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Hemophilia BPhase 1/2NCT05164471

Phase 1/2 Dose Confirmation Study of FLT180a in Hemophilia B

A Phase 1/2 study testing verbrinacogene setparvovec in people with Hemophilia B, run by Spur Therapeutics at 7 sites in 2 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Study of FLT180a gene therapy in adults with Hemophilia B. Up to 9 patients will be enrolled to receive a single dose of FLT180a and be followed for 52 weeks. Results will confirm the dose for a future Phase 3 study. Read more about this study

Who is it for?
Ages 18 to 65 years, men only
Conditions the study is for
Hemophilia B
What is being tested?
verbrinacogene setparvovec
Could I receive a placebo?
No, everyone receives an active treatment
How many people
6 participants
Where
7 sitesin 2 countries
Study dates
6 Dec 2021to 31 May 2023
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of Hemophilia B with known severe or moderately severe FIX deficiency (≤2% normal circulating FIX activity) for which the subject is on continuous, stable and adequate FIX prophylaxis
  • Have acceptable laboratory values of a) Hemoglobin ≥11g/dL; b) Platelets ≥100,000 cells/µL; c) AST, ALT and alkaline phosphatase (ALP) ≤ upper limit of normal (ULN); d) Serum albumin > lower limit of normal (LLN); e) Total bilirubin ≤1.5 x ULN (except if caused by Gilbert's disease); f) Serum creatinine ≤2.0mg/dL.
  • Level of neutralizing anti-AAV-S3 antibodies below the limit of the pre-established clinical cutoff using an in vitro transduction inhibition assay within the 4 weeks prior to FLT180a administration
  • Has demonstrated ability to accurately, independently and in a timely manner enter bleed diary data during the lead-in study, as judged by the investigator
  • At least 150 exposure days to FIX concentrates
  • At least 6 months of satisfactory controlled prospective baseline data for bleeding events and FIX consumption data from the FLT-01 lead-in study (ECLIPSE)

Who cannot join

  • Any history of alcohol or drug dependence
  • Presence of neutralizing anti human FIX antibodies (inhibitor; determined by the Nijmegen modified Bethesda inhibitor assay) at the time of enrolment or a previous history of FIX inhibitor
  • Subjects at high risk of thromboembolic events
  • Evidence of advanced liver fibrosis
  • Prior treatment with a gene transfer medicinal product
  • Subjects with active hepatitis B or C
Show all 13Show fewer
  • Serological evidence of HIV-1, not controlled with anti-viral therapy and as evidenced by cluster of differentiation 4 (CD4)+ counts ≤200 μL
  • Cytomegalovirus (CMV) immunoglobulin G positive subjects who are CMV polymerase chain reaction (PCR) positive at screening
  • Known coagulation disorder other than hemophilia B
  • High sensitivity (hs) troponin-T ≥14 pg/mL during screening
  • History of uncontrolled cardiac failure, unstable angina, or myocardial infarction or other acute cardiac conditions requiring clinical management in the past 6 months
  • Planned surgical procedure within the next 12 months requiring prophylactic FIX treatment
  • Known active severe infection (including documented coronavirus (COVID)-19 infection), or any other significant concurrent, uncontrolled medical condition

Trial locations and contacts

7 sites in 2 countries.

7 sites in 2 countries

United Kingdom4 sites
  • Glasgow Royal Infirmary

    Glasgow

  • Guys Hospital

    London

  • Royal Free London NHS Foundation Tust

    London

  • Royal Victoria Infirmary

    Newcastle

Other trials in United Kingdom

United States3 sites
  • University of Michigan

    Ann Arbor, Michigan, 48109

  • Children's Hospital of Los Angeles

    Los Angeles, California, 90027

  • University of South Florida

    Tampa, Florida, 33612

Other trials in United States

About this study

Official title: A Dose Confirmation Study of FLT180a (Adeno-associated Viral Vector Containing the Padua Variant of a Codon-optimized Human Factor IX Gene) in Adult Subjects With Hemophilia B

Study of FLT180a gene therapy in adults with Hemophilia B. Up to 9 patients will be enrolled to receive a single dose of FLT180a and be followed for 52 weeks. Results will confirm the dose for a future Phase 3 study.

Conditions
Hemophilia B
Being tested
verbrinacogene setparvovec
Medical subject headings
Hemophilia B

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • verbrinacogene setparvovecGenetic

    FLT180a is a gene therapy intended to increase endogenous FIX production in adults with Hemophilia B

Study groups in NCT05164471
Study groupRoleWhat they receive
FLT180aExperimentalA single dose of FLT180a will be administered. Dose will be determined by enrollment cohort. The first 3 patients will receive 7.7 x 10e11 vg/kg. The dose in subsequent cohorts will be determined by the DMC based on review of data from the prior cohort(s).
Receives: Genetic: verbrinacogene setparvovec

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Adverse Events

    Measured: Dosing through last study visit (average of 48 weeks)

Secondary outcomes (5)
  1. Number of Participants With FIX Activity Levels >=5% and >= 10%

    One-Stage aPTT \& Chromogenic Assay (central lab)

    Measured: Last study visit (average of 48 weeks)

  2. Number of Participants With FIX Inhibitor at Any Time Point

    Measured: Dosing through last study visit (average of 48 weeks)

  3. Number Patients With Bleeding Episode

    Measured: Dosing through last study visit (average of 48 weeks)

  4. Mean Time to Cleared Viral Shedding

    Time of first <LLD (lower limit detection) value

    Measured: Dosing through last study visit (average of 48 weeks)

  5. Number of Participants With Abnormal Serum Alpha-fetoprotein Levels

    Central lab

    Measured: Dosing through last study visit (either Week 26 or W52)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Dec 2021
  2. Study start6 Dec 2021
  3. Primary completion31 May 2023
  4. Study completion31 May 2023

Why it stopped: Freeline has decided to pause development of FLT180a for business priorities

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
6 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05164471
Sponsor's protocol ID
FLT180a-06
Status last verified
Jul 2026
First submitted
22 Nov 2021
Last updated
31 Jul 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing verbrinacogene setparvovec in people with Hemophilia B, run by Spur Therapeutics at 7 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 31 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in United Kingdom, United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 31 Jul 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Adverse Events (time frame: Dosing through last study visit (average of 48 weeks)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Jul 2026.

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