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Liver Biopsy In Haemophilia Gene Therapy

Sponsor: University College, London

NCT ID: NCT04817462

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Access to the study treatment being tested
Type of study
Interventional (receives a drug or procedure)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
Liver biopsy (procedure)
How long the study runs
Study runs about 35 months (dates as stated)
About the drug or intervention
Liver biopsy — procedure: The study population is patients with either haemophilia A or B who have previously been administered gene therapy treatment in one of three specific gene therapy clinical trials.
Patient visit burden
Not specified by the sponsor
Type of study
Testing a treatment
Ages
18 Years to 80 Years
Who
Male
Number of participants
10
Started
2022-08-05
Last checked
2024-12

Plain English Summary

What is this study?

  • • Testing a new treatment for hemophilia b, severe
  • • NA - 10 participants
  • • To perform a liver biopsy in haemophilia A and B patients with endogenous FVIII:C/FIX:C expression at \>1% any time after gene transfer following AAV mediated gene transfer

Who can take part?

  • • Ages 18 Years to 80 Years
  • • Diagnosed with hemophilia b, severe
  • • Male only

Where?

  • • London - Royal Free Hospital

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

To perform a liver biopsy in haemophilia A and B patients with endogenous FVIII:C/FIX:C expression at \>1% any time after gene transfer following AAV mediated gene transfer. This is to obtain tissue for analysis, to understand if FIX/FVIII transgenic protein expression is mediated by AAV proviral DNA that is integrated into the host cell DNA or if stable expression in humans is mediated by episomal maintained AAV genome.

More detail

To better understand the consequences of AAV gene transfer patients will be recruited to undergo a liver biopsy. Patients will have endogenous FVIII:C/FIX:C expression at \>1% any time after gene transfer following AAV mediated gene transfer. Analysis of biopsy samples will: * Provide a clearer insight into the AAV life cycle in human liver * Define the number of human hepatocytes that are transduced * Improve understanding at the human hepatocyte level of long-term consequences of AAV mediated transgene expression from the liver that will include (i) changes in the pattern of gene expression in human hepatocytes following AAV mediated gene transfer, (ii) information on the epigenetic signature in the liver following AAV mediated gene transfer and how this changes with time and (iii) the consequences of transgene expression in hepatocytes. This study will provide new data addressing several unknowns with AAV mediated gene transfer in humans that will better inform on safety and efficacy following AAV gene transfer for patients who have already participated in gene therapy studies as well as those considering this treatment option.

Hemophilia B, SevereHemophilia A, Severe

How this trial compares with your answers

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What we know so far

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Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 18 Years - 80 Years
  • Who can join: Male only

What the study is looking for

  • ✓Male and aged 18 to 80 years old
  • ✓Patients who were enrolled and treated in one of the following clinical trials at Royal Free Hospital:
  • ✓AGT4HB (EudraCT No 2005-005711-17) - FIX AAV gene therapy trial (Sponsor: St Jude Children's Research Hospital)
  • ✓GO-8 (EudraCT No 2016-000925-38) - FVIII AAV gene therapy trial (Sponsor: UCL)
  • ✓Patients with endogenous FVIII:C/FIX:C expression at \>1% any time after gene transfer, associated with normal...

Who cannot take part

  • ✗Patients with a blood clotting cell count measured at \<140 x109/L
  • ✗Patients with abnormal kidney function (estimated GFR \<50ml/min)
  • ✗Patients with a known allergy to iodine-based intravenous contrast agents
  • ✗Patients with a known allergy to local or general anaesthetic
  • ✗Patients with a known reaction to FVIII/FIX concentrate infusions
See the full criteria
Inclusion criteria: 1. Male and aged 18 to 80 years old 2. Patients who were enrolled and treated in one of the following clinical trials at Royal Free Hospital: * AGT4HB (EudraCT No 2005-005711-17) - FIX AAV gene therapy trial (Sponsor: St Jude Children's Research Hospital) * GO-8 (EudraCT No 2016-000925-38) - FVIII AAV gene therapy trial (Sponsor: UCL) * FLT180a-01 (EudraCT: 2017-000852-24) - FIX AAV gene therapy trial ((Sponsor: UCL) \[now enrolled in long term follow up study FLT180a-04 (EudraCT No 2017-005080-40) (Sponsor: Freeline Therapeutics Ltd) 3. Patients with endogenous FVIII:C/FIX:C expression at \>1% any time after gene transfer, associated with normal prothrombin (PT) and thrombin times (TT) as determined in a coagulation assay. Exclusion Criteria: 1. Patients with a platelet count measured at \<140 x109/L 2. Any condition that, in the opinion of the investigator or Sponsor would prevent the patient from fully complying with the requirements of the study and/or would influence or interfere with evaluation and interpretation of subject safety or efficacy result. 3. Patients with abnormal kidney function (estimated GFR \<50ml/min) 4. Patients with a known allergy to iodine-based intravenous contrast agents 5. Patients with a known allergy to local or general anaesthetic 6. Patients with a known reaction to FVIII/FIX concentrate infusions 7. Presence of FVIII or FIX inhibitor (done within 14 weeks of biopsy) 8. Evidence of any bleeding disorder not related to haemophilia A or B 9. Patients unable and unwilling to provide and sign an informed consent.

Where Is This Study? (1 UK site)

Royal Free Hospital

London NW3 2QG, United Kingdom

Recruiting
Site contact (verified)
Paul Batty, MBBS MRCPPrincipal Investigator

How to Get in Touch

Paul Batty

Sponsor contact

CONTACT

020 7794 0500 paul.batty@ucl.ac.uk
Data sourced from ClinicalTrials.gov · Last verified: 2024-12