CClinicalTrials.gg
CompletedNCT02906202Updated Jun 18, 2023Results posted

A Study Evaluating the Efficacy and Safety of the LentiGlobin® BB305 Drug Product in Participants With Transfusion-Dependent β-Thalassemia, Who do Not Have a β0/β0 Genotype

A Phase 3 interventional study of LentiGlobin BB305 Drug Product in Beta-Thalassemia, sponsored by bluebird bio. Completed at 8 sites in 6 countries. Open to participants aged 0 Years to 50 Years. Per ClinicalTrials.gov, last updated 2023-06-18.

Sponsored by bluebird bio · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
24
Allocation
Not applicable
Ages
0 Years to 50 Years
Sex
All
01

Study summary

This is a single-arm, multi-site, single-dose, Phase 3 study in 23 participants less than or equal to (\<=) 50 years of age with transfusion-dependent β-thalassemia (TDT), also known as β-thalassemia major, who do not have a β0 mutation at both alleles of the hemoglobin β (HBB) gene. The study will evaluate the efficacy and safety of autologous hematopoietic stem cell transplantation (HSCT) using LentiGlobin BB305 Drug Product.

02

Conditions studied

  • Beta-Thalassemia
03

In context

Thalassemia

416 studies on the registry are indexed under Thalassemia; 67 are open to participants now.

This study's enrollment of 24 is below the median of 37 across 277 interventional studies indexed under Thalassemia.

Browse Thalassemia studies →

Lead sponsor

bluebird bio is the lead sponsor of 12 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
0 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Participants \<= 50 years of age at the time of consent or assent (as applicable), and able to provide written consent (adults, or legal guardians, as applicable) or assent (adolescents or children). Provided that the Data Monitoring Committee (DMC) has approved enrolling participants younger than 5 years of age, participants younger than 5 years of age may be enrolled if they weigh a minimum of 6 kilograms (kg) and are reasonably anticipated to be able to provide at least the minimum number of cells required to initiate the manufacturing process.
  • Diagnosis of TDT with a history of at least 100 milliliter per kilogram per year (mL/kg/year) of pRBCs in the 2 years preceding enrollment (all participants), or be managed under standard thalassemia guidelines with >= 8 transfusions of pRBCs per year in the 2 years preceding enrollment (participants >= 12 years).
  • Clinically stable and eligible to undergo (HSCT).
  • Treated and followed for at least the past 2 years in a specialized center that maintained detailed medical records, including transfusion history.

Exclusion criteria

Exclusion Criteria:

  • Presence of a mutation characterized as β0 mutation at both alleles of the β-globin gene HBB.
  • Positive for presence of human immunodeficiency virus type 1 or 2 (HIV-1 and HIV-2), hepatitis B virus (HBV), or hepatitis C (HCV).
  • A white blood cell (WBC) count less than (\<) 3×10\^9/Liter (L), and/or platelet count \< 100×10\^9/L not related to hypersplenism.
  • Uncorrected bleeding disorder.
  • Any prior or current malignancy.
  • Immediate family member with a known Familial Cancer Syndrome.
  • Prior HSCT.
  • Advanced liver disease.
  • A cardiac T2* \< 10 ms by MRI.
  • Any other evidence of severe iron overload that, in the Investigator's opinion, warrants exclusion.
  • Participation in another clinical study with an investigational drug within 30 days of Screening.
  • Any other condition that would render the participant ineligible for HSCT, as determined by the attending transplant physician or investigator.
  • Prior receipt of gene therapy.
  • Pregnancy or breastfeeding in a postpartum female or absence of adequate contraception for fertile participant.
  • A known and available Human leukocyte antigen (HLA) matched family donor.
  • Any contraindications to the use of granulocyte colony stimulating factor (G-CSF) and plerixafor during the mobilization of hematopoietic stem cells and any contraindications to the use of busulfan and any other medicinal products required during the myeloablative conditioning, including hypersensitivity to the active substances or to any of the excipients.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
24 participants (actual)

Study arms

  • Experimental
    LentiGlobin BB305 Drug Product

    Participants aged less than or equal to (\<=) 50 years received a single intravenous (IV) infusion of LentiGlobin BB305 Drug Product at a dose of greater than or equal to (\>=) 5.0\*10\^6 CD34 plus (+) cells per kilogram (cells/kg) following myeloablative conditioning with busulfan (termed the Transplant population).

    Genetic: LentiGlobin BB305 Drug Product

Interventions

  • GeneticLentiGlobin BB305 Drug Product

    LentiGlobin BB305 Drug Product is administered by IV infusion following myeloablative conditioning with busulfan.

    Also known as: betibeglogene autotemcel

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Who Meet the Definition of Transfusion Independence (TI)

    TI was defined as a weighted average hemoglobin (Hb) \>= 9 grams per deciliter (g/dL) without any packed red blood cell (pRBC) transfusions for a continuous period of \>= 12 months at any time during the study after drug product infusion.

