The goal of this open label, single-arm clinical study is to learn about the safety and efficacy of CS-101 in treating β-thalassemia.
CS-101 is an autologous CD34+ cell suspension, edited by in vitro base editing technology, which modifies the BCL11A binding site in HBG 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 fetal hemoglobin(HbF) in the blood, compensating for the function of missing adult hemoglobin HbA 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
10
Autologous CD34+ hematopoietic stem cell suspension modified by in vitro base editing technique
The First Affiliated Hospital of Guangxi Medical University
Nanning, Guangxi, China
Frequency and severity of adverse events(AEs)as assessed by CTCAE v5.0
Time frame: From signing informed consent to 12 months 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
Proportion of subjects with engraftment
Subjects with engraftment is defined as neutrophil engrafted
Time frame: within 42 days post-CS-101infusion
Incidence of transplant-related mortality
Time frame: From baseline to 100 days post-CS-101 infusion
All-cause mortality
Time frame: From signing informed consent to 12 months post-CS-101 infusion
Proportion of subjects achieving transfusion independence for at least 6 consecutive months
Time frame: From 3 months up to 12 months 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
Total hemoglobin concentration change from baseline to 12 months post-CS-101 infusion
Time frame: up to 12 months post-CS-101 infusion
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Change in fetal hemoglobin(HbF) concentration over time
γ-globin concentration change from baseline to 12 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