 to <17 Years

    The pedHAL was a multiple domain measure of the impact of hemophilia on functional abilities in adolescents (12 to \<17 years of age). The 7 domains of this instrument contained 53 items in total, as follows: sitting/kneeling/standing; functions of the legs; functions of the arms; use of transportation; self-care; household tasks; leisure activities and sports. Items were rated on 6-point scale 1 (impossible) to 6 (never) that described difficulty due to hemophilia. pedHAL total score was normalized in a range of 0 - 100, where higher scores indicated better functional status.

    Time frame: OP reporting group: Baseline (Day 1, day of study enrollment), Month 6; ATP reporting group: Baseline (before dose on Day 1 of ATP), Month 6

  14. Change From Baseline in pedHAL Total Score at Month 6: Inhibitor Cohort, Participants 12 to <17 Years

    The pedHAL was a multiple domain measure of the impact of hemophilia on functional abilities in adolescents (12 to \<17 years of age). The 7 domains of this instrument contained 53 items in total, as follows: sitting/kneeling/standing; functions of the legs; functions of the arms; use of transportation; self-care; household tasks; leisure activities and sports. Items were rated on 6-point scale 1 (impossible) to 6 (never) that described difficulty due to hemophilia. pedHAL total score was normalized in a range of 0 - 100, where higher scores indicated better functional status.

    Time frame: OP reporting group: Baseline (Day 1, day of study enrollment), Month 6; ATP reporting group: Baseline (before dose on Day 1 of ATP), Month 6

  15. Patient Global Impression of Change-Hemophilia (PGIC-H) at Month 6: Non-Inhibitor Cohort

    The PGIC-H was a single item assessment of the participant's overall impression of change in their life with hemophilia, on a 7-point scale (1= greatly improved to 7= greatly worsened, where lower scores indicated better improvement).

    Time frame: Month 6

  16. PGIC-H at Month 6: Inhibitor Cohort

    The PGIC-H was a single item assessment of the participant's overall impression of change in their life with hemophilia, on a 7-point scale (1= greatly improved to 7= greatly worsened, where lower scores indicated better improvement).

    Time frame: Month 6

  17. Change From Baseline in EuroQol 5 Dimensions 5 Level (EQ-5D-5L) Index and VAS Scores at Month 6: Non-Inhibitor Cohort

    EQ-5D-5L consisted of participant completed questionnaire with 2 components: health state profile index and visual analogue scale (VAS). EQ-5D health state profile index has 5 domains (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), with 5 levels (1= no problems, 2= slight problems, 3= moderate problems, 4= severe problems, 5= extreme problems). Responses to 5 dimensions comprised health state index value. E.g. if a participant responds "no problems" for each 5 dimensions, then health state was coded as "11111" with predefined index value to it. EQ-5D-5L index score ranged from -0.594 to 1, United Kingdom look-up value was applied to all participants, higher scores indicated better health states. The EQ- VAS measured participant's self-rated health state on a scale from 0 (worst imaginable health state) to 100 (best imaginable health state) by VAS, where higher scores indicated better heath states.

    Time frame: OP reporting group: Baseline (Day 1, day of study enrollment), Month 6; ATP reporting group: Baseline (before dose on Day 1 of ATP), Month 6

  18. Change From Baseline in EQ-5D-5L Index and VAS Scores at Month 6: Inhibitor Cohort

    EQ-5D-5L consisted of participant completed questionnaire with 2 components: health state profile index and visual analogue scale (VAS). EQ-5D health state profile index has 5 domains (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), with 5 levels (1= no problems, 2= slight problems, 3= moderate problems, 4= severe problems, 5= extreme problems). Responses to 5 dimensions comprised health state index value. E.g. if a participant responds "no problems" for each 5 dimensions, then health state was coded as "11111" with predefined index value to it. EQ-5D-5L index score ranged from -0.594 to 1, United Kingdom look-up value was applied to all participants, higher scores indicated better health states. The EQ- VAS measured participant's self-rated health state on a scale from 0 (worst imaginable health state) to 100 (best imaginable health state) by VAS, where higher scores indicated better heath states.

    Time frame: OP reporting group: Baseline (Day 1, day of study enrollment), Month 6; ATP reporting group: Baseline (before dose on Day 1 of ATP), Month 6

07

Results

Posted Aug 14, 2026

Participant flow

A total of 188 participants were enrolled in the study: 128 in non-inhibitor cohort (no history of inhibitors) and 60 in inhibitor cohort (current/documented history of inhibitor). The study consisted of observational phase (OP) and active treatment phase (ATP) \[participants received study drug PF-06741086 (marstacimab)\]. Participants receiving prior on-demand (OD) therapy or prior routine prophylaxis (RP) therapy in either non-inhibitor cohort or inhibitor cohort were enrolled into OP.

Observational Phase
Participant flow — Observational Phase
MilestoneInhibitor Cohort: Prophylaxis at OP + PF-06741086 in ATPNon-Inhibitor Cohort: OD at OP + PF-06741086 in ATPInhibitor Cohort: OD at OP + PF-06741086 in ATPNon-Inhibitor Cohort: Prophylaxis at OP + PF-06741086 in ATP
Started3375791
Completed3345084
Not completed0377
Withdrew: Withdrawal by subject0020
Withdrew: Adverse event0010
Withdrew: Other0100
Withdrew: No longer met eligibility criteria0005
Withdrew: Protocol violation0242
Active Treatment Phase
Participant flow — Active Treatment Phase
MilestoneInhibitor Cohort: Prophylaxis at OP + PF-06741086 in ATPNon-Inhibitor Cohort: OD at OP + PF-06741086 in ATPInhibitor Cohort: OD at OP + PF-06741086 in ATPNon-Inhibitor Cohort: Prophylaxis at OP + PF-06741086 in ATP
Started3334883
Completed3334578
Not completed0035
Withdrew: Withdrawal by subject0004
Withdrew: Adverse event0011
Withdrew: Lost to follow-up0010
Withdrew: Protocol violation0010

Outcome measures

PrimaryModel-Based Annualized Bleeding Rate (ABR) of Treated Bleeding Events: Inhibitor Cohort (Participants With Prior OD Therapy at OP)

ABR is defined as number of bleeding episodes per year. ABR was calculated as number of bleeds requiring treatments/ (days on treatment period/365.25). If a participant did not complete a treatment period, days on treatment ended at last dosing date + 6 days. Treated bleed: If a bleed was treated with factor replacement or bypass agents within 48 hours of start of bleeding, regardless of the type of treatment (preventive, prophylaxis or OD medication). A model-based ABR using a repeated measures negative binomial model is reported for this outcome measure.

Time frame:
OP reporting group: Up to 6 months; ATP reporting group: up to 12 months
Reported as:
Mean · Bleeds per year
Model-Based Annualized Bleeding Rate (ABR) of Treated Bleeding Events: Inhibitor Cohort (Participants With Prior OD Therapy at OP)
Bleeds per yearInhibitor Cohort: OD at OPInhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]
Model-Based Annualized Bleeding Rate (ABR) of Treated Bleeding Events: Inhibitor Cohort (Participants With Prior OD Therapy at OP)19.78 (16.12 to 24.27)1.39 (0.85 to 2.29)
Statistical analysis
  • Inhibitor Cohort: OD at OP vs Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Repeated negative binomial regression · p = <0.0001 · Ratio estimate: 0.07 · 95% CI 0.042 to 0.118
PrimaryModel-Based ABR of Treated Bleeding Events: Non-Inhibitor Cohort (Participants With Prior OD Therapy at OP)

ABR is defined as number of bleeding episodes per year. ABR was calculated as number of bleeds requiring treatments/ (days on treatment period/365.25). If a participant did not complete a treatment period, days on treatment ended at last dosing date + 6 days. Treated bleed: If a bleed was treated with factor replacement or bypass agents within 48 hours of start of bleeding, regardless of the type of treatment (preventive, prophylaxis or OD medication). A model-based ABR using a repeated measures negative binomial model is reported for this outcome measure.