    Time frame: From 14 to 24 months post-transplant

Secondary outcomes

  1. Percentage of Participants Who Meet the Definition of Transfusion Independence (TI) at Month 24

    TI was defined as a weighted average hemoglobin (Hb) \>= 9 grams per deciliter (g/dL) without any packed red blood cell (pRBC) transfusions for a continuous period of \>= 12 months at any time during the study after drug product infusion. Percentage of participants who met the definition of TI at Month 24 were evaluated

    Time frame: At Month 24 post-transplant

  2. Duration of Transfusion Independence (TI)

    Duration of TI was calculated as the time from the start of TI (that is (i.e.), first Hb \>=9 with no transfusions in the preceding 60 days) up to the last available Hb at which the TI criteria are still met using Kaplan-Meier methodology. Duration of TI from start of TI up to Month 24 months was reported.

    Time frame: From start of TI up to Month 24

  3. Time From Drug Product Infusion to Achievement of Transfusion Independence (TI)

    Time from drug product infusion to achievement of TI was calculated as the time from drug product infusion to the first hemoglobin at which a participant can be declared as TI (that is to 'start of TI + \>= 12 months', dependent on Hb lab schedule).

    Time frame: From 14 months post-drug product infusion through Month 24

  4. Weighted Average Hemoglobin (Hb) During Transfusion Independence (TI)

    Weighted average Hb was defined as the weighted average of Hb values without any pRBC transfusions in the proceeding 60 days. The ratio of the time between two Hb values and the time between the first and the last Hb values was used as the weight for calculation.

    Time frame: From 60 days after the last pRBC transfusion through Month 24

  5. Percentage of Participants Who Had a Reduction of At Least 50%, 60%, 75%, 90% or 100% in the Annualized pRBCs Transfusion Volume

    Percentage of participants reduction in the annualized mL/kg pRBCs transfused from 12 months post-drug product infusion through Month 24 (approximately a 12-month period) of at least 50%, 60%, 75%, 90% or 100% compared to the annualized mL/kg pRBC transfusion requirement during the 24 months prior to enrollment.

    Time frame: 12 months post-drug product infusion through Month 24

  6. Annualized Number of pRBC Transfusions

    Annualized number of pRBC transfusions from 12 months post-drug product infusion through Month 24 were reported.

    Time frame: From 12 months post-drug product infusion through Month 24

  7. Annualized Volume of pRBC Transfusions

    Annualized volume of pRBC transfusions from 12 months post-drug product infusion through Month 24 was reported.

    Time frame: From 12 months post-drug product infusion through Month 24

  8. Time From Drug Product Infusion to Last pRBC Transfusion

    Time from drug product infusion to last pRBC transfusion was reported.

    Time frame: From start of drug product infusion up to Month 24

  9. Time From Last pRBC Transfusion to Month 24

    Time From Last pRBC Transfusion to Month 24 was reported.

    Time frame: From last pRBC Transfusion up to Month 24 (actual maximum time frame of up to approximately 27 months due to visit window)

  10. Weighted Average Nadir Hemoglobin (Hb)

    The weighted average nadir Hb was defined as the most recent Hb prior to each pRBC transfusion, on the day of transfusion or within 3 days and, if there was a period of more than 60 days without transfusion, all Hb records between Day 61 and last follow-up or next transfusion (inclusive) was included. The weighted average nadir Hb during the period of 12 months post-drug product infusion to Month 24 was compared to the weighted average nadir Hb during the 24 months prior to enrollment.

    Time frame: 12 months post-drug product infusion through Month 24

  11. Unsupported Total Hb Levels at Month 6, 9, 12, 18 and 24

    Unsupported total Hb level was defined as the total Hb measurement level without any acute or chronic pRBC transfusions within 60 days prior to the measurement date.

    Time frame: At Month 6, 9, 12, 18 and 24

  12. Number of Participants With Unsupported Total Hb Levels (>=10 g/dL, >=11 g/dL, >=12 g/dL, >=13 g/dL, and >=14 g/dL) at Months 6, 9, 12, 18 and 24

    The number of participants with unsupported total Hb levels (\>=10 g/dL, \>=11 g/dL, \>=12 g/dL, \>=13 g/dL, and \>=14 g/dL) meeting the thresholds were reported at at Months 6, 9, 12, 18 and 24. Participants were evaluable if they had an unsupported total Hb measurement at the specific timepoint, where unsupported total Hb level is defined as the total Hb measurement level without any acute or chronic pRBC transfusions within 60 days prior to the measurement date.

    Time frame: At Month 6, 9, 12, 18 and 24

  13. Percentage of Participants Who Have Not Received Chelation Therapy for At Least 6 Months Following Drug Product Infusion

    Percentage of participants who have not received chelation therapy for at least 6 months following drug product infusion were reported.

    Time frame: Up to Month 24

  14. Time From Last Iron Chelation Use to Last Follow-up

    Time from last iron chelation use to last follow-up to 24 months was reported. Participants were evaluable for this outcome if they had not received iron chelation therapy for at least 6 months following drug product infusion.

    Time frame: Time from last iron chelation up to Month 24 (actual maximum time frame of up to approximately 27 months due to visit window)

  15. Percentage of Participants Who Used Therapeutic Phlebotomy Post Drug Product (DP) Infusion

    Therapeutic phlebotomy could be used in lieu of chelation in participants who had Hb consistently \>= 11 g/dL and who were no longer receiving regular transfusions, at the discretion of the investigator. Percentage of participants who used therapeutic phlebotomy post DP infusion for up to Month 24 were reported.

