Severe sickle cell disease (SCD)
Conditions
Brief summary
Proportion of subjects who do not have any severe vaso-occlusive crises (VOCs) for at least 12 consecutive months (VF12) after CTX001 infusion. The evaluation of VF12 starts 60 days after the last red blood cell (RBC) transfusion for post- transplant support or SCD disease management.
Detailed description
Safety and tolerability of CTX001 based on adverse events (AEs), clinical laboratory values, vital signs, neutrophil engraftment, platelet engraftment, transplant-related mortality (TRM), and all-cause mortality., Proportion of subjects free from inpatient hospitalization for severe VOCs for at least 12 months (HF12) after CTX001 infusion. The evaluation of HF12 starts 60 days after last RBC transfusion for post-transplant support or SCD disease management., Relative reduction from baseline in annualized rate of severe VOCs up to 24 months after CTX001 infusion. The evaluation starts 60 days after last RBC transfusion for post-transplant support or SCD disease management, Duration of severe VOC free in subjects who have achieved VF12., Relative reduction from baseline in annualized rate of inpatient hospitalizations for severe VOCs up to 24 months after CTX001 infusion. The evaluation starts 60 days after last RBC transfusion for post-transplant support or SCD disease management., Relative reduction from baseline in annualized duration of hospitalization for severe VOCs up to 24 months after CTX001 infusion. The evaluation starts 60 days after last RBC transfusion for post-transplant support or SCD disease management., Proportion of subjects with sustained fetal hemoglobin (HbF) ≥20% at the time of analysis for at least 3 months, 6 months, or 12 months. The evaluation starts 60 days after last RBC transfusion for post-transplant support or SCD disease management, Proportion of subjects with sustained HbF ≥30% at the time of analysis for at least 3 months, 6 months, or 12 months. The evaluation starts 60 days after last RBC transfusion for post-transplant support or SCD disease management, Time for subjects to reach HbF ≥20%, Time for subjects to reach HbF ≥30%, Relative reduction from baseline in annualized volume of RBC transfusions, HbF concentrations over time, Hemoglobin (Hb) concentrations over time, Change from baseline in reticulocyte count (percent reticulocytes and absolute reticulocyte count) over time, Change from baseline in indirect bilirubin over time, Change from baseline in haptoglobin over time, Time to first detectable haptoglobin post CTX001 infusion, Change from baseline in lactate dehydrogenase (LDH) over time, Time to first normalized LDH (defined as within normal limits per local laboratory) post CTX001 infusion., Proportion of alleles with intended genetic modification present in peripheral blood over time, Proportion of alleles with intended genetic modification present in CD34+ cells of the bone marrow over time
Interventions
Sponsors
Eligibility
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of subjects who do not have any severe vaso-occlusive crises (VOCs) for at least 12 consecutive months (VF12) after CTX001 infusion. The evaluation of VF12 starts 60 days after the last red blood cell (RBC) transfusion for post- transplant support or SCD disease management. | — |
Secondary
| Measure | Time frame |
|---|---|
| Safety and tolerability of CTX001 based on adverse events (AEs), clinical laboratory values, vital signs, neutrophil engraftment, platelet engraftment, transplant-related mortality (TRM), and all-cause mortality., Proportion of subjects free from inpatient hospitalization for severe VOCs for at least 12 months (HF12) after CTX001 infusion. The evaluation of HF12 starts 60 days after last RBC transfusion for post-transplant support or SCD disease management., Relative reduction from baseline in annualized rate of severe VOCs up to 24 months after CTX001 infusion. The evaluation starts 60 days after last RBC transfusion for post-transplant support or SCD disease management, Duration of severe VOC free in subjects who have achieved VF12., Relative reduction from baseline in annualized rate of inpatient hospitalizations for severe VOCs up to 24 months after CTX001 infusion. The evaluation starts 60 days after last RBC transfusion for post-transplant support or SCD disease manageme | — |
Countries
Germany, Italy