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NCT04323098: GENEr8-3

Study to Evaluate the Efficacy and Safety of Valoctocogene Roxaparvovec, With Prophylactic Steroids in Hemophilia A

Completed Phase 3 Results posted Last updated 8 October 2025
What this trial tests

Phase 3 trial testing valoctocogene roxaparvovec in Hemophilia A in 22 participants. Completed in 8 May 2025.

Timeline
8 December 2020
Primary endpoint
27 January 2023
8 May 2025

Quick facts

Lead sponsorBioMarin Pharmaceutical
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment22
Start date8 December 2020
Primary completion27 January 2023
Estimated completion8 May 2025
Sites12 locations across Taiwan, United States, Australia, Brazil

Drugs / interventions tested

Conditions studied

Sponsor

BioMarin Pharmaceutical — full company profile →

Who can join

18 and older, male only, with Hemophilia A. 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.

Change From Baseline in FVIII Activity as Measured by Chromogenic Substrate Assay at Week 52. Primary · Baseline to Week 52

The change from baseline (assuming no treatment for severe hemophilia A) in FVIII activity, as measured by chromogenic substrate assay (CSA), at Week 52 (during Weeks 49 - 52) post-BMN 270 infusion. Each participant's FVIII activity level at Week 52 is defined as the median of the values obtained within the analysis window at Weeks 49-52. The baseline value will be imputed as 1 IU/dL, since there will be no washout of severe hemophilia A participants' usual FVIII prophylaxis (in order to avoid increasing the risk of bleeding) prior to BMN 270 infusion. Post-BMN 270 infusion values for FVIII a

GroupValue95% CI
BMN 270 (Valoctocogene roxaparvovec)15.13± 22.38
Change From Baseline in Annualized Utilization of Exogenous FVIII Replacement Therapy in EEP Secondary · Baseline to efficacy evaluation period (EEP)

The change from baseline (prior to BMN 270 infusion while receiving FVIII prophylaxis) in the annualized utilization (IU/kg/year) of exogenous FVIII replacement therapy in the efficacy evaluation period ("Post-FVIII Prophylaxis period"). 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. Baseline: prior to BMN 270 infusion while receiving FVIII prophylaxis EEP: From Week 5 post-BMN 270 infusion (Study Day 33) or the end of FVIII prophylaxis

GroupValue95% CI
BMN 270 (Valoctocogene Roxaparvovec)-4150.09± 3208.50
Change From Baseline in the Annualized Number of Bleeding Episodes Irrespective of Exogenous FVIII Replacement Treatment (Annualized Bleeding Rate, ABR for All Bleeds) in EEP Secondary · Baseline to efficacy evaluation period (EEP)

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. ABR for all bleeds= Number of bleeding episodes for all bleeds during the calculation period / total number of days during the calculation period \* 365.25. Baseline: prior to BMN 270 infusion while receiving FVIII prophylaxis. EEP: From Week 5 post-BMN 270 infusion (St

GroupValue95% CI
BMN 270 (Valoctocogene Roxaparvovec)-6.15± 17.24
Change From Baseline in the Annualized Number of Bleeding Episodes Requiring Exogenous FVIII Replacement Treatment (ABR for Treated Bleeds) in the EEP. Secondary · Baseline to EEP

ABR for treated bleeds=Number of bleeding episodes for treated bleeds during the calculation period/total number of days during the calculation period \* 365.25 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. Baseline: prior to BMN 270 infusion while receiving FVIII prophylaxis. EEP: From Week 5 post-BMN 270 infusion (Study Day 33) or the end of FVIII prophylaxis plus the washout period (3 days for products of standard half-life or plasma-derived and 5 days for prod

GroupValue95% CI
BMN 270 (Valoctocogene Roxaparvovec)-3.78± 10.14
Change From Baseline in Haemo-QoL-A Quality of Life: Total Score at Week 52 Secondary · Baseline to Week 52