    Time frame: Up to Month 24

  16. Annualized Phlebotomy Therapy Usage Following Drug Product Infusion

    Annualized phlebotomy therapy usage (number of procedures per year, calculated from DP infusion through last follow-up) were reported.

    Time frame: Up to Month 24

  17. Change From Baseline in Liver Iron Concentration by Magnetic Resonance Imaging (MRI)

    Change From Baseline in liver Iron Content by Magnetic Resonance Imaging (MRI) at Months 12 and 24 were reported.

    Time frame: Baseline, Months 12 and 24

  18. Change From Baseline in Cardiac T2* on MRI

    Change From Baseline in Cardiac T2\* on MRI at baseline, Month 12 and 24 was reported.

    Time frame: Baseline, Months 12 and 24

  19. Change From Baseline in Serum Ferritin at Months 12 and 24

    Serum ferritin was commonly used for an indirect estimation of body iron stores. Although sensitive, it is not specific for iron overload as it can be elevated in a variety of infectious and inflammatory states, and in the presence of cytolysis. Change from baseline in serum ferritin at Months 12 and 24 was reported.

    Time frame: Baseline, Months 12 and 24

  20. Change From Baseline in Pediatric Quality of Life Inventory (PedsQL) Total Scores at Months 12 and 24

    PedsQL GCS designed to measure health-related quality of life in pediatric and adolescents (2 to 18 years). It encompassed 4 dimensions of functioning (physical \[8 items\], emotional \[5 items\], social \[5 items\], school \[3 items\]). Age groups: Toddler (2-4 years), Young pediatric (5-7 years), Pediatric (8-12 years), Teens (13-18 years). The questionnaire was also completed by parent/caregiver to assess parents' perceptions of their children's quality of life. The Toddler group consisted of 21 items, using a 5-point Likert scale (0 to 4); all other groups consisted of 23 items, with a 3-point Likert scale (0, 2, 4) for young pediatric, a 5-point Likert scale for pediatric and teens groups. All reported scores were transformed on a scale from 0 to 100 for each domain where 0=100, 1=75, 2=50, 3=25, and 4=0. Higher scores correspond with higher quality of life.

    Time frame: Baseline, Months 12 and 24

  21. Change From Baseline in EuroQol Quality of Life 5-Dimension Youth Scale (EQ-5D-Y) VAS Health Status at Months 12 and 24

    EQ-5D is a validated, standardized, generic instrument that was most widely used preference based health related quality of life questionnaire in cost effectiveness and health technologies assessment. EQ-5D-Y was a version of instrument specifically developed and validated for use by youths aged 12 through 17 years. The EQ-5D-Y visual analog scale (VAS) consisted of a 20-cm vertical VAS, with anchors of 0 ("worst imaginable health state") and 100 ("best imaginable health state"). Respondents were asked to rate their own health state today by drawing a line from a box containing these words to the point on the scale that they felt most accurately reflected their current health state. The VAS was reported (raw data) on a scale of 0-100 where 0= death and 100= perfect health. Higher scores equated to better outcomes.

    Time frame: Baseline, Months 12 and 24

  22. Change From Baseline in EuroQol Quality of Life 5-Dimension Adult Scale (EQ-5D-3L) VAS Heath Status Score at Months 12 and 24

    EQ-5D is a validated, standardized, generic instrument that was most widely used preference based health related quality of life (HRQoL) questionnaire in cost effectiveness and health technologies assessment. Participants age \>=18 at time of informed consent were eligible to complete the EQ-5D-3L which is a visual analog scale (VAS) which consists of a 20-cm vertical VAS, with anchors of 0 ("worst imaginable health state") and 100 ("best imaginable health state"). Respondents were asked to rate their own health state today by drawing a line from a box containing these words to the point on the scale that they feel most accurately reflects their current health state.

    Time frame: Baseline, Months 12 and 24

  23. Change From Baseline in Functional Assessment of Cancer Therapy-Bone Marrow Transplant (FACT-BMT) Questionnaire Score

    FACT-BMT is assessed bone marrow transplant related quality of life in adults. It. Total score was sum of sub-scale scores for 5 domains: Physical Well-Being, Social/Family Well-Being, Emotional Well-Being, Functional Well-Being, and Bone Marrow Transplantation Subscale. Each item scored on a 5-point Likert scale based on participant agreement with each statement: 0 for "not at all," 1 for "a little bit," 2 for "somewhat," 3 for "quite a bit," and 4 for "very much. Reported scores were transformed as follows: After taking into account reverse scores for questions constructed in negative form, subscale score for each domain was calculated by multiplying sum of item scores by number of items in subscale, then dividing by number of items answered. Total score was sum of subscale total added together and ranges from 0-148. Higher scores corresponded with higher quality of life.

