CClinicalTrials.gg
CompletedNCT03207009Updated Mar 7, 2024Results posted

A Study Evaluating the Efficacy and Safety of the LentiGlobin® BB305 Drug Product in Participants With Transfusion-Dependent β-Thalassemia

A Phase 3 interventional study of LentiGlobin BB305 Drug Product in Beta-Thalassemia, sponsored by bluebird bio. Completed at 9 sites in 6 countries. Open to participants aged 0 Years to 50 Years. Per ClinicalTrials.gov, last updated 2024-03-07.

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

Phase
Phase 3
Study type
Interventional
Enrollment
19
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 approximately 18 participants less than or equal to (\<=) 50 years of age with transfusion-dependent β-thalassemia (TDT), who have a β0/β0, β0/IVS-I-110, or IVS-I-110/IVS-I-110 genotype. 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 19 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 less than or equal to (\<=) 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 other then β0 (e.g., β+, βE, βC) on at least one β-globin gene (HBB) allele.
  • 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.
  • 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
19 participants (actual)

Study arms

  • Experimental
    LentiGlobin BB305 Drug Product

    LentiGlobin BB305 Drug Product (autologous CD34+ cell-enriched population that contains cells transduced with LentiGlobin BB305 lentiviral vector encoding human βA-T87Q-globin)

    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 Have Achieved 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 12 to 24 months post-transplant

Secondary outcomes

  1. Percentage of Participants Who Have Achieved 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.

    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 (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.

    Time frame: From start of TI up to Month 24 (actual maximum time frame of up to approximately 25 months due to visit window)

  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 drug product infusion to start of TI (up to Month 24 [actual maximum time frame of up to approximately 25 months due to visit window])

  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 for a given subject. 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: Timeframe varied by subject. For a given subject, the endpoint was calculated from 60 days after the last pRBC transfusion (so transfused blood did not confound the weighted average calculation) through the Month 24 Visit for that subject.

  5. Percentage of Participants Who Meet the Definition of Transfusion Reduction (TR)

    TR was defined as demonstration of a 60 percent (%) reduction in the annualized volume of pRBC transfusion requirements (in milliliter per kilogram \[mL/kg\]) in the post-treatment time period from 12 Months post-drug product infusion through Month 24 compared to the annualized mL/kg pRBC transfusion requirement during the 24 months prior to study enrollment.

    Time frame: From 12 to 24 months post-transplant

  6. 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 with a 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

  7. Annualized Number of pRBC Transfusions

    Annualized number 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. Annualized Volume of pRBC Transfusions

    Annualized volume of pRBC transfusions from 12 months post-drug product infusion through Month 24 compared to the annualized volume of transfusions during the 24 months prior to enrollment.

    Time frame: From 12 to 24 months post-transplant

  9. 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

  10. Time From Last pRBC Transfusion to 24 Months

    Time From Last pRBC Transfusion to the 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)

  11. 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

  12. 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

  13. 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

    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 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 Months 6, 9, 12, 18 and 24

  14. 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: From 6 to 24 months

  15. 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.

    Time frame: From last Iron Chelation up to Month 24 (actual maximum time frame of up to approximately 29 months due to visit window)

  16. Number of Participants Who Used Therapeutic Phlebotomy Post Drug Product 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. Number of participants who used therapeutic phlebotomy post Drug Product infusion for up to Month 24 were reported.

    Time frame: From drug product infusion through Month 24

  17. 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: From drug product infusion through Month 24

  18. Change From Baseline in Liver Iron Content by Magnetic Resonance Imaging (MRI)

    Change From Baseline in Liver Iron Content by MRI at Months 12 and 24 were reported. Baseline is defined as value closest to but prior to conditioning.

    Time frame: Baseline, Month 12 and 24

  19. Change From Baseline in Cardiac T2* on MRI

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

    Time frame: Baseline, Months 12 and 24

  20. Change From Baseline in Serum Ferritin

    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, Month 12 and 24

  21. 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 (2-18 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, Month 12 and 24

  22. 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 corresponded with higher quality of life.

    Time frame: Baseline, Months 12 and 24

  23. 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 visual analog scale (VAS) which 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. Negative change in score indicated decrease in quality of life (as measured by EQ5D VAS) from baseline.

    Time frame: Baseline, Months 12 and 24

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

    FACT-BMT is assessed bone marrow transplant related quality of life in adults. 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

  25. 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 that 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 \[1=all of time, to 5=none of the time\]). The 8 scales were summarized as Physical Component Summary (PCS) score (physical functioning, role-physical, bodily pain, general health scales) and Mental Component Summary (MCS) score (vitality, social functioning, role-emotional, mental health scales). Reported summary scores were transformed on a scale from 0-100 (higher scores corresponded with higher quality of life), with change from baseline results being presented.

