SCID-X1 Gene Therapy Via Intravenous Lentiviral (Ivlv-X1) Injection
Gene Therapy for X-linked Severe Combined Immunodeficiency (SCID-X1) Via Direct Intravenous Injection of Lentiviral Vector (Ivlv-X1)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
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.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Lung-Ji Chang, Ph.D
- Phone Number: 86-075586725195
- Email: c@szgimi.org
Study Locations
-
-
Guangdong
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Shenzhen, Guangdong, China, 518000
- Recruiting
- Shenzhen Geno-immune Medical Institute
-
Contact:
- Lung-Ji Chang, PhD
- Phone Number: 86-075586725195
- Email: c@szgimi.org
-
-
Guangxi
-
Guilin, Guangxi, China
- Recruiting
- Guilin Hospital of Chinese Traditional and Western Medicine
-
Contact:
- Qiyong Zhu, MD
- Phone Number: +86-13683284467
- Email: 1250109112@qq.com
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
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.
Exclusion Criteria:
- No available molecular diagnosis confirming SCID-X1.
- 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 2.
- 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.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Single arm
In vivo LV gene transfer to treat SCID-X1
|
ivlv-X1 LV intravenous injection at a dose of ~1x10e9/kg body weight.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall survival
Time Frame: 1 year
|
1 year
|
|
|
Overall immune reconstitution
Time Frame: 1 year
|
T and B cell recovery
|
1 year
|
|
Change of infection status
Time Frame: 1 year
|
1 year
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Lung-Ji Chang, Ph.D, Shenzhen Geno-immune Medical Institute
- Study Director: Qiyong Zhu, MD, Guilin Hospital of Chinese Traditional and Western Medicine
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Primary Immunodeficiency Diseases
- Genetic Diseases, Inborn
- Immune System Diseases
- Infant, Newborn, Diseases
- Immunologic Deficiency Syndromes
- Genetic Diseases, X-Linked
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Severe Combined Immunodeficiency
- X-Linked Combined Immunodeficiency Diseases
Other Study ID Numbers
Other Study ID Numbers
- GIMI-IRB-17014
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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