NCT07489196

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

63
Monitor

Trial Health Score

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

Enrollment
20

participants targeted

Target at below P25 for phase_2

Timeline
24mo left

Started Apr 2026

Geographic Reach
1 country

3 active sites

Status
not yet recruiting

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

Study Progress14%
Apr 2026Jul 2028

First Submitted

Initial submission to the registry

March 19, 2026

Completed
5 days until next milestone

First Posted

Study publicly available on registry

March 24, 2026

Completed
12 days until next milestone

Study Start

First participant enrolled

April 5, 2026

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 31, 2028

Expected
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 31, 2028

Last Updated

March 24, 2026

Status Verified

March 1, 2026

Enrollment Period

1.8 years

First QC Date

March 19, 2026

Last Update Submit

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

EXPERIMENTAL

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

Genetic: CS-101 injection

Interventions

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

CS-101 injection

Eligibility Criteria

Age12 Years - 35 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

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

Location

Children's Hospital of Fudan University

Shanghai, Shanghai Municipality, China

Location

Ruijin Hospital Shanghai JiaoTong University School of Medicine

Shanghai, Shanghai Municipality, China

Location

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

Locations