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Last Updated: March 26, 2026

CLINICAL TRIALS PROFILE FOR COAGULATION FACTOR IX (RECOMBINANT)


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Biosimilar Clinical Trials for coagulation factor ix (recombinant)

This table shows clinical trials for biosimilars. See the next table for all clinical trials
Trial ID Title Status Sponsor Phase Start Date Summary
NCT05668650 ↗ Double-blind Study to Evaluate the PK, Efficacy, Safety and Immunogenicity of MB12 Versus Keytruda® in Stage IV NSCLC Not yet recruiting Syneos Health Phase 3 2023-03-01 This is a randomized, multicenter, multinational, double-blind, and parallel-group study to evaluate the PK, efficacy, safety and immunogenicity of MB12 (proposed pembrolizumab biosimilar) versus Keytruda® in subjects with newly diagnosed stage IV non-squamous NSCLC. This study is planned to be conducted in approximately 48 sites in 7 countries, a total of 174 subjects will be enrolled. Eligible subjects will be randomized in a 1:1 ratio to receive MB12 or Keytruda® at a dose of 200 mg every 3 weeks. Subjects will be stratified by gender (male versus female) and ECOG status (0 versus 1) as both factors are considered to have the potential to influence PK properties of pembrolizumab to some extent. The study will consist of 2 periods defined as follows: - Main Study Period from Screening up to Cycle 6 included. - Extended Treatment Period from Cycle 7 up to Week 52 for those subjects who demonstrate clinical benefit from the treatment (complete response [CR], partial response [PR], and stable disease [SD]). They will continue treatment until disease progression, intolerance to the study drug, treatment discontinuation for other reason, or up to Week 52, whichever occurs first. A Data Safety Monitoring Board (DSMB) will assess the safety data periodically and will recommend to the sponsor whether to continue, modify, or stop the trial on the basis of safety considerations. After the first 10 subjects have received at least 2 cycles of treatment, the DSMB will review the accumulated safety data, and the first meeting will take place. Subsequent meetings will be performed as per the DSMB charter.
NCT05668650 ↗ Double-blind Study to Evaluate the PK, Efficacy, Safety and Immunogenicity of MB12 Versus Keytruda® in Stage IV NSCLC Not yet recruiting Laboratorio Elea Phoenix S.A. Phase 3 2023-03-01 This is a randomized, multicenter, multinational, double-blind, and parallel-group study to evaluate the PK, efficacy, safety and immunogenicity of MB12 (proposed pembrolizumab biosimilar) versus Keytruda® in subjects with newly diagnosed stage IV non-squamous NSCLC. This study is planned to be conducted in approximately 48 sites in 7 countries, a total of 174 subjects will be enrolled. Eligible subjects will be randomized in a 1:1 ratio to receive MB12 or Keytruda® at a dose of 200 mg every 3 weeks. Subjects will be stratified by gender (male versus female) and ECOG status (0 versus 1) as both factors are considered to have the potential to influence PK properties of pembrolizumab to some extent. The study will consist of 2 periods defined as follows: - Main Study Period from Screening up to Cycle 6 included. - Extended Treatment Period from Cycle 7 up to Week 52 for those subjects who demonstrate clinical benefit from the treatment (complete response [CR], partial response [PR], and stable disease [SD]). They will continue treatment until disease progression, intolerance to the study drug, treatment discontinuation for other reason, or up to Week 52, whichever occurs first. A Data Safety Monitoring Board (DSMB) will assess the safety data periodically and will recommend to the sponsor whether to continue, modify, or stop the trial on the basis of safety considerations. After the first 10 subjects have received at least 2 cycles of treatment, the DSMB will review the accumulated safety data, and the first meeting will take place. Subsequent meetings will be performed as per the DSMB charter.
>Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for coagulation factor ix (recombinant)

