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
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
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
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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