Time frame:
OP reporting group: Up to 6 months; ATP reporting group: up to 12 months
Reported as:
Mean · Bleeds per year
Model-Based ABR of Treated Bleeding Events: Non-Inhibitor Cohort (Participants With Prior OD Therapy at OP)
Bleeds per yearNon-Inhibitor Cohort: OD at OPNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]
Model-Based ABR of Treated Bleeding Events: Non-Inhibitor Cohort (Participants With Prior OD Therapy at OP)39.86 (33.05 to 48.07)3.2 (2.1 to 4.88)
Statistical analysis
  • Non-Inhibitor Cohort: OD at OP vs Non-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Repeated negative binomial regression · p = <0.0001 · Ratio estimate: 0.08 · 95% CI 0.057 to 0.113
PrimaryModel-Based ABR of Treated Bleeding Events: Non-Inhibitor Cohort (Participants With RP at OP)

ABR is defined as number of bleeding episodes per year. ABR was calculated as number of bleeds requiring treatments/ (days on treatment period/365.25). If a participant did not complete a treatment period, days on treatment ended at last dosing date + 6 days. Treated bleed: If a bleed was treated with factor replacement or bypass agents within 48 hours of start of bleeding, regardless of the type of treatment (preventive, prophylaxis or OD medication). A model-based ABR using a repeated measures negative binomial model is reported for this outcome measure.

Time frame:
OP reporting group: Up to 6 months; ATP reporting group: up to 12 months
Reported as:
Mean · Bleeds per year
Model-Based ABR of Treated Bleeding Events: Non-Inhibitor Cohort (Participants With RP at OP)
Bleeds per yearNon-Inhibitor Cohort: RP at OPNon-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]
Model-Based ABR of Treated Bleeding Events: Non-Inhibitor Cohort (Participants With RP at OP)7.9 (5.14 to 10.66)5.09 (3.4 to 6.78)
Statistical analysis
  • Non-Inhibitor Cohort: RP at OP vs Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP] · Repeated negative binomial regression · p = =0.0349 · Difference estimate: -2.81 · 95% CI -5.42 to -0.2
PrimaryNumber of Participants With Adverse Events (AEs): Inhibitor and Non-Inhibitor Cohort

An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. AEs included both serious AEs and all other AEs.

Time frame:
OP reporting group: Up to 6 months; ATP reporting group: up to 13 months (includes 28-35 days of safety follow-up post last dose of study drug)
Reported as:
Count of participants · Participants
Number of Participants With Adverse Events (AEs): Inhibitor and Non-Inhibitor Cohort
ParticipantsNon-Inhibitor Cohort: OD at OPNon-Inhibitor Cohort: RP at OPNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]Inhibitor Cohort: OD at OPInhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Inhibitor Cohort: RP at OPInhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]
Number of Participants With Adverse Events (AEs): Inhibitor and Non-Inhibitor Cohort18252066193523
PrimaryNumber of Participants With Serious Adverse Events (SAEs): Inhibitor and Non-Inhibitor Cohort

AE: any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. SAE: any untoward medical occurrence at any dose that resulted in any of the following outcomes: death; life-threatening; required inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect; or that was considered as an important medical event.

Time frame:
OP reporting group: Up to 6 months; ATP reporting group: up to 13 months (includes 28-35 days of safety follow-up post last dose of study drug)
Reported as:
Count of participants · Participants
Number of Participants With Serious Adverse Events (SAEs): Inhibitor and Non-Inhibitor Cohort
ParticipantsNon-Inhibitor Cohort: OD at OPNon-Inhibitor Cohort: RP at OPNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]Inhibitor Cohort: OD at OPInhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Inhibitor Cohort: RP at OPInhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]
Number of Participants With Serious Adverse Events (SAEs): Inhibitor and Non-Inhibitor Cohort12075100
PrimaryNumber of Participants With Thrombotic Events: Inhibitor and Non-Inhibitor Cohort

Thrombotic events are when a blood clot (thrombus) forms in a blood vessel in the arm, leg, lung, or head and can be life-threatening. A thrombus can occur in veins (venous thrombosis) or arteries (arterial thrombosis).

Time frame:
OP reporting group: Up to 6 months; ATP reporting group: up to 13 months (includes 28-35 days of safety follow-up post last dose of study drug)
Reported as:
Count of participants · Participants
Number of Participants With Thrombotic Events: Inhibitor and Non-Inhibitor Cohort
ParticipantsNon-Inhibitor Cohort: OD at OPNon-Inhibitor Cohort: RP at OPNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]Inhibitor Cohort: OD at OPInhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Inhibitor Cohort: RP at OPInhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]
Number of Participants With Thrombotic Events: Inhibitor and Non-Inhibitor Cohort00000000
PrimaryNumber of Participants With Thrombotic Microangiopathy: Inhibitor and Non-Inhibitor Cohort

Thrombotic microangiopathy: pathological state where micro-vessels are occluded by platelet rich thrombi leading to thrombocytopenia (low platelets) and microangiopathic haemolytic anaemia (red blood cell destruction) and potential end organ damage.

Time frame:
OP reporting group: Up to 6 months; ATP reporting group: up to 13 months (includes 28-35 days of safety follow-up post last dose of study drug)
Reported as:
Count of participants · Participants
Number of Participants With Thrombotic Microangiopathy: Inhibitor and Non-Inhibitor Cohort
ParticipantsNon-Inhibitor Cohort: OD at OPNon-Inhibitor Cohort: RP at OPNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]Inhibitor Cohort: OD at OPInhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Inhibitor Cohort: RP at OPInhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]
Number of Participants With Thrombotic Microangiopathy: Inhibitor and Non-Inhibitor Cohort00000000
PrimaryNumber of Participants With Disseminated Intravascular Coagulation/ Consumption Coagulopathy: Inhibitor and Non-Inhibitor Cohort

Disseminated intravascular coagulation is characterized by widespread clotting in small blood vessels, and consumption of platelets and clotting factors by the clots, leading to bleeding.

Time frame:
OP reporting group: Up to 6 months; ATP reporting group: up to 13 months (includes 28-35 days of safety follow-up post last dose of study drug)
Reported as:
Count of participants · Participants
Number of Participants With Disseminated Intravascular Coagulation/ Consumption Coagulopathy: Inhibitor and Non-Inhibitor Cohort
ParticipantsNon-Inhibitor Cohort: OD at OPNon-Inhibitor Cohort: RP at OPNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]Inhibitor Cohort: OD at OPInhibitor Cohort: RP at OPInhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]
Number of Participants With Disseminated Intravascular Coagulation/ Consumption Coagulopathy: Inhibitor and Non-Inhibitor Cohort00000000
PrimaryNumber of Participants With Anti-drug Antibodies (ADA) and Neutralizing Antibodies (NAb) Against PF- 06741086: Inhibitor and Non-Inhibitor Cohort

ADA positive: A participant with \>=1 treatment induced or treatment-boosted ADA response. NAb positive: An ADA positive participant with \>=1 treatment induced or treatment boosted NAb response.

Time frame:
During prophylaxis treatment in ATP (12 months)
Reported as:
Count of participants · Participants
Number of Participants With Anti-drug Antibodies (ADA) and Neutralizing Antibodies (NAb) Against PF- 06741086: Inhibitor and Non-Inhibitor Cohort
ParticipantsNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]
ADA1013100
NAb152—
PrimaryNumber of Participants With Transient and Persistent ADA and NAb Against PF-06741086: Inhibitor and Non-Inhibitor Cohort

Persistent ADA: participant with treatment-induced or treatment-boosted ADA detected at 2 or more times during treatment including any follow-up, where first and last ADA positive samples separated by \>=16 weeks. Transient ADA: treatment-induced or treatment-boosted ADA detected at only 1 time during treatment or follow-up. Persistent NAb: NAb-positive participant with first and last positive NAb samples detected \>=16 weeks posttreatment, irrespective of any negative samples in between. Transient NAb: NAb-positive participant with (1) treatment-induced/treatment-boosted NAb sample detected at only 1 time posttreatment or (2) treatment-induced/treatment-boosted NAb samples detected at 2 or more times where first and last positive samples separated by \<16 weeks, and participant's last sample was NAb or ADA negative.

Time frame:
During prophylaxis treatment in ATP (12 months)
Reported as:
Count of participants · Participants
Number of Participants With Transient and Persistent ADA and NAb Against PF-06741086: Inhibitor and Non-Inhibitor Cohort
ParticipantsNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]
ADA — Persistent451—
ADA — Transient689—
NAb — Persistent001—
NAb — Transient151—
PrimaryNumber of Participants With Injection Site Reactions (ISRs): Inhibitor and Non-Inhibitor Cohort

ISR included: injection site haematoma, injection site pain, injection site bruising, injection site erythema, injection site induration, injection site oedema, Injection site pruritus and Injection site swelling. ISR graded according to Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 where grade 1: tenderness with or without associated symptoms (warmth, erythema, itching), grade 2: pain, lipodystrophy, edema, phlebitis, grade 3: ulceration or necrosis, severe tissue damage, operative intervention indicated, grade 4: life-threatening consequences, urgent intervention indicated and grade 5: death. In this outcome measure only categories with non-zero values reported.

