Drugs / Fitusiran
last change 27 days ago re-read 9 days ago

Fitusiran

Small interfering RNA (siRNA) targets SERPINC1 via inhibition

Developed for
hemophilia · hemophilia A · hemophilia B
Investigated by
Genzyme, a Sanofi Company · Sanofi

Regulatory milestones approvals, filings & regulatory actions · 2 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed hemophilia B leyden 1 milestone
Filed US (FDA) — hemophilia B leyden 2024-06-21

“New Drug Application for fitusiran accepted for review by the US Food and Drug Administration” sanofi.com ↗

Approved Indication not stated 1 milestone
Approved US (FDA) QFITLIA — 2025-03-28 fda.gov ↗

Trials 9

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 1/21 trial
Phase 1/2 NCT02554773 Sep 2015 → Mar 2023 hemophilia A, hemophilia B Genzyme, a Sanofi Company Completed No outcome recorded
Phase 2/31 trial
Phase 2/3 NCT03974113 Jan 2020 → Aug 2026 hemophilia Genzyme, a Sanofi Company Completed No outcome recorded
Phase 36 trials · 3 met primary
Phase 3 NCT07285460 Dec 2025 → Aug 2029 expected hemophilia Sanofi Recruiting No outcome recorded
Phase 3 NCT05662319 Feb 2023 → Mar 2027 expected hemophilia Sanofi Active not recruiting No outcome recorded
Phase 3 NCT03754790 Jan 2019 → Sep 2026 hemophilia Genzyme, a Sanofi Company Completed No outcome recorded
Phase 3 NCT03549871 Jul 2018 → Jan 2022 hemophilia Genzyme, a Sanofi Company Completed Met primary
Phase 3 NCT03417245 Mar 2018 → Jan 2021 hemophilia A, hemophilia B Genzyme, a Sanofi Company Completed Met primary
Phase 3 NCT03417102 Feb 2018 → Nov 2020 hemophilia A, hemophilia B Genzyme, a Sanofi Company Completed Met primary
Phase 41 trial
Phase 4 NCT06145373 Mar 2024 → May 2028 expected hemophilia A Sanofi Recruiting No outcome recorded
Comparator or background therapy1 trial
Phase 1 NCT02035605 Comparator Jan 2014 → Jul 2017 hemophilia A, hemophilia B Sanofi Completed No outcome recorded

News releases announcing trial results or a regulatory action · 8

DateIssuerRelease
2025-12-11 Sanofi Regulatory Press Release: Sanofi’s Qfitlia and Cablivi approved in China, expanding care for rare diseases sanofi.com ↗
The National Medical Products Administration (NMPA) in China has approved two innovative Sanofi medicines for rare hematologic diseases: Qfitlia (fitusiran) for hemophilia and Cablivi (caplacizumab) for acquired thrombotic thrombocytopenic purpura.
2025-03-28 Sanofi Regulatory Press Release: Qfitlia approved as the first therapy in the US to treat hemophilia A or B with or without inhibitors sanofi.com ↗
Qfitlia approved as the first therapy in the US to treat hemophilia A or B with or without inhibitors
2024-06-21 Sanofi Results Press Release: ISTH: Sanofi advances leadership in hemophilia with new data for ALTUVIIIO and fitusiran sanofi.com ↗
New ATLAS phase 3 study data reinforce the potential of fitusiran to provide prophylaxis for people with hemophilia A or B, with or without inhibitors
2023-04-04 Sanofi Results Press Release: Two fitusiran Phase 3 studies published in The Lancet and The Lancet Haematology highlight potential to address unmet needs across all types of hemophilia sanofi.com ↗
Both Phase 3 studies achieved their primary and secondary endpoints; fitusiran prophylaxis demonstrated significant and clinically meaningful improvements in bleed protection across all hemophilia populations, presented at ASH 2021
2022-07-10 Sanofi Results Press Release: Fitusiran prophylaxis reduced bleeds by 61% in people with hemophilia A or B, with or without inhibitors, compared to prior factor or bypassing agent prophylaxis sanofi.com ↗
The study met the primary endpoint and demonstrated fitusiran prophylaxis significantly reduced bleeding episodes compared to prior factor or BPA prophylaxis.
2021-12-14 Sanofi Results Data from two Phase 3 studies demonstrating fitusiran significantly reduced bleeds in people with hemophilia A or B, with or without inhibitors, were featured at ASH’s plenary and late-breaking sessions sanofi.com ↗
A >89% reduction in annualized bleeding rate was demonstrated with fitusiran prophylaxis in both studies when compared to the control arms
2021-11-04 Sanofi Results New data in blood cancers, hemophilia, and other hematological disorders to be presented at ASH 2021 sanofi.com ↗
2020-06-19 Sanofi Results Sanofi announces positive long-term efficacy and safety data for fitusiran from interim analysis of Phase 2 extension study in people with hemophilia A and B, with or without inhibitors  sanofi.com ↗
Long-term interim results from the Phase 2 open-label extension (OLE) study reinforce fitusiran’s potential to restore hemostatic balance and to lower annualized bleed rates (ABRs) over a period up to 57 months.

All press releases naming this drug 10 releases

DateIssuerRelease

Evidence & citations 9 cited values

Every value below carries the sentence it was read from. 13 sources stand behind the page.

FieldValueCited text
Known as fitusiran “Fitusiran, an investigational RNA interference (RNAi) therapy that targets antithrombin (encoded by SERPINC1), is in development to address these and other limitations.” PMID 28691885 ↗ Jul 2017
9

NCT03417245 ↗

NCT03754790 ↗

NCT05662319 ↗

NCT06145373 ↗

NCT03549871 ↗

NCT02554773 ↗

NCT07285460 ↗

NCT03974113 ↗

NCT03417102 ↗

Known as ALN-57213 ChEMBL registry synonym — accepted as the source's own label CHEMBL4297754 ↗
Known as ALN-AT3SC “A Study of Fitusiran (ALN-AT3SC) in Severe Hemophilia A and B Patients Without Inhibitors” NCT03417245 ↗
1

NCT02035605 ↗

Known as SAR439774 “Fitusiran (SAR439774)” NCT02554773 ↗
Known as SAR439774, Qfitlia “SAR439774, Qfitlia®” NCT06145373 ↗
Action Inhibit “dose-dependent lowering of the antithrombin level” PMID 28691885 ↗ Jul 2017
Modality Small interfering RNA (siRNA) “Fitusiran is an investigational small interfering RNA therapeutic that targets antithrombin” PMID 39642315 ↗ Mar 2025
Route Subcutaneous “single subcutaneous injection of fitusiran” PMID 28691885 ↗ Jul 2017
Target SERPINC1 “targets antithrombin (encoded by SERPINC1)” PMID 28691885 ↗ Jul 2017