Clinical trial • Phase IV • Haematology|Rare Disease

Exagamglogene autotemcel for Sickle cell disease|Transfusion-dependent β-thalassemia

Phase IV trial of Exagamglogene autotemcel for Sickle cell disease|Transfusion-dependent β-thalassemia. open-label, none/not specified-controlled.

Overview

Trial Therapeutic Area
Haematology|Rare Disease
Trial Disease
Sickle cell disease|Transfusion-dependent β-thalassemia
Trial Stage
Phase IV
Drug Modality
Cell therapy|Gene therapy
Paediatric Trial
Yes
Orphan Drug
Yes

Key dates

Initial CTIS Submission Date
09-05-2024
First CTIS Authorization Date
05-06-2024

Trial design

open-label, none/not specified-controlled Phase IV trial across 5 sites in Italy, Belgium, Germany.

Open Label
Yes
Comparator
None/Not specified
Target Sample Size
53
Trial Duration For Participant
5475

Eligibility

Recruits 53 paediatric patients.

Vulnerable Population
Consent is provided by subjects or legal representative or guardian (if applicable). Child, adolescent and parent subject information and informed consent form (ICF) documents are provided (country-specific child/adolescent/parent ICFs listed for Italy, Belgium and Germany).

Inclusion criteria

  • {"criterion_text":"- Subjects or legal representative or guardian (if applicable) must sign and date informed consent form (ICF).\n- Subjects must have received CTX001 infusion."}

Exclusion criteria

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

Endpoints

Primary endpoints

  • {"endpoint_text":"- New Malignancies","definition_or_measurement_approach":""}
  • {"endpoint_text":"- New or worsening hematologic disorders (e.g. immune-mediated cytopenias, aplastic anemia, primary immunodeficiencies)","definition_or_measurement_approach":""}
  • {"endpoint_text":"- All-cause mortality","definition_or_measurement_approach":""}
  • {"endpoint_text":"- All serious adverse events (SAEs) occurring up to 15 years after CTX001 infusion","definition_or_measurement_approach":"SAEs monitoring up to 15 years after CTX001 infusion"}
  • {"endpoint_text":"- CTX001-related AE's","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- TDT and SCD: Total Hemoglobin (Hb) concentration over time","definition_or_measurement_approach":""}
  • {"endpoint_text":"- TDT and SCD: Fetal Hemoglobin (HbF) concentration over time","definition_or_measurement_approach":""}
  • {"endpoint_text":"- TDT and SCD: Proportion of alleles with intended genetic modification present in peripheral blood over time","definition_or_measurement_approach":""}
  • {"endpoint_text":"- TDT and SCD: Proportion of alleles with intended genetic modification present in CD34+ cells of the bone marrow over time","definition_or_measurement_approach":""}
  • {"endpoint_text":"- TDT and SCD: Change in patient-reported outcome (PRO) over time in participants ≥18 years of age assessed using EuroQol quality of life scale (EQ-5D-5L) for participants from study 111,121 and 171 only","definition_or_measurement_approach":"Assessed using EuroQol quality of life scale (EQ-5D-5L) for specified participants (≥18 years) from studies 111, 121 and 171"}

Recruitment

Planned Sample Size
53
Recruitment Window Months
228
Consent Approach
Subjects or legal representative or guardian (if applicable) must sign and date an informed consent form (ICF). Country-specific subject information and ICF documents exist for adults, adolescents, children and parents (Italy: child/adolescent/parent/adult ICFs in Italian; Belgium: adult and pregnancy ICFs in English and French; Germany: adult, adolescent, child and parent ICFs in German).

Geography

Total Number Of Sites
5
Total Number Of Participants
37

Italy

Earliest CTIS Part Ii Submission Date
15-03-2024
Latest Decision Or Authorization Date
24-06-2024
Processing Time Days
101
Number Of Sites
1
Number Of Participants
16

Sites

Site Name
Bambino Gesu Childrens Hospital
Department Name
Department of Pediatric Hematology and Oncology IRCCS
Principal Investigator Name
Franco Locatelli
Principal Investigator Email
franco.locatelli@opbg.net
Contact Person Name
Franco Locatelli
Contact Person Email
franco.locatelli@opbg.net

Belgium

Earliest CTIS Part Ii Submission Date
18-03-2024
Latest Decision Or Authorization Date
05-06-2024
Processing Time Days
79
Number Of Sites
1
Number Of Participants
5

Sites

Site Name
Association Hospitaliere De Bruxelles Hopital Universitaire Des Enfants Reine Fabiola
Department Name
Pediatric Hemato-Oncology
Principal Investigator Name
Laurence Dedeken
Principal Investigator Email
laurence.dedeken@huderf.be
Contact Person Name
Laurence Dedeken
Contact Person Email
laurence.dedeken@huderf.be

Germany

Earliest CTIS Part Ii Submission Date
15-03-2024
Latest Decision Or Authorization Date
19-06-2024
Processing Time Days
96
Number Of Sites
3
Number Of Participants
16

Sites

Site Name
Universitaetsklinikum Regensburg AöR
Department Name
Pediatric Hematology, Oncology and Stem cell transplantation
Principal Investigator Name
Selim Corbacioglu
Principal Investigator Email
selim.corbacioglu@klinik.uni-regensburg.de
Contact Person Name
Selim Corbacioglu
Site Name
Universitaetsklinikum Duesseldorf AöR
Department Name
Department of Pediatric Oncology, Hematology and Clinical Immunology
Principal Investigator Name
Roland Meisel
Principal Investigator Email
Meisel@med.uni-duesseldorf.de
Contact Person Name
Roland Meisel
Contact Person Email
Meisel@med.uni-duesseldorf.de
Site Name
Universitaetsklinikum Tuebingen AöR
Department Name
Department of Hematology, Oncology and Pediatrics
Principal Investigator Name
Joachim Vincent Rupprecht
Principal Investigator Email
joachim.rupprecht@med.uni-tuebingen.de
Contact Person Name
Joachim Vincent Rupprecht

Sponsor

Primary sponsor

Full Name
Vertex Pharmaceuticals Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Investigational products

Investigational Product Name
Casgevy 4 - 13 x 10^6 cells/mL dispersion for infusion
Active Substance
Exagamglogene autotemcel
Modality
Cell therapy|Gene therapy
Routes Of Administration
Intravenous infusion
Route
Intravenous infusion
Authorisation Status
Marketing authorisation EU/1/23/1787/001
Orphan Designation
Yes
Maximum Dose
20 (dose unit: Other)

Related trials

Other published trials that may interest you.