The goal of this open label, single-arm clinical study is to learn about the safety and efficacy of base-edited autologous hematopoietic stem cell transplantation(CS-101) in treating patients with β-thalassemia major.
CS-101 is an autologous CD34+ cell suspension modified by ex vivo base editing technology, removing the inhibitory effect of BCL11A on the γ-globin coding gene, inducing the production of γ-globin chains, increasing the concentration of fetal hemoglobin (HbF) in the blood, compensating for the loss of adult hemoglobin (HbA) to treat transfusion-dependent type/ Major β - thalassemia. The therapy addresses two major challenges in the treatment of the disease: lack of matching donors and graft-versus-host responses commonly seen in allogeneic hematopoietic stem cell transplantation. The study consists of the following five phases: Screening phase: Sign informed consent, complete screening assessments, and confirm the eligibility for enrollment; Baseline: check the subject's baseline status; Mobilization, collection and manufacturing phase: mobilize, collect autologous CD34+ cells and manufacture, release and transport CS-101 product; Conditioning and treatment phase: including myeloablation and CS-101 product infusion; Follow-up phase: 180 days post-infusion.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
5
Autologous CD34+ hematopoietic stem cell suspension modified by in vitro base editing technique
Children's Hospital of Fudan University
Shanghai, Shanghai Municipality, China
Frequency and severity of adverse events(AEs) as assessed by CTCAE v5.0
Time frame: From signing informed consent to 180 days post-CS-101 infusion
Occurrence of engraftment
Subjects with engraftment is defined as neutrophil engrafted
Time frame: within 42 days post-CS-101 infusion
Time to neutrophil and platelet engraftment
Time to neutrophil engraftment is defined as first day of 3 consecutive measurements of absolute neutrophil count≥0.5×10\^9/L on three different days; Time to platelet engraftment is defined as first day of 3 consecutive measurements of absolute platelet count≥20×10\^9/L on three different days and without platelet transfusion
Time frame: Days post-CS-101 infusion
Occurrence of transplant-related death
Time frame: baseline to 100 days post-CS-101 infusion
Occurrence of all-cause death
Time frame: From signing informed consent to 180 days post-CS-101 infusion
Occurrence of achieving transfusion reduction for at least 3 consecutive months
Time frame: From 3 months post -CS-101 infusion to 3 months post -CS-101 infusion
Occurrence of achieving transfusion independence for at least 3 consecutive months
Time frame: From 3 months up to 180 days post-CS-101 infusion
Time to last red blood cell(RBC) transfusion
Time frame: Days post-CS-101 infusion
Change in total hemoglobin(Hb) concentration over time
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Time frame: up to 180 days post-CS-101 infusion
Change in fetal hemoglobin(HbF) concentration over time
Time frame: up to 180 days post-CS-101 infusion
Chimerism level in Peripheral blood and bone marrow
Proportion of alleles with intended genetic modification in peripheral blood leukocytes and bone marrow over time
Time frame: up to 180 days post-CS-101 infusion