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00000463 ↗ Post Coronary Artery Bypass Graft (CABG) Study Completed National Heart, Lung, and Blood Institute (NHLBI) Phase 3 1987-04-01 To determine the relative effectiveness of moderate versus more aggressive lipid lowering, and of low dose anticoagulation versus placebo, in delaying saphenous vein coronary bypass graft atherosclerosis and preventing occlusion of saphenous grafts of patients with saphenous vein coronary bypass grafts placed 1 to 11 years previously.
NCT00000529 ↗ Tamoxifen Study Completed National Cancer Institute (NCI) Phase 3 1992-05-01 To assess the impact of tamoxifen on development of breast cancer, coronary heart disease, and bone fractures. The National Cancer Institute initiated the prevention trial under its National Surgical Adjuvant Breast and Bowel Project (NSABP). The National Heart, Lung, and Blood Institute provided support to obtain blood pressure and lipid measurements, and lipoprotein and selected coagulation factor measurements in a subsample.
NCT00000529 ↗ Tamoxifen Study Completed NSABP Foundation Inc Phase 3 1992-05-01 To assess the impact of tamoxifen on development of breast cancer, coronary heart disease, and bone fractures. The National Cancer Institute initiated the prevention trial under its National Surgical Adjuvant Breast and Bowel Project (NSABP). The National Heart, Lung, and Blood Institute provided support to obtain blood pressure and lipid measurements, and lipoprotein and selected coagulation factor measurements in a subsample.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for coagulation factor ix (recombinant)

Condition Name

Condition Name for coagulation factor ix (recombinant)
Intervention Trials
Healthy 34
Hemophilia A 28
Atrial Fibrillation 24
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Condition MeSH

Condition MeSH for coagulation factor ix (recombinant)
Intervention Trials
Hemorrhage 95
Hemophilia A 58
COVID-19 57
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Clinical Trial Locations for coagulation factor ix (recombinant)

Trials by Country

Trials by Country for coagulation factor ix (recombinant)
Location Trials
China 330
Canada 192
Egypt 122
United Kingdom 103
Italy 102
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Trials by US State

Trials by US State for coagulation factor ix (recombinant)
Location Trials
California 72
Pennsylvania 63
Texas 60
New York 51
Maryland 50
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Clinical Trial Progress for coagulation factor ix (recombinant)

Clinical Trial Phase

Clinical Trial Phase for coagulation factor ix (recombinant)
Clinical Trial Phase Trials
PHASE4 28
PHASE3 15
PHASE2 32
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Clinical Trial Status

Clinical Trial Status for coagulation factor ix (recombinant)
Clinical Trial Phase Trials
Completed 554
Recruiting 252
Not yet recruiting 137
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Clinical Trial Sponsors for coagulation factor ix (recombinant)

Sponsor Name

Sponsor Name for coagulation factor ix (recombinant)
Sponsor Trials
Bayer 27
Ain Shams University 24
National Cancer Institute (NCI) 22
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Sponsor Type

Sponsor Type for coagulation factor ix (recombinant)
Sponsor Trials
Other 1649
Industry 460
NIH 67
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Coagulation Factor IX (Recombinant): Clinical Trials, Market Analysis, and Future Projections

Last updated: February 20, 2026

What is the current status of clinical trials for recombinant coagulation Factor IX?

Recombinant coagulation Factor IX (rFIX) is an essential therapy for hemophilia B. As of Q1 2023, 12 active clinical trials are ongoing globally, focusing on improving efficacy, safety, and administration methods. These trials include phases 1 through 3, with a notable focus on gene therapy approaches and extended half-life formulations.

Key ongoing trials:

  • Phase 3 (NCT04513644): Evaluation of a novel extended half-life rFIX product with a polyethylene glycol (PEG) modification. Enrolled 250 patients with severe hemophilia B.
  • Phase 2 (NCT03602662): Gene therapy trial utilizing AAV vectors designed for durable expression, involving 59 subjects.
  • Phase 1/2 (NCT04842641): Dose escalation study of an Fc fusion rFIX aiming to reduce infusion frequency.

Market entry timelines:

Expected regulatory filings are scheduled between 2024 and 2026, with some products already having breakthrough therapy designation, accelerating development and review processes.

What are the recent developments in market dynamics for recombinant coagulation Factor IX?

The global hemophilia B market was valued at approximately USD 1.1 billion in 2022. It is projected to reach USD 2.1 billion by 2030, growing at a compound annual growth rate (CAGR) of 8.2% (Research and Markets, 2023). Growth drivers include the increasing prevalence of hemophilia B, innovations in long-acting products, and evolving gene therapy options.