    Time frame: Baseline, Months 12 and 24

  24. Change From Baseline in Short Form-36 Health Survey (SF-36), Version 2, Acute (Physical and Mental Component Summary Scores) at Months 12 and 24

    SF-36 was designed to measure health-related quality of life in adults. The instrument consisted of 36 items, were aggregated into 8 multi-item scales (physical functioning \[1=yes, limited a lot to 3=no, not limited at all\], role-physical \[1=all of time to 5=none of time\], bodily pain \[1=very severe to 6=none\], general health \[1=poor to 5=excellent\], vitality \[1=none of time to 5=all of time\], social functioning \[1=all of time: to 5=none of time\], role emotional \[1=all of time to 5=none of time\] and mental health \[1=all of time to 5=none of the time\]). Four domains comprised physical component summary (PCS) score (physical functioning, role-physical, bodily pain, general health) and remaining 4 domains comprised mental component summary (MCS) score (vitality, social functioning, role-emotional, mental health). Reported summary scores were transformed on a scale from 0 to 100. Higher scores corresponded with higher quality of life.

    Time frame: Baseline, Months 12 and 24

07

Results

Posted Jun 18, 2023

Participant flow

The study was conducted at 9 centers from 08 August 2016 to 31 March 2022.

Participant flow — Overall Study
MilestoneLentiGlobin BB305 Drug Product
Started24
Transplant population23
Completed23
Not completed1
Withdrew: Discontinued after mobilization due to pregnancy1

Outcome measures

PrimaryPercentage of Participants Who Meet the Definition of Transfusion Independence (TI)

TI was defined as a weighted average hemoglobin (Hb) \>= 9 grams per deciliter (g/dL) without any packed red blood cell (pRBC) transfusions for a continuous period of \>= 12 months at any time during the study after drug product infusion.

Time frame:
From 14 to 24 months post-transplant
Reported as:
Number · Percentage of participants
Percentage of Participants Who Meet the Definition of Transfusion Independence (TI)
Percentage of participantsLentiGlobin BB305 Drug Product
Percentage of Participants Who Meet the Definition of Transfusion Independence (TI)91.3 (72.0 to 98.9)
SecondaryPercentage of Participants Who Meet the Definition of Transfusion Independence (TI) at Month 24

TI was defined as a weighted average hemoglobin (Hb) \>= 9 grams per deciliter (g/dL) without any packed red blood cell (pRBC) transfusions for a continuous period of \>= 12 months at any time during the study after drug product infusion. Percentage of participants who met the definition of TI at Month 24 were evaluated

Time frame:
At Month 24 post-transplant
Reported as:
Number · Percentage of participants
Percentage of Participants Who Meet the Definition of Transfusion Independence (TI) at Month 24
Percentage of participantsLentiGlobin BB305 Drug Product
Percentage of Participants Who Meet the Definition of Transfusion Independence (TI) at Month 2491.3 (72.0 to 98.9)
SecondaryDuration of Transfusion Independence (TI)

Duration of TI was calculated as the time from the start of TI (that is (i.e.), first Hb \>=9 with no transfusions in the preceding 60 days) up to the last available Hb at which the TI criteria are still met using Kaplan-Meier methodology. Duration of TI from start of TI up to Month 24 months was reported.

Time frame:
From start of TI up to Month 24
Reported as:
Median · months
Duration of Transfusion Independence (TI)
monthsLentiGlobin BB305 Drug Product
Duration of Transfusion Independence (TI)20.50 (18.2 to 22.5)
SecondaryTime From Drug Product Infusion to Achievement of Transfusion Independence (TI)

Time from drug product infusion to achievement of TI was calculated as the time from drug product infusion to the first hemoglobin at which a participant can be declared as TI (that is to 'start of TI + \>= 12 months', dependent on Hb lab schedule).

Time frame:
From 14 months post-drug product infusion through Month 24
Reported as:
Median · months
Time From Drug Product Infusion to Achievement of Transfusion Independence (TI)
monthsLentiGlobin BB305 Drug Product
Time From Drug Product Infusion to Achievement of Transfusion Independence (TI)15.51 (14.8 to 19.4)
SecondaryWeighted Average Hemoglobin (Hb) During Transfusion Independence (TI)

Weighted average Hb was defined as the weighted average of Hb values without any pRBC transfusions in the proceeding 60 days. The ratio of the time between two Hb values and the time between the first and the last Hb values was used as the weight for calculation.

Time frame:
From 60 days after the last pRBC transfusion through Month 24
Reported as:
Mean · grams per deciliter (g/dL)
Weighted Average Hemoglobin (Hb) During Transfusion Independence (TI)
grams per deciliter (g/dL)LentiGlobin BB305 Drug Product
Weighted Average Hemoglobin (Hb) During Transfusion Independence (TI)11.473 ± 1.0395
SecondaryPercentage of Participants Who Had a Reduction of At Least 50%, 60%, 75%, 90% or 100% in the Annualized pRBCs Transfusion Volume

Percentage of participants reduction in the annualized mL/kg pRBCs transfused from 12 months post-drug product infusion through Month 24 (approximately a 12-month period) of at least 50%, 60%, 75%, 90% or 100% compared to the annualized mL/kg pRBC transfusion requirement during the 24 months prior to enrollment.

Time frame:
12 months post-drug product infusion through Month 24
Reported as:
Number · percentage of participants
Percentage of Participants Who Had a Reduction of At Least 50%, 60%, 75%, 90% or 100% in the Annualized pRBCs Transfusion Volume
percentage of participantsLentiGlobin BB305 Drug Product
Reduction at >= 50%95.7
Reduction at >= 60%91.3
Reduction at >= 75%91.3
Reduction at >= 90%91.3
Reduction at 100%91.3
SecondaryAnnualized Number of pRBC Transfusions

Annualized number of pRBC transfusions from 12 months post-drug product infusion through Month 24 were reported.

