Gene therapy aims to cure inherited immune disorder
NCT ID NCT07826767
First seen Sep 17, 2026 · Last updated Sep 18, 2026 · Updated 1 time
Summary
Chronic granulomatous disease (CGD) caused by p47phox deficiency is a rare, life-threatening genetic disorder that leaves people vulnerable to severe infections. Standard treatments include daily antibiotics and antifungal drugs, but they do not fix the underlying genetic defect. This trial tests a new gene therapy called SGX-001, which uses a patient's own blood stem cells modified to carry a working copy of the NCF1 gene. Researchers will give a single dose to a small number of children and adults with p47-CGD who need a stem cell transplant but lack a matched sibling donor, and they will monitor safety and whether the treatment restores immune cell function.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- autologous CD34+ stem cells genetically modified with a lentiviral vector to carry the NCF1 gene (SGX-001)
- What this could lead to
- If it works, this could offer a cure for chronic granulomatous disease caused by p47phox deficiency without the need for a donor stem cell transplant.
- What could go wrong
- This is a very small, early-stage trial with only a few participants, so safety and effectiveness are still unknown. The gene therapy may not restore enough immune function, and there may be risks from the modified cells or the treatment process.
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 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
-
About 5 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Aug 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
-
18 months and older
- 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 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: Participants are eligible to be included in the study only if all of the following criteria apply: 1. Properly completed and signed informed consent or assent (participant/legally authorised representative). 2. Confirmed diagnosis of CGD due to p47phox deficiency (confirmed mutation in the NCF1 gene by molecular genetic testing). 3. Absent or \> 95% reduced biochemical activity of NADPH oxidase in a dihydrorhodamine (DHR) flow cytometric test. 4. Male or female aged ≥ 18 months and have a body weight ≥ 10 kg at the time of signing the informed consent or assent. 5. One or more ongoing or recurrent severe infectious and/or inflammatory complications, at the discretion of the Investigator. Note: Participants must not have an uncontrolled active infection at the time of screening or apheresis. Infectious or inflammatory complications should be clinically stable (e.g., afebrile, hemodynamically stable, and on appropriate antimicrobial/anti-inflammatory therapy if indicated) before initiation of screening procedures and prior to leukapheresis. 6. Lack of an available 10/10 HLA-matched (A, B, C, DR, DQ) sibling donor suitable for HSCT. 7. Ability to return to the study site for follow-up during the 1-year on-study, and to the local HSCT site during the off-protocol monitoring period. 8. Female participants of childbearing potential must have a negative serum pregnancy test result performed within 3 days prior to starting each cycle of mobilisation and within 5 days prior to infusion of busulfan and must not be pregnant, lactating, or planning a pregnancy from Screening to Month 12 after SGX-001 administration. Note: Female participants of childbearing potential will be included if they are either sexually inactive (abstinent) for 90 days prior to starting the first cycle of mobilisation, or are using a highly effective birth control methods (i.e., results in \< 1% failure rate when used consistently and correctly). Note: Sexual abstinence or use of contraceptive measures must continue throughout the study and for 12 months after the administration of SGX-001. 9. Male participants with female partners of childbearing potential must use highly effective methods of birth control during their participation in the study and for 12 months after the administration of SGX-001. 10. Willingness and ability of the participant (or a legally authorised representative, as applicable) to comply with long-term follow-up requirements for a total duration of up to 15 years after administration of SGX-001 through participation in a dedicated LTFU study. Exclusion Criteria: Participants are excluded from the study if any of the following criteria apply: 1. Participant or parent/legal guardian is unable or unwilling to comply with the protocol requirements. 2. Availability of a willing 10/10 HLA-matched (A, B, C, DR, DQ) sibling donor unless there is an unacceptable risk associated with an allogeneic HSCT procedure. 3. Previous allogeneic HSCT. 4. Pregnancy or lactation. 5. Contraindications to any of the following: 1. CD34+ cell mobilisation procedure (haemoglobin \< 8 g/dL, cardiovascular instability, severe coagulopathy). 2. Apheresis procedure. 3. Conditioning regimen. 6. Contraindication for administration of filgrastim, lenograstim, plerixafor, busulfan, or any component of the study intervention. 7. Concomitant human immunodeficiency virus (HIV1 or HIV2), hepatitis B virus (HBV), hepatitis C virus (HCV), adenovirus, parvovirus B19, human T-lymphotropic virus (HTLV1 2), or toxoplasmosis infection. 8. Evidence of active metastatic or locoregionally advanced malignancy (including haematologic malignancy) for which survival is anticipated to be less than 3 years. 9. Significant organ dysfunction/co-morbidity, including but not limited to: mechanical ventilation, shortening fraction on echocardiogram \< 25%, renal failure (defined as dialysis dependence), uncontrolled seizure disorder, major congenital anomaly, expected survival \< 6 months. 10. Inability to stop using IFN gamma at least 30 days prior to administration of the study intervention. 11. Participation in another interventional clinical study within 6 months prior to enrolment. 12. Presence of any condition that, in the opinion of the Investigator, may compromise the safety or compliance of the participant or would preclude the participant from successful completion of the study or would interfere with interpretation of the study results.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Chronic granulomatous disease (CGD) are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
-
The places running it
3 sites in 3 countries. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
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
-
Hospital Universitari Vall D Hebron
NOT_YET_RECRUITINGBarcelona, 08035, Spain
-
Universitaetsklinikum Ulm
NOT_YET_RECRUITINGUlm, 89075, Germany
-
University Children's Hospital Zurich
RECRUITINGZurich, 8008, Switzerland
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Scientists launch major study to track rare immune diseases
- Gene fix trial aims to tame rare immune disease
- New study probes immune system in rare disease patients
- Double transplant breakthrough offers hope for rare immune disorder patients
- Gene-Editing breakthrough aims to fix immune cells in rare disease