Study of the Safety, Pharmacodynamics and Efficacy of ANB-002 in Patients With Hemophilia B (SAFRAN)

NCT ID: NCT06120582

Last Updated: 2025-06-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

28 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-05-02

Study Completion Date

2029-11-30

Brief Summary

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The goal of this multicenter, two-stage, open-label study is to investigate the safety, immunogenicity, and efficacy of ANB-002 in subjects with hemophilia Ð’. The study will have a dose-escalation design with elements of phase I/II seamless adaptive design.

Detailed Description

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The study design includes ANB-002 dose escalation in at three cohorts. In Cohort 1, the subject is treated with a single dose of ANB-002 (dose 1) administered as an intravenous infusion. Follow-up for the assessment of dose-limiting toxicity (DLT) will be carried out for 28 days. If no DLT events are observed in the subject of Cohort 1, the following subjects will be included in Cohort 1.

In Cohort 2, the subjects are treated with a single dose of ANB-002 (dose 2). In Cohort 3, the subject are treated with a single dose of ANB-002 (dose 3).

The decision to continue enrolling in cohorts will be made at the Independent Data Monitoring Committee (IDMC) meeting. After the IDMC makes a decision regarding the dosing subjects, further enrolment to the cohort will be carried out.

Based on the data from the follow-up period of subjects included in Сohorts 1-3, a potential therapeutic dose for further study will be determined and additional patients will be included to recieve this dose.

In exploratory Cohort 4 patients with anti-AAV5 antibodies and/or hepatitis B in anamnesis will be included. These subjects will recieve the dose 3 of ANB-002.

The total duration of participation of one subjects in the study will be 5 years.

Conditions

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Hemophilia B

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cohort 1

Subjects in Cohort 1 will receive ANB-002 (arvenacogene sanparvovec) at a dose 1. Follow-up for the assessment of dose-limiting toxicity (DLT) will be carried out for 28 days. If no DLT events are observed in the subject of Cohort 1, the following subjects will be included in Cohort 1.

Group Type EXPERIMENTAL

ANB-002, dose 1

Intervention Type GENETIC

Adeno-associated viral vector carrying the FIX gene single infusion at dose 1.

Cohort 2

Subjects in Cohort 2 will receive ANB-002 (arvenacogene sanparvovec) at a dose 2. The decision to continue enrolling in Cohort 1 or dosing in Cohort 2 will be made at the IDMC meeting. After the IDMC makes a decision regarding the dosing in Cohort 2 subjects, the next subject will be included in Cohort 2. If no DLT events are observed in the subject of Cohort 2, the following subjects will be included in Cohort 2.

Group Type EXPERIMENTAL

ANB-002, dose 2

Intervention Type GENETIC

Adeno-associated viral vector carrying the FIX gene single infusion at dose 2.

Cohort 3

Subjects in Cohort 3 will receive ANB-002 (arvenacogene sanparvovec) at a dose 3. The decision to continue enrolling in Cohort 2 or dosing in Cohort 3 will be made at the IDMC meeting.

Group Type EXPERIMENTAL

ANB-002, dose 3

Intervention Type GENETIC

Adeno-associated viral vector carrying the FIX gene single infusion at dose 3.

Cohort 4

Exploratory cohort. Subjects in Cohort 4 (with anti-AAV5 antibodies and/or hepatitis B in anamnesis) will receive ANB-002 (arvenacogene sanparvovec) at the dose 3.

Group Type EXPERIMENTAL

ANB-002, dose 3

Intervention Type GENETIC

Adeno-associated viral vector carrying the FIX gene single infusion at dose 3.

Interventions

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ANB-002, dose 1

Adeno-associated viral vector carrying the FIX gene single infusion at dose 1.

Intervention Type GENETIC

ANB-002, dose 2

Adeno-associated viral vector carrying the FIX gene single infusion at dose 2.

Intervention Type GENETIC

ANB-002, dose 3

Adeno-associated viral vector carrying the FIX gene single infusion at dose 3.

Intervention Type GENETIC

Other Intervention Names

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arvenacogene sanparvovec arvenacogene sanparvovec arvenacogene sanparvovec

Eligibility Criteria

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Inclusion Criteria

1. Male with hemophilia B.
2. Age ≥18 years.
3. FIX activity at screening ≤2% without FIX inhibitor.
4. ≥150 previous exposure days of treatment with FIX concentrates.

