About this trial
This is a multi-center, Phase 1/2/3, single-arm, open-label, single-dose treatment clinical study to evaluate the safety, tolerability and efficacy of BBM-H803 injection in severe Hemophilia A subjects.
BBM-H803 is an adeno-associated viral (AAV) vector derived from recombinant DNA techniques to contain an expression cassette of the human factor VIII transgene and raises circulating levels of endogenous FVIII.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Subjects voluntarily sign informed consent form;
Males ≥ 18 years;
Subjects are clinically diagnosed with severe hemophilia A;
Have > = 150 documented exposure days to a Factor VIII protein product
Disqualifiers
Being positive for hepatitis B surface antigen (HBsAg) or hepatitis B virus-DNA (HBV-DNA). Being positive for hepatitis C virus antibody (HCV-Ab) or hepatitis C virus RNA (HCV-RNA).
Currently on antiviral therapy for hepatitis B or C;
Suffer from coagulation disorders other than hemophilia A;
In addition to glucocorticoids, any other immunosuppressants are being used before selection;
Trial design
Single group
Treatments tested in this trial
Single dose intravenous injection of BBM-H803
GeneticSingle dose intravenous infusion of BBM-H803, an adeno-associated viral (AAV) vector derived from recombinant DNA techniques to contain an expression cassette of the human factor VIII transgene in liver. The dose of BBM-H803 will be calculated according to participant's weight.
Treatment groups
Trial outcomes
Primary outcomes
Phase 1/2: Incidence of dose limiting toxicity (DLT) events
To access the numbers of DLT events determined by the Safety Data Review Committee (SRC) in DLT observation period after BBM-H803 injection infusion
Phase 1/2: The incidence of adverse events (AEs) and serious adverse events (SAEs)
To assess the safety of BBM-H803 Injection by AEs and SAEs.
Phase 1/2: Number of participants with changes in alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels [liver function]
To assess changes in liver function before and after treatment, including alanine aminotransferase (ALT) and aspartate aminotransferase (AST).
Phase 3: Annualized bleeding rate (ABR)
To assess ABR, including spontaneous bleeding, traumatic bleeding and joint bleeding after administration.
Secondary outcomes
Phase 1/2/3: Plasma FVIII activity level
All samples collected from participants for plasma FVIII activity levels were analyzed and used to determine peak and steady-state vector-derived circulating FVIII activity levels.
Phase 1/2/3: The incidence of adverse events (AEs) and serious adverse events (SAEs)
To assess the safety of BBM-H803 Injection by AEs and SAEs.
Phase 1/2/3: Number of participants with changes in alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels [liver function]
To assess changes in liver function before and after treatment, including alanine aminotransferase (ALT)and aspartate aminotransferase (AST).
Sponsors and contacts
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Shanghai Xinzhi BioMed Co., Ltd.
Lead sponsor
Shanghai Mianyi Biopharmaceutical Co., Ltd.
Collaborator