Tuesday, July 15, 2025

BioMarin Showcases Five-Year Success of ROCTAVIAN for Hemophilia A at ISTH 2025

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BioMarin Pharmaceutical Inc. revealed promising five-year data from its Phase 3 GENEr8-1 trial, demonstrating the long-term efficacy and safety of ROCTAVIAN® (valoctocogene roxaparvovec-rvox) for treating severe hemophilia A. Unveiled at the 33rd International Society on Thrombosis and Hemostasis Congress in Washington, D.C., the study underscores ROCTAVIAN’s potential to maintain factor VIII levels and control bleeding without the need for ongoing prophylaxis.

Long-Term Efficacy and Safety Proven

The GENEr8-1 trial monitored 134 participants over five years, with 81.3% remaining off prophylaxis treatments. Factor VIII activity remained stable, averaging within the mild hemophilia range, while 73.5% achieved levels bordering the normal hemophilia range. Additionally, 77.8% of participants experienced no treated bleeding events in the fifth year, and no new safety concerns emerged during the study duration.

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Impact on Quality of Life Surges

Beyond clinical metrics, ROCTAVIAN significantly enhanced patients’ quality of life. Participants reported reduced physical and psychological burdens, including minimal joint pain, fewer injection requirements, and increased physical activity. Improvements extended to various life aspects, such as employment, education, and family interactions, highlighting the therapy’s comprehensive benefits.

Inferences drawn from the study include:

  • ROCTAVIAN effectively reduces reliance on regular factor VIII prophylaxis, simplifying treatment regimens.
  • Persistent factor VIII expression suggests long-term benefits and reduced healthcare costs.
  • The absence of new safety signals over five years enhances trust in ROCTAVIAN’s safety profile.

The findings present ROCTAVIAN as a viable long-term solution for severe hemophilia A, potentially transforming patient management and reducing the lifelong burden of the disease. As only one adult resumed prophylaxis in the latter years, the therapy demonstrates exceptional durability in maintaining blood clotting functionality.

ROCTAVIAN’s success in the GENEr8-1 trial positions BioMarin at the forefront of gene therapy advancements for hemophilia. The sustained factor VIII levels and minimal bleeding events highlight the therapy’s capacity to offer lasting relief and improved life quality for patients.

Individuals living with hemophilia A now have a promising treatment option that can alleviate daily management challenges and enhance overall well-being, marking a significant advancement in genetic therapy applications.

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