Exclusion Criteria

1. Previous gene therapy.
2. Other blood or hematopoietic disorders.
3. Positive Anti-AAV5 antibodies (for Cohorts 1-3).
4. Diagnosed HIV-infection, not controlled with anti-viral therapy.
5. Hepatitis B (for Cohorts 1-3), acute or chronic hepatitis C.
6. Any active systemic infections or recurrent infections requiring systemic therapy at screening.
7. Any other disorders associated with severe immunodeficiency.
8. Significant hepatic disorders (liver cirrhosis, liver fibrosis, etc).
9. Malignancies with remission \<5 years.
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Biocad

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Arina V Zinkina-Orikhan, MD

Role: STUDY_DIRECTOR

Director of Clinical Development Department, BIOCAD

Locations

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Republican Scientific and Practical Center for Radiation Medicine and Human Ecology

Homyel, , Belarus

Site Status RECRUITING

Minsk Scientific and Practical Center for Surgery, Transplantology and Hematology

Minsk, , Belarus

Site Status RECRUITING

State Autonomous Institution for Healthcare "Chelyabinsk Regional Clinical Hospital"

Chelyabinsk, , Russia

Site Status RECRUITING

State budgetary healthcare institution Leningrad Regional Clinical Hospital

Gatchina, , Russia

Site Status RECRUITING

Kuzbass Clinical Hospital named after S.V. Belyaev

Kemerovo, , Russia

Site Status RECRUITING

Federal State Budgetary Organization of Science "Kirov Research Institute of Hematology and Blood Transfusions of Federal Medical Biological agency"

Kirov, , Russia

Site Status RECRUITING

Federal State Budgetary Institution "National Medical Research Centre for Hematology" of the Ministry of Health of Russian Federation (Department of Clinical Diagnostics for Hematology and Hemostasis Disorders)

Moscow, , Russia

Site Status RECRUITING

Federal State Budgetary Institution "National Medical Research Centre for Hematology" of the Ministry of Health of Russian Federation (Department of Traumatology and Reconstructive and Restorative Orthopedics for Patients with Hemophilia)

Moscow, , Russia

Site Status RECRUITING

Federal Budgetary Institution "Moscow City Clinical Hospital named after S. P. Botkin"

Moscow, , Russia

Site Status RECRUITING

LLC "Medis"

Nizhny Novgorod, , Russia

Site Status RECRUITING

State Novosibirsk Regional Clinical Hospital

Novosibirsk, , Russia

Site Status RECRUITING

Russian Research Institute of Hematology and Transfusiology Federal State Institution of Federal Medical and Biological Agency

Saint Petersburg, , Russia

Site Status RECRUITING

City Polyclinic â„–37

Saint Petersburg, , Russia

Site Status RECRUITING

Almazov National Medical Research Centre

Saint Petersburg, , Russia

Site Status RECRUITING

Federal State Budgetary Educational Institution of Higher Education "Samara State Medical University" of the Ministry of Healthcare of the Russian Federation

Samara, , Russia

Site Status RECRUITING

State Institution "Komi Republican Oncological Dispensary"

Syktyvkar, , Russia

Site Status RECRUITING

Federal State Budgetary Educational Institution of Higher Education "Bashkir State Medical University" of the Ministry of Healthcare of the Russian Federation

Ufa, , Russia

Site Status RECRUITING

Countries

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Belarus Russia

Central Contacts

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Anna Eremeeva, MD PhD

Role: CONTACT

+7 (812) 380 49 34 ext. ext. 6963

Facility Contacts

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Dmitrii Novik

Role: primary

+375232336333

Anatoly Uss

Role: primary

+375172771091

Aleksandr Korobkin

Role: primary

+7 (351) 729 86 60

Vladimir Vorobyev

Role: primary

+7 (812) 670 18 88

Marina Kosinova

Role: primary

+7 (3842) 39 65 33

Margarita Timofeeva

Role: primary

+7 (8332) 25 59 19

Nadezhda Zozulya

Role: primary

+7 (800) 775 05 82

Vladimir Zorenko

Role: primary

+7 (495) 613 24 69

Vadim Ptushkin

Role: primary

+7 (499) 490 03 03

Svetlana Volkova

Role: primary

+7 (831) 215 20 00

Tatyana Pospelova

Role: primary

+7 (383) 315 99 99

Sergey Voloshin

Role: primary

+7 (812) 309 79 81

Tatyana Andreeva

Role: primary

+7(812) 312 82 43

Vladimir Ivanov

Role: primary

+7 (812) 702 37 16

Igor Davydkin

Role: primary

+7 (846) 374 91 00

Andrey Proydakov

Role: primary

+7 (800) 100 40 28

Bulat Bakhirov

Role: primary

+7 (347) 272 41 73

Other Identifiers

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ANB-002-1

Identifier Type: -

Identifier Source: org_study_id

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