A Gene Therapy Study of BMN 331 in Subjects With Hereditary Angioedema

Last updated: May 15, 2024
Sponsor: BioMarin Pharmaceutical
Overall Status: Active - Not Recruiting

Phase

1/2

Condition

Hereditary Angioedema

Allergy

Allergies & Asthma

Treatment

Dose 3 of BMN 331

Dose 4 of BMN 331

Dose 1 of BMN 331

Clinical Study ID

NCT05121376
331-201
  • Ages > 18
  • All Genders

Study Summary

This is a Phase 1/2, single-arm, open-label, dose-escalation and dose-expansion study of BMN 331 for the treatment of hereditary angioedema (HAE) due to C1 Esterase Inhibitor (C1-INH) protein deficiency. The study drug BMN 331is identified as AAV5 hSERPING1, an adeno-associated virus (AAV5)-based gene therapy vector that expresses wild-type human C1 Esterase Inhibitor (hC1-INH), under the control of a liver-selective promoter, and is being developed for the treatment of HAE with C1-INH deficiency. The pharmaceutical form of BMN 331 is a solution for intravenous infusion.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Female or male adults ( ≥ 18 years old)

  2. Part A only: Confirmed diagnosis of Type I HAE due to C1-INH deficiency confirmed bygenotyping of the SERPING1 gene Part B only: Confirmed diagnosis of Type I or II HAEdue to C1-INH deficiency confirmed by genotyping of the SERPING1 gene

  3. Currently using an HAE medication regimen that consists of a routine long-termprophylactic treatment for at least 6 months prior to enrollment or an on-demandtherapy regimen for a documented attack frequency of at least 4 attacks within thelast 12 months prior to enrollment or at least 2 attacks within the last 6 monthsprior to enrollment

  4. Trained in self-administering acute attack treatment and is able to adequatelymanage acute attacks in a home setting

  5. Willingness to abstain from consumption of alcohol for at least 52 weeks post BMN 331 infusion and to use highly effective contraception

Exclusion

Exclusion Criteria:

  1. Evidence of active or chronic infection, including severe acute respiratory syndromecoronavirus 2 (SARS-CoV-2), or any immunosuppressive disorder

  2. Contraindication to using glucocorticosteroids GCS, including a diagnosis ofglaucoma or untreated osteoporosis

  3. Active malignancy (except non-melanoma skin cancer) autoimmune, metabolic (i.e.,diabetes), hematologic, cardiac, or renal disease that is of clinical significancedefined as requiring regular medical attention and treatment

  4. Prior gene therapy treatment

  5. Prior use of high-dose attenuated androgens in the last 1 year prior to the study

  6. History or current clinically relevant liver disease (eg, nonalcoholicsteatohepatitis [NASH], or chronic viral hepatitis B or C [HBV or HCV] or autoimmunehepatitis)

  7. Have a history or are at risk for clinically significant thromboembolic events (TEE) , or known underlying risk factor for thrombosis including thromboticmicroangiopathy (TMA)

Study Design

Total Participants: 44
Treatment Group(s): 7
Primary Treatment: Dose 3 of BMN 331
Phase: 1/2
Study Start date:
February 15, 2022
Estimated Completion Date:
November 30, 2028

Study Description

BMN 331 is an investigational, single administration gene therapy intended to modify the disease course of HAE. Preclinical studies have shown that BMN 331 can transduce hepatocytes resulting in restoration of the deficient circulating levels of hC1-INH that cause HAE.

Study 331-201 is a two-part (part A and part B), first-in-human, Phase 1/2 study designed to assess the safety and efficacy of BMN 331 in patients with HAE. Subjects will be followed for 5 years following BMN 331 infusion. Part A of the study is a dose escalation phase designed to assess the preliminary safety of a single IV administration of BMN 331 and to determine whether there is a dose-dependent increase in C1-INH protein expression following administration of BMN 331. Part B is a dose expansion phase designed to demonstrate that up to three safe doses of BMN 331 (as determined in Part A) sustains a clinically meaningful increase in C1-INH levels.

Connect with a study center

  • Royal Prince Alfred Hospital,

    Camperdown, 2050
    Australia

    Site Not Available

  • Hospital Universitario Vall d'Hebron

    Barcelona,
    Spain

    Site Not Available

  • Hospital Universitario La Paz

    Madrid,
    Spain

    Site Not Available

  • AllerVie Clinical Research

    Birmingham, Alabama 35209
    United States

    Site Not Available

  • Medical Research of Arizona

    Scottsdale, Arizona 85251
    United States

    Site Not Available

  • University of California San Diego

    San Diego, California 92122
    United States

    Site Not Available

  • Asthma & Allergy Associates P.C.

    Colorado Springs, Colorado 80907
    United States

    Site Not Available

  • Dr. Henry J. Kanarek Allergy, Asthma & Immunology

    Overland Park, Kansas 66211
    United States

    Site Not Available

  • Institute For Asthma & Allergy

    Chevy Chase, Maryland 20815
    United States

    Site Not Available

  • Mississippi Center for Advanced Medicine

    Madison, Mississippi 39110
    United States

    Site Not Available

  • Washington University School of Medicine

    Saint Louis, Missouri 63141
    United States

    Site Not Available

  • Duke Health

    Durham, North Carolina 27705
    United States

    Site Not Available

  • University of Cincinnati (UC) Physicians Company, LLC

    Cincinnati, Ohio 45267
    United States

    Site Not Available

  • Optimed Research, LTD

    Columbus, Ohio 43235
    United States

    Site Not Available

  • The Pennsylvania State University (Penn State) Milton S. Hershey Medical Center

    Hershey, Pennsylvania 16802
    United States

    Site Not Available

  • AARA Research Center

    Dallas, Texas 75231
    United States

    Site Not Available

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