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Hemophilia APhase 3BMN 270-301NCT03370913

Single-Arm Study To Evaluate The Efficacy and Safety of Valoctocogene Roxaparvovec in Hemophilia A Patients (BMN 270-301)

A Phase 3 study testing valoctocogene roxaparvovec in people with Hemophilia A, run by BioMarin Pharmaceutical at 49 sites in 13 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This Phase III clinical study will assess the impact of BMN 270 (compared to FVIII prophylaxis) on the number of bleeding episodes irrespective of exogenous FVIII replacement treatment in the efficacy evaluation period (EEP) (from Week 5 post-BMN 270 infusion (Study Day 33) or the end of FVIII prophylaxis plus the… Read more about this study

Who is it for?
Ages 18 years and older, men only
Conditions the study is for
Hemophilia A
What is being tested?
valoctocogene roxaparvovec
Could I receive a placebo?
No, everyone receives an active treatment
How many people
144 participants
Where
49 sitesin 13 countries
Study dates
19 Dec 2017to 20 Nov 2024
Phase
Phase 3
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 years and older
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males ≥ 18 years of age with hemophilia A and residual FVIII levels ≤ 1 IU/dL as evidenced by medical history, at the time of signing the informed consent.
  • Must have been on prophylactic FVIII replacement therapy for at least 12 months prior to study entry.
  • Treated/exposed to FVIII concentrates or cryoprecipitate for a minimum of 150 exposure days (EDs).
  • No previous documented history of a detectable FVIII inhibitor, and results from a Bethesda assay or Bethesda assay with Nijmegen modification of less than 0.6 Bethesda Units (BU) on 2 consecutive occasions at least one week apart within the past 12 months.

Who cannot join

  • Detectable pre-existing antibodies to the adeno-associated virus 5 (AAV5) capsid.
  • Any evidence of active infection or any immunosuppressive disorder, except for HIV infection
  • Any evidence of active infection or any immunosuppressive disorder, including HIV infection (effective as of Protocol Amendment 3)
  • Significant liver dysfunction.
  • Prior liver biopsy showing significant fibrosis.
  • Evidence of any bleeding disorder not related to hemophilia A.
Show all 15Show fewer
  • Platelet count of < 100 x 10^9/L.
  • Creatinine ≥ 1.5 mg/dL.
  • Liver cirrhosis of any etiology as assessed by liver ultrasound.
  • Chronic or active hepatitis B.
  • Active Hepatitis C.
  • Active malignancy, except non-melanoma skin cancer.
  • History of hepatic malignancy.
  • History of arterial or venous thromboembolic events.
  • Known inherited or acquired thrombophilia, including conditions associated with increased thromboembolic risk, such as atrial fibrillation.

Trial locations and contacts

49 sites in 13 countries.

49 sites in 13 countries

United States15 sites
  • University of Michigan, Pediatric Hematology and Oncology

    Ann Arbor, Michigan, 48109-5718

  • University of Colorado

    Aurora, Colorado, 80045

  • UNC Hemophilia and Thrombosis Center

    Chapel Hill, North Carolina, 27517

  • Ann & Robert H. Lurie Children's Hospital of Chicago, Department of Hematology

    Chicago, Illinois, 60611-2605

  • Nationwide Children's Hospital

    Columbus, Ohio, 43205

  • Wayne State University, Detroit Medical Center

    Detroit, Michigan, 48201

  • Los Angeles Orthopedic Hospital, Orthopedic Hemophilia Treatment Center

    Los Angeles, California, 90007-2664

  • James Graham Brown Cancer Center

    Louisville, Kentucky, 40202

  • University of Minnesota

    Minneapolis, Minnesota, 55455

  • Tulane University Hematology & Medical Oncology

    New Orleans, Louisiana, 70112-2699

  • UC Davis Hemophilia Treatment Center

    Sacramento, California, 95817

  • University of California San Diego, Hematology and Oncology, Hemophilia &Thrombosis Treatment Center

    San Diego, California, 92122

  • UCSF Medical Center

    San Francisco, California, 94143-0106

  • Washington University School of Medicine, Department of Pediatrics, Division of Hematology/Oncology

    St Louis, Missouri, 63110-1093

  • St. Joseph's Children's Hospital, Center for Bleeding and Clotting Disorders

    Tampa, Florida, 33607

Other trials in United States

United Kingdom8 sites
  • Queen Elizabeth Hospital

    Birmingham

  • Addenbrookes Hospital

    Cambridge

  • Glasgow Royal Infirmary, Department of Hematology

    Glasgow

  • Barts and The London School of Medicine and Dentistry, Haemophilia Centre

    London

  • Hammersmith

    London

  • St Thomas' Hospital

    London

  • Churchill Hospital, Oxford Hemophilia and Thrombosis Center

    Oxford

  • University Hospital Southampton NHS Foundation Trust

    Southampton

Other trials in United Kingdom

Australia5 sites
  • The Royal Adelaide Hospital (RAH)

