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Gene Therapy Trial Report

Summary

Safety and Efficacy of Gene Therapy of FHL Type 3 Caused by Mutations in the Human UNC13D Gene by Transplantation of a Single Dose of Autologous CD34+ Cells Transduced Ex Vivo with the UNC13D LV Vector Expressing the UNC13D CDNA


NCTID NCT06736080 (View at clinicaltrials.gov)
Description
Development Status Active
Indication Familial Hemophagocytic Lymphohistiocytosis Type 3 (FHL 3)
Disease Ontology Term DOID:0110923
Compound Name Autologous Cells Transduced Ex Vivo with LV-UNC13D
Sponsor Assistance Publique - Hôpitaux de Paris
Funder Type Other
Recruitment Status
Not yet recruiting
Enrollment Count 5 (ESTIMATED)
Results Posted Not Available

Therapy Information


Target Gene/Variant UNC13D
Therapy Type Gene transfer
Therapy Route Ex-vivo
Mechanism of Action Functional gene replacement
Route of Administration Intravenous
Drug Product Type Autologous cells
Target Tissue/Cell CD34+ cells/T-CD3+ cells
Delivery System Viral transduction
Vector Type LV
Editor Type none
Dose 1 2-20E6 CD34+ cells/kg
Dose 2 1.1E4 - 5.1E6 T-CD3+ cells/kg (as needed)

Study Record Dates


Current Stage Phase1, Phase2
Submit Date 2024-12-04
Completion Date 2029-01
Last Update 2024-12-16

Participation Criteria


Eligible Age 3 Months - 17 Years
Standard Ages Child
Sexes Eligible for Study ALL
Eligibility Criteria
Inclusion Criteria: 1. Patient aged from 3 months up to 17 years old. 2. Patient with a FHL caused by mutation of the UNC13D gene. 3. Complete remission is defined by the normalization of clinical and laboratory parameters: 1. Resolution of fever 2. Resolution of splenomegaly or reduced and isolated splenomegaly. 3. Improvement of cytopenia: absolute neutrophil count \> 500/µl AND platelets cout \> 100 000/ µl (unsupported by transfusion) 4. Normalization of serum fibrinogen level (Fibrinogen ≥1.5g/l) 5. Resolution of hyperferritinemia (Ferritin level \< 2000µg/l) 6. Normalization of T-cell activation 4. Patient eligible for an allogeneic HSCT in absence of an HLA geno-identical donor (at diagnostic or 6 months after failure of a previous HSCT (rejection or loss of the graft)) 5. Parental, guardian's patient signed informed consent. 6. For patients of childbearing age : willing to use an effective method of contraception\* during the trial and for at least 12 months post-infusion 7. Affiliation to Social Security Exclusion Criteria: 1. Active CNS encephalitis related to HLH 2. Existence of a matched -sibling donor 3. Unwillingness to return for follow-up during the 2 years study and lifelong for off study review. 4. HIV-1 or 2 or HTLV1 infections. 5. Patient on AME (state medical aid) (unless exemption from affiliation) 6. Pregnancy or breast feeding in a post-partum female 7. Diagnosis of significant psychiatric disorder of the subject that could seriously impeded the ability to participate in the study 8. Known allergies, hypersensitivity, or intolerance to any of busulfan, fludarabine, rituximab, G-CSF, plerixafor or excipients, or similar compounds 9. Unable to tolerate general anesthesia and/or apheresis 10. Participation in another clinical study with an investigational drug within 30 days of inclusion. 11. Uncontrolled HLH manifestation
View Inclusion and Exclusion Criteria at ClinicalTrials.gov

Locations


No.of Trial Sites 1
Locations France

Regulatory Information


Has US IND False
FDA Designations
Recent Updates

Resources/Links