Clinical trial • Phase III • Haematology

BETIBEGLOGENE AUTOTEMCEL for Beta-thalassaemia | Transfusion-dependent beta-thalassaemia

Phase III trial of BETIBEGLOGENE AUTOTEMCEL for Beta-thalassaemia | Transfusion-dependent beta-thalassaemia. None/Not specified-controlled.

Overview

Trial Therapeutic Area
Haematology
Trial Disease
Beta-thalassaemia | Transfusion-dependent beta-thalassaemia
Trial Stage
Phase III
Drug Modality
Cell therapy | Gene therapy
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
26-07-2024
First CTIS Authorization Date
12-09-2024

Trial design

None/Not specified-controlled Phase III trial across 6 sites in France, Germany, Greece and others.

Comparator
None/Not specified
Target Sample Size
42
Trial Duration For Participant
7998

Eligibility

Recruits 42 paediatric patients.

Vulnerable Population
isVulnerablePopulationSelected = true; Inclusion criterion: "Provision of written informed consent for this study by subject, or as applicable, subject's parent(s)/ legal guardian(s)". Age-specific assent/ICF documents present (examples from documents list: "L1_SIS-ICF for 10-14 years old", "L1_SIS-ICF for 15-17 years old_redacted", "L1_SIS-ICF Assent Adolescent 12-13 years old_redacted", "L1_SIS-ICF Assent form teenager 14-17 years old_redacted", parent ICFs and adult ICFs). Consent by subject or, where applicable, by parent(s)/legal guardian(s); assent forms available for adolescents.

Inclusion criteria

  • {"criterion_text":"- Provision of written informed consent for this study by subject, or as applicable, subject's parent(s)/ legal guardian(s)"}
  • {"criterion_text":"- Treated with drug product for therapy of transfusion-dependent β- thalassemia in a bluebird bio-sponsored clinical study"}

Exclusion criteria

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

Endpoints

Primary endpoints

  • {"endpoint_text":"- The number of subjects with malignancies","definition_or_measurement_approach":""}
  • {"endpoint_text":"- The number of subjects with immune-related AEs (e.g., autoimmune disorders, GVHD, opportunistic infections, HIV)","definition_or_measurement_approach":""}
  • {"endpoint_text":"- The number of subjects with new or worsening hematologic disorders","definition_or_measurement_approach":""}
  • {"endpoint_text":"- The number of subjects with new or worsening neurologic disorders","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- βA-T87Q-globin expression in peripheral blood over time post-drug product infusion through last follow-up, including Year 5, Year 10, and Year 15","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Proportion of subjects who meet the definition of transfusion independence (TI), defined as a weighted average Hb ≥ 9 g/dL without any pRBC transfusions for a continuous period of ≥ 12 months at any time after drug product infusion in parent study and/or Study LTF-303","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Proportion of subjects who meet the definition of TI at yearly timepoints including Year 5, Year 10, and Year 15 post-drug product infusion, and at last follow-up","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Characterization of TI: Time from drug product infusion to achievement of TI (in parent study or Study LTF-303); Duration of TI; Weighted average Hb during T","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Characterization of transfusion reduction (TR): Reduction in annualized pRBC transfusion volume (mL/kg/year) from 6 months post-drug product infusion (parent study) through last followup of at least 50%, 60%, 75%, 90%, or 100% as compared to the annualized pRBC transfusion volume during the 2 years prior to parent study enrollment","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Characterization of transfusion reduction (TR):Annualized pRBC transfusion volume (mL/kg/year) and frequency (number/year) from 6 months post-drug product infusion (parent study) through last follow-up as compared to the annualized pRBC transfusion requirements during the 2 years prior to parent study enrollment","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Characterization of transfusion reduction (TR): Time from drug product infusion to last pRBC transfusion (in parent study or Study LTF-303)","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Characterization of transfusion reduction (TR): Time from last pRBC transfusion (in parent study or Study LTF-303) to last follow-up","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Weighted average nadir Hb from 6 months post-drug product infusion (parent study) through last follow-up as compared to the weighted average nadir Hb during the 2 years prior to parent study enrollment","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Unsupported total Hb levels over time through last follow-up, including Year 5, Year 10, and Year 15","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Unsupported total Hb levels ≥ 10 g/dL, ≥ 11 g/dL, ≥ 12 g/dL, ≥ 13 g/dL, and ≥ 14 g/dL over time through last follow-up, including Year 5, Year 10, and Year 15","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Iron burden over time and change from parent study baseline in iron burden at yearly timepoints through last follow-up, as measured by: Liver iron content by magnetic resonance imaging (MRI)/Superconducting Quantum Interference Device (SQUID) as available ; Cardiac T2* by MRI as available ; Serum ferritin","definition_or_measurement_approach":"Measured by liver iron content by MRI/SQUID (if available); cardiac T2* by MRI (if available); serum ferritin"}
  • {"endpoint_text":"- Chelation therapy use, including time from last use of chelation therapy to last follow-up and absence of chelation use for at least 6 months post-drug product infusion in parent study and/or Study LTF-303","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Therapeutic phlebotomy use, including annualized frequency","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Measures of dyserythropoiesis over time as compared to parent study baseline, assessed by the following parameters: Reticulocytes ; Nucleated RBCs","definition_or_measurement_approach":"Assessed by reticulocytes and nucleated RBCs"}
  • {"endpoint_text":"- Health-related quality of life (HRQoL) over time as compared to parent study baseline, using the following validated tools as available and as appropriate: Pediatric Quality of Life Inventory (PedsQL) ; EuroQol-5D (EQ-5D; youth version, EQ-5D-Y) ; Short Form-36 (SF-36) v2 ; Functional Assessment of Cancer Therapy-Bone Marrow Transplant (FACT-BMT)","definition_or_measurement_approach":"Assessed using validated HRQoL tools where available: PedsQL, EQ-5D/EQ-5D-Y, SF-36 v2, FACT-BMT"}

