Long-term safety and efficacy follow-up for participants with Hemophilia B who were previously treated in the C0371005 (formerly SPK-9001-101) study, and a dose-escalation sub-study evaluating safety, tolerability, and kinetics of a higher dose with long-term safety and efficacy follow-up. Participants in the substudy do not need to have participated in C0371005.
Evaluation of the long-term level of persistence and potential late or delayed adverse events associated with PF-06838435 (formerly SPK-9001), assessment of the durability of the transgene expression, and determination of the effects of PF-06838435 on clinical outcomes in individuals who have previously received a single administration of PF-06838435 in the C0371005 study. Amendment 2 of this study incorporates a dose-escalation substudy to evaluate the safety, tolerability, and kinetics of a single IV infusion of PF-06838435 at a higher dose than that used in the C0371005 study. The dose-escalation participants will also be followed for long-term safety and efficacy.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
21
Gene Therapy: A novel, bioengineered adeno-associated viral vector carrying human factor IX variant
Incidence of PF-06838435 related adverse events
Time frame: Baseline up to Year 6
Incidence of clinically significant changes from baseline
Clinically significant changes in physical examination, vital signs, laboratory values. (to be reported as AEs, regardless of causality)
Time frame: Baseline up to 52 weeks
Incidence of protocol-defined medically important events
Clinical thrombotic events, FIX inhibitor development as assessed by Nijmegen Bethesda assay, Hypersensitivity reaction (eg, bronchospasm and anaphylaxis), Hepatic malignancy, Study intervention-related elevated hepatic transaminases that fail to improve or resolve, Malignancy assessed as having reasonable possibility of being related to study intervention (to be reported as SAEs).
Time frame: Baseline up to 52 weeks
Immune response against AAV capsid protein and hFIX transgene
Positive immune response based on peripheral blood mononuclear cell (PBMC) results by interferon gamma enzyme-linked immunospot assay (ELISPOT).
Time frame: Baseline up to 52 weeks
Coagulation Clotting Assay for FIX activity levels
Coagulation Clotting assays to assess FIX activity levels (percent of normal)
Time frame: Baseline up to Year 6
Mean and standard deviation of vector-derived FIX Activity levels
Mean and standard deviation of peak and steady-state FIX Activity
Time frame: Baseline up to 52 weeks
Mean and standard deviation of FIX Antigen levels
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Mean and standard deviation of FIX Antigen levels
Time frame: Baseline up to 52 weeks
Annualized bleeding rate (ABR)
ABR (not including those for surgery)
Time frame: Baseline up to Year 6
Annualized (factor FIX) infusion rate
AIR (not including those for surgery)
Time frame: Baseline up to Year 6
Total factor consumption (IU)
total quantity of factor infused annually (not including those for surgery) as recorded on the infusion log
Time frame: Baseline up to Year 6
Total number of bleeding events
spontaneous and traumatic
Time frame: Baseline up to Year 6
Haem-A-QoL
Quality-of-life (QoL) assessment
Time frame: Baseline up to Year 6
EQ-5D-5L
Quality-of-life (QoL) assessment
Time frame: Baseline up to Year 6
Brief Pain Inventory
Quality-of-life (QoL) assessment
Time frame: Year 2 up to Year 6
McGill Pain Questionnaire
Quality-of-life (QoL) assessment
Time frame: Baseline up to 52 weeks