Gene therapy aims to cure Transfusion-Dependent thalassemia in a single shot
NCT ID NCT07721480
First seen Jul 23, 2026 · Last updated Jul 24, 2026 · Updated 1 time
Summary
This phase 2 trial tests a one-time gene therapy called HGI-001 in people with transfusion-dependent β-thalassemia, a severe blood disorder that requires regular blood transfusions. The therapy takes the patient's own blood stem cells, modifies them outside the body to produce healthy hemoglobin, and infuses them back. The goal is to see if this approach can allow participants to go without transfusions for at least a year, potentially offering a lasting cure.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a one-time gene therapy that modifies the patient's own blood stem cells to produce healthy hemoglobin
- What this could lead to
- If successful, this could offer a one-time cure for transfusion-dependent β-thalassemia, eliminating the need for lifelong blood transfusions and reducing complications from iron overload.
- What could go wrong
- This is an early-phase trial with only 6 participants, so results may not apply to everyone. Gene therapies carry risks such as immune reactions or long-term side effects that are still being monitored.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 6 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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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12 to 45 years
- 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. Subjects between 12 and 45 years of age at the time of consent and are able to provide written informed consent. 2. Diagnosis of TDT, also known as β-thalassemia major, without genotype restriction, and a valid test report can be provided. 3. A history of at least 100 mL/kg/year of pRBCs transfusion or ≥ 8 transfusions of pRBCs per year for previous 2 years. 4. Sufficient blood transfusion for at least 3 months before screening (transfusion records can be provided), and Hb is maintained ≥9.0 g/dL before each transfusion. 5. The level of ferritin \<5000ng/mL; Cardiac magnetic resonance imaging (MRI) T2 and liver MRI T2 findings suggest iron overload at a moderate level or below. 6. Clinically stable, and eligible for autologous hematopoietic stem cell transplant (auto-HSCT). 7. Adequate organ function for the conditioning with busulfan. Exclusion Criteria: 1. Uncorrected bleeding disorder; 2. Uncontrolled epilepsy or mental disorders; 3. Received hydroxyurea, ruxolitinib, decitabine, or cytarabine within 3 months prior to enrollment; 4. Usage of psychoactive substance, drug, or alcohol abuse within six months prior to screening. 5. Pulmonary hypertension without effective intervention. 6. Persistent toxicity (≥ CTCAE grade 2) induced by previous treatment. 7. Positive for anti-RBC antibodies. 8. Positive for hepatitis B surface antigen (HBsAg) and HBV DNA copy number \> upper limit of normal (ULN) (HBV DNA test not required for patients negative for HBsAg), positive for hepatitis C virus (HCV) antibody, unless HCV RNA is negative (HCV RNA-negative subjects are not excluded), positive human immunodeficiency virus (HIV), or positive for Treponema pallidum antibody (TP-Ab) (subjects who are positive for the antibody due to vaccination can be enrolled). 9. Has or has had malignant tumors or myeloproliferative disease or immunodeficiency disease; 10. Clinically significant and active bacterial, viral, fungal, or parasitic 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 official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
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