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Hemophilia BPhase 3NCT06003387

Efficacy and Safety of CSL222 (Etranacogene Dezaparvovec) Gene Therapy in Adults With Hemophilia B With Pretreatment Adeno-associated Virus Serotype 5 (AAV5) Neutralizing Antibodies (Nabs)

A Phase 3 study testing CSL222 (AAV5-hFIXco-Padua) in people with Hemophilia B, run by CSL Behring at 32 sites in 15 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The purpose of this study is to assess the risk of bleeding due to failure of expected pharmacological action of CSL222 in adults with severe or moderately severe hemophilia B with detectable pretreatment AAV5 Nabs. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Hemophilia B
What is being tested?
CSL222 (AAV5-hFIXco-Padua)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
35 participants
Where
32 sitesin 15 countries
Study dates
30 Jan 2024to 2 Apr 2032
Phase
Phase 3
Are there results?
Not yet: the study is under way

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Considered legally an adult, as defined by country regulations.
  • Has congenital hemophilia B with known severe or moderately severe FIX deficiency (less than or equal to [<=] 2% of normal circulating FIX) for which the participant is on continuous routine FIX prophylaxis.
  • Has 2 consecutive detectable AAV5 NAb titer results between Screening and Visit L-Final using a validated AAV5 NAb assay (based on central laboratory results).
  • Has greater than (>) 150 previous exposure days to FIX replacement therapy.
  • Has been on stable FIX prophylaxis for at least 2 months before Screening.
  • Has demonstrated capability to independently, accurately, and in a timely manner complete the eDiary during the Lead-in Period, as judged by the investigator.
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  • Acceptance to adhere to contraception guidelines.
  • Able to provide informed consent after receipt of verbal and written information about the study.
  • Investigator believes that the participant (or the participant's legally acceptable representative[s]) understands the nature, scope, and possible consequences of the study and is able to adhere to the study procedures.

Who cannot join

  • History of FIX inhibitors or positive FIX inhibitor test at Prescreening, Screening or Visit L-Final (based on central laboratory results).
  • Screening or Visit L-Final laboratory values (based on central laboratory results) of total bilirubin > 2 × the upper limit of normal (ULN) (except if caused by Gilbert's syndrome).
  • Screening or Visit L-Final laboratory values (based on central laboratory results) of any of the following laboratory abnormalities:
  • ALT > 2 × the ULN
  • AST > 2 × the ULN
  • Alkaline phosphatase > 2 × the ULN
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  • Serum creatinine > 2 × the ULN
  • Hemoglobin less than (<) 8 g/dL
  • Any condition other than hemophilia B resulting in an increased bleeding tendency.
  • Thrombocytopenia, defined as a platelet count <50 × 10^9/L, at Screening or Visit L Final (based on central laboratory results).
  • Any uncontrolled or untreated infection (human immunodeficiency virus [HIV], hepatitis B virus [HBV] and hepatitis C virus [HCV], or any other significant concurrent, uncontrolled medical condition including, but not limited to, renal, hepatic, cardiovascular, hematological, gastrointestinal, endocrine, pulmonary, neurological, cerebral or psychiatric disease, alcoholism, drug dependency, or any other psychological disorder evaluated by the investigator to interfere with adherence to the clinical study protocol procedures or with the degree of tolerance to CSL222.
  • Known history of allergy to corticosteroids or known medical condition that would require chronic administration of oral corticosteroids.
  • Known uncontrolled allergic conditions or allergy / hypersensitivity to any component of the CSL222 excipients (ie, sucrose, potassium chloride, potassium dihydrogen phosphate, sodium chloride, and disodium hydrogen phosphate).
  • Previous AAV5 gene therapy treatment.
  • Receipt of an experimental agent or device within 60 days before Screening until the end of the study.

Trial locations and contacts

32 sites in 15 countries. Contact the study team or a site near you to ask about taking part.