Time frame:
During prophylaxis treatment in ATP (12 months)
Reported as:
Count of participants · Participants
Number of Participants With Injection Site Reactions (ISRs): Inhibitor and Non-Inhibitor Cohort
ParticipantsNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]
Grade 12830
Grade 20110
PrimaryNumber of Participants With Clinically Significant Changes in Physical Examinations: Inhibitor and Non-Inhibitor Cohort

Physical examination included assessments of the head, ears, eyes, nose, mouth, skin, heart and lung examinations, lymph nodes, gastrointestinal, musculoskeletal, and neurological systems. Height and weight were also measured and recorded. Clinical significance in physical examinations was determined by investigator.

Time frame:
OP reporting group: Up to 6 months; ATP reporting group: up to 13 months (includes 28-35 days of safety follow-up post last dose of study drug)
Reported as:
Count of participants · Participants
Number of Participants With Clinically Significant Changes in Physical Examinations: Inhibitor and Non-Inhibitor Cohort
ParticipantsNon-Inhibitor Cohort: OD at OPNon-Inhibitor Cohort: RP at OPNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]Inhibitor Cohort: OD at OPInhibitor Cohort: RP at OPInhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]
Number of Participants With Clinically Significant Changes in Physical Examinations: Inhibitor and Non-Inhibitor Cohort02020000
PrimaryNumber of Participants With Clinically Significant Changes in Vital Signs: Inhibitor and Non-Inhibitor Cohort

Vital signs included temperature, pulse rate, respiratory rate, and blood pressure. Blood pressure and pulse rate were measured in a supine position using completely automated device after at least 5 minutes of rest for the participant in a quiet setting without distractions. Respiratory rate was measured by observing and counting the respirations of the participant for 30 seconds and multiplied by 2. Clinical significance of vital signs was determined by investigator.

Time frame:
OP reporting group: Up to 6 months; ATP reporting group: up to 13 months (includes 28-35 days of safety follow-up post last dose of study drug)
Reported as:
Count of participants · Participants
Number of Participants With Clinically Significant Changes in Vital Signs: Inhibitor and Non-Inhibitor Cohort
ParticipantsNon-Inhibitor Cohort: OD at OPNon-Inhibitor Cohort: RP at OPNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]Inhibitor Cohort: OD at OPInhibitor Cohort: RP at OPInhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]
Number of Participants With Clinically Significant Changes in Vital Signs: Inhibitor and Non-Inhibitor Cohort00000000
PrimaryNumber of Participants With Clinically Significant Abnormalities in Laboratory Parameters: Inhibitor and Non-Inhibitor Cohort

Hematology included: hemoglobin; leukocytes; neutrophils; and platelets. Chemistry included: potassium; aspartate aminotransferase; creatinine; alkaline phosphatase; total bilirubin; albumin; calcium corrected, estimated decreased; sodium; and calcium. Clinical significance of laboratory parameters was determined by investigator.

Time frame:
OP reporting group: Up to 6 months; ATP reporting group: up to 13 months (includes 28-35 days of safety follow-up post last dose of study drug)
Reported as:
Count of participants · Participants
Number of Participants With Clinically Significant Abnormalities in Laboratory Parameters: Inhibitor and Non-Inhibitor Cohort
ParticipantsNon-Inhibitor Cohort: OD at OPNon-Inhibitor Cohort: RP at OPNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]Inhibitor Cohort: OD at OPInhibitor Cohort: RP at OPInhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]
Number of Participants With Clinically Significant Abnormalities in Laboratory Parameters: Inhibitor and Non-Inhibitor Cohort00000000
PrimaryNumber of Participants With Severe/ Systematic Hypersensitivity and Anaphylactic Reactions: Inhibitor and Non-Inhibitor Cohort

Systemic hypersensitivity is a complex immune response where the immune system reacts excessively to an antigen, often leading to severe allergic reactions, including widespread symptoms (which may affect multiple organs), such as rash, swelling of your face, lips, mouth, or tongue, trouble breathing, wheezing, dizziness, fainting, fast heartbeat, pounding in your chest or sweating. Anaphylaxis is a severe, potentially fatal, systemic allergic reaction that occurs suddenly after contact with an allergy causing substance.

Time frame:
During prophylaxis treatment in ATP (12 months)
Reported as:
Count of participants · Participants
Number of Participants With Severe/ Systematic Hypersensitivity and Anaphylactic Reactions: Inhibitor and Non-Inhibitor Cohort
ParticipantsNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]
Number of Participants With Severe/ Systematic Hypersensitivity and Anaphylactic Reactions: Inhibitor and Non-Inhibitor Cohort0000
SecondaryModel-Based ABR of Joint Bleeds: Inhibitor and Non-Inhibitor Cohort

ABR: number of bleeding episodes per year. ABR was calculated as number of bleeds requiring treatments/ (days on treatment period/365.25). If a participant did not complete a treatment period, days on treatment ended at last dosing date + 6 days. Joint bleed: bleeding episode characterized by rapid loss of range of motion as compared with baseline that was associated with any combination of the following: pain or an unusual sensation in the joint, palpable swelling, and warmth of the skin over the joint. A model-based ABR using a repeated measures negative binomial model is reported for this outcome measure.

Time frame:
OP reporting group: Up to 6 months; ATP reporting group: up to 12 months
Reported as:
Mean · Bleeds per year
Model-Based ABR of Joint Bleeds: Inhibitor and Non-Inhibitor Cohort
Bleeds per yearNon-Inhibitor Cohort: OD at OPNon-Inhibitor Cohort: RP at OPNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]Inhibitor Cohort: OD at OPInhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]
Model-Based ABR of Joint Bleeds: Inhibitor and Non-Inhibitor Cohort34.52 (27.84 to 42.79)5.69 (3.36 to 8.02)2.85 (1.82 to 4.46)4.13 (2.59 to 5.67)15.15 (11.87 to 19.34)1.1 (0.59 to 2.04)
Statistical analysis
  • Non-Inhibitor Cohort: OD at OP vs Non-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Repeated negative binomial regression · p = <0.0001 · Ratio estimate: 0.083 · 95% CI 0.057 to 0.119
  • Non-Inhibitor Cohort: RP at OP vs Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP] · Repeated negative binomial regression · p = =0.1612 · Difference estimate: -1.55 · 95% CI -3.73 to 0.62
  • Inhibitor Cohort: OD at OP vs Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Repeated negative binomial regression · p = <0.0001 · Ratio estimate: 0.072 · 95% CI 0.038 to 0.138
SecondaryModel-Based ABR of Spontaneous Bleeds: Inhibitor and Non-Inhibitor Cohort

ABR: number of bleeding episodes per year. ABR was calculated as the number of bleeds requiring treatments/ (days on treatment period/365.25). If a participant did not complete a treatment period, the days on treatment ended at the last dosing date + 6 days. Spontaneous bleed: Bleeding for no apparent/known reason particularly into the joints, muscles, and soft tissues. A model-based ABR using a repeated measures negative binomial model is reported for this outcome measure.

Time frame:
OP reporting group: Up to 6 months; ATP reporting group: up to 12 months
Reported as:
Mean · Bleeds per year
Model-Based ABR of Spontaneous Bleeds: Inhibitor and Non-Inhibitor Cohort
Bleeds per yearNon-Inhibitor Cohort: OD at OPNon-Inhibitor Cohort: RP at OPNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]Inhibitor Cohort: OD at OPInhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]
Model-Based ABR of Spontaneous Bleeds: Inhibitor and Non-Inhibitor Cohort32.63 (25.79 to 41.28)5.89 (3.57 to 8.22)2.45 (1.62 to 3.72)3.78 (2.25 to 5.31)15.27 (12.07 to 19.31)0.87 (0.53 to 1.43)
Statistical analysis
  • Non-Inhibitor Cohort: OD at OP vs Non-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Repeated negative binomial regression · p = <0.0001 · Ratio estimate: 0.075 · 95% CI 0.053 to 0.107
  • Non-Inhibitor Cohort: RP at OP vs Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP] · Repeated negative binomial regression · p = =0.0537 · Difference estimate: -2.11 · 95% CI -4.26 to 0.03
  • Inhibitor Cohort: OD at OP vs Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Repeated negative binomial regression · p = <0.0001 · Ratio estimate: 0.057 · 95% CI 0.035 to 0.092
SecondaryModel-Based ABR of Target Joint Bleeds: Inhibitor and Non-Inhibitor Cohort

ABR: number of bleeding episodes per year. ABR was calculated as number of bleeds requiring treatments/ (days on treatment period/365.25). If participant did not complete a treatment period, days on treatment ended at last dosing date + 6 days. Target joint: a major joint into which repeated bleeds occurred. Joint bleed: bleeding episode characterized by rapid loss of range of motion as compared with baseline that was associated with any combination of following: pain or unusual sensation in joint, palpable swelling, and warmth of the skin over joint. A model-based ABR using a repeated measures negative binomial model is reported for this outcome measure.

