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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
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental | Experimental | Ten transfusion-dependent β-thalassaemia subjects aged 8-16 years will be reinfused with β-globin-restored autologous hematopoietic stem cells modified with LentiHBBT87Q. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| β-globin restored autologous hematopoietic stem cells | Biological | β-globin-restored autologous hematopoietic stem cells modified with LentiHBBT87Q |
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| Measure | Description | Time Frame |
|---|---|---|
| Frequency and severity of adverse events (AEs) and serious adverse events (SAEs) | The number and the percentage of adverse events related to transplantation in 100 days will be summarized according to NCI CTCAE 5.0 | 0-100 days |
| Overall survival | Number of patients alive through the whole trial will be record | 0-24 months |
| Proportion of engraftment | Neutrophil count [ANC] >=500 /mm3 for 3 consecutive days and platelet count [PLT] >20,000/mm3 for7 consecutive days | 0-24 months |
| Replication competent lentivirus (RCL) | The percentage of RCL should be negative in the 24 months after transplant | 0-24 months |
| Dynamics of viral integration sites (VIS) | Evaluation of the percentage of participants without abnormal clonal proliferation and polyclonal engraftment . More than 1000 VIS retrieved from peripheral blood should be checked. | 0-24 months |
| Measure | Description | Time Frame |
|---|---|---|
| The average Insertion copy number (VCN) in peripheral blood mononuclear cells | The average insertion copy number (VCN) should be ≥0.1 in peripheral blood mononuclear cells | 18-24 Months |
| The expression level of exogenous adult hemoglobin |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Haigang Sun | Contact | 13823168465 | sunhaigang@genomics.cn |
| Name | Affiliation | Role |
|---|---|---|
| Chao Liu, PHD | Shenzhen Hemogen | Principal Investigator |
| Sixi Liu, Professor | Shenzhen Children's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shenzhen Children's Hospital | Recruiting | Shenzhen | Guangdong | 518083 | China |
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Exogenous adult hemoglobin will be evaluated by globin chains and hemoglobin synthesis on peripheral blood by HPLC and the exogenous adult hemoglobin level is ≥2.0g/dL
| 18-24 Months |
| Change from baseline in annualized frequency of packed RBC transfusions | Compare the annualized number of pRBC transfusions before gene therapy with the Month 18 and Month 24 period after transplant, the percentage change will be recorded | 18-24 Months |