Safety and Efficacy Study of Human T Lymphoid Progenitor (HTLP) Injection After Partially HLA Compatible Allogeneic Hematopoietic Stem Cell Transplantation in SCID Patients (HTLP Necker)
A Phase I/II Study Evaluating the Safety and the Efficacy of Human T Lymphoid Progenitor (HTLP) Injection to Accelerate Immune Reconstitution After Partially HLA Compatible Allogeneic Hematopoietic Stem Cell Transplantation in SCID Patients
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Marina CAVAZZANA, MD & PhD
- Phone Number: +33 1 44 49 50 68
- Email: m.cavazzana@aphp.fr
Study Contact Backup
- Name: Jinmi BAEK
- Phone Number: +33 1 42 19 28 49
- Email: jinmi.beak@aphp.fr
Study Locations
-
-
Île-de-France Region
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Paris, Île-de-France Region, France, 75015
- Unité d'Immunologie Hématologie Rhumatologie Pédiatrique (UIHR),
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Pediatric patients affected by any type of SCID confirmed by clinical, immunological and/or molecular diagnosis and eligible for an allogeneic HSCT
- Absence of a matched sibling donor or a matched unrelated donor (MUD) 10/10
- Clinical conditions incompatible with the search of a MUD
- Written, informed consent of parents/ legal representative (child)
- Age ≤ 2 years at the time of screening
- No prior therapy with allogeneic stem cell transplantation
- No treatment with another investigational drug within one month before inclusion
- Patient affiliated to social security
Exclusion Criteria:
- Presence of an HLA genoidentical donor
- Absence of written parental consent
- Treatment with another investigational drug within one month before inclusion
- Positive for HIV infection by genome PCR
- Contra-indication to allogeneic transplantation or conditioning therapy (except SCID patients with DNA repair deficiency)
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: Human T Lymphoid Progenitor (HTLP) injection
Human T Lymphoid Progenitor cells (HTLPs) obtained after a brief period of ex vivo culture in the presence of the fusion protein DL-4, Retronectin® and a combination of cytokines
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Injection of progenitors derived from HTLP culture at Day 8-Day 12 after partially HLA compatible allogeneic hematopoietic stem cell transplantation in SCID patients (Day7 of culture)
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Dose limiting toxicity (DLT)
Time Frame: 3 months post-transplant
|
to evaluate the procedure safety
|
3 months post-transplant
|
|
reconstitution of the CD3+ TCRαβ+ cell compartment
Time Frame: Month 3
|
determined by the presence of ≥ 300/µL total, circulating CD3+ TCRαβ+ T cells to evaluate the efficacy
|
Month 3
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Time course of reconstitution of the different T cell subpopulations
Time Frame: Month 3, month 6, month 12
|
time necessary to reach a normal number of naïve CD4+ and CD8+ T cells
|
Month 3, month 6, month 12
|
|
presence of recent thymic emigrants
Time Frame: Month 3, month 6, month 12
|
To evaluate the active thymopoiesis
|
Month 3, month 6, month 12
|
|
T-cell receptor excision circles (TREC ) number in peripheral blood
Time Frame: Month 3, month 6, month 12
|
To evaluate the active thymopoiesis
|
Month 3, month 6, month 12
|
|
TCR rearrangements
Time Frame: Month 3, month 6, month 12
|
By NGS analysis
|
Month 3, month 6, month 12
|
|
B-cell reconstitution
Time Frame: Month 6, month 12
|
number and phenotype for naïve IgD+CD27-, marginal zone IgD+CD27+, switched memory IgD-CD27+, and IgD-CD27- cells
|
Month 6, month 12
|
|
Immunoglobulin (Ig) levels
Time Frame: Month 6, month 12
|
Month 6, month 12
|
|
|
NK cell numbers
Time Frame: Month 6, month 12
|
Month 6, month 12
|
|
|
Cumulative incidence of infections
Time Frame: 12 months post-transplant
|
12 months post-transplant
|
|
|
Cumulative incidence of acute and chronic episodes of graft versus host disease (GVHD)
Time Frame: 24 months post-transplant
|
24 months post-transplant
|
|
|
Overall survival
Time Frame: 2 years post-transplant
|
2 years post-transplant
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Isabelle ANDRE, PhD, Institut National de la Santé Et de la Recherche Médicale, France
- Principal Investigator: Despina MOSHOUS, MD, PhD, Assistance Publique - Hôpitaux de Paris and Université Paris Descartes
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
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 (Actual)
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
Other Study ID Numbers
Other Study ID Numbers
- P150949J
- 2018-001029-14 (EudraCT Number)
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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