Alprolix eftrenonacog alfa APPROVED
Drug Profile
ModalityRecombinant protein
RouteIV
Therapy AreaHematology
Launch2014-03-28
Peak Sales Est$250M
Formulations[{"id":"alprolix-iv","doses":"50 IU/kg weekly or 100 IU/kg Q10-14 days","route":"IV","device":"Recon
Companies
SOBI (LICENSEE)50%
Mechanism: Extended half-life recombinant Factor IX
Expert: Recombinant Factor IX Fc fusion protein (rFIXFc). The Fc domain binds neonatal Fc receptor (FcRn) in endothelial cells, diverting FIX from lysosomal degradation into FcRn-mediated recycling. Results in ~3x longer terminal half-life vs native FIX (~82 hrs vs ~34 hrs). Allows extended dosing intervals (Q1-2W vs Q2-3 days).
Everyday: A lab-made version of the clotting factor (Factor IX) that people with hemophilia B are missing, engineered to last longer in the body. Normal Factor IX replacement gets used up quickly, requiring injections every few days. By fusing it with another protein (Fc fragment of antibody), it "tricks" the body into recycling it instead of breaking it down — roughly doubling how long it works.
Targets: []
Revenue History
PeriodRevenue ($M)
2024$120M
Programs (1)
IndicationStageKey StudyRegional Status
Hemophilia B prophylaxisAPPROVEDB-LONG[{"stage":"APPROVED","region":"US","approval_date":"2014-03-28"},{"stage":"APPRO
Clinical Studies (1)
B-LONG PHASE3
COMPLETED · n=123
Primary EP: [{"id":"blong-ep1","name":"ABR on individualized interval prophylaxis","type":"PRIMARY","unit":"bleeds/year","results":[{"arm":"blong-ind","label":"Median ABR 1.38 (Q10-14 day dosing)","value":1.38},{
Safety: 0 inhibitors across all clinical studies. No serious treatment-related AEs. Excellent/good hemostasis in all 12 surgical patients. Very clean safety profile.
NCT01027364
Notes
Extended half-life rFIX-Fc for hemophilia B. ~3x longer half-life than standard FIX. Allows weekly or biweekly dosing. Mature product with stable patient base. Hemophilia B is ~5x rarer than Hem A, so market is smaller.
Data from Supabase · Updated 2026-03-24