Time frame:
From 12 months post-drug product infusion through Month 24
Reported as:
Mean · pRBC transfusions per year
Annualized Number of pRBC Transfusions
pRBC transfusions per yearLentiGlobin BB305 Drug Product
Annualized Number of pRBC Transfusions0.95 ± 3.195
SecondaryAnnualized Volume of pRBC Transfusions

Annualized volume of pRBC transfusions from 12 months post-drug product infusion through Month 24 was reported.

Time frame:
From 12 months post-drug product infusion through Month 24
Reported as:
Mean · milliliter/kilogram/year (mL/kg/year)
Annualized Volume of pRBC Transfusions
milliliter/kilogram/year (mL/kg/year)LentiGlobin BB305 Drug Product
Annualized Volume of pRBC Transfusions11.607 ± 40.2964
SecondaryTime From Drug Product Infusion to Last pRBC Transfusion

Time from drug product infusion to last pRBC transfusion was reported.

Time frame:
From start of drug product infusion up to Month 24
Reported as:
Median · months
Time From Drug Product Infusion to Last pRBC Transfusion
monthsLentiGlobin BB305 Drug Product
Time From Drug Product Infusion to Last pRBC Transfusion0.953 (0.46 to 23.98)
SecondaryTime From Last pRBC Transfusion to Month 24

Time From Last pRBC Transfusion to Month 24 was reported.

Time frame:
From last pRBC Transfusion up to Month 24 (actual maximum time frame of up to approximately 27 months due to visit window)
Reported as:
Median · months
Time From Last pRBC Transfusion to Month 24
monthsLentiGlobin BB305 Drug Product
Time From Last pRBC Transfusion to Month 2423.228 (0.07 to 26.64)
SecondaryWeighted Average Nadir Hemoglobin (Hb)

The weighted average nadir Hb was defined as the most recent Hb prior to each pRBC transfusion, on the day of transfusion or within 3 days and, if there was a period of more than 60 days without transfusion, all Hb records between Day 61 and last follow-up or next transfusion (inclusive) was included. The weighted average nadir Hb during the period of 12 months post-drug product infusion to Month 24 was compared to the weighted average nadir Hb during the 24 months prior to enrollment.

Time frame:
12 months post-drug product infusion through Month 24
Reported as:
Mean · g/dL
Weighted Average Nadir Hemoglobin (Hb)
g/dLLentiGlobin BB305 Drug Product
Weighted Average Nadir Hemoglobin (Hb)9.546 ± 0.7007
SecondaryUnsupported Total Hb Levels at Month 6, 9, 12, 18 and 24

Unsupported total Hb level was defined as the total Hb measurement level without any acute or chronic pRBC transfusions within 60 days prior to the measurement date.

Time frame:
At Month 6, 9, 12, 18 and 24
Reported as:
Mean · g/dL
Unsupported Total Hb Levels at Month 6, 9, 12, 18 and 24
g/dLLentiGlobin BB305 Drug Product
At Month 611.24 ± 1.249
At Month 911.22 ± 1.138
At Month 1211.45 ± 1.314
At Month 1811.80 ± 1.167
At Month 2411.77 ± 1.224
SecondaryNumber of Participants With Unsupported Total Hb Levels (>=10 g/dL, >=11 g/dL, >=12 g/dL, >=13 g/dL, and >=14 g/dL) at Months 6, 9, 12, 18 and 24

The number of participants with unsupported total Hb levels (\>=10 g/dL, \>=11 g/dL, \>=12 g/dL, \>=13 g/dL, and \>=14 g/dL) meeting the thresholds were reported at at Months 6, 9, 12, 18 and 24. Participants were evaluable if they had an unsupported total Hb measurement at the specific timepoint, where unsupported total Hb level is defined as the total Hb measurement level without any acute or chronic pRBC transfusions within 60 days prior to the measurement date.

Time frame:
At Month 6, 9, 12, 18 and 24
Reported as:
Count of participants · Participants
Number of Participants With Unsupported Total Hb Levels (>=10 g/dL, >=11 g/dL, >=12 g/dL, >=13 g/dL, and >=14 g/dL) at Months 6, 9, 12, 18 and 24
ParticipantsLentiGlobin BB305 Drug Product
At Month 6 (>=10 g/dL)17
At Month 6 (>=11 g/dL)15
At Month 6 (>=12 g/dL)7
At Month 6 (>=13 g/dL)1
At Month 6 (>=14 g/dL)0
At Month 9 (>=10 g/dL)20
At Month 9 (>=11 g/dL)14
At Month 9 (>=12 g/dL)5
At Month 9 (>=13 g/dL)1
At Month 9 (>=14 g/dL)0
At Month 12 (>=10 g/dL)18
At Month 12 (>=11 g/dL)14
At Month 12 (>=12 g/dL)10
At Month 12 (>=13 g/dL)1
At Month 12 (>=14 g/dL)0
At Month 18 (>=10 g/dL)18
At Month 18 (>=11 g/dL)15
At Month 18 (>=12 g/dL)8
At Month 18 (>=13 g/dL)4
At Month 18 (>=14 g/dL)0
At Month 24 (>=10 g/dL)18
At Month 24 (>=11 g/dL)14
At Month 24 (>=12 g/dL)10
At Month 24 (>=13 g/dL)5
At Month 24 (>=14 g/dL)0
SecondaryPercentage of Participants Who Have Not Received Chelation Therapy for At Least 6 Months Following Drug Product Infusion

Percentage of participants who have not received chelation therapy for at least 6 months following drug product infusion were reported.

