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This is a multi-center, Phase 1/2/3, single-arm, open-label, single-dose treatment clinical study to evaluate the safety, tolerability and efficacy of BBM-H901 injection in Hemophilia B subjects with ≤2 International unit per deciliter (IU/dl) residual factor IX (FIX) levels.
BBM-H901 is an adeno-associated virus (AAV) vector derived from recombinant DNA techniques to contain an expression cassette of the human factor IX (hFIX) transgene and raises circulating levels of endogenous FIX.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm of BBM-H901 | Experimental | Single-dose treatment |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Single dose intravenous injection of BBM-H901 | Genetic | Single dose intravenous infusion of BBM-H901, an adeno-associated virus (AAV) vector derived from recombinant DNA techniques to contain an expression cassette of the human factor IX (hFIX) transgene in liver. |
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1/2: The incidence of dose limiting toxicity (DLT) events | To access the numbers of DLT events determined by the Safety Data Review Committee (SRC) in DLT observation period after BBM-H901 injection infusion. | 10 weeks post-infusion |
| Phase 1/2: The incidence of adverse events (AEs) and serious adverse events (SAEs) | To assess the safety of BBM-H901 Injection by AEs and SAEs. | 10 weeks post-infusion |
| Phase 1/2: Changes in liver function | To assess changes in liver function before and after treatment, including alanine aminotransferase (ALT) and aspartate aminotransferase (AST). | 10 weeks post-infusion |
| Phase 3: Annualized bleeding rate (ABR) | To assess ABR, including spontaneous bleeding and traumatic bleeding after administration. | 52 weeks post-infusion |
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1/2: Changes in liver function | To assess changes in liver function before and after treatment, including alanine aminotransferase (ALT) and aspartate aminotransferase (AST). | 52 weeks post-infusion |
| Phase 1/2/3: Mean FIX Padua Activity Level |
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Inclusion Criteria of Phase 1/2/3:
Exclusion Criteria of Phase 1/2/3:
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| Name | Affiliation | Role |
|---|---|---|
| Lei Zhang, MD | Institute of Hematology & Blood Diseases Hospital Chinese Academy of Medical Sciences & Peking Union Medical College | Study Chair |
| Caifeng Yang, Master | Shanghai Xinzhi BioMed Co., Ltd. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Anhui Provincial Hospital | Hefei | Anhui | 230022 | China | ||
| Peking Union Medical College Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35598604 | Background | Xue F, Li H, Wu X, Liu W, Zhang F, Tang D, Chen Y, Wang W, Chi Y, Zheng J, Du Z, Jiang W, Zhong C, Wei J, Zhu P, Fu R, Liu X, Chen L, Pei X, Sun J, Cheng T, Yang R, Xiao X, Zhang L. Safety and activity of an engineered, liver-tropic adeno-associated virus vector expressing a hyperactive Padua factor IX administered with prophylactic glucocorticoids in patients with haemophilia B: a single-centre, single-arm, phase 1, pilot trial. Lancet Haematol. 2022 Jul;9(7):e504-e513. doi: 10.1016/S2352-3026(22)00113-2. Epub 2022 May 19. | |
| 36306204 |
| Label | URL |
|---|---|
| Prevalence of neutralizing antibodies against AAV8,AAV9, and AAV843 in a Chinese population | View source |
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| ID | Term |
|---|---|
| D002836 | Hemophilia B |
| ID | Term |
|---|---|
| D025861 | Blood Coagulation Disorders, Inherited |
| D001778 | Blood Coagulation Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
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Measurement of mean FIX Padua activity levels over the 52-week period following BBM-H901 injection.
