The purpose of the study is to evaluate the safety, tolerability and effect on FIX antigen and activity levels of ascending doses of SB-FIX. SB-FIX is an intravenously delivered Zinc Finger Nuclease (ZFN) Therapeutic for genome editing. It inserts a correct copy of the Factor 9 gene into the albumin locus in hepatocytes with the goal of lifelong therapeutic production of the Factor IX clotting factor.
The objective of the study is to provide long term expression of Factor IX in subjects with severe hemophilia B. SB-FIX is a therapeutic for ZFN-mediated genome editing which will be delivered by adeno-associated virus (AAV)-derived vectors. SB-FIX is intended to function by placement of a corrective copy of the Factor IX transgene into the genome of the subject's own hepatocytes, under the control of the highly expressed endogenous albumin locus, and is expected to provide permanent, liver-specific expression of Factor IX for the lifetime of a hemophilia B subject.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
1
Single dose of each of the 3 components of SB-FIX: ZFN1, ZFN2 and cDNA Donor.
Georgetown University Medical Center
Washington D.C., District of Columbia, United States
Number of Participants With Treatment Related Adverse Events in Subjects Who Received SB-FIX as Assessed by Common Terminology Criteria for Adverse Events (CTCAE)
Number of Participants with Treatment Related Adverse Events in Subjects Who Received SB-FIX as Assessed by Common Terminology Criteria for Adverse Events (CTCAE).
Time frame: Up to 36 months after the SB-FIX infusion
Change From Baseline in Factor 9 Antigen Levels Measured in IU/mL and Factor 9 Activity Levels Measured in IU/mL at Week 28 After SB-FIX Infusion
FIX antigen levels measured in IU/mL using Enzyme-Linked Immunosorbent Assay (ELISA). FIX activity levels measured in IU/mL using One-Stage Clot.
Time frame: From screening through to week 28 after SB-FIX infusion
Use of Factor IX Replacement Therapy
Participants received a single intravenous infusion of SB-FIX which is formed of 3 components (ZFN1, ZFN2, and cDNA donor) in 200mL of diluent adjusted to 0.25% human serum albumin on day 0 over a period of 2-8 hours.
Time frame: From baseline through 36 months after the SB-FIX infusion
Frequency and Severity of Bleeding Episodes
The number and severity of bleeding events were collected from 3 weeks post-SB-FIX treatment, and for 120 weeks thereafter.
Time frame: From baseline through 36 months after the SB-FIX infusion
Immune Response to FIX
Neutralizing antibodies to FIX measured by FIX inhibitor levels using Nijmegen-Bethesda assays.
Time frame: Change from baseline through 28 weeks after the SB-FIX infusion
Presence of Shedding of AAV2/6 Vector DNA (in Copies/10 µL) by PCR in Plasma
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Two laboratory tests were run: AAV2/6-ZFN 42906 and AAV2/6-hF9. Presence in plasma was measured in number of copies/10 µL of whole plasma.
Time frame: From baseline through week 20 after SB-FIX infusion
Presence and Shedding of AAV2/6 Vector DNA (in Copies/100ng) by PCR in Saliva, Stool and Semen
Subject data were collected at baseline and post infusion. Two laboratory tests were run for each sample type: AAV2/6-ZFN 42906 and AAV2/6-hF9. The presence of AAV2/6 vector DNA in saliva and stool was measured in number of copies/100 ng of sample DNA.
Time frame: From baseline through week 20 after SB-FIX infusion
Presence and Shedding of AAV2/6 Vector DNA (in Copies/250 µL) by PCR in Urine
Two laboratory tests were run: AAV2/6-ZFN 42906 and AAV2/6-hF9. Its presence in urine was measured in number of copies/250 µL of whole urine.
Time frame: From baseline through week 12 after SB-FIX infusion