Long-term Follow-up Study of Male Adults with Hemophilia B Previously Treated with Etranacogene Dezaparvovec (CSL222)

2023-503765-37-00 Protocol CSL222_3003 Phase II and Phase III (Integrated) Ongoing, recruitment ended

Start 30 Sep 2024 · Status Ongoing, recruitment ended · 6 EU/EEA countries · 10 sites · Protocol CSL222_3003

Overview

Sponsor-declared trial summary

Phase Phase II and Phase III (Integrated)
Status Ongoing, recruitment ended
Participants planned 56
Countries 6
Sites 10

Hemophilia B

To assess the long-term safety in adult male subjects with hemophilia B who were treated with CSL222 in Study CSL222_2001 or Study CSL222_3001

Key facts

Sponsor
CSL Behring LLC
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male
Therapeutic area
Diseases [C] - Hemic and Lymphatic Diseases [C15]
Trial duration
30 Sep 2024 → ongoing
Decision date (initial)
2024-03-05
Transition trial
No
Low-intervention
Yes
Rare-disease indication
Yes
Vulnerable population
No

External identifiers

EU CT number
2023-503765-37-00
ClinicalTrials.gov
NCT05962398

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety

To assess the long-term safety in adult male subjects with hemophilia B who were treated with CSL222 in Study CSL222_2001 or Study CSL222_3001

Conditions and MedDRA coding

Hemophilia B

VersionLevelCodeTermSystem organ class
20.0 LLT 10018939 Haemophilia B (Factor IX) 10010331

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 Long-term Follow-up
This is an open-label, long-term follow-up extension study enrolling subjects who participated in Study CSL222_2001 or Study CSL222_3001. Subjects will be monitored for long-term safety and efficacy from approximately 5 years until 15 years after treatment with CSL222 in either parent study.
Not Applicable None CSL222: Participants who received CSL222 and completed either the study CSL222_2001 (NCT03489291) or CSL222_3001 (NCT03569891) will be followed up from Year 5 after administration of CSL222 in parent study up to Year 15.

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Received treatment with CSL222 in Study CSL222_2001 or Study CSL222_3001, and completed participation in Study CSL222_2001 or Study CSL222_3001 or at least 5 years have passed since receiving CSL222.
  2. Provided written informed consent.
  3. Willing and able to adhere to all protocol requirements.

Exclusion criteria 1

  1. There are no exclusion criteria in this study

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 3

  1. Number of Participants With Serious Adverse Events (SAEs) and AEs of Special Interest (AESIs)
  2. Percentage of Participants with SAEs and AESIs
  3. Number of SAEs and AESIs

Secondary endpoints 16

  1. Annualized Bleeding Rate (ABR)
  2. Number of Participants With Zero Total, Spontaneous, Joint, and Traumatic Bleeding Episodes
  3. Endogenous Factor IX (FIX) Activity
  4. Change from Baseline by Visit in Endogenous FIX Activity
  5. Annualized Consumption of FIX Replacement Therapy
  6. Annualized Infusion Rate of FIX Replacement Therapy
  7. Number of Participants Remaining Free of Continuous FIX Prophylaxis
  8. Percentage of Participants Remaining Free of Continuous FIX Prophylaxis
  9. Number of New Target Joints
  10. Percentage Resolution of Pre-existing Target Joints
  11. EuroQol-5 Dimensions-5 Levels (EQ-5D-5L) Index Value
  12. Change From Baseline in EQ-5D-5L Index Value
  13. EQ-5D VAS Score
  14. Change From Baseline in EQ-5D VAS Score
  15. Hemophilia Quality of Life Questionnaire (Hem-A-QoL) Total Score
  16. Change From Baseline in Hem-A-QoL Total Score

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Hemgenix 1 x 10^13 genome copies/mL concentrate for solution for infusion

