Efficacy and Safety of the Cryopreserved Formulation of OTL-101 in Subjects With ADA-SCID (NCT03765632) | Clinical Trial Compass
CompletedPhase 1/2
Efficacy and Safety of the Cryopreserved Formulation of OTL-101 in Subjects With ADA-SCID
United Kingdom13 participantsStarted 2018-01-03
Plain-language summary
This is a prospective, non-randomized, single-cohort, longitudinal, single-center, clinical study designed to assess the efficacy and safety of a cryopreserved formulation of OTL-101 (autologous CD34+ hematopoietic stem/progenitor cells transduced ex vivo with EFS (Elongation Factor 1α Short form) Lentiviral Vector (LV) encoding for the human ADA gene) administered to ADA-SCID subjects between the ages of \>/=30 days and \<18 years of age, who are not eligible for an Human Leukocyte Antigen (HLA) matched sibling/family donor and meeting the inclusion/exclusion criteria. The OTL-101 product is infused after a minimal interval of at least 24 hours following the completion of reduced intensity conditioning. For subjects who successfully receive the OTL-101 product, pegademase bovine (PEG-ADA) Enzyme Replacement Therapy (ERT) is discontinued at Day+30 (-3/+15) after the transplant. After their discharge from hospital, the subjects will be seen at regular intervals to review their history, perform examinations and draw blood samples to assess immunity and safety.
Who can participate
Age range30 Days – 17 Years
SexALL
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Inclusion criteria
✓. Provision of written informed consent prior to any study related procedures. In this study consent must be provided by the parents/legal guardians and, where applicable according to local laws, a signed assent from the child
✓. Subjects ≥30 days and \<18 years of age,
✓. With a diagnosis of ADA-SCID based on:
✓. . Evidence of ADA deficiency, defined as: i. Decreased ADA enzymatic activity in erythrocytes, leukocytes, skin fibroblasts, or in cultured foetal cells to levels consistent with ADA-SCID as determined by the reference laboratory, or ii. Identified mutations in ADA alleles consistent with a severe reduction in ADA activity,
✓. . Evidence of ADA-SCID based on either: i. Family history of a first order relative with ADA deficiency and clinical and laboratory evidence of severe immunologic deficiency, or ii. Evidence of severe immunologic deficiency in subjects prior to the institution of immune restorative therapy, based on
✓. Ineligible for or with no available matched family donor for allogeneic Bone Marrow (BM) transplantation, defined as the absence of a medically eligible HLA-identical sibling or family donor, with normal immune function, who could serve as an allogeneic bone marrow donor.
✓. Females of child-bearing age will be required to provide a negative pregnancy test 30 days prior to Visit 2.
What they're measuring
1
Overall survival at 12 months post OTL-101 infusion
Timeframe: 12 Months
2
Event free survival at 12 months post OTL-101 infusion
Timeframe: 12 Months
Trial details
NCT IDNCT03765632
SponsorGreat Ormond Street Hospital for Children NHS Foundation Trust
✓. Subjects and their parents/legal guardians must be willing and able to comply with study restrictions and to remain at the clinic for the required duration during the study period and willing to return to the clinic for the follow up evaluation as specified in the protocol.
Exclusion criteria
✕. Ineligible for autologous hematopoietic stem cell (HSC) procedure.
✕. Other conditions which in the opinion of the Principal Investigator and/or Co-Investigators, contraindicate the harvest of bone marrow, the administration of Busulfan and the infusion of transduced cells, or which indicate an inability of the subject or subject's parent/legal guardian to comply with the protocol.
✕. Haematologic abnormality, defined as:
✕. Pulmonary abnormality, defined as:
✕. Cardiac abnormality, defined as:
✕. Neurologic abnormality, defined as:
✕. Known history of significant renal abnormality.
✕. Known history of significant hepatic or gastrointestinal abnormality.