A study to investigate long-term follow-up in subjects who received BMN 270 in a prior BioMarin Clinical Trial with hemophilia A

2023-507749-27-00 Protocol 270-401 (GENEr8-LTE) Therapeutic use (Phase IV) Ongoing, recruitment ended

Start 16 Aug 2024 · Status Ongoing, recruitment ended · 5 EU/EEA countries · 8 sites · Protocol 270-401 (GENEr8-LTE)

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruitment ended
Participants planned 200
Countries 5
Sites 8

Hemophilia A

Evaluate the long-term safety of BMN 270

Key facts

Sponsor
Biomarin Pharmaceutical Inc.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male
Therapeutic area
Diseases [C] - Hemic and Lymphatic Diseases [C15]
Trial duration
16 Aug 2024 → ongoing
Decision date (initial)
2024-06-18
Transition trial
No
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
No
Funding sources
BioMarin Pharmaceutical Inc.

External identifiers

EU CT number
2023-507749-27-00
WHO UTN
U1111-1297-8403
ClinicalTrials.gov
NCT05768386

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety

Evaluate the long-term safety of BMN 270

Secondary objectives 3

  1. Evaluate the long-term effects of BMN 270 in participants with hemophilia A previously treated in a BioMarin clinical trial
  2. Evaluate the use of hemostatic agents (eg, emicizumab, FVIII replacement therapy, efanesoctocog, and all approved hemostatic agents)
  3. Evaluate the long-term impact of BMN 270 on HRQoL

Conditions and MedDRA coding

Hemophilia A

VersionLevelCodeTermSystem organ class
20.0 LLT 10060612 Hemophilia A 10010331

Study design 3 periods

#TitleAllocationBlindingRoles blindedArms
1 Consent, Transition from current trial to LTE
Participants who complete their primary treatment study or who are actively enrolled in a primary treatment study that terminates prematurely are eligible to participate following informed consent for 270-401, provided that they do not have any condition which, in the opinion of the Investigator, would prevent the participant from fully complying with the study requirements.
Not Applicable None
2 Data Collection
No drug dosing will occur in 270-401 study. Baseline information will be collected from the participant’s data entered in their primary treatment study prior to enrollment. Data collection via phone calls, mobile nursing (MN)/remote visits (where available and if participant consents), and/or site visits will be conducted quarterly for ≥ 10 years.
Not Applicable None
3 End of Study
A participant is considered to have completed the study if he has completed all scheduled visits, including the last visit shown in the Schedule of Activities (SoA) or the procedures scheduled at the End of Study visits.
Not Applicable None

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. Participants must have completed the End of Study Visit in their primary treatment study (Study 270-201, 270-203, 270-205, 270-301, 270-302, or 270-303) or be currently enrolled in one of these studies and have completed a minimum of 24 months of post-infusion follow-up in that study at the time of closure by the Sponsor. Participants may enroll in 270-401 even if they have restarted FVIII prophylaxis or other hemophilia A treatment.
  2. Participants must be capable of giving signed informed consent as described in Appendix 10.1.3 of the protocol, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.

Exclusion criteria 3

  1. Participants who do not directly enroll in 270-401 at the time of the study completion visit in their primary treatment study should enroll in 270-401 within 4 months of the date of that study completion visit. If a participant wishes to enroll in 270-401 after 4 months, critical data (in particular FVIII activity, bleeding episodes, FVIII use, AEs, SAEs, and the use of hemophilia medications) must be available from the extended duration between studies, and, in the opinion of the Investigator or Medical Monitor, any missing data would not impact or interfere with evaluation and interpretation of the study.
  2. Participants must be overtly healthy and not have any condition that, in the opinion of the Investigator or Medical Monitor, would prevent the participant from fully complying with the requirements of the study and/or would impact or interfere with evaluation and interpretation of the study data (including, if applicable, advanced HIV disease).
  3. Where applicable, per country regulation, the participant must not currently be committed to an institution by virtue of an order issued either by judicial or administrative authorities.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Occurrence of adverse drug reactions, serious adverse events, and events of special interest, including: a) Hepatotoxicity; b) Thromboembolic events; c) Development of FVIII inhibitors; d) Transmission to third parties; e) Integration with theoretical risk of tumorigenesis

