Last reviewed · How we verify

NCT02396342

Trial of AAV5-hFIX in Severe or Moderately Severe Hemophilia B

Completed Phase 1, PHASE2 Results posted Last updated 27 June 2022
What this trial tests

Phase 1, PHASE2 trial testing AAV5-hFIX in Hemophilia B in 10 participants. Completed in 15 April 2021.

Timeline
10 June 2015
Primary endpoint
15 April 2021
15 April 2021

Quick facts

Lead sponsorCSL Behring
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment10
Start date10 June 2015
Primary completion15 April 2021
Estimated completion15 April 2021
Sites7 locations across Denmark, Netherlands, Germany

Drugs / interventions tested

Conditions studied

Sponsor

CSL Behring — full company profile →

Who can join

18 and older, male only, with Hemophilia B. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Adverse Events Primary · From AMT-060 infusion through end of study (5 years post-dose)
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)5
AAV5-hFIX High Dose (Cohort 2)5
FIX-replacement-therapy-free FIX Activity Secondary · From AMT-060 infusion through end of study (5 years post-dose)

FIX activity measured any time from 72 hours after latest FIX replacement therapy administration and until next administration of FIX replacement therapy. Only assessments performed more than 10 days after most recent FIX-replacement therapy administration included.

one-stage aPTT assay
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)7.43± 1.28
AAV5-hFIX High Dose (Cohort 2)6.60± 1.96
amidolytic/chromogenic assay
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)4.58± 2.88
AAV5-hFIX High Dose (Cohort 2)4.74± 1.43
Total Annualized Bleeding Rate (ABR) Secondary · From AMT-060 infusion through end of study (5 years post-dose)

Annualized: Sum of post-treatment bleeding episodes divided by subjects' average number of years (365.25 days) from treatment start to until the data cutoff date.

One Year Prior to Screening
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)14.40± 5.73
AAV5-hFIX High Dose (Cohort 2)4.00± 3.16
Post-tapering Period
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)5.39± 5.94
AAV5-hFIX High Dose (Cohort 2)0.71± 0.58
Total Consumption of FIX Replacement Therapy Secondary · From AMT-060 infusion through end of study (5 years post dose).
One year prior to screening
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)326532± 234900
AAV5-hFIX High Dose (Cohort 2)233778± 156873
Post-tapering period
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)252950± 222790
AAV5-hFIX High Dose (Cohort 2)85800± 84482
Change From Baseline in Short Form-36 (SF-36) Quality of Life (QoL) Scores Secondary · From AMT-060 infusion through the end of study (5 years post dose)

Scores range from 0 to 100, with a higher score defining a more favorable health state.

Physical Functioning
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)0.00± 10.00
AAV5-hFIX High Dose (Cohort 2)-7.00± 9.75
Role-Physical
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)-15.00± 8.39
AAV5-hFIX High Dose (Cohort 2)-10.00± 22.79
Bodily Pain
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)-9.00± 9.00
AAV5-hFIX High Dose (Cohort 2)1.20± 14.81
General Health
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)-0.80± 20.22
AAV5-hFIX High Dose (Cohort 2)-2.40± 8.99
Vitality
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)-11.25± 19.96
AAV5-hFIX High Dose (Cohort 2)-6.25± 12.50
Social Functioning
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)-20.00± 25.92
AAV5-hFIX High Dose (Cohort 2)-5.00± 14.25
Role-Emotional
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)-13.33± 27.39
AAV5-hFIX High Dose (Cohort 2)-10.00± 13.69
Mental Health
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)-13.00± 22.80
AAV5-hFIX High Dose (Cohort 2)-9.00± 12.94
Time to Vector DNA Stopped Shedding From Blood, Nasal Secretions, Saliva, Urine, Feces, and Semen Secondary · From AMT-060 infusion through end of study (5 years post dose).
Blood
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)508.8± 261.7
AAV5-hFIX High Dose (Cohort 2)705.4± 245.1
Nasal secretions
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)83.4± 41.7
AAV5-hFIX High Dose (Cohort 2)108.4± 66.0
Saliva
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)75.8± 38.4
AAV5-hFIX High Dose (Cohort 2)129.2± 48.9
Urine
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)46.4± 20.9
AAV5-hFIX High Dose (Cohort 2)82.0± 41.1
Feces
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)74.0± 25.7
AAV5-hFIX High Dose (Cohort 2)165.0± 68.9
Semen
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)227.8± 147.7
AAV5-hFIX High Dose (Cohort 2)157.2± 78.4
Number of Subjects Developing Neutralizing Antibodies to AAV5 Secondary · From AMT-060 infusion through end of study (5 years post dose)
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)5
AAV5-hFIX High Dose (Cohort 2)5
Total IgG and IgM Antibody Titers to AAV5 Secondary · AMT-060 infusion through end of study (5 years post dose)