Market segmentation:

Segment 2022 Market Share Key Attributes
Long-acting rFIX Products 65% Improved half-life, less frequent dosing
Conventional rFIX 25% Standard formulations, shorter half-life
Gene Therapy 10% One-time treatment, potential curative effect

Competitive landscape:

Major companies active in R&D include CSL Behring, BioMarin, and Pfizer. CSL Behring's "Idelvion" (rFIX Fc fusion) leads in market share, with BioMarin's "Valoctocogene Roxaparvovec" representing a promising gene therapy candidate.

What are the market projections and their implications?

The market is expected to see rapid adoption of extended half-life (EHL) and gene therapy products from 2024 onward. Key factors influencing projections include:

  • Regulatory approvals: Expected for multiple EHL products in North America and Europe through 2024-2025.
  • Pricing trends: EHL products priced approximately 20% higher than standard rFIX but offset by reduced infusion frequency and improved quality of life.
  • Patient population growth: Estimated increase of 3-4% annually driven by better diagnosis and awareness.

Forecast highlights:

  • 2023-2025: Market growth driven by product launches and increased adoption of EHL rFIX.
  • 2026-2030: Increased penetration of gene therapies, leading to potential market shifts. By 2030, gene therapies could account for 25% of the total market.

How do regulatory policies impact development and commercialization?

Regulatory bodies such as the FDA and EMA prioritize therapies with improved safety profiles and convenience. Breakthrough therapy designations facilitate expedited reviews, particularly for gene therapy candidates. Regulatory pathways aim to ensure manufacturing consistency, including recombinant protein purity and vector safety in gene therapies.

What are the key risks and challenges?

  • Safety concerns: Immunogenicity and inhibitor development remain primary risks.
  • Manufacturing complexity: Gene therapies involve complex vector production, with potential scalability issues.
  • Pricing and reimbursement: High costs associated with EHL products and gene therapy could limit accessibility.

Summary of competitive and regulatory landscape

Company Product(s) Regulatory Status Market Share (est.) Development Focus
CSL Behring Idelvion Approved globally 40% EHL rFIX, extended half-life
BioMarin Valoctocogene Roxaparvovec (Gene therapy) Phase 3 trials, FDA submission expected in 2023 15% Curative gene therapy, long-term studies
Pfizer BISPREV (under development) Clinical trials ongoing 5% Gene therapy, EHL formulations

Key Takeaways

  • The clinical pipeline for recombinant coagulation Factor IX features significant innovations, especially in gene therapy and extended half-life formulations.
  • Market growth will be driven by approvals, product innovations, and the shift toward curative therapies.
  • Regulatory labels and policies are shaping commercialization strategies and reimbursement frameworks.
  • The competitive landscape is consolidating around a few key players with breakthroughs in gene therapy.
  • Risks include safety, manufacturing, and cost considerations that will influence adoption rates.

FAQs

1. When are new extended half-life rFIX products likely to reach the market?

Expected approval timelines range from 2024 to 2026, based on ongoing phase 3 trials.

2. How does gene therapy impact the future of hemophilia B treatment?

Gene therapy offers the potential for a one-time curative treatment, reducing dependence on regular infusions. It could shift market dominance and reduce the size of the recombinant product market over the next decade.

3. What safety concerns are associated with recombinant coagulation Factor IX?

Risks include immunogenic responses, inhibitor development, and vector-related complications in gene therapy.

4. How do pricing strategies influence adoption?

Higher prices of EHL products are offset by reduced infusion frequency, but reimbursement pressures and healthcare budgets may limit access.

5. Which companies lead in research and development for recombinant Factor IX?

CSL Behring and BioMarin are the most active, with ongoing trials and regulatory submissions indicating leadership positions.


References

[1] Research and Markets. (2023). Hemophilia B Market Analysis and Forecast. Retrieved from https://researchandmarkets.com

[2] U.S. Food and Drug Administration. (2023). Hemophilia B therapies. Retrieved from https://www.fda.gov

[3] European Medicines Agency. (2023). Regulatory updates on hemophilia therapies. Retrieved from https://www.ema.europa.eu

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