Table 2:
Clinical Trials for Gene therapy and editing in sickle cell disease
Strategy | NCT Number | Phase/Enrollment/Status | Results | Citations |
---|---|---|---|---|
Lentiviral transfer of γ-globinG16D – ARU-1801 | NCT02186418 | Phase 1/2 Enrollment- 10 Status: open |
Increased F-cells, no VOE | Grimley M, et al. 2020. Blood |
Lentiviral transfer of modified HBB encoding antisickling variant βA87Thr:Gln[βA-T87Q] LentiGlobin BB305 | NCT02151526 | Phase 1/2 Enrollment- 7 Status: closed |
Stable CBC, Decreased reticulocyte, decreased RBC sickling under hypoxia and improved RBC deformability |
Ribel JA et al. 2017. NEJM |
NCT02140554 | Phase 1/2 Enrollment- 50 Status: not recruiting* |
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NCT04293185 | Phase 3 Enrollment- 35 Status: recruiting* |
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AS3-FB vector transduced peripheral blood CD34+ cells | NCT02247843 | Phase 1/2 Enrollment- 6 Status: not recruiting |
None reported Pre-clinical: decreased sickling, engraftment of mice | Romero Z. et al. 2013. JCI |
Lentiviral targeting of γ-globin repressor BCL11A with BCH-BB694 BCL11A shmiR vector | NCT03282656 | Phase 1 Enrollment- 15 Status: SUSPENDED* |
Increased HbF, increased % F-cells, increased HbF per F cells | Esrick, EB. Et al. 2021. NEJM |
Reactivation of fetal hemoglobin by using Crisper-Cas (CTX001) editing to suppress BCL11A β-globin switch | NCT03745287 | Phase 1/2 Enrollment- 45 Status: recruiting |
Increased HbF, reduced transfusion needs and no VOE | Frangoul, H. et al. 2021. NEJM |
Studies were paused in March 2021 due to the development of myelodysplastic syndrome and acute myeloid leukemia in patients in NCT02140554 and NCT04293185 prompting suspension of NCT03282656 out of caution. NCT02140554 and NCT04293185 currently active.