Table 1
ProteinNameModificationClinical status*Reference(s)
Protein replacement strategies 
 FVIII wt FVIII Pegylated liposomes No increase in T1/2; phase 3 completed 17, 18, 55 
N8-GP Single 40 kDa PEG attached to 21 amino acid B-domain Well-tolerated; in phase 3 31 
BAX855 ∼ 2 mol PEG/full-length FVIII ∼ 1.5× increased T1/2; in phase 1 29 
BAY94–9027 60 kDa PEG attached to single site in A3-domain In phase 3 24, 28 
rFVIII-Fc FcIg fusion to rFVIII ∼ 1.5-2× increased T1/2; phase 3 completed 36, 56 
scFVIII Single chain FVIII ∼ 1.14× increased T1/2 41 
rhFVIII h-cl rFVIII manufactured in a human cell line In clinical trials 44, 45 
 FIX N9-GP 40 kDa PEG attached to activation peptide 5× increased T1/2; phase 3 completed 33, 57 
Fc-FIX FcIg fusion protein to FIX ∼ 3-4× increased T1/2; phase 3 finished 37 
rFIX-FP rFIX fusion to albumin ∼ 5× increased T1/2; in phase 3 39, 40 
Bypassing strategies 
 FVIIa N7-GP 40 kDa attached to 1 glycan Characterization stopped due to lack of effect 32 
rFVIIa-FP hFVIIa fusion to albumin ∼ 5× increased T1/2 in clinical trials 38, 58 
 mAb hBS23 Xase mimetic Bispecific mAb binds FIXa and FX Preclinical 47 
 TFPI mAb 2012 mAb binds TFPI kringle 2 to inhibit Preclinical 48 
BAX499 Nucleic acid aptamer to inhibit TFPI Characterization stopped 49 
BAX513 Sulfated polysaccharide Characterization stopped 50 
 AT ALN-AT3 siRNA targeting antithrombin 3 Preclinical 54 
ProteinNameModificationClinical status*Reference(s)
Protein replacement strategies 
 FVIII wt FVIII Pegylated liposomes No increase in T1/2; phase 3 completed 17, 18, 55 
N8-GP Single 40 kDa PEG attached to 21 amino acid B-domain Well-tolerated; in phase 3 31 
BAX855 ∼ 2 mol PEG/full-length FVIII ∼ 1.5× increased T1/2; in phase 1 29 
BAY94–9027 60 kDa PEG attached to single site in A3-domain In phase 3 24, 28 
rFVIII-Fc FcIg fusion to rFVIII ∼ 1.5-2× increased T1/2; phase 3 completed 36, 56 
scFVIII Single chain FVIII ∼ 1.14× increased T1/2 41 
rhFVIII h-cl rFVIII manufactured in a human cell line In clinical trials 44, 45 
 FIX N9-GP 40 kDa PEG attached to activation peptide 5× increased T1/2; phase 3 completed 33, 57 
Fc-FIX FcIg fusion protein to FIX ∼ 3-4× increased T1/2; phase 3 finished 37 
rFIX-FP rFIX fusion to albumin ∼ 5× increased T1/2; in phase 3 39, 40 
Bypassing strategies 
 FVIIa N7-GP 40 kDa attached to 1 glycan Characterization stopped due to lack of effect 32 
rFVIIa-FP hFVIIa fusion to albumin ∼ 5× increased T1/2 in clinical trials 38, 58 
 mAb hBS23 Xase mimetic Bispecific mAb binds FIXa and FX Preclinical 47 
 TFPI mAb 2012 mAb binds TFPI kringle 2 to inhibit Preclinical 48 
BAX499 Nucleic acid aptamer to inhibit TFPI Characterization stopped 49 
BAX513 Sulfated polysaccharide Characterization stopped 50 
 AT ALN-AT3 siRNA targeting antithrombin 3 Preclinical 54 
*

Clinical status can be found at www.clinicaltrials.gov.

or Create an Account

Close Modal
Close Modal