Adenosine Deaminase Severe Combined Immunodeficiency (ADA-SCID) Registry for Patients Treated With Strimvelis (Previously GSK2696273) Gene Therapy: Long-Term Prospective, Non-Interventional Follow-up of Safety and Effectiveness
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- Overall survival
研究概览
简要总结
Adenosine deaminase (ADA) enzyme deficiency results in severe combined immunodeficiency (SCID), a fatal autosomal recessive inherited immune disorder. Strimvelis (or GSK2696273) is a gene therapy intended for patients with ADA-SCID and for whom no suitable human leukocyte antigen (HLA) matched related stem cell donor is available. This therapy aims to restore ADA function in hematopoietic cell lineages, and in doing so prevents the pathology caused by purine metabolites (i.e., impaired immune function). This registry evaluates the long term safety and effectiveness outcomes of subjects who have received Strimvelis and is conducted as a post approval safety study associated with EMA marketing authorisation of Strimvelis™. In this study will be also included patients for whom the gene therapy medicinal product has been prepared starting from mobilized peripheral blood (mPB)-derived CD34+ cells (mPB-GT).
详细描述
This is a prospective and retrospective, non-interventional follow-up registry of patients with ADA-SCID treated with Strimvelis™. The registry does not have a comparator group and the product will have been given on a single occasion prior to entering this registry. Safety and effectiveness will be assessed for a target number of 50 patients who will have received Strimvelis™ or GSK2696273 or mPB-GT. The end of enrollment will be after the recruitment of the 50th patient and the registry will close when the 50th patient finishes the 15- year follow-up.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Other
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with ADA-SCID, treated with Strimvelis™ or GSK2696273, as part of its clinical development program or mPB-GT.
- •Adult patients, or patients for whom their parents or legal guardians have signed the informed consent form for participation in the registry.
- •There are no formal
排除标准
- •for participation as this registry will follow all patients who have received Strimvelis™ or GSK2696273, or mPB-GT prior to enrollment, subject to informed consent.
结局指标
主要结局
Overall survival
时间窗: After 15 years of follow-up, it will continue to be solicited every 2 years until the registry closes
Number and causes of death and time of onset of fatal events will be summarized. Starting time will be the date of therapy administration.
Absolute cluster of differentiation (CD)3+ T-cell for Immune reconstitution assessment
时间窗: Up to 15 years
CD3+ T-cell counts will be assessed
Number of subjects with the use of medications/treatments of interest
时间窗: Up to 15 years
Subjects requiring ERT, HSCT, radiotherapy or cytotoxic agents will be assessed
Growth percentile in body weight
时间窗: Up to 15 years
Subject's weight will be superimposed against gender specific WHO standard growth charts
Percentage of subjects with severe infections
时间窗: Up to 15 years
Severe infection is defined as an infection requiring hospitalization or prolonging hospitalization
Absolute CD19+ B-cell counts for Immune reconstitution assessment
时间窗: Up to 15 years
CD19+ B-cell counts will be assessed
Vector copy number measured in peripheral blood mononuclear cells (PBMCs)
时间窗: Up to 15 years
Vector copy number will be measured
Length of hospital stay
时间窗: Up to 15 years
Duration of the hospitalization will be monitored
Absolute peripheral lymphocyte for Immune reconstitution assessment
时间窗: Up to 15 years
Peripheral lymphocyte will be assessed
Intervention free survival
时间窗: Up to 15 years
Intervention is defined as hematopoietic stem cell transplantation (HSCT) or \>3 months of enzyme replacement therapy (ERT)
Phytohaemagglutinin (PHA) and anti CD-3 as a measure for T cell function
时间窗: Up to 15 years
Phytohaemagglutinin (PHA) and anti CD-3 will be assessed
Growth percentile in body height
时间窗: Up to 15 years
Subject's height will be superimposed against gender specific World Health Organization (WHO) standard growth charts
Deoxyadenosine nucleotides (dAXP) levels in red blood cells for the measurement of systemic metabolite detoxification
时间窗: Up to 15 years
Deoxyadenosine nucleotides (dAXP) levels will be assessed in red blood cells
Number of subjects with adverse events of interest
时间窗: Up to 15 years (oncogenesis will continue to be solicited every 2 years until the registry closes)
AEs and SAEs related to medical or surgical procedures associated with Strimvelis™ administration (e.g. central venous catheter, busulfan conditioning); oncogenesis, autoimmunity, unsuccessful response to gene therapy, hypersensitivity to the product, risks related to residuals present in the drug product administered to the patient, risks related to short shelf-life of product, non-immunologic manifestations of ADA-SCID (e.g. hepatic steatosis, cognitive defects, behavioural abnormalities, hearing impairment), replication competent retrovirus.
Number of subjects with fertility and pregnancy related outcomes
时间窗: After 15 years of follow-up, it will continue to be solicited every 2 years until the registry closes
Labor and delivery information, full term pregnancy, caesarean section, abortion, miscarriage, ectopic, stillbirth rates will be assessed. Both male and female fertility issues will be analyzed.
Number of subjects with severe infections
时间窗: Up to 15 years
Severe infection is defined as an infection requiring hospitalization or prolonging hospitalization
Scores for Ages and Stages Questionnaire-3[ASQ-3]
时间窗: Up to 15 years
Where they are used routinely as part of a physician's standard of care or where permitted by local authorities as non-interventional assessments. The ASQ-3 includes a series of questions designed to assess 5 areas of development: communication, gross motor, fine motor, problem solving, and personal social. The questions target behaviours that are appropriate for particular developmental milestones.
Number of subjects with non-immunological manifestations of ADA SCID
时间窗: Up to 15 years
Subjects will be examined for hepatic steatosis, cognitive deficits, behavioural abnormalities including suspected or diagnosed attention deficit hyperactivity disorder, autism, or hearing impairment
Pediatric development and quality of life data
时间窗: Up to 15 years
Determination of attendance at school, if appropriate for age; whether the child is in an age appropriate grade/class at school; whether the child requires special educational support (example \[e.g.\] dedicated tutor); participation in sports as desired by child; requirement for hearing aid(s); adequate response to childhood vaccinations; severity of impact of a child's health on the guardian's intended employment and Karnofsky/Lansky performance status
Scores for Pediatric Quality of Life Questionnaire (Peds-QL)
时间窗: Up to 15 years
Where they are used routinely as part of a physician's standard of care or where permitted by local authorities as non-interventional assessments. The Peds-QL is a generic Health-Related Quality of Life (HR QoL) instrument designed specifically for a pediatric population. It captures the following domains: general health/activities, feelings/emotional, social functioning, school functioning. Higher scores indicate better quality of life (QOL) for all domains of the Peds-QL. This modular instrument uses a 5-point scale: from 0 (never) to 4 (almost always). Items are reversed scored and linearly transformed to a 0-100 scale as follows: 0=100, 1=75, 2=50, 3=25, 4=0. 4 dimensions (physical, emotional, social, \& school functioning) are scored.
Number of subjects with any adverse events (AEs) and any serious adverse events (SAEs) as a safety measure
时间窗: Up to 15 years
AE is any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect or any other situation according to medical or scientific judgement will be categorized as SAE
Number of subjects with abnormal clinical laboratory blood test results as a safety measure
时间窗: Up to 15 years
Biochemistry, hematology and TSH parameters were assessed
Data from Retroviral Insertion Site (RIS) analysis and replication competent retrovirus (RCR)
时间窗: Up to 15 years
RIS and RCR will be performed when suspected malignancy or after a diagnosis of malignancy
次要结局
未报告次要终点
