A Pilot Study on the Safety and Efficacy of YOLT-204 for Transfusion-Dependent Beta-Thalassemia

Trial statusNot yet recruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexAll
Age18-35
SponsorFirst Affiliated Hospital of Guangxi Medical University

About this trial

This study is a single-arm, open-label, dose-escalation trial, planning to enroll 3-9 patients with transfusion-dependent β-thalassemia, aimed at assessing the safety and tolerability of a single-dose of YOLT-204 in patients with transfusion-dependent β-thalassemia; to preliminarily evaluate the impact of a single -dose of YOLT-204 on the levels of fetal hemoglobin in the plasma

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age between 18 to 35 years, gender not limited.

The patient has fully understood this study and voluntarily signed an informed consent form.

Clinically diagnosed as a patient with transfusion-dependent β-thalassemia, excluding the genotype: β0β0.

Karnofsky Performance Status (KPS) score of at least 70.

Disqualifiers

History of multiple drug allergies or a history of allergic reactions to oligonucleotides or lipid nanoparticles (LNPs).

Diagnosed with compound alpha-thalassemia.

Clinically significant active bacterial, viral, fungal, or parasitic infections at the time of screening, as judged by the investigator.

White blood cell count (WBC) <3×10^9/L and/or platelet count <100×10^9/L not due to hypersplenism, as judged by the investigator.

Trial design

Design model

Single group

Treatments tested in this trial

  • YOLT-204

    Drug

    The intervention group will receive YOLT-204 on day0

Treatment groups

3 Participants
are divided into 1 treatment group
Group A: The intervention group will receive YOLT-204 on day0Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Treatment-Emergent Adverse Events

Number of Participants with Treatment-Emergent Adverse Events

Time frame
52 weeks after dose
2

Laboratory Test Findings

Number of Participants with Clinically Significant Clinical Laboratory Test Findings

Time frame
52 weeks after dose
3

Safety Measurements

Number of Participants with Clinically Significant Safety Measurements

Time frame
52 weeks after dose
4

3 months of sustained transfusion reduction

Analysis begins one month after treatment with YOLT-204, and the proportion of patients who achieve at least 3 months of sustained transfusion reduction (sustained TR3) is obtained.

Time frame
4 months after dose

Secondary outcomes

1

6 months of sustained transfusion reduction

Analysis begins one month after treatment with YOLT-204, and the proportion of patients who achieve at least 6 months of sustained transfusion reduction (sustained TR6) is obtained.

Time frame
7 months after dose
2

6 months of transfusion independence

Analysis begins one month after treatment with YOLT-204, and the proportion of patients who achieve at least 6 months of transfusion independence (sustained TI6) is obtained.

Time frame
7 months after dose
3

The proportion of alleles with intended modifications

The proportion of alleles with intended modifications in peripheral blood leukocytes and bone marrow cells over time.

Time frame
52 weeks after dose
4

Fetal hemoglobin concentration

The change in fetal hemoglobin concentration over time after YOLT-204 infusion

Time frame
52 weeks after dose

Other outcomes

Sponsors and contacts

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