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)
CSL222 (AAV5-hFIXco-Padua): Administered as a single IV infusion.
Study 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
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* 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 Criteria:
* 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:
1. ALT \> 2 × the ULN
2. AST \> 2 × the ULN
3. Alkaline phosphatase \> 2 × the ULN
4. Serum creatinine \> 2 × the ULN
5. 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.
Primary outcome measure(s)
Annualized Bleeding Rate (ABR) — Months 7 to 18 after CSL222 treatment The total bleeding episodes will be analyzed. ABR is calculated as the total bleeding episodes divided by the total time at risk.
Trial sites (32)
Facility
City
Region
Status
University of California, San Diego (UCSD)
San Diego
California
Recruiting
University of Michigan
Ann Arbor
Michigan
Recruiting
Hemophilia Center of Western Pennsylvania (HCWP)
Pittsburgh
Pennsylvania
Recruiting
The University of Texas Health Science Center at Houston
Houston
Texas
Recruiting
Royal Prince Alfred Hospital
Camperdown
New South Wales
Recruiting
Royal Brisbane Hospital
Herston
Queensland
Recruiting
Royal Adelaide Hospital
Adelaide
South Australia
Recruiting
The Alfred Hospital
Melbourne
Victoria
Recruiting
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
São Paulo
Brazil
Recruiting
UNICAMP Universidade Estadual de Campinas
São Paulo
Brazil
Recruiting
Specialized Hospital for Active Treatment of Hematological Diseases
Sofia
Bulgaria
Recruiting
McMaster University - Hamilton
Hamilton
Ontario
Recruiting
Queen Mary Hospital
Hong Kong
Hong Kong
Recruiting
Prince of Wales Hospital Chinese University of Hong Kong
Shatin
Hong Kong
Recruiting
Sheba Medical Center
Tel Litwinsky
Israel
Recruiting
Centro de Investigacion Clinica GRAMEL S.C.
Mexico City
Mexico City
Recruiting
Klinika Zaburzen Hemostazy i Chorob Wewnetrznych
Warsaw
Poland
Recruiting
King Faisal Specialist Hospital and Research Center
Riyadh
Saudi Arabia
Recruiting
National University Hospital
Singapore
Singapore
Recruiting
Singapore General Hospital
Singapore
Singapore
Recruiting
Haemophilia Comprehensive Care Centre
Johannesburg
South Africa
Recruiting
Kyungpook National University Hospital
Daegu
South Korea
Recruiting
Kyung Hee University Hospital at Gangdong
Seoul
South Korea
Recruiting
Severance Hospital, Yonsei University Health System
Seoul
South Korea
Recruiting
Tri-Service General Hospital
Taipei
Neihu District
Recruiting
Kaohsiung Medical University Chung-Ho Memorial Hospital (KMUH)
Kaohsiung City
Sanmin District
Recruiting
Changhua Christian Hospital (CCH)
Chang-hua
Taiwan
Recruiting
Taichung Veterans General Hospital -
Taichung
Taiwan
Recruiting
National Taiwan University Hospital
Taipei
Taiwan
Recruiting
Ege University Medical Faculty
Bornova
Turkey (Türkiye)
Recruiting
Gaziantep University Sahinbey Research and Practice Hospital
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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