- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07527975
Long-Term Follow-up: Phase I/II Clinical Study to Evaluate the Safety and Efficacy of the Infusion of RP-L102
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Following the end of participation in Study(RP-L102-0418, RP-L102-0319, RP-L102-0118), patients will be offered enrollment into this LTFU protocol. Patients will be followed for up to 15 years following the RP-L102 infusion in the parent study, until the patient dies, withdraws consent, or is lost to follow-up (whichever occurs first).
For all follow-up visits, remote evaluation facilitated by local health care providers (with blood sample shipment to relevant laboratory facilities) is permitted; however, visits to the study center are required for up to 2 years post- RP-L102 infusion. Study center visits are encouraged when feasible, especially in years 2 through 5 following gene therapy administration. Blood samples will be archived and tested when clinically or scientifically indicated, as in the event of development of a second malignancy.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Locations
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Madrid, Spain, 28009
- Hospital Infantil Universitario Nino Jesus
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London, United Kingdom, WC1N 1EH
- University College London Great Ormond Street Institute of Child Health (GOSH)
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California
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Palo Alto, California, United States, 94305
- Lucille Packard Children's Hospital, Stanford University
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Enrolled in one of the RP-L102 parent studies (RP-L102-0418, RP-L102-0319, RP-L102-0118).
- Received an autologous infusion of CD34+ enriched cells transduced ex vivo with LV vector carrying the FANCA gene, PGK-FANCA-WPRE (RP-L102), in the parent studies.
- Able to adhere to the study visit schedule and other protocol requirements.
- Has provided written informed consent and, as applicable, assent to participate in the current study in accordance with current regulatory requirements.
Exclusion Criteria:
There are no criteria for exclusion in this study.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
|---|---|
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Subjects that received RP-L102 on the RP-L102-0418, RP-L102-0118 and RP-L102-0319 parent studies
Subjects that received RP-L102 on the RP-L102-0418, RP-L102-0118 and RP-L102-0319 parent studies and either completed the study or discontinued early.
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CD34+ enriched cells from subjects with Fanconi anemia subtype A (FA-A) transduced ex vivo with lentiviral vector carrying the FANCA gene, PGK-FANCA-WPRE
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Survival in patients treated in the RP-L102 parent studies (RP-L102-0418, RP-L102-0319, RP-L102-0118).
Time Frame: From infusion in parent study to 15-years post-infusion.
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Overall survival and allogeneic-HSCT-free survival will be summarized using Kaplan-Meier estimates.
Events for allogeneic-HSCT-free survival are allogeneic-HSCT or death.
In addition, event-free survival based on death and any of the following events will be summarized similarly: (1) BMF, (2) MDS/AML, and (3) BMF and MDS/AML.
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From infusion in parent study to 15-years post-infusion.
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Long term safety
Time Frame: From infusion in parent study to 15-years post-infusion.
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To evaluate long-term safety following infusion of hematopoietic cells transduced with the therapeutic lentiviral vector (LV).
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From infusion in parent study to 15-years post-infusion.
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Long-term persistence of the therapeutic LV (provirus) in hematopoietic cells in the bone marrow (BM) and blood.
Time Frame: From infusion in parent study to 15-years post-infusion.
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To determine long-term persistence of the therapeutic LV (provirus) in hematopoietic cells in the bone marrow (BM) and blood, and to evaluate potential correlations between provirus/transgene persistence and hematologic stability (absence of bone marrow failure [BMF] or hematologic malignancy).
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From infusion in parent study to 15-years post-infusion.
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Long-term clonality patterns.
Time Frame: From infusion in parent study to 15-years post-infusion.
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To determine long-term clonality patterns beyond the 3-year follow-up stipulated in the RP-L102 parent studies (RP-L102-0418, RP-L102-0319, RP-L102-0118).
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From infusion in parent study to 15-years post-infusion.
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Replication-competent lentivirus (RCL) in serum and peripheral blood cells.
Time Frame: From infusion in parent study to 15-years post-infusion.
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To evaluate, when relevant, replication-competent lentivirus (RCL) in serum and peripheral blood cells (this will not be considered relevant for subjects in whom no evidence of RCL was identified during the initial year following investigational autologous cell infusion).
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From infusion in parent study to 15-years post-infusion.
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Long-term stability and normalization of blood counts.
Time Frame: From infusion in parent study to 15-years post-infusion.
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To determine the long-term stability and normalization of blood counts in patients after RP-L102 infusion on the parent studies.
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From infusion in parent study to 15-years post-infusion.
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Phenotypic correction of BM and peripheral blood cells
Time Frame: From infusion in parent study to 15-years post-infusion.
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To determine the phenotypic correction of BM and peripheral blood (PB) cells (as evaluated by resistance to DNA-damaging agents) in long-term follow-up after gene therapy.
BM CFU MMC resistance will be summarized by percentage of patients with expression of ≥20% from at each timepoint
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From infusion in parent study to 15-years post-infusion.
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Incidence of hematologic malignancies and solid organ tumors.
Time Frame: From infusion in parent study to 15-years post-infusion.
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To enable preliminary assessment of the incidence of hematologic malignancies (including acute myeloid leukemia [AML]/myelodysplastic syndrome [MDS]) and solid organ tumors (including squamous cell carcinoma of the head and neck); occurrence of these events will be evaluated in the context of the underlying rates of these malignancies in Fanconi anemia (FA) patient populations (both those who have not undergone allogeneic stem cell transplant and FA patients post-hematopoietic stem cell transplantation [HSCT]).
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From infusion in parent study to 15-years post-infusion.
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Congenital Bone Marrow Failure Syndromes
- Bone Marrow Failure Disorders
- Genetic Diseases, Inborn
- Metabolic Diseases
- Hematologic Diseases
- Bone Marrow Diseases
- Anemia
- DNA Repair-Deficiency Disorders
- Anemia, Hypoplastic, Congenital
- Anemia, Aplastic
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Nutritional and Metabolic Diseases
- Hemic and Lymphatic Diseases
- Fanconi Anemia
Other Study ID Numbers
- RP-L102-0221-LTFU
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
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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