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Transfusion-dependent Beta-ThalassemiaPhase 2NCT07680803

Gene-Modified Stem Cell Therapy for Subjects With Transfusion-dependent Beta-thalassemia

A Phase 2 study testing FT007 in people with Transfusion-dependent Beta-Thalassemia, run by Fondazione Telethon at 2 sites in Italy.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This is a prospective, dual-centre, single dose, Phase IIb, single arm, open label study. The proposed clinical trial involves a single infusion of autologous HSPCs genetically modified with the GLOBE lentiviral vector, using an improved transduction protocol in 9 patients affected by transfusion dependent… Read more about this study

Who is it for?
Ages 3 to 35 years
Conditions the study is for
Transfusion-dependent Beta-Thalassemia
What is being tested?
FT007
Could I receive a placebo?
No, everyone receives an active treatment
How many people
9 participants
Where
2 sitesItaly
Study dates
6 Jul 2026to Oct 2030
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 3 to 35 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Must be willing to adhere to the protocol as evidenced by written informed consent for adults or parental informed consent and subject assent for adolescents and children.
  • Male and female adults/adolescents/children diagnosed with transfusion-dependent β-thalassemia (homozygous or compound heterozygous). At least 2 out of the 9 patients must have B0/B0 or B0/B0-like genotype. In case the genetic diagnosis available at screening wasn't performed in a certified laboratory (check under PI's or delegated investigator's responsibility), the genetic diagnosis will be repeated at clinical sites during the screening phase.
  • Documented history of at least 100 ml/kg/year or 10 U/year of packed red blood cell transfusions in each of the 2 years prior to signing informed consent.
  • Age ≥ 18 years and ≤ 35 years for Group 1, Age ≥ 3 years and ≤ 35 years for Group 2.
  • Karnofsky Index or Lansky ≥ 80%.
  • Adequate cardiac, renal, hepatic and pulmonary functions resulting in eligibility to undergo autologous HSCT as evidenced by:
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  • Left ventricular ejection fraction (LVEF) greater than 45% by echo and normal ECG or presence of abnormalities not significant for cardiac disease. Absence of severe pulmonary hypertension.
  • Diffusing capacity of the lung for carbon monoxide (DLCO) > 50% and forced expiratory volume in 1 sec (FEV1) and forced expiratory vital capacity (FVC) > 60% predicted (if non cooperative: pulse oximetry > 95 % in room air).
  • Serum creatinine < 2 x upper limit of normal and estimated GFR > 60 ml/min/1.73m2, calculated using the CKD-EPI formula (Levey 2009) for adults and the modified Schwartz formula (Schwartz 2009) for pediatric patients.
  • Absent-mild-moderate liver iron overload on T2*MRI (i.e. LIC < 15 mg Fe/gr dry weight assessed at screening. T2*MRI at screening can be avoided if performed less than 6 months before enrolment at treatment centers).
  • Absent-mild-moderate cardiac iron overload T2*MRI (i.e. > 20 msec assessed at screening. T2*MRI at screening can be avoided if performed less than 6 months before enrolment at treatment centers).
  • Absence of severe liver fibrosis or cirrhosis on Shear Wave (less than 6 months before enrolment) or of other advanced liver disorder.
  • For all patients in reproductive age, agreement to use highly effective and adequate method of contraception for at least 12 months following DP administration (including both females of childbearing potential and males with partners of childbearing potential).
  • Good adherence to transfusion and chelation programme, as indirect evidence of good adherence to treatment and follow-up evaluations for the current trial.
  • Availability of an adequate and well documented transfusion history (at least previous 24 months) or availability to follow a regular transfusion regimen according to guidelines and provide a detailed transfusion record of the 24 months prior to the DP administration.

