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临床试验/NCT03217617
NCT03217617尚未招募1 期

Gene Therapy for X-linked Severe Combined Immunodeficiency (SCID-X1) Via Direct Intravenous Injection of Lentiviral Vector (Ivlv-X1)

Shenzhen Geno-Immune Medical Institute4 个研究点 分布在 1 个国家目标入组 10 人开始时间: 2027年6月30日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
尚未招募
入组人数
10
试验地点
4
主要终点
Overall survival

研究概览

简要总结

This is a Phase I/II gene therapy trial treating X-linked severe combined immunodeficiency (SCID-X1) using a self-inactivating lentiviral vector (ivlv-X1) to functionally correct the genetic defect. The primary objectives are to evaluate the safety and efficacy of the direct intravenous lentiviral gene transfer protocol.

详细描述

Important Regulatory Notice:

This trial record is only for global academic information registration on ClinicalTrials.gov. Neither the sponsor Beijing Meikang Jimian Biotechnology Co., Ltd. nor collaborator Shenzhen Geno-Immune Medical Institute has obtained NMPA clinical trial approval or clinical technology filing permission to carry out interventional cell therapy trials in mainland China.

ClinicalTrials.gov registration alone does not represent legal approval by Chinese health and drug regulatory authorities.

X-linked severe combined immunodeficiency (SCID-X1) is a genetic disorder caused by defect in the common cytokine receptor chain, normally on the surface of lymphocytes. Individuals with SCID-X1 lack the normal development of a functional immune system and so have difficulty fighting infections, which may lead to chronic or severe illness and death. X-SCID patients are normally rescued by a bone marrow transplant from a healthy donor. This trial aims to treat SCID-X1 using a self-inactivating lentiviral vector (LV) carrying a functional gene to correct the genetic defect. By direct intravenous (iv) injection of the LV (ivlv-X1) to modify immune cells in the body, this treatment may establish normal healthy immune cells and overcome the immunodeficiency.

The primary objectives are to evaluate the safety of the self-inactivating ivlv-X1-LV, the in vivo gene transfer protocol and the efficacy of immune reconstitution in patients overcoming frequent infections present at the time of treatment, assessment of iv LV gene transfer efficiency, and finally the long-term correction of immunodeficiency.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
1 Month 至 1 Year(Child)
性别
Male
接受健康志愿者

入选标准

  • Diagnosis of SCID-X1 based on:
  • A proven mutation in the common interleukin-2 receptor gamma chain gene as defined by direct sequencing of patient DNA.
  • T-cell immune deficiency defined as one or more of the following: CD3+ autologous T cells < 300/ul, or less than 50% of normal value for in vitro mitogen stimulation, or absent proliferation in vitro to antigen stimulation.
  • No available HLA identical related donor.
  • With severe infections, including but not limited to: pneumonitis; protracted diarrhea requiring total parenteral nutrition; infection with herpes viruses or adenovirus; disseminated BCG infection.
  • No cytogenetic abnormalities (medullary karyotype) and no detection of main rearrangements associated with acute leukemia.
  • No prior allogeneic stem cell transplantation.
  • Life expectancy ≥ 3 months.
  • Documented to be negative for HIV infection.
  • Written, informed consent obtained prior to any study-specific procedures.

排除标准

  • No available molecular diagnosis confirming SCID-X
  • Existence of an available HLA-identical related donor.
  • Diagnosis of active malignant disease other than EBV-associated lymphoproliferative disease.
  • Current treatment with any chemotherapeutic agent (becomes eligible if not on treatment for at least 1 month).
  • Patients with evidence of infection with HIV-1 or
  • Presence of a medical condition indicating that survival will be less than 4 weeks such as the requirement for mechanical ventilation, severe failure of a major organ system, or evidence of a serious, progressive infection that is refractory to medical treatment.
  • Current treatment with any immunosuppressive agent, excluding corticosteroids.
  • Patients, in the opinion of investigators, may not be eligible or not able to comply with the study.

研究组 & 干预措施

Single arm

Experimental

In vivo LV gene transfer to treat SCID-X1

干预措施: Direct intravenous injection of ivlv-X1 lentiviral vector (Biological)

结局指标

主要结局

Overall survival

时间窗: 1 year

Change of infection status

时间窗: 1 year

Overall immune reconstitution

时间窗: 1 year

T and B cell recovery

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Lung-Ji Chang

President

Shenzhen Geno-Immune Medical Institute

研究点 (4)

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