Evaluation of Efficacy and Safety of a Single Dose of CTX001 in Participants With Transfusion-Dependent β-Thalassemia and Severe Sickle Cell Disease
A Phase 3b Study to Evaluate Efficacy and Safety of a Single Dose of Autologous CRISPR Cas9 Modified CD34+ Human Hematopoietic Stem and Progenitor Cells (CTX001) in Subjects With Transfusion-Dependent β-Thalassemia or Severe Sickle Cell Disease
Who can join
As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.
- Age
- 12 Years to 35 Years
- Sex
- All sexes
- Healthy volunteers
- Not accepted
- Compensation
- Not stated
Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.
What to expect
No one can promise a trial will help you personally — that is what the research is trying to find out.
What participation involves
Not stated in the study description — ask the study team about visits and procedures.
- Compensation
- Not stated
- Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
- Participants are monitored closely by the research team throughout the study.
- Some participants may receive access to an investigational treatment, which is still being studied.
- Your participation helps researchers learn whether this approach could help future patients.
About this study
In plain language
This study tests how safe a single dose of CTX001 is and how well it works. CTX001 uses a person's own blood-forming stem cells, with genes changed using a tool called CRISPR-Cas9. It is for people with beta-thalassemia who need regular blood transfusions or people with severe sickle cell disease.
This is a single-dose, open-label study in participants with transfusion-dependent β-thalassemia (TDT) or severe sickle cell disease (SCD). The study will evaluate the safety and efficacy of autologous CRISPR-Cas9 modified CD34+ human hematopoietic stem and progenitor cells (hHSPCs) using CTX001.
Compensation is read from the study's own description and may be missing — always confirm with the study team.
Eligibility
Who can join
- For either disease: The study doctor must decide you can have a stem cell transplant using your own cells.
- For beta-thalassemia: You must have a confirmed inherited type listed in the study, including beta-thalassemia with hemoglobin E. The study lab must confirm your gene type before transplant preparation treatment.
- For beta-thalassemia: You must have received at least 100 milliliters of red blood cells per kilogram of body weight, or 10 units of red blood cells, each year for the past 2 years.
- For sickle cell disease: You must have a documented sickle cell gene type.
- For sickle cell disease: You must have had at least 2 severe crises caused by blocked blood flow each year for the past 2 years.
- Other study rules may also apply.
Who can't join
- For either disease: A healthy relative is willing to donate stem cells and is a full tissue match, as judged by the study doctor.
- For either disease: You have already had a blood-forming stem cell transplant.
- For either disease: You have an active, medically important infection, as judged by the study doctor.
- For beta-thalassemia: You also have alpha-thalassemia with more than one missing alpha gene, or extra copies of alpha genes.
- For beta-thalassemia: You have the sickle cell beta-thalassemia type.
- For sickle cell disease: You have a history of untreated moyamoya syndrome, which narrows blood vessels in the brain, or have it at screening.
- Other study rules may also apply.
Simplified for readability. The official criteria below are what the study team uses.
Official eligibility criteria
Key Inclusion Criteria: * Participants with TDT and SCD: * Eligible for autologous stem cell transplant as per investigator's judgment. * Participants with TDT: * Diagnosis of TDT as defined by: * Documented homozygous β-thalassemia or compound heterozygous β-thalassemia including β-thalassemia/hemoglobin E (HbE). Participants can be enrolled based on historical data, but a confirmation of the genotype using the study central laboratory will be required before busulfan conditioning * History of at least 100 milliliter (mL)/kilograms (kg)/year or 10 units/year of packed red blood cells (RBC) transfusions in the prior 2 years before signing the consent or the last rescreening for patients going through re-screening * Participants with SCD: * Diagnosis of severe SCD as defined by: * Documented SCD genotypes * History of at least two severe VOCs events per year for the previous two years prior to enrollment Key Exclusion Criteria: * Participants with TDT and SCD: * A willing and healthy 10/10 human leukocyte antigen (HLA)-matched related donor is available per investigator's judgement * Prior hematopoietic stem cell transplant (HSCT) * Clinically significant and active bacterial, viral, fungal, or parasitic infection as determined by the investigator * Participants with TDT: * Participants with associated α-thalassemia and \>1 alpha deletion, or alpha multiplications * Participants with sickle cell β-thalassemia variant * Participants with SCD: * History of untreated moyamoya syndrome or presence of moyamoya syndrome at screening Other protocol defined Inclusion/Exclusion criteria may apply.
Study sites (3)
NC
- Levine Children's Hospital - Hematology · Charlotte, NC 28203More trials in Charlotte
NY
- New York Presbyterian Hospital - Morgan Stanley Children's Hospital · New York, NY 10032More trials in New York
TN
- TriStar Medical Group Children's Specialists - Pediatric Oncology · Nashville, TN 37203More trials in Nashville