Clinical trial • Phase III • Haematology|Neurology|Rare Disease
ELIVALDOGENE AUTOTEMCEL for Cerebral adrenoleukodystrophy (CALD)
Phase III trial of ELIVALDOGENE AUTOTEMCEL for Cerebral adrenoleukodystrophy (CALD). open-label. 53 participants.
Overview
- Trial Therapeutic Area
- Haematology|Neurology|Rare Disease
- Trial Disease
- Cerebral adrenoleukodystrophy (CALD)
- Trial Stage
- Phase III
- Drug Modality
- Cell therapy|Gene therapy
- Paediatric Trial
- Yes
Key dates
- Initial CTIS Submission Date
- 03-07-2024
- First CTIS Authorization Date
- 22-07-2024
Trial design
open-label Phase III trial in France, Germany, Italy and others.
- Open Label
- Yes
- Target Sample Size
- 53
- Trial Duration For Participant
- 5475
Eligibility
Recruits 53 paediatric patients.
- Vulnerable Population
- Subjects include minors. The protocol requires provision of written informed consent by the subject or the subject's parent(s)/legal guardian(s) and written informed assent by the subject when applicable. Study documentation includes parent/guardian information and consent forms and assent forms for adolescents and children, indicating specific consent/assent handling for minors.
Inclusion criteria
- {"criterion_text":"- Provision of written informed consent for this study by the subject or subject's parent(s)/ legal guardian(s) and written informed assent by subject, if applicable"}
- {"criterion_text":"- Have received Lenti-D Drug Product in a parent clinical study."}
Exclusion criteria
- {"criterion_text":"- There are no exclusion criteria for this Study."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Major functional disability (MFD)-free survival over time through Year 15 post-drug product infusion. Note: interim analyses (including evaluation of MFD-free survival [i.e., subjects who were alive without an MFD or need for hematopoietic stem cell transplant [HSCT]; also referred to as event-free survival by FDA) will occur once all subjects have completed 5 years and 10 years of post infusion follow-up (see Section 7.6.1).","definition_or_measurement_approach":"MFD-free survival measured over time through Year 15 post-infusion; interim analyses planned once all subjects have completed 5 and 10 years of follow-up. MFD-free survival defined as subjects alive without an MFD or need for HSCT (event-free survival as per FDA)."}
- {"endpoint_text":"- The number of subjects with malignancies through 15 years post-drug product infusion","definition_or_measurement_approach":"Count of subjects who develop malignancies during the 15-year follow-up period after drug product infusion."}
- {"endpoint_text":"- The number of subjects who experience graft versus host disease (GVHD) through 15 years post-drug product infusion","definition_or_measurement_approach":"Count of subjects experiencing GVHD during the 15-year post-infusion follow-up period."}
- {"endpoint_text":"- The number of subjects with immune-related AEs (e.g., autoimmune disorders, GVHD, opportunistic infections, HIV) through 15 years post drug product infusion","definition_or_measurement_approach":"Count of subjects with immune-related adverse events (including autoimmune disorders, GVHD, opportunistic infections, HIV) through 15 years post-infusion."}
- {"endpoint_text":"- The number of subjects with new or worsening hematologic disorders through 15 years post-drug product infusion","definition_or_measurement_approach":"Count of subjects with new or worsening hematologic disorders during the 15-year follow-up."}
- {"endpoint_text":"- The number of subjects with new or worsening neurologic disorders through 15 years post-drug product infusion","definition_or_measurement_approach":"Count of subjects with new or worsening neurologic disorders through 15 years post-infusion."}
Secondary endpoints
- {"endpoint_text":"- The number of subjects who undergo subsequent stem cell transplantation (i.e. second HSC infusion) through 15 years post-drug product infusion","definition_or_measurement_approach":"Count of subjects undergoing subsequent stem cell transplantation (second HSC infusion) during the 15-year follow-up."}
- {"endpoint_text":"- Change from Baseline (defined in parent study) through Year 15 post drug product infusion in neurologic function score (NFS)","definition_or_measurement_approach":"Change from baseline (baseline defined in the parent study) in Neurologic Function Score (NFS) measured through Year 15 post-infusion."}
- {"endpoint_text":"- The number of subjects without gadolinium enhancement (GdE) on MRI over time through Year 15 post-drug product infusion","definition_or_measurement_approach":"Count of subjects without gadolinium enhancement on MRI over time through Year 15 post-infusion."}
Recruitment
- Planned Sample Size
- 53
- Recruitment Window Months
- 271
- Consent Approach
- Written informed consent must be provided by the subject or the subject's parent(s)/legal guardian(s); written informed assent by the subject is required if applicable. Study-specific subject information and informed consent forms are available for adults, parents/guardians, adolescents, and children (assent), and there are documents related to pregnant partners, indicating age-appropriate consent/assent documentation per site/country.
