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Evaluation of Efficacy and Safety of a Single Dose of CTX001 in Participants With Transfusion-Dependent β-Thalassemia and Severe Sickle Cell Disease

Evaluation of Efficacy and Safety of a Single Dose of CTX001 in Participants With Transfusion-Dependent β-Thalassemia and Severe Sickle Cell Disease

Recruiting
12-35 years
All
Phase 3

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Overview

This is a single-dose, open-label study in participants with transfusion-dependent β-thalassemia (TDT) or severe sickle cell disease (SCD). The study will evaluate the safety and efficacy of autologous CRISPR-Cas9 modified CD34+ human hematopoietic stem and progenitor cells (hHSPCs) using CTX001.

Eligibility

Key Inclusion Criteria:

  • Participants with TDT and SCD:
    • Eligible for autologous stem cell transplant as per investigator's judgment.
  • Participants with TDT:
    • Diagnosis of TDT as defined by:
      • Documented homozygous β-thalassemia 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
      • History of at least 100 milliliter (mL)/kilograms (kg)/year or 10 units/year of packed red blood cells (RBC) transfusions in the prior 2 years before signing the consent or the last rescreening for patients going through re-screening
  • Participants with SCD:
    • Diagnosis of severe SCD as defined by:
      • Documented SCD genotypes
      • History of at least two severe VOCs events per year for the previous two years prior to enrollment

Key Exclusion Criteria:

  • Participants with TDT and SCD:
    • A willing and healthy 10/10 human leukocyte antigen (HLA)-matched related donor is available per investigator's judgement
    • Prior hematopoietic stem cell transplant (HSCT)
    • Clinically significant and active bacterial, viral, fungal, or parasitic infection as determined by the investigator
  • Participants with TDT:
    • Participants with associated α-thalassemia and >1 alpha deletion, or alpha multiplications
    • Participants with sickle cell β-thalassemia variant
  • Participants with SCD:
    • History of untreated moyamoya syndrome or presence of moyamoya syndrome at screening

Other protocol defined Inclusion/Exclusion criteria may apply.

Study details
    Beta-Thalassemia
    Thalassemia
    Hematologic Diseases
    Genetic Diseases
    Inborn
    Hemoglobinopathies
    Sickle Cell Anemia
    Sickle Cell Disease

NCT05477563

Vertex Pharmaceuticals Incorporated

28 May 2024

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