PRD10234072 · Product

Active substance
Etranacogene Dezaparvovec
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
IV INFUSION
Max daily dose
2 millilitre(s)/kilogram
Max total dose
2 millilitre(s)/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
NOTASSIGN — -
Marketing authorisation
EU/1/22/1715/001
MA holder
CSL BEHRING GMBH
MA country
EU
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/18/1999
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

CSL Behring LLC

Sponsor organisation
CSL Behring LLC
Address
1020 1st Avenue
City
King Of Prussia
Postcode
19406-1310
Country
United States

Scientific contact point

Organisation
CSL Behring LLC
Contact name
Trial Registration Coordinator

Public contact point

Organisation
CSL Behring LLC
Contact name
Trial Registration Coordinator

Third parties 10

OrganisationCity, countryDuties
Block Clinical Inc.
ORG-100048643
San Diego, United States Other
Unilabs A/S
ORG-100032351
Copenhagen Oe, Denmark Laboratory analysis
Everest Clinical Research Corporation
ORG-100041734
Markham, Canada Data management, E-data capture
Medpace Inc.
ORG-100026760
Cincinnati, United States On site monitoring, Code 12, Code 13, Other, Code 5, Code 8
Precision For Medicine Inc.
ORG-100041895
Frederick, United States Laboratory analysis
Inseption Group LLC
ORG-100041732
Lansdale, United States Other
Medidata Solutions Inc.
ORG-100016256
New York, United States E-data capture
MEDPACE LABORATORIES
ORG-100042942
Leuven, Belgium Laboratory analysis
ProtaGene CGT GmbH
ORG-100041450
Heidelberg, Germany Laboratory analysis
Medpace Reference Laboratories LLC
ORG-100041727
Cincinnati, United States Laboratory analysis

Locations

6 EU/EEA countries · 10 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruitment ended 6 2
Denmark Ongoing, recruitment ended 3 1
Germany Ongoing, recruitment ended 2 1
Ireland Ongoing, recruitment ended 3 1
Netherlands Ongoing, recruitment ended 12 4
Sweden Ongoing, recruitment ended 2 1
Rest of world
United Kingdom, United States
28

Investigational sites

Belgium

2 sites · Ongoing, recruitment ended
Cliniques Universitaires Saint-Luc
Hematology, Hippokrateslaan 10, Batiment 54, Sint-Lambrechts-Woluwe
UZ Leuven
Vascular Medicine, Herestraat 49, 3000, Leuven

Denmark

1 site · Ongoing, recruitment ended
Rigshospitalet
Department of Hematology, Blegdamsvej 9, 2100, Copenhagen Oe

Germany

1 site · Ongoing, recruitment ended
Vivantes Netzwerk fuer Gesundheit GmbH
Klinikum für Angiologie/Hömostaseologie, Landsberger Allee 49, Friedrichshain, Berlin

Ireland

1 site · Ongoing, recruitment ended
St James's Hospital
Haematology, James's Street, D08 NHY1, Dublin 8

Netherlands

4 sites · Ongoing, recruitment ended
Academisch Medisch Centrum
Internal and Vascular Medicine & Haemophilia, Meibergdreef 9, 1105 AZ, Amsterdam
Universitair Medisch Centrum Groningen
Haematology, Hanzeplein 1, 9713 GZ, Groningen
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Haematology, Dr. Molewaterplein 40, 3015 GD, Rotterdam
Universitair Medisch Centrum Utrecht
Van Creveldkliniek, Heidelberglaan 100, 3584 CX, Utrecht

Sweden

1 site · Ongoing, recruitment ended
Region Skane Skanes Universitetssjukhus
Hematologi, Onkologi och Strålningsfysik, Jan Waldenstroms Gata 16 Plan 5, Malmo St Johannes, Malmo

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2024-10-29 2024-10-29 2025-01-28
Denmark 2024-10-23 2024-10-23 2024-12-18
Germany 2025-03-10 2025-03-10 2025-11-27
Ireland 2025-02-12 2025-02-12 2025-03-05
Netherlands 2024-09-30 2024-09-30 2025-04-07
Sweden 2025-01-21 2025-01-21 2025-01-28

