Actively Recruiting
Study of FT024 Gene-Modified Stem Cell Therapy for Children Under 2 Years with Autosomal Recessive Osteopetrosis Caused by TCIRG1 Mutations
Led by Fondazione Telethon · Updated on 2026-06-24
8
Participants Needed
1
Research Sites
53 weeks
Total Duration
On this page
Sponsors
F
Fondazione Telethon
Lead Sponsor
O
Ospedale San Raffaele
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating FT024 gene-modified stem cell therapy in children aged 28 days to 2 years who have autosomal recessive osteopetrosis caused by TCIRG1 gene mutations. This phase IIIa open label study aims to assess the safety, feasibility, and effectiveness of this treatment in up to 8 children. The trial is conducted at a specialized pediatric center in Italy and includes participants who meet specific genetic and clinical criteria for this rare bone disorder. Participants undergo harvesting of their own hematopoietic stem and progenitor cells HSPCs, which are modified with the FT024 lentiviral vector to correct the genetic defect. After manufacturing in a GMP facility, patients receive a reduced toxicity conditioning regimen using Treosulfan and Thiotepa, followed by intravenous infusion of FT024. If needed, additional FT024 boost doses may be given within 180 days without further conditioning. Regular follow-up continues for 2 years, with an option for extended long-term monitoring up to 15 years. During the study, participants will have about 10 visits including assessments, hospital stays, and possible remote visits depending on their needs. Researchers will monitor overall survival, long-term engraftment, hematologic recovery, adverse events, and quality of life measures. The study lasts around 30 months per patient and includes detailed evaluations of blood parameters, transfusion needs, and genetic markers to understand the treatments impact. Safety and efficacy data will guide future development of this gene therapy.
CONDITIONS
Brief Title
Gene-Modified Stem Cell Therapy for Children With Autosomal Recessive Osteopetrosis (ARO)
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Diagnosis of autosomal recessive osteopetrosis caused by TCIRG1 gene mutations confirmed by genetic testing or clinical features with expert review
- Parents or legal guardians able to understand the study and provide informed consent
- Age between 28 days and 2 years old
- Body weight of at least 4 kg
- Adequate heart, lung, kidney, and liver function as shown by specific clinical tests including LVEF 45%, pulse oximetry 90%, normal kidney and liver lab values
You will not qualify if you...
- Availability of a fully HLA-matched sibling or unrelated donor suitable for transplant
- History of uncontrolled seizures or severe psychiatric symptoms
- Active viral, bacterial, or fungal infection
- Positive tests for HIV, hepatitis B or C, syphilis, or Mycoplasma infection
- Allergy to conditioning chemotherapy drugs or their components
- Use of other investigational agents within 4 weeks (6 weeks for long-acting drugs)
- Previous allogeneic stem cell transplant or gene therapy with a different product
- Presence of cancer, familial risk of blood cancers, or blood cell abnormalities suggesting high cancer risk
- Severe organ damage or other conditions making stem cell collection or transplant unsafe
Research Team
F
Francesca Tucci, Principal Incestigator
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