Trial Registration Coordinator contact

1-610-878-4697

clinicaltrials@cslbehring.com

32 sites in 15 countries

Taiwan5 sites, 5 recruiting
  • Changhua Christian Hospital (CCH)

    Chang-hua, 500

    Use Central Contact

    Recruiting
  • Kaohsiung Medical University Chung-Ho Memorial Hospital (KMUH)

    Kaohsiung City, Sanmin District, 80756

    Use Central Contact

    Recruiting
  • Taichung Veterans General Hospital -

    Taichung, 40705

    Use Central Contact

    Recruiting
  • Tri-Service General Hospital

    Taipei, Neihu District, 114

    Use Central Contact

    Recruiting
  • National Taiwan University Hospital

    Taipei, 100225

    Recruiting

Other trials in Taiwan

United States4 sites, 4 recruiting
  • University of Michigan

    Ann Arbor, Michigan, 48109

    Use Central Contact

    Recruiting
  • The University of Texas Health Science Center at Houston

    Houston, Texas, 77030

    Recruiting
  • Hemophilia Center of Western Pennsylvania (HCWP)

    Pittsburgh, Pennsylvania, 15260

    Recruiting
  • University of California, San Diego (UCSD)

    San Diego, California, 92121

    Use Central Contact

    Recruiting

Other trials in United States

Australia4 sites, 4 recruiting
  • Royal Adelaide Hospital

    Adelaide, South Australia, 5000

    Recruiting
  • Royal Prince Alfred Hospital

    Camperdown, New South Wales, 2050

    Use Central Contact

    Recruiting
  • Royal Brisbane Hospital

    Herston, Queensland, 4029

    Use Central Contact

    Recruiting
  • The Alfred Hospital

    Melbourne, Victoria, 3004

    Use Central Contact

    Recruiting

Other trials in Australia

South Korea3 sites, 3 recruiting
  • Kyungpook National University Hospital

    Daegu, 41944

    Use Central Contact

    Recruiting
  • Kyung Hee University Hospital at Gangdong

    Seoul, 05278

    Use Central Contact

    Recruiting
  • Severance Hospital, Yonsei University Health System

    Seoul, 3722

    Use Central Contact

    Recruiting

Other trials in South Korea

Turkey (Türkiye)3 sites, 3 recruiting
  • Ege University Medical Faculty

    Bornova, 35100

    Use Central Contact

    Recruiting
  • Gaziantep University Sahinbey Research and Practice Hospital

    Gaziantep, 27310

    Use Central Contact

    Recruiting
  • Özel Acibadem Adana Hastanesi

    Seyhan, 01130

    Use Central Contact

    Recruiting

Other trials in Turkey (Türkiye)

Brazil2 sites, 2 recruiting
  • Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo

    São Paulo, 05403-010

    Recruiting
  • UNICAMP Universidade Estadual de Campinas

    São Paulo, 13083-878

    Recruiting

Other trials in Brazil

Hong Kong2 sites, 2 recruiting
  • Queen Mary Hospital

    Hong Kong, 999077

    Use Central Contact

    Recruiting
  • Prince of Wales Hospital Chinese University of Hong Kong

    Shatin, 999077

    Use Central Contact

    Recruiting

Other trials in Hong Kong

Singapore2 sites, 2 recruiting
  • National University Hospital

    Singapore, 110974

    Use Central Contact

    Recruiting
  • Singapore General Hospital

    Singapore, 169608

    Recruiting

Other trials in Singapore

Bulgaria1 site, 1 recruiting
  • Specialized Hospital for Active Treatment of Hematological Diseases

    Sofia, 1756

    Recruiting

Other trials in Bulgaria

Canada1 site, 1 recruiting
  • McMaster University - Hamilton

    Hamilton, Ontario, L8N 3Z5

    Use Central Contact

    Recruiting

Other trials in Canada

Israel1 site, 1 recruiting
  • Sheba Medical Center

    Tel HaShomer, 5265601

    Use Central Contact

    Recruiting

Other trials in Israel

Mexico1 site, 1 recruiting
  • Centro de Investigacion Clinica GRAMEL S.C.

