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NCT Number: NCT05444894

EDIT-301 for Autologous Hematopoietic Stem Cell Transplant (HSCT) in Participants With Transfusion-Dependent Beta Thalassemia (TDT)

The purpose of this study is to evaluate the safety, tolerability, and efficacy of treatment with EDIT-301 in adult participants with Transfusion Dependent beta Thalassemia

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This study is active but is not currently recruiting participants.

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Key information

Age range

18 year–35 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Princess Margaret Cancer Centre-University Health Network, Toronto, Ontario, Canada

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About this study

This is a Phase 1/2 single-arm, open-label, multicenter study evaluating the safety, tolerability, and efficacy of a single unit dose of EDIT-301 for autologous hematopoietic stem cell transplant in adult participants with TDT, age 18 to 35 years, inclusive

Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

Diagnosis of Transfusion Dependent B-Thalassemia as defined by:

  • Documented homozygous β-thalassemia or compound heterozygous β-thalassemia including β-thalassemia/hemoglobin E (HbE) based on historical data in medical records, and
  • History of at least 100 mL/kg/year or 10 U/year of packed red blood cell (RBC) transfusions in the 2 years prior to signing informed consent
  • Clinically stable and eligible to undergo autologous HSCT
  • Karnofsky Performance Status ≥ 70

Key Exclusion Criteria:

  • Available 10/10 human leukocyte antigen (HLA)-matched related donor
  • Prior HSCT or contraindications to autologous HSCT
  • Participants with associated a history of α-thalassemia and > 1 alpha chain deletion, or alpha multiplications as documented in medical records
  • Participants with a history of other inherited hemoglobinopathy or thalassemic mutation (Hb S, C, D or other) as documented in medical records
  • Prior receipt of gene therapy
  • Inadequate bone marrow function, as defined by white blood cell count of < 3 x 10^9/L or a platelet count < 100 x 10^9/L (without hypersplenism), per investigator judgement
  • Inadequate organ function
  • Advanced liver disease
  • Any prior or current malignancy, or immunodeficiency disorder,
  • Immediate family member with a known or suspected Familial Cancer Syndrome
  • Clinically significant and active bacterial, viral, fungal, or parasitic infection

Treatment and study plan

EDIT-301

Genetic

Administered by intravenous infusion after myeloablative conditioning with busulfan.

Other names: renizgamglogene autogedtemcel, reni-cel

Primary outcomes

  1. Proportion of participants achieving engraftment defined as neutrophil engraftment (defined as demonstrating absolute neutrophil count (ANC) ≥ 0.5 x 10^9/L post EDIT-301 infusion for 3 consecutive measurements obtained on different days)

    Time frame: EDIT-301 infusion (Day 0) to 42 days post EDIT-301 infusion

  2. Frequency and severity of adverse events (AEs) (incidence of AEs and Grade 3 or higher serious adverse events, using National Cancer Institute Common Terminology Criteria for Adverse Events [NCI CTCAE] v.5.0)

    Time frame: Screening through up to 24 months post EDIT-301 infusion

Secondary outcomes

  1. Kinetics of HSPC engraftment

    Time frame: EDIT-301 infusion (Day 0) to first day in which 3 consecutive measurements obtained on different days demonstrate ANC ≥ 0.5 x 10^9/L up to 24 months post EDIT-301 infusion

    Time to neutrophil engraftment

  2. Kinetics of HSPC engraftment

    Time frame: EDIT-301 infusion (Day 0) to first day of 3 consecutive measurements of platelets ≥ 50 x 10^9/L for at least 1 week following the last platelet transfusion and 10 days following thrombopoietin mimetics use up to 24 months post EDIT-301 infusion.

    Time to platelet engraftment

  3. Incidence of transplant related mortality

    Time frame: EDIT-301 infusion (Day 0) through Day 100 post EDIT-301 infusion and from EDIT-301 infusion (Day 0) through 12 months post EDIT-301 infusion

  4. Incidence of all-cause mortality

    Time frame: Screening through up to 24 months post EDIT-301 infusion

  5. Proportion of alleles per participant with intended genetic modification present in peripheral blood over time

    Time frame: EDIT-301 infusion (Day 0) through up to 24 months post EDIT-301 infusion

  6. Proportion of alleles per participant with intended genetic modification present in bone marrow cells over time

    Time frame: EDIT-301 infusion (Day 0) through up to 24 months post EDIT-301 infusion

  7. Change in the fetal hemoglobin (HbF) concentration compared to baseline overtime

    Time frame: Baseline through up to 24 months post EDIT-301 infusion

  8. Change in the total hemoglobin concentration compared to baseline overtime

    Time frame: Baseline through up to 24 months post EDIT-301 infusion

  9. Proportion of participants with hemoglobin concentration ≥ 9 g/dL

    Time frame: EDIT-301 infusion (Day 0) through 3, 6, 12 months up to 24 months post EDIT-301 infusion

  10. Proportion of participants achieving the sustained transfusion reduction (TR) for at least 6 months and at least 12 months from 3 months post-EDIT-301 infusion

    Time frame: 3 months post EDIT-301 infusion through up to 24 months post EDIT-301 infusion

  11. Proportion of participants achieving the sustained transfusion independence (TI) for at least 6 months and, at least 12 months from 3 months post EDIT-301 infusion

    Time frame: 3 months through up to 24 months post EDIT-301 infusion

  12. Change in parameters of iron overload compared to baseline over time

    Time frame: Baseline through up to 24 months post EDIT-301 infusion

  13. Proportion of participants receiving iron chelation therapy over time

    Time frame: EDIT-301 infusion (Day 0) through up to 24 months post EDIT-301 infusion

Sponsors and collaborators

Lead sponsor

Editas Medicine, Inc.

Industry

Registry information

Official study title

A Multicenter Study to Evaluate the Safety, Tolerability, and Efficacy of a Single Dose of Autologous Clustered Regularly Interspaced Short Palindromic Repeats Gene-edited Cluster of Differentiation 34 (CD34+) Human Hematopoietic Stem and Progenitor Cells (HSPC) (EDIT-301) in Transfusion-Dependent Beta Thalassemia (TDT)

Important dates

Study start
2022
Primary completion
2025
Study completion
2025
First posted
Jul 6, 2022
Registry last updated
Apr 2, 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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