search
Back to results

A Clinical Study Evaluating the Safety and Efficacy of CS-101 in Treating Subjects With β-thalassemia

Primary Purpose

Beta-Thalassemia

Status
Recruiting
Phase
Early Phase 1
Locations
China
Study Type
Interventional
Intervention
CS-101
Sponsored by
CorrectSequence Therapeutics Co., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Beta-Thalassemia

Eligibility Criteria

6 Years - 35 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria: 6 to 35 years old(inclusive) male or female subjects at the time of informed consenting Diagnosis of β-thalassemia, genotypes include but are not limited to β+β0,βEβ0,β0β0, etc History of at least≥8 units/year of packed RBC transfusions in the prior 12 months prior to the screening period Generally in good condition, Karnofsky performance score≥60 points for subjects≥16 years old at the time of autologous hematopoietic stem cell collection, or Lansky Play-Performance score≥60 points for subjects under 16 years old, or equivalent clinical evaluation as the investigator site's common practice Key Exclusion Criteria: Treatment with other investigational medications or other experimental interventions 30 days prior to signing informed consent or within 6 half-lives of the drug, whichever is longer. Subjects who have received or are receiving thalidomide and/or Luspatercept, when their drug-drug interaction on the efficacy and safety of CS-101 cannot be ruled out, unless at least there are 3 test results showing the total hemoglobin level before transfusion is below 9g/dL in the past 6 months before screening. Previously received allogeneic hematopoietic stem cell transplantation or gene(edited) therapy. Subjects have available related fully matching donors and are eligible and prepared for allogeneic hematopoietic stem cell transplantation. Those with active infections, including but not limited to: HIV, hepatitis B, hepatitis C, cytomegalovirus, Epstein-Barr virus and treponema pallidum test positive, or known tuberculosis, parasitic infection, etc. who are judged by the investigator to be unsuitable to participate in this study. Echocardiography results with ejection fraction below 45%. Advanced liver disease, defined as: Aspartate aminotransferase (AST), alanine aminotransferase (ALT) >3 × upper limit of normal (ULN) or: Baseline International Normalized Ratio (INR) >1.5 × ULN. MRI during the screening period showed heavy iron overload and is judged by the investigator to be unable to participate in the study.

Sites / Locations

  • The First Affiliated Hospital of Guangxi Medical UniversityRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

CS-101

Arm Description

CS-101: Autologous CD34+ hematopoietic stem cell suspension modified by in vitro base editing technique

Outcomes

Primary Outcome Measures

Frequency and severity of adverse events(AEs)as assessed by CTCAE v5.0
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;
Proportion of subjects with engraftment
Subjects with engraftment is defined as neutrophil engrafted
Incidence of transplant-related mortality
All-cause mortality
Proportion of subjects achieving transfusion independence for at least 6 consecutive months
Time to last red blood cell(RBC) transfusion

Secondary Outcome Measures

Change in total hemoglobin(Hb) concentration over time
Total hemoglobin concentration change from baseline to 12 months post-CS-101 infusion
Change in fetal hemoglobin(HbF) concentration over time
γ-globin concentration change from baseline 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

Full Information

First Posted
August 23, 2023
Last Updated
September 9, 2023
Sponsor
CorrectSequence Therapeutics Co., Ltd
Collaborators
First Affiliated Hospital of Guangxi Medical University
search

1. Study Identification

Unique Protocol Identification Number
NCT06024876
Brief Title
A Clinical Study Evaluating the Safety and Efficacy of CS-101 in Treating Subjects With β-thalassemia
Official Title
A Clinical Study Evaluating the Safety and Efficacy of In-vitro tBE Edited Autologous Hematopoietic Stem Progenitor Cells(CS-101) in Treating Subjects With β-thalassemia
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 26, 2023 (Actual)
Primary Completion Date
December 31, 2024 (Anticipated)
Study Completion Date
June 30, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
CorrectSequence Therapeutics Co., Ltd
Collaborators
First Affiliated Hospital of Guangxi Medical University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
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.
Detailed Description
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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Beta-Thalassemia

