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A Gene Therapy Study of BMN 331 in Subjects With Hereditary Angioedema (HAErmony-1)

Primary Purpose

Hereditary Angioedema, HAE

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Dose 1 of BMN 331
Dose 2 of BMN 331
Dose 3 of BMN 331
Dose 4 of BMN 331
Dose 5 of BMN 331
Sponsored by
BioMarin Pharmaceutical
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hereditary Angioedema focused on measuring HAE, Hereditary Angioedema, Gene Therapy, 331-201, 331, Haermony

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Female or male adults ( ≥ 18 years old)
  2. Confirmed diagnosis of HAE due to C1-INH deficiency (Type I or II) confirmed by genotyping of SERPING1 gene
  3. Currently using an HAE medication regimen that consists of a routine long-term prophylactic treatment or an on-demand therapy for the last 6 months prior to enrollment for a documented attack frequency of at least 1 attack per month on average
  4. Trained in self-administering acute attack treatment and is able to adequately manage acute attacks in a home setting
  5. Willingness to abstain from consumption of alcohol for at least 52 weeks post BMN 331 infusion and to use highly effective contraception

Exclusion Criteria:

  1. Evidence of active or chronic infection, including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), or any immunosuppressive disorder
  2. Contraindication to using glucocorticosteroids GCS, including a diagnosis of glaucoma or untreated osteoporosis
  3. Active malignancy (except non-melanoma skin cancer) autoimmune, metabolic (i.e., diabetes), hematologic, cardiac, or renal disease that is of clinical significance defined as requiring regular medical attention and treatment
  4. Prior gene therapy treatment
  5. Prior use of attenuated androgens in the last 1 year prior the study
  6. History or current clinically relevant liver disease (eg, nonalcoholic steatohepatitis [NASH], or chronic viral hepatitis B or C [HBV or HCV] or autoimmune hepatitis)
  7. Have a history or are at risk for clinically significant thromboembolic events (TEE) , or known underlying risk factor for thrombosis including thrombotic microangiopathy (TMA)

Sites / Locations

  • AllerVie Clinical ResearchRecruiting
  • Medical Research of ArizonaRecruiting
  • University of California San DiegoRecruiting
  • Asthma & Allergy Associates P.C.Recruiting
  • Dr. Henry J. Kanarek Allergy, Asthma & ImmunologyRecruiting
  • Institute For Asthma & AllergyRecruiting
  • Mississippi Center for Advanced MedicineRecruiting
  • Washington University School of MedicineRecruiting
  • Duke HealthRecruiting
  • University of Cincinnati (UC) Physicians Company, LLCRecruiting
  • Optimed Research, LTDRecruiting
  • The Pennsylvania State University (Penn State) Milton S. Hershey Medical CenterRecruiting
  • AARA Research CenterRecruiting
  • Hospital Universitario Vall d'HebronRecruiting
  • Hospital Universitario La PazRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

BMN 331

Arm Description

AAV Gene Therapy Infusion

Outcomes

Primary Outcome Measures

Number of participants with treatment-emergent adverse events following a single IV administration of BMN 331

Secondary Outcome Measures

Number and severity of investigator-confirmed HAE attacks
Annualized use of HAE medication
Plasma levels of functional C1-INH following BMN-331 infusion
Plasma levels of C1-INH antigen following BMN 331 infusion
Levels of total antibodies against AAV5 capsid following BMN 331 infusion
Levels of total antibodies against C1-INH following BMN 331 infusion
Levels of neutralizing antibodies against C1-INH following BMN 331 infusion

Full Information

First Posted
October 28, 2021
Last Updated
July 12, 2023
Sponsor
BioMarin Pharmaceutical
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1. Study Identification

Unique Protocol Identification Number
NCT05121376
Brief Title
A Gene Therapy Study of BMN 331 in Subjects With Hereditary Angioedema
Acronym
HAErmony-1
Official Title
A Phase 1/2 Open-Label, Dose-Escalation Study to Determine the Safety Tolerability & Efficacy of BMN 331 an AAV Vector-Mediated Gene Transfer of Human SERPING1 Gene in Subjects With HAE Due to Human C1-INH Deficiency
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Recruiting
Study Start Date
February 15, 2022 (Actual)
Primary Completion Date
November 2028 (Anticipated)
Study Completion Date
November 2028 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
BioMarin Pharmaceutical

