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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05121376
Registration number
NCT05121376
Ethics application status
Date submitted
28/10/2021
Date registered
16/11/2021
Date last updated
16/05/2024
Titles & IDs
Public title
A Gene Therapy Study of BMN 331 in Subjects With Hereditary Angioedema
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Scientific title
A Phase 1/2 Open-Label, Dose-Escalation Study to Determine the Safety Tolerability & Efficacy of BMN 331 an AAV Vector-Mediated Gene Transfer of Human SERPING1 Gene in Subjects With HAE Due to Human C1-INH Deficiency
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Secondary ID [1]
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331-201
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Universal Trial Number (UTN)
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Trial acronym
HAErmony-1
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hereditary Angioedema
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HAE
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Condition category
Condition code
Cardiovascular
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Diseases of the vasculature and circulation including the lymphatic system
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Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Blood
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Other blood disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - Dose 1 of BMN 331
Treatment: Other - Dose 2 of BMN 331
Treatment: Other - Dose 3 of BMN 331
Treatment: Other - Dose 4 of BMN 331
Treatment: Other - Dose 5 of BMN 331
Treatment: Other - Dose 6 of BMN 331
Treatment: Other - Dose 7 of BMN 331
Experimental: BMN 331 - AAV Gene Therapy Infusion
Treatment: Other: Dose 1 of BMN 331
BMN 331 AAV Gene Therapy
Treatment: Other: Dose 2 of BMN 331
BMN 331 AAV Gene Therapy
Treatment: Other: Dose 3 of BMN 331
BMN 331 AAV Gene Therapy
Treatment: Other: Dose 4 of BMN 331
BMN 331 AAV Gene Therapy
Treatment: Other: Dose 5 of BMN 331
BMN 331 AAV Gene Therapy
Treatment: Other: Dose 6 of BMN 331
BMN 331 AAV Gene Therapy
Treatment: Other: Dose 7 of BMN 331
BMN 331 AAV Gene Therapy
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Number of participants with treatment-emergent adverse events following a single IV administration of BMN 331
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Assessment method [1]
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Number of participants with treatment-emergent adverse events following a single IV administration of BMN 331
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Timepoint [1]
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At 5 years
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Secondary outcome [1]
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Time-normalized number of investigator-confirmed HAE attacks
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Assessment method [1]
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Timepoint [1]
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At 5 years
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Secondary outcome [2]
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Time-normalized number of investigator-confirmed HAE attacks by severity (mild, moderate, severe)
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Assessment method [2]
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Timepoint [2]
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At 5 years
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Secondary outcome [3]
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Time-normalized use of HAE-specific medication
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Assessment method [3]
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Timepoint [3]
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At 5 years
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Secondary outcome [4]
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Plasma levels of functional C1-INH following BMN-331 infusion and change from baseline
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Assessment method [4]
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Timepoint [4]
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At 5 years
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Secondary outcome [5]
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Plasma levels of C1-INH antigen following BMN 331 infusion and change from baseline
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Assessment method [5]
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Timepoint [5]
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At 5 years
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Secondary outcome [6]
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Detection of total antibodies against AAV5 capsid following BMN 331 infusion
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Assessment method [6]
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Timepoint [6]
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At 5 years
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Secondary outcome [7]
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Detection of total antibodies against C1-INH following BMN 331 infusion
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Assessment method [7]
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Timepoint [7]
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At 5 years
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Secondary outcome [8]
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Detection of neutralizing antibodies against C1-INH following BMN 331 infusion
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Assessment method [8]
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Timepoint [8]
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At 5 years
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Eligibility
Key inclusion criteria
1. Female or male adults ( = 18 years old)
2. Part A only: Confirmed diagnosis of Type I HAE due to C1-INH deficiency confirmed by genotyping of the SERPING1 gene Part B only: Confirmed diagnosis of Type I or II HAE due to C1-INH deficiency confirmed by genotyping of the SERPING1 gene
3. Currently using an HAE medication regimen that consists of a routine long-term prophylactic treatment for at least 6 months prior to enrollment or an on-demand therapy regimen for a documented attack frequency of at least 4 attacks within the last 12 months prior to enrollment or at least 2 attacks within the last 6 months prior to enrollment
4. Trained in self-administering acute attack treatment and is able to adequately manage acute attacks in a home setting
5. Willingness to abstain from consumption of alcohol for at least 52 weeks post BMN 331 infusion and to use highly effective contraception
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Evidence of active or chronic infection, including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), or any immunosuppressive disorder
2. Contraindication to using glucocorticosteroids GCS, including a diagnosis of glaucoma or untreated osteoporosis
3. Active malignancy (except non-melanoma skin cancer) autoimmune, metabolic (i.e., diabetes), hematologic, cardiac, or renal disease that is of clinical significance defined as requiring regular medical attention and treatment
4. Prior gene therapy treatment
5. Prior use of high-dose attenuated androgens in the last 1 year prior to the study
6. History or current clinically relevant liver disease (eg, nonalcoholic steatohepatitis [NASH], or chronic viral hepatitis B or C [HBV or HCV] or autoimmune hepatitis)
7. Have a history or are at risk for clinically significant thromboembolic events (TEE) , or known underlying risk factor for thrombosis including thrombotic microangiopathy (TMA)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
15/02/2022
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/11/2028
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Actual
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Sample size
Target
44
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Royal Prince Alfred Hospital, - Camperdown
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Recruitment postcode(s) [1]
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2050 - Camperdown
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Recruitment outside Australia
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United States of America
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State/province [1]
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Alabama
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Arizona
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California
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United States of America
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Colorado
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Kansas
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United States of America
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Maryland
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United States of America
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State/province [7]
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Mississippi
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Missouri
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North Carolina
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Ohio
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Pennsylvania
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Texas
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Spain
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State/province [13]
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Barcelona
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Country [14]
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Spain
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State/province [14]
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Madrid
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
BioMarin Pharmaceutical
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a Phase 1/2, single-arm, open-label, dose-escalation and dose-expansion study of BMN 331 for the treatment of hereditary angioedema (HAE) due to C1 Esterase Inhibitor (C1-INH) protein deficiency. The study drug BMN 331is identified as AAV5 hSERPING1, an adeno-associated virus (AAV5)-based gene therapy vector that expresses wild-type human C1 Esterase Inhibitor (hC1-INH), under the control of a liver-selective promoter, and is being developed for the treatment of HAE with C1-INH deficiency. The pharmaceutical form of BMN 331 is a solution for intravenous infusion.
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Trial website
https://clinicaltrials.gov/study/NCT05121376
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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MD Medical Director
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Address
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BioMarin Pharmaceutical
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Country
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Phone
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Fax
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Email
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Contact person for public queries
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Address
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05121376
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