Time frame:
Up to Month 24
Reported as:
Number · percentage of participants
Percentage of Participants Who Have Not Received Chelation Therapy for At Least 6 Months Following Drug Product Infusion
percentage of participantsLentiGlobin BB305 Drug Product
Percentage of Participants Who Have Not Received Chelation Therapy for At Least 6 Months Following Drug Product Infusion43.5
SecondaryTime From Last Iron Chelation Use to Last Follow-up

Time from last iron chelation use to last follow-up to 24 months was reported. Participants were evaluable for this outcome if they had not received iron chelation therapy for at least 6 months following drug product infusion.

Time frame:
Time from last iron chelation up to Month 24 (actual maximum time frame of up to approximately 27 months due to visit window)
Reported as:
Median · months
Time From Last Iron Chelation Use to Last Follow-up
monthsLentiGlobin BB305 Drug Product
Time From Last Iron Chelation Use to Last Follow-up23.56 (17.6 to 24.6)
SecondaryPercentage of Participants Who Used Therapeutic Phlebotomy Post Drug Product (DP) Infusion

Therapeutic phlebotomy could be used in lieu of chelation in participants who had Hb consistently \>= 11 g/dL and who were no longer receiving regular transfusions, at the discretion of the investigator. Percentage of participants who used therapeutic phlebotomy post DP infusion for up to Month 24 were reported.

Time frame:
Up to Month 24
Reported as:
Number · percentage of participants
Percentage of Participants Who Used Therapeutic Phlebotomy Post Drug Product (DP) Infusion
percentage of participantsLentiGlobin BB305 Drug Product
Percentage of Participants Who Used Therapeutic Phlebotomy Post Drug Product (DP) Infusion30.4
SecondaryAnnualized Phlebotomy Therapy Usage Following Drug Product Infusion

Annualized phlebotomy therapy usage (number of procedures per year, calculated from DP infusion through last follow-up) were reported.

Time frame:
Up to Month 24
Reported as:
Mean · number of procedures per year
Annualized Phlebotomy Therapy Usage Following Drug Product Infusion
number of procedures per yearLentiGlobin BB305 Drug Product
Annualized Phlebotomy Therapy Usage Following Drug Product Infusion6.29 ± 4.786
SecondaryChange From Baseline in Liver Iron Concentration by Magnetic Resonance Imaging (MRI)

Change From Baseline in liver Iron Content by Magnetic Resonance Imaging (MRI) at Months 12 and 24 were reported.

Time frame:
Baseline, Months 12 and 24
Reported as:
Mean · milligrams per gram (mg/g)
Change From Baseline in Liver Iron Concentration by Magnetic Resonance Imaging (MRI)
milligrams per gram (mg/g)LentiGlobin BB305 Drug Product
At Month 122.490 ± 4.1546
At Month 240.494 ± 3.9957
SecondaryChange From Baseline in Cardiac T2* on MRI

Change From Baseline in Cardiac T2\* on MRI at baseline, Month 12 and 24 was reported.

Time frame:
Baseline, Months 12 and 24
Reported as:
Mean · milliseconds
Change From Baseline in Cardiac T2* on MRI
millisecondsLentiGlobin BB305 Drug Product
At Month 12-1.0 ± 5.93
At Month 24-1.6 ± 7.42
SecondaryChange From Baseline in Serum Ferritin at Months 12 and 24

Serum ferritin was commonly used for an indirect estimation of body iron stores. Although sensitive, it is not specific for iron overload as it can be elevated in a variety of infectious and inflammatory states, and in the presence of cytolysis. Change from baseline in serum ferritin at Months 12 and 24 was reported.

Time frame:
Baseline, Months 12 and 24
Reported as:
Mean · picomole per Liter (pmol/L)
Change From Baseline in Serum Ferritin at Months 12 and 24
picomole per Liter (pmol/L)LentiGlobin BB305 Drug Product
At Month 12167.3 ± 1887.67
At Month 24-1163.8 ± 2435.58
SecondaryChange From Baseline in Pediatric Quality of Life Inventory (PedsQL) Total Scores at Months 12 and 24

PedsQL GCS designed to measure health-related quality of life in pediatric and adolescents (2 to 18 years). It encompassed 4 dimensions of functioning (physical \[8 items\], emotional \[5 items\], social \[5 items\], school \[3 items\]). Age groups: Toddler (2-4 years), Young pediatric (5-7 years), Pediatric (8-12 years), Teens (13-18 years). The questionnaire was also completed by parent/caregiver to assess parents' perceptions of their children's quality of life. The Toddler group consisted of 21 items, using a 5-point Likert scale (0 to 4); all other groups consisted of 23 items, with a 3-point Likert scale (0, 2, 4) for young pediatric, a 5-point Likert scale for pediatric and teens groups. All reported scores were transformed on a scale from 0 to 100 for each domain where 0=100, 1=75, 2=50, 3=25, and 4=0. Higher scores correspond with higher quality of life.

