Thalassemia Treatment Based on the Stem Cell Technology
Primary Purpose
Beta-Thalassemia
Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Hematopoetic stem cells
Sponsored by
About this trial
This is an interventional treatment trial for Beta-Thalassemia focused on measuring thalassemia, stem cell
Eligibility Criteria
Inclusion Criteria:
- The genetic diagnosis confirmed homozygous for beta to poverty or double heterozygote, clinical severe anemia;
- Aged 1 ~ 18 years old, no obvious iron overload cause organ damage;
- Has a suitable donor HLA high resolution;
- The informed consent
Exclusion Criteria:
- There has been a significant increase in the level of tumor markers (AFP/CEA/CA199 / CA125) in the past five years.
- Serious primary diseases such as cardiovascular, liver and hematopoietic systems; Those who have major organs with serious function; An adrenal disease or other disease that causes the organ failure of the organ;
- An autoimmune disease, a family history of genetic disease, and an abnormal thyroid function;
- Peripheral blood chromosome checking for nuclear aliens;
- HIV, hepatitis b or hepatitis c;
- A person with a history of severe drug allergies or an allergic person;
- Those who do not expect to live for more than one year;
- The researchers suggest that the patient may have a potential or have a disorder (such as an uncontrolled infection, right heart failure, pulmonary hypertension) that is interfering with this study.
- In the first six months, alcohol and other substance abuse were not allowed;
- Subjects who participated in other clinical trials or participated in other clinical trials within 3 months.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
No Intervention
Arm Label
Intervention Patient
non-intervention Patient
Arm Description
Hematopoetic stem cells differentiated from beta-thalassemia induced pluripotent stem cells.
No treatment
Outcomes
Primary Outcome Measures
The check of granulocyte transplantation-granulocyte plant living standards
Granulocyte plant living standards for three days in a row after transplantation granulocyte should be greater than 0.5 x 109 / L,
The check of granulocyte transplantation-platelet plant living standards
Platelet plant living standard for seven consecutive days after transplantation the platelet should be greater than 20 x 109 / L and infusion.
Effect of cell transplantation
The granulocyte plant living standards and platelet plant living standards will be combined to measure the effect of cell transplantation.
Secondary Outcome Measures
Full Information
NCT ID
NCT03222453
First Posted
June 23, 2017
Last Updated
July 17, 2017
Sponsor
Xiaofang Sun
Collaborators
Nanfang Hospital, Southern Medical University, Guangzhou Institutes of Biomedicine and Health Chinese Academy of Sciences, Third Affiliated Hospital, Sun Yat-Sen University
1. Study Identification
Unique Protocol Identification Number
NCT03222453
Brief Title
Thalassemia Treatment Based on the Stem Cell Technology
Official Title
The Third Affiliated Hospital of Guangzhou Medical University
Study Type
Interventional
2. Study Status
Record Verification Date
July 2017
Overall Recruitment Status
Unknown status
Study Start Date
January 1, 2015 (Actual)
Primary Completion Date
June 14, 2016 (Actual)
Study Completion Date
December 31, 2017 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Xiaofang Sun
Collaborators
Nanfang Hospital, Southern Medical University, Guangzhou Institutes of Biomedicine and Health Chinese Academy of Sciences, Third Affiliated Hospital, Sun Yat-Sen 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
In order to study the transplantation effect of hematopoetic stem cells from beta-thalassemia induced pluripotent stem cells. We applied clinical grade source of autologous hematopoietic stem cell for the treatment of beta-thalassemia patients, detecting the homing of hematopoietic stem cell transplantation, the differentiation of hematopoietic stem cells in vivo and the hemoglobin beta-chain (HBB) protein expression in the body of recovery, etc., as well as to make a research on the efficacy and safety of hematopoietic stem cells from beta-thalassemia induced pluripotent stem cells.
Detailed Description
On a Good Manufacturing Practice(GMP) condition, we establish non-exotic of different mutation types of beta-thalassemia -induced pluripotent stem cells(iPS) and make a comparisons of the stability and the differentiation of efficiency of these iPS cells inducing from different sources with foreign gene integration.
Using the technique of artificial nuclease and in situ repairmen, we establish efficient system for different beta-thalassemia mutation site and in view of the security of these system.
Establish a repaired beta-thalasemia gene mutated differentiation of iPS technology system.
Build a functional gene therapy self-limiting slow viruses, optimizing the preparation system and to establish a virus preparation of infection of hematopoietic stem cell technology system under the GMP condition.
Establish humanized beta-mice model, evaluate the safety of the iPS cell of gene therapy and efficiency before the clinical experiment.
Improve the existing hematopoietic stem cell transplant(HSCT) clinical application solutions, detect rate of graft rejection, rate of transplantation and other indicators, finish the evaluation of application by clinical cases.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Beta-Thalassemia
Keywords
thalassemia, stem cell
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Non-Randomized
Enrollment
2 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Intervention Patient
Arm Type
Experimental
Arm Description
Hematopoetic stem cells differentiated from beta-thalassemia induced pluripotent stem cells.
Arm Title
non-intervention Patient
Arm Type
No Intervention
Arm Description
No treatment
Intervention Type
Biological
Intervention Name(s)
Hematopoetic stem cells
Intervention Description
Patient will inject with hematopoetic stem cells differentiated from beta-thalassemia induced pluripotent stem cells
Primary Outcome Measure Information:
Title
The check of granulocyte transplantation-granulocyte plant living standards
Description
Granulocyte plant living standards for three days in a row after transplantation granulocyte should be greater than 0.5 x 109 / L,
Time Frame
3 days
Title
The check of granulocyte transplantation-platelet plant living standards
Description
Platelet plant living standard for seven consecutive days after transplantation the platelet should be greater than 20 x 109 / L and infusion.
Time Frame
seven consecutive days
Title
Effect of cell transplantation
Description
The granulocyte plant living standards and platelet plant living standards will be combined to measure the effect of cell transplantation.
Time Frame
seven days
10. Eligibility
Sex
Male
Gender Based
Yes
Gender Eligibility Description
Clinical diagnosis.
Minimum Age & Unit of Time
1 Year
Maximum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
The genetic diagnosis confirmed homozygous for beta to poverty or double heterozygote, clinical severe anemia;
Aged 1 ~ 18 years old, no obvious iron overload cause organ damage;
Has a suitable donor HLA high resolution;
The informed consent
Exclusion Criteria:
There has been a significant increase in the level of tumor markers (AFP/CEA/CA199 / CA125) in the past five years.
Serious primary diseases such as cardiovascular, liver and hematopoietic systems; Those who have major organs with serious function; An adrenal disease or other disease that causes the organ failure of the organ;
An autoimmune disease, a family history of genetic disease, and an abnormal thyroid function;
Peripheral blood chromosome checking for nuclear aliens;
HIV, hepatitis b or hepatitis c;
A person with a history of severe drug allergies or an allergic person;
Those who do not expect to live for more than one year;
The researchers suggest that the patient may have a potential or have a disorder (such as an uncontrolled infection, right heart failure, pulmonary hypertension) that is interfering with this study.
In the first six months, alcohol and other substance abuse were not allowed;
Subjects who participated in other clinical trials or participated in other clinical trials within 3 months.
12. IPD Sharing Statement
Plan to Share IPD
Undecided
Learn more about this trial
Thalassemia Treatment Based on the Stem Cell Technology
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