A Clinical Study Evaluating the Safety and Efficacy of CS-101 in Treating Subjects With β-thalassemia

Last updated: April 21, 2025
Sponsor: CorrectSequence Therapeutics Co., Ltd
Overall Status: Active - Not Recruiting

Phase

1

Condition

Thalassemia

Treatment

CS-101

Clinical Study ID

NCT06024876
CS-101-06
  • Ages 6-35
  • All Genders

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 Criteria

Inclusion

Key Inclusion Criteria:

  • 6 to 35 years old(inclusive) male or female subjects at the time of informedconsenting

  • 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 monthsprior to the screening period

  • Generally in good condition, Karnofsky performance score≥60 points for subjects≥16years old at the time of autologous hematopoietic stem cell collection, or LanskyPlay-Performance score≥60 points for subjects under 16 years old, or equivalentclinical evaluation as the investigator site's common practice

Exclusion

Key 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, whentheir drug-drug interaction on the efficacy and safety of CS-101 cannot be ruledout, unless at least there are 3 test results showing the total hemoglobin levelbefore transfusion is below 9g/dL in the past 6 months before screening.

  • Previously received allogeneic hematopoietic stem cell transplantation orgene(edited) therapy.

  • Subjects have available related fully matching donors and are eligible and preparedfor 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 testpositive, or known tuberculosis, parasitic infection, etc. who are judged by theinvestigator 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 theinvestigator to be unable to participate in the study.

Study Design

Total Participants: 5
Treatment Group(s): 1
Primary Treatment: CS-101
Phase: 1
Study Start date:
August 26, 2023
Estimated Completion Date:
June 30, 2025

Study Description

CS-101 is an autologous CD34+ cell suspension, edited by ex vivo base editing technology, which modifies the BCL11A binding site in HBG promoter, so that it loses the ability to bind to BCL11A, which can re-induce the production of γ-globin chain and increase the concentration of fetal hemoglobin(HbF) in the blood, compensating for the function of missing adult hemoglobin HbA to achieve clinical cure. The therapy addresses two major challenges in the current treatment of the disease: lack of matching donors and graft-versus-host diseases in allogeneic hematopoietic stem cell transplantation.

Connect with a study center

  • The First Affiliated Hospital of Guangxi Medical University

    Nanning,
    China

    Site Not Available

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