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History of Changes for Study: NCT03370913
Single-Arm Study To Evaluate The Efficacy and Safety of Valoctocogene Roxaparvovec in Hemophilia A Patients (BMN270-301)
Latest version (submitted December 18, 2023) on ClinicalTrials.gov
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Study Record Versions
Version A B Submitted Date Changes
1 December 7, 2017 None (earliest Version on record)
2 December 12, 2017 Recruitment Status, Study Status and Contacts/Locations
3 April 10, 2018 Contacts/Locations and Study Status
4 April 20, 2018 Contacts/Locations and Study Status
5 June 21, 2018 Study Status and Contacts/Locations
6 July 16, 2018 Study Status and Contacts/Locations
7 August 29, 2018 Contacts/Locations and Study Status
8 October 15, 2018 Contacts/Locations, Study Status, Study Identification, Eligibility, Outcome Measures and Study Design
9 November 9, 2018 Study Status and Contacts/Locations
10 November 13, 2018 Contacts/Locations and Study Status
11 December 20, 2018 Contacts/Locations and Study Status
12 January 22, 2019 Contacts/Locations and Study Status
13 February 1, 2019 Contacts/Locations and Study Status
14 May 21, 2019 Contacts/Locations and Study Status
15 May 28, 2019 Contacts/Locations and Study Status
16 June 24, 2019 Study Status and Contacts/Locations
17 July 10, 2019 Study Status and Contacts/Locations
18 July 11, 2019 Contacts/Locations and Study Status
19 July 22, 2019 Contacts/Locations and Study Status
20 July 24, 2019 Contacts/Locations and Study Status
21 August 6, 2019 Study Status and Contacts/Locations
22 September 4, 2019 Contacts/Locations and Study Status
23 September 10, 2019 Contacts/Locations and Study Status
24 September 12, 2019 Contacts/Locations and Study Status
25 September 24, 2019 Contacts/Locations and Study Status
26 October 1, 2019 Contacts/Locations and Study Status
27 October 10, 2019 Study Status and Contacts/Locations
28 November 7, 2019 Study Status and Contacts/Locations
29 December 3, 2019 Recruitment Status, Study Status, Contacts/Locations and Study Design
30 July 22, 2020 Study Status and Contacts/Locations
31 July 24, 2020 Study Status
32 November 19, 2020 Study Status
33 January 15, 2021 Study Status, Eligibility, Outcome Measures, Contacts/Locations and Study Description
34 October 6, 2021 Study Status, Outcome Measures, Study Description and Study Identification
35 November 11, 2021 Study Status
36 August 2, 2022 Study Status
37 December 21, 2022 Study Status
38 July 17, 2023
Quality Control Review has not concluded Returned: August 8, 2023
Outcome Measures, Study Status, Document Section, Adverse Events, Baseline Characteristics, Participant Flow, Eligibility, Study Design and Study Description
39 November 6, 2023 Study Status, Outcome Measures, Document Section, More Information, Baseline Characteristics and Eligibility
40 December 14, 2023 Study Status, Outcome Measures and Study Identification
41 December 18, 2023 Study Status
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Study NCT03370913
Submitted Date:  December 7, 2017 (v1)