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 91 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_CSL222_3003_Protocol_2023-503765-37-00_english_redacted Amendment3
Protocol (for publication) D4_CSL222_3003_EQ-5D-5L Paper Self-Complete_dan-DK 1.1
Protocol (for publication) D4_CSL222_3003_EQ-5D-5L Paper Self-Complete_deu_DE 1
Protocol (for publication) D4_CSL222_3003_EQ-5D-5L Paper Self-Complete_dut-BE 1.2
Protocol (for publication) D4_CSL222_3003_EQ-5D-5L Paper Self-Complete_fr-BE 1.1
Protocol (for publication) D4_CSL222_3003_EQ-5D-5L Paper Self-Complete_nld-NL 1.1
Protocol (for publication) D4_CSL222_3003_Patient Facing Documents_Bleed Diary_dut-BE 2.0
Protocol (for publication) D4_CSL222_3003_Patient Facing Documents_Bleed Diary_fr-BE 2.0
Protocol (for publication) D4_CSL222_3003_Patient-Facing-Documents_bleeddiary_deu_DE 1.0
Protocol (for publication) D4_CSL222_3003_Patient-Facing-Documents_BleedDiary_nld-NL 2.0
Protocol (for publication) D4_CSL222_3003_Patient-Facing-Documents_FactorIXUseDiary_dan-DK 2.0
Protocol (for publication) D4_CSL222_3003_Patient-facing-Documents_FactorIXUseDiary_dut-BE 2.0
Protocol (for publication) D4_CSL222_3003_Patient-Facing-Documents_FactorIXUseDiary_fre-BE 2.0
Protocol (for publication) D4_CSL222_3003_Patient-Facing-Documents_FactorIXusediary_nld-NL 2.0
Protocol (for publication) D4_CSL222_3003_Patient-Facing-Documents_FIXuse_deu_DE 1.0
Protocol (for publication) D4_CSL222_3003_Patient-Facing-Documents_Haem-A-QoL_dan-DK 1
Protocol (for publication) D4_CSL222_3003_Patient-Facing-Documents_Haem-A-QoL_deu_DE 1
Protocol (for publication) D4_CSL222_3003_Patient-Facing-Documents_Haem-A-Qol_dut-BE 1
Protocol (for publication) D4_CSL222_3003_Patient-Facing-Documents_Haem-A-QoL_fre-BE 1
Protocol (for publication) D4_CSL222_3003_Patient-Facing-Documents_Heam-A-Qol_nld-NL 1
Protocol (for publication) D4_Patient facing documents_DE_FollowUpBleedDiary_CSL Behring LLC 2.0
Protocol (for publication) D4_Patient facing documents_DE_FollowUpFactorIXUseDiary_CSL Behring LLC 2.0
Protocol (for publication) D4_Patient facing documents_DK_FollowUpBleedDiary_CSL Behring LLC 2.0
Protocol (for publication) D4_Patient facing documents_IE_FollowUpBleedDiary_CSL Behring LLC 2.0
Protocol (for publication) D4_Patient facing documents_IE_FollowUpFactorIXUseDiary_CSL Behring LLC 2.0
Protocol (for publication) D4_Patient facing documents_PROMIS-29_DE_CSL Behring LLC_statement_for publication N/A
Protocol (for publication) D4_Patient facing documents_PROMIS-29_DK_CSL Behring LLC_statement_for publication N/A
Protocol (for publication) D4_Patient facing documents_PROMIS-29_DUT-FLE_CSL Behring LLC_statement_for publication N/A
Protocol (for publication) D4_Patient facing documents_PROMIS-29_EN_CLS Behring LLC_statement_for publication N/A
Protocol (for publication) D4_Patient facing documents_PROMIS-29_FR_CSL Behring LLC_statement_for publication N/A
Protocol (for publication) D4_Patient facing documents_PROMIS-29_SE_CSL Behring LLC_statement_for publication N/A
Protocol (for publication) D4_Patient facing documents_SE_FollowUpBleedDiary_CSL Behring LLC 2.0
Protocol (for publication) D4_Patient facing documents_SE_FollowUpFactorIXUseDiary_CSL Behring LLC 2
Recruitment arrangements (for publication) K1_Recruitment arrangements_Belgium_CSL Behring LLC 3
Recruitment arrangements (for publication) K1_Recruitment arrangements_DE_CSL Behring LLC 3
Recruitment arrangements (for publication) K1_Recruitment arrangements_DK_CSL Behring LLC 4
Recruitment arrangements (for publication) K1_Recruitment arrangements_IE_CSL Behring LLC 3
Recruitment arrangements (for publication) K1_Recruitment arrangements_Netherlands_CSL Behring LLC 3.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_SE_CSLBehringLLC 1
Recruitment arrangements (for publication) K2_Recruitment material_ Brochure_CSLBehringLLC 1
Recruitment arrangements (for publication) K2_Recruitment material_Brochure_BE-DUT_CSL Behring LLC 1
Recruitment arrangements (for publication) K2_Recruitment material_Brochure_BE-FR_CSL Behring LLC 1
Recruitment arrangements (for publication) K2_Recruitment material_Brochure_CSL Behring LLC 3
Recruitment arrangements (for publication) K2_Recruitment material_Brochure_CSL Behring LLC 1
Recruitment arrangements (for publication) K2_Recruitment material_Brochure_CSL Behring LLC 1
Recruitment arrangements (for publication) K2_Recruitment Material_Brochure_DE_CSL Behring LLC 1
