NCT02963064

Brief Summary

A Phase 1/2 study to evaluate the safety, tolerability, and efficacy of an antibody conditioning regimen, known as JSP191, in patients with Severe Combined Immune Deficiency undergoing blood stem cell transplantation

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
23

participants targeted

Target at P25-P50 for phase_1

Timeline
Completed

Started Mar 2017

Longer than P75 for phase_1

Geographic Reach
1 country

9 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 2, 2016

Completed
13 days until next milestone

First Posted

Study publicly available on registry

November 15, 2016

Completed
4 months until next milestone

Study Start

First participant enrolled

March 20, 2017

Completed
8.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 7, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 7, 2025

Completed
Last Updated

July 28, 2025

Status Verified

July 1, 2025

Enrollment Period

8.3 years

First QC Date

November 2, 2016

Last Update Submit

July 23, 2025

Conditions

Keywords

ImmunodeficiencyPediatricSCIDBone Marrow TransplantationGVHDStem CellsChimerismTransplantBMT

Outcome Measures

Primary Outcomes (3)

  • Phase 1: Safety and tolerability of JSP191 as conditioning therapy in SCID patients undergoing HCT: adverse events

    The number of subjects experiencing dose limiting toxicities including adverse events and serious adverse events will be assessed.

    Up to 5 years post Donor Cell Transplant (28 days dose limiting toxicity period)

  • Phase 2: Efficacy of JSP191 as conditioning therapy in SCID patients

    To enable engraftment of allogeneic CD34+ hematopoietic cells, as determined by CD15+ donor myeloid chimerism

    Up to 24 weeks post Donor Cell Transplant

  • Phase 2: Efficacy of JSP191 as conditioning therapy in SCID patients

    To enable immune reconstitution, as determined by the production of naive T cells

    Weeks 36-104 post Donor Cell Transplant

Study Arms (1)

Blood Stem Cell Transplant w/ anti-CD117 conditioning

EXPERIMENTAL

The study will enroll two groups: Group A: previously transplanted SCID patients; Group B: newly diagnosed SCID. The study plans to assess JSP191 in different dose cohorts. Patients will receive a single dose of intravenous JSP191 antibody followed by monitoring for antibody clearance. Once the antibody has cleared below a certain level, patients will receive stem cell transplant and be monitored for hematopoietic recovery.

Biological: Humanized anti-CD117 Monoclonal Antibody (JSP191)

Interventions

Procedure: single intravenous infusion of JSP191 antibody

Blood Stem Cell Transplant w/ anti-CD117 conditioning

Eligibility Criteria

Age3 Months - 12 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Typical SCID as defined by Primary Immune Deficiency Treatment Consortia including but not limited to the following subtypes:
  • T-, B+, NK-: IL-2Rcγ deficient, JAK3-deficient (no longer enrolling)
  • T-, B-, NK+: RAG1/2 deficient, Artemis-deficient
  • T-, B+, NK+: IL7Rα deficient, CD3 subunit deficient, CD45 deficient (no longer enrolling) OR Variant SCID with absent or low T cell function, Omenn syndrome, Leaky SCID, Reticular dysgenesis, Adenosine deaminase deficiency, and Purine nucleoside phosphorylase deficiency may be included after consultation with the medical monitor.
  • Patients with human leukocyte antigen (HLA) matched related or unrelated donors
  • Adequate end organ function as defined in study protocol
  • Age ≤ 12 years
  • Prior donor of appropriate age (≥ 5 years old) available for re-collection of stem cells
  • Previous allogeneic Hematopoietic Cell Transplantation HCT (≥ 6 months post initial transplant) with poor graft function

You may not qualify if:

  • Patients with any acute or uncontrolled infections
  • Patients receiving any other investigational agents, or concurrent biological, chemotherapy, or radiation therapy
  • Patients with active malignancies
  • Active GVHD within 6 months prior to enrollment, or on immunosuppressive therapy for GVHD

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (9)

UCLA Mattel Children's Hospital

Los Angeles, California, 90095, United States

Location

Lucile Packard Children's Hospital

Palo Alto, California, 94304, United States

Location

UCSF Benioff's Children's Hospital

San Francisco, California, 94158, United States

Location

Children's National Medical Center

Washington D.C., District of Columbia, 20010, United States

Location

Children's Healthcare of Atlanta

Atlanta, Georgia, 30322, United States

Location

National Institutes of Health Clinical Center

Bethesda, Maryland, 20892, United States

Location

University of Minnesota

Minneapolis, Minnesota, 55455, United States

Location

Memorial Sloan Kettering Cancer Center

New York, New York, 10065, United States

Location

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, 45229, United States

Location

MeSH Terms

Conditions

Immunologic Deficiency Syndromes

Condition Hierarchy (Ancestors)

Immune System Diseases

Study Officials

  • Rajni A. Agarwal-Hashmi, M.D.

    Lucile Packard Children's Hospital

    PRINCIPAL INVESTIGATOR
  • Christopher C. Dvorak, M.D.

    UCSF Benioff's Children's Hospital

    PRINCIPAL INVESTIGATOR
  • Joseph H. Oved, M.D.

    Memorial Sloan Kettering Cancer Center

    PRINCIPAL INVESTIGATOR
  • Theodore B. Moore, M.D.

    University of California, Los Angeles

    PRINCIPAL INVESTIGATOR
  • Sharat Chandra, M.D.

    Children's Hospital Medical Center, Cincinnati

    PRINCIPAL INVESTIGATOR
  • Christen L Ebens, M.D., MPH

    University of Minnesota

    PRINCIPAL INVESTIGATOR
  • Harry L Malech, M.D.

    National Institutes of Health Clinical Center (CC)

    PRINCIPAL INVESTIGATOR
  • Shanmuganathan Chandrakasan, M.D.

    Children's Healthcare of Atlanta

    PRINCIPAL INVESTIGATOR
  • Neena Kapoor, M.D.

    Children's Hospital Los Angeles

    PRINCIPAL INVESTIGATOR
  • Elizabeth D Hicks, M.D.

    Children's National Research Institute

    PRINCIPAL INVESTIGATOR
  • Susan Prockop, M.D.

    Boston Children's Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 2, 2016

First Posted

November 15, 2016

Study Start

March 20, 2017

Primary Completion

July 7, 2025

Study Completion

July 7, 2025

Last Updated

July 28, 2025

Record last verified: 2025-07

Data Sharing

IPD Sharing
Will not share

Data collected is for future publication

Locations