The goal of this clinical trial is to evaluate the safety and potential efficacy of the EN-374 treatment regimen and identify a dose level for further evaluation in participants with x-linked chronic granulomatous disease. The main questions it aims to answer are: * safety of the EN-374 treatment regimen * effect of the EN-374 treatment regimen on the production of functional neutrophils with NADPH oxidase activity
Chronic granulomatous disease (CGD) is a rare primary immune deficiency disorder characterized by recurrent bacterial or fungal infections starting in infancy. The x-linked form of CGD (X-CGD) is caused by mutations in the CYBB gene. EN-374 is a helper-dependent adenoviral (HDAd)-based gene therapy in development for the treatment of X-CGD using an in vivo approach, which is administered by IV infusion, to genetically modify hematopoietic stem cells (HSCs) to express a wild-type CYBB gene. The EN-374 treatment regimen includes HSC mobilization, immune prophylaxis, EN-374 administration, and enrichment of genetically modified HSCs. Adult participants with X-CGD will be enrolled into the dose-escalation part of the study. Following completion of the adult cohorts, then pediatric participants will be enrolled into the dose-expansion part of the study in decreasing age cohorts from ≥ 12 and \< 18 years of age, to ≥ 2 and \< 12 years of age, and finally to ≥ 3 months and \< 2 years of age.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
15
Single dose of EN-374 administered by intravenous infusion after mobilization and followed by enrichment
University of California, Los Angeles
Los Angeles, California, United States
RECRUITINGUniversity of California, San Francisco
San Francisco, California, United States
RECRUITINGSafety of EN-374
Incidence rate across all age groups of: * treatment-emergent adverse events (TEAEs) * treatment-related TEAEs (TRAEs) * serious adverse events (SAEs)
Time frame: From start of mobilization until Month 12
Effect of the EN-374 treatment regimen on the production of functional neutrophils with NADPH oxidase activity
* Change from baseline in the percentage of dihydrorhodamine (DHR)+ neutrophils * Change from baseline in the percentage of participants with ≥ 10%, 20%, 30%, 40%, or 50% DHR+ neutrophils
Time frame: From infusion of EN-374 until Month 12
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Johns Hopkins All Children's Hospital
St. Petersburg, Florida, United States
RECRUITINGBoston Children's Hospital
Boston, Massachusetts, United States
RECRUITINGUniversity of Minnesota
Minneapolis, Minnesota, United States
RECRUITINGColumbia University Irving Medical Center, Morgan Stanley Children's Hospital
New York, New York, United States
RECRUITINGDuke University
Durham, North Carolina, United States
RECRUITINGUniversity of Utah, Primary Children's Hospital
Salt Lake City, Utah, United States
RECRUITINGUniversity College London Hospital
London, United Kingdom
RECRUITING