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WithdrawnNCT05951205Updated Mar 25, 2026

Evaluation of Efficacy and Safety of a Single Dose of Exa-cel in Participants With Severe Sickle Cell Disease, βS/ βC Genotype

A Phase 3 interventional study of Exa-cel in Sickle Cell Disease, sponsored by Vertex Pharmaceuticals Incorporated. Withdrawn. Open to participants aged 12 Years to 35 Years. Per ClinicalTrials.gov, last updated 2026-03-25.

Sponsored by Vertex Pharmaceuticals Incorporated · Phase 3, Interventional, and Treatment

Why this study was withdrawn
Modification to the clinical development plan
Phase
Phase 3
Study type
Interventional
Enrollment
0
Allocation
Not applicable
Ages
12 Years to 35 Years
Sex
All
01

Study summary

The purpose of the study is to evaluate the efficacy and safety of CTX001 (exa-cel) in adolescent and adult participants with severe sickle cell disease (SCD), βS/βC genotype (HbSC).

02

Conditions studied

  • Sickle Cell Disease

Browse trials for

03

In context

Anemia, Sickle Cell

1,103 studies on the registry are indexed under Anemia, Sickle Cell; 235 are open to participants now.

Browse Anemia, Sickle Cell studies →

Lead sponsor

Vertex Pharmaceuticals Incorporated is the lead sponsor of 243 studies on the registry; 19 are open to participants now.

Of its 102 completed or terminated interventional studies of FDA-regulated products, 49 (48%) have results posted.

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

Eligibility criteria

Key Inclusion Criteria:

  • Participants with documented βS/βC (HbSC) genotype
  • Participants must be eligible for autologous stem cell transplant as per investigator's judgment

Key Exclusion Criteria:

  • A willing and healthy 10/10 human leukocyte antigen (HLA)-matched related donor is available per investigator's judgement
  • Participants with prior hematopoietic stem cell transplant (HSCT)
  • Treatment with regular RBC transfusions that, in the opinion of the investigator, cannot be interrupted after engraftment.

Other protocol defined Inclusion/Exclusion criteria may apply.

05

Study design

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

Study arms

  • Experimental
    Exa-cel

    Participants will receive a single infusion of exa-cel (autologous CD34+ hHSPCs modified with CRISPR-Cas9 at the erythroid lineage-specific enhancer of the BCL11A gene) through a central venous catheter.

    Biological: Exa-cel

Interventions

  • BiologicalExa-cel

    Administered by intravenous (IV) infusion following myeloablative conditioning with busulfan.

    Also known as: Exagamglogene autotemcel, CTX001

06

What researchers measure

Primary outcomes

  1. Proportion of Participants with an Average Fetal Hemoglobin (HbF) Greater Than or Equal To (>=) 20 percent (%) on or After 6 Months

    Time frame: From 60 Days after Last Red Blood Cell (RBC) transfusion up to 24 Months after exa-cel infusion

Secondary outcomes

  1. Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Time frame: From Signing of Informed Consent up to 24 Months After exa-cel Infusion

  2. Proportion of Participants With Neutrophil Engraftment (First day of 3 Consecutive Measurements of Absolute Neutrophil Count (ANC) >=500 per Microliter [mcgL] on 3 Different Days)

    Time frame: Within 42 Days After exa-cel Infusion

  3. Time to Neutrophil Engraftment

    Time frame: Up to 24 months After exa-cel Infusion

  4. Time to Platelet Engraftment

    Time frame: Up to 24 months After exa-cel Infusion

  5. Incidence of Transplant-Related Mortality (TRM)

    Time frame: Up to 100 Days After exa-cel Infusion

  6. Incidence of Transplant-Related Mortality (TRM)

    Time frame: Within 12 Months After exa-cel Infusion

  7. Incidence of All-cause Mortality

    Time frame: From Signing of Informed Consent up to 24 Months After exa-cel Infusion

  8. Proportion of Participants With No Severe Vaso-Occlusive Crises (VOCs) for At least 12 Months (VF12)

    Time frame: From 60 Days after Last RBC transfusion up to 24 Months After exa-cel Infusion

  9. Proportion of Participants Free from Inpatient Hospitalization For Severe VOCs Sustained for At least 12 Months (HF12)

