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Gene Therapy Trial Report

Summary

Dose-Escalation Study Of A Self Complementary Adeno-Associated Viral Vector For Gene Transfer in Hemophilia B


NCTID NCT00979238 (View at clinicaltrials.gov)
Description
Development Status Inactive
Indication Hemophilia B
Disease Ontology Term DOID:12259
Compound Name ScAAV2/8-LP1-hFIXco
Sponsor St. Jude Children's Research Hospital
Funder Type Other
Recruitment Status
Active not recruiting
Enrollment Count 14 (ACTUAL)
Results Posted Not Available

Therapy Information


Target Gene/Variant F9
Therapy Type Gene transfer
Therapy Route In-vivo
Mechanism of Action Functional gene replacement
Route of Administration Intravenous
Drug Product Type Viral vector
Delivery System Viral transduction
Vector Type AAV2/8
Dose 1 2E11 vg/kg (n=2)
Dose 2 6E11 vg/kg (n=2)
Dose 3 2E12 vg/kg (n=6)
Dose 4 Extension phase with new process: 2E12 vg/kg (n=2)
Dose 5 Extension phase with new process: 5E12 vg/kg (n=2)

Study Record Dates


Current Stage Phase1
Submit Date 2009-09-16
Completion Date 2026-03
Last Update 2026-02-04

Participation Criteria


Eligible Age >=18 Years
Standard Ages Adult, Older adult
Sexes Eligible for Study MALE
Eligibility Criteria
Inclusion Criteria: * Males ≥ 18 years of age with established severe HB (FIX:C\<1u/dl), * Treated/exposed to FIX products (e.g., concentrates or fresh frozen plasma) for at least 10 years or 50 exposure days. * A minimum of an average of 3 bleeding episodes per year requiring FIX infusions or prophylactic FIX infusions because of frequent prior bleeding episodes * Able to give informed consent and comply with requirements of the trial * Currently free of inhibitor and have no history of inhibitors to FIX protein * A negative family history for the development of an inhibitor, * Willing to practice a reliable barrier method of contraception until 3 sequential samples are negative for vector genomes using our PCR assay. Exclusion Criteria: * Evidence of active infection with Hepatitis B or C virus as reflected by HBsAg or NCV RNA positivity, respectively. To be considered negative for active infection, two negative assays at a minimum of a six month interval are required. * Exposure to Hepatitis B or C who are currently on antiviral therapy. * Serological evidence of HTLV or active HIV infection. Individuals who are effectively being treated with antiretroviral therapy are eligible. Specific criteria for effectiveness of treatment include the following: * Documented CD4+ T-cell count of \> 350 cells/mm\^3. * HIV-1 RNA viral load \< 400 copy/ml for at least the past 12 months, including at least 2 viral load test results of \< 400 copy/ml during the immediate 12 month interval prior to screening. * Screening HIV-RNA viral load \< 400 copies/ml. * Stable HAART regimen (drugs of at least 2 different classes) for at least 12 months prior to study entry. Treatment regimen changes for dosing convenience and in response to toxicity are permitted. * Documented and confirmed (repeated) viral loads of ≥ 400 copies/ml during the 12 month time interval prior to screening are bases for exclusion although a single, unconfirmed, "glimpse" of ≥ 400 copies/ml are permitted. * Significant liver dysfunction as defined by an abnormal ALT (alanine transaminase), bilirubin, alkaline phosphatase or INR. Potential participants who have had a liver biopsy in the past 3 years will be excluded if they have significant fibrosis of 3 or 4 as rated on a scale of 0-4. * Coronary artery disease as a co-morbid condition * Platelet count of \<50 x 10\^9/l * Creatinine ≥ 1.5 mg/dl * Hypertension with systolic blood pressure (BP) ≥ 140 mmHg or diastolic BP ≥ 90 mmHg * History of active tuberculosis, fungal disease or other chronic infection * History of chronic disease that would adversely affect performance other than hemophilic arthropathy * Detectable antibodies reactive with AAV8 * Subjects who are unwilling to provide the required semen samples * Poor performance status (WHO performance status score \>1) or * Received an AAV vector or any other gene transfer agent in the previous 6 months * Presence of lung nodule(s) suspicious of malignancy on screening chest tomography * Presence of liver abnormalities suspicious of malignancy on screening liver ultrasound
View Inclusion and Exclusion Criteria at ClinicalTrials.gov

Locations


No.of Trial Sites 8
Locations United States,United Kingdom

Regulatory Information


Has US IND True
FDA Designations
Recent Updates Was the first Hemophilia B trial to show sustained efficacy

Resources/Links