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
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.
Detailed Description
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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hereditary Angioedema, HAE
Keywords
HAE, Hereditary Angioedema, Gene Therapy, 331-201, 331, Haermony

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
34 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
BMN 331
Arm Type
Experimental
Arm Description
AAV Gene Therapy Infusion
Intervention Type
Genetic
Intervention Name(s)
Dose 1 of BMN 331
Intervention Description
BMN 331 AAV Gene Therapy
Intervention Type
Genetic
Intervention Name(s)
Dose 2 of BMN 331
Intervention Description
BMN 331 AAV Gene Therapy
Intervention Type
Genetic
Intervention Name(s)
Dose 3 of BMN 331
Intervention Description
BMN 331 AAV Gene Therapy
Intervention Type
Genetic
Intervention Name(s)
Dose 4 of BMN 331
Intervention Description
BMN 331 AAV Gene Therapy
Intervention Type
Genetic
Intervention Name(s)
Dose 5 of BMN 331
Intervention Description
BMN 331 AAV Gene Therapy
Primary Outcome Measure Information:
Title
Number of participants with treatment-emergent adverse events following a single IV administration of BMN 331
Time Frame
At 5 years
Secondary Outcome Measure Information:
Title
Number and severity of investigator-confirmed HAE attacks
Time Frame
At 5 years
Title
Annualized use of HAE medication
Time Frame
At 5 years
Title
Plasma levels of functional C1-INH following BMN-331 infusion
Time Frame
At 5 years
Title
Plasma levels of C1-INH antigen following BMN 331 infusion
Time Frame
At 5 years
Title
Levels of total antibodies against AAV5 capsid following BMN 331 infusion
Time Frame
At 5 years
Title
Levels of total antibodies against C1-INH following BMN 331 infusion
Time Frame
At 5 years
Title
Levels of neutralizing antibodies against C1-INH following BMN 331 infusion
Time Frame
At 5 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Female or male adults ( ≥ 18 years old) Confirmed diagnosis of HAE due to C1-INH deficiency (Type I or II) confirmed by genotyping of SERPING1 gene Currently using an HAE medication regimen that consists of a routine long-term prophylactic treatment for at least 6 months prior to enrollment or an on-demand therapy regimen for a documented attack frequency of at least 4 attacks within the last 12 months prior to enrollment or at least 2 attacks within the last 6 months prior to enrollment Trained in self-administering acute attack treatment and is able to adequately manage acute attacks in a home setting Willingness to abstain from consumption of alcohol for at least 52 weeks post BMN 331 infusion and to use highly effective contraception Exclusion Criteria: Evidence of active or chronic infection, including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), or any immunosuppressive disorder Contraindication to using glucocorticosteroids GCS, including a diagnosis of glaucoma or untreated osteoporosis Active malignancy (except non-melanoma skin cancer) autoimmune, metabolic (i.e., diabetes), hematologic, cardiac, or renal disease that is of clinical significance defined as requiring regular medical attention and treatment Prior gene therapy treatment Prior use of high-dose attenuated androgens in the last 1 year prior to the study History or current clinically relevant liver disease (eg, nonalcoholic steatohepatitis [NASH], or chronic viral hepatitis B or C [HBV or HCV] or autoimmune hepatitis) Have a history or are at risk for clinically significant thromboembolic events (TEE) , or known underlying risk factor for thrombosis including thrombotic microangiopathy (TMA)
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Trial Specialist
Phone
1-800-983-4587
Email
medinfo@bmrn.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
MD Medical Director
Organizational Affiliation
BioMarin Pharmaceutical
Official's Role
Study Director
Facility Information:
Facility Name
AllerVie Clinical Research
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35209
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Esther Lange, CRNP
Phone
205-209-4131
Email
elange@allervie.com
