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SNY Gets FDA Nod for First Ever Hemophilia Drug in the United States

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Sanofi SNY and partner, Alnylam Pharmaceuticals ALNY, announced that the FDA has approved Qfitlia (fitusiran) as the first antithrombin-lowering (AT) therapy for routine prophylaxis to prevent or reduce the frequency of bleeding episodes in adult and pediatric patients (aged 12 or older) with hemophilia A or B with or without factor VIII or IX inhibitors in the United States.

Hemophilia A and B are rare, lifelong congenital bleeding disorders that impair the blood's ability to clot, causing excessive bleeding and spontaneous joint bleeds. These can lead to joint damage, chronic pain, which takes a significant toll on the patients’ quality of life.

This FDA approval is based on positive data from the phase III ATLAS studies of Qfitlia, which showed clinically significant bleed protection, as measured by annualized bleeding rates (ABR), in hemophilia patients with or without inhibitors.

Year to date, SNY stock has gained 15% compared with the industry’s 3.4% growth.

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Per the company, current hemophilia treatment options often require patients to choose between effective bleed control and convenient dosing schedules, resulting in compromises in disease management. Qfitlia offers a novel solution by protecting those with hemophilia while reducing dosing frequency for patients and their families.

Qfitlia enhances thrombin generation to restore hemostasis in people with hemophilia by reducing AT, a protein that inhibits blood clotting. Utilizing small-interfering RNA technology, Qfitlia allows for low-frequency treatment, subcutaneous administration, and low-volume injections.

Sanofi initially signed an agreement with Alnylam in 2014, which granted SNY global rights to co-develop and co-commercialize Qfitlia. Later, in 2018, the licensing agreement was amended, which granted Sanofi global development and commercialization rights to Qfitlia, while Alnylam became eligible to receive tiered royalties of 15%-30% on global net sales. Qfitlia is the sixth Alnylam-discovered medicine using its RNAi therapeutic platform to be approved to date.

Detailed Results From SNY’s Phase III ATLAS Clinical Program

In Sanofi’s ATLAS clinical development program, Qfitlia demonstrated substantial effectiveness in reducing bleed rates across various patient subgroups, requiring as few as six injections per year. Notable findings include a 71% reduction in ABR for patients without inhibitors who were treated with Qfitlia prophylaxis compared to those receiving clotting factor concentrate on-demand. For patients with inhibitors, Qfitlia showed a 73% reduction in ABR compared to those receiving bypassing agents on-demand.