A Trial of the Safety and Efficacy of Single-Dose Administration of ANB-010 in Subjects With Hemophilia A

Last updated: December 14, 2023
Sponsor: Biocad
Overall Status: Active - Recruiting

Phase

1/2

Condition

Hemophilia

Treatment

ANB-010, dose 3

ANB-010, dose 1

ANB-010, dose 2

Clinical Study ID

NCT06185335
ANB-010-1
  • Ages > 18
  • Male

Study Summary

The goal of this multicenter, two-stage, open-label study is to investigate the safety, immunogenicity, and efficacy of ANB-010 in subjects with hemophilia A. The study will have a dose-escalation design with elements of phase I/II seamless adaptive design.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Male subjects aged ≥18 years at the time of signing the informed consent form.
  2. Established diagnosis of hemophilia A with a documented history of endogenous FVIIIactivity ≤1% AND ≤2% at screening.
  3. Therapy with FVIII concentrates for at least 150 exposure days.

Exclusion

Exclusion Criteria:

  1. History of use of any gene therapy product.
  2. Use of emicizumab within less than 6 months before the date of signing the ICF.
  3. The presence of other blood or hematopoietic disorders other than hemophilia A.
  4. Presence of AAV6 antibodies detected by ELISA.
  5. BMI <16 kg/m² or ≥35 kg/m².
  6. Diagnosis of HIV infection.
  7. HBV infection.
  8. HCV infection.
  9. Any active systemic infections or recurrent infections requiring systemic therapy atscreening.
  10. Any other disorders associated with severe immunodeficiency.
  11. Relevant hepatic disorders or conditions that can be a symptom of existing liverdisorder.
  12. Malignancies with remission duration of less than 5 years at the time of signing theICF, except for cured basal cell carcinoma.

Study Design

Total Participants: 50
Treatment Group(s): 3
Primary Treatment: ANB-010, dose 3
Phase: 1/2
Study Start date:
July 26, 2023
Estimated Completion Date:
June 30, 2033

Study Description

The study will be conducted in 2 stages:

Stage 1: pilot efficacy and safety study of different doses to select a potentially therapeutic dose for further study.

Stage 2: study of the efficacy and safety of ANB-010 at the selected potentially therapeutic dose.

The stage 1 design is typical of phase I clinical trials with a modified "3+3" design and dose escalation. Three subjects are to be sequentially included in each cohort, each of whom will recieved a pre-specified cohort dose of ANB-010 as a single inravenous infusion.

Subjects will be monitored for dose-limiting toxicity (DLT) events for 4 weeks after the drug infusion. The decision concerning dose escalation will be made at the Independent Data Monitoring Committee (IDMC) meetings.

At the second stage the main study period will include 6 subjects who will receive ANB-010 at the optimal dose selected based on the results of stage 1 data analysis.

Connect with a study center

  • State Autonomous Institution for Healthcare "Chelyabinsk Regional Clinical Hospital"

    Chelyabinsk, 454048
    Russian Federation

    Active - Recruiting

  • State Autonomous Institution for Healthcare of Sverdlovsk region "Sverdlovsk Regional Clinical Hospital №1"

    Ekaterinburg, 620102
    Russian Federation

    Active - Recruiting

  • State budgetary healthcare institution Leningrad Regional Clinical Hospital

    Gatchina, 188300
    Russian Federation

    Active - Recruiting

  • Kuzbass Clinical Hospital named after S.V. Belyaev

    Kemerovo, 650066
    Russian Federation

    Active - Recruiting

  • Federal State Budgetary Organization of Science "Kirov Research Institute of Hematology and Blood Transfusions of Federal Medical Biological agency"

    Kirov, 610027
    Russian Federation

    Active - Recruiting

  • Federal Budgetary Institution "Moscow City Clinical Hospital named after S. P. Botkin"

    Moscow, 125284
    Russian Federation

    Active - Recruiting

  • Federal State Budgetary Institution "National Medical Research Centre for Hematology" of the Ministry of Health of Russian Federation (Department of Clinical Diagnostics for Hematology and Hemostasis Disorders)

    Moscow, 125167
    Russian Federation

    Active - Recruiting

  • Federal State Budgetary Institution "National Medical Research Centre for Hematology" of the Ministry of Health of Russian Federation (Department of Traumatology and Reconstructive and Restorative Orthopedics for Patients with Hemophilia)

    Moscow, 125167
    Russian Federation

    Active - Recruiting

  • Research Center for Hematology MHSD RF

    Moscow, 125167
    Russian Federation

    Active - Recruiting

  • LLC "Medis"

    Nizhny Novgorod, 603137
    Russian Federation

    Active - Recruiting

  • State Novosibirsk Regional Clinical Hospital

    Novosibirsk, 630087
    Russian Federation

    Active - Recruiting

  • Almazov National Medical Research Centre

    Saint Petersburg, 197341
    Russian Federation

    Active - Recruiting

  • City Polyclinic №37

    Saint Petersburg, 191186
    Russian Federation

    Active - Recruiting

  • Russian Research Institute of Hematology and Transfusiology Federal State Institution of Federal Medical and Biological Agency

    Saint Petersburg, 191024
    Russian Federation

    Active - Recruiting

  • Federal State Budgetary Educational Institution of Higher Education "Samara State Medical University" of the Ministry of Healthcare of the Russian Federation

    Samara, 443099
    Russian Federation

    Active - Recruiting

  • State Institution "Komi Republican Oncological Dispensary"

    Syktyvkar, 167904
    Russian Federation

    Active - Recruiting

  • Federal State Budgetary Educational Institution of Higher Education "Bashkir State Medical University" of the Ministry of Healthcare of the Russian Federation

    Ufa, 450008
    Russian Federation

    Active - Recruiting

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