For subjects with a titer of 109350 and 50, the actual titer is \>109350 and \<50.

IgG (subject 1)
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)79499
AAV5-hFIX High Dose (Cohort 2)109350
IgG (subject 2)
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)109350
AAV5-hFIX High Dose (Cohort 2)109350
IgG (subject 3)
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)109350
AAV5-hFIX High Dose (Cohort 2)109350
IgG (subject 4)
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)109350
AAV5-hFIX High Dose (Cohort 2)107344
IgG (subject 5)
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)109350
AAV5-hFIX High Dose (Cohort 2)109350
IgM (subject 1)
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)56
AAV5-hFIX High Dose (Cohort 2)30071
IgM (subject 2)
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)1321
AAV5-hFIX High Dose (Cohort 2)20000
IgM (subject 3)
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)557
AAV5-hFIX High Dose (Cohort 2)6649
Number of Subjects With a Positive AAV5 Capsid-specific T Cell Response Secondary · From AMT-060 infusion through 26 weeks post-dose

Specific AAV5 response (results \>17 SFC/million PBMCs) were regarded as positive.

GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)1
AAV5-hFIX High Dose (Cohort 2)0
Number of Subjects With Antibodies to FIX Secondary · From AMT-060 infusion through the end of study (5 years post dose)
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)1
AAV5-hFIX High Dose (Cohort 2)0
Number of Subjects With FIX Inhibitors Secondary · From AMT-060 infusion through the end of study (5 years post dose)
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)0
AAV5-hFIX High Dose (Cohort 2)0
Number of Subjects With Clinically Significant Inflammatory Markers: IL-1β, IL-2, IL-6, INFγ, MCP-1 Secondary · From AMT-060 infusion through 18 weeks post dose
GroupValue95% CI
AAV5-hFIX Low Dose (Cohort 1)0
AAV5-hFIX High Dose (Cohort 2)0

Adverse events — posted to ClinicalTrials.gov

Time frame: 5 years post-dose. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

AAV5-hFIX Low Dose (Cohort 1)
Serious: 3/5 (60%)
Deaths: 0/5
AAV5-hFIX High Dose (Cohort 2)
Serious: 2/5 (40%)
Deaths: 0/5

Serious adverse events (6 terms)

ReactionSystemAAV5-hFIX Low Dose (Cohort…AAV5-hFIX High Dose (Cohor…
Hepatic Enzyme IncreasedInvestigations
Alanine Aminotransferase IncreasedInvestigations
MyelopathyNervous system disorders
PyrexiaGeneral disorders
Renal ColicRenal and urinary disorders
Calculus UretericRenal and urinary disorders
Other adverse events (88 terms — click to expand)

