Monday, February 2, 2026

G-BA Ends Data Collection Requirement for Marstacimab

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Key Takeaways

  • G-BA’s decision highlights the stringent criteria for data collection mandates.
  • Orphan drug classification limits regulatory requirements for data gathering.
  • Pharmaceutical companies can strategically navigate approval processes to align with desired regulatory outcomes.

Berlin’s Federal Joint Committee (G-BA) has ceased its plans to mandate application-related data collection for the drug Marstacimab. This decision follows the absence of legal grounds necessary to compel the pharmaceutical company to gather and assess clinical routine data for evaluating the drug’s benefits.

In April 2024, G-BA initiated discussions regarding a potential requirement for application-related data collection (AbD) for Marstacimab. However, by November 2024, the drug secured approval solely as an orphan drug, aligning with the pharmaceutical company’s original objectives. Consequently, G-BA recognized that the specific legal conditions needed to enforce AbD were no longer applicable, leading to the termination of the data collection mandate.

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Marstacimab Receives Orphan Drug Approval

Marstacimab gained approval for routine prophylaxis of bleeding episodes in patients aged 12 and older with a body weight of at least 35 kilograms. The approval specifically targets individuals suffering from severe hemophilia A or B without the presence of Factor VIII or IX inhibitors, respectively.

The European Medicines Agency (EMA) did not grant conditional approval or approval under exceptional circumstances, further solidifying the orphan drug status.

The cessation of the AbD requirement underscores the importance of regulatory frameworks in shaping pharmaceutical data obligations. By securing orphan drug status, Marstacimab benefits from reduced regulatory burdens, which can expedite its availability to patients in need.

This move reflects a broader trend where pharmaceutical companies leverage specific approval pathways to optimize their market strategies and compliance obligations. For patients and healthcare providers, the streamlined approval process ensures quicker access to essential treatments, potentially improving health outcomes in severe hemophilia cases.

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