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REGV131

Phase 1

Hemophilia B | Small molecule | Hematology |Regeneron Pharmaceuticals, Inc.|Trials Updated: Oct 21, 2026

REGV131 development status

Highest phase Phase 1
Registered trials 1 across 1 sponsor since Apr 2024

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMC
Total Trials1
Total Enrollment130

FDA Designations

No designations recorded

REGV131 clinical trials

REGV131 · 1 trial · 1 indication

Phase 1 1
NCT06379789A Study to Investigate the Safety and Effectiveness of a Coagulation Factor IX Gene Insertion Therapy (REGV131-LNP1265) in Pediatric, Adolescent and Adult Participants With Hemophilia BHemophilia B
RECRUITING130 Analytics
PHASE1RECRUITING
A Study to Investigate the Safety and Effectiveness of a Coagulation Factor IX Gene Insertion Therapy (REGV131-LNP1265) in Pediatric, Adolescent and Adult Participants With Hemophilia B
Hemophilia BUnlock trial analytics

Study Endpoints

Primary Endpoints

Occurrence of Treatment-Emergent Adverse Events (TEAEs)
Up to 2 Years

Part 1, 2B, and 2C

Severity of TEAEs
Up to 2 Years

Part 1, 2B, and 2C

Coagulation Factor IX (FIX) functional activity measured using the chromogenic substrate assay
Up to 2 Years

Part 1

Change in FIX functional activity in plasma, measured using the chromogenic substrate assay
Up to 2 Years

Part 2A, 2B, and 2C

Annualized Bleeding Rate (ABR) following sustained FIX functional activity among participants receiving the RDE
Up to 2 Years

Part 2A, 2B, and 2C

Occurrence of Serious Adverse Events (SAEs)
Through Long Term Follow Up (LTFU), Up to 15 Years

LTFU Period for Part 1, 2A, 2B, and 2C

Severity of SAEs
Through LTFU, Up to 15 Years

LTFU Period for Part 1, 2A, 2B, and 2C

Occurrence of Adverse Event of Special Interests (AESIs)
Through LTFU, Up to 15 Years

LTFU Period for Part 1, 2A, 2B, and 2C

Severity of AESIs
Through LTFU, Up to 15 Years

LTFU Period for Part 1, 2A, 2B, and 2C

Occurrence of clinically meaningful Adverse Events (AEs)
Through LTFU, Up to 15 Years

LTFU Period for Part 1, 2A, 2B, and 2C

Severity of clinically meaningful AEs
Through LTFU, Up to 15 Years

LTFU Period for Part 1, 2A, 2B, and 2C

Secondary Endpoints

Change in FIX functional activity in plasma measured using the chromogenic substrate assay
Up to 2 Years
ABR following sustained FIX functional activity among participants receiving the RDE
Through LTFU, Up to 15 Years
FIX functional activity in plasma over time during the study period using the chromogenic substrate assay
Through LTFU, Up to 10 Years
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part 1: Cohort 1 Dose Escalation for RDEEXPERIMENTALStarting dose to determine the RDE of REGV131-LNP1265 and further assess the safety, tolerability, and FIX functional activity data at the RDE
Part 1: Cohort 2 Dose Escalation for RDEEXPERIMENTALDose 2 of ascending dose level cohorts to determine the RDE of REGV131-LNP1265 and further assess the safety, tolerability, and FIX functional activity data at the RDE
Part 1: Cohort 3 Dose Escalation for RDEEXPERIMENTALDose 3 of ascending dose level cohorts to determine the RDE of REGV131-LNP1265 and further assess the safety, tolerability, and FIX functional activity data at the RDE
Part 1: Cohort 4 Dose Escalation for RDEEXPERIMENTALDose 4 of ascending dose level cohorts to determine the RDE of REGV131-LNP1265 and further assess the safety, tolerability, and FIX functional activity data at the RDE
Part 2: Dose Expansion AEXPERIMENTALParticipants ≥18 Years of Age will receive the RDE of REGV131-LNP1265 determined by Part 1
Part 2: Dose Expansion BEXPERIMENTALParticipants ≥12 to \<18 Years of Age will receive the administered weight-adjusted RDE of REGV131-LNP1265 determined by Part 1
Part 2: Dose Expansion CEXPERIMENTALParticipants ≥2 to \<12 Years of Age will receive the administered weight-adjusted RDE of REGV131-LNP1265 determined by Part 1

Interventions

NameTypeDescription
REGV131DRUGAdministered per the protocol before LNP1265
LNP1265DRUGAdministered per the protocol following REGV131
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Eligibility Criteria

Age Range2 Years to N/A
SexMALE
Healthy VolunteersNo
Study Sites52

Key Inclusion Criteria: 1. Confirmed diagnosis of severe or moderately severe hemophilia B with medical history of FIX functional activity (≤2% or \<0.02 IU/mL) or documented genotype known to produce severe hemophilia B 2. Currently taking FIX prophylaxis and previous experience with FIX therapy, ...

Countries:United StatesAustraliaBrazilCanadaFranceGermanyItalySpainUnited Kingdom
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Recent Changes (Last 90 Days)

LOWOct 21, 2026NCT06379789lastUpdatePostDate: changed
LOWOct 21, 2026NCT06379789lastUpdatePostDate: changed
LOWOct 21, 2026NCT06379789lastUpdatePostDate: changed
LOWOct 8, 2026NCT06379789lastUpdatePostDate: changed
LOWOct 8, 2026NCT06379789lastUpdatePostDate: changed
LOWSep 11, 2026NCT06379789lastUpdatePostDate: changed
LOWSep 11, 2026NCT06379789lastUpdatePostDate: changed
LOWAug 5, 2026NCT06379789lastUpdatePostDate: changed

Frequently asked questions about REGV131

What is REGV131?

REGV131 is an investigational gene insertion therapy being developed by Regeneron Pharmaceuticals for hemophilia B, a bleeding disorder caused by deficient coagulation factor IX. It is a small molecule modality and is currently in Phase 1 clinical development. Regeneron trades on Nasdaq under the ticker REGN.

What is REGV131 used for in hemophilia B?

REGV131 is being studied as a treatment for hemophilia B, a hereditary bleeding disorder. The Phase 1 trial enrolls pediatric, adolescent, and adult male participants with hemophilia B across the United States, Australia, Brazil, Canada, France, Germany, Italy, Spain, and the United Kingdom.

Who makes REGV131?

REGV131 is developed by Regeneron Pharmaceuticals, Inc., which trades on Nasdaq under the ticker REGN. The company is running the clinical program for the asset in hemophilia B.

What phase is REGV131 in?

REGV131 is in Phase 1 clinical development. It is investigational and has not been approved by the FDA. One Phase 1 trial is currently recruiting, and no trials for REGV131 have been completed to date.

What clinical trials is REGV131 in?

REGV131 is being evaluated in one Phase 1 trial, NCT06379789, titled a study to investigate the safety and effectiveness of a coagulation factor IX gene insertion therapy (REGV131-LNP1265) in pediatric, adolescent and adult participants with hemophilia B. The trial is recruiting and plans to enroll 130 participants.

How many participants are in the REGV131 trial?

The Phase 1 trial NCT06379789 plans to enroll 130 participants with hemophilia B. Enrollment covers male participants aged 2 years and older, and the study is controlled but is not randomized or double blinded. It is currently recruiting across nine countries.