About this trial
An open-label, multi-center, phase I/II study to assess the safety, tolerability and efficacy of DFT383 in pediatric participants with nephropathic cystinosis, followed by a long-term extension phase.
The purpose of this clinical study is to assess safety, tolerability, and efficacy of DFT383 in participants aged 2 to 5 years with nephropathic cystinosis. The study consists of a Core Phase and a long-term Extension Phase. DFT383 is a cellular gene therapy.
This study includes an active arm (Cohort 1) of participants treated with study treatment DFT383 and a concurrent reference arm (Cohort 0). Participants in Cohort 0 will not receive study treatment and will only participate in the Core Phase of the study. The study is not randomized and Cohort 0 aims to collect prospective and concurrent data in this rare disease.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Informed consent in writing from parent(s) or legal guardian(s) must be provided
2 to 5 years of age (including 5 years and 364 days old) at Screening
Weight-for-stature is ≥ the third percentile, and is ≥ 10 kg
Oral cysteamine therapy for at least 6 months
Disqualifiers
A history of kidney transplantation
A prior or planned bone marrow or stem cell transplantation or prior treatment with gene therapy
History of malignancy
A severe or uncontrolled medical disorder
Trial design
Parallel
Treatments tested in this trial
DFT383
GeneticDFT383 is an autologous hematopoietic stem cell (HSC) gene therapy.
Treatment groups
Trial outcomes
Primary outcomes
Core Phase - Incidence of adverse events (Cohort 1)
Number and proportion of participants with adverse events (AEs) and serious adverse events (SAEs)
Core Phase - Number of participants with hematological reconstitution (Cohort 1)
Hematological reconstitution by Day 42 post-DFT383 infusion
Core Phase - Proportion of participants with reversal of renal Fanconi syndrome (RFS)
Proportion of participants with reversal of renal Fanconi syndrome (RFS)
Secondary outcomes
Core Phase - Number of participants independent from cysteamine
Independence from oral and ophthalmic cysteamine
Core Phase - Health-related quality of life (HRQOL)
Health-related quality of life (HRQOL) as measured by QUALIFY (cystinosis-specific PRO)- Currently under development
Core Phase - Time from infusion to reversal of RFS (Cohort 1)
Time from infusion to reversal of renal Fanconi syndrome (RFS)
Core Phase - Time from screening to reversal of RFS (Cohort 0)
Time from screening to reversal of renal Fanconi syndrome (RFS)
Sponsors and contacts
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