Thalassemia Treatment Based on the Stem Cell Technology

Study Overview
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Brief Summary
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In order to study the transplantation effect of hematopoetic stem cells from beta-thalassemia induced pluripotent stem cells. We applied clinical grade source of autologous hematopoietic stem cell for the treatment of beta-thalassemia patients, detecting the homing of hematopoietic stem cell transplantation, the differentiation of hematopoietic stem cells in vivo and the hemoglobin beta-chain (HBB) protein expression in the body of recovery, etc., as well as to make a research on the efficacy and safety of hematopoietic stem cells from beta-thalassemia induced pluripotent stem cells.

Detailed Description
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On a Good Manufacturing Practice(GMP) condition, we establish non-exotic of different mutation types of beta-thalassemia -induced pluripotent stem cells（iPS） and make a comparisons of the stability and the differentiation of efficiency of these iPS cells inducing from different sources with foreign gene integration. Using the technique of artificial nuclease and in situ repairmen, we establish efficient system for different beta-thalassemia mutation site and in view of the security of these system. Establish a repaired beta-thalasemia gene mutated differentiation of iPS technology system. Build a functional gene therapy self-limiting slow viruses, optimizing the preparation system and to establish a virus preparation of infection of hematopoietic stem cell technology system under the GMP condition. Establish humanized beta-mice model, evaluate the safety of the iPS cell of gene therapy and efficiency before the clinical experiment. Improve the existing hematopoietic stem cell transplant(HSCT) clinical application solutions, detect rate of graft rejection, rate of transplantation and other indicators, finish the evaluation of application by clinical cases.

Official Title
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The Third Affiliated Hospital of Guangzhou Medical University

Conditions
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Beta-Thalassemia

Intervention / Treatment
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* Biological: Hematopoetic stem cells


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The genetic diagnosis confirmed homozygous for beta to poverty or double heterozygote, clinical severe anemia; Aged 1   18 years old, no obvious iron overload cause organ damage; Has a suitable donor HLA high resolution; The informed consent Exclusion Criteria: There has been a significant increase in the level of tumor markers (AFP/CEA/CA199 / CA125) in the past five years. Serious primary diseases such as cardiovascular, liver and hematopoietic systems; Those who have major organs with serious function; An adrenal disease or other disease that causes the organ failure of the organ; An autoimmune disease, a family history of genetic disease, and an abnormal thyroid function; Peripheral blood chromosome checking for nuclear aliens; HIV, hepatitis b or hepatitis c; A person with a history of severe drug allergies or an allergic person; Those who do not expect to live for more than one year; The researchers suggest that the patient may have a potential or have a disorder (such as an uncontrolled infection, right heart failure, pulmonary hypertension) that is interfering with this study. In the first six months, alcohol and other substance abuse were not allowed; Subjects who participated in other clinical trials or participated in other clinical trials within 3 months.

Ages Eligible for Study
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Minimum Age: 1 Year
Maximum Age: 18 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention Patient<br>Hematopoetic stem cells differentiated from beta-thalassemia induced pluripotent stem cells. | Biological: Hematopoetic stem cells<br>* Patient will inject with hematopoetic stem cells differentiated from beta-thalassemia induced pluripotent stem cells<br>|
| No Intervention: non-intervention Patient<br>No treatment | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The check of granulocyte transplantation-granulocyte plant living standards | Granulocyte plant living standards for three days in a row after transplantation granulocyte should be greater than 0.5 x 109 / L, | 3 days | 
| The check of granulocyte transplantation-platelet plant living standards | Platelet plant living standard for seven consecutive days after transplantation the platelet should be greater than 20 x 109 / L and infusion. | seven consecutive days | 
| Effect of cell transplantation | The granulocyte plant living standards and platelet plant living standards will be combined to measure the effect of cell transplantation. | seven days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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thalassemia, stem cell