ReactionSystemAAV5-hFIX Low Dose (Cohort…AAV5-hFIX High Dose (Cohor…
Influenza like illnessGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
NasopharyngitisInfections and infestations
PyrexiaGeneral disorders
DizzinessNervous system disorders
Joint swellingMusculoskeletal and connective tissue disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
InfluenzaInfections and infestations
HaematomaVascular disorders
LymphoedemaVascular disorders
HypersensitivityImmune system disorders
FatigueGeneral disorders
Peripheral swellingGeneral disorders
MalaiseGeneral disorders
PainGeneral disorders
Drug ineffectiveGeneral disorders
Sleep disorderPsychiatric disorders
AnxietyPsychiatric disorders
ProstatitisReproductive system and breast disorders
FallInjury, poisoning and procedural complications
Upper limb fractureInjury, poisoning and procedural complications
Ulna fractureInjury, poisoning and procedural complications
Tooth fractureInjury, poisoning and procedural complications
Joint injuryInjury, poisoning and procedural complications
Hand fractureInjury, poisoning and procedural complications
Bone contusionInjury, poisoning and procedural complications
InjuryInjury, poisoning and procedural complications
Muscle strainInjury, poisoning and procedural complications
Arthropod biteInjury, poisoning and procedural complications
Hepatic enzyme increasedInvestigations
Haemoglobin decreasedInvestigations
Transaminases increasedInvestigations
Platelet count decreasedInvestigations
Blood urine presentInvestigations
TachycardiaCardiac disorders
PalpitationsCardiac disorders
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders
SplenomegalyBlood and lymphatic system disorders
HeadacheNervous system disorders
Nervous system disorderNervous system disorders

Most-reported serious reactions: Hepatic Enzyme Increased, Alanine Aminotransferase Increased, Myelopathy, Pyrexia, Renal Colic, Calculus Ureteric.

Data from ClinicalTrials.gov NCT02396342 adverse events section.

Sponsor's own description

This study evaluates how safe gene therapy treatment with AAV5-hFIX is in adult patients with severe or moderately severe hemophilia B and severe bleeding type.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Adeno-Associated Virus (AAV) as a Vector for Gene Therapy.
    Naso MF, Tomkowicz B, Perry WL, Strohl WR. · · 2017 · cited 936× · PMID 28669112 · DOI 10.1007/s40259-017-0234-5
  2. AAV Vector Immunogenicity in Humans: A Long Journey to Successful Gene Transfer.
    Costa Verdera H, Kuranda K, Mingozzi F. · · 2020 · cited 493× · PMID 31972133 · DOI 10.1016/j.ymthe.2019.12.010
  3. Gene therapy with adeno-associated virus vector 5-human factor IX in adults with hemophilia B.
    Miesbach W, Meijer K, Coppens M, Kampmann P, et al · · 2018 · cited 239× · PMID 29246900 · DOI 10.1182/blood-2017-09-804419
  4. Gene Therapy Leaves a Vicious Cycle.
    Goswami R, Subramanian G, Silayeva L, Newkirk I, et al · · 2019 · cited 221× · PMID 31069169 · DOI 10.3389/fonc.2019.00297
  5. Unraveling the Complex Story of Immune Responses to AAV Vectors Trial After Trial.
    Vandamme C, Adjali O, Mingozzi F. · · 2017 · cited 185× · PMID 28835127 · DOI 10.1089/hum.2017.150
  6. Viral vector-based gene therapies in the clinic.
    Zhao Z, Anselmo AC, Mitragotri S. · · 2022 · cited 171× · PMID 35079633 · DOI 10.1002/btm2.10258
  7. Update on clinical gene therapy for hemophilia.
    Perrin GQ, Herzog RW, Markusic DM. · · 2019 · cited 128× · PMID 30559260 · DOI 10.1182/blood-2018-07-820720
  8. Anti-AAV Antibodies in AAV Gene Therapy: Current Challenges and Possible Solutions.
    Weber T. · · 2021 · cited 126× · PMID 33815421 · DOI 10.3389/fimmu.2021.658399

Verify or expand the search:

Other recruiting trials for Hemophilia B

Currently open trials in the same condition.

Other CSL Behring trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02396342.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing