Trial Outcomes & Findings for Gene Transfer for Severe Combined Immunodeficiency, X-linked (SCID-X1) Using a Self-inactivating (SIN) Gammaretroviral Vector (NCT NCT01129544)

NCT ID: NCT01129544

Last Updated: 2026-04-21

Results Overview

Immunological reconstitution defined as absolute CD3 cells of \>300/μl and PHA stimulation index \>15 at 6 months post infusion

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

8 participants

Primary outcome timeframe

6 Months Post Gene Transfer

Results posted on

2026-04-21

Participant Flow

Participant milestones

Participant milestones
Measure
Gene Transfer
open label single arm study Gene transfer: Three procedures: 1) Bone marrow harvest from the patient's posterior iliac crests. 2) Chemotherapy conditioning with Busulfan (\*\*patient 08 only) 3) One time infusion of patient's transduced bone marrow cells.
Overall Study
STARTED
8
Overall Study
COMPLETED
6
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Gene Transfer for Severe Combined Immunodeficiency, X-linked (SCID-X1) Using a Self-inactivating (SIN) Gammaretroviral Vector

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Gene Transfer
n=8 Participants
open label single arm study Gene transfer: Three procedures: 1) Bone marrow harvest from the patient's posterior iliac crests. 2.) Chemotherapy conditioning with Busulfan (\*\*only patient 08) 3)One time infusion of patient's transduced bone marrow cells.
Age, Categorical
<=18 years
8 Participants
n=13 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=13 Participants
Age, Categorical
>=65 years
0 Participants
n=13 Participants
Sex: Female, Male
Female
0 Participants
n=13 Participants
Sex: Female, Male
Male
8 Participants
n=13 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=13 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=13 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=13 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=13 Participants
Race (NIH/OMB)
Asian
0 Participants
n=13 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=13 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=13 Participants
Race (NIH/OMB)
White
6 Participants
n=13 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=13 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=13 Participants
Region of Enrollment
United States
8 participants
n=13 Participants

PRIMARY outcome

Timeframe: 6 Months Post Gene Transfer

Population: 8 subjects were treated with an infusion of gene modified cells. 5 of 8 had absolute CD3 counts (cells/uL) greater than 300 and a PHA stimulation index greater than 15 at 6 months post infusion and met the primary endpoint. 1 subject who did not reconstitute T cells was taken off study. 2 subjects received a second infusion of gene modified cells; of these 1 had improved CD3 counts and the other did not and came off study.

Immunological reconstitution defined as absolute CD3 cells of \>300/μl and PHA stimulation index \>15 at 6 months post infusion

Outcome measures

Outcome measures
Measure
Gene Transfer
n=8 Participants
open label single arm study Gene transfer: Three procedures: 1) Bone marrow harvest from the patient's posterior iliac crests. 2) Chemotherapy conditioning with Busulfan (\*\*patient 08 only) 3) One time infusion of patient's transduced bone marrow cells.
CD3 Cell Count Post Infusion
Primary Outcome Met
5 Participants
CD3 Cell Count Post Infusion
Primary Outcome Not Met
3 Participants

PRIMARY outcome

Timeframe: 4.5-12 years post infusion of the gene therapy product

Population: Patient #3 \& #5 failed primary endpoint and had allo transplant and withdrawn from study

Follow up time for each of the 8 enrolled patients is as follows: Patient #1 -12 yrs, Patient#2 -11 yrs, Patient #6- 9 yrs, Patient #7- 8 yrs, Patient #8 - 4.5 yrs. Patient #3 \& #5 failed primary endpoint and had allo transplant, Patient #4 retreated with Gene therapy and is 6 years post 2nd infusion.

