Study of a Gene Therapy Treatment for Hemophilia A

NCT ID: NCT06297486

Last Updated: 2024-12-13

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

WITHDRAWN

Clinical Phase

PHASE3

Study Classification

INTERVENTIONAL

Study Start Date

2024-03-13

Study Completion Date

2035-09-04

Brief Summary

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The purpose of this study is to evaluate the efficacy of SPK-8011 in preventing bleed episodes compared with FVIII prophylaxis in participants with hemophilia A without FVIII inhibitors on routine FVIII prophylaxis.

Detailed Description

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Conditions

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Hemophilia A

Keywords

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Dirloctocogene samoparvovec SPK 8011 Blood coagulation factor VIII FVIII AAV-Spark200-BDD-hFVIII Gene Therapy

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Participants will be assigned into one of three cohorts, each receiving the same study treatment.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cohort A (Primary Cohort)

Participants with severe or moderately severe hemophilia A without FVIII inhibitors using routine FVIII prophylaxis

Group Type EXPERIMENTAL

SPK-8011

Intervention Type GENETIC

Participants will receive a single dose of SPK-8011, administered by intravenous (IV) infusion, on Day 1.

Cohort B

Participants with severe or moderately severe hemophilia A without FVIII inhibitors using on-demand FVIII replacement therapy

Group Type EXPERIMENTAL

SPK-8011

Intervention Type GENETIC

Participants will receive a single dose of SPK-8011, administered by intravenous (IV) infusion, on Day 1.

Cohort C

Participants with severe or moderately severe hemophilia A without FVIII inhibitors using emicizumab prophylaxis

Group Type EXPERIMENTAL

SPK-8011

Intervention Type GENETIC

Participants will receive a single dose of SPK-8011, administered by intravenous (IV) infusion, on Day 1.

Interventions

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SPK-8011

Participants will receive a single dose of SPK-8011, administered by intravenous (IV) infusion, on Day 1.

Intervention Type GENETIC

Other Intervention Names

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AAV-Spark200-BDD-hFVIII Dirloctocogene samoparvovec

Eligibility Criteria

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Inclusion Criteria

* Have a negative anti-AAV-Spark200 neutralizing antibody (NAb) test result.
* Are adult males with severe or moderately severe hemophilia A, defined as endogenous FVIII activity ≤3%, as documented by a certified laboratory (historically or during the Screening Period) and where the FVIII:C level is measured more than 96 hours after the prior dose of an extended-half-life FVIII
* Have ≥150 documented exposure days to an FVIII protein product such as recombinant, plasma-derived, or extended half-life FVIII product
* Have no prior history of hypersensitivity or anaphylaxis associated with the administration of any FVIII product.
* Have screening hepatic ultrasound without evidence of cirrhosis and no laboratory or clinical evidence per the Investigator's judgment of advanced liver disease or cirrhosis.
* Have a negative test for inhibitor against FVIII (ie, \<0.6 Bethesda units \[BU\]) during screening.
* Have no documented FVIII inhibitor (ie, \<0.6 BU), FVIII half-life \<6 hours, or FVIII recovery \<66% in the 5 years prior to screening.
* Candidates who completed successful immune tolerance induction (ITI) at least 5 years before screening are eligible, provided they have had no evidence of inhibitor recurrence (permanent or temporary) within 5 years prior to screening as may be indicated by detection of an inhibitor, FVIII half-life \<6 hours, or FVIII recovery \<66% since completing ITI.
* If human immunodeficiency virus (HIV)-positive at screening, have an adequate cluster of differentiation 4 (CD4) count (\>200/mm3) and undetectable viral load (\<50 genome copies \[gc\]/mL), are on an antiretroviral drug regimen, and have completed at least 12 weeks of this treatment regimen prior to screening.

* Cohort A: have documented history of prior treatment with FVIII prophylaxis (defined as receiving a prescribed dose and frequency of FVIII infusions with the intent to treat continuously for 52 weeks per year) for a minimum of 6 months prior to screening; and are willing to continue their FVIII prophylaxis during the Lead-In Period of this study (minimum of 24 weeks).
* Cohort B: have documented history of prior treatment with FVIII on demand for a minimum of 6 months that shows ≥5 treated bleeds in the last 6 months prior to screening.
* Cohort C: have documented history of prior treatment with emicizumab prophylaxis for a minimum of 6 months prior to screening.

Exclusion Criteria

* Have an inherited or acquired bleeding disorder other than hemophilia A
* Have inherited or acquired thrombophilia, have signs of thromboembolic disease in the Investigator's judgment, or are on current treatment for thromboembolic disease. A history of previous catheter-associated thrombosis for which anti-thrombotic treatment is not currently ongoing is not considered an exclusion criterion.
* Have concurrent disease, treatment, or abnormality in clinical laboratory tests that could interfere with the conduct of the study or that would, in the opinion of the Investigator or Sponsor, preclude the candidate's safe participation in and completion of the study, or the interpretation of the study results.
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Spark Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Phoenix Children's Hospital

Phoenix, Arizona, United States

Site Status

Loma Linda University Health

Loma Linda, California, United States

Site Status

Orthopaedic Institute for Children/Orthopaedic Hemophilia Treatment Center

Los Angeles, California, United States

Site Status

Kaiser Permanente-Oakland Medical Center

Oakland, California, United States

Site Status

Kaiser Permanente-Roseville Medical Center

Roseville, California, United States

Site Status

Kaiser Permanente -Sacramento Medical Center

Sacramento, California, United States

Site Status

Kaiser Permanente -San Francisco Medical Center

San Francisco, California, United States

Site Status

University of California - San Francisco

San Francisco, California, United States

Site Status

Kaiser Permanente- Santa Clara Medical Center

Santa Clara, California, United States

Site Status

Kaiser Permanente-Vallejo Medical Center

Vallejo, California, United States

Site Status

Kaiser Permanente -Walnut Creek Medical Center

Walnut Creek, California, United States

Site Status

University of Florida

Gainesville, Florida, United States

Site Status

Boston Children's Hospital

Boston, Massachusetts, United States

Site Status

University of Minnesota

Minneapolis, Minnesota, United States

Site Status

Newark Beth Israel

Newark, New Jersey, United States

Site Status

Weill Cornell Medical Hospital

New York, New York, United States

Site Status

University of North Carolina - Chapel Hill

Chapel Hill, North Carolina, United States

Site Status

Cincinnati Children's Hospital

Cincinnati, Ohio, United States

Site Status

University Hospitals Cleveland

Cleveland, Ohio, United States

Site Status

Nationwide Children's Hospital

Columbus, Ohio, United States

Site Status

Oregon Health & Sciences University

Portland, Oregon, United States

Site Status

Penn State Hershey Medical Center

Hershey, Pennsylvania, United States

Site Status

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Cook Children's Hospital

Fort Worth, Texas, United States

Site Status

The University of Texas Health Science Center at Houston-Gulf States Hemophilia & Thrombosis Center

Houston, Texas, United States

Site Status

University of Utah

Salt Lake City, Utah, United States

Site Status

Bloodworks NW

Seattle, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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2023-504537-46

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

SPK-8011-302

Identifier Type: -

Identifier Source: org_study_id