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A Study of Fitusiran (ALN-AT3SC) in Severe Hemophilia A and B Patients Without Inhibitors

ATLAS-A/B: A Phase 3 Study to Evaluate the Efficacy and Safety of Fitusiran in Patients With Hemophilia A or B, Without Inhibitory Antibodies to Factor VIII or IX

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCT2080224129
Enrollment
120
Registered
2018-11-05
Start date
2019-06-07
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

investigational material(s) Generic name etc : SAR439774 INN of investigational material : fitusiran Therapeutic category code : 634 Human blood preparations Dosage and Administration for Investigatio

Sponsors

Sanofi K.K.
Lead Sponsor

Eligibility

Sex/Gender
Male

Inclusion criteria

Inclusion criteria: Inclusion Criteria: 1. Males, >=12 years of age 2. Severe hemophilia A or B without inhibitors - Severity confirmed by a central laboratory where FVIII level is <1% or FIX level is <=2% at Screening; - On-demand use of factor concentrate to manage bleeding episodes for at least the last 6 months prior to Screening, and meet each of the following criterion: * Nijmegen modified Bethesda assay inhibitor titer of <0.6 BU/mL at Screening * No use of BPAs to treat bleeding episodes for at least the last 6 months prior to Screening * No history of immune tolerance induction therapy within the last 3 years prior to Screening 3. A minimum of 6 bleeding episodes requiring factor concentrate treatment within the last 6 months prior to Screening. 4. 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, ie, Von Willebrand's disease, additional factor deficiencies, or platelet disorders. - 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/microL - 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 judgment

Design outcomes

Primary

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

Secondary

MeasureTime frame
efficacy 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)] efficacy 2. spontaneous bleeding rate [Time Frame: 8 months (efficacy period: day 29 to Month 9)] efficacy 3. Annualized joint bleeding rate [Time Frame: 8 months (efficacy period: day 29 to Month 9)] efficacy 4. Quality of Life (QOL) as measured by Haem-A-QOL Questionnaire score on a scale of 0-100 with higher scores representing greater impairment. [Time Frame: 9 months (treatment period: 1 month onset period + efficacy period of 8 months)] efficacy 5. Number of participants reported with treatment-emergent adverse events [Time Frame: 15 months (9 months treatment + 6 months follow up)]

Countries

Africa, Asia except Japan, Europe, Japan, Middle East, North America, Oceania

Outcome results

None listed

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