Table 1.
Characteristics of patients.
Variant | MLD01 | MLD02 | MLD03 |
---|---|---|---|
Demographics | |||
Ethnicity | Chinese | Chinese | Chinese |
Sex | Female | Female | Female |
Age at onsets, years | 14.0 | 5.5 | 4.0 |
Age at gene therapy, years | 18.1 | 6.8 | 4.5 |
Clinical features | |||
Clinical subtype | Juvenile | Juvenile | Juvenile |
ARSA mutation | c.251G > A; c.439delA | c.257G > A; c.827C > T | c.925G > A; c.1237G > A |
PSAP mutation | None | None | None |
Patient conditioning | |||
Busulfan | |||
Dose, mg/kg | 0.8 | 1.2 | 1.1 |
Total dosage, mg | 768.0 | 432.0 | 281.6 |
Duration of neutropenia | |||
Severea, days | 3.0 | 5.0 | 5.0 |
Absoluteb, days | 3.0 | 2.0 | 2.0 |
HSCGT dose, ×106 cells/kg | 7.1 | 10.0 | 7.8 |
Duration of follow-up, years | 9.6 | 6.9 | 4.5 |
Long-term outcomes | |||
ARSA activity, nmol/17 h/mg | |||
Baseline | 4.23 | 3.68 | 15.70 |
Last follow-up | 85.18 | 84.62 | 171.91 |
FIM score | |||
Baseline, motor points | 36.0 | 85.0 | 91.0 |
Last follow-up, motor points | 89.0 | 55.0 | 91.0 |
Baseline, cognition points | 6.0 | 15.0 | 35.0 |
Last follow-up, cognition points | 24.0 | 17.0 | 35.0 |
Baseline, total score points (level) | 42.0 (maximal assistance) | 77.0 (moderate assistance) | 126 (complete independence) |
Last follow-up, total score points (level) | 113.0 (modified independence) | 78.0 (moderate assistance) | 126 (complete independence) |
GMFC-MLD | |||
Baseline, points (level) | 4 | 0 | 0 |
Last follow-up, points (level) | 0 | 1 | 0 |
MRI lesion score | |||
Baseline, points (level) | 18.0 (moderate) | 21.0 (severe) | 1.0 (mild) |
Last follow-up, points(level) | 16.0 (moderate) | 14.0 (moderate) | 9.0 (moderate) |
Laboratory tests | |||
VCN of CD34+ | |||
Baseline, copy/cell | 0.0 | 0.0 | 0.0 |
After transduction, copy/cell | 0.21 | 0.79 | 0.32 |
VCN of PBMC | |||
Baseline, copy/cell | 0.0 | 0.0 | 0.0 |
Last follow-up, copy/cell | 0.16 | 0.08 | 0.26 |
aSevere neutropenia refers to an ANC < 500 × 106 neutrophils/L.
bAbsolute neutropenia was considered an ANC of 0 neutrophils/L.
Abbreviations: ND, not done; PT, post treatment.