    Adelaide

  • Royal Brisbane and Women's Hospital

    Brisbane

  • Alfred Hospital

    Melbourne

  • Fiona Stanley Hospital

    Perth

  • Royal Prince Alfred Hospital

    Sydney

Other trials in Australia

Brazil5 sites
  • Campinas Estadual University (UNICAMP) / Campinas Hemocentro / Hematologia E Hemoterapia Center

    Campinas

  • Parana's Hematology And Hemotherapy Center (HEMEPAR)

    Curitiba

  • Arthur De Siqueira Cavalcanti Hematology State Institute

    Rio de Janeiro

  • Sao Paulo University Clinical Hospital

    São Paulo

  • Holy Spirit Hematology and Hemotherapy Center

    Vitória

Other trials in Brazil

Taiwan5 sites
  • Changhua Christian Hospital

    Changhua

  • Kaohsiung Medical University Chung-Ho Memorial Hospital

    Kaohsiung City

  • Taichung Veterans General Hospital

    Taichung

  • National Taiwan University Hospital

    Taipei

  • Tri-Service General Hospital

    Taipei

Other trials in Taiwan

France2 sites
  • Regional University Hospital of Lille (CHRU de Lille)

    Lille

  • Hopital de la Timone Marseille - Assistance Publique des Hopitaux de Marseille

    Marseille

Other trials in France

Germany2 sites
  • Vivantes Clinic im Friedrichshain- Landsberger Allee

    Berlin

  • University Clinic Bonn

    Bonn

Other trials in Germany

Spain2 sites
  • Hospital Teresa Herrera

    A Coruña

  • University Hospital Virgen del Rocio (HUVR)

    Seville

Other trials in Spain

Belgium1 site
  • University Hospital Leuven

    Leuven

Other trials in Belgium

Israel1 site
  • Chaim Sheba Medical Center

    Ramat Gan

Other trials in Israel

Italy1 site
  • Maggiore Polyclinic Hospital, IRCCS Ca' Granda, Center for Hemophilia and Thrombosis Angelo Bianchi Bonomi

    Milan

Other trials in Italy

South Africa1 site
  • Charlotte Maxeke Johannesburg Academic Hospital, Hemophilia Comprehensive Care Center

    Johannesburg

Other trials in South Africa

South Korea1 site
  • Department of Pediatrics, Kyung Hee University Hospital at Gangdong

    Seoul

Other trials in South Korea

About this study

Official title: A Phase 3 Open-Label, Single-Arm Study To Evaluate The Efficacy and Safety of BMN 270, an Adeno-Associated Virus Vector-Mediated Gene Transfer of Human Factor VIII in Hemophilia A Patients With Residual FVIII Levels ≤ 1 IU/dL Receiving Prophylactic FVIII Infusions

This Phase III clinical study will assess the impact of BMN 270 (compared to FVIII prophylaxis) on the number of bleeding episodes irrespective of exogenous FVIII replacement treatment in the efficacy evaluation period (EEP) (from Week 5 post-BMN 270 infusion (Study Day 33) or the end of FVIII prophylaxis plus the washout period (3 days for products of standard half-life or plasma-derived and 5 days for products of extended half-life), whichever is later, to last visit by the data cut-off for the 2-year analysis, hereafter referred to as "Post FVIII Prophylaxis to Last Visit"). The study will also assess the impact of BMN 270 (compared to FVIII prophylaxis) on: the number of bleeding episodes requiring exogenous FVIII treatment in "Post FVIII Prophylaxis to Last Visit", FVIII activity as measured by chromogenic sustrate assay at Week 104 following intravenous infusion of BMN 270, usage of exogenous FVIII replacement therapy in "Post FVIII Prophylaxis to Last Visit", health-related quality of life patient-reported outcomes at week 104 following intravenous infusion of BMN 270. The study will also evaluate the safety of the BMN 270.

