NCT06024876

Brief Summary

The goal of this open label, single-arm clinical study is to learn about the safety and efficacy of CS-101 in treating β-thalassemia.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
5

participants targeted

Target at below P25 for early_phase_1

Timeline
Completed

Started Aug 2023

Geographic Reach
1 country

1 active site

Status
completed

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

August 23, 2023

Completed
3 days until next milestone

Study Start

First participant enrolled

August 26, 2023

Completed
11 days until next milestone

First Posted

Study publicly available on registry

September 6, 2023

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2025

Completed
Last Updated

February 12, 2026

Status Verified

February 1, 2026

Enrollment Period

1.8 years

First QC Date

August 23, 2023

Last Update Submit

February 11, 2026

Conditions

Outcome Measures

Primary Outcomes (7)

  • Frequency and severity of adverse events(AEs)as assessed by CTCAE v5.0

    From signing informed consent to 12 months post-CS-101 infusion

  • Time to neutrophil and platelet engraftment

    Time to neutrophil engraftment is defined as first day of 3 consecutive measurements of absolute neutrophil count≥0.5×10\^9/L on three different days; Time to platelet engraftment is defined as first day of 3 consecutive measurements of absolute platelet count≥20×10\^9/L on three different days and without platelet transfusion in the past 7 days;

    Days post-CS-101 infusion

  • Proportion of subjects with engraftment

    Subjects with engraftment is defined as neutrophil engrafted

    within 42 days post-CS-101infusion

  • Incidence of transplant-related mortality

    From baseline to 100 days post-CS-101 infusion

  • All-cause mortality

    From signing informed consent to 12 months post-CS-101 infusion

  • Proportion of subjects achieving transfusion independence for at least 6 consecutive months

    From 3 months up to 12 months post-CS-101 infusion

  • Time to last red blood cell(RBC) transfusion

    Days post-CS-101 infusion

Secondary Outcomes (3)

  • Change in total hemoglobin(Hb) concentration over time

    up to 12 months post-CS-101 infusion

  • Change in fetal hemoglobin(HbF) concentration over time

    up to 12 months post-CS-101 infusion

  • Chimerism level in Peripheral blood and bone marrow

    up to 12 months post-CS-101 infusion

Study Arms (1)

CS-101

EXPERIMENTAL

CS-101: Autologous CD34+ hematopoietic stem cell suspension modified by ex vivo base editing technique

Biological: CS-101

Interventions

CS-101BIOLOGICAL

Autologous CD34+ hematopoietic stem cell suspension modified by ex vivo base editing technique

CS-101

Eligibility Criteria

Age6 Years - 35 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • to 35 years old(inclusive) male or female subjects at the time of informed consenting
  • Diagnosis of β-thalassemia, genotypes include but are not limited to β+β0,βEβ0,β0β0, etc
  • History of at least≥8 units/year of packed RBC transfusions in the prior 12 months prior to the screening period
  • Generally in good condition, Karnofsky performance score≥60 points for subjects≥16 years old at the time of autologous hematopoietic stem cell collection, or Lansky Play-Performance score≥60 points for subjects under 16 years old, or equivalent clinical evaluation as the investigator site's common practice

You may not qualify if:

  • Treatment with other investigational medications or other experimental interventions 30 days prior to signing informed consent or within 6 half-lives of the drug, whichever is longer.
  • Subjects who have received or are receiving thalidomide and/or Luspatercept, when their drug-drug interaction on the efficacy and safety of CS-101 cannot be ruled out, unless at least there are 3 test results showing the total hemoglobin level before transfusion is below 9g/dL in the past 6 months before screening.
  • Previously received allogeneic hematopoietic stem cell transplantation or gene(edited) therapy.
  • Subjects have available related fully matching donors and are eligible and prepared for allogeneic hematopoietic stem cell transplantation.
  • Those with active infections, including but not limited to: HIV, hepatitis B, hepatitis C, cytomegalovirus, Epstein-Barr virus and treponema pallidum test positive, or known tuberculosis, parasitic infection, etc. who are judged by the investigator to be unsuitable to participate in this study.
  • Echocardiography results with ejection fraction below 45%.
  • Advanced liver disease, defined as:
  • Aspartate aminotransferase (AST), alanine aminotransferase (ALT) \>3 × upper limit of normal (ULN) or:
  • Baseline International Normalized Ratio (INR) \>1.5 × ULN.
  • MRI during the screening period showed heavy iron overload and is judged by the investigator to be unable to participate in the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

The First Affiliated Hospital of Guangxi Medical University

Nanning, China

Location

MeSH Terms

Conditions

beta-Thalassemia

Condition Hierarchy (Ancestors)

ThalassemiaAnemia, Hemolytic, CongenitalAnemia, HemolyticAnemiaHematologic DiseasesHemic and Lymphatic DiseasesHemoglobinopathiesGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and Abnormalities

Study Officials

  • Yongrong Lai, M.D.

    First Affiliated Hospital of Guangxi Medical University

    PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

First Submitted

August 23, 2023

First Posted

September 6, 2023

Study Start

August 26, 2023

Primary Completion

July 1, 2025

Study Completion

July 1, 2025

Last Updated

February 12, 2026

Record last verified: 2026-02

Locations