YOLT-204 in Patients With Hemoglobinopathies

Trial statusNot yet recruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexAll
Age3-17
SponsorGuangzhou Women and Children's Medical Center

About this trial

This is a single-arm, open-label, single-dose, dose-escalation trial that plans to enrol 3-18 patients with transfusion-dependent β-thalassaemia (TDT) or sickle-cell disease (SCD). Its primary aims are to evaluate the safety and tolerability of a single administration of YOLT-204 and to obtain preliminary data on its effect on plasma fetal-haemoglobin levels. The main-study screening period may last up to 60 days; the treatment day is Day 0 (D0). Safety follow-up continues through Week 52 post-dose. After completion of the main study, participants will enter long-term follow-up extending to 15 years post-dose.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Aged 3-17 years (inclusive); any sex.

The subject and/or his/her legally authorized guardian/representative must fully understand the study and voluntarily sign a written informed-consent form.

Karnofsky Performance Status (KPS) ≥ 70 (if ≥ 16 years old) or Lansky Performance Scale (LPS) ≥ 70 (if < 16 years old).

Detailed medical records of red-cell transfusions during the 2 years before informed-consent signature must be available, including volume or units transfused and pre-/post-transfusion red-cell and hemoglobin levels.

Disqualifiers

1.History of multiple drug allergies or hypersensitivity to oligonucleotides or lipid nanoparticles (LNP).

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

18 Participants
are divided into 1 treatment group
Group A: ArmsExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Adverse event rate

Calculate the rate of various adverse events

Time frame
From baseline to 52 weeks after dose
2

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
From baseline to 52 weeks after dose
3

3 months of sustained HbF level ≥20%

Proportion of patients who, starting one month after YOLT-204 treatment and without concomitant hydroxyurea, maintain HbF ≥ 20 % for at least three consecutive months.

Time frame
From baseline to 52 weeks after dose

Secondary outcomes

1

The proportion of alleles with intended modifications

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

Time frame
From baseline to 52 weeks after dose
2

Concentration of Hemoglobin

The concentration of Hemoglobin was measured by laboratory

Time frame
From baseline to 52 weeks after dose
3

Concentration of Fetal hemoglobin

The concentration of Fetal hemoglobin was measured by laboratory

Time frame
From baseline to 52 weeks after dose
4

Concentration of proportion of F cell

The proportion of F cell was measured by laboratory

Time frame
From baseline to 52 weeks after dose

Other outcomes

Sponsors and contacts

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