Safety and Tolerability of VGB-R04 in Patients With Haemophilia B

Last updated: February 20, 2025
Sponsor: Institute of Hematology & Blood Diseases Hospital, China
Overall Status: Active - Recruiting

Phase

1

Condition

Hemophilia

Treatment

VGB-R04

Clinical Study ID

NCT05152732
IIT2021043
  • Ages 18-75
  • Male

Study Summary

An Open-Label, Non-Randomized, uncontrolled, single-dose pilot study of VGB-R04 in subjects with Hemophilia B.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Male ≥18 years and ≤75years of age;

  2. Confirmed diagnosis of hemophilia B (baseline FIX activity ≤ 2% of normal ordocumented history of FIX activity ≤2%);

  3. At least 100 days exposure history to FIX;

  4. Currently receiving FIX Prophylaxis therapy or on-demand treatment to preventbleeding;

  5. Have acceptable laboratory values:

  6. Hemoglobin ≥110 g/L;

  7. Platelets ≥100×10'9 cells/L;

  8. AST, ALT, alkaline phosphatase ≤2×upper limit of normal (ULN) at the testinglaboratory;

  9. Bilirubin ≤3× ULN ;

  10. Creatinine ≤1.5× ULN.

  11. No measurable factor IX inhibitor as assessed by the central laboratory and have noprior history of inhibitors to factor IX protein;

  12. Agree to use reliable barrier contraception until 3 consecutive samples are negativefor vector sequences;

  13. Able to provide informed consent and comply with the requirements of the study.

Exclusion

Exclusion Criteria:

  1. Have significant underlying liver disease within the past 6 months prior to or atScreening, including but not limited to:

  2. Preexisting diagnosis of portal hypertension;

  3. Splenomegaly;

  4. Encephalopathy;

  5. Reduction of serum albumin;

  6. Evidence of significant liver fibrosis;

  7. Have anti-VGB-R04 neutralizing antibody titers ≥1:5;

  8. Evidence of severe infection disease, i.e., human immunodeficiency virus (HIV)infection, syphilis, tuberculosis, etc.;

  9. Evidence of active hepatitis B virus infection (HBV-DNA >103 IU/ml) or hepatitis Cvirus infection (HCV antigen and HCV-RNA positive);

  10. Evidence of malignant tumours or those with a previous history of malignant tumours;

  11. Have a history of chronic infection or other chronic diseases that the Investigatorconsiders to constitute an unacceptable risk;

  12. Any immunodeficiency;

  13. Participated in a gene transfer trial within the last 52 weeks or in a clinicaltrial with an investigational drug within the last 4 weeks;

  14. Have used glucocorticoids, immunosuppressive drugs, or antipsychotics within thelast 3 months;

  15. Previous history of hypersensitivity or allergic reaction to any FIX products or anyimmunoglobulin;

  16. Unable or unwilling to comply with the schedule of visits and study assessmentsdescribed in the clinical protocol;

  17. Any concurrent clinically significant major disease or any other condition that, inthe opinion of the Investigator, makes the subject unsuitable for participation inthe study.

Study Design

Total Participants: 3
Treatment Group(s): 1
Primary Treatment: VGB-R04
Phase: 1
Study Start date:
December 28, 2021
Estimated Completion Date:
December 31, 2025

Study Description

Hemophilia B is a genetic bleeding disorder caused by pathogenic variants (eg, mutations, deletion) in the FIX gene. HB patients have frequent and potentially life-threatening bleeding and often develop progressive physical disability and pain from chronic haemarthropathy. Current replacement therapy needs regular treatment in the life-long time, bringing heavy economic and social burdens.

VGB-R04 is a novel AAV vector carrying a high specific activity factor IX variant. This study is intended to evaluate the safety, tolerability and kinetics of a single IV infusion of VGB-R04. All subjects in this study will provide informed consent and then undergo screening assessments up to 6 weeks before administration of VGB-R04. All subjects will undergo 52(±2) weeks of safety observation and will be encouraged to enroll in an extension study to evaluate the long-term safety of VGB-R04 for a total of five years.

Connect with a study center

  • Blood diseases hospital

    Tianjin, Tianjin 300020
    China

    Active - Recruiting

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