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NCT Number: NCT05745532

Safety and Efficacy Evaluation of β-globin Restored Autologous Hematopoietic Stem Cells in β-thalassemia Major Patients

This is an open label study to evaluate the safety and efficacy of β-globin Restored Autologous Hematopoietic Stem Cells in ß-Thalassemia Major Patients

Recruiting

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Key information

Conditions

Age range

8 year–16 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Early Phase 1

Primary location

Shenzhen Children's Hospital

Shenzhen, Guangdong, 518083, China

Location status: Recruiting

Location contact

Haigang Sun

CONTACT

[email protected]

13823168465

About this study

We will recruit ß-thalassaemia major patients and collect their autologous hematopoietic stem cells, which will be modified with the LentiHBBT87Q system to restore β-globin expression. After conditioning, the autologous hematopoietic stem cells with restored β-globin will be reinfused to the patients and followed up for two years to collect data.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • 8-16 years old. Subject and/or subject's legal guardian fully understand and voluntarily sign informed consent;
  • Clinically diagnosed as transfusion-dependent β-thalassemia major;
  • With sufficient RBC infusion, subjects must maintain hemoglobin ≥9g/dL, serum ferritin threshold ≤ 3000 ng/mL and the liver iron overload mild or absent for at least 3 months before mobilization of hematopoietic stem cell;
  • Follow the arrangements for treatment and regular medical checks within two years post-transplantation

Exclusion criteria

  • The physical condition does not meet the requirements for hematopoietic stem cell mobilization and transplantation myeloablation;
  • Received gene therapy and allogeneic HSCT in the past.
  • Have an available HLA matched donor.
  • Enrolling in another clinical trial.
  • Other unsuitable conditions identified by doctors.

Treatment and study plan

β-globin restored autologous hematopoietic stem cells

Biological

β-globin-restored autologous hematopoietic stem cells modified with LentiHBBT87Q

Primary outcomes

  1. Frequency and severity of adverse events (AEs) and serious adverse events (SAEs)

    Time frame: 0-100 days

    The number and the percentage of adverse events related to transplantation in 100 days will be summarized according to NCI CTCAE 5.0

  2. Overall survival

    Time frame: 0-24 months

    Number of patients alive through the whole trial will be record

  3. Proportion of engraftment

    Time frame: 0-24 months

    Neutrophil count [ANC] >=500 /mm3 for 3 consecutive days and platelet count [PLT] >20,000/mm3 for7 consecutive days

  4. Replication competent lentivirus (RCL)

    Time frame: 0-24 months

    The percentage of RCL should be negative in the 24 months after transplant

  5. Dynamics of viral integration sites (VIS)

    Time frame: 0-24 months

    Evaluation of the percentage of participants without abnormal clonal proliferation and polyclonal engraftment . More than 1000 VIS retrieved from peripheral blood should be checked.

Secondary outcomes

  1. The average Insertion copy number (VCN) in peripheral blood mononuclear cells

    Time frame: 18-24 Months

    The average insertion copy number (VCN) should be ≥0.1 in peripheral blood mononuclear cells

  2. The expression level of exogenous adult hemoglobin

    Time frame: 18-24 Months

    Exogenous adult hemoglobin will be evaluated by globin chains and hemoglobin synthesis on peripheral blood by HPLC and the exogenous adult hemoglobin level is ≥2.0g/dL

  3. Change from baseline in annualized frequency of packed RBC transfusions

    Time frame: 18-24 Months

    Compare the annualized number of pRBC transfusions before gene therapy with the Month 18 and Month 24 period after transplant, the percentage change will be recorded

Study contacts

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

Haigang Sun

CONTACT

[email protected]

13823168465

Sponsors and collaborators

Lead sponsor

Shenzhen Hemogen

Industry

Registry information

Important dates

Study start
2020
Primary completion
2025
Study completion
2025
First posted
Feb 27, 2023
Registry last updated
Nov 29, 2024

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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