ClinicalTrials.gg
RecruitingNCT05851105Updated Nov 29, 2024

the Safety and Efficacy Evaluation of HGI-002 Injection in Patients With Transfusion-Dependent α-Thalassemia

An Early Phase 1 interventional study of α-globin restored autologous hematopoietic stem cells in α-thalassemia, sponsored by Shenzhen Hemogen. Recruiting at 1 site in China. Open to participants aged 12 Years to 35 Years. Per ClinicalTrials.gov, last updated 2024-11-29.

Sponsored by Shenzhen Hemogen · Early Phase 1, Interventional, and Treatment

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Oct 2022, registered Feb 2023).
  • Started Oct 2022; still recruiting 4 years 1 month later.
Phase
Early Phase 1
Study type
Interventional
Enrollment
3
Allocation
Not applicable
Ages
12 Years to 35 Years
Sex
All
01

Study summary

This is an open label study to evaluate the safety and efficacy of α-globin Restored Autologous Hematopoietic Stem Cells in α-Thalassemia Major Patients

02

Conditions studied

  • α-thalassemia

Browse trials for

03

In context

Thalassemia

250 studies on the registry are indexed under Thalassemia; 43 are open to participants now.

This study's planned enrollment of 3 is below the median of 33 across 170 interventional studies indexed under Thalassemia.

Browse Thalassemia studies →

Lead sponsor

Shenzhen Hemogen is the lead sponsor of 4 studies on the registry; 4 are open to participants now.

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

04

Who can participate

Ages eligible
12 Years to 35 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

  1. Aged 12-35 years (inclusive), ICF can be provided by the patient and/or legal guardian;
  2. Definitively α- thalassemia diagnosed with severe TDT without genotype restriction, and a valid test report can be provided;
  3. Average transfusion volume > 100 mL/kg/year or transfusion frequency > 8 times/year within 2 years prior to enrollment, or has been definitively diagnosed with TDT;
  4. At least 3 months of full volume transfusion (verification of blood transfusion records can be provided) prior to screening, and is maintained at ≥ 9.0 g/dL;
  5. Ferritin load \< 3000 μg/L, cardiac and liver iron indicates moderate or lesser iron overload; records of iron chelation treatments within 3 months before screening (including prescription or receipt) can be provided;
  6. Acceptable organ functions (including heart, liver, kidney, lung and coagulation functions), stable disease condition, and suitable for busulfan pre-treatment and hematopoietic stem cell (HSC) transplantation as judged by the investigator;
  7. Meets follow-up requirements, adheres to treatment arrangements, and is able to return to the hospital regularly to undergo various examinations within 2 years after reinfusion of HGI-002 injection.

Exclusion criteria

Exclusion Criteria:

  1. Patients with fully HLA-matched donors;
  2. Received transplantation, which needs to be weighed and evaluated by an expert committee; received other gene therapies;
  3. Have previously undergone splenectomy;
  4. Uncorrected bleeding disorder;
  5. Uncontrolled epilepsy and mental illness;
  6. Received hydroxyurea, ruxolitinib, decitabine, or cytarabine within 3 months prior to enrollment;
  7. Psychoactive substance abuse, drug or alcohol abuse within 6 months prior to enrollment;
  8. Patients with pulmonary hypertension who have not been given effective intervention;
  9. Persistent toxicity (≥ grade 2) induced by previous treatment;
  10. Positive for anti-RBC antibodies in antibody screening;
  11. Positive for surface antigen (HBsAg) and HBV DNA copy number > (ULN) (HBV DNA test not required for patients negative for HBsAg), positive for virus (HCV) antibody, positive (HIV), or positive for Treponema pallidum antibody (TP-Ab) (subjects who are positive for the antibody due to vaccination can be enrolled). In certain clinical environments/regions, subjects who are positive for other tests can also be excluded from the trial, such as, human lymphocytic virus-1 (HTLV-1) or -2 (HTLV-2), tuberculosis, and toxoplasmosis.
  12. Has or has had malignant tumors or myeloproliferative disease or immunodeficiency disease;
  13. Immediate family member with or suspected of having a familial cancer (including but not limited to hereditary breast and ovarian cancers, nonpolyposis colorectal cancer, and adenomatous polyposis);
  14. Severe bacterial, viral, fungal or parasitic infection;
  15. Other illnesses which render the subject unsuitable for participation (e.g., severe liver, kidney or heart disease); Definition of severe liver and kidney disease: a. (AST), alanine aminotransferase (ALT), or total > 3 × ULN; b. Liver magnetic resonance imaging (MRI) indicates significant cirrhosis; c. Liver indicates cirrhosis, severe fibrosis or active hepatitis (liver biopsy is only performed when liver MRI indicates active hepatitis and significant fibrosis without evidence for cirrhosis); d. \< 30% of normal;
  16. WBC \< 3 × 109/L and/or \< 100 × 109/L;
  17. Has diabetes, abnormal thyroid functions or other endocrine disorder;
  18. Participated in other interventional clinical studies within 4 weeks before the trial;
  19. Poor adherence or other conditions that renders the subject unsuitable for participation as judged by the investigator.
Terms in these criteria, in plain language(12)

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.