7. Study Design

Primary Purpose
Treatment
Study Phase
Early Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
5 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
CS-101
Arm Type
Experimental
Arm Description
CS-101: Autologous CD34+ hematopoietic stem cell suspension modified by in vitro base editing technique
Intervention Type
Biological
Intervention Name(s)
CS-101
Intervention Description
Autologous CD34+ hematopoietic stem cell suspension modified by in vitro base editing technique
Primary Outcome Measure Information:
Title
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
Title
Time to neutrophil and platelet engraftment
Description
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
Title
Proportion of subjects with engraftment
Description
Subjects with engraftment is defined as neutrophil engrafted
Time Frame
within 42 days post-CS-101infusion
Title
Incidence of transplant-related mortality
Time Frame
From baseline to 100 days post-CS-101 infusion
Title
All-cause mortality
Time Frame
From signing informed consent to 12 months post-CS-101 infusion
Title
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
Title
Time to last red blood cell(RBC) transfusion
Time Frame
Days post-CS-101 infusion
Secondary Outcome Measure Information:
Title
Change in total hemoglobin(Hb) concentration over time
Description
Total hemoglobin concentration change from baseline to 12 months post-CS-101 infusion
Time Frame
up to 12 months post-CS-101 infusion
Title
Change in fetal hemoglobin(HbF) concentration over time
Description
γ-globin concentration change from baseline to 12 months post-CS-101 infusion
Time Frame
up to 12 months post-CS-101 infusion
Title
Chimerism level in Peripheral blood and bone marrow
Description
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

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Years
Maximum Age & Unit of Time
35 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: 6 to 35 years old(inclusive) male or female subjects at the time of informed consenting Diagnosis of β-thalassemia, genotypes include but are not limited to β+β0,βEβ0,β0β0, etc History of at least≥8 units/year of packed RBC transfusions in the prior 12 months prior to the screening period Generally in good condition, Karnofsky performance score≥60 points for subjects≥16 years old at the time of autologous hematopoietic stem cell collection, or Lansky Play-Performance score≥60 points for subjects under 16 years old, or equivalent clinical evaluation as the investigator site's common practice Key Exclusion Criteria: Treatment with other investigational medications or other experimental interventions 30 days prior to signing informed consent or within 6 half-lives of the drug, whichever is longer. Subjects who have received or are receiving thalidomide and/or Luspatercept, when their drug-drug interaction on the efficacy and safety of CS-101 cannot be ruled out, unless at least there are 3 test results showing the total hemoglobin level before transfusion is below 9g/dL in the past 6 months before screening. Previously received allogeneic hematopoietic stem cell transplantation or gene(edited) therapy. Subjects have available related fully matching donors and are eligible and prepared for allogeneic hematopoietic stem cell transplantation. Those with active infections, including but not limited to: HIV, hepatitis B, hepatitis C, cytomegalovirus, Epstein-Barr virus and treponema pallidum test positive, or known tuberculosis, parasitic infection, etc. who are judged by the investigator to be unsuitable to participate in this study. Echocardiography results with ejection fraction below 45%. Advanced liver disease, defined as: Aspartate aminotransferase (AST), alanine aminotransferase (ALT) >3 × upper limit of normal (ULN) or: Baseline International Normalized Ratio (INR) >1.5 × ULN. MRI during the screening period showed heavy iron overload and is judged by the investigator to be unable to participate in the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Yaliang Li
Phone
+8619514612757
Email
yaliang.li@correctsequence.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yongrong Lai, M.D.
Organizational Affiliation
First Affiliated Hospital of Guangxi Medical University
Official's Role
Principal Investigator
Facility Information:
Facility Name
The First Affiliated Hospital of Guangxi Medical University
City
Nanning
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yongrong Lai, MD

12. IPD Sharing Statement

Learn more about this trial

A Clinical Study Evaluating the Safety and Efficacy of CS-101 in Treating Subjects With β-thalassemia

We'll reach out to this number within 24 hrs