    Time frame: Baseline, Months 12 and 24

07

Results

Posted Dec 29, 2023
Limitations and caveats
Limitations of the trial such as small numbers of participants analysed or technical problems leading to unreliable data.

Participant flow

The study was conducted at 9 study centers in France, Germany, Greece, Italy, United Kingdom, and United States, of which 8 active centers had enrolled participants from 08 June 2017 to 15 November 2022.

Participant flow — Overall Study
MilestoneLentiGlobin BB305 Drug Product
Started19
Intent-to-treat (itt) population19
Transplant population (tp)18
Completed18
Not completed1
Withdrew: Withdrew consent prior to conditioning1

Outcome measures

PrimaryPercentage of Participants Who Have Achieved 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 12 to 24 months post-transplant
Reported as:
Number · Percentage of participants
Percentage of Participants Who Have Achieved Transfusion Independence (TI)
Percentage of participantsLentiGlobin BB305 Drug Product
Percentage of Participants Who Have Achieved Transfusion Independence (TI)88.9 (65.3 to 98.6)
SecondaryPercentage of Participants Who Have Achieved 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.

Time frame:
At Month 24 post-transplant
Reported as:
Number · Percentage of participants
Percentage of Participants Who Have Achieved Transfusion Independence (TI) at Month 24
Percentage of participantsLentiGlobin BB305 Drug Product
Percentage of Participants Who Have Achieved Transfusion Independence (TI) at Month 2488.9 (65.3 to 98.6)
SecondaryDuration of Transfusion Independence (TI)

Duration of TI was calculated as the time from the start of TI (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.

Time frame:
From start of TI up to Month 24 (actual maximum time frame of up to approximately 25 months due to visit window)
Reported as:
Median · Months
Duration of Transfusion Independence (TI)
MonthsLentiGlobin BB305 Drug Product
Duration of Transfusion Independence (TI)20.86 (13.1 to 25.4)
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 drug product infusion to start of TI (up to Month 24 [actual maximum time frame of up to approximately 25 months due to visit window])
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)15.67 (14.8 to 24.5)
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 for a given subject. 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:
Timeframe varied by subject. For a given subject, the endpoint was calculated from 60 days after the last pRBC transfusion (so transfused blood did not confound the weighted average calculation) through the Month 24 Visit for that subject.
Reported as:
Mean · gram per deciliter (g/dL)
Weighted Average Hemoglobin (Hb) During Transfusion Independence (TI)
gram per deciliter (g/dL)LentiGlobin BB305 Drug Product
Weighted Average Hemoglobin (Hb) During Transfusion Independence (TI)10.817 ± 1.2535
SecondaryPercentage of Participants Who Meet the Definition of Transfusion Reduction (TR)

TR was defined as demonstration of a 60 percent (%) reduction in the annualized volume of pRBC transfusion requirements (in milliliter per kilogram \[mL/kg\]) in the post-treatment time period from 12 Months post-drug product infusion through Month 24 compared to the annualized mL/kg pRBC transfusion requirement during the 24 months prior to study enrollment.

Time frame:
From 12 to 24 months post-transplant
Reported as:
Number · Percentage of participants
Percentage of Participants Who Meet the Definition of Transfusion Reduction (TR)
Percentage of participantsLentiGlobin BB305 Drug Product
Percentage of Participants Who Meet the Definition of Transfusion Reduction (TR)94.4 (72.7 to 99.9)
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 with a 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%94.4 (72.7 to 99.9)
Reduction at >= 60%94.4 (72.7 to 99.9)
Reduction at >= 75%94.4 (72.7 to 99.9)
Reduction at >= 90%94.4 (72.7 to 99.9)
Reduction at 100%88.9 (65.3 to 98.6)
SecondaryAnnualized Number of pRBC Transfusions

Annualized number 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 · pRBC transfusions per year
Annualized Number of pRBC Transfusions
pRBC transfusions per yearLentiGlobin BB305 Drug Product
Annualized Number of pRBC Transfusions0.68 ± 2.701
SecondaryAnnualized Volume of pRBC Transfusions

Annualized volume of pRBC transfusions from 12 months post-drug product infusion through Month 24 compared to the annualized volume of transfusions during the 24 months prior to enrollment.