| 52 weeks post-infusion |
| Phase 1/2/3: Other FIX Protein Product Usage | Number and total volume of infusions of exogenous FIX protein products (recombinant or plasma-derived) administered within 52 weeks post-BBM-H901 injection. | 52 weeks post-infusion |
| Phase 1/2/3: Target Joint Count | Number of target joints recorded within 52 weeks post-BBM-H901 injection. | 52 weeks post-infusion |
| Phase 1/2/3: Joint Bleeding Episodes | Total number of joint bleeding events occurring within 52 weeks post-BBM-H901 injection. | 52 weeks post-infusion |
| Phase 1/2/3: Bleeding-Free Subjects | Proportion of subjects experiencing no bleeding events within 52 weeks post-BBM-H901 injection. | 52 weeks post-infusion |
| Phase 1/2/3: Adverse Event Incidence | Incidence of adverse events (AEs) and serious adverse events (SAEs) within 52 weeks post-BBM-H901 injection. | 52 weeks post-infusion |
| Phase 1/2/3: FIX Inhibitor Incidence | Incidence of FIX inhibitors measured by Bethesda or Nijmegen-Bethesda assays within 52 weeks post-BBM-H901 injection. | 52 weeks post-infusion |
| Phase 1/2/3: AAV Vector Shedding | Changes in AAV vector shedding in plasma, urine, semen, saliva, and PBMCs within 52 weeks post-BBM-H901 injection. | 52 weeks post-infusion |
| Beijing |
| Beijing Municipality |
| 100005 |
| China |
| Nanfang Hospital Southern Medical University | Guangzhou | Guangdong | 510515 | China |
| The Second People's Hospital of Shenzhen | Shenzhen | Guangdong | 518025 | China |
| North China University of Science and Technology Affiliated Hospital | Tangshan | Hebei | 063000 | China |
| Henan Cancer Hospital | Zhengzhou | Henan | 450003 | China |
| The Second Hospital of Shanxi Medical University | Taiyuan | Shanxi | 030001 | China |
| Institute of Hematology & Blood Diseases Hospital Chinese Academy of Medical Sciences & Peking Union Medical College | Tianjin | Tianjin Municipality | 300020 | China |
| The second Affiliated Hospital of Kunming Medical University | Kunming | Yunnan | 650032 | China |
| Background |
| Xue F, Wang P, Yuan Z, Shi C, Fang Y, Liu W, Wang Y, Xiao X, Yang R, George LA, Zhang L. Total Knee Arthroplasty after Gene Therapy for Hemophilia B. N Engl J Med. 2022 Oct 27;387(17):1622-1624. doi: 10.1056/NEJMc2211173. No abstract available. |
| 40441148 | Result | Wei H, Xiao W, Dai J. China's first approved gene therapy for hemophilia B: A new era for global AAV-based treatments. Mol Ther. 2025 Jun 4;33(6):2312-2313. doi: 10.1016/j.ymthe.2025.05.014. Epub 2025 May 28. No abstract available. |
| 41180128 | Result | Xue F, Hu Y, Yang R, Sun J, Yang L, Wang X, Yu Z, Zhu T, Zhou H, Zhou Z, Yan Z, Du X, Zheng C, Liu W, Zhou R, Dai J, Yin J, Wang H, Tang LV, Chen S, Cheng H, Zhu M, Wang S, Song Y, Zhang P, Zhang L. Chinese guidance for the clinical application of adeno-associated virus vector-based gene therapy for hemophilia B (2025). Blood Sci. 2025 Oct 29;7(4):e00257. doi: 10.1097/BS9.0000000000000257. eCollection 2025 Dec. |
| 41266685 | Result | Xue F, Ju M, Zhu T, Zhou Z, Sun J, Yang L, Yan Z, Zhou H, Du X, Zheng C, Zheng J, Wu X, Du Z, Jiang W, Yang C, Xiao X, Liu W, Yang R, Zhang L. Factor IX-Padua AAV gene therapy in hemophilia B: phases 1/2 and 3 trials. Nat Med. 2026 Jan;32(1):93-102. doi: 10.1038/s41591-025-04012-y. Epub 2025 Nov 20. |
| D020147 | Coagulation Protein Disorders |
| D006474 | Hemorrhagic Disorders |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D040181 | Genetic Diseases, X-Linked |