Conditions
Hemophilia A
Being tested
valoctocogene roxaparvovec
Keywords
Gene Therapy, Clotting Disorders, Blood Disorder, Blood Coagulation Disorders, Inherited Blood Coagulation disorders, Hematologic Diseases, Coagulation Protein Disorders, Hemorrhagic Disorders, Genetic Diseases, Inborn, Factor VIII, Coagulants
Medical subject headings
Hemophilia A, Hemostatic Disorders, Hematologic Diseases, Blood Coagulation Disorders, Blood Coagulation Disorders, Inherited, Coagulation Protein Disorders, Hemorrhagic Disorders, Genetic Diseases, Inborn

What participants receive

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

  • valoctocogene roxaparvovecBiological

    Also called BMN 270

    Adeno-Associated Virus Vector-Mediated Gene Transfer of Human Factor VIII in Hemophilia A

Study groups in NCT03370913
Study groupRoleWhat they receive
valoctocogene roxaparvovec Open LabelExperimentalSingle administration of valoctocogene roxaparvovec at a dose of 6E13 vg/kg
Receives: Biological: valoctocogene roxaparvovec

What is being measured

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

  1. Change From Baseline in Annualized Number of Bleeding Episodes Irrespective of Exogenous FVIII Replacement Treatment [Annualized Bleeding Rate (ABR) for All Bleeds] in EEP.

    All bleeds comprises both treated and non-treated bleeds. In this definition, all bleeds are included, irrespective of treatment with coagulation factors, with the following exception: bleeds due to surgery/procedure are excluded. All bleeds are any reported bleeding events regardless of the use of FVIII or other treatments.

    ABR for all bleeds= Number of bleeding episodes for all bleeds during the calculation period / total number of days during the calculation period * 365.25.

    Baseline: prior to BMN 270 infusion while receiving FVIII prophylaxis.

    EEP: From Week 5 post-BMN 270 infusion (Study Day 33) or the end of FVIII prophylaxis plus the washout period (3 days for products of standard half-life or plasma-derived and 5 days for products of extended half-life), whichever is later, to last visit by the data cut-off for the 2-year analysis, hereafter referred to as "Post FVIII Prophylaxis to Last Visit").

    Measured: Baseline to efficacy evaluation period (EEP)

Secondary outcomes (7)
  1. Change From Baseline in the Annualized Number of Bleeding Episodes Requiring Exogenous FVIII Replacement Therapy (ABR for Treated Bleeds) in the EEP.

    ABR for treated bleeds=Number of bleeding episodes for treated bleeds during the calculation period/total number of days during the calculation period * 365.25

    Bleeds that were treated with FVIII replacement therapy (recorded as "treatment for bleed") within 72 hours and were not associated with surgery or a procedure were included.

    Baseline: prior to BMN 270 infusion while receiving FVIII prophylaxis.

    EEP: From Week 5 post-BMN 270 infusion (Study Day 33) or the end of FVIII prophylaxis plus the washout period (3 days for products of standard half-life or plasma-derived and 5 days for products of extended half-life), whichever is later, to last visit by the data cut-off for the 2-year analysis, hereafter referred to as "Post FVIII Prophylaxis to Last Visit").

    Measured: Baseline to EEP

  2. Change From Baseline in FVIII Activity at Week 104

    The change from baseline (assuming no treatment for severe hemophilia A) in FVIII activity, as measured by chromogenic substrate assay, at Weeks 104 post-BMN 270 infusion.

    Each subject's FVIII activity level at Week 104 is defined as the median of the values obtained at Week 104 with the analysis window defined. The baseline value is imputed as 1 IU/dL for each subject.

    Note: One of the subject's wk104 duplicate data issue was corrected in the 3 year analysis per which the mean (standard deviation) values are reported in outcome measure table.

    Baseline: prior to BMN 270 infusion while receiving FVIII prophylaxis.

    Measured: Baseline to Week 104

  3. Change From Baseline in Annualized FVIII Utilization in EEP.

    The change from baseline in the annualized utilization (IU/kg/year) of exogenous FVIII replacement therapy in the Post FVIII Prophylaxis to Last Visit in the EEP.

    The annualized utilization (IU/kg/year) of exogenous FVIII replacement therapy is defined as Sum of FVIII use (IU/kg) during calculation period/Total number of days during the calculation period ×365.25.

    Baseline: prior to BMN 270 infusion while receiving FVIII prophylaxis.

    EEP: From Week 5 post-BMN 270 infusion (Study Day 33) or the end of FVIII prophylaxis plus the washout period (3 days for products of standard half-life or plasma-derived and 5 days for products of extended half-life), whichever is later, to last visit by the data cut-off for the 2-year analysis, hereafter referred to as "Post FVIII Prophylaxis to Last Visit").