Geography
- Total Number Of Sites
- 4
- Total Number Of Participants
- 11
France
- Earliest CTIS Part Ii Submission Date
- 19-07-2024
- Latest Decision Or Authorization Date
- 28-04-2026
- Processing Time Days
- 648
- Number Of Sites
- 1
- Number Of Participants
- 5
Sites
- Site Name
- Bicetre Hospital
- Department Name
- Service de Neurologie Pediatrique
- Principal Investigator Name
- Caroline Sevin
- Principal Investigator Email
- caroline.sevin@icm-institute.org
- Contact Person Name
- Caroline Sevin
- Contact Person Email
- caroline.sevin@icm-institute.org
- Number Of Participants
- 5
Germany
- Earliest CTIS Part Ii Submission Date
- 19-07-2024
- Latest Decision Or Authorization Date
- 29-04-2026
- Processing Time Days
- 649
- Number Of Sites
- 1
- Number Of Participants
- 3
Sites
- Site Name
- Universitaet Leipzig
- Department Name
- Onkologie/Hämatologie/Hämostaseologie , Leipzig AoeR
- Principal Investigator Name
- Joern-Sven Kuehl
- Principal Investigator Email
- joern-sven.kuehl@medizin.uni-leipzig.de
- Contact Person Name
- Joern-Sven Kuehl
- Contact Person Email
- joern-sven.kuehl@medizin.uni-leipzig.de
- Number Of Participants
- 3
Italy
- Earliest CTIS Part Ii Submission Date
- 19-07-2024
- Latest Decision Or Authorization Date
- 30-04-2026
- Processing Time Days
- 650
- Number Of Sites
- 1
- Number Of Participants
- 1
Sites
- Site Name
- Ospedale Pediatrico Bambino Gesu
- Department Name
- Department of Haematology
- Principal Investigator Name
- Franco Locatelli
- Principal Investigator Email
- franco.locatelli@opbg.net
- Contact Person Name
- Franco Locatelli
- Contact Person Email
- franco.locatelli@opbg.net
- Number Of Participants
- 1
Netherlands
- Earliest CTIS Part Ii Submission Date
- 19-07-2024
- Latest Decision Or Authorization Date
- 05-05-2026
- Processing Time Days
- 655
- Number Of Sites
- 1
- Number Of Participants
- 2
Sites
- Site Name
- Princess Maxima Center Utrecht
- Department Name
- Stem Cell Transplant
- Principal Investigator Name
- Caroline Lindemans
- Principal Investigator Email
- c.a.lindemans@prinsesmaximacentrum.nl
- Contact Person Name
- Caroline Lindemans
- Contact Person Email
- c.a.lindemans@prinsesmaximacentrum.nl
- Number Of Participants
- 2
Sponsor
Primary sponsor
- Full Name
- Genetix Biotherapeutics Inc.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United States
Contract research organisations
- Name
- PPD Development LP
- Responsibilities
- Testing for ALD protein expression and vector copy number
- Name
- PPD International Holdings LLC
- Responsibilities
- Lab for European sites. Sample prep for ALDP, VCN, RCL, Short-term sample storage
- Name
- Pharmaceutical Product Development LLC
- Responsibilities
- Lab for kit supply (sample logistics, sample prep for VCN, ALDP, RCL, short-term sample storage)
- Name
- Perceptive Informatics Inc.
- Responsibilities
- Central MRI read
- Name
- Primevigilance Zagreb d.o.o.
- Responsibilities
- Pharmacovigilance / safety reporting (role code 8)
Third parties
- {"country":"Switzerland","full_name":"Voisin Consulting CH SARL","duties_or_roles":"12","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":"Perceptive Informatics Inc.","duties_or_roles":"Central MRI read","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"PPD Development LP","duties_or_roles":"Testing for ALD protein expression and vector copy number","organisation_type":"Pharmaceutical company"}
- {"country":"Belgium","full_name":"PPD International Holdings LLC","duties_or_roles":"Lab for European sites. Sample prep for ALDP, VCN, RCL, Short-term sample storage","organisation_type":"Pharmaceutical company"}
- {"country":"Germany","full_name":"ProtaGene CGT GmbH","duties_or_roles":"Specialty lab for ISA","organisation_type":"Pharmaceutical company"}
- {"country":"Croatia","full_name":"Primevigilance Zagreb d.o.o.","duties_or_roles":"8","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Genezen Laboratories Inc.","duties_or_roles":"RCL testing","organisation_type":"Hospital/Clinic/Other health care facility"}
- {"country":"United States","full_name":"Pharmaceutical Product Development LLC","duties_or_roles":"Lab for kit supply (sample logistics, sample prep for VCN, ALDP, RCL, short-term sample storage)","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Multi-Regional Clinical Trials Center Of Brigham And Women's Hospital And Harvard","duties_or_roles":"Bone Marrow NGS","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- Elivaldogene autotemcel
- Active Substance
- ELIVALDOGENE AUTOTEMCEL
- Modality
- Cell therapy|Gene therapy
- Routes Of Administration
- INTRAVENOUS
- Route
- INTRAVENOUS
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