NCT01191372
- Objective
- Not yet disclosed
- Design
- Not yet disclosed
- Participants
- Not yet disclosed
- Primary endpoint
- Not yet disclosed
- Results
- Results not yet reported; trial associated with terminated program ARC19499-001
pharma · Diabetes Mellitus · Hemophilia A
Takeda is a pharma organization headquartered in Cambridge, USA. Primary therapeutic focus areas include Diabetes Mellitus, Hemophilia A, Crohn's Disease, Hypertension, Type 2 Diabetes Mellitus. NovaPharmaNews links 1179
Phase 1 · small molecule · Hemophilia
ARC19499-001 is a Phase 1 small-molecule program sponsored by Takeda for the treatment of hemophilia. The program was terminated as of May 5, 2021, and therefore did not advance beyond early-stage clinical development. Specific details regarding the mechanism of action, molecular target, and clinical rationale are not
Internal code ARC19499-001
ARC19499-001 is a Phase 1 small-molecule program sponsored by Takeda for the treatment of hemophilia. The program was terminated as of May 5, 2021, and therefore did not advance beyond early-stage clinical development. Specific details regarding the mechanism of action, molecular target, and clinical rationale are not yet disclosed in available sources. The termination represents a strategic decision by Takeda to discontinue this particular investigational approach in the hemophilia space, where the company maintains an established portfolio of approved therapies including ADVATE, Feiba, and other factor replacement and bypass agents. The program's discontinuation occurred during a period of significant competitive activity in hemophilia treatment, with multiple approved options available from Takeda and competitors including Roche (Hemlibra), Sanofi Pasteur (rFVIIIFc), and BioMarin (ROCTAVIAN). No regulatory submissions or approvals were achieved prior to termination.
Hemophilia remains a significant unmet medical need despite the availability of multiple treatment options. Patients with hemophilia A and B require lifelong factor replacement or bypass therapy to prevent spontaneous bleeding and manage hemostatic challenges. The disease imposes substantial burden through frequent infusions, inhibitor development in some patients, and variable efficacy across the patient population. The competitive landscape has evolved substantially with the introduction of extended half-life factors, bispecific antibodies (Hemlibra), and gene therapy approaches (ROCTAVIAN), creating pressure for innovation in mechanism and dosing convenience. Takeda's decision to terminate ARC19499-001 reflects prioritization within its hemophilia portfolio rather than diminished market relevance. The hemophilia market remains commercially significant, with multiple approved therapies generating substantial revenue. The termination of this program suggests either insufficient differentiation versus existing options, unfavorable safety or efficacy signals in early development, or strategic reallocation of resources toward higher-priority pipeline assets. Understanding why this small-molecule approach was discontinued provides insight into Takeda's current hemophilia strategy and the competitive requirements for advancement in this mature therapeutic area.
Drug Class: Small-molecule investigational agent
Modality: Small molecule
Mechanism of Action: Not yet disclosed
Molecular Target: Not yet disclosed
Route of Administration: Not yet disclosed
Indication: Hemophilia
Development Status: Terminated Phase 1
Related Therapies in Takeda Portfolio: ADVATE (octocog alfa, recombinant Factor VIII), Feiba (prothrombin complex concentrate), Antihemophilic Factor (Recombinant) - Plasma/Albumin Free Method, and other factor replacement agents
Patent Status: Not yet disclosed
First Approval: Not applicable; program terminated before regulatory submission
Prevalence: Point prevalence: 1-9 / 100 000 (China) — source: Orphanet, validated.
Hemophilia is a genetic disorder characterized by spontaneous hemorrhage or prolonged bleeding due to factor VIII or IX deficiency.
ClinicalTrials.gov lists 150 registered studies for Hemophilia (AACT aggregate).
Phase breakdown: NA (116), PHASE3 (10), PHASE1 (9), PHASE2 (5), PHASE4 (5), PHASE1/PHASE2 (3), EARLY_PHASE1 (2)
Common investigational therapies:
Disease data sourced from MONDO Disease Ontology (MONDO:0018660), Orphanet — hemophilia, NCT00055341, NCT00127543, NCT00324493, NCT00340548, NCT00344435, AACT (ClinicalTrials.gov aggregate), ClinicalTrials.gov, Open Targets Platform (CC BY 4.0).
Phase 1 initiation
ARC19499-001 Phase 1 trial (NCT01191372) initiated to evaluate the investigational small-molecule agent in hemophilia.
Program terminated
Takeda terminated ARC19499-001 as of May 5, 2021, discontinuing further development of this hemophilia program.
The hemophilia treatment landscape includes multiple approved therapies from Takeda and competitors across different mechanisms. Takeda maintains a substantial portfolio with ADVATE (recombinant Factor VIII), Feiba (prothrombin complex concentrate), and other factor replacement products. Hoffmann-La Roche's Hemlibra (emicizumab, bispecific antibody) represents a mechanistically distinct approach approved for hemophilia A. Sanofi Pasteur markets rFVIIIFc, an extended half-life recombinant Factor VIII. BioMarin's ROCTAVIAN is a gene therapy approach for hemophilia A. Wyeth (now Pfizer subsidiary) offers ReFacto, another recombinant Factor VIII product. The competitive environment includes both traditional factor replacement strategies and newer modalities such as bispecific antibodies and gene therapy. Takeda's decision to terminate ARC19499-001 suggests the small-molecule approach did not offer sufficient competitive advantage over existing options or newer modalities. The termination reflects the maturity of the hemophilia market and the high bar for novel mechanism advancement in this well-served indication.
