This is a single center, Phase 1/2 study in which patients with Hurler syndrome who have previously undergone allogeneic hematopoietic stem cell transplantation are treated with autologous plasmablasts engineered to express α-L-iduronidase (IDUA) using the Sleeping Beauty transposon system.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Autologous Plasmablasts engineered to express α-L-iduronidase (IDUA) using the Sleeping Beauty transposon system. Phase 1: * Dose Level 1: 5 x 10e7 cells/kg on Day 0 * Dose Level 2: 1 x 10e8 cells/kg on Day 0 * Dose Level 3: 1 x 10e8 cells/kg x 2 doses on Day 0 and Day 30 +/-3 days. Phase 2: \- Maximum Tolerated Dose (MTD) established in Phase I
Maximum Tolerated Dose (MTD)
Maximum tolerated dose (MTD) of autologous plasmablasts engineered to express large amounts of α-L-iduronidase (IDUA) using a Sleeping Beauty transposon approach
Time frame: 1 Year
Growth Velocity (cm/year)
Growth velocity in centimeters/year over a one-year period through determinations of sitting and standing height at baseline and post infusion
Time frame: 1 Year
Safety and Tolerability after Infusion: Incidence of Adverse Events
Incidence of Adverse Events
Time frame: 1 Year
Z-score Growth Rate
Estimate the 1-year Z-score growth rate standardized for age and gender
Time frame: 1 Year
Donor Engraftment
Estimate percent myeloid donor chimerism (CD33/66b) at baseline and at 6 and 12 months.
Time frame: Baseline, 6 months and 1 Year
Levels of circulating antibodies (IgG, IgM, IgA and IgE)
Determine levels of circulating antibodies (IgG, IgM, IgA and IgE) at baseline and at scheduled time points post infusion.
Time frame: 1 Year
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