Base Editing Hematopoietic Stem Cell and T Cell Gene Therapy for CD40L-HyperIgM Syndrome: Single Patient Study
Recruiting
Phase 1Phase 2Interventional Study
CD40L-HyperIgM Syndrome
No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
Prior Safety Data
This treatment has already been tested in at least one earlier human trial.
Ready to participate?
Review the details below, then apply to join this clinical trial.
At a Glance
Age
37 – 120
Sex
Male
Trial phase
Phase 1/2
Study type
Interventional
Purpose
Treatment
Participants needed
1 (estimated)
Sponsor
National Institute of Allergy and Infectious Diseases (NIAID) · NIH
Who this trial is looking for
This trial is looking for a male patient with CD40L-HyperIgM syndrome. Participants will receive edited stem cells and T cells to help treat their condition, along with supportive care.
Are You a Good Fit for This Trial?
You may be able to join if
I have signed and dated the informed consent form.
I am willing to comply with all study procedures.
I have the CD40L Q220X mutation.
I have liver abnormalities.
I have portal hypertension.
I can take oral medication.
I will use effective contraception.
I can understand and sign the informed consent document.
You may not be able to join if
I have allergies to components of the study products.
I have had a fever within two weeks before treatment.
I am unwilling to allow my information to be submitted for alemtuzumab.
I have been determined unqualified to receive alemtuzumab.
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
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Background:
X-linked hyper-IgM (HIGM) syndrome is caused by a mutation in the CD40 ligand (CD40L) gene. People with this disease have white blood cells that do not work properly. These people are at risk of severe infections and autoimmune diseases. Researchers want to know if these base-edited stem cells and T cells can help people with CD40L-HIGM syndrome.
Objective:
To test base-edited stem …
Background:
X-linked hyper-IgM (HIGM) syndrome is caused by a mutation in the CD40 ligand (CD40L) gene. People with this disease have white blood cells that do not work properly. These people are at risk of severe infections and autoimmune diseases. Researchers want to know if these base-edited stem cells and T cells can help people with CD40L-HIGM syndrome.
Objective:
To test base-edited stem cells and base-edited T cells in 1 person with CD40L-HIGM syndrome.
Eligibility:
A single male with CD40L-HIGM syndrome.
Design:
A single participant is planned to receive a single dose of edited stem cells and supportive treatment with edited T cells. Participant stem and T cells will undergo base editing to repair the mutation.
In preparation for the gene therapy, the participant will receive busulfan chemotherapy and alemtuzumab. After treatment, the participant will have follow-up visits every few months in the first 2 years after treatment. Long-term visits will continue annually for 15 years.
Trial Locations
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Eligibility Criteria
* INCLUSION CRITERIA:
This study is a single participant research study and to receive the study product, he needs to meet the following criteria:
* Provision of signed and dated informed consent form
* Stated willingness to comply with all study procedures and availability for the duration of the…
* INCLUSION CRITERIA:
This study is a single participant research study and to receive the study product, he needs to meet the following criteria:
* Provision of signed and dated informed consent form
* Stated willingness to comply with all study procedures and availability for the duration of the study
* Has CD40L Q220X mutation
* Defective class switching
* Liver abnormalities (transaminases\>UL)
* Portal hypertension
* Consensus from Hepatology Consult to receive myeloid conditioning
* Ability to take oral medication and be willing to adhere to the intervention regimen
* Use of condoms or other methods to ensure effective contraception with partner
* Ability of subject to understand and the willingness to sign a written informed consent document
EXCLUSION CRITERIA:
An individual who meets any of the following criteria will be excluded from participation in this study:
* Known allergic reactions to components of the BE HSPC study product or BE T cell product
* Febrile illness within two weeks of hospital admission for treatment
* Unwilling to submit their information as part of the alemtuzumab (Campath(R)) Distribution Program application or the Distribution Program committee has determined the participant is not qualified to receive alemtuzumab.
NOTE: Alemtuzumab (campath) (IV formulation) is no longer distributed commercially. To receive product, the physician must contact the program for the participant. If the participant is not willing to consent to submit their info (demographics, contact information, and rationale for use) to the program such that we can obtain the drug, then we cannot proceed with conditioning; therefore no transplant will occur on this protocol. http://www.campath.com/
Co-enrollment guidelines: Co-enrollment in other trials is restricted, other than enrollment on observational studies and NIH protocols 94-I-0073 and 05-I-0213. Consideration for coenrollment in trials evaluating the use of a licensed medication will require the approval of the principal investigator in consultation with the medical monitor. Study staff should be notified of co-enrollment on any other protocol as it may require the approval of the principal investigator (in consultation with the medical monitor).
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