Evidence map›Paper›PMID 42405179›Full record

ArticleResearch and practice in thrombosis and haemostasis2026

Mechanism and kinetics study of MG1113, an anti-tissue factor pathway inhibitor antibody promoting hemostasis in hemophilia.

Heechun Kwak, Hyun-Ja Nam, Sung Ho Hwang

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Article in Research and practice in thrombosis and haemostasis, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Heechun KwakResearch and Early Development, GC Biopharma, Yongin-si, Republic of Korea.
Hyun-Ja NamResearch and Early Development, GC Biopharma, Yongin-si, Republic of Korea.
Sung Ho HwangMedical Division, GC Biopharma, Yongin-si, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Targeting tissue factor pathway inhibitor (TFPI) is an emerging hemostatic rebalancing strategy for hemophilia. MG1113 is a humanized monoclonal antibody designed to specifically bind the Kunitz domain (KD)2 of TFPI. Objectives: This study elucidated the detailed pharmacologic mechanism of action and the preclinical hemostatic efficacy of MG1113. Methods: Results: In acquired HA monkeys, a single dose of MG1113 (3 mg/kg) reduced free TFPI levels by 98.8%, shortened the modified prothrombin time and restored thrombin peak height to ∼78% of normal levels. Mechanistically, MG1113 successfully prevented TFPI-mediated inhibition of the extrinsic tenase complex-specifically in the presence of FXa-despite targeting only KD2. MG1113 restored the FXa amplification loop and simultaneously neutralized both plasma-derived TFPI-α and cell-surface TFPI-β. However, despite sufficiently restoring FXa generation, clot waveform analysis revealed that MG1113 exhibited a broader, less intense, and more prolonged coagulation profile compared with the rapid burst characteristic of factor replacement therapy. Conclusion: MG1113 effectively restores hemostasis by blocking the TFPI/FXa interaction. By systematically lowering the threshold for tissue factor-mediated initiation, MG1113 facilitates physiological restoration of hemostasis. This mechanistic profile-combined with gradual clot kinetics and the advantages of a monoclonal antibody-makes MG1113 suited for routine prophylaxis.

Indexed as

Antibodies, Monoclonal, HumanizedHemophilia AHemostasisLipoproteinsAnimalsBlood CoagulationDisease Models, AnimalFactor XaHumansKineticsMacaca fascicularisMaleProthrombin TimeAntibodies, Monoclonal, HumanizedFactor Xalipoprotein-associated coagulation inhibitorLipoproteinsantibodiescoagulationfactor Xathrombintissue factor pathway inhibitor

Identifiers

PMID42405179
PMCPMC13330519

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.