Phase 1/2 Factor VIII gene therapy study 19429 version 1

  • Research type

    Research Study

  • Full title

    A Phase 1/2 Open-Label Safety and Dose-Finding Study of BAY 2599023 (DTX201), an Adeno-Associated Virus (AAV) hu37-Mediated Gene Transfer of B-Domain Deleted Human Factor VIII, in Adults with Severe Haemophilia A

  • IRAS ID

    232642

  • Contact name

    Charles Hay

  • Contact email

    charles.hay@cmft.nhs.uk

  • Sponsor organisation

    Bayer PLC

  • Eudract number

    2017-000806-39

  • Duration of Study in the UK

    6 years, 3 months, 19 days

  • Research summary

    Male, 18 years old.
    • Subjects with severe hemophilia A (baseline FVIII activity FVIII:C<1%)
    • Previously treated with FVIII concentrate(s) (plasma derived or recombinant) for a minimum of 150 exposure days (ED)
    • Are on one of the following therapies: Prophylaxis, and is able and willing to stop prophylactic treatment at specified time points throughout the study or On-demand: have had > 4 bleeding events in the last 52 weeks
    • Male subjects must agree not to act as sperm donors from the time of study drug administration until notified by the investigator.

    Major Exclusion criteria:
    • Current evidence of inhibitor to FVIII with a titer ≥ 0.6 BU/mL
    • History of inhibitor to FVIII with a titer ≥ 0.6 BU, or clinical history requiring modification of treatment, suggestive of inhibitor
    • Have significant underlying liver disease as evidenced by any of the following: portal hypertension, splenomegaly, ascites, esophageal varices, hepatic encephalopathy, reduction below normal limits of serum albumin or a liver biopsy with evidence of stage 3 fibrosis
    • Have significant hepatic inflammation or cirrhosis as evidenced
    • Any major and/or orthopedic surgery within screening period prior to trial product administration, and at least 6 months thereafter
    • History of a malignancy for which the subject has received treatment in the past 2 years except for prostate cancer being monitored without medical intervention, or surgically removed non-melanoma skin cancer
    • Known or suspected autoimmune diseases
    • Known prior history of hypersensitivity or anaphylaxis associated with any FVIII or immunoglobulin administration.
    • Known or suspected hypersensitivity or allergic reaction to trial product(s) or related FVIII products or any component of BAY 2599023(DTX201)
    • Subjects on treatment with immunomodulatory agents within the last 3 months prior to study entry or during the study
    • Any individual who requires any pre-medication to tolerate FVIII treatment (e.g., antihistamines)

  • REC name

    South Central - Oxford A Research Ethics Committee

  • REC reference

    18/SC/0432

  • Date of REC Opinion

    24 Oct 2018

  • REC opinion

    Further Information Favourable Opinion