ISRCTN12458940
Active, not recruiting
Phase 1
A Phase I/II, study of autologous CD34+ haematopoietic stem cells transduced ex vivo with CD11B lentiviral vector encoding human IDS tagged with ApoEII in patients with neuronopathic mucopolysaccharidosis type II (nMPS II, Hunters syndrome)
Overview
- Phase
- Phase 1
- Intervention
- Not specified
- Conditions
- Not specified
- Sponsor
- niversity of Manchester
- Enrollment
- 5
- Status
- Active, not recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •1\. Written informed consent from a legally authorized guardian
- •2\. Male, age at consent \=3 months and \=12 months
- •3\. Normal cognitive function or mild cognitive dysfunction (patient has a Development Quotient \[DQ] score \=70 at screening as determined by the Bayley Scale of Infant Development\-third edition (BSID\-III), cognitive domain), or assessed as normal or only mildly impaired by experienced neuropsychologist
- •4\. Close male relative with known severe (progressive neuronopathic) phenotype of MPSII, or genotype associated with progressive neuronopathic phenotype. This is to be confirmed by the independent expert reviewers.
- •5\. IDS activity \=10% of the Lower Limit of Normal as measured in leucocytes or plasma, plus either:
- •5\.1\. A normal enzyme activity level of at least one other sulfatase (to rule out multiple sulfatase deficiency) as measured in leucocytes, or
- •5\.2\. A documented mutation in the IDS gene
- •6\. Medically stable and able to accommodate the protocol requirements, including travel without placing an undue burden on the patient/patient’s family, as determined by the CI
- •7\. Patients and their parents/legal guardians must be willing and able to comply with study restrictions and to commit to attend clinic for the required duration during the study and follow\-up period as specified in the protocol
Exclusion Criteria
- •1\. The patient has previously received stem cell or gene therapy
- •2\. The patient has received modified intravenous ERT or intrathecal ERT in a trial setting
- •3\. Patient currently enrolled in another interventional clinical trial
- •4\. The patient has a history of poorly controlled seizures
- •5\. Hemizygous for mutation known to be associated with non\-neuropathic phenotype
- •6\. The patient is currently receiving psychotropic or other medications which, in the CI’s opinion, would be likely to substantially confound test results
- •7\. The patient has received any investigational medicinal product (including Genistein) within 30 days prior to the Baseline visit or is scheduled to receive any investigational medicinal product during the course of the study
- •8\. Documented Human Immunodeficiency Virus (HIV) infection (positive HIV RNA and/or anti\-p24 antibodies)
- •9\. Malignant neoplasia (except local skin cancer) or a documented history of hereditary cancer syndrome. Patients with a prior successfully treated malignancy and a sufficient follow\-up to exclude recurrence (based on oncologist opinion) can be included after discussion and approval by the Medical Monitor
- •10\. Myelodysplasia, cytogenetic alterations characteristic of myelodysplastic syndrome and acute myeloid leukaemia, or other serious haematological disorders
Outcomes
Primary Outcomes
Not specified
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