One-Time gene therapy could free hemophilia patients from frequent infusions
NCT ID NCT06224907
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a one-time gene therapy (valoctocogene roxaparvovec) in 6 Japanese men with severe hemophilia A. The goal is to help their bodies produce their own clotting factor, reducing or stopping the need for regular factor VIII infusions. Participants will be monitored for safety and changes in bleeding episodes over about a year.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 6 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2023
- Expected to finish
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Mar 2029
An estimate. End dates often move.
- 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 years and older
- Sex
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Male participants only
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
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: * Japanese males ≥18 years of age with HA and endogenous FVIII activity levels \<1 IU/dL as evidenced by medical history, at the time of signing the informed consent * Must have been on prophylactic FVIII replacement therapy for at least 12 months prior to study entry. High-quality, well-documented historical data concerning bleeding episodes and FVIII usage over the previous 12 months must be available. * Treated/exposed to FVIII concentrates for a minimum of 150 exposure days. * Willing and able to provide written, signed informed consent after the nature of the study has been explained and prior to any study-related procedures. * No previous documented history of a detectable FVIII inhibitor, and results from a Bethesda assay or Bethesda assay with Nijmegen modification of less than 0.6 Bethesda Units (BU) or less than 1.0 BU for laboratories with a historical lower sensitivity cutoff for inhibitor detection of 1.0 BU on 2 consecutive occasions at least 1 week apart within the past 12 months (at least 1 of which should be tested at the central laboratory). * Sexually active participants must agree to use an acceptable method of effective contraception * Willing to abstain from alcohol consumption for at least the first 52 weeks following BMN 270 infusion. Exclusion Criteria: * Detectable pre-existing antibodies to the AAV5 capsid. * Any evidence of active infection or any immunosuppressive disorder, except for human immunodeficiency virus (HIV) infection. HIV-positive participants who meet all other eligibility criteria may be included. * Significant liver dysfunction * Most recent, prior FibroScan or liver biopsy showing significant fibrosis * Evidence of any bleeding disorder not related to HA. * Platelet count of \<100E9/L. * Creatinine ≥1.5 mg/dL. * Liver cirrhosis of any etiology as assessed by liver ultrasound. * Chronic or active hepatitis B * Active hepatitis C * Active malignancy, except non-melanoma skin cancer * History of hepatic malignancy * History of arterial or venous thromboembolic events * Known inherited or acquired thrombophilia, including conditions associated with increased thromboembolic risk, such as atrial fibrillation * Treatment with any investigational product (IP) within 30 days or 5 half-lives of the IP prior to the Screening period. * Any condition that, in the opinion of the investigator or sponsor would prevent the participant from fully complying with the requirements of the study * Prior treatment with any vector or gene transfer agent. * Major surgery planned in the 52-week period following the infusion with BMN 270. * Use of systemic immunosuppressive agents, not including corticosteroids, or live vaccines within 30 days before the BMN 270 infusion. * Concurrent enrollment in another clinical study unless it is an observational (non-interventional) clinical study that does not interfere with the requirements of the current protocol or have the potential to impact the evaluation of efficacy and safety of BMN 270 and with prior consultation with the medical monitor. * Known allergy or hypersensitivity to BMN 270 IP formulation. * Unwilling to receive blood or blood products for treatment of an AE and/or a bleeding episode.
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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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Asahikawa Medical University Hospital
Hokkaido, Asahikawa, 078-8510, Japan
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Nagoya University Hospital
Aichi, Nagoya, 466-8560, Japan
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Saitama Medical University Hospital
Saitama, Iruma-gun, 350-0495, Japan
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Tokyo Medical University Hospital
Tokyo, Shinjuku-ku, 160-0023, Japan
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?