Gene-Editing hope: could BIVV003 free sickle cell patients from pain crises?
NCT ID NCT03653247
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This early-phase trial tested a new gene therapy called BIVV003 in 7 adults with severe sickle cell disease. The treatment uses the patient's own stem cells, which are gene-edited in a lab and then infused back after chemotherapy. The main goals were to check safety and see if the cells engraft successfully. Because it's a small, early study, results are preliminary and more research is needed.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- BIVV003 (gene-edited stem cells)
- What this could lead to
- If successful, this could point toward a one-time treatment that reduces or eliminates sickle cell crises without needing a donor.
- What could go wrong
- This is a very early, small study (only 7 people) focused on safety. The gene-editing approach is new, and long-term effects or failure to control the disease are possible.
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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7 people
The number who actually took part.
- Started
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Mar 2019
- Finished
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Jul 2025
- 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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18 to 40 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 * Ages 18 to 40 * Confirmation of sickle cell disease (SCD) diagnosis (HbSS or HbS\[beta\]0 genotype) * Severe SCD, defined as having 1 or more of the following manifestations: Clinically significant neurologic event (example \[e.g.\], stroke) or any neurological deficit lasting more than 24 hours; History of 2 or more episodes or Acute Chest Syndrome (ACS) in 2 years prior to informed consent (despite adequate supportive therapies such as asthma therapy); Six or more pain crises per year in 2 years prior to informed consent (requiring intravenous \[IV\] pain management in the outpatient or inpatient hospital setting); History of 2 or more cases or priapism with participant seeking medical care in the 2-years prior to informed consent; Regular RBC transfusion therapy in the year prior to informed consent (having received 8 or more transfusions to prevent vaso-occlusive clinical complications); and Echocardiographic finding of tricuspid valve regurgitant jet (TRJ) velocity of greater than or equal to 2.5 meter per second (m/s) * Clinically stable to undergo stem cell mobilization and myeloablative hematopoietic stem cell transplantation (HSCT) * Adequate physiological function, defined as the following: Karnofsky/Lansky Performance of greater than or equal to 60; Acceptable cardiac function as defined in protocol; Acceptable pulmonary function as defined in protocol; Acceptable renal function as defined in protocol; and Acceptable hepatic function as defined in protocol * Ability to understand purpose and risks of study, provide Informed Consent Form (ICF) and authorization to use protected health information * Completion of age-appropriate cancer screening * Willingness to use double-barrier method of contraception through entire study period (for participants of childbearing potential) * Willingness to receive blood transfusions * Willingness to discontinue hydroxyurea (HU) at least 30 days prior to stem cell mobilization through Day 100 post-transplantation Exclusion Criteria: * Previous receipt of an autologous or allogeneic HSCT or solid organ transplantation * Previous treatment with gene therapy * Current enrollment in an interventional study or having received an investigational drug within 30 days of study enrollment * Pregnant or breastfeeding female * Female or male who plans to become pregnant or impregnate a partner, respectively, during the anticipated study period * Contraindication to plerixafor, apheresis, or busulfan * Treatment with prohibited medication in previous 30 days * Known allergy or hypersensitivity to plerixafor, busulfan, or investigational product excipients * History of active malignancy within past 5 years, any history of hematologic malignancy, or a family history of a cancer predisposition syndrome (without negative result of candidate) * Current diagnosis of uncontrolled seizures * History of significant bleeding disorder * Clinically significant infection * Any major organ dysfunction involving brain, kidney, liver, lung, or heart (e.g., congestive heart failure, pulmonary hypertension) * Corrected QT interval of more than 500 millisecond (ms) based on screening electrocardiogram (ECG) * Positive for human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV) * Known to have a gamma-globin variant associated with altered oxygen affinity * Hereditary persistence of fetal hemoglobin (HPFH) or HbF concentration of more than or equal to 20 percent (%) at screening * Absolute Neutrophil Count (ANC) of less than or equal to 1,000 per microliter * Platelet count of less than 100,000 per microliter * History of platelet alloimmunization (precluding ability to provide transfusion support) * Extensive Red Blood Cell (RBC) alloimmunization (precluding ability to provide transfusion support) * Judged unsuitable for participation by investigator and/or sponsor
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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.
Contacts and locations
Locations
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Children's Healthcare of Atlanta
Atlanta, Georgia, 30322, United States
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Investigational Site Number 101
Bethesda, Maryland, 20892, United States
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Karmanos Cancer Institute
Detroit, Michigan, 48201, United States
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UCSF Benioff Children's Hospital
Oakland, California, 94609, United States
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University of California Davis Comprehensive Cancer Center
Sacramento, California, 95817, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can adding common pain drugs reduce morphine needs in sickle cell crises?
- Gene editing offers hope for a One-Time sickle cell cure
- Tiny biochip could reveal sickle cell severity
- Can a milder transplant cure sickle cell and thalassemia in adults?
- Can an antioxidant supplement calm sickle cell blood cells?
- Can a softer transplant cure sickle cell disease?