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Clinical Trials in Canada / NCT06003387
Recruiting Phase 3

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)

NCT06003387 · tracked via the Priya Life Science Canada tracker
Phase
Phase 3
Started
2024-01-30
Last updated
2026-08-27

Condition(s) studied

Hemophilia B

Investigational drug(s) / intervention(s)

CSL222 (AAV5-hFIXco-Padua)

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)

Trial sites (32)

FacilityCityRegionStatus
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 Gaziantep Turkey (Türkiye) Recruiting
Özel Acibadem Adana Hastanesi Seyhan Turkey (Türkiye) Recruiting

More CSL Behring trials in Canada

Other trials for the same condition

Official registry record

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.

View NCT06003387 on ClinicalTrials.gov ↗ ← All trials in Canada