A Phase 2 Safety and Efficacy Study Evaluating CS-101 in Participants With β-Thalassemia Major
A Single-arm, Open-label Phase II Clinical Trial: Evaluating the Safety and Efficacy of a Single Dose of CS-101 Injection in Participants With β-thalassemia Major
1 other identifier
interventional
20
1 country
3
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 patients with β-Thalassemia Major
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Apr 2026
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 19, 2026
CompletedFirst Posted
Study publicly available on registry
March 24, 2026
CompletedStudy Start
First participant enrolled
April 5, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 31, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 31, 2028
March 24, 2026
March 1, 2026
1.8 years
March 19, 2026
March 19, 2026
Conditions
Outcome Measures
Primary Outcomes (7)
AEs(Adverse Events) and SAEs(Serious Adverse Events) after CS-101 infusion
Frequency and severity of adverse events(AEs)as assessed by CTCAE(Common Terminology Criteria for Adverse Events)v5.0
Up to 16 months post-CS-101 infusion
Overall survival
Up to 16 months post-CS-101 infusion
Proportion of Subjects with engraftment
Subjects with engraftment is defined as neutrophil engrafted
Within 42 days post-CS-101 infusion
Time to neutrophil engraftment
Up to 16 months post-CS-101 infusion
Time to platelet engraftment
Up to 16 months post-CS-101 infusion
Incidence of transplant-related mortality
Up to 100 days post-CS-101 infusion
Proportion of subjects achieving transfusion independence for at least 12 consecutive months
Maintaining transfusion independence for at least 12 consecutive months while maintaining a weighted mean hemoglobin≥90g/L
Up to 16 months post-CS-101 infusion
Secondary Outcomes (5)
Proportion of subjects achieving transfusion independence for at least 6 consecutive months
Up to 16 months post CS-101 Infusion
Changes in targeted editing efficiency in peripheral blood nucleated cells over time
Up to 16 months post CS-101 infusion
Changes in targeted editing efficiency in bone marrow nucleated cells over time
Up to 16 months post CS-101 infusion
Change in fetal hemoglobin(HbF) concentration over time
Up to 16 months post CS-101 infusion
Change in total hemoglobin(Hb) concentration over time
Up to 16 months post CS-101 infusion
Study Arms (1)
CS-101 injection
EXPERIMENTALAutologous CD34+ hematopoietic stem cell suspension modified by ex vivo base editing technique
Interventions
Autologous CD34+ hematopoietic stem cell suspension modified by ex vivo base editing technique
Eligibility Criteria
You may qualify if:
- Voluntarily signed informed consent. Male or female participants aged 12 to 35 years (inclusive). The participant or their legally authorized representative must sign the informed consent. If the participant is under 18 years of age, their legally authorized representative must also sign the informed consent.
- Diagnosed with β-thalassemia major (transfusion-dependent). Received at least 8 units of red blood cell transfusions within 12 months prior to screening, and documented hemoglobin level ≤ 70 g/L pre-transfusion.
- Good general condition: Karnofsky score (≥16 years of age) ≥ 60, or Lansky Play-Performance score (\<16 years of age) ≥ 60.
- For females of childbearing potential: From the start of the screening, highly effective contraception or complete abstinence (if this is their usual lifestyle), and agree to maintain such contraception throughout the study.
- For males of childbearing potential: Use condoms or other methods to ensure effective contraception for sexual partners continuously from mobilization through the study period.
You may not qualify if:
- Received other investigational products or other experimental interventions within 30 days prior to signing informed consent or within 6 elimination half-lives of the drug (whichever is longer).
- Received or is receiving thalidomide, hydroxyurea, and/or luspatercept within 3 months prior to screening.
- Previous received allogeneic hematopoietic stem cell transplantation, gene therapy, or gene-editing therapy; or participants who can be maintained with standard therapy.
- Participants with a matched sibling donor, or with a matched unrelated / haploidentical related donor and judged by the investigator to have no high-risk factors for allogeneic hematopoietic stem cell transplantation.
- Participants with coexisting α-thalassemia with more than 2 α-globin chain gene deletions or non-deletional mutations.
- Known hypersensitivity to drugs used during autologous hematopoietic stem cell transplantation, excipients, or devices, judged by the investigator to be ineligible for this study.
- Infection with HIV, cytomegalovirus, Epstein-Barr virus, or Treponema pallidum during screening; active HBV or HCV infection (participants with stable hepatitis B after treatment (HBV-DNA negative) and cured hepatitis C (HCV-RNA negative) may be included). Known active bacterial, viral, fungal, or parasitic infection.
- Echocardiographic ejection fraction \< 50%.
- Laboratory abnormalities: AST or ALT \> 3 × upper limit of normal (ULN); or International normalized ratio (INR) \> 1.5 × ULN.
- Cardiac severe iron overload detected by MRI during screening, judged by the investigator to be unsuitable for hematopoietic stem cell transplantation.
- Current or history of malignancy.
- Participants with known neurological consciousness disorders, psychological problems, or psychiatric diseases judged by the investigator to be unable to comply with study procedures.
- Participants with known history of uncontrolled seizures judged by the investigator to be ineligible for this study.
- Uncontrolled bleeding disorders.
- Leukocyte count \< 3 × 10⁹/L and/or platelet count \< 100 × 10⁹/L not due to hypersplenism.
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
The First Affiliated Hospital of Guangxi Medical University
Nanning, Guangxi, China
Children's Hospital of Fudan University
Shanghai, Shanghai Municipality, China
Ruijin Hospital Shanghai JiaoTong University School of Medicine
Shanghai, Shanghai Municipality, China
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 19, 2026
First Posted
March 24, 2026
Study Start
April 5, 2026
Primary Completion (Estimated)
January 31, 2028
Study Completion (Estimated)
July 31, 2028
Last Updated
March 24, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will not share