ClinicalTrials.gg
WithdrawnNCT01419704Updated Mar 3, 2023

Phase I/II Pilot Study of Mixed Chimerism to Treat Hemoglobinopathies

A Phase 1/2 interventional study of Enriched Hematopoetic Stem Cell Infusion in Anemia, Sickle Cell, Complex and Transfusion-dependent Hemoglobinopathies and Thalassemia, sponsored by Talaris Therapeutics Inc.. Withdrawn at 3 sites in United States. Open to participants aged Up to 45 Years. Per ClinicalTrials.gov, last updated 2023-03-03.

Sponsored by Talaris Therapeutics Inc. · Phase 1/2, Interventional, and Treatment

Why this study was withdrawn
Study completed at site, no active participants.

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled May 2011, registered Aug 2011).
Phase
Phase 1/2
Study type
Interventional
Enrollment
0
Allocation
Not applicable
Ages
Up to 45 Years
Sex
All
01

Study summary

The goal of this research study is to establish chimerism and avoid graft-versus-host disease in patients with hemoglobinopathies.

Read the detailed description

This proposal is a phase I/II feasibility study to demonstrate that mixed chimerism can be established with minimal risk in recipients with hemoglobinopathies treated with Campath-1H-based nonmyeloablative conditioning and graft engineering to reduce the risk of Graft Versus Host Disease (GVHD), but preserve engraftment of donor cells.

02

Conditions studied

  • Anemia, Sickle Cell
  • Complex and Transfusion-dependent Hemoglobinopathies
  • Thalassemia
  • Diamond-Blackfan Anemia
  • Bone Marrow Failure Syndromes
  • Alpha-Thalassemia
  • Beta-Thalassemia

Keywords

  • other hemoglobinopathies
  • chimerism
  • sickle cell
  • thalassemia
  • Marrow/Enriched Hematopoetic Stem Cell Transplant
03

In context

Anemia, Sickle Cell

1,134 studies on the registry are indexed under Anemia, Sickle Cell; 238 are open to participants now.

Browse Anemia, Sickle Cell studies →

Lead sponsor

Talaris Therapeutics Inc. is the lead sponsor of 12 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 45 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

The following criteria are established to identify subjects with hemoglobinopathies, hematologic or bone marrow failure syndromes who have a high predicted morbidity and are at risk for early mortality:

  • Patients with alpha or beta thalassemia major.
  • Patients with Diamond-Blackfan anemia and other bone marrow failure syndromes, characterized by severe chronic anemia.
  • Patients with other complex and transfusion-dependent hemoglobinopathies, including sickle cell disease.
  • Patients with sickle disease who have one or more of the following:

    • Overt or silent stroke
    • Neurocognitive impairment
    • Pain crises 2 or more episodes per year for past year
    • One or more episodes of acute chest syndrome
    • Osteonecrosis involving 1 or more joints
    • Evidence of retinopathy
    • Priapism
    • Microalbuminuria or evidence of sickle cell nephropathy
    • Alloimmunization

Subjects must also meet all of the following general inclusion criteria:

  • Subjects must have a related donor which can consist of Histocompatibility Leukocyte Antigen (HLA)-matched donor up to haploidentical match, mismatched for 1, 2 or 3 HLA-A, B or -DR loci.
  • Subjects must have adequate cardiopulmonary function as documented by echocardiogram or radionuclide scan. (Shortening fraction >26% or >40% or ≥ 80% of normal value for age).
  • Subjects must have adequate pulmonary function documented by (FEV1) of ≥ 50% of predicted for age and/or Diffusing capacity of the lung for carbon monoxide (DLCO) (corrected for ) ≥50% of predicted for age for patients > 10 years of age.
  • Subjects must have adequate hepatic function as demonstrated by a serum albumin ≥ 3.0 mg/dL, and serum glutamic pyruvic transaminase () or serum glutamic oxaloacetic transaminase (SGOT) less than or equal to 5 times the . Liver or a liver MRI is necessary if the patient has received chronic transfusions for over a year and/or has a ferritin level of ≥ 1600.
  • Subjects must have adequate renal function as demonstrated by a serum creatinine less than or equal to 2 mg/dL. If serum creatinine is ≥ 2 mg/dL, then a test or nuclear medicine should document GFR of ≥ 50 ml/min/1.73 m2.
  • Subjects or legal guardians must give written .
  • Female patients of cannot be pregnant or lactating/breast-feeding and must be either surgically sterile, (no menses for the previous 12 months), or must be practicing an effective method of as determined by the investigator (e.g., oral contraceptives, double barrier methods, hormonal injectable or implanted contraceptives, tubal ligation, or partner with vasectomy).
  • Less than or equal to 45 years of age.

Exclusion criteria

  • Patients with cirrhosis, extensive bridging hepatic fibrosis, or active hepatitis are excluded from enrollment.

    • Uncontrolled infection or severe concomitant diseases, which in the judgment of the Principal Investigator, indicate that the patient could not tolerate reduced intensity transplantation.
    • Severe impairment of functional performance as evidenced by a score \<70% (patients ≥16 years old) or Lansky (children \<16 years old) score \<70%
    • Renal insufficiency ( \<50 ml/min/1.73 m2).
    • Subjects with a positive (HIV) antibody test result.
    • Subjects who are pregnant, as indicated by a positive serum human chorionic gonadotrophin (HCG) test.
    • Subjects whose only donor is pregnant at the time of intended transplant.
    • Subjects of who are not practicing adequate as defined by the investigator at the site.
    • hematopoietic stem cell transplant within the previous 1 year.
    • Subjects must not have had previous radiation therapy that would preclude total body irradiation (TBI) (as determined by a radiation therapist).
    • Jehovah's Witness unwilling to be transfused .
    • Uncontrolled hypersplenism.
    • Severe alloimmunization with inability to guarantee a supply of adequate packed red blood cell (PRBC) donors.
    • Subjects with thalassemia who are Lucarelli Class 3
    • Fanconi anemia.
    • Insufficient funds for the bone marrow processing costs
Terms in these criteria, in plain language(15)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Hemoglobinopathies diagnosed patients

    Recipients diagnosed with Hemoglobinopathies are treated with an enriched hematopoetic stem cell infusion from living donor bone marrow

    Biological: Enriched Hematopoetic Stem Cell Infusion

Interventions

06

What researchers measure

Primary outcomes

  1. Proportion of Hemoglobin A and S

    Red blood cell contents by hemoglobin electrophoresis

    Time frame: one month to three years

Secondary outcomes

  1. Enriched Hematopoetic Stem Cell Engraftment

    Time frame: One month to three years

07

Study locations

3 sites
  • Northwestern Memorial Hospital
    Chicago, Illinois 60611, United States
  • University of Louisville
    Louisville, Kentucky 40202, United States
  • Duke University Medical Center
    Durham, North Carolina 27705, United States
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from May 2011 to primary completion in May 2016, 60 months.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 16, 2011
First posted
Aug 18, 2011
StartActual
May 2011
Primary completionActual
May 2016
CompletionActual
May 2016
Last update
Mar 3, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 3, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01419704
Lead sponsor
Talaris Therapeutics Inc.
Collaborators
Duke University
Responsible party
Sponsor
First posted
Aug 18, 2011
Start date
May 2011
Primary completion
May 2016
Completion
May 2016
Last update
Mar 3, 2023

Study contacts

Suzanne T Ildstad, MD
study director · Talaris Therapeutics Inc.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Hematopoietic Stem Cell

Start the discussion