TheraRadar

Pharma Intelligence, Simplified

Data updated: Mar 10, 2026

ALHEMO

CONCIZUMAB-MTCI Tissue Factor Pathway Inhibitor Antagonists
Hematology Approved 2024-12-20

Alhemo (concizumab-mtci) 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. The treatment is applicable to patients regardless of whether they have developed inhibitory antibodies to factor VIII or factor IX.

Source: FDA Label • Novo Nordisk • Tissue Factor Pathway Inhibitor Antagonist

How ALHEMO Works

Concizumab-mtci is a monoclonal antibody that acts as an antagonist to endogenous tissue factor pathway inhibitor (TFPI). By inhibiting TFPI, the drug enhances the production of factor Xa during the initiation phase of the coagulation process. This increase in factor Xa leads to improved thrombin generation and clot formation to achieve hemostasis. Because the drug has no structural relationship to factor VIII or factor IX, its effect is not influenced by the presence of inhibitors to those factors.

Source: FDA Label
2
Indications
--
Phase 3 Trials
1
Priority Reviews
1
Years on Market

Details

Status
Prescription
First Approved
2024-12-20
Routes
Subcutaneous, INJECTION
Dosage Forms
Injectable, SOLUTION

Companies

Active Ingredient: CONCIZUMAB-MTCI

ALHEMO Approval History

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What ALHEMO Treats

2 indications

ALHEMO 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

ALHEMO Target & Pathway

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Target

THROMBIN (Coagulation Factor IIa) Coagulation Factor

The central enzyme in blood coagulation that converts fibrinogen to fibrin, forming blood clots. Direct thrombin inhibitors prevent clot formation and are used to prevent stroke and treat blood clots.

ALHEMO Competitors

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6 other drugs also target THROMBIN. Compare mechanisms, indications, and trial activity.

Drug = Competitor name Company = Manufacturer N indic. = FDA-approved indications → Date = Patent/exclusivity expiry

Competitors share the same molecular target (THROMBIN). 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.

ALHEMO FDA Label Details

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Indications & Usage

FDA Label (PDF)

Alhemo 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) with or without FVIII inhibitors • hemophilia B (congenital factor IX deficiency) with or without FIX inhibitors Alhemo 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) with ...

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Data Sources

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