Status:

TERMINATED

Gene Therapy for Chronic Granulomatous Disease

Lead Sponsor:

National Institute of Allergy and Infectious Diseases (NIAID)

Conditions:

Chronic Granulomatous Disease

Eligibility:

MALE

3-55 years

Phase:

EARLY_PHASE1

Brief Summary

X-linked Chronic Granulomatous Disease (CGD) is an inherited disorder caused by an abnormal gene that fails to make the protein known as gp91 phox. This protein is part of a group of proteins that wor...

Detailed Description

X-linked Chronic Granulomatous Disease (CGD) is an inherited disorder caused by an abnormal gene that fails to make the protein known as gp91 phox. This protein is part of a group of proteins that wor...

Eligibility Criteria

Inclusion

  • INCLUSION CRITERIA:
  • Have a diagnosis of X-linked CGD (i.e., a gp91-phox gene mutation/defect).
  • Have a minimum of 5.0 x10(6) CD34 plus cells per kg body weight (collected and cryopreserved, prior to enrollment) available for transduction.
  • Weight greater or equal to 20 kg.
  • Unresponsive or incurable infection as defined by either/or:
  • Continued (stable or progressive) infection despite standard antimicrobial therapy
  • Stable and/or does not completely resolve despite a minimum of 2 months of treatment
  • OR
  • Progressive as shown by increase in size or new sites of infection despite therapy for a minimum of two weeks.
  • Multidrug resistant organism as determined by tissue analysis
  • Not have a suitable sibling who is HLA-matched for stem cell or bone marrow donation.
  • Males aged 3-55 years.
  • Must use two approved methods of contraception, such as barrier method (condom) with a spermicidal if sexually active
  • Willingness to remain hospitalized for several weeks
  • Have a primary care physician at home
  • Consent to permit storage of blood and/or other tissues samples
  • Patients with a Grade 3 toxicity due to active infection may enter this trial.
  • EXCLUSION CRITERIA:
  • Weigh less than 20 kg.
  • Be hemodynamically unstable or requiring pressor support.
  • Require ventilatory assistance with high levels of oxygen.
  • Have an HLA-matched suitable sibling for stem cell or bone marrow donation.
  • Intolerance to busulfan.
  • Failure to use two approved methods of contraception, such as barrier method (such as a condom with a spermicidal).
  • Participation in another Gene Therapy clinical trial
  • If pre-conditioning and pre-infusion evaluations are found to match a criterion for Grade 4 toxicity as defined in Toxicity Table for grading severity of AEs
  • Presence of an anti-GP91 antibody.
  • When the condition or parameter has returned to the criterion for Grade 3 or less for that condition or parameter twice over an interval of at least 4 weeks prior to the infusion, eligibility may be resumed.\<TAB\>\<TAB\>

Exclusion

    Key Trial Info

    Start Date :

    October 30 2006

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    April 8 2014

    Estimated Enrollment :

    3 Patients enrolled

    Trial Details

    Trial ID

    NCT00394316

    Start Date

    October 30 2006

    End Date

    April 8 2014

    Last Update

    July 5 2018

    Active Locations (1)

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    Page 1 of 1 (1 locations)

    1

    National Institutes of Health Clinical Center, 9000 Rockville Pike

    Bethesda, Maryland, United States, 20892