    Measured: Baseline to EEP

  4. Change From Baseline in Haemo-QoL-A Quality of Life: Total Score at Week 104

    The change from baseline(assuming no treatment for severe hemophilia A) in Haemo-Qol-A score, at wk104 post-BMN 270 infusion.The Haemo-Qol-A questionnaire is a fit for purpose hemophilia-specific health related quality of life(HRQoL)questionnaire for adults consisting of 41 items covering 6 domains(Physical Functioning,Role Functioning,Worry,Consequences of Bleeding,Emotional Impact \&Treatment Concerns). The Haemo-Qol-A items are answered on a 6-point Likert scale ranging from 0(none of the time)to 5 (all of the time).The recall period for the Haemo-Qol-A is one month (4-weeks).

    The Haemo-QoL-A domain(physical functioning, role functioning, worry, consequences of bleeding, emotional impact, treatment concern) scores range from 0 to 5 and the total score is derived by summing each domain score (range, 0 to 30). Domain and total scores are transformed to a 0 (minimum) to 100 (maximum) scale with higher scores indicating a better or less impaired haemophilia related quality of life.

    Measured: Baseline to Week 104

  5. Change From Baseline in Haemo-QoL-A Quality of Life: Physical Functioning Domain Score, at Week 104

    The change from baseline (assuming no treatment for severe hemophilia A) in Haemo-Qol-A score, at week 104 post-BMN 270 infusion. The Haemo-Qol-A questionnaire is a fit for purpose hemophilia-specific health related quality of life (HRQoL) questionnaire for adults consisting of 41 items covering six domains (Physical Functioning, Role Functioning, Worry, Consequences of Bleeding, Emotional Impact and Treatment Concerns).The Haemo-Qol-A items are answered on a 6-point Likert scale ranging from 0 (none of the time) to 5 (all of the time).The recall period for the Haemo-Qol-A is one month (4-weeks).

    The Haemo-Qol-A physical functioning domain score is an average of each item value within a domain.The range of domain scores is 0 to 5; higher scores mean better HRQoL or less impairment for the domain. The physical functioning domain score is transformed to a 0 (minimum) to 100 (maximum) scale with higher scores indicating a better or less impaired haemophilia-related physical functioning

    Measured: Baseline to Week 104

  6. Change From Baseline in Haemo-QoL-A Quality of Life: Consequences of Bleeding Domain Score, at Week 104

    The change from baseline(assuming no treatment for severe hemophilia A)in Haemo-Qol-A score, at week 104 post-BMN 270 infusion. The Haemo-Qol-A questionnaire is a fit for purpose hemophilia-specific health related quality of life(HRQoL)questionnaire for adults consisting of 41 items covering 6 domains(Physical Functioning,Role Functioning,Worry,Consequences of Bleeding,Emotional Impact and Treatment Concerns). The Haemo-Qol-A items are answered on a 6-point Likert scale ranging from 0(none of the time) to 5(all of the time). The recall period for the Haemo-Qol-A is one month (4-wks).

    The Haemo-Qol-A consequences of bleeding domain score is an average of each item value within a domain. The range of domain scores is 0 to 5; higher scores mean better HRQoL or less impairment for the domain. The consequences of bleeding domain score is transformed to a 0 (minimum) to 100 (maximum) scale with higher scores indicating a better or less impaired haemophilia-related consequences of bleeding

    Measured: Baseline to Week 104

  7. Change From Baseline in Haemo-QoL-A Quality of Life: Role Functioning Domain Score, at Week 104

    The change from baseline (assuming no treatment for severe hemophilia A) in Haemo-Qol-A score, at week 104 post-BMN 270 infusion. The Haemo-Qol-A questionnaire is a fit for purpose hemophilia-specific health related quality of life (HRQoL) questionnaire for adults consisting of 41 items covering six domains (Physical Functioning, Role Functioning, Worry, Consequences of Bleeding, Emotional Impact and Treatment Concerns).The Haemo-Qol-A items are answered on a 6-point Likert scale ranging from 0 (none of the time) to 5 (all of the time). The recall period for the Haemo-Qol-A is one month (4-weeks).

    The Haemo-Qol-A role functioning domain score is an average of each item value within a domain. The range of domain scores is 0 to 5; higher scores mean better HRQoL or less impairment for the domain. The role functioning domain score is transformed to a 0 (minimum) to 100 (maximum) scale with higher scores indicating a better or less impaired haemophilia-related role functioning.

