Gene therapy aims to stop severe infections in rare immune disorder
NCT ID NCT03837483
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This trial tests a gene therapy called OTL-103 for people with Wiskott-Aldrich syndrome, a rare genetic disorder that weakens the immune system and causes bleeding. The therapy uses the patient's own blood stem cells, modified in a lab to carry a working copy of the faulty gene, then given back as a one-time infusion. The study will check if this reduces severe infections and bleeding episodes compared to before treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- OTL-103 (gene therapy using the patient's own blood stem cells modified to carry a working copy of the WAS gene)
- What this could lead to
- If successful, this could offer a one-time treatment that reduces severe infections and bleeding episodes in people with Wiskott-Aldrich syndrome, potentially improving long-term health.
- What could go wrong
- This is a small early-phase trial with only 10 participants, so results may not apply to everyone. Gene therapy carries risks like immune reactions or the modified cells not lasting long-term.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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10 people
The number who actually took part.
- Started
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Jan 2019
- Expected to finish
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Sep 2027
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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Up to 65 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: * Age: up to 65 years * Diagnosis of WAS defined by genetic mutation and at least one of the following criteria: * Severe Wiskott-Aldrich Syndrome (WAS) gene mutation, defined by literature data (genotype/phenotype studies).; * Absent WASP expression, assessed by flow cytometry; * Severe clinical score (Zhu clinical score ≥ 3); * No human leukocyte antigen (HLA)-identical related donor available for hematopoietic stem cells transplant (HSCT). Exclusion Criteria: * End-organ dysfunction, severe active infection not responsive to treatment or other severe disease or clinical condition which, in the judgment of the investigator, would make the patient inappropriate for entry into this study. * Malignant neoplasia (except local skin cancer) or a documented history of hereditary cancer syndrome. * Myelodysplasia, cytogenetic alterations characteristic of myelodysplastic syndrome and acute myeloid leukaemia , or other serious haematological disorders * Documented human immunodeficiency virus (HIV) infection * Prior allogeneic hematopoietic stem cell transplantation, with evidence of residual cells of donor origin * Symptomatic herpes zoster, not responsive to specific treatment * Evidence of acute tuberculosis * Acute or chronic stable Hepatitis B * Presence of positive Hepatitis C RNA test result at screening * Patients not eligible for mobilization protocols in order to obtain CD34+ cells * Previous Gene Therapy
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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, Inc
Atlanta, Georgia, 30329, United States
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Ospedale San Raffaele - Telethon Institute for Gene Therapy (OSR-TIGET)
Milan, 20132, Italy
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