TheraRadar

Pharma Intelligence, Simplified

Data updated: Mar 10, 2026

HYMPAVZI

MARSTACIMAB-HNCQ
Hematology Approved 2024-10-11

HYMPAVZI (marstacimab-hncq) is a tissue factor pathway inhibitor (TFPI) antagonist indicated for routine prophylaxis in adult and pediatric patients 12 years of age and older. It is used to prevent or reduce the frequency of bleeding episodes in individuals with hemophilia A or hemophilia B who do not have factor VIII or factor IX inhibitors. The therapy provides a prophylactic approach for managing congenital factor VIII or factor IX deficiencies.

Source: FDA Label • Pfizer

How HYMPAVZI Works

Marstacimab-hncq is a human monoclonal antibody that targets the Kunitz domain 2 of tissue factor pathway inhibitor (TFPI). By binding to this specific domain, the drug neutralizes TFPI activity, which normally serves as the primary inhibitor of the extrinsic coagulation cascade. This neutralization prevents TFPI from inactivating the protease functions of the factor Xa/VIIa/TF complex, thereby enhancing thrombin generation and promoting blood coagulation.

Source: FDA Label
1
Indication
--
Phase 3 Trials
1
Years on Market

Details

Status
Prescription
First Approved
2024-10-11
Routes
SUBCUTANEOUS
Dosage Forms
INJECTABLE

Companies

Active Ingredient: MARSTACIMAB-HNCQ

HYMPAVZI Approval History

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What HYMPAVZI Treats

2 indications

HYMPAVZI is approved for 2 conditions since its original approval in 2024. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Hemophilia A
  • Hemophilia B
Source: FDA Label

HYMPAVZI Target & Pathway

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Target

FACTOR XA (Coagulation Factor Xa) Coagulation Factor

A key enzyme in the blood clotting cascade that converts prothrombin to thrombin. Inhibiting Factor Xa prevents clot formation, reducing risk of stroke in atrial fibrillation and treating/preventing venous thromboembolism.

HYMPAVZI Competitors

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10 other drugs also target FACTOR XA. Compare mechanisms, indications, and trial activity.

View all 10 FACTOR XA drugs →
Drug = Competitor name Company = Manufacturer N indic. = FDA-approved indications → Date = Patent/exclusivity expiry

Competitors share the same molecular target (FACTOR XA). Earlier expiry dates signal biosimilar/generic opportunities.

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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

HYMPAVZI FDA Label Details

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Indications & Usage

FDA Label (PDF)

HYMPAVZI is indicated for routine prophylaxis to prevent or reduce the frequency of bleeding episodes in adult and pediatric patients 12 years of age and older with: • hemophilia A (congenital factor VIII deficiency) without factor VIII inhibitors, or • hemophilia B (congenital factor IX deficiency) without factor IX inhibitors. HYMPAVZI is a tissue factor pathway inhibitor (TFPI) antagonist indicated for routine prophylaxis to prevent or reduce the frequency of bleeding episodes in adult and pediatric patients 12 years of age and older with: • hemophilia A (congenital factor VIII deficiency) ...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.