Safety and Efficacy Evaluation of Autologous CRISPR-Cas12b Edited Hematopoietic Stem Cells

Last updated: October 16, 2023
Sponsor: Institute of Hematology & Blood Diseases Hospital, China
Overall Status: Active - Recruiting

Phase

N/A

Condition

Thalassemia

Treatment

VGB-Ex01

Clinical Study ID

NCT06041620
VGB-Ex01-001
  • Ages 3-35
  • All Genders

Study Summary

This is a single-arm, open, single-injection exploratory clinical study with two transfusion-dependent β thalassemia (β-TDT) participants planned to enroll.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Age 3-35 years old (inclusive), male or female;
  • The subject and/or his/her legally recognized representative/parent/guardian fullyunderstands the study and all information related to the study and has signed theinformed consent form;
  • Clinical diagnosis of transfusion-dependent β-thalassemia (TDT) with a bloodtransfusion record within 2 years (inclusive) prior to screening showing a history of ≥ 10 units (U)/kg/year (or ≥ 100 mL/kg/year) or ≥ 8 times/year of suspended RBCtransfusions in at least 1 consecutive 12-month period;
  • Karnofsky score (for subjects aged ≥ 16 years) or Lansky score (for subjects aged < 16years) of ≥ 80;
  • Subjects in stable disease state who are eligible for hematopoietic stem celltransplantation as per investigator's judgment;
  • Access to diagnosis and treatment records issued by medical professional institutionswithin 2 years prior to screening, including the records of blood transfusions,hematology, serum chemistry, and other examinations;
  • Willing and able to comply with study procedures, with good compliance, and willing toreceive and complete the follow-up study with a duration of at least 2 years;
  • Subjects of childbearing potential (including female subjects of childbearingpotential and male subjects whose partners are of childbearing potential) must useeffective contraception within 12 months of treatment.

Exclusion

Exclusion Criteria:

  • Diagnosis of associated α-thalassemia: > 1 alpha chain deletion or alpha genefunctional defect;
  • Have available HLA-fully matched donors and acceptable for allogeneic hematopoieticstem cell transplantation;
  • Irregular antibody or platelet antibody positive;
  • Prior allogeneic bone marrow transplantation or gene therapy;
  • Subjects with clinically significant and active bacterial, viral, fungal, or parasiticinfection as determined by the investigator at screening, including but not limited tothose with positive etiology of human immunodeficiency virus (HIV-1/2), humancytomegalovirus (HCMV-DNA), Epstein-Barr virus (EBV-DNA), or Treponema pallidumantibody (TP-Ab), or with previous hepatitis B or C infection;
  • Subjects with an injury of major organs
  • Contraindications for hematopoietic stem cell collection and poor collectionefficiency judged by the investigator;
  • Contraindications to the clinical investigational product and its excipients, G-CSF (hematopoietic stem cell mobilization), plerixafor (hematopoietic stem cellmobilization), busulfan (myeloablation), and other drugs;
  • Participation within 3 months prior to screening or current participation in anotherinterventional clinical study;
  • History or family history of malignancy or myeloproliferative disorder;
  • History of uncontrollable epilepsy, mental disorder, or other psychiatric disorders;
  • Abuse of psychoactive substance, drug, or alcohol within 6 months prior to enrollment;
  • Pregnant or breastfeeding females;
  • Other diseases or reasons that interfere with study procedures;
  • Any other conditions that the investigator deems unsuitable for the subject'sparticipation in the study.

Study Design

Total Participants: 2
Treatment Group(s): 1
Primary Treatment: VGB-Ex01
Phase:
Study Start date:
August 31, 2023
Estimated Completion Date:
June 30, 2026

Study Description

Through CRISPR-Cas 12b editing tool with independent intellectual property rights of Chinese Academy of Sciences, HBG1/2 promoter was edited to reactivate gamma-globin and induce fetal hemoglobin (HbF) expression. This leads to a subsequent reduction in ineffective red blood cell production (due to a reduction in the uncompounded alpha-globin chain) and improved red blood cell survival (due to reduced hemolysis), ultimately improving the sequelae of anemia and reducing the need for transfusion. Safety and efficacy will be evaluated continuously throughout the study, follow-up was up to 24 months. After the end of this trial, participants who received the infusion of autologous CRISPR-Cas12b edited hematopoietic stem cells (VGB-Ex01) will be invited to participate in the long-term follow-up study to complete the 15-year follow-up plan.

Connect with a study center

  • Regenerative Medicine Center

    Tianjin, Tianjin
    China

    Active - Recruiting

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