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Clinical Trials List

Protocol NumberC0371002
NCT Number(ClinicalTrials.gov Identfier)NCT03861273

2019-09-01 - 2027-12-31

Phase III

Recruiting3

Terminated2

ICD-10D67

Hereditary factor IX deficiency

ICD-9286.1

Congenital factor IX disorder

PHASE 3, OPEN LABEL, SINGLE ARM STUDY TO EVALUATE EFFICACY AND SAFETY OF FIX GENE TRANSFER WITH PF-06838435 (RAAV-SPARK100-HFIX-PADUA) IN ADULT MALE PARTICIPANTS WITH MODERATELY SEVERE TO SEVERE HEMOPHILIA B (FIX:C ≤ 2%) (BENEGENE-2)

  • Sponsor

    Pfizer

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2025/08/20

Investigators and Locations

Principal Investigator JIAAN-DER WANG Division of Pediatrics

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Sheng-chieh Chou Division of Hematology & Oncology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Shyh-Shin Chiou Division of Pediatrics

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 沈銘鏡 Division of Hematology & Oncology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 翁德甫 Division of Pediatrics

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Condition/Disease

Hemophilia B

Objectives

This study will evaluate the efficacy and safety of PF-06838435 (a gene therapy drug) in adult male participants with moderately severe to severe hemophilia B (participants that have a Factor IX circulating activity of 2% or less). The gene therapy is designed to introduce genetic material into cells to compensate for missing or non-functioning Factor IX. Eligible study participants will have completed a minimum 6 months of routine Factor IX prophylaxis therapy during the lead in study (C0371004). Participants will be dosed once (intravenously) and will be evaluated over the course of 6 years. The main objectives of the study are to compare the annualized bleeding rate [ABR] of the gene therapy to routine prophylaxis from the lead-in study and to evaluate the impact that it may have on participant's Factor IX circulating activity [FIX:C].

Test Drug

PF-06838435

Active Ingredient

Fidanacogene elaparvovec

Dosage Form

Solution for infusion

Dosage

1.00x10^13 vg/mL

Endpoints

Primary Outcome Measures :

Annualized bleeding rate (ABR) [ Time Frame: First 12 months post PF 06838435 infusion ]
Vector derived FIX:C level [ Time Frame: Week 12 to 12 months post PF 06838435 infusion ]

Inclution Criteria

Inclusion Criteria

Males who completed 6 months of routine Factor IX prophylaxis therapy during the lead-in study (C0371004) prior to providing consent at the screening visit for this study.
Documented moderately severe to severe hemophilia B (Factor IX activity < =2%)
Suspension of prophylaxis therapy for hemophilia B after administration of the study drug
Laboratory values (hemoglobin, platelets and creatinine) within study specified limits
Agree to contraception until components of the drug are eliminated from their body
Capable of giving signed informed consent

Exclusion Criteria

Exclusion Criteria

Anti-AAV Spark100 neutralizing antibodies (nAb) titer >= 1:1.
History of inhibitor to Factor IX or inhibitor detected during screening.
Clinical signs or symptoms of decreased response to Factor IX
Hypersensitivity to Factor IX replacement product or intravenous immunoglobulin administration
History of chronic infection or other chronic disease
Any concurrent clinically significant major disease or condition
Laboratory values at screening visit that are abnormal or outside acceptable study limits
Significant and/or unstable liver disease, biliary disease, significant liver fibrosis
Planned surgical procedure requiring Factor IX surgical prophylactic factor treatment 12 months from screening visit
Use of restricted therapies (e.g., blood products, acetylsalicylic acid [aspirin] or ibuprofen, other investigational therapy, and by-passing agents)
Previously dosed in a gene therapy research trial at any time or in an interventional clinical study within 12 weeks of screening visit
Active hepatitis B or C; hepatitis B surface antigen (HBsAg), hepatitis B virus (HBV) deoxyribonucleic acid (DNA) positivity, or hepatitis C virus (HCV) ribonucleic acid (RNA) positivity
Serological evidence of human immunodeficiency virus HIV-1 or HIV-2 with Cluster of Differentiation 4 positive (CD4+) cell count ≤200 mm3 and/or viral load >20 copies/mL
Study and sponsor staff and their families involved in the conduct of the study
Unable to comply with study procedures
Sensitivity to heparin or heparin induced thrombocytopenia
Sensitivity to any of the study interventions, or components thereof, or drug or other allergy

The Estimated Number of Participants

  • Taiwan

    8 participants

  • Global

    50 participants