Subject information and informed consent form (for publication) L1_SIS and ICF_adults_CSL Behring LLC 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Data Processor_CSL Behring_Clean 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Future Research_DE_CSL Behring LLC 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_LTSFU ICF_BE-DUT_CSL Behring LLC 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_LTSFU ICF_BE-FR_CSL Behring LLC 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_LTSFU ICF_CSLBehringLLC 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_LTSFU ICF_ENG_CSL Behring LLC 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_LTSFU_CSL Behring LLC 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_LTSFU_CSL Behring LLC_redacted 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF_LTSFU_DE_CSL Behring LLC_redacted 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main Adult_CSL Behring LLC_redacted 5.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_BE-DUT_CSL Behring LLC 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_BE-FR_CSL Behring LLC 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_CSL Behring LLC_redacted 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_CSLBehringLLC 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_ENG_CSL Behring LLC 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_DE_CSL Behring LLC_redacted 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Optional Future Research_CSL Behring LLC_redacted 4.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Safety Only Follow Up_CSL Behring LLC_redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Travel ICF_CSL Behring LLC 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Travel ICF_DE_CSL Behring LLC 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_Convenience Programme_Intro Letter_CSL Behring 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_Convenience Programme_IRB Screenshots_CSL Behring 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_Convenience Programme_Travel Policy_CSL Behring 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_Data Processor Consent_DE_CSLBehringLLC 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_Data Processor Consent_DU_CSLBehringLLC 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_Data Processor Consent_EN_CSLBehringLLC 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_Data Processor Consent_FR_CSLBehringLLC 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_GP Letter_CSL Behring 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_Optional Contact Form_CSLBehringLLC 1
Subject information and informed consent form (for publication) L2_Other subject information material_Optional_Contact_Card_CSL Berhing LLC 1
Subject information and informed consent form (for publication) L2_Other subject information material_Patient_Alert_Card_CSL Behring LLC 2
Subject information and informed consent form (for publication) L2_Other subject information material_PatientAlertCard_CSLBehringLLC 2
Subject information and informed consent form (for publication) L2_Other subject information material_Your rights_CSL Behring LLC NA
Synopsis of the protocol (for publication) D1_CSL222_3003_Protocol synopsis_2023-503765-37-00_BE-deu Amendment3
Synopsis of the protocol (for publication) D1_CSL222_3003_Protocol synopsis_2023-503765-37-00_BE-dut Amendment3
Synopsis of the protocol (for publication) D1_CSL222_3003_Protocol synopsis_2023-503765-37-00_BE-fre Amendment3
Synopsis of the protocol (for publication) D1_CSL222_3003_Protocol synopsis_2023-503765-37-00_english Amendment3
Synopsis of the protocol (for publication) D1_CSL222_3003_Protocol synopsis_2023-503765-37-00_NL-dut Amendment3
Synopsis of the protocol (for publication) D1_CSL222_3003_Protocol-Synopsis_2023-503765-37-00_sw Amendment2
Synopsis of the protocol (for publication) D1_Protocol_Synopsis_2023-503765-37_EN_CSL Behring LLC_Tracked Changes Amendment3
Synopsis of the protocol (for publication) D1_Protocol_Synopsis_DE_2023-503765-37_ CSL Behring LLC_Tracked Changes Amendment3
Synopsis of the protocol (for publication) D1_Protocol_Synopsis_DUT_2023-503765-37_CSL Behring LLC_TC Amendment3
Synopsis of the protocol (for publication) D1_Protocol_Synopsis_DUT_2023-503765-37_CSL Behring LLC_TC Amendment3
Synopsis of the protocol (for publication) D1_Protocol_Synopsis_FR_2023-503765-37_CSL Behring LLC_TC Amendment3

