NCT03157804

Lentiviral-mediated Gene Therapy of Fanconi Anemia Patients Subtype A

Clinical Trial Phase I / II to Evaluate the Safety and Efficacy of the Infusion of Autologous CD34 + Cells Transduced With a Lentiviral Vector Carrying the Gene FANCA in Patients With FA Subtype A (FANCOLEN-1)

• Status: Completed
• Phase: Phase 1 / Phase 2
• Study type: Interventional
• Enrollment: 9 (actual)
• Sponsor: Hospital Infantil Universitario Niño Jesús, Madrid, Spain · Academic / Other
• Sex: All
• Age: 1 Year – 21 Years
• Healthy volunteers: Not accepted

Summary

This is an open, Phase I / II clinical trial to evaluate the safety and efficacy of a hematopoietic gene therapy procedure with an orphan drug consisting of a lentiviral vector carrying the FANCA gene for patients with Fanconi Anemia of Subtype A . CD34 + cells derived from bone marrow and / or mobilized peripheral blood (fresh and / or cryopreserved) from patients with Fanconi subtype A (FA-A), will be transduced ex vivo with a lentiviral vector carrying the gene FANCA (orphan drug) . After transduction the cells will be inoculated in patients in order to restore their hematopoiesis with genetically corrected stem cells.

Detailed description

The main objective of this open-label Phase I / II clinical trial is to evaluate the safety and therapeutic efficacy of a hematopoietic gene therapy procedure with an orphan drug consisting of a lentiviral vector carrying the FANCA gene for patients with Fanconi's Anemia Subtype A. The drug to be administered to the patients consists of the cellular product resulting from the transduction of autologous CD34 + cells with the therapeutic lentiviral vector PGK-FANCA.Wpre \*. The dose of cells to infuse in the patients will be that obtained from the transduction process of between 3x10\^5 and 4x10\^6 CD34 + cells / kg of patient body weight. The cells will be infused intravenously in a single dose, after complete the transduction process. Follow-up period: 3 years after infusion of transduced cells. However, patients will be monitored outside the clinical trial over a 10-year period. Follow-up of the grafted transduced cells will be performed on peripheral blood and bone marrow samples.

Conditions

• Fanconi Anemia

Interventions

Type	Name	Description
PROCEDURE	IV administration of Genetically Engineered Hematopoietic Stem/Progenitors Cells (HSPCs)
BIOLOGICAL	Genetically Engineered Hematopoietic Stem/Progenitor Cells	Undergo infusion of genetically modified hematopoietic progenitor cell therapy
OTHER	Laboratory Biomarker Analysis	Correlative studies
BIOLOGICAL	Filgrastim	Given subcutaneously (SC)
DRUG	Plerixafor	Given SC
PROCEDURE	Bone Marrow Aspiration

Timeline

• Start date: 2016-01-07
• Primary completion: 2019-04-23
• Completion: 2023-09-08
• First posted: 2017-05-17
• Last updated: 2024-03-21

Locations

2 sites across 1 country: Spain