CRISPR gene therapy aims to fix hemophilia b at the DNA level
NCT ID NCT06379789
First seen Jun 27, 2026 · Last updated Sep 11, 2026 · Updated 5 times
Summary
This study tests an experimental gene insertion therapy called REGV131-LNP1265 for people with severe or moderately severe hemophilia B. The therapy uses CRISPR/Cas9 to add a working copy of the clotting factor IX gene into the body's DNA, aiming to enable long-term production of the clotting factor. The trial will enroll 130 participants and focus on safety, dosing, and whether the treatment reduces bleeding episodes and the need for factor replacement therapy.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- REGV131-LNP1265 (a CRISPR/Cas9 gene insertion therapy)
- What this could lead to
- If successful, this could allow people with hemophilia B to produce their own clotting factor long-term, reducing or eliminating the need for regular factor replacement infusions.
- What could go wrong
- This is an early Phase 1/2 trial, so safety and effectiveness are not yet proven. The body might develop antibodies against the therapy, reducing its effect or causing side effects.
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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About 130 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2024
- Expected to finish
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Aug 2047
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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2 years and older
- 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: 1. Confirmed diagnosis of severe or moderately severe hemophilia B with medical history of FIX functional activity (≤2% or \<0.02 IU/mL) or documented genotype known to produce severe hemophilia B 2. Currently taking FIX prophylaxis and previous experience with FIX therapy, as defined in the protocol 3. Participation in the lead-in period of this interventional study OR a separate lead-in study (R0000-HEMB-2187 \[NCT05568459\]) for at least 6 months for ABR data while taking FIX prophylaxis, as defined in the protocol Key Exclusion Criteria: 1. History of FIX inhibitor (clinical or laboratory-based assessment) on 2 or more occasions 2. Bethesda inhibitor titer greater than the Upper Limit of Normal (ULN) at screening 3. Detectable pre-existing antibodies to the AAV8 capsid; as measured by Enzyme-Linked ImmunoSorbent Assay (ELISA) at prescreening (or final lead-in visit, if applicable) 4. Any significant underlying liver disease such as: cholestatic liver disease, liver cirrhosis, portal hypertension, splenomegaly, hepatic encephalopathy 5. Evidence of advanced liver fibrosis or significant fatty liver, as defined in the protocol 6. Evidence of cirrhosis and/or portal hypertension as assessed by abdominal ultrasound at screening or measured within 6 months prior to the screening visit 7. History of arterial or venous thrombo-embolic events, as defined in the protocol 8. History of hypersensitivity to corticosteroids or known medical condition that requires chronic administration of corticosteroids 9. Previously received any AAV gene-based therapy or intends to receive approved or investigational AAV-based gene therapy other than REGV131-LNP1265 during the study period NOTE: Other Inclusion/Exclusion Protocol Defined Criteria Apply
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
49 sites in 9 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Addenbrooke's Hospital, Cambridge University Hospitals NHS FT
RECRUITINGCambridge, CB2 0QQ, United Kingdom
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Alfred Hospital
RECRUITINGMelbourne, Victoria, 3004, Australia
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Careggi University Hospital
RECRUITINGFlorence, Firenze, 50134, Italy
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Centro Estadual de Hemoterapia e Hematologia Marcos Daniel Santos
RECRUITINGVitória, Espírito Santo, 29047-105, Brazil
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Children's Hospital Los Angeles
RECRUITINGLos Angeles, California, 90027, United States
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Children's Hospital of Philadelphia (CHOP)
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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Complejo Hospitalario Universitario de A Coruña (Edificio Teresa Herrera-Materno Infantil)
RECRUITINGA Coruña, Galicia, 15006, Spain
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David Geffen School of Medicine at UCLA
RECRUITINGLos Angeles, California, 90024, United States
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Fondazione Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Ca Granda Ospedale Maggiore Policlinico
RECRUITINGMilan, Lombardy, 20122, Italy
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Glasgow Royal Infirmary - Clinical Research Facility
RECRUITINGGlasgow, Scotland, G31 2ER, United Kingdom
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Haemostasis and Thrombosis Unit, Hospital La Fe
RECRUITINGValencia, 46026, Spain
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Hammersmith Hospital Comprehensive Care Centre
RECRUITINGLondon, W12 0HS, United Kingdom
