This is a prospective, open, multicenter, observational lead-in study,to collect prospective efficacy and safety data of current replacement therapy in adult hemophilia B patients.
Hemophilia B is a genetic bleeding disorder caused by pathogenic variants (eg, mutations, deletion) in the FIX gene. HB patients have frequent and potentially life-threatening bleeding and often develop progressive physical disability and pain from chronic haemarthropathy. Current replacement therapy needs regular treatment in the life-long time, bringing heavy economic and social burdens.VGB-R04 is a novel AAV vector carrying a high specific activity factor IX variant. This is a prospective, open, multicenter, observational lead-in study. To evaluate the efficacy and safety of current treatment regiments in patients with moderate to severe HB (FIX:C activity ≤2%). The efficacy and safety data collected in this study may be used as baseline data for subsequent related clinical trials of VGB-R04. All subjects in this study will provide informed consent and then undergo screening assessments up to 4 weeks. All subjects will undergo 26 weeks of efficacy and safety observation .Eligible subjects will be invited to a key clinical study(phase 2 study)of VGB-R04,and then encouraged to enroll in an Long-term follow-up study to evaluate the long-term safety of VGB-R04 for a total of five years.
Study Type
OBSERVATIONAL
Enrollment
20
Annualized bleeding rate changes from baseline
The number of bleeding episodes per participant will be recorded, and the annualized number of bleeding episodes.
Time frame: Baseline up to Week 26
Annualized FIX consumption changes from baseline
The use of on-demand FIX replacement therapy will be recorded by dose (IU/kg) administered, and the annualized use of FIX replacement therapy will be calculated.
Time frame: Baseline up to Week 26
Total number of annualized bleeding
Total number of annualized bleeding including spontaneous or traumatic bleeding.
Time frame: Baseline up to Week 26
FIX:C activity level.
FIX:C activity level and its change from baseline .
Time frame: Baseline up to Week 26
Number of target joints
The criterion of the target joint is a minimum of three bleeds into a single joint within a consecutive three-month period.
Time frame: Baseline up to Week 26
The incidence of adverse Events of special interest
Adverse Events of special interest (serious or non-serious) are a category of events of scientific and medical concern that are particularly relevant to the sponsor's drug or research program. Adverse Events of special interest include liver dysfunction, inhibitors, thromboembolic events, and allergic reactions.
Time frame: Baseline up to Week 26
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