Time frame:
Baseline, Months 12 and 24
Reported as:
Mean · Score on a scale
Change From Baseline in Pediatric Quality of Life Inventory (PedsQL) Total Scores at Months 12 and 24
Score on a scaleLentiGlobin BB305 Drug Product
Parent total score: Change at Month 128.76 ± 12.071
Parent total score: Change at Month 246.03 ± 9.753
Patient total score: Change at Month 126.82 ± 16.079
Patient total score: Change at Month 249.96 ± 16.997
SecondaryChange From Baseline in EuroQol Quality of Life 5-Dimension Youth Scale (EQ-5D-Y) VAS Health Status at Months 12 and 24

EQ-5D is a validated, standardized, generic instrument that was most widely used preference based health related quality of life questionnaire in cost effectiveness and health technologies assessment. EQ-5D-Y was a version of instrument specifically developed and validated for use by youths aged 12 through 17 years. The EQ-5D-Y visual analog scale (VAS) consisted of a 20-cm vertical VAS, with anchors of 0 ("worst imaginable health state") and 100 ("best imaginable health state"). Respondents were asked to rate their own health state today by drawing a line from a box containing these words to the point on the scale that they felt most accurately reflected their current health state. The VAS was reported (raw data) on a scale of 0-100 where 0= death and 100= perfect health. Higher scores equated to better outcomes.

Time frame:
Baseline, Months 12 and 24
Reported as:
Mean · Score on a scale
Change From Baseline in EuroQol Quality of Life 5-Dimension Youth Scale (EQ-5D-Y) VAS Health Status at Months 12 and 24
Score on a scaleLentiGlobin BB305 Drug Product
Health State: Change at Month 1215.8 ± 20.60
Health State: Change at Month 2420.9 ± 18.86
SecondaryChange From Baseline in EuroQol Quality of Life 5-Dimension Adult Scale (EQ-5D-3L) VAS Heath Status Score at Months 12 and 24

EQ-5D is a validated, standardized, generic instrument that was most widely used preference based health related quality of life (HRQoL) questionnaire in cost effectiveness and health technologies assessment. Participants age \>=18 at time of informed consent were eligible to complete the EQ-5D-3L which is a visual analog scale (VAS) which consists of a 20-cm vertical VAS, with anchors of 0 ("worst imaginable health state") and 100 ("best imaginable health state"). Respondents were asked to rate their own health state today by drawing a line from a box containing these words to the point on the scale that they feel most accurately reflects their current health state.

Time frame:
Baseline, Months 12 and 24
Reported as:
Mean · Score on a scale
Change From Baseline in EuroQol Quality of Life 5-Dimension Adult Scale (EQ-5D-3L) VAS Heath Status Score at Months 12 and 24
Score on a scaleLentiGlobin BB305 Drug Product
Health state: Change at Month 126.9 ± 11.93
Health state: Change at Month 249.7 ± 14.91
SecondaryChange From Baseline in Functional Assessment of Cancer Therapy-Bone Marrow Transplant (FACT-BMT) Questionnaire Score

FACT-BMT is assessed bone marrow transplant related quality of life in adults. It. Total score was sum of sub-scale scores for 5 domains: Physical Well-Being, Social/Family Well-Being, Emotional Well-Being, Functional Well-Being, and Bone Marrow Transplantation Subscale. Each item scored on a 5-point Likert scale based on participant agreement with each statement: 0 for "not at all," 1 for "a little bit," 2 for "somewhat," 3 for "quite a bit," and 4 for "very much. Reported scores were transformed as follows: After taking into account reverse scores for questions constructed in negative form, subscale score for each domain was calculated by multiplying sum of item scores by number of items in subscale, then dividing by number of items answered. Total score was sum of subscale total added together and ranges from 0-148. Higher scores corresponded with higher quality of life.

Time frame:
Baseline, Months 12 and 24
Reported as:
Mean · Score on a scale
Change From Baseline in Functional Assessment of Cancer Therapy-Bone Marrow Transplant (FACT-BMT) Questionnaire Score
Score on a scaleLentiGlobin BB305 Drug Product
Total Score: Change at Month 123.78 ± 16.994
Total Score: Change at Month 242.15 ± 13.695
SecondaryChange From Baseline in Short Form-36 Health Survey (SF-36), Version 2, Acute (Physical and Mental Component Summary Scores) at Months 12 and 24

SF-36 was designed to measure health-related quality of life in adults. The instrument consisted of 36 items, were aggregated into 8 multi-item scales (physical functioning \[1=yes, limited a lot to 3=no, not limited at all\], role-physical \[1=all of time to 5=none of time\], bodily pain \[1=very severe to 6=none\], general health \[1=poor to 5=excellent\], vitality \[1=none of time to 5=all of time\], social functioning \[1=all of time: to 5=none of time\], role emotional \[1=all of time to 5=none of time\] and mental health \[1=all of time to 5=none of the time\]). Four domains comprised physical component summary (PCS) score (physical functioning, role-physical, bodily pain, general health) and remaining 4 domains comprised mental component summary (MCS) score (vitality, social functioning, role-emotional, mental health). Reported summary scores were transformed on a scale from 0 to 100. Higher scores corresponded with higher quality of life.