Time frame:
From 12 to 24 months post-transplant
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 Transfusions11.589 ± 47.4080
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 Transfusion0.986 (0.00 to 23.36)
SecondaryTime From Last pRBC Transfusion to 24 Months

Time From Last pRBC Transfusion to the 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 24 Months
MonthsLentiGlobin BB305 Drug Product
Time From Last pRBC Transfusion to 24 Months23.211 (0.16 to 27.47)
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)10.653 ± 1.5096
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 610.41 ± 1.253
At Month 910.61 ± 1.338
At Month 1210.65 ± 1.619
At Month 1811.00 ± 1.483
At Month 2410.82 ± 1.580
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

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 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 Months 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)11
At Month 6 (>=11 g/dL)4
At Month 6 (>=12 g/dL)3
At Month 6 (>=13 g/dL)1
At Month 6 (>=14 g/dL)0
At Month 9 (>=10 g/dL)13
At Month 9 (>=11 g/dL)5
At Month 9 (>=12 g/dL)3
At Month 9 (>=13 g/dL)1
At Month 9 (>=14 g/dL)0
At Month 12 (>=10 g/dL)12
At Month 12 (>=11 g/dL)6
At Month 12 (>=12 g/dL)3
At Month 12 (>=13 g/dL)2
At Month 12 (>=14 g/dL)1
At Month 18 (>=10 g/dL)13
At Month 18 (>=11 g/dL)5
At Month 18 (>=12 g/dL)3
At Month 18 (>=13 g/dL)3
At Month 18 (>=14 g/dL)0
At Month 24 (>=10 g/dL)10
At Month 24 (>=11 g/dL)7
At Month 24 (>=12 g/dL)3
At Month 24 (>=13 g/dL)3
At Month 24 (>=14 g/dL)1
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:
From 6 to 24 months
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 Infusion61.1
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.

Time frame:
From last Iron Chelation up to Month 24 (actual maximum time frame of up to approximately 29 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-up17.81 (0.3 to 28.9)
SecondaryNumber of Participants Who Used Therapeutic Phlebotomy Post Drug Product 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. Number of participants who used therapeutic phlebotomy post Drug Product infusion for up to Month 24 were reported.

Time frame:
From drug product infusion through Month 24
Reported as:
Count of participants · Participants
Number of Participants Who Used Therapeutic Phlebotomy Post Drug Product Infusion
ParticipantsLentiGlobin BB305 Drug Product
Number of Participants Who Used Therapeutic Phlebotomy Post Drug Product Infusion2
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:
From drug product infusion through 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 Infusion4.22 ± 3.192
SecondaryChange From Baseline in Liver Iron Content by Magnetic Resonance Imaging (MRI)

Change From Baseline in Liver Iron Content by MRI at Months 12 and 24 were reported. Baseline is defined as value closest to but prior to conditioning.

Time frame:
Baseline, Month 12 and 24
Reported as:
Mean · milligram per gram (mg/g)
Change From Baseline in Liver Iron Content by Magnetic Resonance Imaging (MRI)
milligram per gram (mg/g)LentiGlobin BB305 Drug Product
Change at Month 123.171 ± 5.4134
Change at Month 241.033 ± 4.4407
SecondaryChange From Baseline in Cardiac T2* on MRI

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

Time frame:
Baseline, Months 12 and 24
Reported as:
Median · milliseconds
Change From Baseline in Cardiac T2* on MRI
millisecondsLentiGlobin BB305 Drug Product
Change at Month 12-0.2 (-27 to 7)
Change at Month 240.2 (-33 to 12)
SecondaryChange From Baseline in Serum Ferritin

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, Month 12 and 24
Reported as:
Mean · picomole per liter (pmol/L)
Change From Baseline in Serum Ferritin
picomole per liter (pmol/L)LentiGlobin BB305 Drug Product
Change at Month 1287.3 ± 1302.76
Change at Month 24-605.2 ± 1716.90
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 (2-18 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, Month 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 12-6.20 ± 12.948
Parent total score: Change at Month 24-3.49 ± 19.621
Patient total score: Change at Month 122.96 ± 14.857
Patient total score: Change at Month 244.84 ± 11.321
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 corresponded with higher quality of life.

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 120.3 ± 11.91
Health State: Change at Month 242.0 ± 12.33
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 visual analog scale (VAS) which 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. Negative change in score indicated decrease in quality of life (as measured by EQ5D VAS) from baseline.

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 12-3.6 ± 13.13
Health State: Change at Month 24-2.4 ± 10.50
SecondaryChange From Baseline in Functional Assessment of Cancer Therapy-Bone Marrow Transplant (FACT-BMT) Questionnaire Total Score

FACT-BMT is assessed bone marrow transplant related quality of life in adults. 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 Total Score
Score on a scaleLentiGlobin BB305 Drug Product
Total Score: Change at Month 120.33 ± 6.716
Total Score: Change at Month 242.58 ± 4.246
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 that 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 \[1=all of time, to 5=none of the time\]). The 8 scales were summarized as Physical Component Summary (PCS) score (physical functioning, role-physical, bodily pain, general health scales) and Mental Component Summary (MCS) score (vitality, social functioning, role-emotional, mental health scales). Reported summary scores were transformed on a scale from 0-100 (higher scores corresponded with higher quality of life), with change from baseline results being presented.

