Table 1.
Gene therapy and gene editing clinical trials for β-thalassemia
Trial identifier | Phase/status | Enrolled patients | Myeloablative regimen | Mobilization protocol | Drug product | Sponsor/center |
---|---|---|---|---|---|---|
[25] |
Phase 1–2 Active, not recruiting |
TDT 9 (3 adults, 6 children) |
Treosulfan and Thiotepa | G-CSF and Plerixafor | Autologous HSCs genetically modified with GLOBE lentiviral vector encoding for the human β-globin gene |
IRCCS San Raffaele Fondazione Telethon Institute for Gene Therapy (SR-TIGET), Milan, Italy |
NCT01745120 (HGB-204) [24] |
Phase 1–2 Completed |
TM 18 (between 12 and 35 years of age) |
Busulfan | G-CSF and Plerixafor | Autologous HSCs transduced with LentiGlobin BB305 lentiviral vector encoding the human βA-T87Q-globin gene |
Bluebird bio 6 international sites |
NCT02151526 (HGB-205) [24] |
Phase 1–2 Completed |
TDT 4 (between 5 and 35 years of age) |
Busulfan (adjusted based on daily PK monitoring) | G-CSF and Plerixafor (after 3 months of enhanced transfusion) | Autologous HSCs transduced with LentiGlobin BB305 lentiviral vector encoding the human βA-T87Q-globin gene |
Bluebird bio Necker Children’s Hospital, Paris, France |
NCT02906202 (HGB 207) |
Phase 3 Active, not recruiting |
TDT non β0/β0, ≤ 50 years of age Estimated enrollment: 23 pts |
Busulfan | G-CSF and Plerixafor | Autologous HSCs transduced with LentiGlobin BB305 lentiviral vector encoding the human βA-T87Q-globin gene |
Bluebird bio 8 international sites |
NCT03207009 (HGB 212) |
Phase 3 Recruiting |
TDT β0/β0, β0/IVS-I-110, or IVS-I-110/IVS-I-110 ≤ 50 years of age Estimated enrollment: 18 pts |
Busulfan | G-CSF and Plerixafor | Utologous HSCs transduced with LentiGlobin BB305 lentiviral vector encoding the human βA-T87Q-globin gene |
Bluebird bio 9 international sites |
NCT03745287 |
Phase 1–2 Recruiting |
Estimated enrollment: 45 participants including SCD and other hematological disorders | Busulfan | NA | CTX001: autologous CD34 + HSPCs modified with CRISPR-Cas9 at the erythroid lineage-specific enhancer of the BCL11A gene |
Vertex Pharmaceuticals Incorporated/CRISPR Therapeutics 12 international sites |
NCT03432364 |
Phase 1–2 Recruiting |
TDT ≥ 18 and ≤ 40 years of age Estimated enrollment: 45 participants |
Busulfan | NA | ST-400: autologous CD34 + HSPCs genetically modified with ZFN technology at the erythroid-specific enhancer of the BCL11A gene |
Sangamo Therapeutics 6 sites in the United States |
TDT transfusion dependent thalassemia, TM thalassemia major, G-CSF granulocyte-colony stimulating factor, PK pharmacokinetics, SCD sickle cell disease, NA not available, hHSPCs Human Hematopoietic Stem and Progenitor Cells, ZFN zinc finger nuclease