Time frame:
OP reporting group: Up to 6 months; ATP reporting group: up to 12 months
Reported as:
Mean · Bleeds per year
Model-Based ABR of Target Joint Bleeds: Inhibitor and Non-Inhibitor Cohort
Bleeds per yearNon-Inhibitor Cohort: OD at OPNon-Inhibitor Cohort: RP at OPNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]Inhibitor Cohort: OD at OPInhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]
Model-Based ABR of Target Joint Bleeds: Inhibitor and Non-Inhibitor Cohort24.38 (18.27 to 32.35)3.37 (1.6 to 5.15)1.84 (1.07 to 3.18)2.51 (1.26 to 3.76)6.3 (4.32 to 9.2)0.79 (0.36 to 1.74)
Statistical analysis
  • Non-Inhibitor Cohort: OD at OP vs Non-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Repeated negative binomial regression · p = <0.0001 · Ratio estimate: 0.076 · 95% CI 0.048 to 0.119
  • Non-Inhibitor Cohort: RP at OP vs Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP] · Repeated negative binomial regression · p = =0.2761 · Difference estimate: -0.87 · 95% CI -2.42 to 0.69
  • Inhibitor Cohort: OD at OP vs Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Repeated negative binomial regression · p = =0.0001 · Ratio estimate: 0.126 · 95% CI 0.062 to 0.256
SecondaryModel-Based ABR of Total Bleeds: Inhibitor and Non-Inhibitor Cohort

ABR: number of bleeding episodes per year. ABR was calculated as number of bleeds requiring treatments/ (days on treatment period/365.25). If participant did not complete treatment period, days on treatment ended at last dosing date + 6 days. Treated bleed: If a bleed was treated with factor replacement or bypass agents within 48 hours of start of bleeding, regardless of the type of treatment (preventive, prophylaxis or on-demand medication). Untreated bleed: If a bleed was untreated with factor replacement or bypass agents within 48 hours of start of bleeding, regardless of the type of treatment (preventive, prophylaxis or on-demand medication), it was considered as an untreated bleed. Total bleeds: Treated bleeds + untreated bleeds. A model-based ABR using a repeated measures negative binomial model is reported for this outcome measure.

Time frame:
OP reporting group: Up to 6 months; ATP reporting group: up to 12 months
Reported as:
Mean · Bleeds per year
Model-Based ABR of Total Bleeds: Inhibitor and Non-Inhibitor Cohort
Bleeds per yearNon-Inhibitor Cohort: OD at OPNon-Inhibitor Cohort: RP at OPNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]Inhibitor Cohort: OD at OPInhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]
Model-Based ABR of Total Bleeds: Inhibitor and Non-Inhibitor Cohort49.97 (42.09 to 59.32)8.9 (6.02 to 11.77)7.41 (5.1 to 10.75)5.98 (4.14 to 7.82)27.29 (22.54 to 33.03)4.36 (2.65 to 7.18)
Statistical analysis
  • Non-Inhibitor Cohort: OD at OP vs Non-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Repeated negative binomial regression · p = <0.0001 · Ratio estimate: 0.148 · 95% CI 0.111 to 0.198
  • Non-Inhibitor Cohort: RP at OP vs Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP] · Repeated negative binomial regression · p = =0.0374 · Difference estimate: -2.91 · 95% CI -5.66 to -0.17
  • Inhibitor Cohort: OD at OP vs Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Repeated negative binomial regression · p = <0.0001 · Ratio estimate: 0.16 · 95% CI 0.102 to 0.249
SecondaryChange From Baseline in Hemophilia Joint Health Score (HJHS) at Month 6: Non-Inhibitor Cohort

HJHS evaluated total joint score for 6 joints (left ankle, right ankle, left elbow, right elbow, left knee, right knee) and the global gait score. Joint total score per joint ranged from 0 to 20 (evaluated as: swelling \[0-3\], duration of swelling \[0-1\], muscle atrophy \[0-2\], crepitus on motion \[0-2\], flexion loss \[0-3\], extension loss \[0-3\], joint pain \[0-2\], and strength \[0-4\]). Global gait score ranged from 0 to 4 based on walking, stairs, running, and hopping on 1 leg. HJHS total score was sum of total joint score for 6 joints (0 to 120) and global gait score (0 to 4). The total HJHS score ranged from 0 to 124, where higher scores indicated worse joint health.

Time frame:
OP reporting group: Baseline (Day 1, day of study enrollment), Month 6; ATP reporting group: Baseline (before dose on Day 1 of ATP), Month 6
Reported as:
Median · Units on a scale
Change From Baseline in Hemophilia Joint Health Score (HJHS) at Month 6: Non-Inhibitor Cohort
Units on a scaleNon-Inhibitor Cohort: OD at OPNon-Inhibitor Cohort: RP at OPNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]
Change From Baseline in Hemophilia Joint Health Score (HJHS) at Month 6: Non-Inhibitor Cohort-2.6 (-5.7 to 0.5)1.3 (-0.7 to 3.3)-5.2 (-8.7 to 1.8)-0.6 (-2.2 to 1.0)
Statistical analysis
  • Non-Inhibitor Cohort: OD at OP vs Non-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Wilcoxon Signed Rank test · p = =0.266 · Estimated median difference: -2.8 · 95% CI -7.6 to 2.1
  • Non-Inhibitor Cohort: RP at OP vs Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP] · Wilcoxon Signed Rank test · p = =0.0835 · Estimated median difference: -2 · 95% CI -4.3 to 0.3
SecondaryChange From Baseline in HJHS at Month 6: Inhibitor Cohort

HJHS evaluated total joint score for 6 joints (left ankle, right ankle, left elbow, right elbow, left knee, right knee) and the global gait score. Joint total score per joint ranged from 0 to 20 (evaluated as: swelling \[0-3\], duration of swelling \[0-1\], muscle atrophy \[0-2\], crepitus on motion \[0-2\], flexion loss \[0-3\], extension loss \[0-3\], joint pain \[0-2\], and strength \[0-4\]). Global gait score ranged from 0 to 4 based on walking, stairs, running, and hopping on 1 leg. HJHS total score was sum of total joint score for 6 joints (0 to 120) and global gait score (0 to 4). The total HJHS score ranged from 0 to 124, where higher scores indicated worse joint health.

Time frame:
OP reporting group: Baseline (Day 1, day of study enrollment), Month 6; ATP reporting group: Baseline (before dose on Day 1 of ATP), Month 6
Reported as:
Median · Units on a scale
Change From Baseline in HJHS at Month 6: Inhibitor Cohort
Units on a scaleInhibitor Cohort: OD at OPInhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]
Change From Baseline in HJHS at Month 6: Inhibitor Cohort-1.1 (-4.0 to 1.9)-3.9 (-6.1 to -1.7)
Statistical analysis
  • Inhibitor Cohort: OD at OP vs Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Wilcoxon Signed Rank test · p = =0.2341 · Estimated median difference: -2.2 · 95% CI -5.7 to 1.4
SecondaryChange From Baseline in Hemophilia Quality of Life Questionnaire for Adults (Haem-A-QoL) Total Score and Physical Health Domain at Month 6: Non-Inhibitor Cohort, Participants >=17 Years

Haem-A-QoL assessed health-related quality of life (QoL) in adult participants (\>=17 years of age) with hemophilia. It contained 46 items with 10 domains that assessed health in the following areas: physical health; feelings; view of self; sports and leisure; work and school; dealing with haemophilia; treatment; future; family planning; partnership and sexuality. All items were based on a 5-point Likert type scale (1= never, 2= rarely, 3= sometimes, 4= often, 5= all the time). Scoring was performed by averaging non-missing item responses for each domain, then each domain score was rescaled from 0 to 100, lower scores signified higher QoL. Total Haem-A-QoL score was averaged across the 46 items values and then rescaled from 0 to 100, lower Haem-A-QoL scores signified better QoL.