Recruitment

Planned Sample Size
42
Recruitment Window Months
262
Consent Approach
Provision of written informed consent for this study by subject, or as applicable, subject's parent(s)/ legal guardian(s). Age-specific assent and informed consent documents are provided (examples in documents list include: "L1_SIS-ICF for 10-14 years old", "L1_SIS-ICF for 15-17 years old_redacted", "L1_SIS-ICF Assent Adolescent 12-13 years old_redacted", "L1_SIS-ICF Assent form teenager 14-17 years old_redacted", parent ICFs, and adult ICFs).

Geography

Total Number Of Sites
6
Total Number Of Participants
24

France

Earliest CTIS Part Ii Submission Date
16-08-2024
Latest Decision Or Authorization Date
12-09-2024
Processing Time Days
27
Number Of Sites
2
Number Of Participants
9

Sites

Site Name
Hopital Necker Enfants Malades
Department Name
Department of Biotherapie
Contact Person Name
Marina Cavazzana
Contact Person Email
m.cavazzana@nck.aphp.fr
Site Name
Hopital de la Timone Enfants
Department Name
Pediatric Hematology and Oncology Department
Contact Person Name
Sandrine Visentin
Contact Person Email
sandrine.visentin@ap-hm.fr

Germany

Earliest CTIS Part Ii Submission Date
16-08-2024
Latest Decision Or Authorization Date
17-09-2024
Processing Time Days
32
Number Of Sites
2
Number Of Participants
3

Sites

Site Name
Medizinische Hochschule Hannover
Department Name
Padiatrische Hamatologie und Onkologie
Contact Person Name
Martin Sauer
Contact Person Email
Sauer.Martin@mh-hannover.de
Site Name
Universitaetsklinikum Heidelberg AöR
Department Name
Angelika-Lautenschläger-Klinik
Contact Person Name
Andreas Kulozik

Greece

Earliest CTIS Part Ii Submission Date
10-10-2024
Latest Decision Or Authorization Date
13-11-2024
Processing Time Days
34
Number Of Sites
1
Number Of Participants
2