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).

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.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

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.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

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.

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.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

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.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
3 participants (estimated)

Study arms

  • Experimental
    Experimental

    Three transfusion-dependent α-thalassaemia subjects aged 12-35 years will be reinfused with α-globin restored autologous hematopoietic stem cells modified with LentiHBA T\>C

    Biological: α-globin restored autologous hematopoietic stem cells

Interventions

  • Biologicalα-globin restored autologous hematopoietic stem cells

    α-globin restored autologous hematopoietic stem cells modified with LentiHBA T\>C

06

What researchers measure

Primary outcomes

  1. Overall response rate

    Percent of patients with average VCN \> 0.1 in peripheral blood mononuclear cells

    Time frame: 0-24 months

  2. Incidence and severity of AEs

    The number and the percentage of adverse events related to transplantation will be summarized according to NCI CTCAE 5.0

    Time frame: 0-24 months

  3. incidence of SAEs

    The number of SAE related to transplantation will be summarized according to NCI CTCAE 5.0

    Time frame: 0-24 months

  4. Transplantation-related fatal and disabling events within 100 d after transplantation

    Transplantation-related fatal and disabling events

    Time frame: Day 100

  5. Overall survival rate during the clinical trial

    Number of patients alive through the whole trial will be record

    Time frame: 0-24 months

  6. HGI-002 injection-related replicating lentivirus test

    The percentage of RCL should be negative in the 24 months after transplant

    Time frame: 0-24 months

  7. Change from baseline in Clonal variations containing specific viral integration sites

    Evaluation of the percentage of participants without abnormal clonal proliferation and polyclonal engraftment at baseline, 6, 12, 18 and 24 months after transplant. More than 1000 VIS retrieved from peripheral blood should be checked.

    Time frame: 0-24 months

  8. Number of patients with abnormal hematology cytology and bone marrow cytology within 24 months after reinfusion

    Number of patients with abnormal hematology cytology and bone marrow cytology

    Time frame: 0-24 months

Secondary outcomes

  1. Treatment response rate

    Percent of patients with average VCN \> 0.1 in PBMCs

    Time frame: 12 Months

  2. Percent of subjects with successful HSC engraftment

    Criteria for successful engraftment: Absolute neutrophil count \> 0.5 × 10 9 /L for 3 consecutive days; platelet count is maintained at \> 20 × 10 9 /L for 7 consecutive days without platelet transfusion

    Time frame: 1 month

  3. Change in transfusion volume or frequency

    Change in average annual transfusion volume or frequency from baseline or change in percentage

    Time frame: 0-24 Months

  4. Transfusion improvement rate

    Percent of subjects with ≥ 30% decrease in the average annual (0-12 months, 12-24 months) transfusion volume or frequency from baseline after reinfusion of HGI-002 injection

    Time frame: 0-24 Months

  5. Transfusion independence (TI) rate

    Percent of subjects who do not require transfusion for at least 12 consecutive months after reinfusion of HGI-002 injection and have a weighted average Hb of ≥ 9.0 g/dL

    Time frame: 0-24 Months

  6. Transfusion-free survival

    the time when a subject meets the TI criteria and maintains transfusion-free survival

    Time frame: 0-24 Months

  7. Changes in VCN

    Vector copy number

    Time frame: 0-24 Months

  8. Changes in cardiac iron load after reinfusion of HGI-002 injection

    T2 MRI

    Time frame: 0-24 Months

  9. Changes in liver iron load after reinfusion of HGI-002 injection

    T2 MRI

    Time frame: 0-24 Months

  10. Changes in serum ferritin after reinfusion of HGI-002 injection

    serum ferritin

    Time frame: 0-24 Months

  11. Changes use of iron chelation medications after reinfusion of HGI-002 injection

    iron chelation medications

    Time frame: 0-24 Months

07

Study locations

1 of 1 sites recruiting
  • PLA Joint Logistic Support Force No. 923 Hospital
    Nanning, Guangxi, China
    Recruiting
08

References and documents

Publications

  • Yin X, Qian L, Dong G, Chen Y, Zhou Y, Yang B, Liao G, Sun H, Guo H, Zeng X, Zou H, Ye T, He J, Yao W, Ouyang W, Zhang X, Liu C. Successful gene therapy for transfusion-dependent alpha-thalassemia: a case report. Blood Adv. 2026 Jul 28;10(14):5153-5160. doi: 10.1182/bloodadvances.2025019280. PubMed 42200456 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 29, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05851105
Lead sponsor
Shenzhen Hemogen
Responsible party
Sponsor
First posted
May 9, 2023
Start date
Oct 8, 2022
Primary completion
Dec 30, 2026 (estimated)
Completion
Dec 30, 2026 (estimated)
Last update
Nov 29, 2024

Study contacts

Haigang Sun
Contact
sunhaigang@genomics.cn
13823168465
Chao Liu, PHD
principal investigator · Shenzhen Hemogen
Xinhua Zhang
principal investigator · PLA Joint Logistic Support Force No. 923 Hospital

Oversight

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

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