Chronic Granulomatous Disease
Conditions
Keywords
Chronic Granulomatous Disease, Retroviral Vector, Gene Therapy
Brief summary
The purpose of this study is to evaluate the safety and efficacy of administration of autologous hematopoietic stem cells transduced with MT-gp91 retroviral vector for patients with X-linked chronic granulomatous disease.
Interventions
Autologous hematopoietic stem cells with MT-gp91 retroviral vector
Sponsors
Study design
Eligibility
Inclusion criteria
* gp91 defective male patients with chronic granulomatous disease: confirmed by DHR * Weigh greater than or equal to 15 kg * History of severe infections: more than 2 times * Performance status: ECOG 0-2 * Patients must be free of significant functional deficits in major organs, but the following eligibility criteria may be modified in individual cases. * Heart: a shortening fraction \> 28%; QTc interval \< 0.44 * Liver: total bilirubin \< 2 × upper limit of normal; ALT \< 3 × upper limit of normal; AST \< 3 x upper limit of normal * Kidney: creatine \< 2 x normal * Blood: WBC \> 2,500/uL; platelet \> 100,000/uL; hematocrit \> 26% * Written informed consent obtained from patient (or guardian if patients age \< 19)
Exclusion criteria
* Presence of a HLA-matched sibling for stem cell donation * Evidence or history of malignant tumor * Presence of a severe infection * Presence of an active tuberculosis * Uncorrectable electrolyte, Ca, P * Unable to comply with the protocol or to cooperate fully with the Investigator or site personnel
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of adverse events through 1 year | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| RCR, insertional mutagenesis, immune response against normal gp91 protein | 1 year |
| Safety and efficacy of fludarabine/busulfan conditioning | 1 year |
| Functional reconstitution of respiratory burst | 1 year |
| Presence of vector-positive cells | 1 year |
Countries
South Korea