This is a single-arm, open, single-injection exploratory clinical study with two transfusion-dependent β thalassemia (β-TDT) participants planned to enroll.
Through CRISPR-Cas 12b editing tool with independent intellectual property rights of Chinese Academy of Sciences, HBG1/2 promoter was edited to reactivate gamma-globin and induce fetal hemoglobin (HbF) expression. This leads to a subsequent reduction in ineffective red blood cell production (due to a reduction in the uncompounded alpha-globin chain) and improved red blood cell survival (due to reduced hemolysis), ultimately improving the sequelae of anemia and reducing the need for transfusion. Safety and efficacy will be evaluated continuously throughout the study, follow-up was up to 24 months. After the end of this trial, participants who received the infusion of autologous CRISPR-Cas12b edited hematopoietic stem cells (VGB-Ex01) will be invited to participate in the long-term follow-up study to complete the 15-year follow-up plan.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
2
CRISPR-Cas12b editing hematopoietic stem cells
Regenerative Medicine Center
Tianjin, Tianjin Municipality, China
RECRUITINGIncidence of adverse events and serious adverse events
An adverse event is any untoward medical occurrence in a clinical investigation/participant administered a product; the event will not need to have a causal relationship with the treatment. A serious adverse event is any untoward medical occurrence at any dose that resulted in death; life threatening;require inpatient hospitalization or prolongation of existing hospitalization; result in persistent or significant disability/incapacity; result in congenital anomaly/birth defect.
Time frame: Baseline up to 24 months
Number of subjects with neutrophil implantation ≤ 42 days
Neutrophil implantation was defined as 3 consecutive days with 3 tests for ANC≥500/μL.
Time frame: Baseline up to 42 days
Number of subjects transfusion independence (TI) for at least 6 months after transfusion
TI defined as Hb≥9g/dL without red blood cell infusion
Time frame: Baseline up to 6 months
Number of subjects transfusion independence (TI) for at least 12 months after transfusion
TI defined as Hb≥9g/dL without red blood cell infusion
Time frame: Baseline up to 12 months
Fetal hemoglobin (HbF) concentration
Changes in HbF concentration from baseline after transfusion
Time frame: Baseline up to 24 months
Total hemoglobin (Hb) concentration
Changes in Hb concentration compared with baseline after transfusion
Time frame: Baseline up to 24 months
The proportion of circulating red blood cells
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Changes in the proportion of circulating red blood cells expressing fetal hemoglobin compared to baseline
Time frame: Baseline up to 24 months