Time frame:
OP reporting group: Baseline (Day 1, day of study enrollment), Month 6; ATP reporting group: Baseline (before dose on Day 1 of ATP), Month 6
Reported as:
Median · Units on a scale
Change From Baseline in Hemophilia Quality of Life Questionnaire for Adults (Haem-A-QoL) Total Score and Physical Health Domain at Month 6: Non-Inhibitor Cohort, Participants >=17 Years
Units on a scaleNon-Inhibitor Cohort: OD at OPNon-Inhibitor Cohort: RP at OPNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]
Total Score-1.5 (-5.5 to 2.5)-1.2 (-3.5 to 1.1)-4.8 (-7.9 to -1.7)-3.7 (-6.8 to -0.6)
Physical Health Score-1.1 (-12.2 to 10.0)-3.0 (-8.2 to 2.2)-12.4 (-19.6 to -5.1)-6.1 (-12.6 to 0.4)
Statistical analysis
  • Non-Inhibitor Cohort: OD at OP vs Non-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Wilcoxon Signed Rank test · p = =0.3458 · Estimated median difference: -2.2 · 95% CI -6.7 to 2.3
  • Non-Inhibitor Cohort: OD at OP vs Non-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Wilcoxon Signed Rank test · p = =0.1161 · Estimated median difference: -10.7 · 95% CI -24 to 2.6
  • Non-Inhibitor Cohort: RP at OP vs Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP] · Wilcoxon Signed Rank test · p = =0.1493 · Estimated median difference: -2.8 · 95% CI -6.6 to 1
  • Non-Inhibitor Cohort: RP at OP vs Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP] · Wilcoxon Signed Rank test · p = =0.5223 · Estimated median difference: -2.2 · 95% CI -9.1 to 4.6
SecondaryChange From Baseline in Haem-A-QoL Total Score and Physical Health Domain at Month 6: Inhibitor Cohort, Participants >=17 Years

Haem-A-QoL assessed health-related quality of life (QoL) in adult participants (\>=17 years of age) with hemophilia. It contained 46 items with 10 domains that assessed health in the following areas: physical health; feelings; view of self; sports and leisure; work and school; dealing with haemophilia; treatment; future; family planning; partnership and sexuality. All items were based on a 5-point Likert type scale (1= never, 2= rarely, 3= sometimes, 4= often, 5= all the time). Scoring was performed by averaging non-missing item responses for each domain, then each domain score was rescaled from 0 to 100, lower scores signified higher QoL. Total Haem-A-QoL score was averaged across the 46 items values and then rescaled from 0 to 100, lower Haem-A-QoL scores signified better QoL.

Time frame:
OP reporting group: Baseline (Day 1, day of study enrollment), Month 6; ATP reporting group: Baseline (before dose on Day 1 of ATP), Month 6
Reported as:
Median · Units on a scale
Change From Baseline in Haem-A-QoL Total Score and Physical Health Domain at Month 6: Inhibitor Cohort, Participants >=17 Years
Units on a scaleInhibitor Cohort: OD at OPInhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]
Total Score1.5 (-2.4 to 5.5)-12.0 (-18.3 to -5.7)
Physical Health Score2.2 (-6.6 to 11.0)-20.8 (-29.7 to -11.9)
Statistical analysis
  • Inhibitor Cohort: OD at OP vs Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Wilcoxon Signed Rank test · p = <0.0001 · Estimated median difference: -13.5 · 95% CI -19.8 to -7.2
  • Inhibitor Cohort: OD at OP vs Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Wilcoxon Signed Rank test · p = <0.0001 · Estimated median difference: -25.9 · 95% CI -37.5 to -14.2
SecondaryChange From Baseline in Hemophilia Quality of Life Questionnaire for Children (Haemo-QoL) Total Score at Month 6: Non-Inhibitor Cohort, Participants 12 to <17 Years

Haemo-QoL assessed health-related QoL in adolescent participants (12 to \<17 years of age) with hemophilia. It contains 12 items with 77 domains that assesses health in the following areas: physical health; feelings; attitude/view; family; friends; other people; sport and school; coping/dealing; treatment; perceived support; future and relationship. All items were based on 5-point Likert type scale (1= never, 2= rarely, 3= sometimes, 4= often, 5= all the time). Scoring was performed by averaging non-missing item responses for each domain, then rescaled from 0 to 100, lower scores signified higher QoL. Total Haem-A QoL score was averaged across the 77 items values and then rescaled from 0 to 100, lower Haemo-QoL scores signified better QoL.

Time frame:
OP reporting group: Baseline (Day 1, day of study enrollment), Month 6; ATP reporting group: Baseline (before dose on Day 1 of ATP), Month 6
Reported as:
Median · Units on a scale
Change From Baseline in Hemophilia Quality of Life Questionnaire for Children (Haemo-QoL) Total Score at Month 6: Non-Inhibitor Cohort, Participants 12 to <17 Years
Units on a scaleNon-Inhibitor Cohort: OD at OPNon-Inhibitor Cohort: RP at OPNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]
Change From Baseline in Hemophilia Quality of Life Questionnaire for Children (Haemo-QoL) Total Score at Month 6: Non-Inhibitor Cohort, Participants 12 to <17 YearsNA (NA to NA)0.8 (-6.2 to 7.8)NA (NA to NA)-5.0 (-10.5 to 0.4)
Statistical analysis
  • Non-Inhibitor Cohort: RP at OP vs Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP] · Wilcoxon Signed Rank test · p = =0.1418 · Estimated median difference: -6.5 · 95% CI -15.2 to 2.2
SecondaryChange From Baseline in Haemo-QoL Total Score at Month 6: Inhibitor Cohort, Participants 12 to <17 Years

Haemo-QoL assessed health-related QoL in adolescent participants (12 to \<17 years of age) with hemophilia. It contains 12 items with 77 domains that assesses health in the following areas: physical health; feelings; attitude/view; family; friends; other people; sport and school; coping/dealing; treatment; perceived support; future and relationship. All items were based on 5-point Likert type scale (1= never, 2= rarely, 3= sometimes, 4= often, 5= all the time). Scoring was performed by averaging non-missing item responses for each domain, then rescaled from 0 to 100, lower scores signified higher QoL. Total Haem-A QoL score was averaged across the 77 items values and then rescaled from 0 to 100, lower Haemo-QoL scores signified better QoL.

Time frame:
OP reporting group: Baseline (Day 1, day of study enrollment), Month 6; ATP reporting group: Baseline (before dose on Day 1 of ATP), Month 6
Reported as:
Median · Units on a scale
Change From Baseline in Haemo-QoL Total Score at Month 6: Inhibitor Cohort, Participants 12 to <17 Years
Units on a scaleInhibitor Cohort: OD at OPInhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]
Change From Baseline in Haemo-QoL Total Score at Month 6: Inhibitor Cohort, Participants 12 to <17 Years-0.1 (-9.1 to 9.0)-7.9 (-13.7 to -2.2)
Statistical analysis
  • Inhibitor Cohort: OD at OP vs Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Wilcoxon Signed Rank test · p = =0.1 · Estimated median difference: -8.3 · 95% CI -18.2 to 1.6
SecondaryChange From Baseline in Hemophilia Activities List (HAL) Total Score at Month 6: Non-Inhibitor Cohort, Participants >=17 Years

The HAL was a multiple domain measure of the impact of hemophilia on functional abilities in adults (\>=17 years of age). The 7 domains of this instrument contained 42 items in total, as follows: lying/sitting/kneeling/standing; lower (leg) functioning; upper (arm) functioning; transportation; self-care; household tasks; and sports/leisure. Items were rated on 6-point scale 1 (impossible) to 6 (never) that described difficulty due to hemophilia. HAL total score was sum of all items and scored 42 to 252, which were transformed to 0 - 100, where higher scores indicated better functional status.