Open or close this module Study Identification
Unique Protocol ID: BMN 270-301
Brief Title: Single-Arm Study To Evaluate The Efficacy and Safety of Valoctocogene Roxaparvovec in Hemophilia A Patients (BMN270-301)
Official Title: Phase 3 Open-Label Single-Arm Study To Evaluate The Efficacy and Safety of Valoctocogene Roxaparvovec an AAV Vector-Mediated Gene Transfer of Human Factor VIII in Hemophilia A Patients With Residual FVIII Levels ≤1 IU/dL Receiving Prophylactic FVIII Infusions
Secondary IDs: 2017-003215-19 [EudraCT Number]
Open or close this module Study Status
Record Verification: December 2017
Overall Status: Not yet recruiting
Study Start: December 2017
Primary Completion: December 2022 [Anticipated]
Study Completion: September 2023 [Anticipated]
First Submitted: November 27, 2017
First Submitted that
Met QC Criteria:
December 7, 2017
First Posted: December 13, 2017 [Actual]
Last Update Submitted that
Met QC Criteria:
December 7, 2017
Last Update Posted: December 13, 2017 [Actual]
Open or close this module Sponsor/Collaborators
Sponsor: BioMarin Pharmaceutical
Responsible Party: Sponsor
Collaborators:
Open or close this module Oversight
U.S. FDA-regulated Drug: Yes
U.S. FDA-regulated Device: No
Data Monitoring:
Open or close this module Study Description
Brief Summary: This clinical trial is being conducted to learn more about a potential treatment (valoctocogene roxaparvovec) for people with severe hemophilia A. This research study will test and confirm the safety and effectiveness of the 6E13 vg/kg dose of the study drug (valoctocogene roxaparvovec) that contains the correct gene to make Factor VIII so that the body can make its own Factor VIII that functions properly. Only one dose of valoctocogene roxaparvovec is being given in this study, and this dose has been previously studied in another clinical trial in patients with hemophilia A. This is a phase 3 study which is meant to show that the study drug is safe and works to help treat hemophilia A. The study will see if liver cells are able to make Factor VIII that functions properly after receiving this study drug. The study will also examine the effects that the study drug has on how much Factor VIII concentrates patients have to inject into their veins and on their bleeding episodes after the study drug has been administered. Finally, the study will see if and how the body responds to the study drug - for example, whether liver cells become inflamed or whether the body makes antibodies (something the immune system makes to protect itself against things like bacteria and viruses) against the vector or the new Factor VIII gene.
Detailed Description:
Open or close this module Conditions
Conditions: Hemophilia A
Keywords: Gene Therapy
Clotting Disorders
Blood Disorder
Blood Coagulation Disorders
Inherited Blood Coagulation disorders
Hematologic Diseases
Coagulation Protein Disorders
Hemorrhagic Disorders
Genetic Diseases
Inborn
Factor VIII
Coagulants
Open or close this module Study Design
Study Type: Interventional
Primary Purpose: Treatment
Study Phase: Phase 3
Interventional Study Model: Single Group Assignment
Number of Arms: 1
Masking: None (Open Label)
Allocation: N/A
Enrollment: 40 [Anticipated]
Open or close this module Arms and Interventions
Arms Assigned Interventions
Experimental: valoctocogene roxaparvovec Open Label
Single administration of valoctocogene roxaparvovec at a dose of 6E13 vg/kg
Biological: valoctocogene roxaparvovec
Adeno-Associated Virus Vector-Mediated Gene Transfer of Human Factor VIII in Hemophilia A
Other Names:
  • BMN 270
Open or close this module Outcome Measures
Primary Outcome Measures:
1. Change of the median FVIII activity
[ Time Frame: 52 weeks ]

Secondary Outcome Measures:
1. Change in the annualized utilization (IU/kg) of exogenous FVIII replacement therapy
[ Time Frame: 52 weeks ]

2. Change in the annualized number of bleeding episodes requiring exogenous FVIII replacement treatment
[ Time Frame: 52 weeks ]

Other Outcome Measures:
1. Assess the impact of valoctocogene roxaparvovec following Patient Reported Outcome (PRO) Haemo-QoL-A.
[ Time Frame: 52 weeks ]

Haemo-QoL-A is a hemophilia-specific, health-related quality of life questionnaire for adults
2. Assess the impact of valoctocogene roxaparvovec following Patient Reported Outcome (PRO) EQ-5D-5L
[ Time Frame: 52 weeks ]

EQ-5D-5L is a general questionnaire designed to measure health status
3. Assess the impact of valoctocogene roxaparvovec following Patient Reported Outcome (PRO) Haemophilia Activities List (HAL)
[ Time Frame: 52 weeks ]

HAL is a questionnaire that measures the impact of hemophilia on functional abilities in adults
4. Assess the impact of valoctocogene roxaparvovec following Patient Reported Outcome (PRO) Work Productivity and Activity Impairment plus Classroom Impairment Questions: Hemophilia Specific (WPAI+CIQ:HS)
[ Time Frame: 52 weeks ]