The change from baseline(assuming no treatment for severe hemophilia A) in Haemo-Qol-A score, at wk52 post-BMN 270 infusion.The Haemo-Qol-A questionnaire is a fit for purpose hemophilia-specific health related quality of life(HRQoL)questionnaire for adults consisting of 41 items covering 6 domains(Physical Functioning, Role Functioning,Worry,Consequences of Bleeding,Emotional Impact \&Treatment Concerns). The Haemo-Qol-A items are answered on a 6-point Likert scale ranging from 0(none of the time)to 5 (all of the time).The recall period for the Haemo-Qol-A is one month (4-weeks). The Haemo-Qo

GroupValue95% CI
BMN 270 (Valoctocogene Roxaparvovec)6.70± 8.96
Change From Baseline in Haemo-QoL-A Quality of Life: Physical Functioning Domain Score, at Week 52 Secondary · Baseline to Week 52

The change from baseline (assuming no treatment for severe hemophilia A) in Haemo-Qol-A score, at week 52 post BMN 270 infusion. The Haemo-Qol-A questionnaire is a fit for purpose hemophilia-specific health related quality of life (HRQoL) questionnaire for adults consisting of 41 items covering six domains (Physical Functioning, Role Functioning, Worry, Consequences of Bleeding, Emotional Impact and Treatment Concerns).The Haemo-Qol-A items are answered on a 6-point Likert scale ranging from 0 (none of the time) to 5 (all of the time).The recall period for the Haemo-Qol-A is one month (4-weeks

GroupValue95% CI
BMN 270 (Valoctocogene Roxaparvovec)6.43± 8.51
Change From Baseline in Haemo-QoL-A Quality of Life: Consequences of Bleeding Domain Score, at Week 52 Secondary · Baseline to Week 52

The change from baseline(assuming no treatment for severe hemophilia A)in Haemo-Qol-A score, at week 52 post-BMN 270 infusion. The Haemo-Qol-A questionnaire is a fit for purpose hemophilia-specific health related quality of life(HRQoL)questionnaire for adults consisting of 41 items covering 6 domains(Physical Functioning,Role Functioning,Worry,Consequences of Bleeding,Emotional Impact and Treatment Concerns). The Haemo-Qol-A items are answered on a 6-point Likert scale ranging from 0(none of the time) to 5(all of the time). The recall period for the Haemo-Qol-A is one month (4-wks). The Haemo

GroupValue95% CI
BMN 270 (Valoctocogene Roxaparvovec)10.68± 16.33
Change From Baseline in Haemo-QoL-A Quality of Life: Role Functioning Domain Score, at Week 52 Secondary · Baseline to Week 52

The change from baseline (assuming no treatment for severe hemophilia A) in Haemo-Qol-A score, at week 52 post BMN 270 infusion. The Haemo-Qol-A questionnaire is a fit for purpose hemophilia-specific health related quality of life (HRQoL) questionnaire for adults consisting of 41 items covering six domains (Physical Functioning, Role Functioning, Worry, Consequences of Bleeding, Emotional Impact and Treatment Concerns).The Haemo-Qol-A items are answered on a 6-point Likert scale ranging from 0 (none of the time) to 5 (all of the time). The recall period for the Haemo-Qol-A is one month (4-week

GroupValue95% CI
BMN 270 (Valoctocogene Roxaparvovec)6.03± 10.29

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 112 weeks. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

BMN 270 (Valoctocogene Roxaparvovec)
Serious: 1/22 (5%)
Deaths: 0/22

Serious adverse events (1 terms)

ReactionSystemBMN 270 (Valoctocogene Rox…
Head injuryInjury, poisoning and procedural complications
Other adverse events (36 terms — click to expand)

