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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT03745287
Other study ID # CTX001-121
Secondary ID
Status Active, not recruiting
Phase Phase 2/Phase 3
First received
Last updated
Start date November 27, 2018
Est. completion date October 2024

Study information

Verified date November 2023
Source Vertex Pharmaceuticals Incorporated
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This is a single-arm, open-label, multi-site, single-dose Phase 1/2/3 study in subjects with severe sickle cell disease (SCD). The study will evaluate the safety and efficacy of autologous CRISPR-Cas9 Modified CD34+ Human Hematopoietic Stem and Progenitor Cells (hHSPCs) using CTX001.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 45
Est. completion date October 2024
Est. primary completion date October 2024
Accepts healthy volunteers No
Gender All
Age group 12 Years to 35 Years
Eligibility Key Inclusion Criteria: - Diagnosis of severe sickle cell disease as defined by: - Documented severe sickle cell disease genotype - History of at least two severe vaso-occlusive crisis events per year for the previous two years prior to enrollment - Eligible for autologous stem cell transplant as per investigators judgment Key Exclusion Criteria: - An available 10/10 human leukocyte antigen (HLA)-matched related donor - Prior hematopoietic stem cell transplant (HSCT) - Clinically significant and active bacterial, viral, fungal, or parasitic infection Other protocol defined inclusion/exclusion criteria may apply

Study Design


Intervention

Biological:
CTX001
Administered by IV infusion following myeloablative conditioning with busulfan.

Locations

Country Name City State
Belgium Hopital Universitaire des Enfants Reine Fabiola (HUDERF) Brussels
Canada The Hospital for Sick Children Toronto
France Hopital Necker Enfants Malades Paris
Germany University Hospital Duesseldorf Dusseldorf
Germany Regensburg University Hospital, Clinic and Polyclinic for Paediatric and Adolescent Medicine, Paediatric Haemotology, Oncology and Stem Cell Transplantation Regensburg
Italy Dipartimento di Onco-Ematologia e Terapia Cellulare e Genica Ospedale Pediatrico Bambino Gesu - IRCCS Rome
United Kingdom Imperial College Healthcare NHS Trust, Hammersmith Hospital London
United Kingdom Royal London and St Bartholomew's Hospital, Pathology and Pharmacy Building London
United States Ann & Robert Lurie Children's Hospital of Chicago Chicago Illinois
United States University of Illinois at Chicago Hospitals and Health Systems Chicago Illinois
United States St. Jude Children's Research Hospital Memphis Tennessee
United States The Children's Hospital at TriStar Centennial Medical Center/ Sarah Cannon Center for Blood Cancers Nashville Tennessee
United States Columbia University Medical Center (=21 years) New York New York
United States Columbia University Medical Center (21+ years) New York New York
United States Lucile Packard Children's Hospital of Stanford University Palo Alto California
United States Children's Hospital of Philadelphia Philadelphia Pennsylvania
United States Methodist Children's Hospital/Texas Transplant Institute San Antonio Texas

Sponsors (2)

Lead Sponsor Collaborator
Vertex Pharmaceuticals Incorporated CRISPR Therapeutics

