Status:
RECRUITING
A Phase 1 Study of Gene-modified Autologous Hematopoietic Stem Cell (BD211) Treating β-thalassemia Major
Lead Sponsor:
Shanghai BDgene Co., Ltd.
Conditions:
β-thalassemia
Eligibility:
All Genders
3-35 years
Phase:
PHASE1
Brief Summary
This study will be intented to evaluate the safety, tolerability, and engraftment efficacy after myeloablative preconditioning and transplantation of autologous CD34+ hematopoietic stem cells transduc...
Detailed Description
This is an open-label, single-dose study of BD211 in patients with transfusion-dependent β-thalassemia aged 3 to 35 years. It is estimated that 9 subjects will be enrolled. BD211 is a gene modified ge...
Eligibility Criteria
Inclusion Criteria:
- Participants aged 3 years (inclusive) to 18 years (exclusive), with no gender restrictions.
- Parents/legal guardians have fully understood and voluntarily signed a written informed consent form; and it is recommended that children aged 8 and above be involved in the decision to participate in this clinical trial and obtain a written consent form.
- Transfusion-dependent β-thalassemia patients. "Transfusion-dependent" is defined as: requiring at least 100 mL/kg of packed red blood cells annually; the genotype can be β0/β0, β0/β+, or β+/β+, diagnosed through hemoglobin studies.
- Eligible for allogeneic hematopoietic stem cell transplantation, but without a donor or those refusing to undergo allogeneic hematopoietic stem cell transplantation.
- Have undergone symptomatic treatment for at least the past 2 years and have retained medical records including transfusion history.
- Stable condition and maintained an appropriate iron chelation regimen.
- Good status of organ function.
- Good compliance from the individual and parents/legal guardians, willing to adhere to visit schedules, trial plans, laboratory tests, and other trial procedures as stipulated in this protocol.
- Willing to participate in long-term follow-up research.
Exclusion Criteria:
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Has a fully HLA-matched hematopoietic stem cell donor and is willing to receive a fully HLA-matched hematopoietic stem cell transplant. Enrollment is otherwise only advised after review by the safety review committee.
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Positive for antibodies against Human Immunodeficiency Virus 1/2 (HIV-1/HIV-2), Treponema pallidum (TP) specific antibodies, Human T-lymphotropic Virus 1 or 2 (HTLV-1/HTLV-2) antibodies, and Vesicular Stomatitis Virus G (VSV-G).
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Positive for Hepatitis B Virus (HBV) HbsAg or HBV-DNA; Hepatitis C Virus (HCV) HCAb positive; positive nucleic acid test for Epstein-Barr Virus (EBV) or Cytomegalovirus (CMV).
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Severe active bacterial, viral, fungal, malarial, or parasitic infections.
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Has had, or currently has, a malignant, myeloproliferative, or immunodeficiency disorder.
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Direct relatives with known or suspected hereditary cancer syndromes (including but not limited to breast cancer, colorectal cancer, ovarian cancer, prostate cancer, and pancreatic cancer).
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Autoimmune diseases that could result in transfusion difficulties.
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Major organ diseases or abnormal lab tests, including:
- Liver cirrhosis, fibrosis, or active hepatitis, and/or abnormal liver function tests (Serum total bilirubin (TBIL) ≥ 1.5x Upper Limit of Normal (ULN); Alanine aminotransferase (ALT) and Aspartate aminotransferase (AST) ≥ 2.5x ULN; Alkaline phosphatase ≥ 2.5x ULN).
- Heart disease, or Left Ventricular Ejection Fraction (LVEF) < 60%.
- Kidney diseases, or serum creatinine ≥ 1.5ULN, creatinine clearance rate < 30% of the normal level (measured or calculated by the Cockcroft-Gault equation).
- Endocrine disorders, such as insulin-dependent diabetes, hyperthyroidism, or hypothyroidism.
- Severe iron overload, serum ferritin ≥ 5000 ng/mL.
- Cardiac T2* < 20 ms, and/or liver iron content (LIC) ≥ 15mg/g liver weight by MRI.
- Significant pulmonary hypertension diagnosed clinically according to guidelines, requiring clinical medical intervention.
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Uncorrected bleeding disorders.
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Severe psychiatric disorders.
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Peripheral blood white cell (WBC) count < 3x10^9/L or platelets count < 120x10^9/L.
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Received hydroxyurea treatment within the last 3 months before stem cell collection.
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Used erythropoiesis-stimulating agents within the 3 months prior to HSC collection.
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History of allogeneic transplantation.
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Previously received any type of gene and/or cell therapy.
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Participating in another clinical trial and is within a 30-day screening period.
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Has contraindications to anesthesia.
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Has contraindications to hematopoietic stem cell collection.
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Allergic to the investigational drug or its excipients.
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Any other conditions determined by the investigator as unsuitable for participation in this clinical trial.
Key Trial Info
Start Date :
January 5 2024
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
December 1 2026
Estimated Enrollment :
9 Patients enrolled
Trial Details
Trial ID
NCT06465550
Start Date
January 5 2024
End Date
December 1 2026
Last Update
June 24 2024
Active Locations (3)
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1
Sun Yat-sen Memorial Hospital
Guangzhou, Guandong, China, 510120
2
The First Affiliated Hospital of Guangxi Medical University
Nanning, Guangxi, China, 530021
3
Shanghai Ruijin Hospital, Shanghai Jiaotong University
Shanghai, Shanghai City, China, 200025