Who cannot join

  • Use of other investigational agents within 4 weeks prior to study enrolment (within 6 weeks if use of long-acting agents).
  • Severe, active viral, bacterial or fungal infection at eligibility evaluation.
  • Current or prior malignant neoplasia (except local skin cancer or cervical intraepithelial neoplasia) or exceptional family history of familial cancer syndromes.
  • Current or prior immunodeficiency disorder.
  • History of uncontrolled seizures.
  • Aspartate transaminase (AST), alanine transaminase (ALT) >3 × the upper limit of normal (ULN), or direct bilirubin value >2.5 × ULN.
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  • Baseline prothrombin time (International Normalized Ratio; INR) >1.5 × ULN.
  • Other clinical conditions judged non compatible with the procedure and/or the treatment.
  • Positivity for HIV (serology or RNA), and/or HbsAg and/or HBV DNA and/or HCV RNA (patients who have completed antiviral treatment for HCV may only be enrolled if they have achieved a sustained virologic response, defined as undetectable HCV RNA at least 12 weeks after completion of therapy) and/or evidence of active infection of Treponema Pallidum or Mycoplasma species.
  • Positive history of significant previous thrombotic events. In case of a positive thrombophilic screening, patient's inclusion will be evaluated according to national guidelines.
  • Active alcohol or substance abuse within 6 months of the study.
  • Pregnancy or lactation.
  • Previous allogeneic hematopoietic stem cell transplantation.
  • Previous gene therapy treatment (gene addition or gene editing).
  • For patients until the age of 14 years only: availability of an HLA-matched family donor.
  • Patients with associated α-thalassemia and >1 alpha deletion, or alpha multiplications.
  • Any other condition that would not allow the potential subject to complete follow-up examinations during the course of the study and, in the opinion of the investigator, makes the potential subject unsuitable for the study.

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Alessandro Aiuti, Professor contact

+39 02 26439057

aiuti.alessandro@hsr.it

Italy2 sites, 2 recruiting
  • Ospedale San Raffaele

    Milan, Lombardy, 20132

    Alessandro Aiuti, +39 02 26439057, aiuti.alessandro@hsr.it

    Recruiting
  • Ospedale Pediatrico Bambino Gesù

    Rome, Lazio, 00165

    Franco Locatelli, +39 0668593697, franco.locatelli@opbg.net

    Recruiting

Other trials in Italy

About this study

Official title: A Single Arm, Open Label, Multicenter, Single-dose, Phase 2b Clinical Study Evaluating Efficacy and Safety of Gene Therapy Using Autologous CD34+ Hematopoietic Stem Cells Transduced With the GLOBE Lentiviral Vector Using an Improved Transduction Protocol in Subjects With Transfusion-dependent Beta-thalassemia

This is a prospective, dual-centre, single dose, Phase IIb, single arm, open label study. The proposed clinical trial involves a single infusion of autologous HSPCs genetically modified with the GLOBE lentiviral vector, using an improved transduction protocol in 9 patients affected by transfusion dependent Beta-Thalassemia.

Four study phases are foreseen:

  1. Screening phase, during which the conditions required by the clinical protocol for patients' inclusion/exclusion will be assessed after the signature of the informed consents/assents. Patients will be recruited from the two participating sites: IRCCS Ospedale San Raffaele (OSR), Department of Pediatric Immunohematology and adult Hematology (OSR Stem Cells Programme) (Milan) and IRCCS Ospedale Pediatrico Bambino Gesù (OPBG), Department of Haematology, Oncology and Gene and Cell Therapy (Rome).
  2. Baseline phase, carried from the end of the screening phase to the day before the start of the conditioning regimen.
  3. Treatment phase, from the first day of conditioning regimen until DP administration.
  4. Follow-up phase: from DP administration until 2 years follow-up.
Being tested
FT007

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • FT007Genetic

    Autologous hematopoietic stem and progenitor cells (HSPCs) transduced ex vivo with the lentiviral vector GLOBE encoding for the human beta globin using an improved transduction protocol, re-suspended in their final formulation medium and cryopreserved.

Study groups in NCT07680803
Study groupRoleWhat they receive
subjects with transfusion-dependent beta-thalassemiaExperimentalNot described
Receives: Genetic: FT007

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Proportion of subjects who achieve TI12 in the 2 years from DP administration

    Proportion of Subjects achieving transfusion independence defined as a weighted average Hb ≥ 9.0 gr/dL without any red blood cell transfusion for a continuous period of ≥ 12 months (TI12) at any time during the study after the drug product administration The assessment of TI12 starts 60 days after last RBC transfusion for post-transplant support or BTHAL standard of care.