WPAI+CIQ:HS is a questionnaire that is designed to measure the effect of symptom severity due to hemophilia on work productivity and activity/classroom impairment
5. Percentage of participants with treatment-related adverse events, as assessed by CTCAE v4.03 in the first 52 weeks following valoctocogene roxaparvovec infusion
[ Time Frame: 52 weeks ]

6. Percentage of participants with treatment-related adverse events, as assessed by de novo development of FVIII inhibitors in the first 52 weeks following valoctocogene roxaparvovec infusion
[ Time Frame: 52 weeks ]

7. Percentage of participants with treatment-related adverse events, as assessed by CTCAE v4.03 during years 2-5 following valoctocogene roxaparvovec infusion.
[ Time Frame: 5 years ]

8. Percentage of participants with treatment-related adverse events, as assessed by de novo development of FVIII inhibitors during years 2-5 following valoctocogene roxaparvovec infusion.
[ Time Frame: 5 years ]

Open or close this module Eligibility
Minimum Age: 18 Years
Maximum Age:
Sex: Male
Gender Based: Yes
Biological male genders to only be included
Accepts Healthy Volunteers: No
Criteria:

Inclusion Criteria:

  • Males ≥ 18 years of age with hemophilia A and residual FVIII levels ≤ 1 IU/dL as evidenced by medical history, at the time of signing the informed consent.
  • Must have been on prophylactic FVIII replacement therapy for at least 12 months prior to study entry. High-quality, well-documented historical data concerning bleeding episodes and FVIII usage over the previous 12 months must be available.
  • Treated/exposed to FVIII concentrates or cryoprecipitate for a minimum of 150 exposure days (EDs).
  • No history of FVIII inhibitor, and results from a Bethesda assay with Nijmegen modification of less than 0.6 Bethesda Units (BU) on 2 consecutive occasions (the most recent one of which should be tested at the central laboratory) at least one week apart within the past 12 months
  • HIV positive patients may be enrolled, only if the patient has a CD4 count > 200/mm3 and an undetectable viral load.

Exclusion Criteria:

  • Detectable pre-existing antibodies to the AAV5 capsid.
  • Any evidence of active infection or any immunosuppressive disorder, except for HIV infection as described in the inclusion criterion above.
  • Significant liver dysfunction with any of the following abnormal laboratory results:
    • ALT (alanine transaminase) or AST >2X ULN;
    • Total bilirubin >2X ULN;
    • Alkaline phosphatase >2X ULN; or
    • INR (international normalized ratio) ≥ 1.4.

Subjects whose liver laboratory assessments fall outside of these ranges may undergo repeat testing and, if eligibility criteria are met on retest, may be enrolled after confirmation by the Medical Monitor. In addition, subjects with abnormal laboratory results related to confirmed benign liver conditions (eg, Gilbert's syndrome) are considered eligible for the study notwithstanding their abnormal laboratory results and may be enrolled after discussion with the Medical Monitor.

