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NCT Number: NCT03837483

A Clinical Study to Evaluate the Use of a Cryopreserved Formulation of OTL-103 in Subjects With Wiskott-Aldrich Syndrome

This is an open-label, single arm study to evaluate the cryopreserved formulation of OTL-103 Gene Therapy. OTL-103 consists of autologous CD34+ hematopoietic stem cells in which the gene encoding for the Wiskott-Aldrich Syndrome is introduced by means of a third generation lentiviral vector.

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This study is active but is not currently recruiting participants.

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Key information

Age range

Up to 65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Ospedale San Raffaele - Telethon Institute for Gene Therapy (OSR-TIGET), Milan, Italy

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age: up to 65 years
  • Diagnosis of WAS defined by genetic mutation and at least one of the following criteria:
  • Severe Wiskott-Aldrich Syndrome (WAS) gene mutation, defined by literature data (genotype/phenotype studies).;
  • Absent WASP expression, assessed by flow cytometry;
  • Severe clinical score (Zhu clinical score ≥ 3);
  • No human leukocyte antigen (HLA)-identical related donor available for hematopoietic stem cells transplant (HSCT).

Exclusion criteria

  • End-organ dysfunction, severe active infection not responsive to treatment or other severe disease or clinical condition which, in the judgment of the investigator, would make the patient inappropriate for entry into this study.
  • Malignant neoplasia (except local skin cancer) or a documented history of hereditary cancer syndrome.
  • Myelodysplasia, cytogenetic alterations characteristic of myelodysplastic syndrome and acute myeloid leukaemia , or other serious haematological disorders
  • Documented human immunodeficiency virus (HIV) infection
  • Prior allogeneic hematopoietic stem cell transplantation, with evidence of residual cells of donor origin
  • Symptomatic herpes zoster, not responsive to specific treatment
  • Evidence of acute tuberculosis
  • Acute or chronic stable Hepatitis B
  • Presence of positive Hepatitis C RNA test result at screening
  • Patients not eligible for mobilization protocols in order to obtain CD34+ cells
  • Previous Gene Therapy

Treatment and study plan

OTL-103

Genetic

Autologous hematopoietic stem cells collected from mobilized peripheral blood transduced ex vivo with a lentiviral vector encoding the WAS cDNA

Primary outcomes

  1. Annualized rate of severe infections from 6 to 18 months after gene therapy compared with 1 year before gene therapy

    Time frame: 18 months

  2. Annualized rate of moderate and severe bleeding episodes up to 1 year after gene therapy compared with 1 year before gene therapy

    Time frame: 12 months

Secondary outcomes

  1. Evaluation of the overall survival

    Time frame: 36 months

  2. Number of patients with Vector copy number (VCN)/cell > 0.1 measured in peripheral blood-derived CD3+ cells

    Time frame: 2 years

  3. Percentage of WAS protein expression increased from pre-treatment levels in lymphocytes

    Time frame: 2 years

  4. Percentage of WAS protein expression increased from pre-treatment levels in platelets

    Time frame: 2 years

  5. Number of participants with successful engraftment of OTL-103

    Time frame: 6 months

    Engraftment of of OTL-103 is measured by hematological reconstitution of an absolute neutrophil count > 500 cell/ul

  6. The number of subjects presenting with malignancies or abnormal clonal proliferation

    Time frame: 2 years

Sponsors and collaborators

Lead sponsor

Fondazione Telethon

Other

Collaborators

  • Ospedale San Raffaele

Registry information

Official study title

A Single Arm, Open-label Clinical Trial of Hematopoietic Stem Cell Gene Therapy With Cryopreserved Autologous CD34+ Cells Transduced With Lentiviral Vector Encoding WAS cDNA in Subjects With Wiskott-Aldrich Syndrome (WAS)

Important dates

Study start
2019
Primary completion
2024
Study completion
2027
First posted
Feb 12, 2019
Registry last updated
Sep 29, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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