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Gene Therapy Trial Report

Summary

Phase 1/2 Dose Confirmation Study of FLT180a in Hemophilia B


NCTID NCT05164471 (View at clinicaltrials.gov)
Description
Development Status Inactive
Indication Hemophilia B
Disease Ontology Term DOID:12259
Compound Name FLT180a
Compound Alias Verbrinacogene setparvovec
Compound Description AAV2/S3.FRE1.Ti.FIXco1
Sponsor Spur Therapeutics
Funder Type Industry
Recruitment Status
Terminated
Enrollment Count 6 (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
Target Tissue/Cell Liver
Delivery System Viral transduction
Vector Type AAVS3
Dose 1 3.84E11 vg/kg
Dose 2 6.40E11 vg/kg
Dose 3 8.32E11 vg/kg
Dose 4 1.28E12 vg/kg

Study Record Dates


Current Stage Phase1, Phase2
Submit Date 2021-11-22
Completion Date 2023-05-31
Last Update 2023-07-20

Participation Criteria


Eligible Age 18 Years - 65 Years
Standard Ages Adult, Older adult
Sexes Eligible for Study MALE
Eligibility Criteria
Key Inclusion Criteria: * Diagnosis of Hemophilia B with known severe or moderately severe FIX deficiency (≤2% normal circulating FIX activity) for which the subject is on continuous, stable and adequate FIX prophylaxis * Have acceptable laboratory values of a) Hemoglobin ≥11g/dL; b) Platelets ≥100,000 cells/µL; c) AST, ALT and alkaline phosphatase (ALP) ≤ upper limit of normal (ULN); d) Serum albumin \> lower limit of normal (LLN); e) Total bilirubin ≤1.5 x ULN (except if caused by Gilbert's disease); f) Serum creatinine ≤2.0mg/dL. * Level of neutralizing anti-AAV-S3 antibodies below the limit of the pre-established clinical cutoff using an in vitro transduction inhibition assay within the 4 weeks prior to FLT180a administration * Has demonstrated ability to accurately, independently and in a timely manner enter bleed diary data during the lead-in study, as judged by the investigator * At least 150 exposure days to FIX concentrates * At least 6 months of satisfactory controlled prospective baseline data for bleeding events and FIX consumption data from the FLT-01 lead-in study (ECLIPSE) Key Exclusion Criteria: * Any history of alcohol or drug dependence * Presence of neutralizing anti human FIX antibodies (inhibitor; determined by the Nijmegen modified Bethesda inhibitor assay) at the time of enrolment or a previous history of FIX inhibitor * Subjects at high risk of thromboembolic events * Evidence of advanced liver fibrosis * Prior treatment with a gene transfer medicinal product * Subjects with active hepatitis B or C * Serological evidence of HIV-1, not controlled with anti-viral therapy and as evidenced by cluster of differentiation 4 (CD4)+ counts ≤200 μL * Cytomegalovirus (CMV) immunoglobulin G positive subjects who are CMV polymerase chain reaction (PCR) positive at screening * Known coagulation disorder other than hemophilia B * High sensitivity (hs) troponin-T ≥14 pg/mL during screening * History of uncontrolled cardiac failure, unstable angina, or myocardial infarction or other acute cardiac conditions requiring clinical management in the past 6 months * Planned surgical procedure within the next 12 months requiring prophylactic FIX treatment * Known active severe infection (including documented coronavirus (COVID)-19 infection), or any other significant concurrent, uncontrolled medical condition
View Inclusion and Exclusion Criteria at ClinicalTrials.gov

Locations


No.of Trial Sites 7
Locations United States,United Kingdom

Regulatory Information


Has US IND True
FDA Designations
Recent Updates Study was terminated early in Phase 1/2 trial, Freeline was acquired by Syncona

Resources/Links