Growth and Development-related Outcomes in Children With Transfusion-dependent Beta-thalassemia After Gene Therapy
Study Details
Study Description
Brief Summary
The investigate will conduct a cohort study to compare the growth and development, metabolism, lifestyle behavior, and health-related quality of life among three groups: children with transfusion-dependent β-thalassemia (TDT) who have received gene therapy, TDT children with lifelong supportive therapy and healthy children.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Gene therapy group TDT Children who have received gene therapy between 3~14 years old. |
Genetic: Gene therapy
Autologous edited hematopoietic stem cell transplantation
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Supportive therapy group TDT Children who received lifelong treatment with blood transfusions and iron chelation. They were selected based on the age and sex of the gene therapy group. |
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Healthy children group Healthy children were selected based on the age and sex of the gene therapy group. |
Outcome Measures
Primary Outcome Measures
- Growth in pediatric subjects will be assessed by height. [Up to 5 years.]
Height in meters.
- Growth in pediatric subjects will be assessed by weight. [Up to 5 years.]
Weight in kilograms.
- Growth in pediatric subjects will be assessed by the head and chest circumference. [Up to 5 years.]
Head and chest circumference in centimeters.
- Growth in pediatric subjects will be assessed by interocular distance. [Up to 5 years.]
Interocular distance in centimeters.
- Growth in pediatric subjects will be assessed by bone density. [Up to 5 years.]
Bone density measurement is measured by a procedure called densitometry, performed in the radiology medicine departments of hospitals or clinics. The result is the bone mineral density in grams per unit area (g/cm2).
- The pubertal status will be measured using by Tanner scale. [Up to 5 years.]
The Tanner scale, a well-known technique used to define pubertal stage, is based on physical measurements of development based on external primary and secondary sex characteristics (from Tanner 1: pre-pubertal to Tanner 5: mature adolescent).It was developed by Marshall and Tanner while conducting a longitudinal study during the 1940s to the 1960s in England. Based on observational data, they developed separate scales for the development of external genitalia: phallus, scrotum, and testes volume in males; breasts in females; and pubic hair in both males and females.
- Hormonal levels will be measured by clinical examination. [Up to 5 years.]
Hormonal levels included thyroid-stimulating hormone (TSH), serum triiodothyronine (T3), serum-free triiodothyronine (T4), growth hormone (GH, including IGF-1 and IGF-2), and sex hormone examination. Sex hormone examination is only for the following subjects: estradiol, FSH and LH for girls aged 9-18; testosterone, FSH and LH for boys aged 12-18.
- Quality of life will be measured using by Pediatric Quality of Life Inventory (PedsQL) at baseline and the end of the study. [Up to 5 years.]
The Pediatric Quality of Life Inventory (PedsQL) is a valid, standardized, generic, and self-reporting assessment tool to measure health-related quality of life HRQOL for pediatrics and adolescents. PedsQL contain 23-items, and consists of the following: physical functioning, emotional functioning, social functioning, and school functioning. Each item is scored on a 5-point scale, scores are linearly transformed to a 0-100 scale in which high score means better condition.
- Lifestyle behaviors will be assessed by general questioning. [Up to 5 years.]
Eligibility Criteria
Criteria
Inclusion Criteria:
Gene therapy group-inclusion
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Male or female age of 3-14 years
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TDT Children who have received gene therapy.
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Subjects who are willing and able to provide written informed consent.
Supportive therapy group-inclusion
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Gender same as the matched case
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Age similar to the matched case
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Children with β-TDT
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No history of gene therapy or allogeneic hematopoietic stem cell transplantation
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Subjects who are willing and able to provide written informed consent.
Healthy children group-inclusion
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Gender same as the matched case
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Age similar to the matched case
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Subjects who are willing and able to provide written informed consent.
Exclusion Criteria:
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Diagnosis of compound α-thalassemia
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Uncontrolled systemic fungal, bacterial, or viral infection
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History of malignant solid tumors, myeloproliferative or immunodeficiency diseases
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Diagnosed with mental illness
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Patients considered to be ineligible for the study by the investigator for reasons other than the above
Discontinuation of Study :
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Subjects who are unwilling or unable to continue participating in the study (withdrawal of informed consent) may withdraw from the study
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Subjects who received gene therapy or allogeneic hematopoietic stem cell transplantation during the study
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The subject is seriously non-compliant with the study requirements, such as missing 2 consecutive visits
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Subject lost to follow-up
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Regenerative Medicine Center | Tianjin | Tianjin | China |
Sponsors and Collaborators
- Institute of Hematology & Blood Diseases Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- GDH-001