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Gene therapy offers hope for 'Bubble Boy' disease without a donor
NCT ID NCT04797260
First seen Jul 13, 2026 · Last updated Jul 17, 2026 · Updated 3 times
Summary
This trial tests a gene therapy for infants under 2 years old with RAG1-deficient severe combined immunodeficiency (SCID), a life-threatening condition where the immune system barely works. The therapy uses the child's own blood stem cells, modified with a corrected gene, to try to rebuild a functioning immune system. It is designed for those who need a stem cell transplant but lack a matched donor. The study will monitor participants for at least 5 years to check safety and whether the treatment restores T and B cell immunity.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- gene therapy (RAG1 LV CD34+ cells)
- What this could lead to
- If successful, this could provide a life-saving treatment option for infants with RAG1 SCID who have no matched donor, potentially restoring their immune system without lifelong medication.
- What could go wrong
- This is an early-phase trial with only 10 participants, so results may not apply to all. Risks include adverse events, insertional mutagenesis, and the possibility that the therapy may not fully restore immunity.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 10 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2021
- Expected to finish
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Dec 2031
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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8 weeks to 24 months
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. RAG1-deficient SCID as confirmed by genetic analysis 2. Peripheral blood CD3+T cells \< 300/μL 3. Absence of peripheral blood naïve CD4+ T cells 4. Age \< 2 years 5. Age at least 8 weeks by the time of busulfan and fludarabine administration 6. Lack of an available HLA-identical sibling/family donor 7. Signed informed consent (parental or guardian) 8. Able to return to the local HSCT centre for follow-up (per protocol) during the 5-year trial and up to at least 15-year long-term follow-up after IMP administration Exclusion Criteria: 1. Omenn syndrome 2. Previous allogeneic HSCT 3. Significant organ dysfunction/co-morbidity (including but not limited to the ones listed below): 1. Mechanical ventilation 2. Shortening fraction on echocardiogram \<25% 3. Renal failure defined as dialysis dependence 4. Uncontrolled seizure disorder 4. Any other condition that the investigator considers is a contraindication to collection and/or infusion of trans-duced cells for that individual or indicate patient's inability to follow the protocol, for example contraindication f to busulfan, major congenital abnormalities, ineligible to receive anaesthesia, or documented refusal or inability of the family to return for scheduled visits. 5. Human immunodeficiency virus (HIV) infection or Human T-cell Leukemia Virus (HTLV) infection
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
4 sites in 4 countries. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Erciyes Üniversitesi TIP Fakültesi
Kayseri, Turkey (Türkiye)
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Hospital Universitari Vall d'Hebron
Barcelona, 08035, Spain
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Leiden University Medical Center
Leiden, 2300RC, Netherlands
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Wroclaw Medical University
Wroclaw, 50-556, Poland
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