Clinical trial • Phase III • Immunology|Rare Disease
ETUVETIDIGENE AUTOTEMCEL for Wiskott-Aldrich syndrome
Phase III trial of ETUVETIDIGENE AUTOTEMCEL for Wiskott-Aldrich syndrome. 38 participants.
Overview
- Trial Therapeutic Area
- Immunology|Rare Disease
- Trial Disease
- Wiskott-Aldrich syndrome
- Trial Stage
- Phase III
- Drug Modality
- Gene therapy|Cell therapy
- Paediatric Trial
- Yes
- Orphan Drug
- Yes
Key dates
- Initial CTIS Submission Date
- 03-12-2024
- First CTIS Authorization Date
- 11-04-2025
Trial design
Phase III trial across 1 site in Italy.
- Target Sample Size
- 38
- Trial Duration For Participant
- 5475
Eligibility
Recruits 38 paediatric patients.
- Vulnerable Population
- The trial includes vulnerable populations (paediatric patients). Inclusion criterion states: "The patient or, if applicable, the patient’s parent(s)/legal guardian(s), are able and willing to provide informed consent." Age-specific informed consent documents are present (L1_ICF parents, L1_ICF 6-11 yr, L1_ICF 12-17 yr, L1_ICF adult) and patient-facing documents are available in English and Italian, indicating assent/consent handling for children and parents/legal guardians.
Inclusion criteria
- {"criterion_text":"- The patient has been treated with Telethon003\n- The patient or, if applicable, the patient’s parent(s)/legal guardian(s), are able and willing to provide informed consent.\n- Willingness to attend the study visit schedule and be compliant with the protocol."}
Exclusion criteria
- {"criterion_text":"- Participation in an ongoing clinical study with an investigational drug (other to gene therapy study or early access, object for this study) prior to enrolment in this study or willingness to participate in another interventional clinical trial. If in deviation to this exclusion criteria, a subject took or takes another investigational drug or other available therapy (e.g. hematopoietic stem cell transplant) he will be followed anyway to collect safety events."}
Endpoints
Primary endpoints
- {"endpoint_text":"- To characterize the long-term safety of the gene therapy treatment with Telethon003 as measured by: recording of adverse event (AE) and serious adverse event (SAE) related to gene therapy including: − insertional mutagenesis and oncogenesis (blood and solid malignancies); − transgene immunogenicity; − development of replication-competent lentiviruses (RCL);","definition_or_measurement_approach":"Recording of adverse events (AE) and serious adverse events (SAE) related to gene therapy including insertional mutagenesis and oncogenesis (blood and solid malignancies), transgene immunogenicity, and development of replication-competent lentiviruses (RCL)."}
- {"endpoint_text":"- To evaluate the overall survival (OS) as primary efficacy endpoint up to 15 years of follow-up post treatment with Telethon003","definition_or_measurement_approach":"Overall survival (OS) measured up to 15 years of follow-up post treatment with Telethon003."}
Secondary endpoints
- {"endpoint_text":"- Event free survival","definition_or_measurement_approach":""}
- {"endpoint_text":"- Annualized rate of severe infections compared with 1 year prior to gene therapy;","definition_or_measurement_approach":"Annualized rate compared with the rate in the 1 year prior to gene therapy."}
- {"endpoint_text":"- Annualized rate of moderate and severe bleeding episodes compared with 1 year prior to gene therapy","definition_or_measurement_approach":"Annualized rate compared with the rate in the 1 year prior to gene therapy."}
- {"endpoint_text":"- Eczema","definition_or_measurement_approach":""}
- {"endpoint_text":"- Autoimmunity","definition_or_measurement_approach":""}
- {"endpoint_text":"- Hematologic disorders (i.e. neutropenia and/or other cytopenias);","definition_or_measurement_approach":""}
- {"endpoint_text":"- Malignancies","definition_or_measurement_approach":""}
- {"endpoint_text":"- Use of IgRT","definition_or_measurement_approach":""}
- {"endpoint_text":"- New or exacerbations of pre-existing neurological disorders","definition_or_measurement_approach":""}
- {"endpoint_text":"- Variation in height and weight (for paediatric patients)","definition_or_measurement_approach":"Change in height and weight for paediatric patients over time."}
- {"endpoint_text":"- Karnofsky/Lansky performance scales","definition_or_measurement_approach":""}
- {"endpoint_text":"- Platelet count and MPV","definition_or_measurement_approach":""}
- {"endpoint_text":"- Vector Copy Number (VCN)","definition_or_measurement_approach":""}
- {"endpoint_text":"- Insertion site analysis (ISA)","definition_or_measurement_approach":""}
- {"endpoint_text":"- PedsQL (Pediatric Quality of Life Inventory) health-related quality of life scales","definition_or_measurement_approach":""}
- {"endpoint_text":"- EQ-5D, and SF-10 or SF-36 health-related quality of life questionnaires","definition_or_measurement_approach":""}
Recruitment
- Planned Sample Size
- 38
- Recruitment Window Months
- 180
- Consent Approach
- Informed consent to be provided by the patient or, if applicable, the patient's parent(s)/legal guardian(s) (inclusion criterion). Age-specific informed consent/assent documents are available: L1_ICF parents, L1_ICF 6-11 yr, L1_ICF 12-17 yr, L1_ICF adult. Patient-facing questionnaires/documents available in English and Italian (D4 patient facing documents EN/IT).
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 38
Italy
- Earliest CTIS Part Ii Submission Date
- 11-03-2025
- Latest Decision Or Authorization Date
- 19-06-2025
- Processing Time Days
- 100
- Number Of Sites
- 1
- Number Of Participants
- 38
Sites
- Site Name
- San Raffaele Hospital
- Department Name
- Pediatric Immunohematology Unit
- Principal Investigator Name
- Francesca Ferrua
- Principal Investigator Email
- ferrua.francesca@hsr.it
- Contact Person Name
- Francesca Ferrua
- Contact Person Email
- ferrua.francesca@hsr.it
Sponsor
Primary sponsor
- Full Name
- Fondazione Telethon Ets
- Organisation Type
- Patient organisation/association
- Country Of Registered Address
- Italy
Contract research organisations
- Name
- IQVIA Limited
- Responsibilities
- sponsorDuties codes: 1,10,5,6,7; contact eu_clinical_trials_information@iqvia.com
- Name
- 4S4p Consulenze S.r.l.
- Responsibilities
- sponsorDuties include 15 (Pharmacovigilance), 8; contact marco.anelli@4s4p.eu
Third parties
- {"country":"United Kingdom","full_name":"IQVIA Limited","duties_or_roles":"sponsorDuties codes: 1,10,5,6,7","organisation_type":"Pharmaceutical company"}
- {"country":"Italy","full_name":"4S4p Consulenze S.r.l.","duties_or_roles":"15 (Pharmacovigilance), 8","organisation_type":"Non-Pharmaceutical company"}
Investigational products
- Investigational Product Name
- OTL-103
- Active Substance
- ETUVETIDIGENE AUTOTEMCEL
- Modality
- Gene therapy|Cell therapy
- Routes Of Administration
- INTRAVENOUS USE
- Route
- INTRAVENOUS USE
- Authorisation Status
- prodAuthStatus=1
- Orphan Designation
- Yes
- Investigational Product Name
- OTL-103
- Active Substance
- ETUVETIDIGENE AUTOTEMCEL
- Modality
- Gene therapy|Cell therapy
- Routes Of Administration
- INTRAVENOUS USE
- Route
- INTRAVENOUS USE
- Authorisation Status
- prodAuthStatus=1
- Orphan Designation
- Yes
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