Overview
Sponsor-declared trial summary
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
- Evaluate the long-term effects of BMN 270 in participants with hemophilia A previously treated in a BioMarin clinical trial
- Evaluate the use of hemostatic agents (eg, emicizumab, FVIII replacement therapy, efanesoctocog, and all approved hemostatic agents)
- Evaluate the long-term impact of BMN 270 on HRQoL
Conditions and MedDRA coding
Hemophilia A
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 20.0 | LLT | 10060612 | Hemophilia A | 10010331 |
Study design 3 periods
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 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
- 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.
- 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
- 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.
- 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).
- 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
- 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
- Changes in annualized bleeding rate (ABR) (treated bleeds and all bleeds)
- FVIII activity measured over time (CSA and OSA)
- Annualized use of concomitant hemostatic medications (annualized FVIII utilization and annualized FVIII infusion rate)
- 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
| Organisation | City, country | Duties |
|---|---|---|
| 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
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| 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
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment 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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision 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 |