Clinical trial

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

Name
CS-101-11
Description
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.
Trial arms
Trial start
2024-03-19
Estimated PCD
2025-12-31
Trial end
2026-01-30
Phase
Early phase I
Treatment
CS-101
Autologous CD34+ hematopoietic stem cell suspension modified by in vitro base editing technique
Arms:
CS-101
Size
10
Primary endpoint
Frequency and severity of adverse events(AEs)as assessed by CTCAE v5.0
From signing informed consent to 12 months post-CS-101 infusion
Time to neutrophil and platelet engraftment
Days post-CS-101 infusion
Proportion of subjects with engraftment
within 42 days post-CS-101infusion
Incidence of transplant-related mortality
From baseline to 100 days post-CS-101 infusion
All-cause mortality
From signing informed consent to 12 months post-CS-101 infusion
Proportion of subjects achieving transfusion independence for at least 6 consecutive months
From 3 months up to 12 months post-CS-101 infusion
Time to last red blood cell(RBC) transfusion
Days post-CS-101 infusion
Eligibility criteria
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 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.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['EARLY_PHASE1'], 'designInfo': {'allocation': 'NA', 'interventionModel': 'SINGLE_GROUP', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 10, 'type': 'ESTIMATED'}}
Updated at
2024-05-07

1 organization

1 product

1 indication

Product
CS-101