ClinicalTrials.gg
Active, not recruitingNCT07548411Updated May 6, 2026

To Evaluate the Safety and Efficacy of GS1191-0445 Injection in the Treatment of Severe Hemophilia A

A Phase 1/2 interventional study of GS1191-0445 injection in Severe Hemophilia A, sponsored by Gritgen Therapeutics Co., Ltd.. Active, not recruiting at 2 sites in China. Open to male participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-05-06.

Sponsored by Gritgen Therapeutics Co., Ltd. · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years 6 months after the study started (first participant enrolled Jul 2023, registered Jan 2026).
Phase
Phase 1/2
Study type
Interventional
Enrollment
7
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
Male
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 93 studies in Hemophilia A with a site in China — 28 open to participants now, 39 under way, 19 of them phase 3. Hemophilia A · China.

Enrollment
76th of 80
7 · median 54
Started
2023
with 9 others
Phase 1/2
5 of 93
2 open now
Primary completion
2024-12
later than 0 of 38 live
Registered
85th of 93
by date

Among the 93 studies in Hemophilia A with a site in China, this one is the 76th largest by enrollment of the 80 interventional ones that give a count, is one of 10 that started in 2023, is one of 5 in phase 1/2, reaches primary completion later than 0 of the 38 other live ones, and was the 85th registered.

Hemophilia A

844 studies on the registry are indexed under Hemophilia A; 136 are open to participants now.

Browse Hemophilia A studies →

Open to participants now

28 of the 93 studies in Hemophilia A with a site in China are open now. Recruiting first, the newest first:

23 more — sign in →

All 28 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 86 Hemophilia A studies recruiting now, 51 (59%) set no upper age limit and 30 (35%) stop at 75 or younger; 54 take children under 18; 10 take healthy volunteers.

This study: 18 Years to 65 Years · male · no healthy volunteers.

The full table on the hub →

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02

Study summary

This study is a single-arm, open-label study evaluating the safety and efficacy of GS1191-0445 injection as a single dose in Chinese subjects with severe hemophilia A.

GS1191-0445 is an adeno-associated virus 8 (AAV8)-delivered gene therapy designed to express B-domain deleted human factor VIII (FVIII) under the regulation of a human liver-specific promoter. Following a single intravenous administration, AAV8 gene expression cassette, which transfects hepatocytes and facilitates the specific expression and secretion of FVIII into the blood.

03

Conditions studied

  • Severe Hemophilia A

Browse trials for

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Understand the purpose and risks of the study and provide in accordance with national and local privacy laws:
  2. Subject must be male, aged ≥18 years old at the time of signing informed consent:
  3. Participants with confirmed severe hemophilia A in their pre-admission history and based on clinical laboratory examination;
  4. Subjects had used FVIII products for at least 150 exposure days (ED) before enrollment;
  5. Subject has received continuous prophylactic treatment with exogenous FVIII for one year prior to enrollment or has been treated with exogenous FVIII on demand;
  6. Subject has no history of or allergic reactions related to the administration of FVIII agents;
  7. Subject has no history of FVIII inhibitors.
  8. Subjects agree to use a reliable barrier method from the date of signing the informed consent
  9. Subject is willing and able to follow planned visits, treatment plans, and other study procedures.

Exclusion criteria

Exclusion Criteria:

  1. The subject has any hemorrhagic disorder not related to hemophilia A,
  2. Abnormal liver function test results of subjects during screening.
  3. Abnormal laboratory examination of subjects during screening
  4. The subject has acute or chronic virus (HBV) infection or chronic virus (HCV) infection; Or are receiving antiviral treatment for hepatitis B and C;
  5. Active systemic immune disease.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
7 participants (actual)

Study arms

  • Experimental
    3E12 vg/kg

    Drug: GS1191-0445 injection

Interventions

  • DrugGS1191-0445 injection

    A single intravenous administration of GS1191-0445 injection at a dose of 3E12 vg/kg

06

What researchers measure

Primary outcomes

  1. Number of participants with Adverse Events (AE) as assessed by CTCAE v5.0, including Adverse Event of Special Interests (AESI) and Serious Adverse Events (SAE);

    Time frame: Five years after infusion

  2. Number of Participants with Thrombosis Risk: In subjects with >150% FⅧ:C post-GS1191-0445 infusion, VTE risk will be assessed via Caprini model, coagulation function, D-dimer, FDP, and TAT;

    Time frame: Five years after infusion

  3. The shedding of GS1191-0445 viral vector: Viral vector titers in serum, saliva, urine, semen and fecal will be monitored;

    Time frame: Five years after infusion

  4. Total FⅧ Antibody Levels: Total FⅧ antibody levels will be measured to determine the immunogenicity of FⅧ expression protein;

    Time frame: Five years after infusion

  5. FVIII inhibitor: Factor Ⅷ inhibitor will be measured to determine the immunogenicity of FⅧ expression protein;

    Time frame: Five years after infusion

  6. The number of dose-limiting toxicity (DLT) events will be determined by the Safety Review Committee (SRC), at least 12 weeks after GS1191-0445 infusion.

    Time frame: Five years after infusion

  7. The Change of Laboratory Values: Change in serum chemistry values including liver function tests, hematology, and urinalysis;

    Time frame: Five years after infusion

  8. Changes for vital signs: Includes sitting blood pressure (mmHg), respiratory rate (breaths/min), body temperature (°C), and pulse rate (beats/min);

    Time frame: Five years after infusion

  9. Changes for physical examination: Includes skin, mucous membranes, lymph nodes, head and neck, chest (heart, lungs), abdomen, muscles, nervous system, spine/extremities;

    Time frame: Five years after infusion

  10. The immunogenicity of AAV capsid protein: Collection of Peripheral Blood Mononuclear Cell (PBMC) and serum samples for vector shedding detection;

    Time frame: Five years after infusion

Secondary outcomes

  1. Vector-derived FⅧ Activity Level: Validated methods will be used to measure vector-derived FⅧ activity, including peak and steady state following GS1191-0445 infusion;

    Time frame: Day 4 to Week 52 after infusion

  2. Total Consumption of Exogenous FⅧ Infusion;

    Time frame: Weeks 3 to 52 and five years after infusion

  3. Annualized Consumption of FⅧ Infusion;

    Time frame: Weeks 3 to 52 and five years after infusion

  4. Number of bleeding events requiring exogenous FⅧ infusion: To assess the number of bleeding events requiring exogenous FⅧ infusion after administration;

    Time frame: Weeks 3 to 52 and five years after infusion

  5. Number of bleeding events: To assess bleeding events, including spontaneous, traumatic and untreated bleeding events after administration

    Time frame: Weeks 3 to 52 and five years after infusion

  6. Number of joint bleeding events: To assess joint bleeding events after administration

    Time frame: Weeks 3 to 52 and five years after infusion

07

Study locations

2 sites
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2023 to primary completion in Dec 2024, 17 months.

Of 20 phase 1/2 interventional studies under Hemophilia A, half reached primary completion within 76 months of starting (the median), counting those still running; a quarter within 21 and three quarters within 94. This study's 17 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 26, 2026
First posted
Apr 23, 2026
StartActual
Jul 10, 2023
Primary completionActual
Dec 31, 2024
CompletionEst.
Dec 23, 2029
Last update
May 6, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07548411
Lead sponsor
Gritgen Therapeutics Co., Ltd.
Responsible party
Sponsor
First posted
Apr 23, 2026
Start date
Jul 10, 2023
Primary completion
Dec 31, 2024
Completion
Dec 23, 2029 (estimated)
Last update
May 6, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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