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Lead-in Study of VGB-R04 Gene Therapy for Hemophilia B-- An Observational Survey Analysis Study

1. juli 2022 oppdatert av: Shanghai Vitalgen BioPharma Co., Ltd.

Six-month lead-in Study to Collect Prospective Efficacy and Safety Data of Current Replacement Therapy in Adult Hemophilia B Patients -- An Observational Survey Analysis Study

This is a prospective, open, multicenter, observational lead-in study,to collect prospective efficacy and safety data of current replacement therapy in adult hemophilia B patients.

Studieoversikt

Status

Har ikke rekruttert ennå

Forhold

Detaljert beskrivelse

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 is a prospective, open, multicenter, observational lead-in study. To evaluate the efficacy and safety of current treatment regiments in patients with moderate to severe HB (FIX:C activity ≤2%). The efficacy and safety data collected in this study may be used as baseline data for subsequent related clinical trials of VGB-R04. All subjects in this study will provide informed consent and then undergo screening assessments up to 4 weeks. All subjects will undergo 26 weeks of efficacy and safety observation .Eligible subjects will be invited to a key clinical study(phase 2 study)of VGB-R04,and then encouraged to enroll in an Long-term follow-up study to evaluate the long-term safety of VGB-R04 for a total of five years.

Studietype

Observasjonsmessig

Registrering (Forventet)

20

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år til 65 år (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Mann

Prøvetakingsmetode

Ikke-sannsynlighetsprøve

Studiepopulasjon

Hemophilia B (baseline FIX activity ≤ 2% of normal)

Beskrivelse

Inclusion Criteria:

  1. Male ≥18 years and ≤65years of age;
  2. Confirmed diagnosis of hemophilia B (baseline FIX activity ≤ 2% of normal);
  3. At least 50 days exposure history to FIX;
  4. Currently receiving FIX Prophylaxis therapy or on-demand treatment to prevent bleeding;
  5. Have acceptable laboratory values:

    1. Hemoglobin ≥110 g/L;
    2. Platelets ≥100×109 /L;
    3. AST, ALT, alkaline phosphatase ≤2×upper limit of normal (ULN) at the testing laboratory;
    4. Bilirubin ≤3× ULN ;
    5. Creatinine ≤1.5× ULN.
  6. No measurable factor IX inhibitor as assessed by the central laboratory and have no prior history of inhibitors to factor IX protein;

Exclusion Criteria:

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

    1. Preexisting diagnosis of portal hypertension;
    2. Splenomegaly;
    3. Encephalopathy;
    4. Reduction of serum albumin;
    5. Evidence of significant liver fibrosis;
  2. Have anti-VGB-R04 neutralizing antibody titers ≥1:5;
  3. Evidence of severe infection disease, i.e., human immunodeficiency virus (HIV) infection, syphilis, tuberculosis, etc.;
  4. Novel coronavirus infection occurred in the 6 weeks prior to entry into the group
  5. Evidence of active hepatitis B virus infection (HBsAg positive) or hepatitis C virus infection (HCV-RNA positive);
  6. Evidence of malignant tumours or those with a previous history of malignant tumours;
  7. Have a history of chronic infection or other chronic diseases that the Investigator considers to constitute an unacceptable risk;
  8. Any immunodeficiency;
  9. planned surgery may be required within one year;
  10. Past thromboembolic events (arterial or venous thromboembolic events);
  11. Hypertensive patients with poor blood pressure control (systolic blood pressure ≥150 mmHg or diastolic blood pressure ≥90mmHg after antihypertensive drug treatment);

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

Kohorter og intervensjoner

Gruppe / Kohort
Experimental: FIX replacement therapy.
Subject's previous treatment plan will be followed

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Annualized bleeding rate changes from baseline
Tidsramme: Baseline up to Week 26
The number of bleeding episodes per participant will be recorded, and the annualized number of bleeding episodes.
Baseline up to Week 26

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Annualized FIX consumption changes from baseline
Tidsramme: Baseline up to Week 26
The use of on-demand FIX replacement therapy will be recorded by dose (IU/kg) administered, and the annualized use of FIX replacement therapy will be calculated.
Baseline up to Week 26
Total number of annualized bleeding
Tidsramme: Baseline up to Week 26
Total number of annualized bleeding including spontaneous or traumatic bleeding.
Baseline up to Week 26
FIX:C activity level.
Tidsramme: Baseline up to Week 26
FIX:C activity level and its change from baseline .
Baseline up to Week 26
Number of target joints
Tidsramme: Baseline up to Week 26
The criterion of the target joint is a minimum of three bleeds into a single joint within a consecutive three-month period.
Baseline up to Week 26
The incidence of adverse Events of special interest
Tidsramme: Baseline up to Week 26
Adverse Events of special interest (serious or non-serious) are a category of events of scientific and medical concern that are particularly relevant to the sponsor's drug or research program. Adverse Events of special interest include liver dysfunction, inhibitors, thromboembolic events, and allergic reactions.
Baseline up to Week 26

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Etterforskere

  • Hovedetterforsker: Lei Zhang, Institute of Hematology & Blood Diseases Hospital

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Forventet)

1. august 2022

Primær fullføring (Forventet)

1. desember 2024

Studiet fullført (Forventet)

1. desember 2024

Datoer for studieregistrering

Først innsendt

28. juni 2022

Først innsendt som oppfylte QC-kriteriene

1. juli 2022

Først lagt ut (Faktiske)

5. juli 2022

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

5. juli 2022

Siste oppdatering sendt inn som oppfylte QC-kriteriene

1. juli 2022

Sist bekreftet

1. juni 2022

Mer informasjon

Begreper knyttet til denne studien

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

JA

IPD-planbeskrivelse

IPD will be shared with other researchers when VGB-R04 is fully approved.

IPD-delingstidsramme

IPD will be shared with other researchers when VGB-R04 is fully approved.

Tilgangskriterier for IPD-deling

IPD will be shared with other researchers when VGB-R04 is fully approved.

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

Kliniske studier på Hemofili B

3
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