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This is an interventional study to evaluate the safety and efficacy of autologous Hematopoietic Stem and Progenitor Cells (HSPCs) transduced with lentiviral vector encoding functional hemoglobin subunit beta (HBB) gene in patients with transfusion-dependent beta-thalassemia.
The participant's autologous HSPCs will be transduced with the self-inactivating lentiviral vector, carrying the functional HBB gene.
Study duration per participant is approximately 27 months including an approximately 30-day screening/baseline period, an approximately 60-day mobilization and product manufacture, an approximately 10-day myeloablative conditioning, 1 treatment day, and an approximately 24-month study observation period.
The endpoints will be used to assess the safety and efficacy profiles in patients with transfusion-dependent beta-thalassemia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Vebeglogene autotemcel | Experimental | One-time infusion of≥5×10^6/kg beta-globin lentiviral vector transduced HSPCs |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vebeglogene autotemcel | Drug | Autologous HSPCs transduced with self-inactivating lentiviral vector encoding functional HBB gene and resuspended in cryopreservative solution in the final immediate container for the intended medical use. |
| Measure | Description | Time Frame |
|---|---|---|
| Time and duration of the subject's hemoglobin (Hb)≥9.0 g/dL without receiving red blood cell infusion | From baseline to Month 24 |
| Measure | Description | Time Frame |
|---|---|---|
| The prevalence and severity of adverse events (AEs) and serious adverse events (SAEs) | Participants are monitored for safety from baseline up to the end of the follow-up period. | From baseline to Month 24 |
| The reduction of red blood cells (RBCs) transfusion requirement after product infusion compared to previous transfusion records |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| 920th Hospital of Joint Logistics Support Force of People's Liberation Army of China | Kunming | Yunnan | 650100 | China | ||
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| ID | Term |
|---|---|
| D017086 | beta-Thalassemia |
| ID | Term |
|---|---|
| D013789 | Thalassemia |
| D000745 | Anemia, Hemolytic, Congenital |
| D000743 | Anemia, Hemolytic |
| D000740 | Anemia |
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The annual number of RBCs transfusions prior to product infusion will be compared to the annual number of RBCs transfusions post-infusion, and the requirement reduction duration should be reported. |
| From infusion to Month 24 |
| Number of days required to achieve successful neutrophil and platelet engraftment | Neutrophil engraftment is defined as the time to the first of 3 consecutive days of absolute neutrophil counts (ANC)≥0.5×10^9/L post-infusion without transfusion. Platelet engraftment is defined as the time to the first of 3 consecutive days of platelet values≥20×10^9/L post-infusion without transfusion. | From infusion to Month 24 |
| Vector copy number (VCN) in peripheral blood over time | Quantification of the lentiviral vector copy number in individual peripheral blood cells will be conducted to measure the transduction of HSPCs. | From baseline to Month 24 |
| Kunming Hope of Health Hospital |
| Kunming |
| Yunnan |
| 650200 |
| China |
| D006402 |
| Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D006453 | Hemoglobinopathies |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |