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A Study of Fitusiran (ALN-AT3SC) in Severe Hemophilia A and B Patients With Inhibitors (ATLAS-INH)

ATLAS-INH: A Phase 3 Study to Evaluate the Efficacy and Safety of Fitusiran in Patients with Hemophilia A or B, with Inhibitory Antibodies to Factor VIII or IX

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCT2080224128
Enrollment
54
Registered
2018-11-05
Start date
2019-09-12
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hemophilia A, Hemophilia B

Interventions

Drug: fitusiran solution for injection
by subcutaneous (SC) injection Drug: Bypassing agents solution for injection
by intravenous (IV) injection

Sponsors

Sanofi K.K.
Lead Sponsor

Eligibility

Sex/Gender
Male

Inclusion criteria

Inclusion criteria: Inclusion Criteria: - Males, >=12 years of age - Severe hemophilia A or B with inhibitors (Severity confirmed by a central laboratory where FVIII level is =0.6 BU/mL or as evidenced by medical records) - A minimum of 6 bleeding episodes requiring bypassing agent treatment within the last 6 months prior to Screening - Willing and able to comply with the study requirements and to provide written informed consent and assent

Exclusion criteria

Exclusion criteria: Exclusion Criteria: - Known co-existing bleeding disorders other than hemophilia A or B - Antithrombin (AT) activity <60% at Screening - Co-existing thrombophilic disorder - Clinically significant liver disease - Active HCV infection - HIV positive with a CD4 count of <200 cells/microlitter - History of arterial or venous thromboembolism - Inadequate renal function - History of multiple drug allergies or history of allergic reaction to an oligonucleotide or N-Acetylgalactosamine (GalNAc) - History of intolerance to SC injection(s) - Any other conditions or comorbidities that would make the patient unsuitable for enrollment or could interfere with participation in or completion of the study, per Investigator judgement

Design outcomes

Primary

MeasureTime frame
1.Annualized bleeding rate(ABR) [Time Frame: 8 months (efficacy period: day 29 to Month 9)]

Secondary

MeasureTime frame
1.Annualized bleeding rate (ABR) [Time Frame: At 1 month (onset period), 9 months (treatment period: 1 month onset period + efficacy period of 8 months)] 2.Annualized spontaneous bleeding rate [Time Frame: 8 months (efficacy period: day 29 to Month 9)] 3.Annualized joint bleeding rate [Time Frame: 8 months (efficacy period: day 29 to Month 9)] 4.Quality of Life (QOL) as measured by Haem-A-QOL Questionnaire score on a scale of 1-100 with higher scores representing greater impairment. [Time Frame: 9 months (treatment period: 1 month onset period + efficacy period of 8 months)] 5. Number of participants reported with treatment-emergent adverse events [Time Frame: 15 months (9 months treatment + 6 months follow up)]

Countries

Australia, Canada, China, France, Germany, India, Italy, Japan, Malaysia, Republic of Korea, South Africa, Spain, Taiwan, Turkey, Ukraine, United Kingdom, United States

Contacts

Public ContactClinical Study Unit

Sanofi K.K.

clinical-trials-jp@sanofi.com+81-3-6301-3670

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026