Clinical trial • Phase I/II • Haematology

Autologous CD34+ haematopoietic stem and progenitor cells transduced with a lentiviral vector containing the human DCLRE1C gene for Severe combined immunodeficiency (SCID) due to biallelic DCLRE1C (Artemis) mutation

Phase I/II trial of Autologous CD34+ haematopoietic stem and progenitor cells transduced with a lentiviral vector containing the human DCLRE1C gene for Se…

Overview

Trial Therapeutic Area
Haematology
Trial Disease
Severe combined immunodeficiency (SCID) due to biallelic DCLRE1C (Artemis) mutation
Trial Stage
Phase I/II
Drug Modality
Cell therapy|Gene therapy
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
12-09-2024
First CTIS Authorization Date
27-09-2024

Trial design

open-label Phase I/II trial across 4 sites in France.

Open Label
Yes
Target Sample Size
5
Trial Duration For Participant
6698

Eligibility

Recruits 5 paediatric patients.

Vulnerable Population
Vulnerable population selected. Trial enrolls infants (patients up to 47 months of age). Informed consent must be signed by parent(s) or guardian(s) ("Parental, guardian’s patient signed informed consent"). Assent procedures are not specified.

Inclusion criteria

  • {"criterion_text":"-Patient up to 47 months of age\n-SCID patients with confirmed biallelic mutations in the Artemis (DCLRE1C) gene even in the case of leaky forms characterised by a residual activity\n-Absence of an HLA genoidentical donor or without rapidly available HLA-compatible unrelated donor (within six weeks of diagnosis)\n-The patient can be treated by gene therapy without delay in case of life threatening infections compromising the short-term prognosis and for which the delay in finding a phenoidentical donor is incompatible with the patient's condition of health. Active life threatening infections are defined as: viral respiratory infection, CMV infection, adenovirus infection, disseminated BCGitis or other infections grade ≥ 4 according to CTCAE scale\n-Beneficiary of a social security scheme\n-Parental, guardian’s patient signed informed consent"}

Exclusion criteria

  • {"criterion_text":"-Unwillingness to return for follow-up during the first 2 years study and the long term follow-up\n-HIV-1 or 2 or HTLV1 infections.\n-Hypersensitivity to G-CSF, busulfan or fludarabine\n-Unable to tolerate general anesthesia and/or marrow harvest or peripheral blood stem cell collection (apheresis) or insertion of central venous catheter"}

Endpoints

Primary endpoints

  • {"endpoint_text":"-Safety and efficacy of ARTEGENE drug product","definition_or_measurement_approach":"Assessing the initial safety and efficacy of treatment with ARTEGENE drug product, including the mobilization procedure, conditioning regimen and transplantation with ARTEGENE lentiviral vector gene modified autologous hematopoietic stem cells in up to 5 Artemis deficient patients."}

Secondary endpoints

  • {"endpoint_text":"-End of ongoing infection before the transplantation\n-Kinetics of immune reconstitution\n-Adverse event will be measured using CTCAE","definition_or_measurement_approach":"End of ongoing infection before transplantation (as stated); kinetics of immune reconstitution (as stated); adverse events measured using CTCAE."}

Recruitment

Planned Sample Size
5
Recruitment Window Months
220
Consent Approach
Informed consent is required from parent(s) or guardian(s) ("Parental, guardian’s patient signed informed consent"). Age-specific assent is not specified. No languages for consent documents are specified in the record.

Geography

Total Number Of Sites
4
Total Number Of Participants
7

France

Earliest CTIS Part Ii Submission Date
20-09-2024
Latest Decision Or Authorization Date
27-09-2024
Processing Time Days
7
Number Of Sites
4
Number Of Participants
7

Sites

Site Name
Assistance Publique Hopitaux De Paris
Department Name
Department of Biotherapy (Innovant Therapeutic Hospitalisation Unit)
Principal Investigator Name
Marina CAVAZZANA
Principal Investigator Email
m.cavazzana@aphp.fr
Contact Person Name
Marina CAVAZZANA
Contact Person Email
m.cavazzana@aphp.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Pediatric Intensive Care Unit
Principal Investigator Name
Sylvain RENOLLEAU
Principal Investigator Email
sylvain.renolleau@aphp.fr
Contact Person Name
Sylvain RENOLLEAU
Contact Person Email
sylvain.renolleau@aphp.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Department of Pediatric Immunology, Hematology and Rheumatology UIHR
Principal Investigator Name
Despina MOSHOUS
Principal Investigator Email
despina.moshous@aphp.fr
Contact Person Name
Despina MOSHOUS
Contact Person Email
despina.moshous@aphp.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
CIC
Principal Investigator Name
Michaela SEMERARO
Principal Investigator Email
michaela.semeraro@aphp.fr
Contact Person Name
Michaela SEMERARO
Contact Person Email
michaela.semeraro@aphp.fr

Sponsor

Primary sponsor

Full Name
Assistance Publique Hopitaux De Paris
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
France

Investigational products

Investigational Product Name
ARTEGENE
Active Substance
Autologous CD34+ haematopoietic stem and progenitor cells transduced with a lentiviral vector containing the human DCLRE1C gene
Modality
Cell therapy|Gene therapy
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS

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