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Gene therapy could free kids from lifelong blood transfusions

NCT ID NCT07476183

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now This study
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 27, 2026 · Last updated Jul 22, 2026 · Updated 2 times

Summary

This early-stage trial tests a one-time gene therapy called APR-2020 in 4 children with a severe form of Diamond-Blackfan anemia. The treatment uses the child's own blood stem cells, modified to correct the genetic defect, and given back as an infusion. The goal is to see if it is safe and can reduce or end the need for regular blood transfusions.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
APR-2020 (gene-modified stem cells)
What this could lead to
If it works, this could reduce or eliminate the need for blood transfusions in children with Diamond-Blackfan anemia by correcting the genetic defect in their own stem cells.
What could go wrong
This is a very early phase 1 trial with only 4 participants, so safety and effectiveness are not yet proven. There are risks from the stem cell harvest and conditioning regimen, and the treatment may not work or could cause side effects.

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

Phase 1

The first testing in people. Mainly checks safety and dose, usually in a small group.

Participants

About 4 people

The number the study aims to enrol. It can still change while the study runs.

Started

Apr 2026

Expected to finish

Sep 2028

An estimate. End dates often move.

Lead sponsor

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

2 to 25 years

Sex

Anyone

Healthy volunteers

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

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Key Inclusion Criteria: 1. Confirmed diagnosis of RPS19-deficient DBA. 2. Signed informed consent by the subject or legally authorized representative. 3. Bone marrow analysis demonstrates normal cytogenetics except for RPS19-deficient DBA. 4. Between 2 and 25 years of age, inclusive. 5. Eligible for allogeneic marrow or stem cell transplant for DBA (noncritical cardiac and hepatic iron overload). 6. Corticosteroid resistance 7. Transfusion-dependent anemia 8. Willingness to return for long-term follow-up 9. Adequate renal and pulmonary function 10. Able to undergo hematopoietic stem cell transplant (HSCT) mobilization and apheresis procedures. Key Exclusion Criteria: 1. Availability of a suitable, consenting HLA-identical sibling donor. 2. Positive viral serology. 3. Clinically significant, active bacterial, viral, or fungal infection. 4. Any prior or current malignancy, myeloproliferative disorder, or myelodysplastic syndrome, except where therapy was curative excision (ie, in situ squamous cell carcinoma). 5. Any concerning cytogenetic abnormalities in hematopoietic cells. 6. Previous receipt of an allogeneic transplant or gene therapy. 7. Immediate family member with a known or suspected Familial Cancer Syndrome (including, but not limited to breast, colorectal, ovarian, prostate, and pancreatic cancers, excluding DBA). 8. Diagnosis of significant psychiatric disorder that could impact the subject's ability to participate in the study, in the opinion of the Investigator. 9. History of complex allo-immunization, as determined by the Investigator. 10. Female subjects who are lactating/breast feeding or who plan to breastfeed within 6 months following APR-2020 infusion. 11. Male and female subjects of childbearing potential who are unwilling to practice highly effective methods of birth control from screening until ≥ 6 months after APR-2020 infusion. 12. Female subjects with a positive serum pregnancy test at Screening or who are planning to become pregnant during the study period. 13. Liver disease, as evidenced by critical iron overload with magnetic resonance imaging (MRI) 14. Heart disease or Type 1 diabetes. 15. Evidence of significant pulmonary hypertension, per Investigator assessment. 16. Any other condition that would render the subject ineligible for HSCT, as determined by the Investigator. 17. Contraindication to stem cell or bone marrow aspiration, mobilization or collection including allergies to filgrastim or plerixafor. 18. Currently enrolled in another investigational drug study or received an investigational study drug or procedure within 90 days of study enrollment. 19. A physical, functional, or emotional status that would prevent giving informed consent, protocol compliance, or adequate follow-up. 20. An assessment by the Investigator that the subject or parents of the subject will not comply with the study procedures outlined in the study protocol. 21. Taking prohibited medications. 22. Has insufficient personal history of RBC transfusions over the 13 weeks prior to the end of screening.

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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.

  1. The places running it

    2 sites. The list below names each one and where it is.

  2. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  3. 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

  • Boston Children's Hospital

    RECRUITING

    Boston, Massachusetts, 02215, United States

  • Stanford University - Stanford Children's Health

    RECRUITING

    Stanford, California, 94304, United States