Can a single gene shot free hemophilia b patients from regular infusions?
NCT ID NCT05164471
First seen Jul 31, 2026 · Last updated Jul 31, 2026
Summary
This trial tests a gene therapy called FLT180a in adults with hemophilia B, a condition where the body lacks a clotting protein. The therapy delivers a working gene to help the body produce its own clotting factor. A small group of participants will receive a single dose and be followed for a year to see if it safely boosts clotting factor levels and reduces bleeding episodes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- A gene therapy called verbrinacogene setparvovec (FLT180a) that delivers a working gene to help the body produce its own clotting factor IX.
- What this could lead to
- If successful, this could offer a one-time treatment that reduces or eliminates the need for regular clotting factor infusions in people with hemophilia B.
- What could go wrong
- This is an early-stage trial with a small number of participants, so results may not apply broadly. Gene therapy carries risks like immune reactions or the body not producing enough factor IX.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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6 people
The number who actually took part.
- Started
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Dec 2021
- Finished
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May 2023
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Male participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: * Diagnosis of Hemophilia B with known severe or moderately severe FIX deficiency (≤2% normal circulating FIX activity) for which the subject is on continuous, stable and adequate FIX prophylaxis * Have acceptable laboratory values of a) Hemoglobin ≥11g/dL; b) Platelets ≥100,000 cells/µL; c) AST, ALT and alkaline phosphatase (ALP) ≤ upper limit of normal (ULN); d) Serum albumin \> lower limit of normal (LLN); e) Total bilirubin ≤1.5 x ULN (except if caused by Gilbert's disease); f) Serum creatinine ≤2.0mg/dL. * Level of neutralizing anti-AAV-S3 antibodies below the limit of the pre-established clinical cutoff using an in vitro transduction inhibition assay within the 4 weeks prior to FLT180a administration * Has demonstrated ability to accurately, independently and in a timely manner enter bleed diary data during the lead-in study, as judged by the investigator * At least 150 exposure days to FIX concentrates * At least 6 months of satisfactory controlled prospective baseline data for bleeding events and FIX consumption data from the FLT-01 lead-in study (ECLIPSE) Key Exclusion Criteria: * Any history of alcohol or drug dependence * Presence of neutralizing anti human FIX antibodies (inhibitor; determined by the Nijmegen modified Bethesda inhibitor assay) at the time of enrolment or a previous history of FIX inhibitor * Subjects at high risk of thromboembolic events * Evidence of advanced liver fibrosis * Prior treatment with a gene transfer medicinal product * Subjects with active hepatitis B or C * Serological evidence of HIV-1, not controlled with anti-viral therapy and as evidenced by cluster of differentiation 4 (CD4)+ counts ≤200 μL * Cytomegalovirus (CMV) immunoglobulin G positive subjects who are CMV polymerase chain reaction (PCR) positive at screening * Known coagulation disorder other than hemophilia B * High sensitivity (hs) troponin-T ≥14 pg/mL during screening * History of uncontrolled cardiac failure, unstable angina, or myocardial infarction or other acute cardiac conditions requiring clinical management in the past 6 months * Planned surgical procedure within the next 12 months requiring prophylactic FIX treatment * Known active severe infection (including documented coronavirus (COVID)-19 infection), or any other significant concurrent, uncontrolled medical condition
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Children's Hospital of Los Angeles
Los Angeles, California, 90027, United States
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Glasgow Royal Infirmary
Glasgow, United Kingdom
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Guys Hospital
London, United Kingdom
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Royal Free London NHS Foundation Tust
London, United Kingdom
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Royal Victoria Infirmary
Newcastle, United Kingdom
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University of Michigan
Ann Arbor, Michigan, 48109, United States
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University of South Florida
Tampa, Florida, 33612, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a 12-Week exercise programme build strength safely in boys with hemophilia?
- A Once-a-Week shot could transform hemophilia Care—Even for those with inhibitors
- Gene Editing's lasting impact: a 10-Year safety watch
- Can a video call replace the clinic for hemophilia pain relief?
- Newborn screening study aims to catch rare diseases at birth
- Monthly shot could free kids with hemophilia from frequent infusions