Study to Evaluate the Efficacy and Safety of Valoctocogene Roxaparvovec, With Prophylactic Steroids in Hemophilia A (GENEr8-3)
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ClinicalTrials.gov Identifier: NCT04323098 |
Recruitment Status :
Active, not recruiting
First Posted : March 26, 2020
Results First Posted : April 4, 2024
Last Update Posted : April 4, 2024
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Study Type | Interventional |
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Study Design | Allocation: N/A; Intervention Model: Single Group Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Condition |
Hemophilia A |
Intervention |
Biological: valoctocogene roxaparvovec |
Enrollment | 22 |
Recruitment Details | This study was conducted by 12 principal investigators at 12 study centers in 4 countries (United States, Australia, Brazil, and Taiwan) |
Pre-assignment Details |
Total of 34 subjects were screened. Of these, 12 subjects failed screening and remaining 22 subject was enrolled in the study. Of the 22 enrolled participants, all 22 completed the Week 52 visit, and all 22 remained enrolled in the study as on data cut-off date 27January2023. While up to 25% of patients could be AAV5+, no such patients were enrolled, i.e., everyone was AAV5 negative. |
Arm/Group Title | BMN 270 (Valoctocogene Roxaparvovec) |
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Arm/Group Description |
Single administration of valoctocogene roxaparvovec at a dose of 6E13 vg/kg with prophylactic corticosteroids valoctocogene roxaparvovec: Adeno-Associated Virus Vector-Mediated Gene Transfer of Human Factor VIII, with Prophylactic Corticosteroids in Hemophilia A subjects |
Period Title: Overall Study | |
Started | 22 |
Continuing in the Study | 22 |
Completed Week 52 Visit | 22 |
Completed [1] | 0 |
Not Completed | 22 |
[1]
Study is still ongoing.
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Arm/Group Title | BMN 270 (Valoctocogene Roxaparvovec) | |
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Arm/Group Description |
Single administration of valoctocogene roxaparvovec at a dose of 6E13 vg/kg with prophylactic corticosteroids valoctocogene roxaparvovec: Adeno-Associated Virus Vector-Mediated Gene Transfer of Human Factor VIII, with Prophylactic Corticosteroids in Hemophilia A subjects |
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Overall Number of Baseline Participants | 22 | |
Baseline Analysis Population Description |
Intention-to-treat (ITT) population (N=22) - all participants who received BMN 270 infusion in 270-303 by the time of the data cutoff
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Age, Continuous
[1] Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 22 participants | |
28.0 (7.4) | ||
[1]
Measure Description: Age at enrollment, years
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Age, Customized
[1] Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 22 participants |
18 to < 30 years |
13 59.1%
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30 to < 50 years |
9 40.9%
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>= 50 years |
0 0.0%
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[1]
Measure Description: Age at enrollment: n(%)
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Sex: Female, Male
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 22 participants | |
Female |
0 0.0%
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Male |
22 100.0%
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[1]
Measure Description: Percentages were calculated using the total number of participants (N) in each analysis population as the denominator.
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Race/Ethnicity, Customized
[1] Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 22 participants |
Asian |
2 9.1%
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Black or African-American |
2 9.1%
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White |
18 81.8%
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[1]
Measure Description: n(%)
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Baseline annualized FVIII usage
[1] Mean (Standard Deviation) Unit of measure: IU/kg/year |
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Number Analyzed | 22 participants | |
4342.74 (3184.01) | ||
[1]
Measure Description: The annualized utilization (IU/kg/year) of exogenous FVIII replacement therapy is defined as Sum of FVIII use (IU/kg) during calculation period/Total number of days during the calculation period ×365.25.
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Baseline annualized number of FVIII infusions
[1] Mean (Standard Deviation) Unit of measure: Infusions/year |
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Number Analyzed | 22 participants | |
149.13 (72.74) | ||
[1]
Measure Description: Annualized FVIII infusion rate (count/yr) = (sum(Number of FVIII replacement infusions during calculation period) /sum(follow-up days of the period))*365.25.
