Phase 1b/2a Trial of Allogeneic HSCT From an HLA-partially Matched Related or Unrelated Donor After TCRab+ T-cell/CD19+ B-cell Depletion for Patients With Monogenic and/or Early-onset Medically Refractory Crohn Disease

PHASE1/PHASE2Not yet recruitingINTERVENTIONAL
Enrollment

14

Participants

Timeline

Start Date

July 31, 2025

Primary Completion Date

July 31, 2037

Study Completion Date

July 31, 2040

Conditions
Crohn Disease
Interventions
DEVICE

CliniMACS® TCR α/β Reagent Kit and CliniMACS® CD19 System

CliniMACS® TCRαβ-Biotin and CD19 Systems will be used to create the mobilized peripheral blood stem cells (PBSC) from allogeneic donors depleted of TCRαβ+ T cells and CD19+ B cells to be infused into the patient for the HSCT. The target dose for the number of CD34+ HSC infused is \> 10 x 10\^6 cells/Kg recipient weight. The minimum dose is 2 x 10\^6 cells/Kg. There is no upper limit to the dose of CD34+ HSC infused as long as no more than 1 x 10\^5 TCRαβ+ T-cells/Kg are infused. The target dose of TCRαβ+ T cells/Kg is \< 0.50 x 10\^5.

DRUG

Prednisone/Methylprenisolone

Administered as part of the HSCT conditioning regimen

DRUG

Palifermin

Administered as part of the HSCT conditioning regimen

DRUG

ATG

Administered as part of the HSCT conditioning regimen

DRUG

Clofarabine

Administered as part of the HSCT conditioning regimen

DRUG

Melphalan

Administered as part of the HSCT conditioning regimen

RADIATION

Total Body Irradiation

200 cGy, administered as part of the HSCT conditioning regimen

DRUG

Rituximab

Administered as part of the HSCT conditioning regimen

Trial Locations (1)

94305

Lucile Packard Children's Hospital, Palo Alto

All Listed Sponsors
lead

Stanford University

OTHER

NCT06986382 - Phase 1b/2a Trial of Allogeneic HSCT From an HLA-partially Matched Related or Unrelated Donor After TCRab+ T-cell/CD19+ B-cell Depletion for Patients With Monogenic and/or Early-onset Medically Refractory Crohn Disease | Biotech Hunter | Biotech Hunter