This study is being conducted by BioMarin Pharmaceutical Inc. as an open label, dose escalation study in order to determine the safety and efficacy of valoctocogene roxaparvovec (an Adenovirus-Associated Virus based gene therapy vector in participants with severe haemophilia A.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
15
Adeno-Associated Virus Vector-Mediated Gene Transfer of Human Factor VIII in Severe Hemophilia A
Queen Elizabeth Hospital Birmingham
Birmingham, United Kingdom
Addenbrooke's Hospital
Cambridge, United Kingdom
St. Thomas' Hospital
London, United Kingdom
The Royal London Hospital
London, United Kingdom
Number of Participants With Treatment Emergent Adverse Events
Adverse events (AEs) with onset or worsening after the investigational product were included. Participants with more than one AE of the same category were counted only once for that category. Serious adverse event (SAE)
Time frame: Approximately up to 7 years after dosing
Number of Participant With Median FVIII Activity Levels >= 5 IU/dL Using Chromogenic Substrate Assay (CSA)
Responder/Non responder status, where a responder was defined as a participant with median FVIII activity of \>= 5 IU/dL during Week 13-16 post-BMN 270 infusion
Time frame: Week 13-16 post-BMN 270 infusion
Median FVIII Activity as Measured by Chromogenic Substrate Assay During Week 13-16 Post-BMN 270 Infusion
Values for FVIII activity were excluded from analysis if obtained within 72 hours since the last infusion of exogenous FVIII replacement therapy FVIII activity levels below the Lower limit of quantitation (LLOQ) will be imputed with 0 IU/dL Q1: 25% Percentile; Q3: 75% Percentile
Time frame: Week 13-16 post-BMN 270 infusion
Annualized Bleeding Rate Requiring Exogenous Factor VIII Replacement Treatment During Week 5 and Beyond
ABR= \[Number of bleeding episodes during calculation period\] / \[Total number of days during the calculation period\] ×365.25 A bleeding episode (treated) was defined as a bleed or symptoms associated with the development of a bleed (or multiple bleeds occurring in the same day) requiring FVIII replacement treatment within 72 hours of the start of the bleed. The baseline values for the secondary efficacy endpoints were based on the historical data prior to study enrollment. Annualized bleeding rate (ABR)
Time frame: Week 5 and Beyond (Approximately 7 years post Infusion)
Annualized Factor VIII Utilization During Week 5 and Beyond
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University Hospital Southampton NHS Foundation Trust
Southampton, United Kingdom
Annualized FVIII use (IU/kg/yr.) =\[Sum of FVIII use (IU/kg) during calculation period\] / \[Total number of days during the calculation period\] ×365.25
Time frame: Week 5 and Beyond (Approximately 7 years post Infusion)
Annualized Factor VIII Infusion Rate During Week 5 and Beyond
Annualized FVIII infusion rate (count/yr.) = \[Number of FVIII replacement infusions during calculation period\] / \[Total number of days during the calculation period\] ×365.25
Time frame: Week 5 and Beyond (Approximately 7 years post Infusion)