One-Time gene therapy shot aims to ease severe hemophilia a
NCT ID NCT03370172
First seen Jun 24, 2026 · Last updated Jun 26, 2026 · Updated 1 time
Summary
This early-phase trial tested a gene therapy called BAX 888 in 4 men with severe hemophilia A. The therapy uses a harmless virus to deliver a working gene for factor VIII, a blood-clotting protein they lack. Participants received a single intravenous infusion, and the study focused on safety and finding the right dose. The goal is to see if this one-time treatment can reduce or replace the need for regular factor VIII injections.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- BAX 888 (a gene therapy using a harmless virus to deliver a working factor VIII gene)
- What this could lead to
- If successful, this could lead to a one-time treatment that reduces or eliminates the need for regular factor VIII infusions for people with severe hemophilia A.
- What could go wrong
- This is a very early, small study (only 4 participants) focused on safety. The therapy may not work well, could cause side effects like immune reactions, and long-term effects are unknown.
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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4 people
The number who actually took part.
- Started
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Feb 2018
- Finished
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Jul 2024
- 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 75 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.
Inclusion Criteria: * Male, aged 18 to 75 years at the time of screening. * Established severe hemophilia A (FVIII:C \<1%, measured following \>=5 days without FVIII treatment) and/or documented intron 1 inversion or intron 22 inversion mutation in the F8 gene, consistent with severe hemophilia A , and documented evidence of \>=3 hemorrhages over the previous 12 months requiring treatment with exogenous FVIII or use of FVIII prophylaxis because of history of frequent bleeding episodes. * History of greater than (\>) 150 exposure days to exogenously administered FVIII concentrates or cryoprecipitate. * Sexually active men must agree to use barrier contraception (combination of a condom and spermicide) or limit sexual intercourse to post-menopausal, surgically sterilized, or contraception-practicing partners for a minimum of 6 months after administration of BAX 888, or until BAX 888 genomes are no longer detected in the semen, whichever is sooner. * Participant is willing and able to comply with the requirements of the protocol, including provision of semen samples, maintenance of a diary of bleeding episodes and FVIII protein use. * Signed informed consent. Exclusion Criteria: * Bleeding disorder(s) other than hemophilia A. * Personal laboratory evidence of having developed inhibitors to FVIII protein at any time (\>=0.6 Bethesda units \[BU\] on any single test). * Documented prior allergic reaction to any FVIII product. * Anti-Adeno-associated virus, serotype 8 (AAV8) neutralizing antibody titer \>=1:5. Participants whose laboratory assessments are less than or equal to (\<=) 1:10 may be re-tested within the same screening window and, if eligibility criterion is met on retest, may be enrolled after confirmation by the Sponsor Medical Monitor. * Known hypersensitivity to prednisolone or prednisone, or to any of the excipients. * Having a disease in which treatment with prednisolone or prednisone is not tolerated (including but not limited to osteoporosis with vertebral fractures, difficult to control hypertension, and difficult to control diabetes). * Evidence of markers of potential underlying risk for autoimmune mediated hepatic disease: * Anti-smooth muscle antibody assay results \>=40 (Inova QUANTA LiteTM Actin IgG enzyme-linked immunosorbent assay \[ELISA\]); values of 31 to 39 will be flagged as possibly abnormal and the Investigator and Medical Monitor will evaluate the participant for eligibility. * Elevated anti-liver-kidney microsomal antibody type 1 (LKM1) titers. * Total immunoglobulin G (IgG) \>1.5\*upper limit of normal (ULN). * Antinuclear antibody (ANA) titer \>1:320; OR ANA titer \>1:80 if demonstrated concurrently with alanine aminotransferase (ALT) that is \>ULN. * Active Hepatitis virus (Hepatitis C): As indicated by detectable hepatitis C virus (HCV) ribonucleic acid (RNA) by polymerase chain reaction (PCR). * Hepatitis B: If surface antigen is positive. * Seropositive for Human Immunodeficiency Virus (HIV). * Receiving systemic antiviral and/or interferon therapy within 4 weeks prior to enrollment. * Clinically significant infections (e.g. systemic fungal infections) requiring systemic treatment. * Known immune disorder (including myeloma and lymphoma). * Concurrent chemotherapy or biological therapy for treatment of neoplastic disease or other disorders. * An absolute neutrophil count \<1000 cells per cubic millimeter (cells/mm\^3). * Markers of hepatic inflammation or cirrhosis as evidenced by 1 or more of the following: * Platelet count of \<150,000/microliter (mcL). * Serum albumin level is below the central laboratory's lower limit of normal and FibroSURE is \>=0.48 (i.e., Metavir staging of F2 or greater). Of note, in participants with a known history of Gilbert's syndrome, a Fibrotest cannot be used for fibrosis testing. * Total bilirubin \>1.5\*ULN and direct bilirubin \>=0.5 milligram per deciliter (mg/dL). * ALT or aspartate