RecruitingPhase 3NCT06003387

Efficacy and Safety of CSL222 (Etranacogene Dezaparvovec) Gene Therapy in Adults With Hemophilia B With Pretreatment Adeno-associated Virus Serotype 5 (AAV5) Neutralizing Antibodies (Nabs)

Phase 3b, Open-label, Multicenter, Single-dose Study Investigating Efficacy and Safety of CSL222 (Etranacogene Dezaparvovec) Gene Therapy Administered to Adult Subjects With Severe or Moderately Severe Hemophilia B With Detectable Pretreatment AAV5 Neutralizing Antibodies


Sponsor

CSL Behring

Enrollment

35 participants

Start Date

Jan 30, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to assess the risk of bleeding due to failure of expected pharmacological action of CSL222 in adults with severe or moderately severe hemophilia B with detectable pretreatment AAV5 Nabs.


Eligibility

Min Age: 18 Years

Inclusion Criteria9

  • Considered legally an adult, as defined by country regulations.
  • Has congenital hemophilia B with known severe or moderately severe FIX deficiency (less than or equal to \[\<=\] 2% of normal circulating FIX) for which the participant is on continuous routine FIX prophylaxis.
  • Has 2 consecutive detectable AAV5 NAb titer results between Screening and Visit L-Final using a validated AAV5 NAb assay (based on central laboratory results).
  • Has greater than (\>) 150 previous exposure days to FIX replacement therapy.
  • Has been on stable FIX prophylaxis for at least 2 months before Screening.
  • Has demonstrated capability to independently, accurately, and in a timely manner complete the eDiary during the Lead-in Period, as judged by the investigator.
  • Acceptance to adhere to contraception guidelines.
  • Able to provide informed consent after receipt of verbal and written information about the study.
  • Investigator believes that the participant (or the participant's legally acceptable representative\[s\]) understands the nature, scope, and possible consequences of the study and is able to adhere to the study procedures.

Exclusion Criteria15

  • History of FIX inhibitors or positive FIX inhibitor test at Prescreening, Screening or Visit L-Final (based on central laboratory results).
  • Screening or Visit L-Final laboratory values (based on central laboratory results) of total bilirubin \> 2 × the upper limit of normal (ULN) (except if caused by Gilbert's syndrome).
  • Screening or Visit L-Final laboratory values (based on central laboratory results) of any of the following laboratory abnormalities:
  • a) ALT \> 2 × the ULN
  • b) AST \> 2 × the ULN
  • c) Alkaline phosphatase \> 2 × the ULN
  • d) Serum creatinine \> 2 × the ULN
  • e) Hemoglobin less than (\<) 8 g/dL
  • Any condition other than hemophilia B resulting in an increased bleeding tendency.
  • Thrombocytopenia, defined as a platelet count \<50 × 10\^9/L, at Screening or Visit L Final (based on central laboratory results).
  • Any uncontrolled or untreated infection (human immunodeficiency virus \[HIV\], hepatitis B virus \[HBV\] and hepatitis C virus \[HCV\], or any other significant concurrent, uncontrolled medical condition including, but not limited to, renal, hepatic, cardiovascular, hematological, gastrointestinal, endocrine, pulmonary, neurological, cerebral or psychiatric disease, alcoholism, drug dependency, or any other psychological disorder evaluated by the investigator to interfere with adherence to the clinical study protocol procedures or with the degree of tolerance to CSL222.
  • Known history of allergy to corticosteroids or known medical condition that would require chronic administration of oral corticosteroids.
  • Known uncontrolled allergic conditions or allergy / hypersensitivity to any component of the CSL222 excipients (ie, sucrose, potassium chloride, potassium dihydrogen phosphate, sodium chloride, and disodium hydrogen phosphate).
  • Previous AAV5 gene therapy treatment.
  • Receipt of an experimental agent or device within 60 days before Screening until the end of the study.

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Interventions

GENETICCSL222 (AAV5-hFIXco-Padua)

Administered as a single IV infusion.


Locations(26)

University of California, San Diego (UCSD)

San Diego, California, United States

University of Michigan

Ann Arbor, Michigan, United States

Royal Prince Alfred Hospital

Camperdown, New South Wales, Australia

Royal Brisbane Hospital

Herston, Queensland, Australia

Royal Adelaide Hospital

Adelaide, South Australia, Australia

The Alfred Hospital

Melbourne, Victoria, Australia

McMaster University - Hamilton

Hamilton, Ontario, Canada

Queen Mary Hospital

Hong Kong, Hong Kong

Prince of Wales Hospital Chinese University of Hong Kong

Shatin, Hong Kong

Sheba Medical Center

Tel Litwinsky, Israel

Centro de Investigacion Clinica GRAMEL S.C.

Mexico City, Mexico City, Mexico

King Faisal Specialist Hospital and Research Center

Riyadh, Saudi Arabia

National University Hospital

Singapore, Singapore

Singapore General Hospital

Singapore, Singapore

Haemophilia Comprehensive Care Centre

Johannesburg, South Africa

Kyungpook National University Hospital

Daegu, South Korea

Kyung Hee University Hospital at Gangdong

Seoul, South Korea

Severance Hospital, Yonsei University Health System

Seoul, South Korea

Tri-Service General Hospital

Taipei, Neihu District, Taiwan

Kaohsiung Medical University Chung-Ho Memorial Hospital (KMUH)

Kaohsiung City, Sanmin District, Taiwan

Changhua Christian Hospital (CCH)

Chang-hua, Taiwan

Taichung Veterans General Hospital -

Taichung, Taiwan

National Taiwan University Hospital

Taipei, Taiwan

Ege University Medical Faculty

Bornova, Turkey (Türkiye)

Gaziantep University Sahinbey Research and Practice Hospital

Gaziantep, Turkey (Türkiye)

Özel Acibadem Adana Hastanesi

Seyhan, Turkey (Türkiye)

View Full Details on ClinicalTrials.gov

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NCT06003387


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