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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