Safety and Efficacy Evaluation of β-globin Restored Autologous Hematopoietic Stem Cells in β-thalassemia Major Patients
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: β-globin restored autologous hematopoietic stem cells.
- Who it may be relevant to
- Registry conditions: β-thalassemia. Basic parameters: 8 years — 16 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- China
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
This is an open label study to evaluate the safety and efficacy of β-globin Restored Autologous Hematopoietic Stem Cells in ß-Thalassemia Major Patients
Detailed description
We will recruit ß-thalassaemia major patients and collect their autologous hematopoietic stem cells, which will be modified with the LentiHBBT87Q system to restore β-globin expression. After conditioning, the autologous hematopoietic stem cells with restored β-globin will be reinfused to the patients and followed up for two years to collect data.
Interventions
- Biological β-globin restored autologous hematopoietic stem cells
β-globin-restored autologous hematopoietic stem cells modified with LentiHBBT87Q
Primary outcome measures
- Frequency and severity of adverse events (AEs) and serious adverse events (SAEs) [Time frame: 0-100 days]
- Overall survival [Time frame: 0-24 months]
- Proportion of engraftment [Time frame: 0-24 months]
- Replication competent lentivirus (RCL) [Time frame: 0-24 months]
- Dynamics of viral integration sites (VIS) [Time frame: 0-24 months]
Secondary outcome measures (3)
- The average Insertion copy number (VCN) in peripheral blood mononuclear cells [Time frame: 18-24 Months]
- The expression level of exogenous adult hemoglobin [Time frame: 18-24 Months]
- Change from baseline in annualized frequency of packed RBC transfusions [Time frame: 18-24 Months]
Eligibility criteria
Inclusion criteria
- 8-16 years old. Subject and/or subject's legal guardian fully understand and voluntarily sign informed consent;
- Clinically diagnosed as transfusion-dependent β-thalassemia major;
- With sufficient RBC infusion, subjects must maintain hemoglobin ≥9g/dL, serum ferritin threshold ≤ 3000 ng/mL and the liver iron overload mild or absent for at least 3 months before mobilization of hematopoietic stem cell;
- Follow the arrangements for treatment and regular medical checks within two years post-transplantation
Exclusion criteria
- The physical condition does not meet the requirements for hematopoietic stem cell mobilization and transplantation myeloablation;
- Received gene therapy and allogeneic HSCT in the past.
- Have an available HLA matched donor.
- Enrolling in another clinical trial.
- Other unsuitable conditions identified by doctors.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
China · 1 center
- Shenzhen Children's Hospital — Shenzhen
Identifiers
NCT: NCT05745532 · SZ-101