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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