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
- REGV131 (drug), LNP1265 (drug)
- How long the study runs
- Study runs about 275 months (dates as stated)
- About the drug or intervention
- REGV131 — drug: Administered per the protocol before LNP1265 · LNP1265 — drug: Administered per the protocol following REGV131
- Patient visit burden
- Not specified by the sponsor
- Type of study
- Testing a treatment
- Ages
- 2 Years and over
- Who
- Male
- Number of participants
- 130
- Started
- 2024-09-11
- Last checked
- 2026-10
Plain English Summary
What is this study?
- • Testing a new treatment for hemophilia b
- • Phase1/Phase2 - 130 participants
- • Participants in this study have a genetic mutation, specifically in the coagulation (blood clotting) Factor 9 gene that causes severe or moderately severe hemophilia B
Who can take part?
- • Ages 2 Years and over
- • Diagnosed with hemophilia b
- • Male only
Where?
- • Glasgow - Glasgow Royal Infirmary - Clinical Research Facility
- • Birmingham - Queen Elizabeth Hospital Birmingham
- • Cambridge - Addenbrooke's Hospital, Cambridge University Hospitals NHS FT
- • London - Pathology and Pharmacy Building, The Royal London Hospital
- • +3 more UK sites
This is a simplified summary. Always discuss with your doctor before making any decisions.
About This Trial
Participants in this study have a genetic mutation, specifically in the coagulation (blood clotting) Factor 9 gene that causes severe or moderately severe hemophilia B. This study is researching an experimental gene insertion therapy (the adding of a gene into your DNA) called REGV131-LNP1265, also called the "study drug". Gene insertion therapy aims to teach the body how to produce clotting factor long-term, without the need for factor replacement therapy. The main aim of this study is to find a safe and well-tolerated dose of the study drug by checking the side effects that may happen from taking it, both in the near term and over time. The study is looking at several other research questions including: * How much study drug is in the blood at different times * Whether the body makes antibodies against parts of the study drug, which could make the drug less effective or could lead to side effects. Antibodies are proteins produced by the body's immune system in response to a foreign substance * Whether the body makes antibodies against the clotting factor replacement therapy * How often factor replacement therapy is needed, both on a regular basis for prevention of bleeding, and as needed to treat bleeding events (and it if changes after taking study drug) * Whether there is a difference in 2 different methods for measuring Factor 9 activity in the blood
More detail
The study will be conducted with a 2-part adaptive design, with enrollment of patients into sequential parts of the study. Part 1: Dose Escalation and Dose Confirmation in adult patients ≥18 years of age * Dose Escalation Cohorts to determine the Recommended Dose for Expansion (RDE) of REGV131-LNP1265 * Dose Confirmation Cohort to gain further confidence in safety, tolerability, and Coagulation Factor IX (FIX) functional activity data at the RDE Part 2: Dose Expansion at the RDE * Part 2A: Adult patients ≥18 years of age: RDE of REGV131-LNP1265, as determined in Part 1 * Part 2B: Adolescent patients ≥12 to \<18 years of age will be administered weight-adjusted RDE * Part 2C: Adolescent and Pediatric patients ≥2 to \<12 years may be enrolled in an age staggered sequential manner; first participants aged ≥6 to \<12 years and then participants ≥2 to \<6 years of age and will receive a weight-adjusted RDE
How this trial compares with your answers
Answer 2 more questions to improve match
What we know so far
Still need:
- • Tell us your age for better matching
- • Tell us your sex for better matching
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: 2 Years and over
- Who can join: Male only
What the study is looking for
- ✓Confirmed diagnosis of severe or moderately severe hemophilia B with medical history of FIX functional activity (≤2%...
- ✓Currently taking FIX prophylaxis and previous experience with FIX therapy, as defined in the protocol
Who cannot take part
- ✗History of FIX inhibitor (clinical or laboratory-based assessment) on 2 or more occasions
- ✗Bethesda inhibitor titer greater than the Upper Limit of Normal (ULN) at screening
- ✗Detectable pre-existing antibodies to the AAV8 capsid; as measured by Enzyme-Linked ImmunoSorbent Assay (ELISA) at...
- ✗Any significant underlying liver disease such as: cholestatic liver disease, liver cirrhosis, portal hypertension,...
- ✗Evidence of advanced liver fibrosis or significant fatty liver, as defined in the protocol
See the full criteria
Where Is This Study? (7 UK sites)
Glasgow Royal Infirmary - Clinical Research Facility
Glasgow G31 2ER, United Kingdom
Queen Elizabeth Hospital Birmingham
Birmingham B15 2TH, United Kingdom
Addenbrooke's Hospital, Cambridge University Hospitals NHS FT
Cambridge CB2 0QQ, United Kingdom
Pathology and Pharmacy Building, The Royal London Hospital
London E1 2ES, United Kingdom
Royal Free London NHS Foundation Trust
London NW3 2QG, United Kingdom
St. Thomas' Hospital
London SE1 7EH, United Kingdom
Hammersmith Hospital Comprehensive Care Centre
London W12 0HS, United Kingdom
How to Get in Touch
Clinical Trials Administrator
Sponsor contactCONTACT
