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Trial ยท NCT03861273

A Study to Evaluate the Efficacy and Safety of Factor IX Gene Therapy With PF-06838435 in Adult Males With Moderately Severe to Severe Hemophilia B

NCT03861273, Phase 3, Active not recruiting, Pfizer; results first posted 2024-03-27

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Evaluate the Efficacy and Safety of Factor IX Gene Therapy With PF-06838435 in Adult Males With Moderately Severe to Severe Hemophilia B. Trials, record NCT03861273. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03861273

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study to Evaluate the Efficacy and Safety of Factor IX Gene Therapy With PF-06838435 in Adult Males With Moderately Severe to Severe Hemophilia B
NCT number
NCT03861273
Status
Active not recruiting
Phases
Phase 3
Enrollment
51 participants, actual
Lead sponsor
Pfizer
Conditions
Hemophilia B
Interventions
PF-06838435/ fidanacogene elaparvovec
First posted
2019-03-04
Last updated
2026-11-04
Results first posted
2024-03-27
Limitations and caveats
C0371004 lead-in ongoing study: did not involve any investigational intervention; designed to collect bleed, infusion data while participants were on their prophylaxis FIX therapy for a minimum of 6 months; data served as within participant comparison group for C0371002; participant flow and AEs are missing as the study has not concluded yet (some participants in the C0371004 are ongoing and supporting a different study NCT04370054) and data will be provided at conclusion of the lead-in study.

Source ClinicalTrials.gov

Registered outcomes27

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryAnnualized Bleeding Rate (ABR) for Total Bleeds (Treated and Untreated) From Week 12 to Month 15Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)
ABR = number of total bleeding episodes on study during the given time period) \*365.25/ (Date of last day - date of first day +1) in that time period. Surgical procedures were excluded from summary/analyses. Treated Bleed: An event necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding (protocol definition, unless specifically referring to untreated bleed). Untreated Bleed: A bleeding event not necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. This outcome measure compared data collected from lead-in study C0371004 and from current study C0371002. Pre-infusion period = at least 6 months of prospectively collected data while receiving FIX prophylaxis replacement therapy in lead-in study C0371004 up to dosing in current study C0371002.
SecondaryABR for Treated Bleeds From Week 12 to Month 15Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)
ABR = number of total bleeding episodes on study during the given time period) \*365.25/ (Date of last day - date of first day +1) in that time period. Surgical procedures were excluded from summary/analyses. Treated Bleed: An event necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding (protocol definition, unless specifically referring to untreated bleed). This outcome measure compared data collected from lead-in study C0371004 and from current study C0371002. Pre-infusion period = at least 6 months of prospectively collected data while receiving FIX prophylaxis replacement therapy in lead-in study C0371004 up to dosing in current study C0371002.
SecondaryAnnualized Infusion Rate (AIR) of Exogenous FIX From Week 12 to Month 15Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)
AIR = number of exogenous infusions (for any reason) received during given time period \*365.25/ (Date of last day - date of first day +1) in that time period. This outcome measure compared data collected from lead-in study C0371004 and from current study C0371002. Pre-infusion period = at least 6 months of prospectively collected data while receiving FIX prophylaxis replacement therapy in lead-in study C0371004 up to dosing in current study C0371002.
SecondarySteady State Circulating Factor IX (FIX:C) From Week 12 to Month 15Week 12 to Month 15
The certified central clinical laboratory analyzed the sample by two one-stage assays and a chromogenic assay. The first one-stage assay was performed on BCSXP analyzer with Actin-FSL reagent. The second one-stage assay used the same analyzer but SynthAsil as reagent. Data reported in this Outcome Measure is the geometric mean of all assessments from week 12 to Month 15.
SecondaryCirculating Factor IX (FIX:C) at Week 12, Week 24, Week 65Week 12, Week 24, Week 65
The certified central clinical laboratory analyzed the sample by two one-stage assays and a chromogenic assay. The first one-stage assay was performed on BCSXP analyzer with Actin-FSL reagent. The second one-stage assay used the same analyzer but SynthAsil as reagent.
SecondaryAnnualized Factor IX (FIX) Consumption From Week 12 to Month 15Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)
Annualized FIX consumption was reported by International Units per kilogram (IU/kg). This outcome measure compared data collected from lead-in study C0371004 and from current study C0371002. Pre-infusion period = at least 6 months of prospectively collected data while receiving FIX prophylaxis replacement therapy in lead-in study C0371004 up to dosing in current study C0371002. Data reported in this Outcome Measure is average of all assessments from Week 12 to Month 15.
SecondaryABR for Spontaneous Bleeds From Week 12 to Month 15Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)
ABR = number of total bleeding episodes on study during the given time period) \*365.25/ (Date of last day - date of first day +1) in that time period. Surgical procedures were excluded from summary/analyses. Surgical procedures were excluded from summary/analyses. Spontaneous Bleeds: Bleeding for no apparent/known reason particularly into the joints, muscles, and soft tissues. This outcome measure compared data collected from lead-in study C0371004 and from current study C0371002. Pre-infusion period = at least 6 months of prospectively collected data while receiving FIX prophylaxis replacement therapy in lead-in study C0371004 up to dosing in current study C0371002.
SecondaryABR for Traumatic Bleeds From Week 12 to Month 15Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)
ABR = number of total bleeding episodes on study during the given time period) \*365.25/ (Date of last day - date of first day +1) in that time period. Surgical procedures were excluded from summary/analyses. Surgical procedures were excluded from summary/analyses. Traumatic Bleeds: Bleeding event occurring for an apparent/known reason. This outcome measure compared data collected from lead-in study C0371004 and from current study C0371002. Pre-infusion period = at least 6 months of prospectively collected data while receiving FIX prophylaxis replacement therapy in lead-in study C0371004 up to dosing in current study C0371002.
SecondaryABR for Untreated Bleeds From Week 12 to Month 15Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)
ABR = number of total bleeding episodes on study during the given time period) \*365.25/ (Date of last day - date of first day +1) in that time period. Surgical procedures were excluded from summary/analyses. Surgical procedures were excluded from summary/analyses. Untreated Bleed: A bleeding event not necessitating administration of coagulation factor within 72 hours of signs or symptoms of bleeding. This outcome measure compared data collected from lead-in study C0371004 and from current study C0371002. Pre-infusion period = at least 6 months of prospectively collected data while receiving FIX prophylaxis replacement therapy in lead-in study C0371004 up to dosing in current study C0371002.
SecondaryNumber of Target Joint Bleeds From Week 12 to Month 15Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)
Target Joint: Defined as a major joint (e.g., hip, elbow, wrist, shoulder, knee, and ankle) into which repeated bleeds occurred (three or more spontaneous bleeds into a single joint within a consecutive 6-month period). A target joint was considered resolved when there were =\<2 bleeds into the joint within a 12-month period. Joint Bleed: A bleeding episode characterized by rapid loss of range of motion as compared with baseline that was associated with any combination of the following: pain or an unusual sensation in the joint, palpable swelling, and warmth of the skin over the joint. This outcome measure compared data collected from lead-in study C0371004 and from current study C0371002. Pre-infusion period = at least 6 months of prospectively collected data while receiving FIX prophylaxis replacement therapy in lead-in study C0371004 up to dosing in current study C0371002.

