Longterm Follow-up of Subjects With Cerebral Adrenoleukodystrophy Who Were Treated With Lenti-D Drug Product

2024-513904-33-00 Protocol LTF-304 Therapeutic confirmatory (Phase III) Ongoing, recruitment ended

Start 11 Mar 2020 · Status Ongoing, recruitment ended · 4 EU/EEA countries · 4 sites · Protocol LTF-304

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruitment ended
Participants planned 64
Countries 4
Sites 4

Cerebral Adrenoleukodystrophy (CALD)

- Monitor for long-term safety of the Lenti-D Drug Product (also known as elivaldogene autotemcel; hereafter referred to as eli-cel ) administered in parent clinical studies. - Monitor for long-term efficacy of eli cel administered in parent clinical studies.

Key facts

Sponsor
Genetix Biotherapeutics Inc.
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male
Therapeutic area
Diseases [C] - Hemic and Lymphatic Diseases [C15]
Trial duration
11 Mar 2020 → ongoing
Decision date (initial)
2024-07-29
Transition trial
Yes
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
No

External identifiers

EU CT number
2024-513904-33-00
EudraCT number
2015-002805-13
ClinicalTrials.gov
NCT02698579

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Pharmacogenetic, Safety

- Monitor for long-term safety of the Lenti-D Drug Product (also known as elivaldogene autotemcel; hereafter referred to as eli-cel ) administered in parent clinical studies.
- Monitor for long-term efficacy of eli cel administered in parent clinical studies.

Secondary objectives 1

  1. Not applicable

Conditions and MedDRA coding

Cerebral Adrenoleukodystrophy (CALD)

VersionLevelCodeTermSystem organ class
20.0 PT 10051260 Adrenoleukodystrophy 100000004850
20.0 SOC 10010331 Congenital familial and genetic disorders 21

Regulatory references

Plan to share IPD
Yes
EU CT numberTitleSponsor
2011-001953-10 A phase 2/3 study of the efficacy and safety of hematopoietic stem cells transduced with Lenti D lentiviral vector for the treatment of childhood cerebral adrenoleukodystrophy (CCALD), Étude de phase 2/3 visant à évaluer l’efficacité et la sécurité de cellules souches hématopoïétiques transduites avec un vecteur lentiviral Lenti-D dans le traitement de l’adrénoleucodystrophie cérébrale infantile (ALD-CI)
2018-001145-14 A Phase 3 Study of Lenti-D Drug Product After Myeloablative Conditioning Using Busulfan and Fludarabine in Subjects ≤17 Years of Age With Cerebral Adrenoleukodystrophy (CALD), Une étude de phase 3 sur le médicament Lenti-D après conditionnement myéloablatif à l’aide de busulfan et de fludarabine chez les sujets âgés de 17 ans ou moins atteints d’adrénoleucodystrophie cérébrale (ALDc), Studio di fase 3 del prodotto farmacologico Lenti-D dopo condizionamento mieloablativo usando busulfano e fludarabina in soggetti di età minore o uguale a 17 anni affetti da adrenoleucodistrofia cerebrale (CALD)

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. Provision of written informed consent for this study by the subject or subject's parent(s)/ legal guardian(s) and written informed assent by subject, if applicable
  2. Have received Lenti-D Drug Product in a parent clinical study.

Exclusion criteria 1

  1. There are no exclusion criteria for this Study.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 6

  1. Major functional disability (MFD)-free survival over time through Year 15 post-drug product infusion. Note: interim analyses (including evaluation of MFD-free survival [i.e., subjects who were alive without an MFD or need for hematopoietic stem cell transplant [HSCT]; also referred to as event-free survival by FDA) will occur once all subjects have completed 5 years and 10 years of post infusion follow-up (see Section 7.6.1).
  2. The number of subjects with malignancies through 15 years post-drug product infusion
  3. The number of subjects who experience graft versus host disease (GVHD) through 15 years post-drug product infusion
  4. The number of subjects with immune-related AEs (e.g., autoimmune disorders, GVHD, opportunistic infections, HIV) through 15 years post drug product infusion
  5. The number of subjects with new or worsening hematologic disorders through 15 years post-drug product infusion
  6. The number of subjects with new or worsening neurologic disorders through 15 years post-drug product infusion

Secondary endpoints 3

  1. The number of subjects who undergo subsequent stem cell transplantation (i.e. second HSC infusion) through 15 years post-drug product infusion
  2. Change from Baseline (defined in parent study) through Year 15 post drug product infusion in neurologic function score (NFS)
  3. The number of subjects without gadolinium enhancement (GdE) on MRI over time through Year 15 post-drug product infusion

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Elivaldogene autotemcel

PRD11215703 · Product

Active substance
Elivaldogene Autotemcel
Pharmaceutical form
DISPERSION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
0 Other
Max total dose
0 Other
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
BLUEBIRD BIO INC.
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Genetix Biotherapeutics Inc.