  • Prior liver biopsy showing significant fibrosis of 3 or 4 as rated on a scale of 0-4 on the Batts-Ludwig (Batts 1995) or METAVIR (Bedossa 1996) scoring systems, or an equivalent grade of fibrosis if an alternative scale is used.
  • Evidence of any bleeding disorder not related to hemophilia A.
  • Platelet count of < 100 x 10^9/L.
  • Creatinine ≥ 1.5 mg/dL.
  • Liver cirrhosis of any etiology as assessed by liver ultrasound.
  • Chronic or active hepatitis B as evidenced by positive serology testing and confirmatory HBV DNA testing. Refer to the Centers for Disease Control (CDC) table for the interpretation of serological test results in the Laboratory Manual.
  • Active Hepatitis C as evidenced by detectable HCV RNA or currently on antiviral therapy.
  • Active malignancy, except non-melanoma skin cancer.
  • History of hepatic malignancy.
  • History of arterial or venous thromboembolic events (eg, deep vein thrombosis, nonhemorrhagic stroke, pulmonary embolism, myocardial infarction, arterial embolus), with the exception of catheter-associated thrombosis for which anti-thrombotic treatment is not currently ongoing.
  • Known inherited or acquired thrombophilia, including conditions associated with increased thromboembolic risk, such as atrial fibrillation.
Open or close this module Contacts/Locations
Central Contact Person: Trial Specialist
Email: medinfo@bmrn.com
Study Officials: Medical Monitor, MD
Study Director
BioMarin Pharmaceutical
Locations: United States, Arizona
University of Arizona Cancer Center
Tucson, Arizona, United States, 85719-1454
United States, California
Los Angeles Orthopedic Hospital, Orthopedic Hemophilia Treatment Center
Los Angeles, California, United States, 90007-2664
Lucile Packard Children's Hospital at Stanford
Palo Alto, California, United States, 94304
UC Davis Hemophilia Treatment Center
Sacramento, California, United States, 95817
University of California San Diego, Hematology and Oncology, Hemophilia &Thrombosis Treatment Center
San Diego, California, United States, 92122
UCSF Medical Center
San Francisco, California, United States, 94143-0106
United States, District of Columbia
Georgetown University Hospital, Lombardi Comprehensive Cancer Center
Washington, District of Columbia, United States, 20007
United States, Illinois
Ann & Robert H. Lurie Children's Hospital of Chicago, Department of Hematology
Chicago, Illinois, United States, 60611-2605
United States, Indiana
Indiana Hemophilia and Thrombosis Center
Indianapolis, Indiana, United States, 46260
United States, Kentucky
James Graham Brown Cancer Center
Louisville, Kentucky, United States, 40202
United States, Louisiana
Tulane University Hematology & Medical Oncology
New Orleans, Louisiana, United States, 70112-2699
United States, Michigan
University of Michigan, Pediatric Hematology and Oncology
Ann Arbor, Michigan, United States, 48109-5718
Michigan State University Center for Bleeding and Clotting Disorders
East Lansing, Michigan, United States, 48823
United States, Minnesota
University of Minnesota
Minneapolis, Minnesota, United States, 55455
United States, Missouri
Washington University School of Medicine, Department of Pediatrics, Division of Hematology/Oncology
Saint Louis, Missouri, United States, 63110-1093
United States, North Carolina
UNC Hemophilia and Thrombosis Center
Chapel Hill, North Carolina, United States, 27517
United States, Pennsylvania
Hemophilia Center of Western Pennsylvania
Pittsburgh, Pennsylvania, United States, 15213-4306
United States, Wisconsin
Blood Research Institute at Blood Center of Wisconsin
Milwaukee, Wisconsin, United States, 53226
Brazil
Campinas Estadual University (UNICAMP) / Campinas Hemocentro / Hematologia E Hemoterapia Center
Campinas, Brazil
France
South Paris University Hospitals - Bicetre Hospital
Le Kremlin-BicĂȘtre, France
Edouard Herriot Hospital
Lyon, France
Hotel Dieu Hospital/Nantes University Hospital Center
Nantes, France
Germany
Vivantes Clinic im Friedrichshain- Landsberger Allee
Berlin, Germany
University Clinic Bonn
Bonn, Germany
University Clinic Frankfurt
Frankfurt, Germany
University Clinic Giessen and Marburg GmbH
Giessen, Germany
Israel
Chaim Sheba Medical Center
Ramat Gan, Israel
Italy
Angelo Bianchi Bonomi
Milan, Italy
Japan
Nara Medical University Hospital
Kashihara, Japan
South Africa
Haemophilia Comprehensive Care Centre, Charlotte Maxeke Johannesburg Academic Hospital
Johannesburg, South Africa
Spain
A Coruña University Complex Hospital
La Coruna, Spain
La Paz University Hospital
Madrid, Spain
United Kingdom
Basingstoke and North Hampshire Hospital
Basingstoke, United Kingdom
Queen Elizabeth Hospital
Birmingham, United Kingdom
Addenbrookes Hospital
Cambridge, United Kingdom
Barts and The London School of Medicine and Dentistry, Haemophilia Centre
London, United Kingdom
Hammersmith
London, United Kingdom
St Thomas' Hospital
London, United Kingdom
Open or close this module IPDSharing
Plan to Share IPD:
Open or close this module References
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Available IPD/Information:

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