Application history

19 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-10-27 Netherlands Acceptable
2024-03-04
2024-03-04
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-03-12 Netherlands Acceptable
2024-03-04
2024-03-12
3 NON SUBSTANTIAL MODIFICATION NSM-2 2024-03-15 Netherlands Acceptable
2024-03-04
2024-03-15
4 SUBSEQUENT ADDITION OF MSC APP-4 2024-03-27 Acceptable
2024-03-04
2024-06-24
5 SUBSEQUENT ADDITION OF MSC APP-5 2024-03-27 Acceptable
2024-03-04
2024-06-21
6 SUBSEQUENT ADDITION OF MSC APP-6 2024-03-27 Acceptable
2024-03-04
2024-06-17
7 SUBSTANTIAL MODIFICATION SM-1 2024-04-04 Acceptable 2024-06-24
8 SUBSTANTIAL MODIFICATION SM-2 2024-04-04 Netherlands Acceptable 2024-04-19
9 SUBSTANTIAL MODIFICATION SM-3 2024-04-04 Acceptable 2024-05-17
10 NON SUBSTANTIAL MODIFICATION NSM-3 2024-06-24 Acceptable 2024-06-24
11 SUBSTANTIAL MODIFICATION SM-4 2024-08-09 Netherlands Acceptable
2024-11-14
2024-11-14
12 NON SUBSTANTIAL MODIFICATION NSM-4 2025-02-28 Netherlands Acceptable
2024-11-14
2025-02-28
13 NON SUBSTANTIAL MODIFICATION NSM-5 2025-07-02 Netherlands Acceptable
2024-11-14
2025-07-02
14 SUBSTANTIAL MODIFICATION SM-5 2025-07-07 Acceptable 2025-08-08
15 SUBSTANTIAL MODIFICATION SM-6 2025-07-07 Acceptable 2025-09-09
16 SUBSTANTIAL MODIFICATION SM-7 2025-07-07 Netherlands Acceptable 2025-08-18
17 SUBSTANTIAL MODIFICATION SM-8 2025-08-07 Acceptable 2025-10-23
18 SUBSTANTIAL MODIFICATION SM-9 2025-11-12 Acceptable 2025-12-01
19 NON SUBSTANTIAL MODIFICATION NSM-6 2026-02-16 Netherlands Acceptable 2026-02-16