This Phase I/II clinical trial consists of the application of lentiviral vector-based gene therapy to patients affected by Metachromatic Leukodystrophy (MLD), a rare inherited Lysosomal Storage Disorder (LSD) resulting from mutations in the gene encoding the Arylsulfatase A (ARSA) enzyme. The medicinal product consists of autologous CD34+ hematopoietic stem/progenitor cells in which a functional ARSA cDNA is introduced by means of 3rd generation VSV-G pseudotyped lentiviral vectors.
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Improvement of Gross Motor Function Measure (GMFM) score
Timeframe: 24 months after treatment
Increase of residual Arylsulfatase A (ARSA) activity
Timeframe: 24 months after treatment
Conditioning regimen-related safety
Timeframe: at +60 days after transplantation
Conditioning regimen-related toxicity
Timeframe: 3 years after treatment
The short-term safety and tolerability of lentiviral-transduced cell infusion
Timeframe: 48 hours after treatment infusion
The long-term safety of lentiviral-transduced cell infusion
Timeframe: baseline, 1, 3, 6, and 12 months after treatment, then once a year
The long-term safety of lentiviral-transduced cell infusion
Timeframe: baseline, 3, 6 and 12 months after treatment, then once a year
The long-term safety of lentiviral-transduced cell infusion
Timeframe: 6 and 12 months after treatment, then once a year