Secondary endpoints 4

  1. Changes in annualized bleeding rate (ABR) (treated bleeds and all bleeds)
  2. FVIII activity measured over time (CSA and OSA)
  3. Annualized use of concomitant hemostatic medications (annualized FVIII utilization and annualized FVIII infusion rate)
  4. Changes in Haemo-QoL-A

Investigational products

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

Test 1

ROCTAVIAN 2 × 1013 vector genomes/mL solution for infusion

PRD9890359 · Product

Active substance
Valoctocogene Roxaparvovec
Substance synonyms
Adeno-associated viral vector serotype 5 containing a B-domain deleted variant of human coagulation factor VIII gene, AAV-hFVIII-SQ, BMN 270, BMN-270, DNA (SYNTHETIC ADENO-ASSOCIATED VIRUS 5 VECTOR BMN 270 HUMAN BLOOD-COAGULATION FACTOR VIII SQ VARIANT-SPECIFYING)
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
60000000000000 DF dosage form
Max total dose
60000000000000 DF dosage form
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
NOT ASS — -
Marketing authorisation
EU/1/22/1668/001
MA holder
BIOMARIN INTERNATIONAL LIMITED
MA country
EU
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/16/1622
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Biomarin Pharmaceutical Inc.

Sponsor organisation
Biomarin Pharmaceutical Inc.
Address
105 Digital Drive
City
Novato
Postcode
94949-8703
Country
United States

Scientific contact point

Organisation
Biomarin Pharmaceutical Inc.
Contact name
Project Manager

Public contact point

Organisation
Biomarin Pharmaceutical Inc.
Contact name
Project Manager

Third parties 6

OrganisationCity, countryDuties
ProtaGene CGT GmbH
ORG-100041450
Heidelberg, Germany Laboratory analysis
Psi Cro AG
ORG-100034251
Zug, Switzerland On site monitoring, Code 11, Code 12, Code 2, Code 5, E-data capture, Code 8
Labcorp Central Laboratory Services S.a.r.l.
ORG-100011524
Meyrin, Switzerland Laboratory analysis
Centogene GmbH
ORG-100043695
Rostock, Germany Laboratory analysis
Fortrea Inc.
ORG-100012602
Bannockburn, United States Other
Precision For Medicine Inc.
ORG-100041895
Frederick, United States Other

Locations

5 EU/EEA countries · 8 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruitment ended 4 1
France Ongoing, recruitment ended 3 2
Germany Ongoing, recruitment ended 3 2
Italy Ongoing, recruitment ended 1 1
Spain Ongoing, recruitment ended 5 2
Rest of world
Turkey, Brazil, Taiwan, United Kingdom, Australia, United States, Korea, Republic of, Israel, South Africa
184

Investigational sites

Belgium

1 site · Ongoing, recruitment ended
UZ Leuven
Cardiovascular Diseases, Herestraat 49, 3000, Leuven

France

2 sites · Ongoing, recruitment ended
Centre Hospitalier Regional De Marseille
Hôpital de La Timone - Hématologie, immunologie et oncologie pédiatrique, 264 Rue Saint Pierre, 13005, Marseille
Centre Hospitalier Universitaire De Lille
Institut Cœur Poumon - Hemostase Clinique, Boulevard Du Professeur Jules Leclercq, 59000, Lille

Germany

2 sites · Ongoing, recruitment ended
Universitaetsklinikum Bonn AöR
Institute of Experimental Hematology and Transfusion Medicine, Venusberg-Campus 1, Venusberg, Bonn
Vivantes Netzwerk fuer Gesundheit GmbH
Vascular Medicines Center, Landsberger Allee 49, Friedrichshain, Berlin

Italy

1 site · Ongoing, recruitment ended
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
Complex Structure of Medicine Hemostasis and Thrombosis, Via Francesco Sforza 28, 20122, Milan

Spain

2 sites · Ongoing, recruitment ended
Complexo Hospitalario Universitario A Coruna
Hematology, Lugar Jubias De Arriba 84, 15006, A Coruna
University Hospital Virgen Del Rocio S.L.
Hematology, Avenida De Manuel Siurot S/n, 41013, Sevilla