    Mexico City, Mexico City, 3720

    Use Central Contact

    Recruiting

Other trials in Mexico

Poland1 site, 1 recruiting
  • Klinika Zaburzen Hemostazy i Chorob Wewnetrznych

    Warsaw, 02776

    Recruiting

Other trials in Poland

Saudi Arabia1 site, 1 recruiting
  • King Faisal Specialist Hospital and Research Center

    Riyadh, 11471

    Use Central Contact

    Recruiting

Other trials in Saudi Arabia

South Africa1 site, 1 recruiting
  • Haemophilia Comprehensive Care Centre

    Johannesburg, 2193

    Use Central Contact

    Recruiting

Other trials in South Africa

About this study

Official title: Phase 3b, Open-label, Multicenter, Single-dose Study Investigating Efficacy and Safety of CSL222 (Etranacogene Dezaparvovec) Gene Therapy Administered to Adult Subjects With Severe or Moderately Severe Hemophilia B With Detectable Pretreatment AAV5 Neutralizing Antibodies

The purpose of this study is to assess the risk of bleeding due to failure of expected pharmacological action of CSL222 in adults with severe or moderately severe hemophilia B with detectable pretreatment AAV5 Nabs.

Conditions
Hemophilia B
Being tested
CSL222 (AAV5-hFIXco-Padua)
Medical subject headings
Hemophilia B

What participants receive

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

  • CSL222 (AAV5-hFIXco-Padua)Genetic

    Also called Etranacogene dezaparvovec

    Administered as a single IV infusion.

Study groups in NCT06003387
Study groupRoleWhat they receive
CSL222ExperimentalParticipants will receive CSL222 as a single intravenous (IV) infusion of 2 × 10^13 genome copies per kilogram (gc/kg) on Day 1.
Receives: Genetic: CSL222 (AAV5-hFIXco-Padua)

What is being measured

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

  1. Annualized Bleeding Rate (ABR)

    The total bleeding episodes will be analyzed. ABR is calculated as the total bleeding episodes divided by the total time at risk.

    Measured: Months 7 to 18 after CSL222 treatment

Secondary outcomes (30)
  1. Number of participants with Treatment Emergent Adverse Events (TEAEs)

    Measured: Up to 60 months after CSL222 treatment

  2. Percentage of participants with TEAEs

    Measured: Up to 60 months after CSL222 treatment

  3. Number of TEAEs

    Measured: Up to 60 months after CSL222 treatment

  4. Change in Liver ultrasound

    Measured: Up to 60 months after CSL222 treatment

  5. Number of participants who develop Factor IX (FIX) Inhibitors

    Measured: Up to 60 months after CSL222 treatment

  6. Percentage of participants who develop FIX Inhibitors

    Measured: Up to 60 months after CSL222 treatment

  7. Change in hematology and biochemistry parameters

    Measured: Up to 60 months after CSL222 treatment

  8. Number of participants with clinically significant increase in Alanine Aminotransferase (ALT) or Aspartate Aminotransferase (AST)

    Measured: Up to 60 months after CSL222 treatment

  9. Percentage of participants with clinically significant increase in ALT or AST

    Measured: Up to 60 months after CSL222 treatment

  10. Corticosteroid use for ALT or AST increases after CSL222 treatment

    Measured: Up to 60 months after CSL222 treatment

  11. Number of participants with clinically significant Alpha-fetoprotein (AFP)

    Measured: Baseline and up to 60 months after CSL222 treatment

  12. Percentage of participants with clinically significant AFP

    Measured: Baseline and up to 60 months after CSL222 treatment

  13. Number of participants with infusion related reactions or hypersensitivity reactions

    Measured: Throughout CSL222 infusion period and up to 60 months after CSL222 treatment

  14. Percentage of participants with infusion related reactions or hypersensitivity reactions

    Measured: Throughout CSL222 infusion period and up to 60 months after CSL222 treatment

