This is a single-arm, open label, multi-center, single-dose Phase 1 clinical trial in subjects with transfusion dependent β-thalassaemia. The study aims to evaluate the safety and efficacy of autologous lentiviral-transduced CD34+ human hematopoietic stem cells (hHSCs) using the gene therapy product HGI-001.
The investigators will recruit transfusion-dependent β-thalassaemia patients and collect their autologous hematopoietic stem cells, which will be modified with the LentiHBBT87Q system to restore β-globin expression. After conditioning, the autologous hematopoietic stem cells with restored β-globin will be reinfused to the patients and followed up for two years to collect data.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
8
Eight transfusion-dependent β-thalassaemia subjects aged 6-35 years will be reinfused with β-globin restored autologous hematopoietic stem cells modified with LentiHBBT87Q
Guangxi Medical University First Affiliated Hospital
Guangxi, China
RECRUITINGShenzhen Children's Hospital
Shenzhen, China
RECRUITINGShenzhen University General Hospital
Shenzhen, China
RECRUITINGTransfusion Independence (TI) Rate
Percent of subjects who achieve transfusion independence, defined as not requiring transfusion for at least 12 consecutive months post-HGI-001 injection, with a weighted average Hb of ≥ 9.0 g/dL. Calculated from the point hemoglobin reaches ≥9 g/dL and no transfusions have occurred in the last 60 days.
Time frame: 0-24 Months
Incidence and Severity of Adverse Events (AEs) Related to Transplantation
Number and percentage of adverse events related to transplantation, summarized according to NCI CTCAE 5.0.
Time frame: 0-24 Months
Incidence of Serious Adverse Events (SAEs) Related to Transplantation
Number of serious adverse events related to transplantation, summarized according to NCI CTCAE 5.0.
Time frame: 0-24 Months
Overall Survival Rate During the Clinical Trial
Number of patients alive throughout the entire trial period.
Time frame: 0-24 Months
Percentage of Negative Replicating Lentivirus Test Post-HGI-001 Injection
The percentage of participants with negative results for replicating lentivirus in the 24 months following HGI-001 injection.
Time frame: 0-24 Months
Number of Participants with Normal Clonal Variations Post-Transplant
Evaluation of the percentage of participants who do not exhibit abnormal clonal proliferation and maintain polyclonal engraftment following transplantation.
Time frame: 0-24 Months
Number of Participants Experiencing Transplantation-related Fatal and Disabling Events Within 100 Days Post-transplantation
The number of participants who experience transplantation-related fatal and disabling events within 100 days after transplantation will be recorded and summarized.
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Time frame: 0-100Days
Number of Patients with Abnormal Hematology and Bone Marrow Cytology Post-Reinfusion
Number of patients exhibiting abnormal hematology and bone marrow cytology findings within 24 months after reinfusion, and the percentage of patients with abnormal RBC proliferation.
Time frame: 0-24 Months
Percentage of Subjects Achieving Transfusion Cessation for Over 6 Months Post-HGI-001 Injection
Percent of subjects who do not require transfusion for at least 6 consecutive months after reinfusion of HGI-001 injection
Time frame: 0-24 Months
Percentage of Subjects with Successful HSC Engraftment
Percentage of subjects meeting criteria for successful engraftment, defined as an absolute neutrophil count \> 0.5 × 10\^9/L for 3 consecutive days and a platelet count maintained at \> 20 × 10\^9/L for 7 consecutive days without platelet transfusion.
Time frame: 1 month
Percentage Change in Annual Transfusion Volume or Frequency
Percentage change in average annual transfusion volume or frequency from baseline.
Time frame: 0-24 Months
Transfusion Improvement Rate
Percentage of subjects with a decrease of 30% or more in the average annual transfusion volume or frequency (0-12 months, 12-24 months) from baseline after reinfusion of HGI-001 injection.
Time frame: 0-24 Months
Change in Vector Copy Number (VCN) Post-Transplantation
The change in vector copy number (VCN) from the baseline measurement at the time of transplantation to 24 months post-transplantation, as assessed by quantitative PCR.
Time frame: 0-24 Months
Change in Exogenous Adult Hemoglobin HbAT87Q Expression Levels Post-Transplantation
The change in expression levels of exogenous adult hemoglobin HbAT87Q from baseline to 24 months post-transplantation, calculated using high-performance liquid chromatography (HPLC) in conjunction with the ratio of HbA to total hemoglobin.
Time frame: 0-24 Months
Changes in Cardiac and Liver Iron Load Post-HGI-001 Infusion
Assessment of the changes in cardiac and liver iron load as measured by MRI T2\* imaging following the reinfusion of HGI-001 injection.
Time frame: 0-24 Months
Time to and Duration of Transfusion Independence in Subjects Post-HGI-001 Infusion
Time from Day 0 to achievement of transfusion independence (TI) and the duration of maintaining TI; average total hemoglobin (Hb) and HbAT87Q levels during the TI period.
Time frame: 0-24 Months
Change in Serum Ferritin Levels Post-HGI-001 Infusion
The change in serum ferritin levels following the reinfusion of HGI-001 injection.
Time frame: 0-24 Months