ReactionSystemBMN 270 (Valoctocogene Rox…
Alanine aminotransferase increasedInvestigations
COVID-19Infections and infestations
HeadacheNervous system disorders
AcneSkin and subcutaneous tissue disorders
InsomniaPsychiatric disorders
Upper respiratory tract infectionInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
InfluenzaInfections and infestations
MyalgiaMusculoskeletal and connective tissue disorders
Aspartate aminotransferase increasedInvestigations
DiarrhoeaGastrointestinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
VomitingGastrointestinal disorders
ArthropathyMusculoskeletal and connective tissue disorders
Dermatitis acneiformSkin and subcutaneous tissue disorders
DyspepsiaGastrointestinal disorders
FatigueGeneral disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
Influenza like illnessGeneral disorders
Infusion related reactionInjury, poisoning and procedural complications
Muscle spasmsMusculoskeletal and connective tissue disorders
NauseaGastrointestinal disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
RhinorrhoeaRespiratory, thoracic and mediastinal disorders
AgitationPsychiatric disorders
AnaemiaBlood and lymphatic system disorders
Back painMusculoskeletal and connective tissue disorders
Iron deficiency anaemiaBlood and lymphatic system disorders
Pregnancy of partnerSocial circumstances
PyrexiaGeneral disorders
Rash pustularInfections and infestations
Road traffic accidentInjury, poisoning and procedural complications
TremorNervous system disorders
Gamma-glutamyltransferase increasedInvestigations
HyperhidrosisSkin and subcutaneous tissue disorders
SinusitisInfections and infestations

Most-reported serious reactions: Head injury.

Data from ClinicalTrials.gov NCT04323098 adverse events section.

Sponsor's own description

This Phase III clinical study will evaluate the safety and effectiveness of valoctocogene roxaparvovec in combination with prophylactic corticosteroids in patients with severe hemophilia A.

Publications & conference data

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

  1. Viral vector-based gene therapies in the clinic.
    Zhao Z, Anselmo AC, Mitragotri S. · · 2022 · cited 171× · PMID 35079633 · DOI 10.1002/btm2.10258
  2. Gene therapy for hemophilia.
    Nathwani AC. · · 2022 · cited 74× · PMID 36485127 · DOI 10.1182/hematology.2022000388
  3. Recent Advances in the Treatment of Hemophilia: A Review.
    Marchesini E, Morfini M, Valentino L. · · 2021 · cited 53× · PMID 34163136 · DOI 10.2147/btt.s252580
  4. BKM120 sensitizes glioblastoma to the PARP inhibitor rucaparib by suppressing homologous recombination repair.
    Zhang S, Peng X, Li X, Liu H, et al · · 2021 · cited 39× · PMID 34039959 · DOI 10.1038/s41419-021-03805-6
  5. Gene Therapy in Hemophilia: Recent Advances.
    Rodríguez-Merchán EC, De Pablo-Moreno JA, Liras A. · · 2021 · cited 32× · PMID 34299267 · DOI 10.3390/ijms22147647
  6. Haemophilia, state of the art and new therapeutic opportunities, a regulatory perspective.
    Tomeo F, Mariz S, Brunetta AL, Stoyanova-Beninska V, et al · · 2021 · cited 23× · PMID 33772837 · DOI 10.1111/bcp.14838
  7. Gene Therapy for Genetic Syndromes: Understanding the Current State to Guide Future Care.
    Henderson ML, Zieba JK, Li X, Campbell DB, et al · · 2024 · cited 20× · PMID 38247731 · DOI 10.3390/biotech13010001
  8. The intersection of vector biology, gene therapy, and hemophilia.
    Lisowski L, Staber JM, Wright JF, Valentino LA. · · 2021 · cited 16× · PMID 34485808 · DOI 10.1002/rth2.12586

Verify or expand the search:

Other trials of valoctocogene roxaparvovec

Trials testing the same drug.

Other recruiting trials for Hemophilia A

Currently open trials in the same condition.

Other BioMarin Pharmaceutical 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/NCT04323098.

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