Time frame:
OP reporting group: Baseline (Day 1, day of study enrollment), Month 6; ATP reporting group: Baseline (before dose on Day 1 of ATP), Month 6
Reported as:
Median · Units on a scale
Change From Baseline in Hemophilia Activities List (HAL) Total Score at Month 6: Non-Inhibitor Cohort, Participants >=17 Years
Units on a scaleNon-Inhibitor Cohort: OD at OPNon-Inhibitor Cohort: RP at OPNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]
Change From Baseline in Hemophilia Activities List (HAL) Total Score at Month 6: Non-Inhibitor Cohort, Participants >=17 Years2.0 (-1.3 to 5.2)-0.6 (-3.0 to 1.8)1.1 (-2.8 to 5.1)2.1 (-1.0 to 5.1)
Statistical analysis
  • Non-Inhibitor Cohort: OD at OP vs Non-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Wilcoxon Signed Rank test · p = =0.7307 · Estimated median difference: -1 · 95% CI -6.9 to 4.8
  • Non-Inhibitor Cohort: RP at OP vs Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP] · Wilcoxon Signed Rank test · p = =0.3002 · Estimated median difference: 2 · 95% CI -1.8 to 5.7
SecondaryChange From Baseline in HAL Total Score at Month 6: Inhibitor Cohort, Participants >=17 Years

The HAL was a multiple domain measure of the impact of hemophilia on functional abilities in adults (\>=17 years of age). The 7 domains of this instrument contained 42 items in total, as follows: lying/sitting/kneeling/standing; lower (leg) functioning; upper (arm) functioning; transportation; self-care; household tasks; and sports/leisure. Items were rated on 6-point scale 1 (impossible) to 6 (never) that described difficulty due to hemophilia. HAL total score was sum of all items and scored 42 to 252, which were transformed to 0 - 100, where higher scores indicated better functional status.

Time frame:
OP reporting group: Baseline (Day 1, day of study enrollment), Month 6; ATP reporting group: Baseline (before dose on Day 1 of ATP), Month 6
Reported as:
Median · Units on a scale
Change From Baseline in HAL Total Score at Month 6: Inhibitor Cohort, Participants >=17 Years
Units on a scaleInhibitor Cohort: OD at OPInhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]
Change From Baseline in HAL Total Score at Month 6: Inhibitor Cohort, Participants >=17 Years0.4 (-5.2 to 5.9)10.6 (4.8 to 16.4)
Statistical analysis
  • Inhibitor Cohort: OD at OP vs Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Wilcoxon Signed Rank test · p = =0.0085 · Estimated median difference: 10.4 · 95% CI 2.7 to 18.2
SecondaryChange From Baseline in Pediatric Hemophilia Activities List (pedHAL) Total Score at Month 6: Non-Inhibitor Cohort, Participants 12 to <17 Years

The pedHAL was a multiple domain measure of the impact of hemophilia on functional abilities in adolescents (12 to \<17 years of age). The 7 domains of this instrument contained 53 items in total, as follows: sitting/kneeling/standing; functions of the legs; functions of the arms; use of transportation; self-care; household tasks; leisure activities and sports. Items were rated on 6-point scale 1 (impossible) to 6 (never) that described difficulty due to hemophilia. pedHAL total score was normalized in a range of 0 - 100, where higher scores indicated better functional status.

Time frame:
OP reporting group: Baseline (Day 1, day of study enrollment), Month 6; ATP reporting group: Baseline (before dose on Day 1 of ATP), Month 6
Reported as:
Median · Units on a scale
Change From Baseline in Pediatric Hemophilia Activities List (pedHAL) Total Score at Month 6: Non-Inhibitor Cohort, Participants 12 to <17 Years
Units on a scaleNon-Inhibitor Cohort: OD at OPNon-Inhibitor Cohort: RP at OPNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]
Change From Baseline in Pediatric Hemophilia Activities List (pedHAL) Total Score at Month 6: Non-Inhibitor Cohort, Participants 12 to <17 YearsNA (NA to NA)-1.7 (-9.8 to 6.3)NA (NA to NA)5.3 (-4.7 to 15.3)
Statistical analysis
  • Non-Inhibitor Cohort: RP at OP vs Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP] · Wilcoxon Signed Rank test · p = =0.4129 · Estimated median difference: 6.7 · 95% CI -9.3 to 22.7
SecondaryChange From Baseline in pedHAL Total Score at Month 6: Inhibitor Cohort, Participants 12 to <17 Years

The pedHAL was a multiple domain measure of the impact of hemophilia on functional abilities in adolescents (12 to \<17 years of age). The 7 domains of this instrument contained 53 items in total, as follows: sitting/kneeling/standing; functions of the legs; functions of the arms; use of transportation; self-care; household tasks; leisure activities and sports. Items were rated on 6-point scale 1 (impossible) to 6 (never) that described difficulty due to hemophilia. pedHAL total score was normalized in a range of 0 - 100, where higher scores indicated better functional status.

Time frame:
OP reporting group: Baseline (Day 1, day of study enrollment), Month 6; ATP reporting group: Baseline (before dose on Day 1 of ATP), Month 6
Reported as:
Median · Units on a scale
Change From Baseline in pedHAL Total Score at Month 6: Inhibitor Cohort, Participants 12 to <17 Years
Units on a scaleInhibitor Cohort: OD at OPInhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]
Change From Baseline in pedHAL Total Score at Month 6: Inhibitor Cohort, Participants 12 to <17 Years-4.4 (-20.9 to 12.1)14.4 (1.1 to 27.8)
Statistical analysis
  • Inhibitor Cohort: OD at OP vs Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Wilcoxon Signed Rank test · p = =0.076 · Estimated median difference: 20.6 · 95% CI -2.2 to 43.3
SecondaryPatient Global Impression of Change-Hemophilia (PGIC-H) at Month 6: Non-Inhibitor Cohort

The PGIC-H was a single item assessment of the participant's overall impression of change in their life with hemophilia, on a 7-point scale (1= greatly improved to 7= greatly worsened, where lower scores indicated better improvement).

Time frame:
Month 6
Reported as:
Median · Units on a scale
Patient Global Impression of Change-Hemophilia (PGIC-H) at Month 6: Non-Inhibitor Cohort
Units on a scaleNon-Inhibitor Cohort: OD at OPNon-Inhibitor Cohort: RP at OPNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]
Patient Global Impression of Change-Hemophilia (PGIC-H) at Month 6: Non-Inhibitor Cohort3.0 ± 1.354.0 ± 1.242.0 ± 1.031.0 ± 1.13
Statistical analysis
  • Non-Inhibitor Cohort: OD at OP vs Non-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Wilcoxon Signed Rank test · p = 0.0000 · Estimated median difference: -1.8 · 95% CI -2.6 to -1.0
  • Non-Inhibitor Cohort: RP at OP vs Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP] · Wilcoxon Signed Rank test · p = 0.0000 · Estimated median difference: -1.8 · 95% CI -2.2 to -1.4
SecondaryPGIC-H at Month 6: Inhibitor Cohort

The PGIC-H was a single item assessment of the participant's overall impression of change in their life with hemophilia, on a 7-point scale (1= greatly improved to 7= greatly worsened, where lower scores indicated better improvement).

Time frame:
Month 6
Reported as:
Median · Units on a scale
PGIC-H at Month 6: Inhibitor Cohort
Units on a scaleInhibitor Cohort: OD at OPInhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]
PGIC-H at Month 6: Inhibitor Cohort3.0 ± 1.391.0 ± 0.81
Statistical analysis
  • Inhibitor Cohort: OD at OP vs Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Wilcoxon Signed Rank test · p = <0.0001 · Estimated median difference: -2.0 · 95% CI -2.5 to -1.5
SecondaryChange From Baseline in EuroQol 5 Dimensions 5 Level (EQ-5D-5L) Index and VAS Scores at Month 6: Non-Inhibitor Cohort

EQ-5D-5L consisted of participant completed questionnaire with 2 components: health state profile index and visual analogue scale (VAS). EQ-5D health state profile index has 5 domains (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), with 5 levels (1= no problems, 2= slight problems, 3= moderate problems, 4= severe problems, 5= extreme problems). Responses to 5 dimensions comprised health state index value. E.g. if a participant responds "no problems" for each 5 dimensions, then health state was coded as "11111" with predefined index value to it. EQ-5D-5L index score ranged from -0.594 to 1, United Kingdom look-up value was applied to all participants, higher scores indicated better health states. The EQ- VAS measured participant's self-rated health state on a scale from 0 (worst imaginable health state) to 100 (best imaginable health state) by VAS, where higher scores indicated better heath states.

Time frame:
OP reporting group: Baseline (Day 1, day of study enrollment), Month 6; ATP reporting group: Baseline (before dose on Day 1 of ATP), Month 6
Reported as:
Median · Units on a scale
Change From Baseline in EuroQol 5 Dimensions 5 Level (EQ-5D-5L) Index and VAS Scores at Month 6: Non-Inhibitor Cohort
Units on a scaleNon-Inhibitor Cohort: OD at OPNon-Inhibitor Cohort: RP at OPNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]
EQ-5D-5L index score-0.0116 (-0.0799 to 0.0566)0.03 (-0.014 to 0.074)0.0122 (-0.0627 to 0.0872)0.0752 (0.0178 to 0.1325)
EQ-VAS score-0.2 (-6.7 to 6.2)3.0 (-0.6 to 6.6)4.2 (-0.1 to 8.5)4.5 (1.4 to 7.7)
Statistical analysis
  • Non-Inhibitor Cohort: OD at OP vs Non-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Wilcoxon Signed Rank test · p = =0.7279 · Estimated median difference: 0.0139 · 95% CI -0.0645 to 0.0923
  • Non-Inhibitor Cohort: OD at OP vs Non-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Wilcoxon Signed Rank test · p = =0.4231 · Estimated median difference: 3.4 · 95% CI -5 to 11.8
  • Non-Inhibitor Cohort: RP at OP vs Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP] · Wilcoxon Signed Rank test · p = =0.505 · Estimated median difference: 0.0223 · 95% CI -0.0432 to 0.0877
  • Non-Inhibitor Cohort: RP at OP vs Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP] · Wilcoxon Signed Rank test · p = =0.8006 · Estimated median difference: 0.6 · 95% CI -4 to 5.1
SecondaryChange From Baseline in EQ-5D-5L Index and VAS Scores at Month 6: Inhibitor Cohort

EQ-5D-5L consisted of participant completed questionnaire with 2 components: health state profile index and visual analogue scale (VAS). EQ-5D health state profile index has 5 domains (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), with 5 levels (1= no problems, 2= slight problems, 3= moderate problems, 4= severe problems, 5= extreme problems). Responses to 5 dimensions comprised health state index value. E.g. if a participant responds "no problems" for each 5 dimensions, then health state was coded as "11111" with predefined index value to it. EQ-5D-5L index score ranged from -0.594 to 1, United Kingdom look-up value was applied to all participants, higher scores indicated better health states. The EQ- VAS measured participant's self-rated health state on a scale from 0 (worst imaginable health state) to 100 (best imaginable health state) by VAS, where higher scores indicated better heath states.

Time frame:
OP reporting group: Baseline (Day 1, day of study enrollment), Month 6; ATP reporting group: Baseline (before dose on Day 1 of ATP), Month 6
Reported as:
Median · Units on a scale
Change From Baseline in EQ-5D-5L Index and VAS Scores at Month 6: Inhibitor Cohort
Units on a scaleInhibitor Cohort: OD at OPInhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]
EQ-5D-5L index score0.0026 (-0.0669 to 0.0721)0.1687 (0.0718 to 0.2657)
EQ-VAS score1.5 (-6.2 to 9.3)10.2 (4.2 to 16.2)
Statistical analysis
  • Inhibitor Cohort: OD at OP vs Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Wilcoxon Signed Rank test · p = =0.0377 · Estimated median difference: 0.1043 · 95% CI 0.006 to 0.2027
  • Inhibitor Cohort: OD at OP vs Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP] · Wilcoxon Signed Rank test · p = =0.1184 · Estimated median difference: 7.5 · 95% CI -1.9 to 17

Adverse events

Collected over OP reporting group: Up to 6 months; ATP reporting group: up to 13 months (includes 28-35 days of safety follow-up post last dose of study drug). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]0/3 (0%)0/3 (0%)3/3 (100%)
Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]0/48 (0%)1/48 (2.1%)27/48 (56.3%)
Inhibitor Cohort: OD at OP0/57 (0%)5/57 (8.8%)9/57 (15.8%)
Non-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]0/83 (0%)7/83 (8.4%)31/83 (37.3%)
Non-Inhibitor Cohort: OD at OP0/37 (0%)1/37 (2.7%)3/37 (8.1%)
Inhibitor Cohort: RP at OP0/3 (0%)0/3 (0%)2/3 (66.7%)
Non-Inhibitor Cohort: RP at OP0/91 (0%)2/91 (2.2%)4/91 (4.4%)
Non-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]0/33 (0%)0/33 (0%)9/33 (27.3%)
Most frequent serious events
Showing 10 of 18
Most frequent serious events
EventInhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Inhibitor Cohort: OD at OPNon-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]Non-Inhibitor Cohort: OD at OPInhibitor Cohort: RP at OPNon-Inhibitor Cohort: RP at OPNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]
Gastric haemorrhageGastrointestinal disorders0/30/480/570/831/370/30/910/33
RashSkin and subcutaneous tissue disorders0/31/480/570/830/370/30/910/33
VomitingGastrointestinal disorders0/30/481/570/830/370/30/910/33
Device related infectionInfections and infestations0/30/481/570/830/370/30/910/33
Traumatic haemorrhageInjury, poisoning and procedural complications0/30/481/571/830/370/30/910/33
HaemarthrosisMusculoskeletal and connective tissue disorders0/30/481/571/830/370/30/910/33
Muscle haemorrhageMusculoskeletal and connective tissue disorders0/30/481/570/830/370/30/910/33
Coronary artery diseaseCardiac disorders0/30/481/570/830/370/30/910/33
HaematuriaRenal and urinary disorders0/30/481/570/830/370/30/910/33
Condition aggravatedGeneral disorders0/30/481/570/830/370/30/910/33
Most frequent other events
Showing 10 of 23
Most frequent other events
EventInhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]Inhibitor Cohort: OD at OPNon-Inhibitor Cohort: RP at OP/ PF-06741086 in ATP [RP at OP]Non-Inhibitor Cohort: OD at OPInhibitor Cohort: RP at OPNon-Inhibitor Cohort: RP at OPNon-Inhibitor Cohort: OD at OP/ PF-06741086 in ATP [OD at OP]
Dental cariesGastrointestinal disorders0/34/480/574/832/371/30/910/33
Fibrin D dimer increasedInvestigations1/34/483/573/830/370/30/910/33
Protein urine presentInvestigations1/33/481/570/830/370/30/910/33
Prothrombin fragment 1.2 increasedInvestigations1/30/480/573/830/370/30/910/33
Blood loss anaemiaBlood and lymphatic system disorders0/30/480/570/830/371/30/910/33
BronchitisInfections and infestations0/30/480/570/830/371/30/910/33
LaryngitisInfections and infestations0/30/480/570/830/371/30/910/33
Ligament sprainInjury, poisoning and procedural complications0/30/480/570/830/371/30/910/33
DiarrhoeaGastrointestinal disorders1/30/480/570/830/370/30/910/33
GastroenteritisInfections and infestations1/30/480/570/830/370/30/910/33

Baseline characteristics

Age, Customized
Age, Customized(Participants)Non-Inhibitor Cohort: Prophylaxis at OP + PF-06741086 in ATPNon-Inhibitor Cohort: OD at OP + PF-06741086 in ATPInhibitor Cohort: OD at OP + PF-06741086 in ATPInhibitor Cohort: Prophylaxis at OP + PF-06741086 in ATPTotal
Age — <18 years18215136
Age — Between 18 and 64 years7235402149
Age — >=65 years10203
Sex: Female, Male
Sex: Female, Male(Participants)Non-Inhibitor Cohort: Prophylaxis at OP + PF-06741086 in ATPNon-Inhibitor Cohort: OD at OP + PF-06741086 in ATPInhibitor Cohort: OD at OP + PF-06741086 in ATPInhibitor Cohort: Prophylaxis at OP + PF-06741086 in ATPTotal
Female00000
Male9137573188
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Non-Inhibitor Cohort: Prophylaxis at OP + PF-06741086 in ATPNon-Inhibitor Cohort: OD at OP + PF-06741086 in ATPInhibitor Cohort: OD at OP + PF-06741086 in ATPInhibitor Cohort: Prophylaxis at OP + PF-06741086 in ATPTotal
Hispanic or Latino942015
Not Hispanic or Latino8233543172
Unknown or Not Reported00101
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Non-Inhibitor Cohort: Prophylaxis at OP + PF-06741086 in ATPNon-Inhibitor Cohort: OD at OP + PF-06741086 in ATPInhibitor Cohort: OD at OP + PF-06741086 in ATPInhibitor Cohort: Prophylaxis at OP + PF-06741086 in ATPTotal
American Indian or Alaska Native00000
Asian372429393
Native Hawaiian or Other Pacific Islander00000
Black or African American10809
White521319084
More than one race00000
Unknown or Not Reported10102
08