aminotransferase (AST) \>1.0\*ULN. * Alkaline phosphatase (AP) \>2.0\*ULN. * History of liver biopsy indicating moderate or severe fibrosis (Metavir staging of F2 or greater). * History of ascites, varices, variceal hemorrhage, or hepatic encephalopathy. * Any findings on screening ultrasound that would preclude the safe use of AAV gene therapy. * Prothrombin time (PT) international normalized ratio (INR) \>=1.4. * Serum creatinine \>1.5 mg/dL. * Urine protein \>30 mg/dL or \>0.5 gram per day (g/day). * Body mass index \>38. * Major surgery or an orthopedic surgical procedure planned within 6 months after enrollment. * Acute or chronic disease that, in the opinion of the investigator, would adversely affect participant safety or compliance or interpretation of study results. * Received an AAV vector previously or any other gene transfer agent in the previous 12 months prior to Study Day 0. * Received an investigational intervention or participated in another clinical trial within 4 weeks prior to enrollment or within 5 half-lives of the investigational drug administration, whichever is longer. * Significant cardiovascular disease (such as New York Heart Association Class III or IV cardiac disease, congestive heart failure, myocardial infarction within the previous 6 months, unstable arrhythmias, or unstable angina) or significant pulmonary disease (including obstructive pulmonary disease). * Recent history of psychiatric illness or cognitive dysfunction (including drug or alcohol abuse) that in the opinion of the investigator, is likely to impair participants ability to comply with protocol mandated procedures. * Participant is a family member or employee of the investigator.
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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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AKH - Medizinische Universität Wien
Vienna, 1090, Austria
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CHU Rennes - Hopital Pontchaillou
Rennes, Ille Et Vilaine, 35000, France
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CHU Tours - Hôpital Trousseau
Tours, Indre Et Loire, 37044, France
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CHU de Nantes Site Hotel Dieu
Nantes, Loire Atlantique, 44093, France
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Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, 45229, United States
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Groupement Hospitalier Est- Hôpital Louis Pradel
Bron, Rhone, 69677, France
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Gulf States Hemophilia and Thrombophilia Center
Houston, Texas, 77030-4009, United States
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Hopital Jeanne de Flandre - CHU Lille
Lille, Nord, 59037, France
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Hospital Clinico Universitario de Salamanca
Salamanca, 37007, Spain
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Hospital Regional Universitario de Malaga
Málaga, 29010, Spain
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Hospital Universitari Vall d'Hebron
Barcelona, 08035, Spain
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Hospital Universitari i Politecnic La Fe
Valencia, 46026, Spain
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Hospital Universitario La Paz
Madrid, 28046, Spain
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Hôpital Bicêtre
Le Kremlin-Bicêtre, Val De Marne, 94275, France
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Hôpital Morvan
Brest, Finistere, 29609, France
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Hôpital de la Timone
Marseille, Bouches-du-Rhône, 13385, France
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Klinikum der Johann Wolfgang Goethe-Universitaet
Frankfurt am Main, Hesse, 60590, Germany
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Medical University of South Carolina (MUSC)
Charleston, South Carolina, 29425, United States
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Mount Sinai Medical Center
New York, New York, 10029, United States
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Orthopaedic Hospital DBA Orthopaedic Hemophilia Treatment Center
Los Angeles, California, 90007, United States
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Phoenix Childrens Hospital
Phoenix, Arizona, 85016, United States
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Semmelweis Egyetem
Budapest, 1083, Hungary
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UC Davis Medical Center
Sacramento, California, 95817, United States
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Universitaetsklinikum Carl Gustav Carus TU Dresden
Dresden, Saxony, 01307, Germany
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University of Colorado Hemophilia & Thrombosis Center
Aurora, Colorado, 80045, United States
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Vivantes Klinikum im Friedrichshain
Berlin, 10249, Germany
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a Once-Weekly shot cut the burden of hemophilia a?
- Once-a-Week shot aims to stop bleeds in severe hemophilia a
- Can a newer clotting factor keep its effectiveness in hemophilia a?
- Can a new injection tame hemophilia a bleeding?
- A Once-a-Week shot could transform hemophilia Care—Even for those with inhibitors
- Can a new clotting factor offer better bleed protection for severe hemophilia?