Outcomes27

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYAnnualized Bleeding Rate (ABR) for Total Bleeds (Treated and Untreated) From Week 12 to Month 15Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)Dosed analysis set included all participants enrolled in the study who received PF-06838435 infusion.Total bleeds per yearMEAN
SECONDARYABR for Treated Bleeds From Week 12 to Month 15Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)Dosed analysis set included all participants enrolled in the study who received PF-06838435 infusion.Treated bleeds per yearMEAN
SECONDARYAnnualized Infusion Rate (AIR) of Exogenous FIX From Week 12 to Month 15Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)Dosed analysis set included all participants enrolled in the study who received PF-06838435 infusion.Exogenous infusions per yearMEAN
SECONDARYSteady State Circulating Factor IX (FIX:C) From Week 12 to Month 15Week 12 to Month 15
Dosed analysis set included all participants enrolled in the study who received PF-06838435 infusion. The assessments at the visits following participant withdrawal/dropout/FIX prophylaxis resumption were imputed as 1.9%. Here, Number Analyzed signifies number of participants evaluable for specified rows of respective arms.
Percentage of NormalGEOMETRIC_MEAN
SECONDARYCirculating Factor IX (FIX:C) at Week 12, Week 24, Week 65Week 12, Week 24, Week 65
Dosed analysis set: participants enrolled in the study who received PF-06838435 infusion. The assessments at the visits following participant withdrawal/dropout/FIX prophylaxis resumption were imputed as 1.9%. Number Analyzed: at each row represents the number of participants with valid FIX:C assessments at the respective time points. All participants reported under 'Number of Participants Analyzed' contributed data to the table; however, may not have evaluable data for every row.
Percentage of NormalMEAN
SECONDARYAnnualized Factor IX (FIX) Consumption From Week 12 to Month 15Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)Dosed analysis set included all participants enrolled in the study who received PF-06838435 infusion.IU/kg per yearMEAN
SECONDARYABR for Spontaneous Bleeds From Week 12 to Month 15Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)Dosed analysis set included all participants enrolled in the study who received PF-06838435 infusion.Spontaneous bleeds per yearMEAN
SECONDARYABR for Traumatic Bleeds From Week 12 to Month 15Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)Dosed analysis set included all participants enrolled in the study who received PF-06838435 infusion.Traumatic bleeds per yearMEAN
SECONDARYABR for Untreated Bleeds From Week 12 to Month 15Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)Dosed analysis set included all participants enrolled in the study who received PF-06838435 infusion.Untreated bleeds per yearMEAN
SECONDARYNumber of Target Joint Bleeds From Week 12 to Month 15Pre-infusion period: minimum of 6 months through first dose of current study, an average of 1.31 years (FIX Prophylaxis arm); Week 12 to Month 15 post infusion in current study (PF-06838435 arm)Dosed analysis set included all participants enrolled in the study who received PF-06838435 infusion.Target joint bleedsMEAN