    Measured: from 60 days after the IMP infusion, to 24 months of follow-up

Secondary outcomes (19)
  1. Overall survival

    Overall survival at 12 and 24 months post IMP infusion

    Measured: 12 months and 24 months post IMP infusion

  2. Proportion of Subjects who achieve hematological engraftment ≤ day +60 from DP administration

    Proportion of Subjects who achieve hematological engraftment ≤ day +60 from DP administration defined as first day of absolute neutrophil count ≥ 0.5 x 10^9/L on 3 consecutive measurements obtained on different days and platelets ≥20x 10^9/L in the absence of platelet transfusions and/or growth factor support for at least 7 consecutive days.

    Measured: from Day 11 to Day 60 post IMP infusion

  3. Frequency and severity of adverse events (AEs) and serious adverse events (SAEs) (Safety and tolerability of the administration of FT007)

    Frequency and severity of adverse events (AEs) and serious adverse events (SAEs) attributed to procedures related to harvesting of HSPCs, conditioning regimen, FT007 administration (from screening to 24 months post GT).

    Measured: from Baseline to 24 months post IMP infusion

  4. Proportion of Subjects with abnormal clonal proliferation development due to insertional mutagenesis

    Proportion of Subjects with abnormal clonal proliferation development due to insertional mutagenesis

    Measured: 6, 12, 18 and 24 months post IMP infusion

  5. Polyclonal and multilineage engraftment evaluated by VCN and ISA

    ISA will be carried out at 3, 6, 12, 18, 24 months on total nucleated cells and different hematopoietic lineages (granulocytes, lymphocytes, erythroid cells) from PB and/or BM. The criteria to assess "polyclonality" of hematopoiesis is defined as > 1000 unique integration sites retrieved at 3, 6, 12, 18 and 24 months after gene therapy from PB and/or BM cells when available. Clonal dominance will be assessed from 3 months after GT and will be defined as the presence of a vector integration that constitutes > 30% with respect to the total integrations retrieved from whole peripheral blood cells in at least 3 consecutive timepoints and with an increase in the relative contribution over time. Vector-specific quantitative PCR will be performed on PB and/or BM erythroid cells at screening, 1, 2, 3, 6, 12,18 and 24 months after GT (at 1 and 18 months only on PB, at 24 months after GT. Adequate engraftment is defined as ≥ 0.8 VCN/genome on BM erythroid cells and CD15+ cells.

    Measured: screening, 1, 2, 3, 6, 12, 18 and 24 months after IMP infusion

  6. Proportion of Subjects with immune reconstitution

    Proportion of Subjects with immune reconstitution defined as CD4+ >200 at 6 and 12 months post GT.

    Immune-monitoring will be evaluated at baseline and at follow-up time points (6 and 12 months of follow-up). The frequency and functionality of lymphoid compartment (B, T, NK cells) in PB and BM, including humoral and cellular responses will be evaluated.

    Measured: 6 and 12 months post IMP infusion

  7. Characterization of Subjects achieving TI12

    Duration of TI12 and the time from IMP infusion to last RBC transfusion prior to becoming TI12 will be evaluated. Weighted average Hb during TI12 and the proportion of subjects who meet the definition of TI12 at 24 months will be also evaluated.

    Measured: 24 months after IMP infusion

  8. Characterization of transfusion reduction (TR) among subjects not achieving TI12

    Percentage of treated subjects with a reduction in the ml/kg RBC transfused from Month 12 through Month 24 (a 12-month period) after DP infusion of at least 50%, 60%, 75%, 90% or 100% compared to the average annual ml/kg RBC transfusion requirement during the 2 years prior to enrolment will be recorded. Moreover, the number of transfusions from Month 12 through Month 24 compared to the average number of annual transfusions during the 2 years prior to enrolment will be collected and analyzed. Two years of retrospective pre-transplant data will be collected for each subject in the study, so that each subject may serve as his/her own control for the parameters of RBC transfusion requirements.

    Measured: 12 and 24 months post IMP infusion

  9. Health-related quality of life (HRQoL) - PedsQL

    HRQoL will be assessed by the use of standardized questionnaires: PedsQL quality of life version 4.0 up to 25 years of age, according to patient's age. PedsQL quality of life will be assessed at 12 and 24 months of follow-up compared to baseline.