Sites

Site Name
Geniko Nosokomeio Thessalonikis George Papanikolaou
Department Name
Gene and Cell Therapy Center, Hematology Dpt-BMT Unit
Contact Person Name
Evangelia Yannaki
Contact Person Email
eyannaki@u.washington.edu

Italy

Earliest CTIS Part Ii Submission Date
16-08-2024
Latest Decision Or Authorization Date
14-10-2024
Processing Time Days
59
Number Of Sites
1
Number Of Participants
10

Sites

Site Name
Ospedale Pediatrico Bambino Gesu
Department Name
Dipartimento di Onco-Ematologia, Terapia Cellulare e Genica
Contact Person Name
Franco Locatelli
Contact Person Email
franco.locatelli@opbg.net

Sponsor

Primary sponsor

Full Name
Genetix Biotherapeutics Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
CTI Clinical Trial and Consulting Services Europe GmbH
Responsibilities
sponsorDuties codes: [{"id":880019,"code":"5"}]
Name
PPD Development LP
Responsibilities
sponsorDuties codes: [{"id":880017,"code":"4"}]
Name
Primevigilance Zagreb d.o.o.
Responsibilities
sponsorDuties codes: [{"id":880020,"code":"8"}]
Name
Labconnect LLC
Responsibilities
sponsorDuties codes: [{"id":880025,"code":"4"}]
Name
Voisin Consulting CH SARL
Responsibilities
sponsorDuties codes: [{"id":880018,"code":"12"}]
Name
ProtaGene CGT GmbH
Responsibilities
Insertion site analysis
Name
Unisphere Travel Ltd. Inc.
Responsibilities
Patient Reimbursement Services for Travel and Stipends
Name
Multi-Regional Clinical Trials Center Of Brigham And Women's Hospital And Harvard
Responsibilities
sponsorDuties codes: [{"id":880021,"code":"4"}]
Name
Merative US LP
Responsibilities
sponsorDuties codes: [{"id":880024,"code":"7"}]
Name
Genezen Laboratories Inc.
Responsibilities
sponsorDuties codes: [{"id":880023,"code":"4"}]

Third parties

  • {"country":"Germany","full_name":"CTI Clinical Trial and Consulting Services Europe GmbH","duties_or_roles":"sponsorDuties codes: [{\"id\":880019,\"code\":\"5\"}]","organisation_type":"Pharmaceutical company"}
  • {"country":"Germany","full_name":"ProtaGene CGT GmbH","duties_or_roles":"Insertion site analysis","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Unisphere Travel Ltd. Inc.","duties_or_roles":"Patient Reimbursement Services for Travel and Stipends","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Multi-Regional Clinical Trials Center Of Brigham And Women's Hospital And Harvard","duties_or_roles":"sponsorDuties codes: [{\"id\":880021,\"code\":\"4\"}]","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Labconnect LLC","duties_or_roles":"sponsorDuties codes: [{\"id\":880025,\"code\":\"4\"}]","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"Croatia","full_name":"Primevigilance Zagreb d.o.o.","duties_or_roles":"sponsorDuties codes: [{\"id\":880020,\"code\":\"8\"}]","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"PPD Development LP","duties_or_roles":"sponsorDuties codes: [{\"id\":880017,\"code\":\"4\"}]","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Merative US LP","duties_or_roles":"sponsorDuties codes: [{\"id\":880024,\"code\":\"7\"}]","organisation_type":"Hospital/Clinic/Other health care facility"}
  • {"country":"United States","full_name":"Genezen Laboratories Inc.","duties_or_roles":"sponsorDuties codes: [{\"id\":880023,\"code\":\"4\"}]","organisation_type":"Hospital/Clinic/Other health care facility"}
  • {"country":"Switzerland","full_name":"Voisin Consulting CH SARL","duties_or_roles":"sponsorDuties codes: [{\"id\":880018,\"code\":\"12\"}]","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
LentiGlobin BB305 Drug Product
Active Substance
BETIBEGLOGENE AUTOTEMCEL
Modality
Cell therapy | Gene therapy
Routes Of Administration
INTRAVENOUS USE
Route
INTRAVENOUS USE
Authorisation Status
prodAuthStatus 1

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