The goal of this open label, single-arm clinical study is to learn about the safety and efficacy of CS-101 in treating patients with β-thalassemia major anemia.
CS-101 is an autologous CD34+(Cluster of differentiation 34) cell suspension, edited by in vitro base editing technology, which modifies the BCL11A(B-cell lymphoma/leukemia 11A) binding site in HBG(Hemoglobin Subunit Gamma) promoter, so that it loses the ability to bind to BCL11A, which can re-induce the production of γ-globin chain and increase the concentration of HbF(fetal hemoglobin) in the blood, compensating for the function of missing HbA(adult hemoglobin) to achieve clinical cure. The therapy addresses two major challenges in the current treatment of the disease: lack of matching donors and graft-versus-host diseases in allogeneic hematopoietic stem cell transplantation.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
9
Autologous CD34+ hematopoietic stem cell suspension modified by in vitro base editing technique
The First Affiliated Hospital of Guangxi Medical University
Nanning, Guangxi, China
Children's Hospital of Fudan University
Shanghai, Shanghai Municipality, China
Ruijin Hospital Shanghai JiaoTong University School of Medicine
Shanghai, Shanghai Municipality, China
AEs(Adverse Events) and SAEs(Serious Adverse Events) after CS-101 infusion
Frequency and severity of adverse events(AEs)as assessed by CTCAE(Common Terminology Criteria for Adverse Events)v5.0
Time frame: From signing informed consent to 12 months post-CS-101 infusion
Overall survival rate
Time frame: Up to 12 months post-CS-101 infusion
Proportion of subjects with engraftment
Subjects with engraftment is defined as neutrophil engrafted
Time frame: Within 42 days post-CS-101 infusion
Time to neutrophil 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 frame: Up to 12 months post-CS-101 infusion
Time to platelet engraftment
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: Up to 12 months post-CS-101 infusion
Incidence of transplant-related mortality
Incidence of transplant-related mortality(Transplant-related mortality events defined as deaths assessed by the investigator as potentially transplant-related)
Time frame: From baseline to 100 days post-CS-101 infusion
Change in fetal hemoglobin(HbF) concentration over time
Fetal hemoglobin(HbF) concentration from baseline to 9 months post-CS-101 infusion
Time frame: Up to 12 months post-CS-101 infusion
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Change in total hemoglobin(Hb) concentration over time
Total hemoglobin concentration change from baseline to 9 months post-CS-101 infusion
Time frame: Up to 12 months 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 12 months post-CS-101 infusion
Proportion of subjects achieving transfusion independence for at least 6 consecutive months
Maintaining transfusion independence for at least 6 consecutive months while maintaining a weighted mean hemoglobin≥9 g/dL Proportion of subjects
Time frame: From CS-101 infusion up to 12 months post-CS-101 infusion
Proportion of subjects achieving fetal hemoglobin(HbF) increase≥2.0 g/dL
Fetal hemoglobin(HbF) concentration increase≥2.0 g/dL within 2 months post-CS-101 infusion
Time frame: Up to 2 months post-CS-101 infusion
Proportion of subjects achieving fetal hemoglobin(HbF) increase≥7.0 g/dL
Fetal hemoglobin(HbF) concentration increase≥7.0 g/dL within 6 months post-CS-101 infusion
Time frame: Up to 6 months post-CS-101 infusion