NCT06379789

A Two-Part Open-Label Study of REGV131-LNP1265, A CRISPR/Cas9 Based Coagulation Factor IX Gene Insertion Therapy in Participants With Hemophilia B

Study Summary

Participants in this study have a genetic mutation, specifically in the coagulation (blood clotting) Factor 9 gene that causes severe or moderately severe hemophilia B. This study is researching an experimental gene insertion therapy (the adding of a gene into your DNA) called REGV131-LNP1265, also called the "study drug". Gene insertion therapy aims to teach the body how to produce clotting factor long-term, without the need for factor replacement therapy. The main aim of this study is to find a safe and well-tolerated dose of the study drug by checking the side effects that may happen from taking it. The study is looking at several other research questions including: * How much study drug is in the blood at different times * Whether the body makes antibodies against parts of the study drug, which could make the drug less effective or could lead to side effects. Antibodies are proteins produced by the body's immune system in response to a foreign substance * Whether the body makes antibodies against the clotting factor replacement therapy * How quality of life is affected by hemophilia B and if it changes after taking study drug * How joint health is affected by hemophilia B and if it changes after taking study drug * How often visits are required for the emergency room, urgent care center, physician's office, hospital, telephone or online are required as a result of bleeding events, and if the frequency changes after taking study drug * How often factor replacement therapy is needed, both on a regular basis for prevention of bleeding, and as needed to treat bleeding events (and it if changes after taking study drug) * Whether there is a difference in 2 different methods for measuring Factor 9 activity in the blood

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Interventions

REGV131DRUG
Single dose administered via intravenous (IV) infusion before LNP1265
LNP1265DRUG
Single dose administered via IV infusion following REGV131

Study Locations

FacilityCityStateCountry
Orthopaedic Hemophilia Treatment CenterLos AngelesCaliforniaUnited States
David Geffen School of Medicine at UCLALos AngelesCaliforniaUnited States
Children's Hospital Los AngelesLos AngelesCaliforniaUnited States
University of California DavisSacramentoCaliforniaUnited States
University California San FranciscoSan FranciscoCaliforniaUnited States
University of Colorado Hemophilia and Thrombosis CenterAuroraColoradoUnited States
Yale HTCNew HavenConnecticutUnited States
University of FloridaGainesvilleFloridaUnited States
Indiana Hemophilia and Thrombosis CenterIndianapolisIndianaUnited States
Tulane University School of Medicine, Louisiana Center for Bleeding and Clotting DisordersNew OrleansLouisianaUnited States
University of MichiganAnn ArborMichiganUnited States
Nationwide Children's HospitalColumbusOhioUnited States
Children's Hospital of Philadelphia (CHOP)PhiladelphiaPennsylvaniaUnited States
Royal Prince Alfred Hospital, Haemophilia Treatment CentreCamperdownNew South WalesAustralia
University of Alberta HospitalEdmontonAlbertaCanada
McMaster University Medical Centre - Hamilton Health SciencesHamiltonOntarioCanada
McGill University Health Center (MUHC)MontrealQuebecCanada
Hospices Civils de LyonBronLyonFrance
Hemostase Clinique, Institut Coeur PoumonLilleNordFrance
Hopital NeckerParisÎle-de-France RegionFrance
University Hospital FrankfurtFrankfurt am MainHesseGermany
University Hospital Hamburg EppendorfHamburgGermany
Fondazione Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Ca Granda Ospedale Maggiore PoliclinicoMilanLombardyItaly
Irccs Humanitas Research HospitalRozzanoLombardyItaly
Ospedale san BortoloVicenzaItaly
Hospital Universitario Virgen del RocioSevilleAndalusiaSpain
Complejo Hospitalario Universitario de A Coruña (Edificio Teresa Herrera-Materno Infantil)A CoruñaGaliciaSpain
Hospital Clinico Universitario Virgen De La ArrixacaEl PalmarMurciaSpain
Hospital Universitario Central de AsturiasOviedoPrincipality of AsturiasSpain
Hospital Universitario Vall d'HebronBarcelonaSpain
Hospital Universitario La PazMadridSpain
Haemostasis and Thrombosis Unit, Hospital La FeValenciaSpain
Hospital Universitario Miguel ServetZaragozaSpain
Glasgow Royal Infirmary - Clinical Research FacilityGlasgowScotlandUnited Kingdom
Queen Elizabeth Hospital BirminghamBirminghamWest MidlandsUnited Kingdom
Addenbrooke's Hospital, Cambridge University Hospitals NHS FTCambridgeUnited Kingdom
Pathology and Pharmacy Building, The Royal London HospitalLondonUnited Kingdom
Royal Free London NHS Foundation TrustLondonUnited Kingdom
St. Thomas' HospitalLondonUnited Kingdom
Hammersmith Hospital Comprehensive Care CentreLondonUnited Kingdom

Official Trial Information

View on ClinicalTrials.gov

Data sourced from ClinicalTrials.gov. Last updated: April 14, 2026