Clinical trial • Phase I/II • Rare Disease|Haematology

Autologous CD34+ enriched cells from patients with Fanconi anemia subtype A transduced ex vivo with lentiviral vector carrying the FANCA gene for Fanconi anemia (subtype A)

Phase I/II trial of Autologous CD34+ enriched cells from patients with Fanconi anemia subtype A transduced ex vivo with lentiviral vector carrying the FAN…

Overview

Trial Therapeutic Area
Rare Disease|Haematology
Trial Disease
Fanconi anemia (subtype A)
Trial Stage
Phase I/II
Drug Modality
Cell therapy|Gene therapy
Paediatric Trial
Yes
Orphan Drug
Yes

Key dates

Initial CTIS Submission Date
22-08-2024
First CTIS Authorization Date
29-08-2024

Trial design

open-label, none/not specified-controlled Phase I/II trial across 1 site in Spain.

Open Label
Yes
Comparator
None/Not specified
Target Sample Size
9
Trial Duration For Participant
5475

Eligibility

Recruits 9 paediatric patients.

Vulnerable Population
Vulnerable population selected: minors are included. Consent/assent handling: subjects must have "Provided written informed consent and, as applicable, assent to participate in the current study in accordance with current regulatory requirements." Study documents include subject information and informed consent forms for Adults, an Assent form for ages 12-17 ("L1_SIS and ICF Assent 12-17"), and a Parents ICF ("L1_SIS and ICF Parents").

Inclusion criteria

  • {"criterion_text":"- Subjects must meet all the following criteria to be included in the study: 1. Was enrolled in the clinical phase 1/2 study FANCOLEN-I."}
  • {"criterion_text":"- 2. Received infusion of autologous CD34+ enriched gene corrected hematopoietic cells in clinical phase 1/2 study FANCOLEN-I."}
  • {"criterion_text":"- 3. Is willing and able to adhere to the study visit schedule and other protocol requirements."}
  • {"criterion_text":"- 4. Provided written informed consent and, as applicable, assent to participate in the current study in accordance with current regulatory requirements."}
  • {"criterion_text":"- Patients who have undergone allogeneic HSCT (either because of bone marrow failure or leukemia/MDS) will also be followed in this protocol."}
  • {"criterion_text":"- Evaluations for VCN in HSCT recipients will not be performed if 3 prior assessments did not indicate presence of provirus (transgene) in any evaluated cell population."}

Exclusion criteria

  • {"criterion_text":"- There are no criteria for exclusion in this study."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Safety Assessments: will include blood-based evaluation of integration site analysis (ISA) in peripheral blood mononuclear cells (including lineage-specific subsets as determined by flow cytometry), assessment of RCL (serum and blood cells) when relevant, and detailed history regarding adverse events including hospitalizations, administration of medications or therapies for bone marrow failure, and development of hematologic and non-hematologic malignancies.","definition_or_measurement_approach":"Blood-based evaluation of integration site analysis (ISA) in PBMCs including lineage-specific subsets (flow cytometry); assessment of replication competent lentivirus (RCL) in serum and blood cells when relevant; collection of detailed adverse event history including hospitalizations, medications/therapies for bone marrow failure, and development of hematologic and non-hematologic malignancies."}

Secondary endpoints

  • {"endpoint_text":"- Importantly, in settings of hematologic malignancy development, a blood sample will be obtained to enable determination of whether the malignant clone developed from a gene-corrected lineage or an uncorrected FA hematopoietic population by means of PCR for the transgene within the malignant population. Efficacy Assessments: will include blood-based evaluation of peripheral blood counts, and ongoing assessment of phenotypic correction via peripheral blood T-lymphocyte DEB chromosomal fragility","definition_or_measurement_approach":"If hematologic malignancy develops, PCR for the transgene within malignant population to determine origin (gene-corrected vs uncorrected). Efficacy: blood-based evaluation of peripheral blood counts; assessment of phenotypic correction via peripheral blood T-lymphocyte DEB chromosomal fragility assay."}

Recruitment

Planned Sample Size
9
Recruitment Window Months
179
Consent Approach
Written informed consent is required; assent obtained as applicable. Documents on file include: L1_SIS and ICF Adults (subject information and informed consent form), L1_SIS and ICF Assent 12-17, and L1_SIS and ICF Parents. The inclusion criteria state: "Provided written informed consent and, as applicable, assent to participate in the current study in accordance with current regulatory requirements."

Geography

Total Number Of Sites
1
Total Number Of Participants
9

Spain

Earliest CTIS Part Ii Submission Date
13-08-2024
Latest Decision Or Authorization Date
20-03-2026
Processing Time Days
584
Number Of Sites
1
Number Of Participants
9

Sites

Site Name
Hospital Infantil Universitario Nino Jesus
Department Name
Hematology
Principal Investigator Name
Julian Sevilla Navarro
Principal Investigator Email
julian.sevilla@salud.madri.org
Contact Person Name
Julian Sevilla Navarro
Contact Person Email
julian.sevilla@salud.madri.org
Number Of Participants
9

Sponsor

Primary sponsor

Full Name
Rocket Pharmaceuticals Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Premier Research Group S.L.
Responsibilities
Sponsor duties codes: 1,10,11,12,2,5,6,7,8,9 (as listed in CTIS record)

Third parties

  • {"country":"Spain","full_name":"Hospital De La Santa Creu I Sant Pau","duties_or_roles":"Chromosomal Fragility Test","organisation_type":"Hospital/Clinic/Other health care facility"}
  • {"country":"Germany","full_name":"Medizinische Hochschule Hannover","duties_or_roles":"ISA Assessments","organisation_type":"Educational Institution"}
  • {"country":"Spain","full_name":"Premier Research Group S.L.","duties_or_roles":"Sponsor duties codes: 1,10,11,12,2,5,6,7,8,9","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Precision For Medicine Inc.","duties_or_roles":"Provides Kits/ Collection Supplies","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Genezen Laboratories Inc.","duties_or_roles":"Gene Therapy Testing; other duties (code 4)","organisation_type":"Hospital/Clinic/Other health care facility"}

Investigational products

Investigational Product Name
Fancalen
Active Substance
Autologous CD34+ enriched cells from patients with Fanconi anemia subtype A transduced ex vivo with lentiviral vector carrying the FANCA gene
Modality
Cell therapy|Gene therapy
Routes Of Administration
INTRAVENOUS USE
Route
INTRAVENOUS
Orphan Designation
Yes

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