  15. Change in the Uncontaminated Endogenous FIX activity

    Measured: Baseline and up to Months 6, 12, and 18 after CSL222 treatment

  16. Annualized consumption of FIX replacement therapy

    Measured: Months 7 to 18 after CSL222 treatment

  17. Annualized infusion rate of FIX replacement therapy

    Measured: Months 7 to 18 after CSL222 treatment

  18. Number of participants remaining free of continuous FIX prophylaxis

    Measured: Months 7 to 18 after CSL222 treatment

  19. Percentage of participants remaining free of continuous FIX prophylaxis

    Measured: Months 7 to 18 after CSL222 treatment

  20. ABR for spontaneous bleeding episodes

    Measured: Months 7 to 18 after CSL222 treatment

  21. ABR for joint bleeding episodes

    Measured: Months 7 to 18 after CSL222 treatment

  22. ABR for FIX-treated bleeding episodes

    Measured: Months 7 to 18 after CSL222 treatment

  23. Correlation analysis of FIX activity levels with baseline AAV5 NAb titers

    Measured: Months 7 to 18 after CSL222 treatment

  24. Number of participants with new target joints and resolved pre-existing target joints

    Target joint is defined as 3 or more spontaneous bleeding episodes into a single joint.

    Measured: Months 7 to 18 after CSL222 treatment

  25. Number of participants with zero bleeding episodes and zero FIX-treated bleeding episodes

    Measured: Months 7 to 18 after CSL222 treatment

  26. Percentage of participants with zero bleeding episodes and zero FIX-treated bleeding episodes

    Measured: Months 7 to 18 after CSL222 treatment

  27. Change in the EuroQol-5 Dimensions-5 Levels (EQ-5D-5L) Visual Analogue Scale (VAS) Overall Score

    The EQ-5D-5L questionnaire visual analogue scale (VAS) measures overall health status on a vertical VAS ranging from 0 to 100. A higher score indicates better quality of life. The change from baseline in the EQ-5D-5L VAS score will be determined.

    Measured: Baseline and up to 18 months after CSL222 treatment

  28. Change in the EQ-5D-5L Index Scores

    The EQ-5D-5L questionnaire descriptive system of health-related quality of life consists of 5 dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) for which responses will be recorded on 5 levels of severity (no problems, slight problems, moderate problems, severe problems, and extreme problems). The responses will be converted into a single index utility score (typically between -0.6 and 1). A higher score indicates better quality of life. The change from baseline in the EQ-5D-5L index score will be determined.

    Measured: Baseline and up to 18 months after CSL222 treatment

  29. Number of Participants with Uncontaminated Endogenous FIX Activity of Greater than or Equal to (>=) 5%

    Measured: Months 7 to 18 after CSL222 treatment

  30. Percentage of Participants with Uncontaminated Endogenous FIX Activity of >= 5%

    Measured: Months 7 to 18 after CSL222 treatment

Timeline

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

  1. First posted22 Aug 2023
  2. Study start30 Jan 2024
  3. Primary completion4 Oct 2028 (estimated)
  4. Study completion2 Apr 2032 (estimated)

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 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
35 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06003387
Sponsor's protocol ID
CSL222_3005
Other IDs
2023-509590-23-00, 2023
Status last verified
Aug 2026
First submitted
1 Aug 2023
Last updated
27 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: CSL will consider on a case-by-case basis requests to share Individual Patient Data (IPD) with external bona-fide, qualified scientific and medical researchers. For information on the process and requirements for submitting a voluntary data sharing request for IPD, please contact CSL at clinicaltrials@cslbehring.com.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing CSL222 (AAV5-hFIXco-Padua) in people with Hemophilia B, run by CSL Behring at 32 sites in 15 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 9 inclusion and 15 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: looking for participants now, as of the sponsor's last update on 27 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 32 sites in Taiwan, United States, Australia, South Korea, Turkey (Türkiye) and 10 more countries. 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 phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Trial Registration Coordinator (1-610-878-4697, clinicaltrials@cslbehring.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Annualized Bleeding Rate (ABR) (time frame: Months 7 to 18 after CSL222 treatment). 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 27 Aug 2026.

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