    Measured: Baseline to Week 104

Timeline

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

  1. First posted13 Dec 2017
  2. Study start19 Dec 2017
  3. Primary completion16 Nov 2020
  4. Study completion20 Nov 2024

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
144 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03370913
Sponsor's protocol ID
270-301
Other IDs
2017-003215-19, 2017
Acronym
BMN 270-301
Status last verified
Mar 2025
First submitted
27 Nov 2017
Last updated
25 Mar 2025
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Santos S, Robinson TM, Trueman D. Estimated Long-Term Durability of Valoctocogene Roxaparvovec Treatment in Male patients with Severe Hemophilia A: An Extrapolation of Clinical Data. Adv Ther. 2025 Nov;42(11):5781-5793. doi: 10.1007/s12325-025-03368-4. Epub 2025 Sep 23.

    PubMed 40986187
  • Agarwal S, Sandza K, Obrochta Moss K, Vora M, Bowen A, Bunch B, Holcomb J, Robinson TM, Jayaram K, Russell CB, Zoog S, Vettermann C, Henshaw J. Blood biodistribution and vector shedding of valoctocogene roxaparvovec in people with severe hemophilia A. Blood Adv. 2024 Sep 10;8(17):4606-4615. doi: 10.1182/bloodadvances.2024013150.

    PubMed 39024543
  • Oldenburg J, Chambost H, Liu H, Hawes C, You X, Yang X, Newman V, Robinson TM, Hatswell AJ, Hinds D, Santos S, Ozelo M. Comparative Effectiveness of Valoctocogene Roxaparvovec and Prophylactic Factor VIII Replacement in Severe Hemophilia A. Adv Ther. 2024 Jun;41(6):2267-2281. doi: 10.1007/s12325-024-02834-9. Epub 2024 Apr 15.

    PubMed 38616241
  • Mahlangu J, Kaczmarek R, von Drygalski A, Shapiro S, Chou SC, Ozelo MC, Kenet G, Peyvandi F, Wang M, Madan B, Key NS, Laffan M, Dunn AL, Mason J, Quon DV, Symington E, Leavitt AD, Oldenburg J, Chambost H, Reding MT, Jayaram K, Yu H, Mahajan R, Chavele KM, Reddy DB, Henshaw J, Robinson TM, Wong WY, Pipe SW; GENEr8-1 Trial Group. Two-Year Outcomes of Valoctocogene Roxaparvovec Therapy for Hemophilia A. N Engl J Med. 2023 Feb 23;388(8):694-705. doi: 10.1056/NEJMoa2211075.

    PubMed 36812433
  • Quinn J, Delaney KA, Wong WY, Miesbach W, Bullinger M. Psychometric Validation of the Haemo-QOL-A in Participants with Hemophilia A Treated with Gene Therapy. Patient Relat Outcome Meas. 2022 Jul 18;13:169-180. doi: 10.2147/PROM.S357555. eCollection 2022.

    PubMed 35879931
  • Ozelo MC, Mahlangu J, Pasi KJ, Giermasz A, Leavitt AD, Laffan M, Symington E, Quon DV, Wang JD, Peerlinck K, Pipe SW, Madan B, Key NS, Pierce GF, O'Mahony B, Kaczmarek R, Henshaw J, Lawal A, Jayaram K, Huang M, Yang X, Wong WY, Kim B; GENEr8-1 Trial Group. Valoctocogene Roxaparvovec Gene Therapy for Hemophilia A. N Engl J Med. 2022 Mar 17;386(11):1013-1025. doi: 10.1056/NEJMoa2113708.

    PubMed 35294811
  • Rosen S, Tiefenbacher S, Robinson M, Huang M, Srimani J, Mackenzie D, Christianson T, Pasi KJ, Rangarajan S, Symington E, Giermasz A, Pierce GF, Kim B, Zoog SJ, Vettermann C. Activity of transgene-produced B-domain-deleted factor VIII in human plasma following AAV5 gene therapy. Blood. 2020 Nov 26;136(22):2524-2534. doi: 10.1182/blood.2020005683.

    PubMed 32915950

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing valoctocogene roxaparvovec in people with Hemophilia A, run by BioMarin Pharmaceutical at 49 sites in 13 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 4 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: finished, as of the sponsor's last update on 25 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 49 sites in United States, United Kingdom, Australia, Brazil, Taiwan and 8 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?

Yes. Results are posted in the registry (first posted 28 Nov 2023). 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?

Change From Baseline in Annualized Number of Bleeding Episodes Irrespective of Exogenous FVIII Replacement Treatment [Annualized Bleeding Rate (ABR) for All Bleeds] in EEP. (time frame: Baseline to efficacy evaluation period (EEP)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03370913, which also lists 7 linked publications.

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 25 Mar 2025.

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