Study locations

62 sites
  • USF Health Morsani Center For Advanced Healthcare
    Tampa, Florida 33612, United States
  • University of Iowa
    Iowa City, Iowa 52242, United States
  • Northwell Health HTC
    New Hyde Park, New York 11040, United States
  • Washington Institute for Coagulation
    Seattle, Washington 98101, United States
  • National Specialized Hospital for the Active Treatment of Hematological Diseases - EAD, Sofia
    Sofia, 1756, Bulgaria
  • UMHAT "Prof.Dr. Stoyan Kirkovich"
    Stara Zagora, 6003, Bulgaria
  • McMaster University Medical Centre - Hamilton Health Sciences
    Hamilton, Ontario L8N 3Z5, Canada
  • McMaster Children's Hospital
    Hamilton, Ontario L8S 4K1, Canada
  • McMaster University
    Hamilton, Ontario L8S 4K1, Canada
  • The Hospital For Sick Children
    Toronto, Ontario M5G 1X8, Canada
  • Nanfang Hospital, Southern Medical University
    Guangzhou, Guangdong 510515, China
  • The Affiliated Hospital of Guizhou Medical University
    Guiyang, Guizhou 550004, China
  • Jiangxi Provincial People's Hospital
    Nanchang, Jiangxi 306113, China
  • Institute of Hematology, Chinese Academy of Medical Sciences
    Tianjin, Tianjin Municipality 300020, China
  • Beijing Children's Hospital, Capital Medical University
    Beijing, 100045, China
  • Klinicki bolnicki centar Zagreb
    Zagreb, 10000, Croatia
  • Hôpital Necker Enfants Malades
    Paris, 75015, France
  • Prince of Wales Hospital
    Hong Kong, Hong Kong
  • Queen Mary Hospital
    Hong Kong, Hong Kong
  • Nirmal Hospital Pvt, Ltd
    Surat, Gujarat 395002, India
  • Sahyadri Clinical Research and Development Center
    Pune, Maharashtra 411004, India
  • Sahyadri Super Speciality Hospital
    Pune, Maharashtra 411004, India
  • Christian Medical College
    Vellore, Tamil Nadu 632004, India
  • Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico
    Milan, Milan 20122, Italy
  • Università degli Studi di Roma "Sapienza"-Policlinico Umberto I
    Roma, RM 00161, Italy
  • Università degli Studi di Perugia, Azienda Ospedaliera di Perugia, Ospedale Santa Maria della
    Perugia, 06156, Italy
  • Nagoya University Hospital - Transfusion Medicine
    Nagoya, Aichi-ken 466-8560, Japan
  • Sapporo Tokushukai Hospital
    Sapporo, Hokkaido 004-0041, Japan
  • Saitama Medical University Hospital
    Iruma-gun, Saitama 350-0495, Japan
  • Hiroshima University Hospital
    Hiroshima, 734-8551, Japan
  • Hospital Universitario "Dr Jose Eleuterio Gonzalez"
    Monterrey, Nuevo León 64460, Mexico
  • Centro Multidisciplinario para el Desarrollo Especializado de la Inv. Clínica en Yucatán, S.C.P.
    Mérida, Yucatán 97130, Mexico
  • Sultan Qaboos University Hospital
    Muscat, 123, Oman
  • FGBOU VO "Samara State Medical University" of MoH of Russia
    Samara, 443079, Russia
  • King Abdulaziz University Hospital
    Jeddah, 21589, Saudi Arabia
  • King Faisal Specialist Hospital & Research Center
    Riyadh, Saudi Arabia
  • Clinical Center of Serbia
    Belgrade, 11000, Serbia
  • Institute for Mother and Child healthcare "Dr Vukan Cupic"
    Belgrade, 11000, Serbia
  • Clinical Center Kragujevac
    Kragujevac, 34000, Serbia
  • Clinical Center Nis
    Niš, 18000, Serbia
  • Charlotte Maxeke Johannesburg Academic Hospital
    Johannesburg, Gauteng 2193, South Africa
  • Kyungpook National University Hospital
    Daegu, 41944, South Korea
  • Severance Hospital, Yonsei University Health System
    Seoul, 03722, South Korea
  • Kyung Hee University Hospital At Gangdong
    Seoul, 05278, South Korea
  • Hospital Universitario A Coruna
    A Coruña, 15006, Spain
  • Hospital Universitario Vall d´Hebron
    Barcelona, 08035, Spain
  • Hospital Universitario La Paz
    Madrid, 28046, Spain
  • Hospital Universitario de Salamanca
    Salamanca, 37007, Spain
  • Hospital Universitario Miguel Servet
    Zaragoza, 50009, Spain
  • ChangHua Christian Hospital
    Changhua, Changhua County 500, Taiwan
  • Taichung Veterans General Hospital
    Taichung, 40705, Taiwan
  • Acibadem Adana Hospital
    Adana, 01130, Turkey (Türkiye)
  • Hacettepe University Medical Faculty
    Ankara, 06230, Turkey (Türkiye)
  • Gazi University Health Research and Practice Center Gazi Hospital
    Ankara, 06500, Turkey (Türkiye)
  • Akdeniz University Medical Faculty
    Antalya, 07060, Turkey (Türkiye)
  • Gaziantep University Sahinbey Research and Training Hospital
    Gaziantep, 27310, Turkey (Türkiye)
  • Istanbul University Oncology Institute
    Istanbul, 34093, Turkey (Türkiye)
  • Ege University Medical Faculty
    Izmir, 35040, Turkey (Türkiye)
  • Dr. Behcet Uz Child Diseases Surgery Education and Research Hospital
    Izmir, 35210, Turkey (Türkiye)
  • Erciyes University Medical Faculty
    Kayseri, 38039, Turkey (Türkiye)
  • Ondokuz Mayıs University Medical Faculty
    Samsun, 55280, Turkey (Türkiye)
  • Karadeniz Technical University Medical Faculty
    Trabzon, 61080, Turkey (Türkiye)
09

References and documents

Publications

  • Matino D, Acharya SS, Taylor CT, Sun P, Agathon D, Raje S, Gould T, Palladino A, Mahlangu J, Lissitchkov T, Todorova M, Chan A, Carcao M, Sun J, Yang R, Wu R, Jin C, Zeng X, Boban A, Bilic E, Frenzel L, Fung Chan GC, Kong Li C, Apte S, Choraria N, Chistolini A, Marchesini E, Peyvandi F, Fujii T, Matsushita T, Kaneda M, Lyu CJ, Park YS, Kim S, Martinez LV, Adrian JM, Wali Y, Al Khabori M, Kurtov I, Alzahrani H, Zaher G, Micic D, Miljic P, Kostic G, Vucic M, Djurdjevic P, Hidalgo OB, Porras JG, Jimenez-Yuste V, Calvo Villas JM, Lopez Fernandez MF, Albayrak C, Okan V, Balkan C, Sahin F, Antmen A, Unal E, Visweshwar N, Sharathkumar A, Kruse-Jarres R. Efficacy and safety of marstacimab prophylaxis in hemophilia A/B with inhibitors: results from the phase 3 BASIS trial. Blood. 2026 Feb 26;147(9):920-931. doi: 10.1182/blood.2025031065. PubMed 41351884 ↗
  • Matino D, Palladino A, Taylor CT, Hwang E, Raje S, Nayak S, McDonald R, Acharya SS, Mahlangu J, Jimenez-Yuste V, Choraria N, Yang R, Li CK, Al-Khabori M, Wali Y, Morales Adrian J, Park YS, Zulfikar OB, Teeter J. Marstacimab prophylaxis in hemophilia A/B without inhibitors: results from the phase 3 BASIS trial. Blood. 2025 Oct 2;146(14):1654-1663. doi: 10.1182/blood.2024027468. PubMed 40608864 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.

Data sharing details ↗ · www.pfizer.com

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03938792
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
May 6, 2019
Start date
Mar 9, 2020
Primary completion
Apr 29, 2025
Completion
Apr 29, 2025
Results posted
Aug 14, 2026
Last update
Aug 14, 2026

Study contacts

Pfizer CT.gov Call Center
study director · Pfizer

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Marstacimab

Start the discussion