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β-globin Restored Autologous HSC in β-thalassemia Major Patients

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04205435
Recruitment Status : Not yet recruiting
First Posted : December 19, 2019
Last Update Posted : January 8, 2021
Sponsor:
Collaborator:
PLA 923 Hospital
Information provided by (Responsible Party):
Bioray Laboratories

Study Description
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Brief Summary:
This is a single center, single arm, open-label study to determine the safety and efficacy of β-globin restored autologous hematopoietic stem cells in β- thalassemia major patients with CVS-654 mutation.

Condition or disease Intervention/treatment Phase
β-thalassemia Major Biological: β-globin restored autologous HSC Phase 1 Phase 2

Detailed Description:
β-globin restored autologous hematopoietic stem cells will be manufactured using Crispr/Cas9 gene editing system. Subject participation for this study will be 1 year. Subjects who enroll in this study will be asked to participate in a subsequent long-term follow up study that will monitor the safety and efficacy of the treatment they receive for up to 15 years post-transplant.
Study Design
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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 12 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: a Safety and Efficacy Study of β-globin Restored Autologous Hematopoietic Stem Cells for β-thalassemia Major Patients With CVS-654 Mutation
Estimated Study Start Date : March 1, 2021
Estimated Primary Completion Date : December 1, 2022
Estimated Study Completion Date : December 1, 2023

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Thalassemia

Arms and Interventions
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Arm Intervention/treatment
Experimental: β-globin restored autologous HSC
each subject will accept one dose of β-globin restored autologous hematopoietic stem cells
 Biological: β-globin restored autologous HSC
gene edited autologous hematopoietic stem cells with β-globin restoration


Outcome Measures
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Primary Outcome Measures :
  1. safety evaluation of β-globin Restored HSC [ Time Frame: up to 6 months post transplant ]
    Proportion of engrafments; Overall survival; Incidence and Severity of Adverse Events as a Measure of Safety and Tolerability Adverse events assessed according to NCI-CTCAE v5.0 criteria;


Secondary Outcome Measures :
  1. efficacy evaluation of β-globin restored autologous hematopoietic stem cells [ Time Frame: up to 24 months post transplant ]
    Proportion of subjects achieving transfusion independence for at least 6 months (TI6); Proportion of subjects achieving TI12; Proportion of alleles with intended genetic modification in bone marrow cells; Change in total hemoglobin and hemoglobin--beta concentration; Change from baselien in annualized frequency and volume of packed RBC transfusions.


Eligibility Criteria
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Ages Eligible for Study:   5 Years to 15 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • 5-15 years old. Clinically diagnosed as β-thalassemia major with IVS-654 gene mutation phenotype;
  • Subjects or at least one legal guardian/agent understand and voluntarily sign informed consent.
  • Subjects with no affection with EBV, HIV, CMV, TP, HAV, HBV and HCV.
  • Subjects body condition eligible for autologous stem cell transplant.

Exclusion Criteria:

- Subjects acceptable for allogeneic hematopoietic stem cell transplantation and have an available fully matched related donor.

Active bacterial, viral, or fungal infection. Treated with erythropoietin prior 3 months. Immediate family member with any known hematological tumor. Subjects with severe psychiatric disorders to be unable to cooperate. Recently diagnosed as malaria. History of complex autoimmune disease. Persistent aspartate transaminase (AST), alanine transaminase (ALT), or total bilirubin value >3 x the upper limit of normal (ULN).

Subjects with severe heart, lung and kidney diseases. With serious iron overload. Any other condition that would render the subject ineligible for HSCT, as determined by the attending transplant physician or Investigator.

Subjects who are receiving treatment from another clinical study, or have received another gene therapy.

Subjects or guardians had resisted the guidance of the attending doctor. Subjects whom the investigators do not consider appropriate for participating in this clinical study.

Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04205435


Contacts
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Contact: Wei Li, PhD +8618621670308 wli@bioraylab.com

Locations
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China, Shanghai
Shanghai Bioraylaboratory Inc
Shanghai, Shanghai, China, 200241
Contact: Wei Li, PhD       wli@bioraylab.com   
Principal Investigator: Xinhua Zhang, Prof         
Sponsors and Collaborators
Bioray Laboratories
PLA 923 Hospital
Investigators
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Principal Investigator: Xinhua Zhang, Prof PLA 923 Hospital
More Information
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Responsible Party: Bioray Laboratories
ClinicalTrials.gov Identifier: NCT04205435    
Other Study ID Numbers: 2019-BRL-00CH2
First Posted: December 19, 2019    Key Record Dates
Last Update Posted: January 8, 2021
Last Verified: January 2021
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Thalassemia
beta-Thalassemia
Anemia, Hemolytic, Congenital
Anemia, Hemolytic
 Anemia
Hematologic Diseases
Hemoglobinopathies
Genetic Diseases, Inborn