Countries where clinical trial is conducted

United States,  Belgium,  Canada,  France,  Germany,  Italy,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Proportion of subjects who have not experienced any severe vaso-occlusive crisis (VOC) for at least 12 consecutive months (VF12) From 60 days after last RBC transfusion up to 2 years after CTX001 infusion
Primary Proportion of subjects with engraftment (first day of three consecutive measurements of absolute neutrophil count [ANC] =500/µL on three different days) Within 42 days after CTX001 infusion
Primary Time to engraftment From CTX001 infusion up to 2 years after CTX001 infusion
Primary Frequency and severity of collected adverse events (AEs) From screening to 2 years after CTX001 infusion
Primary Incidence of transplant-related mortality (TRM) within 100 days after CTX001 infusion Within 100 days after CTX001 infusion
Primary Incidence of TRM within 1 year after CTX001 infusion Within 1 year after CTX001 infusion
Primary All-cause mortality 2 years after mobilization
Secondary Proportion of subjects free from inpatient hospitalization for severe VOCs sustained for at least 12 months (HF12) From 60 days after last RBC transfusion up to 2 years after CTX001 infusion
Secondary Proportion of subjects who have not experienced any severe VOC for at least 9 consecutive months (VF9) any time after CTX001 infusion From 60 days after last RBC transfusion up to 2 years after CTX001 infusion
Secondary Proportion of subjects with 90 percent (%), 80%, 75% or 50% reduction in annualized rate of severe VOCs From 60 days after last RBC transfusion up to 2 years after CTX001 infusion
Secondary Relative change from baseline in annualized rate of severe VOCs From 60 days after last RBC transfusion up to 2 years after CTX001 infusion
Secondary Duration of severe VOC free in subjects who have achieved VF12 From 60 days after last RBC transfusion up to 2 years after CTX001 infusion
Secondary Relative Change from baseline in rate of inpatient hospitalization for severe VOCs From 60 days after last RBC transfusion up to 2 years after CTX001 infusion
Secondary Relative change from baseline in annualized duration of hospitalization for severe VOCs From 60 days after last RBC transfusion up to 2 years after CTX001 infusion
Secondary Proportion of subjects with sustained HbF =20% for at least 3 months From 60 days after last RBC transfusion up to 2 years after CTX001 infusion
Secondary Proportion of subjects with sustained HbF =20% for at least 12 months From 60 days after last RBC transfusion up to 2 years after CTX001 infusion
Secondary Proportion of subjects with sustained HbF =20% for at least 6 months From 60 days after last RBC transfusion up to 2 years after CTX001 infusion
Secondary Change in number of units of RBC transfused for SCD-related indications 6 months up to 2 years after CTX001 infusion
Secondary HbF concentration over time 1 month up to 2 years after CTX001 infusion
Secondary Hb concentration over time From the time of CTX001 up to 2 years after CTX001 infusion
Secondary Change from baseline in indirect bilirubin over time From baseline (pre-infusion) up to 2 years after CTX001 infusion
Secondary Change from baseline in reticulocyte count over time From baseline (pre-infusion) up to 2 years after CTX001 infusion
Secondary Change from baseline in haptoglobin over time From baseline (pre-infusion) up to 2 years after CTX001 infusion
Secondary Change from baseline in lactate dehydrogenase over time From baseline (pre-infusion) up to 2 years after CTX001 infusion
Secondary Proportion of alleles with intended genetic modification present in peripheral blood leukocytes over time 1 month up to 2 years after CTX001 infusion
Secondary Proportion of alleles with intended genetic modification present in CD34+ cells of bone marrow over time 6 months up to 2 years after CTX001 infusion
Secondary Change in patient-reported outcome (PRO) over time assessed using weekly pain-scale (11-point numerical rating scale [NRS]) The NRS is a 1-dimensional measure of reporting intensity of pain. The score of NRS ranges from 0 to 10 points, with higher values indicating a higher level of pain. 3 months up to 2 years after CTX001 infusion
Secondary Change in PRO over time assessed using EuroQol quality of life scale (EQ-5D-5L) The EQ-5D-5L Questionnaire consists of the EQ-5D descriptive system and the EQ visual analogue scale (VAS). The EQ-5D comprises 5 dimensions: mobility, self-care, usual activities, pain/discomfort, anxiety/depression, and 5 levels: no problems to extreme problems. The subject marks the most appropriate statement in each dimension, resulting in a 1-digit number for that dimension. The digits can be combined in a 5-digit number describing the subject's health state. The EQ VAS records the subject's self-rated health on a 100-point VAS, endpoints labelled "the best health you can imagine" and "the worst health you can imagine" 3 months up to 2 years after CTX001 infusion
Secondary Change in PRO over time assessed using EQ-5D-Youth (EQ-5D-Y) 3 months up to 2 years after CTX001 infusion
Secondary Change in PRO over time assessed using functional assessment of cancer therapy-bone marrow transplant (FACT-BMT) questionnaire The FACT-BMT Questionnaire includes physical, social, family, emotional, and functional well-being, and treatment specific concerns of bone marrow transplantation. Each statement has a 5-point Likert-type response scale ranging from 0=not at all to 4=very much. The subject marks one number per line as it applies to the past 7 days. Questionnaires are then scored; the higher the score, the better the quality of life. 3 months up to 2 years after CTX001 infusion
Secondary Change in PRO over time assessed using adult sickle cell quality of life measurement system (ASCQ-Me) ASCQ-Me comprises measures to assess physical, mental and social health along with information on severity of disease. It includes the following domains: emotional impact, pain impact, pain episodes, sleep impact, social functioning impact, stiffness impact and SCD medical history checklist. ASCQ-Me domains are scored using T-score metric with mean of 50 for reference population and SD of 10. Higher scores indicate healthier status. 3 months up to 2 years after CTX001 infusion
Secondary Change in PRO over time assessed using pediatric quality of life inventory (PedsQL) 3 months up to 2 years after CTX001 infusion
Secondary Change in PRO over time assessed using PedsQL sickle cell disease module 3 months up to 2 years after CTX001 infusion
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