This is a Phase 1,open label,safety,and efficacy study in subjects with non-β0/β0 TDT β-thalassemia Major by transplanting BD211 drug product which is for autologous use only,via a single IV administration.
After collection of mobilised peripheral blood samples, the patient's autologous cells,enriched for CD34+ HSCs, undergo ex vivo transduction with lentiviral vector encoding βA-T87Q-globin to BD211 finished product,which is then infused intravenously into the patient after myeloablative busulfan conditioning to prepare bone marrow "niches" for engraftment of the HSCs. After discharge, subjects will be followed monthly, at a minimum, for 6 months and thereafter every 3 months for the remainder of the 24 months post-transplant. Evaluation will include Routine and special biological testing at regular intervals, collection of AEs and concomitant medications, and evaluation of disease specific biological and clinical parameters. Subjects will then be enrolled in a long-term follow-up protocol with annual evaluations for an additional 13 years post-transplant. The long-term follow-up study will focus on long-term safety, with an emphasis on integration site analysis, and long-term efficacy. This study will end when the last subject completes the Month 24 visit or discontinues from the study.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
2
Transplantation of Autologous CD34+Stem Cells Transduced to BD211 finished Product with a Lentiviral Vector coding βA-T87Q-Globin.
920th Hospital of Joint Logistics Support Force of People's Liberation Army of China
Kunming, Yunnan, China
Evaluate the success and kinetics of HSC engraftment.
Three consecutive absolute neutrophil counts≥500 cells/uL, three consecutive platelet values ≥20 e9/L, measure blood samples monthly after BD211 drug product infusion.
Time frame: At multiple timepoints after infusion for 24 months.
Incidence of transplant-related mortality through 100 days post-transplant.
Incidence of transplant-related mortality through 100 days post-transplant.
Time frame: Up to 100 days post-HSCT.
Overall survival of maintenance phase.
Overall survival up to 24 months post-HSCT.
Time frame: Up to 24 months post-HSCT.
Post-transplant blood samples for replication competent lentivirus (RCL) testing.
The testing of any subject positivity will be considered an SAE and suspend the inclusion of new subjects.
Time frame: At multiple timepoints after infusion for 24 months.
Assessment of Clonal dominance or leukemia/lymphoma and other malignancies.
Using peripheral blood of subjects for integration site analysis via LAM-PCR \& deep sequencing.
Time frame: At multiple timepoints after infusion for 24 months.
Incidence of treatment- related adverse events.
According to the requirements of the National Cancer Institute Common Terminology Standards for Adverse Events (NCI CTCAE) version 5.0, monitor laboratory parameters and the frequency and severity of clinical AEs.
Time frame: Up to 24 months after BD211 drug product infusion.
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Quantify gene transfer efficiency and expression of BD211 drug product.
Expression of βA-T87Q-globin chain in whole blood by assessing the ratio of βA-T87Q-globin to α-globin, as well as βA-T87Q-globin fractions in all β-chains over time by HPLC.
Time frame: Up to 24 months after engraftment.
Quantify the hematopoietic chimerism resulting from treatment with BD211 drug product.
Measuring lentiviral vector copy number per diploid genome(c/dg) for evaluation.
Time frame: Up to 24 months after engraftment.
HbAT87Q in peripheral blood
Measure the effects of transplantation with BD211 on the expression of disease-specific biological parameters and clinical events, including amounts of HbAT87Q in peripheral blood in grams per deciliter (g/dL).
Time frame: Up to 24 months after engraftment.
Reduction of RBC transfusion requirements from baseline
Reduction from baseline of RBC transfusion requirements (mL/kg) per month and year post-transplant, Up to 24 months after engraftment.
Time frame: Up to 24 months after engraftment.
Duration of transfusion independence (months).
Duration of transfusion independence up to 24 months after engraftment.
Time frame: Up to 24 months after engraftment.
Weighted average Hemoglobin
Weighted average Hemoglobin during transfusion independence in grams per deciliter (g/dL), up to 24 months after engraftment.
Time frame: Up to 24 months after engraftment.
Changes of liver iron burden from baseline
Changes from baseline in iron burden by assessing liver iron content (mg Fe/g dry weight).
Time frame: Up to 24 months after engraftment.
Changes of cardiac iron burden from baseline
Changes from baseline in iron burden by assessing cardiac iron content using magnetic resonance imaging (MRI) T2\* value (milliseconds, ms).
Time frame: Up to 24 months after engraftment.