About this trial
This is an open label study to evaluate the safety and efficacy of β-globin Restored Autologous Hematopoietic Stem Cells in ß-Thalassemia Major Patients
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Aged 18-35 years (inclusive), ICF can be provided by the patient and/or legal guardian;
Definitively diagnosed with severe TDT without genotype restriction, and a valid test report can be provided;
Average transfusion volume > 100 mL/kg/year or transfusion frequency > 8 times/year within 2 years prior to enrollment, or has been definitively diagnosed with TDT;
At least 3 months of full volume transfusion (verification of blood transfusion records can be provided) prior to screening, and Hb is maintained at ≥ 9.0 g/dL;
Disqualifiers
Patients with fully HLA-matched donors;
Received allogeneic transplantation, which needs to be weighed and evaluated by an expert committee; received other gene therapies;
Have previously undergone splenectomy;
Uncorrected bleeding disorder;
Trial design
Single group
Treatments tested in this trial
β-globin restored autologous hematopoietic stem cells
Biological/Vaccineβ-globin-restored autologous hematopoietic stem cells modified with LentiHBBT87Q
Treatment groups
Trial outcomes
Primary outcomes
Overall response rate
Percent of patients with average VCN \> 0.1 in peripheral blood mononuclear cells (PBMCs) and average expression of exogenous adult hemoglobin HbAT87Q \> 2.0 g/dL
Incidence and severity of AEs
The number and the percentage of adverse events related to transplantation will be summarized according to NCI CTCAE 5.0
Incidence of SAEs
The number of SAE related to transplantation will be summarized according to NCI CTCAE 5.0
Transplantation-related fatal and disabling events within day 100 after transplantation
Transplantation-related fatal and disabling events
Secondary outcomes
Treatment response rate
Percent of patients with average VCN \> 0.1 in PBMCs and average expression of exogenous adult hemoglobin HbAT87Q \> 2.0 g/dL after reinfusion of HGI-001 injection
Percent of subjects with successful HSC engraftment
Criteria for successful engraftment: Absolute neutrophil count \> 0.5 × 10 9 /L for 3 consecutive days; platelet count is maintained at \> 20 × 10 9 /L for 7 consecutive days without platelet transfusion
Change in transfusion volume or frequency
Change in average annual transfusion volume or frequency from baseline or change in percentage
Transfusion improvement rate
Percent of subjects with ≥ 30% decrease in the average annual (0-12 months, 12-24 months) transfusion volume or frequency from baseline after reinfusion of HGI-001 injection
Sponsors and contacts
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