First Name & Middle Initial & Last Name & Degree
John Anderson, MD
Facility Name
Medical Research of Arizona
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85251
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Briana Hernandez
Phone
480-675-8982
Email
Bri@medicalresearchaz.com
First Name & Middle Initial & Last Name & Degree
Michael Manning, MD
Facility Name
University of California San Diego
City
San Diego
State/Province
California
ZIP/Postal Code
92122
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Roxanne Lacy
Phone
858-657-5366
Email
rlacy@health.ucsd.edu
First Name & Middle Initial & Last Name & Degree
Marc Riedl, MD MS
Facility Name
Asthma & Allergy Associates P.C.
City
Colorado Springs
State/Province
Colorado
ZIP/Postal Code
80907
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Elizabeth Soltero
Phone
719-473-0872
Email
ESoltero@aacos.com
First Name & Middle Initial & Last Name & Degree
Daniel Soteres
Facility Name
Dr. Henry J. Kanarek Allergy, Asthma & Immunology
City
Overland Park
State/Province
Kansas
ZIP/Postal Code
66211
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Kristin Fravel
Phone
913-451-8555
Email
kristinkresearch@gmail.com.com
First Name & Middle Initial & Last Name & Degree
Henry Kanarek, MD
Facility Name
Institute For Asthma & Allergy
City
Chevy Chase
State/Province
Maryland
ZIP/Postal Code
20815
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Amie Koroma
Phone
301-986-0670
Email
iaaresearchkoroma@gmail.com
First Name & Middle Initial & Last Name & Degree
Henry Li, MD
Facility Name
Mississippi Center for Advanced Medicine
City
Madison
State/Province
Mississippi
ZIP/Postal Code
39110
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Wendy Thomson
Email
wthomson@msadvancedmedicine.com
First Name & Middle Initial & Last Name & Degree
Ray Rodriguez, MD
Facility Name
Washington University School of Medicine
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Tarisa Mantia
Phone
314-996-8339
Email
tmantia@wustl.edu
First Name & Middle Initial & Last Name & Degree
James H Wedner, MD
Facility Name
Duke Health
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27705
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Katherine Prince
Phone
919-681-8931
Email
katherine.prince@duke.edu
First Name & Middle Initial & Last Name & Degree
Patricia Lugar, MD
Facility Name
University of Cincinnati (UC) Physicians Company, LLC
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45267
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Heather Kimbrough
Phone
513-558-6987
Email
kimbrohb@ucmail.uc.edu
First Name & Middle Initial & Last Name & Degree
Jonathan Bernstein, MD
Facility Name
Optimed Research, LTD
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43235
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Erwin Cooper
Phone
614-430-3030
Email
Cooper@optimedresearch.com
First Name & Middle Initial & Last Name & Degree
Donald McNeil, MD
Facility Name
The Pennsylvania State University (Penn State) Milton S. Hershey Medical Center
City
Hershey
State/Province
Pennsylvania
ZIP/Postal Code
16802
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Kristina Richwine
Phone
717-531-4506
Email
krichwine@pennstatehealth.psu.edu
First Name & Middle Initial & Last Name & Degree
Timothy Craig, MD
Facility Name
AARA Research Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Tamil Dhandapani
Phone
214-365-0365
Email
DhandapaniMD@aararesearch.com
First Name & Middle Initial & Last Name & Degree
William Lumry, MD
Facility Name
Hospital Universitario Vall d'Hebron
City
Barcelona
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laura Company Sapina
Phone
617908767
Email
laura.company@vhir.org
First Name & Middle Initial & Last Name & Degree
Mar Guilarte, MD PhD
Facility Name
Hospital Universitario La Paz
City
Madrid
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Olga Roche
Phone
34 91 727 77 07
Email
oroche@gmail.com
First Name & Middle Initial & Last Name & Degree
Teresa Caballero, MD, PhD

12. IPD Sharing Statement

Learn more about this trial

A Gene Therapy Study of BMN 331 in Subjects With Hereditary Angioedema

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