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Gene therapy for SCID-X1 using a self-inactivating (SIN) gammaretroviral vector. - Gene therapy for SCID-X1

Phase 1
Conditions
X-Linked severe combined Immunodeficiency (SCID-X1)
MedDRA version: 9.1Level: LLTClassification code 10010099Term: Combined immunodeficiency
Registration Number
EUCTR2007-000684-16-GB
Lead Sponsor
Great Ormond Street Hospital NHS Trust / University College London - Institute of Child Health
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
Male
Target Recruitment
1
Inclusion Criteria

1a)No HLA identical (A,B,C,DR,DQ) family donor
b)No HLA identical unrelated donor available within 3 mths of diagnosis or
c)Patients whose underlying clinical problems and prognosis would be significantly compromised by chemotherapy conditioning (including persisting pneumonitis, protracted diarrhoea requiring parental nutrition, ongoing visceral viral infection (herpes viruses, HSV,VZV,CMV,EBV or adenovirus), systemic BCG infection, virus-induced lymphoproliferation.

2.Diagnosis of classical SCID-X1 based on immunophenotype (absent, or reduced numbers of non-functional T lymphocytes and confirmed by DNA sequencing (clinical genetics laboratory, GOSH)

3. Parental/guardian voluntary consent

Are the trial subjects under 18? yes
Number of subjects for this age range:
F.1.2 Adults (18-64 years) no
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

1.No available molecular diagnosis confirming SCID-X1

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: 1.Treatment of SCID-X1 patients by somatic gene therapy when HLA-matched family or unrelated bone marrow donors are unavailable.<br>2.Successful ex vivo transduction of CD34+ haematopoietic cells from SCID-X1 patients by ex vivo gammaretrovirus-mediated gene transfer.<br>3.Evaluation of immunological and functional reconstitution in progeny of engrafted cells.<br>4.Longitudinal evaluation of clinical effect in terms of augmented immunity. <br>5.Evaluation of the functional performance of novel SIN gammaretroviral configuration.<br>6.Evaluation of the molecular characteristics of vector integration.<br>7.Evaluation of safety.<br>;Secondary Objective: ;Primary end point(s): Immunological reconstitution<br>
Secondary Outcome Measures
NameTimeMethod
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