The goal of this clinical trial is to Investigate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of HMB-001 in Participants with Glanzmann Thrombasthenia. The main questions it aims to answer are: * Parts A, B, and C: To determine the safety and tolerability of HMB-001 * Part A: To establish the dose level(s) and dosing interval(s) of HMB-001 to be investigated in Parts B and C * Parts B and C: To estimate the ability of HMB-001 to prevent the number and severity of bleeds Part A will assess differing singular doses of HMB-001 in small groups of participants. The dose administered to a newly enrolled participant (or groups of participants) may only increase if analysis of data from previous dosing shows it is safe to do so. The planned duration of participation in Part A is approximately 6 months, which consists of a Screening Period, an optional Run-in Observation Period, and a follow-up period of 8 weeks. Part B is similar to Part A as it involves testing different dose levels of HMB-001 in small groups of participants. However, in Part B, HMB-001 is given multiple times over a 3-month period, either weekly, every 2 weeks, or every 4 weeks. Part B consists of a Screening Period, a Run-in Observation Period, a 3-month Treatment Period, and a Safety Follow-up following the last dose of HMB-001. Part C is open to participants from Part B and consists of approximately a 18-month Treatment Period and a Safety Follow-up following the last dose of HMB-001.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
57
HMB-001 is a bispecific antibody being developed as a prophylactic treatment option to prevent and reduce bleeding events in patients with Glanzmann thrombasthenia.
University of California, San Diego (UCSD) (Part B/C)
La Jolla, California, United States
Tulane University Medical Center (Part B/C)
New Orleans, Louisiana, United States
Mayo Clinic - Rochester (Part B/C)
Rochester, Minnesota, United States
Hemophilia Center of Western Pennsylvania (HCWP) (Part B/C)
Pittsburgh, Pennsylvania, United States
Washington Institute for Coagulation (Part B/C)
Seattle, Washington, United States
University Hospital Leuven - Campus Gasthuisberg (Part B/C)
Leuven, Belgium
AP-HP Hopital Bicetre (Part B/C)
Le Kremlin-Bicêtre, France
AP-HM - Hopital de la Timone
Marseille, France
AP-HP Hopital Necker-Enfants Malades (Part B/C)
Paris, France
Azienda Ospedaliero-Universitaria Careggi (Part B/C)
Florence, Italy
...and 7 more locations
Part A: Safety as assessed by the incidence of treatment-emergent adverse events (TEAEs)
Time frame: From baseline to Day 57
Part A: Safety as assessed by the changes in physical examinations, vital signs, clinical laboratory assessments, and ECG parameters
Time frame: From baseline to Day 57
Part B: Safety as assessed by the incidence of treatment-emergent AEs
Time frame: From baseline to Day 106/Early Termination (ET)/End of Study (EOS)
Part B: Safety as assessed by the changes in physical examinations, vital signs, clinical laboratory assessments, and ECG parameters
Time frame: From baseline to Day 106/ET/EOS
Part B: Preliminary prophylactic effect of HMB-001 as assessed via Bleed frequency: annualized bleed rate (ABR)
Time frame: From baseline to Day 106/ET/EOS
Part B: Preliminary prophylactic effect of HMB-001 as assessed via Bleed frequency: annualized treated bleed rate (ATBR)
Time frame: From baseline to Day 106/ET/EOS
Part C: Safety as assessed by the incidence of treatment-emergent AEs
Time frame: Day 99 to Day 687/Early Termination (ET)/ENdo of Study (EOS)
Part C: Safety as assessed by the changes in physical examinations, vital signs, clinical laboratory assessments, and ECG parameters
Time frame: Day 99 to Day 687/Early Termination (ET)/ENdo of Study (EOS)
Part C: Preliminary prophylactic effect of HMB-001 as assessed via Bleed frequency: annual treated bleed rate (ATBR) and annualized bleed rate (ABR)
Time frame: Day 99 to Day 687/Early Termination (ET)/ENdo of Study (EOS)
Part A: Plasma concentrations of HMB-001
Time frame: From baseline to Day 57
Part A: Pharmacokinetics (PK) parameters: Maximum observed plasma concentration (Cmax)
Time frame: From baseline to Day 57
Part A: PK parameters: Area under the curve from time zero to last quantifiable concentration (AUClast)
Time frame: From baseline to Day 57
Part A: PK parameters: Area under the curve from time zero to extrapolated infinite time (AUCinf)
Time frame: From baseline to Day 57
Part A: PK parameters: Time to reach maximum observed plasma concentration (Tmax)
Time frame: From baseline to Day 57
Part A: Anti-drug antibody (ADA) formation
Time frame: From baseline to Day 57
Part A: PD parameters: Maximum, mean increase in Coagulation factor VII (FVII) from baseline