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Hemocentro Unicamp
RECRUITINGCampinas, São Paulo, 13084-878, Brazil
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Hemorio
RECRUITINGRio de Janeiro, 20211030, Brazil
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Hemostase Clinique, Institut Coeur Poumon
RECRUITINGLille, Nord, 59037, France
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Hopital Necker
RECRUITINGParis, Île-de-France Region, 75015, France
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Hospices Civils de Lyon
RECRUITINGBron, Lyon, 69677, France
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Hospital Clinico Universitario Virgen De La Arrixaca
RECRUITINGEl Palmar, Murcia, 30120, Spain
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Hospital Universitario Central de Asturias
RECRUITINGOviedo, Principality of Asturias, 33011, Spain
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Hospital Universitario La Paz
RECRUITINGMadrid, 28046, Spain
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Hospital Universitario Miguel Servet
RECRUITINGZaragoza, 50009, Spain
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Hospital Universitario Vall d'Hebron
RECRUITINGBarcelona, 08035, Spain
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Hospital Universitario Virgen del Rocio
RECRUITINGSeville, Andalusia, 41013, Spain
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Indiana Hemophilia and Thrombosis Center
RECRUITINGIndianapolis, Indiana, 46260, United States
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Irccs Humanitas Research Hospital
RECRUITINGRozzano, Lombardy, 20089, Italy
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McGill University Health Center (MUHC)
RECRUITINGMontreal, Quebec, H4J 3A1, Canada
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McMaster University Medical Centre - Hamilton Health Sciences
RECRUITINGHamilton, Ontario, L8N 3Z5, Canada
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Nationwide Children's Hospital
RECRUITINGColumbus, Ohio, 43205, United States
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Orthopaedic Hemophilia Treatment Center
RECRUITINGLos Angeles, California, 90007, United States
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Ospedale san Bortolo
RECRUITINGVicenza, 36100, Italy
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Pathology and Pharmacy Building, The Royal London Hospital
RECRUITINGLondon, E1 2ES, United Kingdom
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Queen Elizabeth Hospital Birmingham
RECRUITINGBirmingham, West Midlands, B15 2TH, United Kingdom
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Royal Adelaide Hospital
RECRUITINGAdelaide, South Australia, 5000, Australia
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Royal Brisbane and Women's Hospital
RECRUITINGHerston, Queensland, 4029, Australia
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Royal Free London NHS Foundation Trust
RECRUITINGLondon, NW3 2QG, United Kingdom
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Royal Prince Alfred Hospital, Haemophilia Treatment Centre
RECRUITINGCamperdown, New South Wales, 2050, Australia
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St. Thomas' Hospital
RECRUITINGLondon, SE1 7EH, United Kingdom
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Tulane University School of Medicine, Louisiana Center for Bleeding and Clotting Disorders
RECRUITINGNew Orleans, Louisiana, 70112, United States
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University California San Francisco
RECRUITINGSan Francisco, California, 94143, United States
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University Hospital Frankfurt
RECRUITINGFrankfurt am Main, Hesse, 60590, Germany
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University Hospital Hamburg Eppendorf
RECRUITINGHamburg, 20246, Germany
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University of Alberta Hospital
RECRUITINGEdmonton, Alberta, T6G 2B7, Canada
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University of California Davis
RECRUITINGSacramento, California, 95817, United States
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University of Colorado Hemophilia and Thrombosis Center
RECRUITINGAurora, Colorado, 80045, United States
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University of Florida
RECRUITINGGainesville, Florida, 32610, United States
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University of Michigan
RECRUITINGAnn Arbor, Michigan, 48109, United States
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University of Texas Health Science Center at Houston
RECRUITINGHouston, Texas, 77030, United States
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Vanderbilt University Medical Center
RECRUITINGNashville, Tennessee, 37232, United States
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Yale HTC
RECRUITINGNew Haven, Connecticut, 06510, 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 single gene shot free hemophilia b patients from regular infusions?
- Can a video call replace the clinic for hemophilia pain relief?
- Newborn screening study aims to catch rare diseases at birth