Ignite Creation Date:
2025-12-24 @ 1:17 PM
Ignite Modification Date:
2026-01-27 @ 2:15 AM
Study NCT ID:
NCT05356195
Status:
RECRUITING
Last Update Posted:
2025-10-14
First Post:
2022-04-07
Is NOT Gene Therapy:
True
Has Adverse Events:
False
Brief Title:
Evaluation of Safety and Efficacy of CTX001 in Pediatric Participants With Transfusion-Dependent β-Thalassemia (TDT)
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D017086', 'term': 'beta-Thalassemia'}, {'id': 'D013789', 'term': 'Thalassemia'}, {'id': 'D030342', 'term': 'Genetic Diseases, Inborn'}, {'id': 'D006402', 'term': 'Hematologic Diseases'}, {'id': 'D006453', 'term': 'Hemoglobinopathies'}], 'ancestors': [{'id': 'D000745', 'term': 'Anemia, Hemolytic, Congenital'}, {'id': 'D000743', 'term': 'Anemia, Hemolytic'}, {'id': 'D000740', 'term': 'Anemia'}, {'id': 'D006425', 'term': 'Hemic and Lymphatic Diseases'}, {'id': 'D009358', 'term': 'Congenital, Hereditary, and Neonatal Diseases and Abnormalities'}]}, 'interventionBrowseModule': {'meshes': [{'id': 'C000729927', 'term': 'exagamglogene autotemcel'}]}}, 'protocolSection': {'designModule': {'phases': ['PHASE3'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'NA', 'maskingInfo': {'masking': 'NONE'}, 'primaryPurpose': 'TREATMENT', 'interventionModel': 'SINGLE_GROUP'}, 'enrollmentInfo': {'type': 'ESTIMATED', 'count': 15}}, 'statusModule': {'overallStatus': 'RECRUITING', 'startDateStruct': {'date': '2022-05-03', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2025-02', 'completionDateStruct': {'date': '2026-05-31', 'type': 'ESTIMATED'}, 'lastUpdateSubmitDate': '2025-10-09', 'studyFirstSubmitDate': '2022-04-07', 'studyFirstSubmitQcDate': '2022-04-29', 'lastUpdatePostDateStruct': {'date': '2025-10-14', 'type': 'ESTIMATED'}, 'studyFirstPostDateStruct': {'date': '2022-05-02', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2026-05-31', 'type': 'ESTIMATED'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Proportion of Participants who Achieve Transfusion Independence for at Least 12 Consecutive Months (TI12)', 'timeFrame': 'Up to 24 Months After CTX001 Infusion'}], 'secondaryOutcomes': [{'measure': 'Proportion of Participants Achieving at Least 95 Percent (%), 90%, 85%, 75% and 50% Reduction in Annualized Transfusions', 'timeFrame': 'From Baseline up to 24 Months After CTX001 Infusion'}, {'measure': 'Transfusion Free Duration for Participants who Achieve TI12', 'timeFrame': 'Up to 24 Months After CTX001 Infusion'}, {'measure': 'Proportion of Alleles With Intended Genetic Modification Present in Peripheral Blood Over Time', 'timeFrame': 'Up to 24 Months After CTX001 Infusion'}, {'measure': 'Proportion of Alleles With Intended Genetic Modification Present in CD34+ Cells of the Bone Marrow Over Time', 'timeFrame': 'Up to 24 Months After CTX001 Infusion'}, {'measure': 'Change in Fetal Hemoglobin Concentration Over Time', 'timeFrame': 'From Baseline (Pre-transfusion) up to 24 Months After CTX001 Infusion'}, {'measure': 'Change in Total Hemoglobin Concentration Over Time', 'timeFrame': 'From Baseline (Pre-transfusion) up to 24 Months After CTX001 Infusion'}, {'measure': 'Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)', 'timeFrame': 'From Signing of Informed Consent up to 24 Months After CTX001 Infusion'}, {'measure': 'Proportion of Participants With Engraftment (First day of 3 Consecutive Measurements of Absolute Neutrophil Count [ANC] ≥500 per Microliter [mcgL] on 3 Different Days)', 'timeFrame': 'Within 42 Days After CTX001 Infusion'}, {'measure': 'Time to Engraftment', 'timeFrame': 'Up to 24 Months After CTX001 Infusion'}, {'measure': 'Incidence of Transplant-related Mortality (TRM) Within 100 Days After CTX001 Infusion', 'timeFrame': 'Within 100 Days After CTX001 Infusion'}, {'measure': 'Incidence of TRM Within 12 Months After CTX001 Infusion', 'timeFrame': 'Within 12 Months After Infusion'}, {'measure': 'Incidence of All-cause Mortality', 'timeFrame': 'From Signing of Informed Consent up to 24 Months After CTX001 Infusion'}, {'measure': 'Relative Reduction in Annualized Volume and Episodes of RBC Transfusions starting Month 10 After CTX001 infusion', 'timeFrame': 'From Baseline up to 24 Months After CTX001 Infusion'}]}, 'oversightModule': {'isFdaRegulatedDrug': True, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'conditions': ['Beta-Thalassemia', 'Thalassemia', 'Genetic Diseases, Inborn', 'Hematologic Diseases', 'Hemoglobinopathies']}, 'descriptionModule': {'briefSummary': 'This is a single-dose, open-label study in pediatric participants with TDT. The study will evaluate the safety and efficacy of autologous CRISPR-Cas9 modified CD34+ human hematopoietic stem and progenitor cells (hHSPCs) (CTX001).'