Results by group36

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Annualized Bleeding Rate (ABR) for Total Bleeds (Treated and Untreated) From Week 12 to Month 15FIX Prophylaxis4.4395% Confidence Interval 1.81 to 7.05Total bleeds per year
Annualized Bleeding Rate (ABR) for Total Bleeds (Treated and Untreated) From Week 12 to Month 15PF-068384351.3095% Confidence Interval 0.59 to 2.02Total bleeds per year
ABR for Treated Bleeds From Week 12 to Month 15FIX Prophylaxis3.3595% Confidence Interval 1.71 to 4.98Treated bleeds per year
ABR for Treated Bleeds From Week 12 to Month 15PF-068384350.7395% Confidence Interval 0.25 to 1.21Treated bleeds per year
Annualized Infusion Rate (AIR) of Exogenous FIX From Week 12 to Month 15FIX Prophylaxis58.83Standard Deviation 29.056Exogenous infusions per year
Annualized Infusion Rate (AIR) of Exogenous FIX From Week 12 to Month 15PF-068384354.46Standard Deviation 10.028Exogenous infusions per year
Steady State Circulating Factor IX (FIX:C) From Week 12 to Month 15PF-06838435Week 12 to Month 15: One-stage Assay (Actin-FSL Reagent)12.62Standard Deviation 8.92Percentage of Normal
Steady State Circulating Factor IX (FIX:C) From Week 12 to Month 15PF-06838435Week 12 to Month 15: One-stage Assay (SynthASil Reagent)25.90Standard Deviation 16.89Percentage of Normal
Steady State Circulating Factor IX (FIX:C) From Week 12 to Month 15PF-06838435Week 12 to Month 15: Chromogenic Assay13.49Standard Deviation 10.40Percentage of Normal
Circulating Factor IX (FIX:C) at Week 12, Week 24, Week 65PF-06838435Week 12: One-stage Assay (Actin-FSL Reagent)13.52Standard Deviation 8.134Percentage of Normal

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Screening Phase (3 Weeks)STARTEDPF-0683843551
Screening Phase (3 Weeks)COMPLETEDPF-0683843545
Screening Phase (3 Weeks)NOT COMPLETEDPF-068384356
Treatment Phase (Day 1)STARTEDPF-0683843545
Treatment Phase (Day 1)COMPLETEDPF-0683843545
Treatment Phase (Day 1)NOT COMPLETEDPF-068384350
Follow-up Phase (Year 1)STARTEDPF-0683843545
Follow-up Phase (Year 1)COMPLETEDPF-0683843543
Follow-up Phase (Year 1)NOT COMPLETEDPF-068384352
Long-Term Follow-Up (Year 2 to Year 6)STARTEDPF-0683843543

Adverse events31

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal painGastrointestinal disordersPF-06838435345
otherAbdominal pain upperGastrointestinal disordersPF-06838435345
otherHepatic function abnormalHepatobiliary disordersPF-06838435645
otherHepatic steatosisHepatobiliary disordersPF-06838435345
otherCOVID-19Infections and infestationsPF-06838435545
otherNasopharyngitisInfections and infestationsPF-06838435845
otherUpper respiratory tract infectionInfections and infestationsPF-06838435445
otherAlanine aminotransferase increasedInvestigationsPF-068384351245
otherAspartate aminotransferase increasedInvestigationsPF-06838435345
otherHepatic enzyme increasedInvestigationsPF-06838435345

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPF-06838435045
Total, other adverse eventsPF-068384353745
Total, serious adverse eventsPF-06838435745

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
39321362DERIVEDPubMed
40750723DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03861273

GET https://conductscience.org/api/trials/v1/NCT03861273/registered?page=2