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Baseline ABR (treated bleeds)
[1] Mean (Standard Deviation) Unit of measure: Bleeds/year |
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Number Analyzed | 22 participants | |
5.61 (11.29) | ||
[1]
Measure Description:
Bleeds that were treated with FVIII replacement therapy (recorded as "treatment for bleed") within 72 hours and were not associated with surgery or a procedure were included. Annualized bleed rate (episodes/yr) = (sum (number of bleed episodes during calculation period))/(sum (follow-up days of the period)) *365.25 |
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Baseline ABR (treated bleeds)
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 22 participants | |
0 bleeds/year |
5 22.7%
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>0 to 4 bleeds/year |
10 45.5%
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>4 to 10 bleeds/year |
5 22.7%
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>10 bleeds/year |
2 9.1%
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[1]
Measure Description:
Bleeds that were treated with FVIII replacement therapy (recorded as "treatment for bleed") within 72 hours and were not associated with surgery or a procedure were included. Annualized bleed rate (episodes/yr) = (sum (number of bleed episodes during calculation period))/(sum (follow-up days of the period)) *365.25 |
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Baseline ABR (all bleeds)
[1] Mean (Standard Deviation) Unit of measure: Bleeds/year |
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Number Analyzed | 22 participants | |
8.20 (17.86) | ||
[1]
Measure Description:
All bleeds comprises both treated and non-treated bleeds. In this definition, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. All bleeds are any reported bleeding events regardless of the use of FVIII or other treatments. Annualized bleed rate (episodes/yr) = (sum (number of bleed episodes during calculation period))/(sum (follow-up days of the period)) *365.25 |
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Baseline ABR (all bleeds)
[1] Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 22 participants |
0 bleeds/year |
5 22.7%
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>0 to 4 |
10 45.5%
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>4 to 10 |
4 18.2%
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>10 |
3 13.6%
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[1]
Measure Description:
All bleeds comprises both treated and non-treated bleeds. In this definition, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. All bleeds are any reported bleeding events regardless of the use of FVIII or other treatments. Annualized bleed rate (episodes/yr) = (sum (number of bleed episodes during calculation period))/(sum (follow-up days of the period)) *365.25 |
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History of previous diseases
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 22 participants | |
Hepatitis B |
0 0.0%
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Hepatitis C |
3 13.6%
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HIV |
0 0.0%
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No History of exposure to Hepatitis B/Hepatitis C/HIV |
19 86.4%
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[1]
Measure Analysis Population Description: n(%)
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Number of target joints
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 22 participants | |
0 |
16 72.7%
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1 |
3 13.6%
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2 |
2 9.1%
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3 |
1 4.5%
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[1]
Measure Description:
n(%) Target joints are defined as joints with >= 3 spontaneous treated bleeds in the same joint location within any consecutive 6-month (180 days) period in the Baseline period. |
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Adeno-associated virus Type 5 (AAV5) Total Antibody Titers and Positivity
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 22 participants | |
Detected |
0 0.0%
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Not detected |
22 100.0%
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[1]
Measure Description: Percentages were calculated using the number of subjects with non-missing assessments (n) for each analysis population as the denominator.
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Name/Title: | Tara M Robinson, MD, PhD, Senior Medical Director, Late-Stage Clinical Development |
Organization: | BioMarin Pharmaceutical Inc. |
Phone: | 415-455-7931 |
EMail: | tara.robinson@bmrn.com |
Responsible Party: | BioMarin Pharmaceutical |
ClinicalTrials.gov Identifier: | NCT04323098 |
Other Study ID Numbers: |
270-303 |
First Submitted: | March 24, 2020 |
First Posted: | March 26, 2020 |
Results First Submitted: | January 24, 2024 |
Results First Posted: | April 4, 2024 |
Last Update Posted: | April 4, 2024 |