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 2024-09-04 2024-09-05 2024-09-26
France 2025-03-17 2025-03-18 2025-09-15
Germany 2024-08-16 2024-08-20 2024-11-12
Italy 2025-03-13 2025-04-08 2025-04-08
Spain 2025-06-16 2025-08-27 2026-01-26

Results and documents

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

Documents 44 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol 2023-507749-27_Public Amd3_EU/UK
Protocol (for publication) D4_Patient facing documents_Haemo-QoL-A Questionnaire_2023-507749-27_BE NA
Protocol (for publication) D4_Patient facing documents_Haemo-QoL-A Questionnaire_2023-507749-27_DE NA
Protocol (for publication) D4_Patient facing documents_Haemo-QoL-A Questionnaire_2023-507749-27_ES NA
Protocol (for publication) D4_Patient facing documents_Haemo-QoL-A Questionnaire_2023-507749-27_FR NA
Protocol (for publication) D4_Patient facing documents_Haemo-QoL-A Questionnaire_2023-507749-27_IT NA
Protocol (for publication) D4_Patient facing documents_Patient Diary_2023-507749-27_BE 3.0
Protocol (for publication) D4_Patient facing documents_Patient Diary_2023-507749-27_DE 3.0
Protocol (for publication) D4_Patient facing documents_Patient Diary_2023-507749-27_ES 3.0
Protocol (for publication) D4_Patient facing documents_Patient Diary_2023-507749-27_FR 3.0
Protocol (for publication) D4_Patient facing documents_Patient Diary_2023-507749-27_IT 3.0
Recruitment arrangements (for publication) K1_Recruitment and informed consent procedure 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Recruitment arrangements (for publication) K1_Recruitment arrangements 1.0
Subject information and informed consent form (for publication) L1_ICF Main_BE-NL_public 3.0
Subject information and informed consent form (for publication) L1_ICF Pregnant Partner_BE-NL_public 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main 2.1
Subject information and informed consent form (for publication) L1_SIS and ICF Main_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Optional 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Research 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Research 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Partner 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Partner 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Partner 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Privacy 1.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Adult 1.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Main 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Opt Add Research 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Opt Additional Research 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner 1.0
Subject information and informed consent form (for publication) L2_Other subject information material_Clincierge Data Protection Notice 1.1
Subject information and informed consent form (for publication) L2_Other subject information_GP letter 1.1
Subject information and informed consent form (for publication) L2_Sponsor statement on ICF Model_Public N/A
Summary of Product Characteristics (SmPC) (for publication) G2_ SmPC ROCTAVIAN N/A
Synopsis of the protocol (for publication) D1_ Protocol synopsis for laypersons_ 2023-507749-27_BE 2.0
Synopsis of the protocol (for publication) D1_ Protocol synopsis for laypersons_ 2023-507749-27_DE 2.0
Synopsis of the protocol (for publication) D1_ Protocol synopsis for laypersons_ 2023-507749-27_EN 2.0
Synopsis of the protocol (for publication) D1_ Protocol synopsis for laypersons_ 2023-507749-27_ES 2.0
Synopsis of the protocol (for publication) D1_ Protocol synopsis for laypersons_ 2023-507749-27_FR 2.0
Synopsis of the protocol (for publication) D1_ Protocol synopsis for laypersons_ 2023-507749-27_IT 2.0

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-02-16 Belgium Acceptable with conditions
2024-06-18
2024-06-18
2 SUBSTANTIAL MODIFICATION SM-2 2024-07-04 Belgium Acceptable with conditions 2024-08-05
3 SUBSTANTIAL MODIFICATION SM-1 2024-07-08 Acceptable with conditions 2024-07-24
4 SUBSTANTIAL MODIFICATION SM-3 2025-02-05 Belgium Acceptable with conditions
2025-04-22
2025-04-23
5 SUBSTANTIAL MODIFICATION SM-4 2025-06-17 Belgium Acceptable with conditions 2025-07-15
6 SUBSTANTIAL MODIFICATION SM-5 2025-10-03 Acceptable with conditions 2025-10-17
7 SUBSTANTIAL MODIFICATION SM-6 2026-01-27 Belgium Acceptable
2026-03-16
2026-03-19