    Time frame: From 60 Days after Last RBC transfusion up to 24 Months After exa-cel Infusion

  10. Relative Reduction in Annualized Rate of Severe VOCs

    Time frame: From Baseline up to 24 Months After exa-cel Infusion

  11. Duration of Severe VOC Free in Participants who Have Achieved VF12

    Time frame: From 60 Days after Last RBC transfusion up to 24 Months After exa-cel Infusion

  12. Relative Reduction in Rate of Inpatient Hospitalizations for Severe VOCs

    Time frame: From Baseline up to 24 Months After exa-cel Infusion

  13. Relative Reduction in Annualized Duration of Hospitalization for Severe VOCs

    Time frame: From Baseline up to 24 Months After exa-cel Infusion

  14. Proportion of Participants With Sustained HbF >= 20 % for At least 3, 6, or 12 months

    Time frame: From 60 Days after Last RBC transfusion up to 24 Months After exa-cel Infusion

  15. Relative Reduction in Annualized Volume of RBC Transfusions

    Time frame: From Baseline Up To 24 Months After exa-cel Infusion

  16. HbF Concentration Over Time

    Time frame: Up To 24 Months After exa-cel Infusion

  17. Total Hemoglobin (Hb) Concentration Over Time

    Time frame: Up To 24 Months After exa-cel Infusion

  18. Change In Reticulocyte Count Over Time

    Time frame: From Baseline Up To 24 Months After exa-cel Infusion

  19. Change in Indirect Bilirubin Over Time

    Time frame: From Baseline Up To 24 Months After exa-cel Infusion

  20. Change in Haptoglobin Over Time

    Time frame: From Baseline Up To 24 Months After exa-cel Infusion

  21. Change in Lactate dehydrogenase (LDH) Over Time

    Time frame: From Baseline Up To 24 Months After exa-cel Infusion

  22. Time to First Detectable Haptoglobin

    Time frame: Up to 24 Months After exa-cel Infusion

  23. Time to First Normalized LDH

    Time frame: Up to 24 Months After exa-cel Infusion

  24. Proportion of Alleles With Intended Genetic Modification Present in Peripheral Blood Over Time

    Time frame: Up To 24 Months After exa-cel Infusion

  25. Proportion of Alleles With Intended Genetic Modification Present in CD34+ Cells of the Bone Marrow Over Time

    Time frame: Up To 24 Months After exa-cel Infusion

  26. Change in Pain Scale (11-point numerical rating scale (NRS)) Assessment Over Time In Adults (>=18 Years)

    Time frame: From Baseline Up To 24 Months After exa-cel Infusion

  27. Change in Functional Assessment of Cancer Therapy-Bone Marrow Transplant (FACT-BMT) Over Time In Adults (>=18 Years)

    Time frame: From Baseline Up To 24 Months After exa-cel Infusion

  28. Change in Adult Sickle Cell Quality of Life Measurement System (ASCQ-Me)

    Time frame: From Baseline Up To 24 Months After exa-cel Infusion

  29. Change in Pain Scale (11-point NRS) Assessment Over Time In Adolescents (12 to <18 years of age)

    Time frame: From Baseline Up To 24 Months After exa-cel Infusion

  30. Change in Pediatric Quality of Life Inventory (PedsQL; self-report and parent proxy versions) Generic Core In Adolescents (12 to <18 years of age)

    Time frame: From Baseline Up To 24 Months After exa-cel Infusion

  31. Change in PedsQL SCD module (self-report and parent proxy versions) In Adolescents (12 to <18 years of age)

    Time frame: From Baseline Up To 24 Months After exa-cel Infusion

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No — Details on Vertex data sharing criteria and process for requesting access can be found at: https://www.vrtx.com/our-science/clinical-trials-data-sharing/

No publications or documents are linked to this record.

09

Updates

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

Registry details

Key details

Study ID
NCT05951205
Lead sponsor
Vertex Pharmaceuticals Incorporated
Responsible party
Sponsor
First posted
Jul 18, 2023
Start date
Jul 31, 2027 (estimated)
Primary completion
Dec 31, 2033 (estimated)
Completion
Dec 31, 2033 (estimated)
Last update
Mar 25, 2026

Oversight

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

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This study is withdrawn, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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