Recruiting
Phase 1
Gene Therapy for Hemophilia B Patients Aged 12-18 Years Old
Condition(s) studied
Hemophilia B
Investigational drug(s) / intervention(s)
BBM-H901
BBM-H901: Single dose intravenous infusion of BBM-H901, an adeno-associated viral (AAV) vector designed to drive expression of an hyper active human factor IX mutant(FIX Padua) transgene in liver. The dose of BBM-H901 is 5x10'12 vg/Kg.
Study summary
This is a Phase 1, open- label, non- randomized, uncontrolled, single dose pilot study to evaluate the safety, tolerability and efficacy of a single intravenous infusion of BBM-H901 in hemophilia B subjects with ≤2IU/dl residual FIX levels and aged 12-18 years old. BBM-H901 is an adeno-associated viral (AAV) vector designed to drive expression of the human factor IX (hFIX) transgene and raise circulating levels of endogenous FIX.
Eligibility
Inclusion Criteria:
1. Subjects and statutory guardian must be able to understand the purpose and risks of the study and provide signed and dated informed consent;
2. Be male and 12≤ age \<18 years of age, body wight ≥ 50kg;
3. Have hemophilia B with ≤2 IU/dL (≤2 %) endogenous FIX activity levels as documented by a certified clinical laboratory at the time of screening. If the screening result is \>2% due to insufficient washout from FIX protein product, then the severity of hemophilia B may be confirmed by documented historical evidence from a certified clinical laboratory demonstrating ≤2% FIX coagulant activity (FIX:C) ;
4. Had had ≥75 prior exposure days (EDs) to any recombinant and/or plasma-derived FIX protein products based on historical data from the subject's record/history;
5. With ≤ 1:4 neutralizing antibodies and ≤1:200 binding antibodies against BBM-H901 capsid;
6. Subjects with bleeding episode and/ or FIX agents infusion events within 12 weeks prior to screening;
7. Have no prior history of hypersensitivity or anaphylaxis associated with any FIX or IV immunoglobulin administration;
8. Have no measurable FIX inhibitor as assessed by laboratory; or documented no prior history of FIX inhibitor (family history of inhibitors will not exclude the subject) and no clinical signs or symptoms of decreased response to FIX administration;
9. Have acceptable laboratory values:
1. Hemoglobin ≥11 g/dL ;
2. Platelets ≥100,000 cells/μL;
3. AST, ALT ≤1.5x upper limit of normal at the testing laboratory;
4. Bilirubin ≤1.5x ULN ;
5. glomerular filtration rate eGFR ≥ 60ml/min.
10. For those subjects with sexual maturity, subject and statutory guardian must know that subjects must agree to use reliable barrier contraception until 52 weeks;
11. with good compliance to the schedule of visit and fill in the subject diary.
Exclusion Criteria:
1. Hepatitis B surface antigen antibody (HBSAg-Ab) or HBV-DNA positive; hepatitis C antibody or HCV-RNA positive;
2. Currently on antiviral therapy for hepatitis B or C;
3. With coagulation disorders other than hemophilia B;
4. Had immunosuppressive therapy other than steroid and other suggested IST agents within 30 days prior to screening;
5. Had vaccine 30 days prior to screening or have scheduled vaccination plan during the study (up to 52 weeks);
6. Have significant underlying liver disease, as defined by a preexisting diagnosis of portal hypertension, splenomegaly, encephalopathy, etc; other liver conditions unsuitable to gene therapy judged by investigator;
7. Have surgery plan within 52 weeks after gene therapy;
8. Have history of chronic infection or high rish of infection that the Investigator considers to constitute an unacceptable risk;
9. Had participated in a previous gene therapy research trial within the last 52 weeks or in a clinical study with an investigational drug within the last 12 weeks;
10. Had any herb that may affect the liver function within 4 weeks prior to screening;
11. Have history of fatal bleeding episode, eg intracranial hemorrhage, etc;
12. Any concurrent clinically significant major disease or any other condition that, in the opinion of the Investigator, makes the subject unsuitable for participation in the study;
Primary outcome measure(s)
- The incidence of treatment related adverse events deemed related to BBM-H901 within 10 weeks after vector administration — infusion to 10 weeks after vector infusion.
the type and incidence of TRAE after BBM-H901 infusion according to the CTCAE(v5.0)
- The incidence of adverse events and serious adverse events within 52 weeks after BBM-H901 administration — Vector infusion to 52 weeks after gene therapy.
Number of patients experiencing treatment-related adverse events from vector infusion to 52 weeks after vector infusion.
- Change from baseline aspartate amino transferase — At multiple timepoints from pre-dose through up to 1 years post-dose
number of subjects with elevation of AST. Number of episodes of elevating AST
- Change from baseline alanine aminotransferase — At multiple timepoints from pre-dose through up to 1 years post-dose
number of subjects with elevation of ALT. Number of episodes of elevating ALT
Trial sites (1)
| Facility | City | Region | Status |
| Institute of haematology and Blood diseases hospital |
Tianjin |
Tianjin Municipality |
Recruiting |
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