CS-101: Autologous CD34+ hematopoietic stem cell suspension modified by in vitro base editing technique
Study summary
The goal of this open label, single-arm clinical study is to learn about the safety and efficacy of CS-101 in treating β-thalassemia.
Eligibility
Sex
ALL
Min age
6 Years
Max age
35 Years
Healthy volunteers
No
Inclusion Criteria:
* 6 to 35 years old(inclusive) male or female subjects at the time of informed consenting Diagnosis of β-thalassemia, genotypes include but are not limited to β+β0,βEβ0,β0β0, etc History of at least≥8 units/year of packed RBC transfusions in the prior 12 months prior to the screening period Generally in good condition, Karnofsky performance score≥60 points for subjects≥16 years old at the time of autologous hematopoietic stem cell collection, or Lansky Play-Performance score≥60 points for subjects under 16 years old, or equivalent clinical evaluation as the investigator site's common practice
Exclusion Criteria:
* Treatment with other investigational medications or other experimental interventions 30 days prior to signing informed consent or within 6 half-lives of the drug, whichever is longer.
Subjects who have received or are receiving thalidomide and/or Luspatercept, when their drug-drug interaction on the efficacy and safety of CS-101 cannot be ruled out, unless at least there are 3 test results showing the total hemoglobin level before transfusion is below 9g/dL in the past 6 months before screening.
Previously received allogeneic hematopoietic stem cell transplantation or gene(edited) therapy.
Subjects have available related fully matching donors and are eligible and prepared for allogeneic hematopoietic stem cell transplantation.
Those with active infections, including but not limited to: HIV, hepatitis B, hepatitis C, cytomegalovirus, Epstein-Barr virus and treponema pallidum test positive, or known tuberculosis, parasitic infection, etc. who are judged by the investigator to be unsuitable to participate in this study.
Echocardiography results with ejection fraction below 45%. Advanced liver disease, defined as:
Aspartate aminotransferase (AST), alanine aminotransferase (ALT) \>3 × upper limit of normal (ULN) or:
Baseline International Normalized Ratio (INR) \>1.5 × ULN.
MRI during the screening period showed heavy iron overload and is judged by the investigator to be unable to participate in the study.
Primary outcome measure(s)
Frequency and severity of adverse events(AEs)as assessed by CTCAE v5.0 — From signing informed consent to 12 months post-CS-101 infusion
Time to neutrophil and platelet engraftment — Days post-CS-101 infusion Time to neutrophil engraftment is defined as first day of 3 consecutive measurements of absolute neutrophil count≥0.5×10\^9/L on three different days; Time to platelet engraftment is defined as first day of 3 consecutive measurements of absolute platelet count≥20×10\^9/L on three different days and without platelet transfusion;
Proportion of subjects with engraftment — within 42 days post-CS-101infusion Subjects with engraftment is defined as neutrophil engrafted
Incidence of transplant-related mortality — From baseline to 100 days post-CS-101 infusion
All-cause mortality — From signing informed consent to 12 months post-CS-101 infusion
Proportion of subjects achieving transfusion independence for at least 6 consecutive months — From 3 months up to 12 months post-CS-101 infusion
Time to last red blood cell(RBC) transfusion — Days post-CS-101 infusion
Trial sites (1)
Facility
City
Region
Status
The First Affiliated Hospital of Guangxi Medical University
Nanning
Guangxi
More CorrectSequence Therapeutics Co., Ltd trials in China
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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