}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['CHILD'], 'maximumAge': '11 Years', 'minimumAge': '2 Years', 'healthyVolunteers': False, 'eligibilityCriteria': "Key Inclusion Criteria:\n\n* Diagnosis of TDT as defined by:\n\n * Documented homozygous or compound heterozygous β-thalassemia including β-thalassemia/hemoglobin E (HbE). Participants can be enrolled based on historical data, but a confirmation of the genotype using the study central laboratory will be required before busulfan conditioning\n * History of at least 100 mL/kilograms (kg)/year of packed RBC transfusions in the prior 24 months before signing of consent (or the last rescreening for patients going through repeat screening) or, for participants initiating transfusion therapy \\<24 months before signing of consent, requirement for packed RBC transfusion at least every 3 to 4 weeks for ≥6 months\n* Eligible for autologous stem cell transplant as per investigator's judgment.\n\nKey Exclusion Criteria:\n\n* A willing and healthy 10/10 human leukocyte antigen (HLA)-matched related donor is available per investigator's judgement\n* Prior hematopoietic stem cell transplant (HSCT)\n* Participants with associated α-thalassemia and \\>1 alpha deletion, or alpha multiplications\n* Participants with sickle cell β-thalassemia variant\n* Clinically significant and active bacterial, viral, fungal, or parasitic infection as determined by the investigator\n\nOther protocol defined Inclusion/Exclusion criteria may apply."}, 'identificationModule': {'nctId': 'NCT05356195', 'briefTitle': 'Evaluation of Safety and Efficacy of CTX001 in Pediatric Participants With Transfusion-Dependent β-Thalassemia (TDT)', 'organization': {'class': 'INDUSTRY', 'fullName': 'Vertex Pharmaceuticals Incorporated'}, 'officialTitle': 'A Phase 3 Study to Evaluate the Safety and Efficacy of a Single Dose of CTX001 in Pediatric Subjects With Transfusion-Dependent β-Thalassemia', 'orgStudyIdInfo': {'id': 'VX21-CTX001-141'}, 'secondaryIdInfos': [{'id': '2021-002172-39', 'type': 'EUDRACT_NUMBER'}]}, 'armsInterventionsModule': {'armGroups': [{'type': 'EXPERIMENTAL', 'label': 'CTX001', 'description': 'CTX001 (autologous CD34+ hHSPCs modified with CRISPR-Cas9 at the erythroid lineage-specific enhancer of the BCL11A gene). Participants will receive single infusion of CTX001 through central venous catheter.', 'interventionNames': ['Biological: CTX001']}], 'interventions': [{'name': 'CTX001', 'type': 'BIOLOGICAL', 'otherNames': ['Exagamglogene autotemcel', 'Exa-cel'], 'description': 'Administered by intravenous infusion following myeloablative conditioning with busulfan.', 'armGroupLabels': ['CTX001']}]}, 'contactsLocationsModule': {'locations': [{'zip': '37203', 'city': 'Nashville', 'state': 'Tennessee', 'status': 'RECRUITING', 'country': 'United States', 'facility': "TriStar Medical Group Children's Specialists - Pediatric Oncology", 'geoPoint': {'lat': 36.16589, 'lon': -86.78444}}, {'city': 'Toronto', 'status': 'RECRUITING', 'country': 'Canada', 'facility': 'Hospital for Sick Children - Hematology', 'geoPoint': {'lat': 43.70643, 'lon': -79.39864}}, {'city': 'Düsseldorf', 'status': 'RECRUITING', 'country': 'Germany', 'facility': 'University Hospital Dusseldorf - Department of Pediatric Oncology, Hematology and Clinical Immunology', 'geoPoint': {'lat': 51.22172, 'lon': 6.77616}}, {'city': 'Rome', 'status': 'RECRUITING', 'country': 'Italy', 'facility': 'IRCSS Ospedale Pediatrico Bambino Gesu - Dipartimento di Onco-Ematologia e Terapia Cellulare e Genica', 'geoPoint': {'lat': 41.89193, 'lon': 12.51133}}, {'city': 'London', 'status': 'RECRUITING', 'country': 'United Kingdom', 'facility': 'Great Ormond Street Hospital for Children', 'geoPoint': {'lat': 51.50853, 'lon': -0.12574}}, {'city': 'London', 'status': 'RECRUITING', 'country': 'United Kingdom', 'facility': "St.Mary's Hospital - Children's Clinical Research Facility", 'geoPoint': {'lat': 51.50853, 'lon': -0.12574}}], 'centralContacts': [{'name': 'Medical Information', 'role': 'CONTACT', 'email': 'medicalinfo@vrtx.com', 'phone': '617-341-6777'}]}, 'ipdSharingStatementModule': {'ipdSharing': 'NO', 'description': 'Details on Vertex data sharing criteria and process for requesting access can be found at: https://www.vrtx.com/independent-research/clinical-trial-data-sharing'}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Vertex Pharmaceuticals Incorporated', 'class': 'INDUSTRY'}, 'collaborators': [{'name': 'CRISPR Therapeutics', 'class': 'INDUSTRY'}], 'responsibleParty': {'type': 'SPONSOR'}}}}