Marstacimab

Marstacimab
Monoclonal antibody
TypeWhole antibody
SourceHuman
TargetTFPI
Clinical data
Trade namesHympavzi
Other namesPF-06741086, marstacimab-hncq
AHFS/Drugs.comMonograph
MedlinePlusa624071
License data
Routes of
administration
Subcutaneous
Drug classTissue factor pathway inhibitor (TFPI)
ATC code
Legal status
Legal status
Identifiers
CAS Number
DrugBank
UNII
KEGG
Chemical and physical data
FormulaC6304H9766N1678O2006S44
Molar mass142569.85 g·mol−1

Marstacimab, sold under the brand name Hympavzi, is a monoclonal antibody medication used for the treatment of hemophilia A and hemophilia B.[3][6][4] It is a tissue factor pathway inhibitor antagonist.[6] It was developed by Pfizer.[7] Marstacimab is a new type of medication that, rather than replacing a clotting factor, works by reducing the amount, and therefore, the activity of, the naturally occurring anticoagulation protein called tissue factor pathway inhibitor.[6] This increases the amount of thrombin, an enzyme that is critical in blood clotting, that is generated.[6] This is expected to reduce or prevent the frequency of bleeding episodes.[6]

The most common side effects include injection site reactions, headache, and itching (pruritis).[6]

Marstacimab was approved for medical use in the United States in October 2024,[6][8] and in the European Union in November 2024.[5] The US Food and Drug Administration considers it to be a first-in-class medication.[9]

  1. ^ "Hympavzi (Pfizer Australia Pty Ltd)". Therapeutic Goods Administration (TGA). 19 February 2025. Retrieved 7 March 2025.
  2. ^ "Hympavzi marstacimab 150mg/mL solution for injection, prefilled pen (438990)". Therapeutic Goods Administration (TGA). 30 January 2025. Retrieved 7 March 2025.
  3. ^ a b "Hympavzi- marstacimab-hncq injection, solution". DailyMed. 5 November 2024. Retrieved 11 November 2024.
  4. ^ a b Cite error: The named reference Hympavzi EPAR was invoked but never defined (see the help page).
  5. ^ a b "Hympavzi PI". Union Register of medicinal products. 19 November 2024. Retrieved 21 November 2024.
  6. ^ a b c d e f g Cite error: The named reference FDA PR 20241011 was invoked but never defined (see the help page).
  7. ^ "FDA and EMA Accept Marstacimab Regulatory Submissions for the Treatment of Hemophilia A and B". Pfizer (Press release). 9 December 2023. Retrieved 21 September 2024.
  8. ^ "Hympavzi". U.S. Food and Drug Administration. 11 October 2024. Retrieved 24 June 2025. This article incorporates text from this source, which is in the public domain.
  9. ^ New Drug Therapy Approvals 2024 (PDF). U.S. Food and Drug Administration (FDA) (Report). January 2025. Archived from the original on 21 January 2025. Retrieved 21 January 2025.