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Looking for participantsPhase1/Phase2

A Study to Investigate the Safety and Effectiveness of a Coagulation Factor IX Gene Insertion Therapy (REGV131-LNP1265) in Pediatric, Adolescent and Adult Participants With Hemophilia B

Sponsor: Regeneron Pharmaceuticals

NCT ID: NCT06379789

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
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

Hemophilia B

How this trial compares with your answers

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What we know so far

Condition· Matched your search
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Still need:

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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: 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
Key Inclusion Criteria: 1. Confirmed diagnosis of severe or moderately severe hemophilia B with medical history of FIX functional activity (≤2% or \<0.02 IU/mL) or documented genotype known to produce severe hemophilia B 2. Currently taking FIX prophylaxis and previous experience with FIX therapy, as defined in the protocol 3. Participation in the lead-in period of this interventional study OR a separate lead-in study (R0000-HEMB-2187 \[NCT05568459\]) for at least 6 months for ABR data while taking FIX prophylaxis, as defined in the protocol Key Exclusion Criteria: 1. History of FIX inhibitor (clinical or laboratory-based assessment) on 2 or more occasions 2. Bethesda inhibitor titer greater than the Upper Limit of Normal (ULN) at screening 3. Detectable pre-existing antibodies to the AAV8 capsid; as measured by Enzyme-Linked ImmunoSorbent Assay (ELISA) at prescreening (or final lead-in visit, if applicable) 4. Any significant underlying liver disease such as: cholestatic liver disease, liver cirrhosis, portal hypertension, splenomegaly, hepatic encephalopathy 5. Evidence of advanced liver fibrosis or significant fatty liver, as defined in the protocol 6. Evidence of cirrhosis and/or portal hypertension as assessed by abdominal ultrasound at screening or measured within 6 months prior to the screening visit 7. History of arterial or venous thrombo-embolic events, as defined in the protocol 8. History of hypersensitivity to corticosteroids or known medical condition that requires chronic administration of corticosteroids 9. Previously received any AAV gene-based therapy or intends to receive approved or investigational AAV-based gene therapy other than REGV131-LNP1265 during the study period NOTE: Other Inclusion/Exclusion Protocol Defined Criteria Apply

Where Is This Study? (7 UK sites)

Glasgow Royal Infirmary - Clinical Research Facility

Glasgow G31 2ER, United Kingdom

Recruiting

Queen Elizabeth Hospital Birmingham

Birmingham B15 2TH, United Kingdom

Recruiting
Hospital R&D contact (matched)

Sarah Pountain Head of Research Governance

R&D@uhb.nhs.uk0121 371 4185

Addenbrooke's Hospital, Cambridge University Hospitals NHS FT

Cambridge CB2 0QQ, United Kingdom

Recruiting
Hospital R&D contact (matched)

Stephen Kelleher

cuh.research@nhs.net01223 348490

Pathology and Pharmacy Building, The Royal London Hospital

London E1 2ES, United Kingdom

Recruiting
Hospital R&D contact (matched)

Natasha Ajraam

rf-tr.randd@nhs.net020 375 82150

Royal Free London NHS Foundation Trust

London NW3 2QG, United Kingdom

Recruiting
Hospital R&D contact (matched)

Natasha Ajraam

rf-tr.randd@nhs.net020 375 82150

St. Thomas' Hospital

London SE1 7EH, United Kingdom

Recruiting
Hospital R&D contact (matched)

Main Email: gstt.research.rbhh@nhs.net

gstt.research.rbhh@nhs.netn/a

Hammersmith Hospital Comprehensive Care Centre

London W12 0HS, United Kingdom

Recruiting

How to Get in Touch

Clinical Trials Administrator

Sponsor contact

CONTACT

844-734-6643 clinicaltrials@regeneron.com
Data sourced from ClinicalTrials.gov · Last verified: 2026-10