    Measured: baseline, 12 and 24 months

  10. Health-related quality of life (HRQoL) - FACT BMT

    HRQoL will be assessed by the use of standardized questionnaires: FACT BMT version 4 for adults. FACT BMT will be assessed at 12 and 24 months of follow-up compared to baseline.

    Measured: baseline, 12 and 24 months

  11. Health-related quality of life (HRQoL) - EQ-5D-5L

    HRQoL will be assessed by the use of standardized questionnaires: EuroQol Quality of Life Scale-5 dimensions-5 levels of severity (EQ-5D-5L) for adults

    Measured: baseline, 12 and 24 months

  12. Health-related quality of life (HRQoL) - EQ-5D-Y

    HRQoL will be assessed by the use of standardized questionnaires: EuroQol Quality of Life Scale-5 dimensions-5 levels of severity the EuroQol Quality of Life Scale-5 dimensions youth (EQ-5D-Y) for children and adolescents.

    Measured: baseline, 12 and 24 months

  13. Proportion of Subjects with engraftment of genetically corrected cells

    Proportion of Subjects with engraftment of genetically corrected cells (expressed as VCN ≥ 0.8 on bone marrow erythroid cells and CD15+ cells). Engraftment will be assessed by vector-specific quantitative PCR on bone marrow erythroid cells at 6, 12, and 24 months after IMP infusion.

    Measured: 6, 12, and 24 months after IMP infusion

  14. Levels of biomarkers indicative of ineffective erythropoiesis before and after gene therapy at different time points.

    Evaluation of plasma iron level, erythropoietin (EPO), soluble serum transferrin receptor (sTfR), Lactate Dehydrogenase (LDH) and Bilirubin will be evaluated as surrogate of ineffective erythropoiesis at screening and 1, 3, 6, 12, 24 months. Decreased levels of these parameters correlate with ineffective erythropoiesis improvement.

    Measured: screening and 1, 3, 6, 12, 24 months after IMP infusion

  15. Shear Wave Elastography and Liver Iron Concentration (LIC) over time

    Shear Wave Elastography and LIC will be performed at screening and at 12, 24 months after infusion of DP (T2*MRI at screening can be avoided if performed less than 6 months before enrolment at treatment sites); in selected cases liver biopsy can be performed.

    Measured: screening, 12 and 24 months after IMP infusion

  16. Cardiac T2* value over time

    Cardiac T2* value will be assessed through T2*MRI at screening and at 12, 24 months after infusion of DP (T2*MRI at screening can be avoided if performed less than 6 months before enrolment at treatment sites).

    Measured: screening, 12 and 24 months after IMP infusion

  17. Ferritin serum levels over time

    Serum ferritin will be evaluated at screening, 3, 6, 12, 18, 24 months after infusion of DP.

    Measured: screening, 3, 6, 12, 18 and 24 months after IMP infusion

  18. Proportion of patients free from any iron-chelating therapy, including regular phlebotomies at month 24

    The proportion of patients free from iron-chelation therapy, including regular phlebotomies in the entire cohort will be evaluated at month 24 after infusion of DP.

    Measured: 24 months after IMP infusion

  19. Duration of iron-chelating treatment after DP infusion

    The duration of iron chelation therapy following DP infusion will be assessed. This includes the time from DP infusion to the last documented administration of iron chelation treatment.

    Measured: from Day 1 to 24 months post IMP infusion

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Jul 2026
  2. Study start6 Jul 2026
  3. Primary completionOct 2028 (estimated)
  4. Study completionOct 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
9 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07680803
Sponsor's protocol ID
BTHAL-FT007-01
Other IDs
2025-522160-32-00, 2025
Status last verified
Jun 2026
First submitted
25 Jun 2026
Last updated
27 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing FT007 in people with Transfusion-dependent Beta-Thalassemia, run by Fondazione Telethon at 2 sites in Italy.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 15 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 27 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Alessandro Aiuti, Professor (+39 02 26439057, aiuti.alessandro@hsr.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of subjects who achieve TI12 in the 2 years from DP administration (time frame: from 60 days after the IMP infusion, to 24 months of follow-up). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Jul 2026.

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