Safety and Efficacy of RM-004 Cells for Hemoglobin H-Constant Spring Disease

Trial statusRecruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexAll
Age12-35
SponsorThe 923rd Hospital of Joint Logistics Support Force of People's Liberation Army

About this trial

The purpose of this study is to evaluate the safety and efficacy of RM-004 for Hemoglobin H-Constant Spring disease.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Subjects voluntarily sign informed consent by themselves or their legal guardians and complete the study procedures, follow-up examination and treatment.

At the time of screening, subjects should be aged from 12 to 35 years old, regardless of gender.

History of at least 100 mL/kilograms (kg)/year of packed red blood cells (pRBC) transfusions in the prior 2 years before screening.

Subjects diagnosed with Hemoglobin H-Constant Spring disease (--/ααCS) with HBA2 c.427T>C mutation.

Disqualifiers

Subject who has an available HLA-matched/well-matched HSCT donor for allogeneic hematopoietic stem cell transplantation (HSCT).

Prior HSCT or gene therapy.

History of severe hemorrhagic disease.

Clinically significant active bacterial, viral, fungal or parasitic infections per investigator's judgement at the time of screening.

Trial design

Design model

Single group

Treatments tested in this trial

  • RM-004

    Genetic

    Intravenous infusion of gene-edited CD34+autologous hematopoietic stem cells (RM-004) after myeloablative conditioning with busulfan.

Treatment groups

5 Participants
are divided into 1 treatment group
Group A: RM-004Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Proportion of subjects with engraftment

Proportion of subjects with successful neutrophil engraftment (first day of 3 consecutive measurements of absolute neutrophil count \[ANC\] ≥0.5×10\^9/L on 3 different days) after RM-004 infusion.

Time frame
Within 42 days after RM-004 infusion
2

Safety of RM-004 infusion

Number of subjects with adverse events (AEs) and serious adverse events (SAEs)

Time frame
From signing of informed consent up to 24 months after RM-004 infusion
3

Proportion of subjects who achieve transfusion independence

Transfusion independence (TI) was defined as a weighted average hemoglobin (Hb) ≥ 9 g/dL without any red blood cells transfusions for a continuous period of ≥12 months at any time during the study after RM-004 infusion.

Time frame
Up to 24 months after RM-004 infusion

Secondary outcomes

1

Incidence of all-cause mortality

Incidence of all-cause mortality

Time frame
From signing of informed consent up to 24 months after RM-004 infusion
2

Proportion of subjects who stop receiveing transfusion ≥ 6 months

Proportion of subjects who stop receiveing transfusion ≥ 6 months

Time frame
Up to 24 months after RM-004 infusion
3

Duration of transfusion independence

Duration of TI was calculated as the time from the start of TI up to the last available Hb at which the TI criteria are still met. Time period of TI will start when subjects achieve a Hb ≥ 9 g/dL with no transfusions in the preceding 60 days

Time frame
Up to 24 months after RM-004 infusion

Other outcomes

Sponsors and contacts

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