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NCT Number: NCT05356195

Evaluation of Safety and Efficacy of CTX001 in Pediatric Participants With Transfusion-Dependent β-Thalassemia (TDT)

This is a single-dose, open-label study in pediatric participants with TDT. The study will evaluate the safety and efficacy of autologous CRISPR-Cas9 modified CD34+ human hematopoietic stem and progenitor cells (hHSPCs) (CTX001).

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This study is active but is not currently recruiting participants.

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Key information

Age range

2 year–11 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Hospital for Sick Children - Hematology, Toronto, Canada

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Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

  • Diagnosis of TDT as defined by:
  • Documented homozygous 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 mL/kilograms (kg)/year of packed RBC transfusions in the prior 24 months before signing of consent (or the last rescreening for patients going through repeat screening) or, for participants initiating transfusion therapy <24 months before signing of consent, requirement for packed RBC transfusion at least every 3 to 4 weeks for ≥6 months
  • Eligible for autologous stem cell transplant as per investigator's judgment.

Key Exclusion Criteria:

  • 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)
  • Participants with associated α-thalassemia and >1 alpha deletion, or alpha multiplications
  • Participants with sickle cell β-thalassemia variant
  • Clinically significant and active bacterial, viral, fungal, or parasitic infection as determined by the investigator

Other protocol defined Inclusion/Exclusion criteria may apply.

Treatment and study plan

CTX001

Biological

Administered by intravenous infusion following myeloablative conditioning with busulfan.

Other names: Exagamglogene autotemcel, Exa-cel

Primary outcomes

  1. Proportion of Participants who Achieve Transfusion Independence for at Least 12 Consecutive Months (TI12)

    Time frame: Up to 24 Months After CTX001 Infusion

Secondary outcomes

  1. Proportion of Participants Achieving at Least 95 Percent (%), 90%, 85%, 75% and 50% Reduction in Annualized Transfusions

    Time frame: From Baseline up to 24 Months After CTX001 Infusion

  2. Transfusion Free Duration for Participants who Achieve TI12

    Time frame: Up to 24 Months After CTX001 Infusion

  3. Proportion of Alleles With Intended Genetic Modification Present in Peripheral Blood Over Time

    Time frame: Up to 24 Months After CTX001 Infusion

  4. Proportion of Alleles With Intended Genetic Modification Present in CD34+ Cells of the Bone Marrow Over Time

    Time frame: Up to 24 Months After CTX001 Infusion

  5. Change in Fetal Hemoglobin Concentration Over Time

    Time frame: From Baseline (Pre-transfusion) up to 24 Months After CTX001 Infusion

  6. Change in Total Hemoglobin Concentration Over Time

    Time frame: From Baseline (Pre-transfusion) up to 24 Months After CTX001 Infusion

  7. Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Time frame: From Signing of Informed Consent up to 24 Months After CTX001 Infusion

  8. 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

  9. Time to Engraftment

    Time frame: Up to 24 Months After CTX001 Infusion

  10. Incidence of Transplant-related Mortality (TRM) Within 100 Days After CTX001 Infusion

    Time frame: Within 100 Days After CTX001 Infusion

  11. Incidence of TRM Within 12 Months After CTX001 Infusion

    Time frame: Within 12 Months After Infusion

  12. Incidence of All-cause Mortality

    Time frame: From Signing of Informed Consent up to 24 Months After CTX001 Infusion

  13. Relative Reduction in Annualized Volume and Episodes of RBC Transfusions starting Month 10 After CTX001 infusion

    Time frame: From Baseline up to 24 Months After CTX001 Infusion

Sponsors and collaborators

Lead sponsor

Vertex Pharmaceuticals Incorporated

Industry

Collaborators

  • CRISPR Therapeutics

Registry information

Official study title

A Phase 3 Study to Evaluate the Safety and Efficacy of a Single Dose of CTX001 in Pediatric Subjects With Transfusion-Dependent β-Thalassemia

Important dates

Study start
2022
Primary completion
2027
Study completion
2027
First posted
May 2, 2022
Registry last updated
Jul 1, 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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