Time frame:
Baseline, Months 12 and 24
Reported as:
Mean · Score on a scale
Change From Baseline in Short Form-36 Health Survey (SF-36), Version 2, Acute (Physical and Mental Component Summary Scores) at Months 12 and 24
Score on a scaleLentiGlobin BB305 Drug Product
Physical Component: Change at Month 120.80 ± 4.838
Physical Component: Change at Month 240.82 ± 3.672
Mental Component: Change at Month 121.88 ± 8.201
Mental Component: Change at Month 240.93 ± 10.805

Adverse events

Collected over From date of informed consent up to Month 24. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
LentiGlobin BB305 Drug Product0/24 (0%)14/24 (58.3%)24/24 (100%)
Most frequent serious events
Showing 10 of 24
Most frequent serious events
EventLentiGlobin BB305 Drug Product
ThrombocytopeniaBlood and lymphatic system disorders3/24
PyrexiaGeneral disorders3/24
Venoocclusive liver diseaseHepatobiliary disorders3/24
ContusionInjury, poisoning and procedural complications1/24
Femur fractureInjury, poisoning and procedural complications1/24
Transfusion reactionInjury, poisoning and procedural complications1/24
HypotensionVascular disorders1/24
Atrial fibrillationCardiac disorders1/24
EpistaxisRespiratory, thoracic and mediastinal disorders1/24
HypoxiaRespiratory, thoracic and mediastinal disorders1/24
Most frequent other events
Showing 10 of 79
Most frequent other events
EventLentiGlobin BB305 Drug Product
ThrombocytopeniaBlood and lymphatic system disorders24/24
NeutropeniaBlood and lymphatic system disorders18/24
StomatitisGastrointestinal disorders18/24
AnaemiaBlood and lymphatic system disorders17/24
VomitingGastrointestinal disorders16/24
NauseaGastrointestinal disorders14/24
LeukopeniaBlood and lymphatic system disorders13/24
PyrexiaGeneral disorders12/24
Procedural painInjury, poisoning and procedural complications11/24
CoughRespiratory, thoracic and mediastinal disorders10/24

Baseline characteristics

ITT population included all participants who initiated mobilization procedure. As appropriate, data were analyzed at times based on ITT population which included all 24 participants who initiated any study procedures, beginning with mobilization by G-CSF and/or plerixafor.

Age, Continuous
Age, Continuous(Years)LentiGlobin BB305 Drug Product
Median15.0 (4 to 34)
Sex: Female, Male
Sex: Female, Male(Participants)LentiGlobin BB305 Drug Product
Female13
Male11
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)LentiGlobin BB305 Drug Product
Hispanic or Latino1
Not Hispanic or Latino22
Unknown or Not Reported1
Race (NIH/OMB)
Race (NIH/OMB)(Participants)LentiGlobin BB305 Drug Product
American Indian or Alaska Native0
Asian14
Native Hawaiian or Other Pacific Islander0
Black or African American0
White8
More than one race0
Unknown or Not Reported2
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Study locations

8 sites
  • Oakland, California, United States
  • Chicago, Illinois, United States
  • Philadelphia, Pennsylvania, United States
  • Marseille, France
  • Hannover, Germany
  • Rome, Italy
  • Bangkok, Thailand
  • London, United Kingdom
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References and documents

Publications

  • Locatelli F, Thompson AA, Kwiatkowski JL, Porter JB, Thrasher AJ, Hongeng S, Sauer MG, Thuret I, Lal A, Algeri M, Schneiderman J, Olson TS, Carpenter B, Amrolia PJ, Anurathapan U, Schambach A, Chabannon C, Schmidt M, Labik I, Elliot H, Guo R, Asmal M, Colvin RA, Walters MC. Betibeglogene Autotemcel Gene Therapy for Non-beta0/beta0 Genotype beta-Thalassemia. N Engl J Med. 2022 Feb 3;386(5):415-427. doi: 10.1056/NEJMoa2113206. Epub 2021 Dec 11. PubMed 34891223 ↗
  • Hamed EM, Meabed MH, Aly UF, Hussein RRS. Recent Progress in Gene Therapy and Other Targeted Therapeutic Approaches for Beta Thalassemia. Curr Drug Targets. 2019;20(16):1603-1623. doi: 10.2174/1389450120666190726155733. PubMed 31362654 ↗

Study documents

  • Study protocol · Jun 10, 2021
  • Statistical analysis plan · Jan 13, 2022

Documents are hosted by the registry — open the source record to download them.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 18, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02906202
Lead sponsor
bluebird bio
Responsible party
Sponsor
First posted
Sep 20, 2016
Start date
Aug 8, 2016
Primary completion
Mar 31, 2022
Completion
Mar 31, 2022
Results posted
Jun 18, 2023
Last update
Jun 18, 2023

Study contacts

Himal Lal Thakar, MD
study director · bluebird bio

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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