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Gene Therapy Trial Report

Summary

Assessing the Safety, Tolerability, and Efficacy of APR-2020 in Pediatric and Adolescent Subjects With RPS19 Deficient Diamond-Blackfan Anemia


NCTID NCT07476183 (View at clinicaltrials.gov)
Description
Development Status 🔄 Active
Indication RPS19 Deficient Diamond-Blackfan Anemia
Disease Ontology Term 🔄 DOID:0111895
Drug Product Name 🔄 APR-2020
Drug Product Description 🔄 autologous CD34+ cells transduced ex vivo with CLIN LV-EFS-coRPS19-PRE*
Sponsor Apriligen, Inc.
Funder Type Industry
Recruitment Status 🔄
Enrollment Count 4 (ESTIMATED)
Results Posted Not Available

Therapy Information


Target Gene/Variant 🔄 RPS19
Therapeutic Modality 🔄 Gene transfer
Therapy Route 🔄 ex vivo
Mechanism of Action 🔄 Functional gene replacement
Route of Administration 🔄 Intravenous
Drug Product Type 🔄 Viral vector
Target Tissue/Cell 🔄 CD34+ cells
Gene Delivery System Type 🔄 Viral transduction
Vector Type 🔄 Lentivirus
Dose 1 🔄 Autologous cells, undisclosed dose

Study Record Dates


Current Phase Phase1
Submit Date 2026-03-12
Completion Date 2028-09
Last Update 🔄 2026-07-21

Participation Criteria


Eligible Age 🔄 2 Years - 25 Years
Standard Ages Child, Adult
Sexes Eligible for Study ALL
Eligibility Criteria
Key Inclusion Criteria: 1. Confirmed diagnosis of RPS19-deficient DBA. 2. Signed informed consent by the subject or legally authorized representative. 3. Bone marrow analysis demonstrates normal cytogenetics except for RPS19-deficient DBA. 4. Between 2 and 25 years of age, inclusive. 5. Eligible for allogeneic marrow or stem cell transplant for DBA (noncritical cardiac and hepatic iron overload). 6. Corticosteroid resistance 7. Transfusion-dependent anemia 8. Willingness to return for long-term follow-up 9. Adequate renal and pulmonary function 10. Able to undergo hematopoietic stem cell transplant (HSCT) mobilization and apheresis procedures. Key Exclusion Criteria: 1. Availability of a suitable, consenting HLA-identical sibling donor. 2. Positive viral serology. 3. Clinically significant, active bacterial, viral, or fungal infection. 4. Any prior or current malignancy, myeloproliferative disorder, or myelodysplastic syndrome, except where therapy was curative excision (ie, in situ squamous cell carcinoma). 5. Any concerning cytogenetic abnormalities in hematopoietic cells. 6. Previous receipt of an allogeneic transplant or gene therapy. 7. Immediate family member with a known or suspected Familial Cancer Syndrome (including, but not limited to breast, colorectal, ovarian, prostate, and pancreatic cancers, excluding DBA). 8. Diagnosis of significant psychiatric disorder that could impact the subject's ability to participate in the study, in the opinion of the Investigator. 9. History of complex allo-immunization, as determined by the Investigator. 10. Female subjects who are lactating/breast feeding or who plan to breastfeed within 6 months following APR-2020 infusion. 11. Male and female subjects of childbearing potential who are unwilling to practice highly effective methods of birth control from screening until ≥ 6 months after APR-2020 infusion. 12. Female subjects with a positive serum pregnancy test at Screening or who are planning to become pregnant during the study period. 13. Liver disease, as evidenced by critical iron overload with magnetic resonance imaging (MRI) 14. Heart disease or Type 1 diabetes. 15. Evidence of significant pulmonary hypertension, per Investigator assessment. 16. Any other condition that would render the subject ineligible for HSCT, as determined by the Investigator. 17. Contraindication to stem cell or bone marrow aspiration, mobilization or collection including allergies to filgrastim or plerixafor. 18. Currently enrolled in another investigational drug study or received an investigational study drug or procedure within 90 days of study enrollment. 19. A physical, functional, or emotional status that would prevent giving informed consent, protocol compliance, or adequate follow-up. 20. An assessment by the Investigator that the subject or parents of the subject will not comply with the study procedures outlined in the study protocol. 21. Taking prohibited medications. 22. Has insufficient personal history of RBC transfusions over the 13 weeks prior to the end of screening.
View Inclusion and Exclusion Criteria at ClinicalTrials.gov

Locations


No.of Trial Sites 2
Locations United States

Regulatory Information


Has US IND True
FDA Designations 🔄 Fast Track, Orphan Drug Designation, Rare Pediatric Disease Designation
Recent Updates Clinical trial enrollment began in 2026

Resources/Links