Sponsor organisation
Genetix Biotherapeutics Inc.
Address
455 Grand Union Boulevard
City
Somerville
Postcode
02145-1446
Country
United States

Scientific contact point

Organisation
Bluebird Bio Inc.
Contact name
Clinical Trial Information

Public contact point

Organisation
Bluebird Bio Inc.
Contact name
Clinical Trial Information

Third parties 10

OrganisationCity, countryDuties
Voisin Consulting CH SARL
ORG-100031396
Lausanne, Switzerland Code 12
Unisphere Travel Ltd. Inc.
ORG-100043100
Stamford, United States Other
Perceptive Informatics Inc.
ORG-100013171
Billerica, United States Other
PPD Development LP
ORG-100011560
Richmond, United States Other
PPD International Holdings LLC
ORG-100007655
Zaventem, Belgium Other
ProtaGene CGT GmbH
ORG-100041450
Heidelberg, Germany Other
Primevigilance Zagreb d.o.o.
ORG-100041973
Zagreb, Croatia Code 8
Genezen Laboratories Inc.
ORG-100048847
Indianapolis, United States Other
Pharmaceutical Product Development LLC
ORG-100016999
Highland Heights, United States Other
Multi-Regional Clinical Trials Center Of Brigham And Women's Hospital And Harvard
ORG-100023639
Cambridge, United States Other

Locations

4 EU/EEA countries · 4 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ongoing, recruitment ended 5 1
Germany Ongoing, recruitment ended 3 1
Italy Ongoing, recruitment ended 1 1
Netherlands Ongoing, recruitment ended 2 1
Rest of world
United Kingdom, Australia, Brazil, Argentina, United States
53

Investigational sites

France

1 site · Ongoing, recruitment ended
Bicetre Hospital
Service de Neurologie Pediatrique, 78 Rue Du General Leclerc, 94275, Le Kremlin Bicetre Cedex

Germany

1 site · Ongoing, recruitment ended
Universitaet Leipzig
Onkologie/Hämatologie/Hämostaseologie , Leipzig AoeR, Liebigstrasse 22, Zentrum-Suedost, Leipzig

Italy

1 site · Ongoing, recruitment ended
Ospedale Pediatrico Bambino Gesu
Department of Haematology, Piazza Di Sant'Onofrio 4, 00165, Rome

Netherlands

1 site · Ongoing, recruitment ended
Princess Maxima Center Utrecht
Stem Cell Transplant, Heidelberglann 25, 3584CS, Utrecht

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2020-03-11 2020-03-11 2023-06-02
Germany 2021-03-30 2021-03-30 2023-04-28
Italy 2023-04-19 2023-04-19 2023-04-19
Netherlands 2022-02-25 2022-02-25 2023-04-10

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 29 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_2024-513904-33-00_redacted 10.0
Recruitment arrangements (for publication) K1_Recruitment arrangements N/A
Recruitment arrangements (for publication) K1_Recruitment arrangements N/A
Recruitment arrangements (for publication) K1_Recruitment arrangements Statement 1.0
Recruitment arrangements (for publication) K3_Document_additionnel_Redacted N/A
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner_For publication 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Addendum_For publication 7.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Addendum_For publication 7.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Addendum_For publication 7.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Addendum_For publication 7.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Adults_For publication 6.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Assent for Adolescents_For publication 4.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Assent for Adolescents_For publication 7.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Assent for Adolescents_For publication 6.2
Subject information and informed consent form (for publication) L1_SIS and ICF_Assent for children_For publication 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Assent for children_For publication 3.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Assent for Children_For publication 4.2
Subject information and informed consent form (for publication) L1_SIS and ICF_Italy Informative Brochure_For publication 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Parents Guardians_For publication 8.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Parents Guardians_For publication 6.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Parents Guardians_For publication 6.2
Subject information and informed consent form (for publication) L1_SIS and ICF_Parents Privacy Data _For publication 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Parents_For publication 9.2
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Partner 1.2
Summary of Product Characteristics (SmPC) (for publication) Blank-Document_Minimum dossier 1
Synopsis of the protocol (for publication) D1_Protocol Synopsis_EN_2024-513904-33 10.0-EU
Synopsis of the protocol (for publication) D1_Protocol Synopsis_FR_2024-513904-33 10.0-EU
Synopsis of the protocol (for publication) D1_Protocol Synopsis_IT_2024-513904-33 10.0-EU
Synopsis of the protocol (for publication) D1_Protocol Synopsis_NL_2024-513904-33 10.0-EU

Application history

8 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-07-03 Netherlands Acceptable with conditions
2024-07-22
2024-07-22
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-09-25 Netherlands Acceptable with conditions
2024-07-22
2024-09-25
3 NON SUBSTANTIAL MODIFICATION NSM-2 2024-11-27 Netherlands Acceptable with conditions
2024-07-22
2024-11-27
4 NON SUBSTANTIAL MODIFICATION NSM-7 2025-06-18 Netherlands Acceptable with conditions
2024-07-22
2025-06-18
5 NON SUBSTANTIAL MODIFICATION NSM-8 2026-01-13 Netherlands Acceptable with conditions
2024-07-22
2026-01-13
6 SUBSTANTIAL MODIFICATION SM-2 2026-01-21 Netherlands Acceptable
2026-04-28
2026-04-28
7 NON SUBSTANTIAL MODIFICATION NSM-9 2026-05-05 Netherlands 2026-05-05
8 NON SUBSTANTIAL MODIFICATION NSM-10 2026-05-05 Netherlands 2026-05-05