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NCT Number: NCT05477563

Evaluation of Efficacy and Safety of a Single Dose of CTX001 in Participants With Transfusion-Dependent β-Thalassemia and Severe Sickle Cell Disease

This is a single-dose, open-label study in participants with transfusion-dependent β-thalassemia (TDT) or severe sickle cell disease (SCD). The study will evaluate the safety and efficacy of autologous CRISPR-Cas9 modified CD34+ human hematopoietic stem and progenitor cells (hHSPCs) using CTX001.

Recruiting

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Key information

Age range

12 year–35 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

University Hospital Dusseldorf - Department of Pediatric Oncology, Hematology and Clinical Immunology, Düsseldorf, Germany

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

  • Participants with TDT and SCD:
  • Eligible for autologous stem cell transplant as per investigator's judgment.
  • Participants with TDT:
  • Diagnosis of TDT as defined by:
  • Documented homozygous β-thalassemia or compound heterozygous β-thalassemia including β-thalassemia/hemoglobin E (HbE). Participants can be enrolled based on historical data, but a confirmation of the genotype using the study central laboratory will be required before busulfan conditioning
  • History of at least 100 milliliter (mL)/kilograms (kg)/year or 10 units/year of packed red blood cells (RBC) transfusions in the prior 2 years before signing the consent or the last rescreening for patients going through re-screening
  • Participants with SCD:
  • Diagnosis of severe SCD as defined by:
  • Documented SCD genotypes
  • History of at least two severe VOCs events per year for the previous two years prior to enrollment

Key Exclusion Criteria:

  • Participants with TDT and SCD:
  • A willing and healthy 10/10 human leukocyte antigen (HLA)-matched related donor is available per investigator's judgement
  • Prior hematopoietic stem cell transplant (HSCT)
  • Clinically significant and active bacterial, viral, fungal, or parasitic infection as determined by the investigator
  • Participants with TDT:
  • Participants with associated α-thalassemia and >1 alpha deletion, or alpha multiplications
  • Participants with sickle cell β-thalassemia variant
  • Participants with SCD:
  • History of untreated moyamoya syndrome or presence of moyamoya syndrome at screening

Other protocol defined Inclusion/Exclusion criteria may apply.

Treatment and study plan

CTX001

Biological

Administered by intravenous (IV) infusion following myeloablative conditioning with busulfan

Other names: Exagamglogene autotemcel, Exa-cel

Primary outcomes

  1. Fetal Hemoglobin (HbF) Concentration Over Time

    Time frame: Up to 12 Months After CTX001 Infusion

  2. Total Hemoglobin (Hb) Concentration Over Time

    Time frame: Up to 12 Months After CTX001 Infusion

Secondary outcomes

  1. TDT and SCD: Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Time frame: From Signing of Informed Consent up to 12 Months After CTX001 Infusion

  2. TDT and SCD: Proportion of Participants With Engraftment (First day of 3 Consecutive Measurements of Absolute Neutrophil Count (ANC) >=500 per Microliter [mcgL] on 3 Different Days)

    Time frame: Within 42 Days After CTX001 Infusion

  3. TDT and SCD: Time to Engraftment

    Time frame: Up to 12 Months After CTX001 Infusion

  4. TDT and SCD: Incidence of Transplant-Related Mortality (TRM) Within 100 Days After CTX001 Infusion

    Time frame: Within 100 Days After CTX001 Infusion

  5. TDT and SCD: Incidence of TRM Within 12 Months After CTX001 Infusion

    Time frame: Within 12 Months After CTX001 Infusion

  6. TDT and SCD: Incidence of All-cause Mortality

    Time frame: From Signing of Informed Consent up to 12 Months After CTX001 Infusion

  7. TDT and SCD: Relative Reduction in Annualized Volume of RBC Transfusions

    Time frame: From Day 60 up to 12 Months After CTX001 Infusion

  8. TDT and SCD: Proportion of Alleles With Intended Genetic Modification Present in Peripheral Blood Over Time

    Time frame: Up to 12 Months After CTX001 Infusion

  9. TDT and SCD: Proportion of Alleles With Intended Genetic Modification Present in CD34+ Cells of the Bone Marrow Over Time

    Time frame: Up to 12 Months After CTX001 Infusion

  10. TDT: Duration Transfusion Free in Participants

    Time frame: Up to 12 Months After CTX001 Infusion

  11. SCD: Relative Reduction in Annualized Rate of Severe Vaso-Occlusive Crises (VOCs)

    Time frame: From Baseline up to 12 Months After CTX001 Infusion

  12. SCD: Relative Reduction in Annualized Rate of Inpatient Hospitalizations for Severe VOCs

    Time frame: From Baseline up to 12 Months After CTX001 Infusion

  13. SCD: Relative Reduction in Annualized Duration of Hospitalization for Severe VOCs

    Time frame: From Baseline up to 12 Months After CTX001 Infusion

  14. SCD: Relative Reduction in Haptoglobin

    Time frame: From Baseline up to 12 Months After CTX001 Infusion

  15. SCD: Relative Reduction in Lactate dehydrogenase

    Time frame: From Baseline up to 12 Months After CTX001 Infusion

  16. SCD: Relative Reduction in Total Bilirubin

    Time frame: From Baseline up to 12 Months After CTX001 Infusion

  17. SCD: Relative Reduction in Indirect Bilirubin

    Time frame: From Baseline up to 12 Months After CTX001 Infusion

Study contacts

Contact information is provided by the study sponsor or research team.

Medical Information

CONTACT

[email protected]

6173416777

Sponsors and collaborators

Lead sponsor

Vertex Pharmaceuticals Incorporated

Industry

Registry information

Official study title

A Phase 3b Study to Evaluate Efficacy and Safety of a Single Dose of Autologous CRISPR Cas9 Modified CD34+ Human Hematopoietic Stem and Progenitor Cells (CTX001) in Subjects With Transfusion-Dependent β-Thalassemia or Severe Sickle Cell Disease

Important dates

Study start
2022
Primary completion
2027
Study completion
2027
First posted
Jul 28, 2022
Registry last updated
Mar 23, 2026

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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