Recruiting
Phase 3

CSL222

Sponsor:

CSL Behring

Code:

NCT06003387

Conditions

Hemophilia B

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

CSL222 (AAV5-hFIXco-Padua)

Study Details

Brief 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.

Conditions

Hemophilia B

Study ID

NCT06003387

Start date

Jan 30, 2024

Status verified date

Aug, 2026

Completion date

Apr 2, 2032

Anticipated

Primary completion date

Oct 4, 2028

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • 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.
  • 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.

Exclusion Criteria:

  • 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:

1. ALT > 2 × the ULN
2. AST > 2 × the ULN
3. Alkaline phosphatase > 2 × the ULN
4. Serum creatinine > 2 × the ULN
5. 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.

Study Design

Enrollment

35 participants

Anticipated

Intervention Model

Single group

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: CSL222

Participants will receive CSL222 as a single intravenous (IV) infusion of 2 × 10\^13 genome copies per kilogram (gc/kg) on Day 1.

Interventions

CSL222 (AAV5-hFIXco-Padua)

Administered as a single IV infusion.

Primary outcome measure

  • Annualized Bleeding Rate (ABR) [ Time Frame: Months 7 to 18 after CSL222 treatment ]

Central Contacts and Locations

Central contacts

Trial Registration Coordinator

1-610-878-4697clinicaltrials@cslbehring.com

Locations

University of California, San Diego (UCSD)

Recruiting

San Diego, California, United States, 92121

University of Michigan

Recruiting

Ann Arbor, Michigan, United States, 48109

Hemophilia Center of Western Pennsylvania (HCWP)

Recruiting

Pittsburgh, Pennsylvania, United States, 15260

The University of Texas Health Science Center at Houston

Recruiting

Houston, Texas, United States, 77030

McMaster University - Hamilton

Recruiting

Hamilton, Ontario, Canada, L8N 3Z5

More Information

Sponsor

CSL Behring

Last update posted

Aug 27, 2026

Last verified

Aug, 2026

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by CSL Behring on 2026-08-27.