| Therapy | Company | Mechanism | Status |
|---|---|---|---|
| Antihemophilic Factor (Recombinant) - Plasma/Albumin Free Method | Takeda | mab | approved |
| 060201 | Takeda | small_molecule | approved |
| rFVIIIFc | Sanofi Pasteur | mab | approved |
| ROCTAVIAN 2 × 1013 vector genomes/mL solution for infusion | BioMarin Pharmaceutical Australia Pty Ltd | small_molecule | approved |
| Feiba | Takeda | small_molecule | approved |
| Recombinant Protein-Free Factor VIII (rAHF-PFM) | Takeda | small_molecule | approved |
| Octocog alfa (recombinant human coagulation factor VIII) [ADVATE] | Takeda | mab | approved |
| ReFacto | Wyeth is now a wholly owned subsidiary of Pfizer | small_molecule | approved |
| Hemlibra 150 mg/mL solution for injection | Hoffmann-La Roche | small_molecule | approved |
| ADVATE | Takeda | mab | approved |
| 050901 | Takeda | mab | approved |
| Daratumumab and corticosteroid treatment | Xiyuan Hospital of China Academy of Chinese Medical Sciences | small_molecule | approved |
| TUROCTOCOG ALFA PEGOL | — | Coagulation factor VIII exogenous protein | Approved |
| TUROCTOCOG ALFA | — | Coagulation factor VIII exogenous protein | Approved |
| TRANEXAMIC ACID | — | Plasminogen inhibitor | Approved |
| SUSOCTOCOG ALFA | — | Coagulation factor VIII exogenous protein | Approved |
| SIMOCTOCOG ALFA | — | Coagulation factor VIII exogenous protein | Approved |
| NONACOG BETA PEGOL | — | Coagulation factor IX exogenous protein | Approved |
| MOROCTOCOG ALFA | — | Coagulation factor VIII exogenous protein | Approved |
| LONOCTOCOG ALFA | — | Coagulation factor VIII exogenous protein | Approved |
Additional associated therapies sourced from Open Targets Platform (CC0), linked to NovaPharmaNews drug profiles where matched.
FDA Status: Not yet disclosed; program terminated before regulatory submission
EMA Status: Not yet disclosed; program terminated before regulatory submission
PMDA (Japan) Status: Not yet disclosed; program terminated before regulatory submission
NMPA (China) Status: Clinical trials status noted for related compounds in the dataset (NCT00721773, NCT02410772), but specific regulatory pathway for ARC19499-001 not yet disclosed
Approval History: No approvals achieved; program discontinued during Phase 1 development
Regulatory Pathway: Not yet disclosed
ARC19499-001 is a terminated Phase 1 small-molecule investigational program sponsored by Takeda for the treatment of hemophilia. The program was discontinued on May 5, 2021, and did not advance to later development stages.
ARC19499-001 was being developed for hemophilia, a bleeding disorder requiring lifelong factor replacement or bypass therapy.
Takeda Pharmaceutical Company Limited is the sponsor of ARC19499-001.
The mechanism of action for ARC19499-001 has not yet been disclosed in available sources.
The specific molecular target for ARC19499-001 has not yet been disclosed.
ARC19499-001 is a small-molecule investigational agent.
ARC19499-001 was terminated on May 5, 2021, during Phase 1 development and is no longer being pursued by Takeda.
No, ARC19499-001 was terminated during Phase 1 development and never submitted for regulatory approval.
NCT01191372 is the clinical trial identifier associated with ARC19499-001.
The specific reason for termination has not been disclosed by Takeda. The decision may reflect insufficient differentiation, safety or efficacy concerns, or strategic reallocation of resources.
Competing approved hemophilia therapies include Takeda's ADVATE and Feiba, Roche's Hemlibra (bispecific antibody), Sanofi Pasteur's rFVIIIFc, BioMarin's ROCTAVIAN (gene therapy), and Pfizer's ReFacto.
Yes, Takeda maintains an established portfolio of approved hemophilia therapies including ADVATE (recombinant Factor VIII), Feiba (prothrombin complex concentrate), and other factor replacement agents.
The route of administration for ARC19499-001 has not been disclosed.
No partner is listed for ARC19499-001; Takeda is the sole sponsor.
Patent information for ARC19499-001 has not been disclosed.
The first disclosure date for ARC19499-001 has not been disclosed in available sources.
placebo control → Drug → Target → Indication → Company → Trials → Competitors
Strategic Implications: Takeda's termination of ARC19499-001 reflects a strategic decision to focus resources on hemophilia programs with stronger competitive positioning or differentiation potential. The company maintains a robust portfolio of approved hemophilia therapies and may be prioritizing next-generation approaches or indications with higher unmet need.
Competitive Implications: The termination does not materially alter the competitive landscape, as the program did not reach late-stage development or regulatory submission. The decision underscores the high bar for novel hemophilia mechanisms in a market with multiple approved options spanning traditional factors, extended half-life formulations, bispecific antibodies, and gene therapy.
Development Catalysts: None anticipated; program terminated as of May 2021.
Expected Milestones: No further milestones expected for this program.
Future Outlook: Takeda's hemophilia strategy will likely focus on existing approved products, label expansions, and potentially next-generation mechanisms not represented by ARC19499-001. The competitive environment will continue to evolve with gene therapy adoption and potential new modalities from competitors.
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Intelligence compiled from public regulatory and clinical sources (FDA, EMA, ClinicalTrials.gov and company disclosures). Figures may be editorial or analyst estimates; verify against primary sources before relying on them.