This is a Phase 1/2, single-arm, open-label, dose-escalation and dose-expansion study of BMN 331 for the treatment of hereditary angioedema (HAE) due to C1 Esterase Inhibitor (C1-INH) protein deficiency. The study drug BMN 331is identified as AAV5 hSERPING1, an adeno-associated virus (AAV5)-based gene therapy vector that expresses wild-type human C1 Esterase Inhibitor (hC1-INH), under the control of a liver-selective promoter, and is being developed for the treatment of HAE with C1-INH deficiency. The pharmaceutical form of BMN 331 is a solution for intravenous infusion.
BMN 331 is an investigational, single administration gene therapy intended to modify the disease course of HAE. Preclinical studies have shown that BMN 331 can transduce hepatocytes resulting in restoration of the deficient circulating levels of hC1-INH that cause HAE. Study 331-201 is a two-part (part A and part B), first-in-human, Phase 1/2 study designed to assess the safety and efficacy of BMN 331 in patients with HAE. Subjects will be followed for 5 years following BMN 331 infusion. Part A of the study is a dose escalation phase designed to assess the preliminary safety of a single IV administration of BMN 331 and to determine whether there is a dose-dependent increase in C1-INH protein expression following administration of BMN 331. Part B is a dose expansion phase designed to demonstrate that up to three safe doses of BMN 331 (as determined in Part A) sustains a clinically meaningful increase in C1-INH levels.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
44
BMN 331 AAV Gene Therapy
BMN 331 AAV Gene Therapy
BMN 331 AAV Gene Therapy
BMN 331 AAV Gene Therapy
BMN 331 AAV Gene Therapy
BMN 331 AAV Gene Therapy
BMN 331 AAV Gene Therapy
AllerVie Clinical Research
Birmingham, Alabama, United States
Medical Research of Arizona
Scottsdale, Arizona, United States
University of California San Diego
San Diego, California, United States
Asthma & Allergy Associates P.C.
Colorado Springs, Colorado, United States
Dr. Henry J. Kanarek Allergy, Asthma & Immunology
Overland Park, Kansas, United States
Institute For Asthma & Allergy
Chevy Chase, Maryland, United States
Mississippi Center for Advanced Medicine
Madison, Mississippi, United States
Washington University School of Medicine
St Louis, Missouri, United States
Duke Health
Durham, North Carolina, United States
University of Cincinnati (UC) Physicians Company, LLC
Cincinnati, Ohio, United States
...and 6 more locations
Number of participants with treatment-emergent adverse events following a single IV administration of BMN 331
Number of participants with treatment-emergent adverse events following a single IV administration of BMN 331
Time frame: At 5 years
Time-normalized number of investigator-confirmed HAE attacks
Time frame: At 5 years
Time-normalized number of investigator-confirmed HAE attacks by severity (mild, moderate, severe)
Time frame: At 5 years
Time-normalized use of HAE-specific medication
Time frame: At 5 years
Plasma levels of functional C1-INH following BMN-331 infusion and change from baseline
Time frame: At 5 years
Plasma levels of C1-INH antigen following BMN 331 infusion and change from baseline
Time frame: At 5 years
Detection of total antibodies against AAV5 capsid following BMN 331 infusion
Time frame: At 5 years
Detection of total antibodies against C1-INH following BMN 331 infusion
Time frame: At 5 years
Detection of neutralizing antibodies against C1-INH following BMN 331 infusion
Time frame: At 5 years
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