Contact SCGE

Gene Therapy Trial Report

Summary

A Study to Evaluate the Efficacy and Safety of Factor IX Gene Therapy With PF-06838435 in Adult Males With Moderately Severe to Severe Hemophilia B


NCTID NCT03861273 (View at clinicaltrials.gov)
Description
Development Status Marketing Discontinued
Indication Hemophilia B
Disease Ontology Term DOID:12259
Drug Product Name BEQVEZ
Drug Product Alias fidanacogene elaparvovec, PF-06838435
Sponsor Pfizer
Funder Type Industry
Recruitment Status
Active not recruiting
Enrollment Count 51 (ACTUAL)
Results Posted View Results

Therapy Information


Target Gene/Variant F9-R338L
Regulatory Element LP1 (promoter)
Therapeutic Modality Gene transfer
Therapy Route in vivo
Mechanism of Action Functional gene replacement
Route of Administration Intravenous
Drug Product Type Viral vector
Target Tissue/Cell Liver
Gene Delivery System Type Viral transduction
Vector Type πŸ”„ Adeno-associated virus
Viral Vector Subtype AAVrh74
Dose 1 Phase 2: 5E11 vg/kg (n=15)
Dose 2 Phase 3: 5E11 vg/kg (n=45)
Dose 3 Approved dose: 5E11 vg/kg

Study Record Dates


Current Phase Phase3
Submit Date 2019-03-01
Completion Date πŸ”„ 2028-02-25
Last Update πŸ”„ 2026-11-04

Participation Criteria


Eligible Age 18 Years - 65 Years
Standard Ages Adult, Older adult
Sexes Eligible for Study MALE
Eligibility Criteria
Inclusion Criteria * Males who completed 6 months of Factor IX prophylaxis therapy during the lead-in study (C0371004) prior to providing consent at the screening visit for this study. * Documented moderately severe to severe hemophilia B (Factor IX activity \< =2%) * Previous experience with FIX therapy (=\>50 documented exposure days to a FIX protein product) * Suspension of prophylaxis therapy for hemophilia B after administration of the study drug * Laboratory values (hemoglobin, platelets and creatinine) within study specified limits * Agree to contraception until components of the drug are eliminated from their body * Capable of giving signed informed consent Exclusion Criteria * Anti-AAVRh74var neutralizing antibodies (nAb) titer above the established threshold (ie, positive for nAb). * History of inhibitor to Factor IX or inhibitor detected during screening. Clinical signs or symptoms of decreased response to Factor IX * Hypersensitivity to Factor IX replacement product or IV immunoglobulin administration * History of chronic infection or other chronic disease * Any conditions associated with increased thromboembolic risk * Concurrent clinically significant major disease or condition unsuitable for participation and/or may interfere with the interpretation of study results * Laboratory values at screening visit that are abnormal or outside acceptable study limits * Current unstable liver or biliary disease * Currently on antiviral therapy for hepatitis B or C * Planned surgical procedure requiring Factor IX surgical prophylactic factor treatment 15 months from screening visit * Use of restricted therapies (e.g., blood products, acetylsalicylic acid \[aspirin\] or ibuprofen, other investigational therapy, and by-passing agents) * Previously dosed in a gene therapy research trial at any time or in an interventional clinical study within 12 weeks of screening visit * Active hepatitis B or C; hepatitis B surface antigen, hepatitis B virus deoxyribonucleic acid positivity, or hepatitis C virus ribonucleic acid positivity * Significant liver disease * Serological evidence of HIV1 or HIV2 infection with either CD4+ cell count \<=200 mm3 and/or a viral load \>20 copies/mL * Study and sponsor staff involved in the conduct of the study and their families * Unable to comply with study procedures * Sensitivity to heparin or heparin induced thrombocytopenia * Sensitivity to any of the study interventions, or components thereof, or drug or other allergy
View Inclusion and Exclusion Criteria at ClinicalTrials.gov

Locations


No.of Trial Sites πŸ”„ 65
Locations United States,Japan,United Kingdom,Spain,Greece,Saudi Arabia,Canada,South Korea,Sweden,Taiwan,Turkey (TΓΌrkiye),Brazil,Italy,Australia,France,Germany

Regulatory Information


Has US IND True
FDA Designations Breakthrough Therapy, Orphan Drug Designation, Regenerative Medicine Advanced Therapy (RMAT)
Recent Updates FDA approved 4/25/24, Pfizer announced in February 2025 that they will no longer market Beqvez

Resources/Links