SCID-X1 Gene Therapy Via Intravenous Lentiviral (Ivlv-X1) Injection

Last updated: September 8, 2025
Sponsor: Shenzhen Geno-Immune Medical Institute
Overall Status: Active - Recruiting

Phase

1/2

Condition

N/A

Treatment

Direct intravenous injection of ivlv-X1 lentiviral vector

Clinical Study ID

NCT03217617
GIMI-IRB-17014
  • Ages 1-1
  • Male

Study Summary

This is a Phase I/II gene therapy trial treating X-linked severe combined immunodeficiency (SCID-X1) using a self-inactivating lentiviral vector (ivlv-X1) to functionally correct the genetic defect. The primary objectives are to evaluate the safety and efficacy of the direct intravenous lentiviral gene transfer protocol.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Diagnosis of SCID-X1 based on:
  • A proven mutation in the common interleukin-2 receptor gamma chain gene asdefined by direct sequencing of patient DNA.

  • T-cell immune deficiency defined as one or more of the following: CD3+autologous T cells < 300/ul, or less than 50% of normal value for in vitromitogen stimulation, or absent proliferation in vitro to antigen stimulation.

  1. No available HLA identical related donor.

  2. With severe infections, including but not limited to: pneumonitis; protracteddiarrhea requiring total parenteral nutrition; infection with herpes viruses oradenovirus; disseminated BCG infection.

  3. No cytogenetic abnormalities (medullary karyotype) and no detection of mainrearrangements associated with acute leukemia.

  4. No prior allogeneic stem cell transplantation.

  5. Life expectancy ≥ 3 months.

  6. Documented to be negative for HIV infection.

  7. Written, informed consent obtained prior to any study-specific procedures.

Exclusion

Exclusion Criteria:

  1. No available molecular diagnosis confirming SCID-X1.

  2. Existence of an available HLA-identical related donor.

  3. Diagnosis of active malignant disease other than EBV-associated lymphoproliferativedisease.

  4. Current treatment with any chemotherapeutic agent (becomes eligible if not ontreatment for at least 1 month).

  5. Patients with evidence of infection with HIV-1 or 2.

  6. Presence of a medical condition indicating that survival will be less than 4 weekssuch as the requirement for mechanical ventilation, severe failure of a major organsystem, or evidence of a serious, progressive infection that is refractory tomedical treatment.

  7. Current treatment with any immunosuppressive agent, excluding corticosteroids.

  8. Patients, in the opinion of investigators, may not be eligible or not able to complywith the study.

Study Design

Total Participants: 10
Treatment Group(s): 1
Primary Treatment: Direct intravenous injection of ivlv-X1 lentiviral vector
Phase: 1/2
Study Start date:
June 30, 2024
Estimated Completion Date:
December 31, 2027

Study Description

X-linked severe combined immunodeficiency (SCID-X1) is a genetic disorder caused by defect in the common cytokine receptor chain, normally on the surface of lymphocytes. Individuals with SCID-X1 lack the normal development of a functional immune system and so have difficulty fighting infections, which may lead to chronic or severe illness and death. X-SCID patients are normally rescued by a bone marrow transplant from a healthy donor. This trial aims to treat SCID-X1 using a self-inactivating lentiviral vector (LV) carrying a functional gene to correct the genetic defect. By direct intravenous (iv) injection of the LV (ivlv-X1) to modify immune cells in the body, this treatment may establish normal healthy immune cells and overcome the immunodeficiency.

The primary objectives are to evaluate the safety of the self-inactivating ivlv-X1-LV, the in vivo gene transfer protocol and the efficacy of immune reconstitution in patients overcoming frequent infections present at the time of treatment, assessment of iv LV gene transfer efficiency, and finally the long-term correction of immunodeficiency.

Connect with a study center

  • Beijing Children's Hospital

    Beijing, Beijing
    China

    Site Not Available

  • Capital Institute of Pediatrics affiliated Children's hospital

    Beijing, Beijing 100020
    China

    Active - Recruiting

  • Shenzhen Geno-immune Medical Institute

    Shenzhen, Guangdong 518000
    China

    Site Not Available

  • Shenzhen Geno-immune Medical Institute

    Shenzhen 1795565, Guangdong 1809935 518000
    China

    Active - Recruiting

  • Guilin Hospital of Chinese Traditional and Western Medicine

    Guilin, Guangxi
    China

    Site Not Available

  • Guilin Hospital of Chinese Traditional and Western Medicine

    Guilin 1809498, Guangxi 1809867
    China

    Active - Recruiting

Map preview placeholder

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.