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Gene Therapy

Gene Transfer for Sickle Cell Disease

Phase 1
Waitlist Available
Led By Erica Esrick, MD
Research Sponsored by David Williams
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Age 3 years to 40 years
Failure of hydroxyurea therapy
Must not have
Contraindication to bone marrow harvest or conditioning medication
Uncontrolled infection
Timeline
Screening 3 weeks
Treatment Varies
Follow Up at 6 weeks post gene transfer then every 6 months until 2 years after gene transfer
Awards & highlights

Summary

This trial will test whether using gene therapy to change the expression of a particular gene will lead to increased fetal hemoglobin production in people with sickle cell disease.

Who is the study for?
This trial is for people aged 3-40 with severe Sickle Cell Disease (SCD) who've had multiple pain events, acute chest syndrome, or need chronic transfusions. They must have tried hydroxyurea without success and can't have a matching bone marrow donor. Participants should be in stable health otherwise and willing to follow up for 15 years.
What is being tested?
The trial tests gene therapy using the patient's own modified blood stem cells to treat SCD. It involves a single infusion of these engineered cells aiming to increase fetal hemoglobin production which could potentially cure SCD.
What are the potential side effects?
Potential side effects may include reactions similar to those experienced during bone marrow transplants such as infection risk due to immune suppression from chemotherapy, discomfort at the infusion site, and possible organ inflammation.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am between 3 and 40 years old.
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Hydroxyurea treatment did not work for me.
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I don't have a family member who is a perfect match for a bone marrow donation.
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I have sickle cell disease with a specific genetic type.
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I have severe symptoms from sickle cell disease.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I cannot undergo bone marrow harvest or take certain medications due to health reasons.
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I do not have any infections that aren't responding to treatment.
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I have a known bone marrow disorder or abnormal bone marrow cells.
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I have severe liver damage or hepatitis.
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I have had a transplant from a donor.
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I currently have cancer.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~at 6 weeks post gene transfer then every 6 months until 2 years after gene transfer
This trial's timeline: 3 weeks for screening, Varies for treatment, and at 6 weeks post gene transfer then every 6 months until 2 years after gene transfer for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Rescue of hematopoiesis after conditioning
Secondary study objectives
Expression of transgene

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment armExperimental Treatment1 Intervention
open-label, non-randomized, single center, pilot and feasibility, single arm cohort study of a single infusion of autologous bone marrow derived CD34+ HSC cells transduced with lentiviral vector containing a short-hairpin RNA targeting BC11A.

Find a Location

Who is running the clinical trial?

David WilliamsLead Sponsor
4 Previous Clinical Trials
50 Total Patients Enrolled
Erica Esrick, MDPrincipal InvestigatorBoston Children's Hospital
1 Previous Clinical Trials
6 Total Patients Enrolled

Media Library

Gene Transfer for Sickle Cell Disease (Gene Therapy) Clinical Trial Eligibility Overview. Trial Name: NCT03282656 — Phase 1
Sickle Cell Disease Research Study Groups: Treatment arm
Sickle Cell Disease Clinical Trial 2023: Gene Transfer for Sickle Cell Disease Highlights & Side Effects. Trial Name: NCT03282656 — Phase 1
Gene Transfer for Sickle Cell Disease (Gene Therapy) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03282656 — Phase 1
~1 spots leftby Sep 2025