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 Summary: Change at Month 12-0.89 ± 10.289
Physical Component Summary: Change at Month 241.09 ± 8.167
Mental Component Summary: Change at Month 122.42 ± 7.637
Mental Component Summary: Change at Month 242.08 ± 7.281

Adverse events

Collected over From date of informed consent to the date of last followup (an average of 32.5 months of followup for ITT subjects).. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
LentiGlobin BB305 Drug Product0/19 (0%)6/19 (31.6%)19/19 (100%)
Most frequent serious events
Showing 10 of 11
Most frequent serious events
EventLentiGlobin BB305 Drug Product
PyrexiaGeneral disorders3/19
Cardiac failure congestiveCardiac disorders1/19
HeadacheNervous system disorders1/19
NeutropeniaBlood and lymphatic system disorders1/19
Febrile neutropeniaBlood and lymphatic system disorders1/19
ThrombocytopeniaBlood and lymphatic system disorders1/19
Gastric ulcer perforationGastrointestinal disorders1/19
StomatitisGastrointestinal disorders1/19
Bartholin's cystReproductive system and breast disorders1/19
Soft tissue infectionInfections and infestations1/19
Most frequent other events
Showing 10 of 145
Most frequent other events
EventLentiGlobin BB305 Drug Product
ThrombocytopeniaBlood and lymphatic system disorders17/19
NeutropeniaBlood and lymphatic system disorders16/19
AnaemiaBlood and lymphatic system disorders15/19
VomitingGastrointestinal disorders12/19
AlopeciaSkin and subcutaneous tissue disorders12/19
Febrile neutropeniaBlood and lymphatic system disorders11/19
StomatitisGastrointestinal disorders11/19
Procedural painInjury, poisoning and procedural complications9/19
NauseaGastrointestinal disorders9/19
Alanine aminotransferase increasedInvestigations8/19

Baseline characteristics

Data are analyzed at times based on ITT population which included all 19 participants who initiated any study procedures, beginning with mobilization by G-CSF and/or plerixafor.

Age, Continuous
Age, Continuous(Years)LentiGlobin BB305 Drug Product
Mean14.8 ± 8.77
Sex: Female, Male
Sex: Female, Male(Participants)LentiGlobin BB305 Drug Product
Female9
Male10
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)LentiGlobin BB305 Drug Product
Hispanic or Latino0
Not Hispanic or Latino18
Unknown or Not Reported1
Race (NIH/OMB)
Race (NIH/OMB)(Participants)LentiGlobin BB305 Drug Product
American Indian or Alaska Native0
Asian8
Native Hawaiian or Other Pacific Islander0
Black or African American0
White10
More than one race0
Unknown or Not Reported1
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Study locations

9 sites
  • UCSF Benioff Children's Hospital Oakland
    Oakland, California 94609, United States
  • Ann & Robert H. Lurie Children's Hospital of Chicago
    Chicago, Illinois 60611, United States
  • Children's Hospital of Philadelphia
    Philadelphia, Pennsylvania 19104, United States
  • Hopital d'enfants de la Timone
    Marseille, 13385, France
  • Hannover Medical School
    Hannover, 30625, Germany
  • University of Heidelberg
    Heidelberg, 69120, Germany
  • General Hospital of Thessaloniki 'G.Papanikolaou'
    Thessaloníki, Greece
  • IRCCS Ospedale Pediatrico Babino Gesu
    Rome, Italy
  • University College London Hospital
    London, United Kingdom
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References and documents

Study documents

  • Study protocol · Jun 10, 2021
  • Statistical analysis plan · Oct 28, 2022

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

Individual participant data

Plan to share: Yes — Bluebird bio is committed to transparency. Appropriately de-identified patient-level datasets and supporting documents may be shared (if contractually or otherwise legally permitted) following completion of this study, submission of all applicable regulatory submissions and consistent with criteria established by bluebird bio and/or industry best practices to protect confidential information and maintain the privacy of study participants. For enquiries, please contact us at datasharing@bluebirdbio.com.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 7, 2024, 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
NCT03207009
Lead sponsor
bluebird bio
Responsible party
Sponsor
First posted
Jul 2, 2017
Start date
Jun 8, 2017
Primary completion
Nov 15, 2022
Completion
Nov 15, 2022
Results posted
Dec 29, 2023
Last update
Mar 7, 2024

Study contacts

Himal L Thakar, MD
study director · bluebird bio

Oversight

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

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