This is a single-arm, open label, single-dose study in subjects with transfusion dependent β-thalassaemia. The study will evaluate the safety and efficacy of autologous CD34+ Human Hematopoietic Stem Cells that was transduced with LentiRed Lentivrial vector.
Subject participation for this study will be 5 years.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
5
LentiRed Drug Product is administered by intravenous infusion following myeloablative conditioning with busulfan.
The affiliated hospital of guangxi medical university
Nanning, Guangxi, China
RECRUITINGProportion of subjects who achieved transfusion independence, defined as an average Hb ≥ 9 g/dL without any pRBC transfusions for a continuous period of ≥ 6 months at any time during the study after LentiRed Drug Product infusion.
TI was defined as an average hemoglobin (Hb) \>= 9 g/dL without any packed red blood cells (pRBC) transfusions for a continuous period of \>=6 months at any time during the study after Drug Product infusion.
Time frame: From time of drug product infusion up to 24 months
Number and proportion of subjects who maintained βA-T87Q-globin(HbAT87Q) at ≥2.0 g/dL for ≥ 6 months after LentiRed Drug Product infusion.
Percentage of participants with sustained production of \>=2.0 grams per deciliter (g/dL) of hemoglobin A (HbA) containing βA-T87Q-globin (HbAT87Q) for 6 months was reported.
Time frame: From time of drug product infusion up to 24 months
Proportion of subjects whose red blood cells (RBC) transfusion requirement was reduced for ≥6 months after LentiRed Drug Product infusion, compared to previous 2-year transfusion records.
The annualized number of pRBC transfusions over the 2 year period prior to drug product infusion was compared to the annualized number of pRBC transfusions post drug product infusion and the percentage change was reported.
Time frame: From time of drug product infusion up to 24 months
Proportion of subjects who achieved transfusion independence, defined as an average Hb ≥ 9 g/dL without any pRBC transfusions for a continuous period of ≥ 3 months at any time during the study after LentiRed Drug Product infusion.
TI was defined as an average hemoglobin (Hb) \>= 9 g/dL without any packed red blood cells (pRBC) transfusions for a continuous period of \>=3 months at any time during the study after Drug Product infusion.
Time frame: From time of drug product infusion up to 24 months
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Proportion of subjects who achieved Neutrophil engraftment.
Neutrophil engraftment was defined as achieving 3 consecutive absolute neutrophil count (ANC) \>= 0.5 × 10\^9/L on different days after a post-transplant value of \< 0.5 × 10\^9/L within 42 days after drug product infusion.
Time frame: From time of drug product infusion up to 24 months
Incidence of transplant-related mortality through 100 days post drug product infusion.
Transplant-related mortality was determined by the investigator (any deaths considered related to the transplant.)
Time frame: Through 100 days post-Drug Product infusion
Overall survival.
Overall survival was defined as time from date of LentiRed Drug Product infusion (Day 0) to date of death.
Time frame: From time of drug product infusion up to 24 months
Detection of vector-derived replication competent lentivirus (RCL) in any subject.
Blood samples were analyzed for detection of RCL
Time frame: From time of drug product infusion up to 24 months
Characterization of events of insertional mutagenesis leading to clonal dominance or leukemia.
Linear amplification-mediated polymerase chain reaction (LAM-PCR) coupled with next generation sequencing and subsequent (semi-) automated data mining allowed high-throughput analysis of vector integration site (IS) in blood cells from treated participants at multiple time points. ISs detected in peripheral blood cells at early time points generally were due to the expansion of transduced short-term progenitor stem cell clones, and gradually shift to include sites detected due to expansion of transduced long-term stem cell clones. An efficient transduction procedure was anticipated to give rise to a polyclonal population in the participant, reflected by the detection of multiple IS. Additionally, ISA allowed monitoring of the relative contribution of individual clones over time. Number of participants who had IS that contributed to \>=30% of the total clones at any time was used as a first step to investigating whether clonal dominance was achieved.
Time frame: From time of drug product infusion up to 24 months
Monitor of frequency of clinical adverse events (AEs).
An AE was defined as any unfavorable and unintended sign (including abnormal laboratory findings), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Time frame: From signing of informed consent to 24 months after the drug product infusion
Therapeutic globin expression, as measured by assessing the ratio of βA-T87Q-globin to α -globin in whole blood, as well as the amount of βA-T87Q-globin to as a fraction of all β -chains in whole blood.
globin expression measured by HPLC
Time frame: From time of drug product infusion up to 24 months
Average vector copy number (VCN) in cell populations from peripheral blood and bone marrow containing the integrated LentiRed lentiviral vector.
VCN will be monitored after drug product transfusion
Time frame: From time of drug product infusion up to 24 months