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NCT Number: NCT05203679

Evaluation of the Safety and Efficacy of Hemophilia B Gene Therapy Drug

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-H901 injection in Hemophilia B subjects with ≤2 International unit per deciliter (IU/dl) residual factor IX (FIX) levels.

BBM-H901 is an adeno-associated virus (AAV) vector derived from recombinant DNA techniques to contain an expression cassette of the human factor IX (hFIX) transgene and raises circulating levels of endogenous FIX.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Age range

18 year and older

Sex eligibility

Male

Study type

Interventional

Phase

Phase 2 / Phase 3

Primary location

Anhui Provincial Hospital, Hefei, Anhui, China

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

of Phase 1/2/3:

  • Males ≥ 18 years of age;
  • Have hemophilia B with ≤2 IU/dL (≤2 %) endogenous FIX activity levels;
  • Have had ≥100 prior exposure days (EDs) to any recombinant and/or plasma-derived FIX protein products based on historical data from the subjects' records/histories;
  • Have had bleeding events and/or injected with FIX protein products (including recombination and plasma source) during the last 12 weeks documented in the subjects' medical records;
  • Have no prior history of hypersensitivity or anaphylaxis associated with any FIX or IV immunoglobulin administration;
  • Agree to use a reliable barrier contraception method from the beginning of signing the informed consent to 52 weeks after administration.

Exclusion criteria

of Phase 1/2/3:

  • 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). Subjects with medical history of hepatitis B or C can be regarded as negative only when 2 required samplings are conducted at least 3 months apart and both test results of indicators aforementioned are negative, i.e. subjects with natural clearance and anti-viral therapy clearance for hepatitis B or C are eligible;
  • Have potential liver diseases, such as previous diagnosis of portal hypertension, splenomegaly, hepatic encephalopathy or liver fibrosis (fibrosis stage ≥ 3); nodules or cysts were found by B ultrasound, or elevated alpha-fetoprotein was detected by laboratory tests. Subjects who are not eligible for the study if the abnormalities are clinically significant regarding to the medical judgement of the investigator;
  • HIV positive patients;
  • Have participated in a previous gene therapy research trial before screening, or in a clinical study with an investigational drug within 5 half-life of the investigational product, whichever is longer;
  • Have alcohol or drug dependence, or cannot stop drinking throughout the study;
  • Any concurrent clinically significant major disease or condition that the investigator deems unsuitable for participation in the study.

Treatment and study plan

Single dose intravenous injection of BBM-H901

Genetic

Single dose intravenous infusion of BBM-H901, an adeno-associated virus (AAV) vector derived from recombinant DNA techniques to contain an expression cassette of the human factor IX (hFIX) transgene in liver.

Primary outcomes

  1. Phase 1/2: The incidence of dose limiting toxicity (DLT) events

    Time frame: 10 weeks post-infusion

    To access the numbers of DLT events determined by the Safety Data Review Committee (SRC) in DLT observation period after BBM-H901 injection infusion.

  2. Phase 1/2: The incidence of adverse events (AEs) and serious adverse events (SAEs)

    Time frame: 10 weeks post-infusion

    To assess the safety of BBM-H901 Injection by AEs and SAEs.

  3. Phase 1/2: Changes in liver function

    Time frame: 10 weeks post-infusion

    To assess changes in liver function before and after treatment, including alanine aminotransferase (ALT) and aspartate aminotransferase (AST).

  4. Phase 3: Annualized bleeding rate (ABR)

    Time frame: 52 weeks post-infusion

    To assess ABR, including spontaneous bleeding and traumatic bleeding after administration.

Secondary outcomes

  1. Phase 1/2: Changes in liver function

    Time frame: 52 weeks post-infusion

    To assess changes in liver function before and after treatment, including alanine aminotransferase (ALT) and aspartate aminotransferase (AST).

  2. Phase 1/2/3: Mean FIX Padua Activity Level

    Time frame: 52 weeks post-infusion

    Measurement of mean FIX Padua activity levels over the 52-week period following BBM-H901 injection.

  3. Phase 1/2/3: Other FIX Protein Product Usage

    Time frame: 52 weeks post-infusion

    Number and total volume of infusions of exogenous FIX protein products (recombinant or plasma-derived) administered within 52 weeks post-BBM-H901 injection.

  4. Phase 1/2/3: Target Joint Count

    Time frame: 52 weeks post-infusion

    Number of target joints recorded within 52 weeks post-BBM-H901 injection.

  5. Phase 1/2/3: Joint Bleeding Episodes

    Time frame: 52 weeks post-infusion

    Total number of joint bleeding events occurring within 52 weeks post-BBM-H901 injection.

  6. Phase 1/2/3: Bleeding-Free Subjects

    Time frame: 52 weeks post-infusion

    Proportion of subjects experiencing no bleeding events within 52 weeks post-BBM-H901 injection.

  7. Phase 1/2/3: Adverse Event Incidence

    Time frame: 52 weeks post-infusion

    Incidence of adverse events (AEs) and serious adverse events (SAEs) within 52 weeks post-BBM-H901 injection.

  8. Phase 1/2/3: FIX Inhibitor Incidence

    Time frame: 52 weeks post-infusion

    Incidence of FIX inhibitors measured by Bethesda or Nijmegen-Bethesda assays within 52 weeks post-BBM-H901 injection.

  9. Phase 1/2/3: AAV Vector Shedding

    Time frame: 52 weeks post-infusion

    Changes in AAV vector shedding in plasma, urine, semen, saliva, and PBMCs within 52 weeks post-BBM-H901 injection.

Sponsors and collaborators

Lead sponsor

Shanghai Xinzhi BioMed Co., Ltd.

Industry

Registry information

Official study title

A Phase 1/2/3 Open-label Study to Evaluate the Safety, Tolerability and Efficacy of an Adeno-associated Virus Vector Containing an Expression Cassette of the Human Factor IX Transgene (BBM-H901) Injection in Patients With Hemophilia B

Important dates

Study start
2021
Primary completion
2024
Study completion
2028
First posted
Jan 24, 2022
Registry last updated
Apr 1, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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