Time frame: From baseline to Day 57
Part A: PD parameters: Maximum, mean decrease from baseline in prothrombin time (PT)
Time frame: From baseline to Day 57
Part A: PD parameters: Maximum, mean decrease from baseline in activated partial thromboplastin time (aPTT)
Time frame: From baseline to Day 57
Part B: Plasma concentrations of HMB-001
Time frame: From baseline to Day 106/ET/EOS
Part B: PK parameters: Cmax
Time frame: From baseline to Day 106/ET/EOS
Part B: PK parameters: AUClast
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Time frame: From baseline to Day 106/ET/EOS
Part B: PK parameters: AUCinf
Time frame: From baseline to Day 106/ET/EOS
Part B: PK parameters: Tmax
Time frame: From baseline to Day 106/ET/EOS
Part B: Preliminary prophylactic effect of HMB-001 as assessed by Subcategories of ABR, including, but not limited to spontaneous and impactful
Time frame: From baseline to Day 106/ET/EOS
Part B: Preliminary prophylactic effect of HMB-001 as assessed by Bleed Severity (occurrence of severe bleeding events)
Time frame: From baseline to Day 106/ET/EOS
Part B: Preliminary prophylactic effect of HMB-001 as assessed by the volume of transfusion product use
Time frame: From baseline to Day 106/ET/EOS
Part B: Preliminary prophylactic effect of HMB-001 as assessed by the Volume of FVIIa use
Time frame: From baseline to Day 106/ET/EOS
Part B: Preliminary prophylactic effect of HMB-001 as assessed by the Volume of red blood cell (RBC) transfusion
Time frame: From baseline to Day 106/ET/EOS
Part B: Preliminary prophylactic effect of HMB-001 as assessed by the Iron Status: Mean change in hemoglobin from baseline
Time frame: From baseline to Day 106/ET/EOS
Part B: Preliminary prophylactic effect of HMB-001 as assessed by the Iron Status: Mean change in ferritin and total iron from baseline
Time frame: From baseline to Day 106/ET/EOS
Part B: ADA formation
Time frame: From baseline to Day 106/ET/EOS
Part B: Changes from baseline in Euro Quality of life 5-Dimensions 5-Level (EQ-5D-5L) score
Time frame: From Baseline to Day 85/End of Treatment (EOT)
Part B: Changes from baseline in Patient-Reported Outcomes Measurement Information System (PROMIS)-29 score
Time frame: From Baseline to Day 85/End of Treatment (EOT)
Part B: Changes from baseline in Work Productivity and Activity Impairment (WPAI) score
Time frame: From Baseline to Day 85/End of Treatment (EOT)
Part C: Plasma concentrations of HMB-001
Time frame: Day 99 to Day 687/Early Termination (ET)/ENdo of Study (EOS)
Part C: PK parameters: Cmax
Time frame: Day 99 to Day 687/Early Termination (ET)/ENdo of Study (EOS)
Part C: PK parameters: AUClast
Time frame: Day 99 to Day 687/Early Termination (ET)/ENdo of Study (EOS)
Part C: PK parameters: AUCinf
Time frame: Day 99 to Day 687/Early Termination (ET)/ENdo of Study (EOS)
Part C: PK parameters: Tmax
Time frame: Day 99 to Day 687/Early Termination (ET)/ENdo of Study (EOS)
Part C: Preliminary prophylactic effect of HMB-001 as assessed by Bleeding Events
Time frame: Day 99 to Day 687/Early Termination (ET)/ENdo of Study (EOS)
Part C: Preliminary prophylactic effect of HMB-001 as assessed by Bleed Severity (occurrence of severe bleeding events)
Time frame: Day 99 to Day 687/Early Termination (ET)/ENdo of Study (EOS)
Part C: Preliminary prophylactic effect of HMB-001 as assessed by the volume of transfusion product use
Time frame: Day 99 to Day 687/Early Termination (ET)/ENdo of Study (EOS)
Part C: Preliminary prophylactic effect of HMB-001 as assessed by the Volume of FVIIa use
Time frame: Day 99 to Day 687/Early Termination (ET)/ENdo of Study (EOS)
Part C: Preliminary prophylactic effect of HMB-001 as assessed by the Volume of red blood cell (RBC) transfusion
Time frame: Day 99 to Day 687/Early Termination (ET)/ENdo of Study (EOS)
Part C: Preliminary prophylactic effect of HMB-001 as assessed by the Iron Status: Mean change in hemoglobin from baseline
Time frame: Day 99 to Day 687/Early Termination (ET)/ENdo of Study (EOS)
Part C: Preliminary prophylactic effect of HMB-001 as assessed by the Iron Status: Mean change in ferritin and total iron from baseline
Time frame: Day 99 to Day 687/Early Termination (ET)/ENdo of Study (EOS)
Part C: ADA formation
Time frame: From baseline to Day 673/End of Treatment (EOT)
Part C: Changes from baseline in Euro Quality of life 5-Dimensions 5-Level (EQ-5D-5L) score
Time frame: From baseline to Day 673/End of Treatment (EOT)
Part C: Changes from baseline in Patient-Reported Outcomes Measurement Information System (PROMIS)-29 score
Time frame: From baseline to Day 673/End of Treatment (EOT)
Part C: Changes from baseline in Work Productivity and Activity Impairment (WPAI) score
Time frame: From baseline to Day 673/End of Treatment (EOT)