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Clinical Trials in China / NCT06655662
Recruiting Phase 1

Evaluating Safety and Efficacy of Lentiviral-transduced CD34+ HSCs in Β-thalassaemia Patients.

NCT06655662 · tracked via the Priya Life Science China tracker
Sponsor
Shenzhen Hemogen
Phase
Phase 1
Started
2024-06-12
Last updated
2024-10-23

Condition(s) studied

Β-thalassemia

Investigational drug(s) / intervention(s)

β-globin restored autologous hematopoietic stem cells

β-globin restored autologous hematopoietic stem cells: Eight transfusion-dependent β-thalassaemia subjects aged 6-35 years will be reinfused with β-globin restored autologous hematopoietic stem cells modified with LentiHBBT87Q

Study summary

This is a single-arm, open label, multi-center, single-dose Phase 1 clinical trial in subjects with transfusion dependent β-thalassaemia. The study aims to evaluate the safety and efficacy of autologous lentiviral-transduced CD34+ human hematopoietic stem cells (hHSCs) using the gene therapy product HGI-001.

Eligibility

Sex
ALL
Min age
6 Years
Max age
35 Years
Healthy volunteers
No
Inclusion Criteria: 1. Aged 6-35 years (inclusive), ICF can be provided by the patient and/or legal guardian; 2. Definitively diagnosed with severe TDT without genotype restriction (excluding patients with coexisting α-thalassemia), and a valid test report can be provided; 3. Average transfusion volume \> 100 mL/kg/year or transfusion frequency \> 8 times/year within 2 years prior to enrollment; 4. At least 3 months of full volume transfusion (verification of blood transfusion records can be provided) prior to screening, and Hb is maintained at ≥ 9.0 g/dL; 5. Serum ferritin level less than 5000μg/L, with moderate or lower iron overload in the heart and liver as indicated by magnetic resonance imaging (MRI T2\*), specifically liver MRI T2\* greater than 1.4ms and cardiac MRI T2\* greater than 10ms; 6. Acceptable organ functions (including heart, liver, kidney, lung and coagulation functions), stable disease condition, and suitable for busulfan pre-treatment and hematopoietic stem cell (HSC) transplantation as judged by the investigator; 7. Meets follow-up requirements, adheres to treatment arrangements, and is able to return to the hospital regularly to undergo various examinations within 2 years after reinfusion of HGI-001 injection. Exclusion Criteria: 1. Patients with fully HLA-matched donors; 2. Having previously received gene therapy, gene editing therapy, or allogeneic hematopoietic stem cell transplantation; 3. Uncorrected bleeding disorder; 4. Uncontrolled epilepsy and mental illness; 5. Within the past 3 months prior to enrollment, the use of Luspatercept, Hydroxyurea, Ruxolitinib, Thalidomide, Decitabine, or Ara-c has been administered; 6. Psychoactive substance abuse, drug or alcohol abuse within 6 months prior to enrollment; 7. Patients with pulmonary hypertension who have not been given effective intervention; 8. Positive for anti-RBC antibodies in antibody screening; 9. Hepatitis B surface antigen (HBsAg) is positive and the HBV DNA copy number is greater than the upper limit of the normal value of the detection unit (those who are negative do not need to test for HBV DNA copy number), antibodies to Hepatitis C virus (HCV) are positive, antibodies to Human Immunodeficiency Virus (HIV) are positive, or antibodies to Treponema pallidum (TP-Ab) are positive (subjects who are positive due to vaccination are eligible for enrollment). Additionally, the results of Hepatitis B Virus (HBV) DNA testing, Hepatitis C Virus (HCV) RNA testing, Cytomegalovirus DNA testing, and Epstein-Barr Virus (EBV) DNA testing are abnormal; 10. Have or have had malignant tumors or myeloproliferative diseases or immunodeficiency disorders or autoimmune diseases; 11. Have a first-degree relative with a history of or suspected hereditary cancer (including but not limited to hereditary breast and ovarian cancer, nonpolyposis colorectal cancer, and adenomatous polyposis); 12. Severe bacterial, viral, fungal or parasitic infection; 13. Other illnesses which render the subject unsuitable for participation (e.g., severe liver, kidney or heart disease); Definition of severe liver and kidney disease: a. Aspartate aminotransferase (AST), alanine aminotransferase (ALT), or total bilirubin \> 3 × ULN; b. Liver magnetic resonance imaging (MRI) indicates significant cirrhosis; c. Liver biopsy indicates cirrhosis, severe fibrosis or active hepatitis (liver biopsy is only performed when liver MRI indicates active hepatitis and significant fibrosis without evidence for cirrhosis); d. Creatinine clearance \<60 mL/(min·1.73m\^2); 14. WBC \< 3 × 10\^9/L and/or PLT \< 100 × 10\^9/L; 15. Has diabetes, abnormal thyroid functions or other endocrine disorder; 16. Participated in other interventional clinical studies within 4 weeks before the trial; 17. Poor adherence or other conditions that renders the subject unsuitable for participation as judged by the investigator.

Primary outcome measure(s)

Trial sites (3)

FacilityCityRegionStatus
Guangxi Medical University First Affiliated Hospital Guangxi China Recruiting
Shenzhen Children's Hospital Shenzhen China Recruiting
Shenzhen University General Hospital Shenzhen China Recruiting

More Shenzhen Hemogen trials in China

Official registry record

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.

View NCT06655662 on ClinicalTrials.gov ↗ ← All trials in China