SIG-001-121 is a first-in-human (FIH), phase 1/2, multi-centre, open-label, dose escalation study to assess the safety, tolerability, and preliminary efficacy of SIG-001 in adults with severe or moderately severe haemophilia A without inhibitors. Up to three dose cohorts (3 patients each) are planned. Cohort expansions (up to 3 additional patients) may be triggered to collect additional information about safety and efficacy.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
3
Laparoscopic administration of SIG-001 spheres, an encapsulated allogeneic cell therapy genetically modified with a non-viral vector to produce BDD-hFVIII.
Clinical Study Site
Indianapolis, Indiana, United States
Clinical Study Site
Boston, Massachusetts, United States
Clinical Study Site
Seattle, Washington, United States
Clinical Study Site
London, United Kingdom
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Number of Participants with at least one TEAEs are reported. A summary of other nonserious adverse events (AEs), and all serious adverse events (SAE's), regardless of causality, is located in the Reported Adverse Events section.
Time frame: Baseline Up to 115 Weeks
Number of Participants With Serious Treatment Emergent Adverse Events (TEAEs)
Number of Participants with at least one serious TEAEs are reported. A summary of other nonserious AEs, and all SAE's, regardless of causality, is located in the Reported Adverse Events section.
Time frame: Baseline Up to 115 Weeks
Number of Participants With Inhibitor Titer Values Assessed by Nijmegen Bethesda Assay
Development of FVIII inhibitors is measured using the Nijmegen Bethesda inhibitor assay. The assay measures inhibitors to BDD-FVIII and also other forms of FVIII in the plasma, although rFVIII-BDD was used as a calibrator.
Time frame: Baseline Up to 115 Weeks
Change From Baseline in FVIII Activity Levels Assessed by One-stage and Chromogenic Assays
The change from baseline in FVIII activity, as measured by one-stage and chromogenic assays) is summarized.
Time frame: Baseline Up to 115 Weeks
Number of Bleeding Events [Annualized Bleeding Rate (ABR)] for All Bleeds Following SIG-001 Administration
The annualized number of bleeds per participant (annualized bleeding rate) is calculated as the number of bleeding events divided by length of time on study product follow-up, in years. The duration of assessment for this outcome measure was two years and three months, and Year 3 includes only the three-month part of this study period.
Time frame: Time Frame: Pre-infusion (bleeding events in 12 months prior to sphere placement), 1 year, 2 year and 3-year post-infusion (post sphere placement) from SIG-001 administration annualized up to 115 Weeks.
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Clinical Study Site
Manchester, United Kingdom
Clinical Study Site
Southampton, United Kingdom
Total Number of Replacement FVIII Therapies
Number of doses after prophylaxis discontinued is reported.
Time frame: Baseline Up to 115 weeks