Outcome measures

Outcome measures
Measure
Gene Transfer
n=6 Participants
open label single arm study Gene transfer: Three procedures: 1) Bone marrow harvest from the patient's posterior iliac crests. 2) Chemotherapy conditioning with Busulfan (\*\*patient 08 only) 3) One time infusion of patient's transduced bone marrow cells.
Incidence of Life Threatening Adverse Reactions Related to the Gene Therapy Procedure
6 Participants

Adverse Events

Gene Transfer

Serious events: 3 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Gene Transfer
n=8 participants at risk
open label single arm study Gene transfer: Three procedures: 1) Bone marrow harvest from the patient's posterior iliac crests. 2.) Chemotherapy conditioning with Busulfan (\*\*only patient 08) 3)One time infusion of patient's transduced bone marrow cells.
Infections and infestations
Varicella infection
12.5%
1/8 • Number of events 1 • Adverse event data were collected from the time an enrolled participant underwent the bone marrow harvest through five years post gene therapy infusion.
Common adverse event and serious adverse event definitions were used for this study. SAEs that were considered life threatening or required hospitalization or prolongation of a hospitalization are listed below. No SAEs that resulted in death, resulted in a persistent or significant disability/incapacity, was a new malignancy, or led to a congenital anomaly or birth defect occurred. No AEs or SAEs were deemed related to the gene therapy product.
Infections and infestations
Upper respiratory infection
12.5%
1/8 • Number of events 1 • Adverse event data were collected from the time an enrolled participant underwent the bone marrow harvest through five years post gene therapy infusion.
Common adverse event and serious adverse event definitions were used for this study. SAEs that were considered life threatening or required hospitalization or prolongation of a hospitalization are listed below. No SAEs that resulted in death, resulted in a persistent or significant disability/incapacity, was a new malignancy, or led to a congenital anomaly or birth defect occurred. No AEs or SAEs were deemed related to the gene therapy product.
Infections and infestations
E. Coli and Klebsiella Infection
12.5%
1/8 • Number of events 1 • Adverse event data were collected from the time an enrolled participant underwent the bone marrow harvest through five years post gene therapy infusion.
Common adverse event and serious adverse event definitions were used for this study. SAEs that were considered life threatening or required hospitalization or prolongation of a hospitalization are listed below. No SAEs that resulted in death, resulted in a persistent or significant disability/incapacity, was a new malignancy, or led to a congenital anomaly or birth defect occurred. No AEs or SAEs were deemed related to the gene therapy product.
Immune system disorders
Rhinovirus
12.5%
1/8 • Number of events 1 • Adverse event data were collected from the time an enrolled participant underwent the bone marrow harvest through five years post gene therapy infusion.
Common adverse event and serious adverse event definitions were used for this study. SAEs that were considered life threatening or required hospitalization or prolongation of a hospitalization are listed below. No SAEs that resulted in death, resulted in a persistent or significant disability/incapacity, was a new malignancy, or led to a congenital anomaly or birth defect occurred. No AEs or SAEs were deemed related to the gene therapy product.
Infections and infestations
Pseudomonas/Stenotrophomonas Infection
12.5%
1/8 • Number of events 1 • Adverse event data were collected from the time an enrolled participant underwent the bone marrow harvest through five years post gene therapy infusion.
Common adverse event and serious adverse event definitions were used for this study. SAEs that were considered life threatening or required hospitalization or prolongation of a hospitalization are listed below. No SAEs that resulted in death, resulted in a persistent or significant disability/incapacity, was a new malignancy, or led to a congenital anomaly or birth defect occurred. No AEs or SAEs were deemed related to the gene therapy product.
Infections and infestations
BCGosis
12.5%
1/8 • Number of events 1 • Adverse event data were collected from the time an enrolled participant underwent the bone marrow harvest through five years post gene therapy infusion.
Common adverse event and serious adverse event definitions were used for this study. SAEs that were considered life threatening or required hospitalization or prolongation of a hospitalization are listed below. No SAEs that resulted in death, resulted in a persistent or significant disability/incapacity, was a new malignancy, or led to a congenital anomaly or birth defect occurred. No AEs or SAEs were deemed related to the gene therapy product.

Other adverse events

Adverse event data not reported

Additional Information

David Williams, MD

Boston Children's Hospital

Phone: 617-919-2697

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place