Active Cancer NIHR-supported project Lungs & Breathing

A Phase 1/2 Study Evaluating Gene Therapy by Transplantation of Autologous CD34+ Stem Cells Modified Ex Vivo Using Prime Editing (PM359) in Participants with Autosomal Recessive Chronic Granulomatous Disease due to Mutations in the NCF1 Gene

In plain English

AI plain-English summary

A single infusion of gene-edited stem cells aims to permanently fix the faulty DNA that leaves people with chronic granulomatous disease unable to fight off common infections. This matters because chronic granulomatous disease (CGD) is a rare inherited disorder that cripples the immune system, leaving patients vulnerable to severe bacterial and fungal infections, as well as autoimmune complications. Current treatments have serious limitations: lifelong antibiotics and antifungals only partially control infections, and stem cell transplants from a donor carry high risks of rejection and death. There is no one-time cure. The trial tests PM359, a therapy made from the patient’s own blood stem cells. These cells are removed, corrected in the lab using a precise gene-editing technique called prime editing to fix the specific genetic error that causes CGD, and then infused back into the patient. If successful, the corrected stem cells would repopulate the bone marrow and produce functioning immune cells for life, eliminating the need for donor transplants or continuous medication. The potential impact is transformative: a single treatment could restore normal immune function, dramatically reduce life-threatening infections, and improve quality of life without the risks of donor rejection. This is a first-in-human trial for prime editing in blood stem cells, so success would also validate a platform technology applicable to other genetic blood disorders.

View original technical description
Chronic Granulomatous Disease (CGD) is a rare inherited autosomal recessive (inherited from both parents) or X-linked (male inherits from mother) hematologic disease that results in a failure of innate immunity against a variety of human pathogens and is also associated with autoimmune and inflammatory conditions. Given the limitations associated with current treatments for CGD and the poor quality of life and mortality associated with allogeneic haematopoietic stem cell transplantation, a one-time, transformative therapy is urgently needed for CGD. The purpose of this trial is to find out the safety and effectiveness of PM359, a medicine containing a participant's blood cells known as stem cells that have been corrected using a process called gene editing to fix a mutation (error) in the patient’s DNA that causes Chronic Granulomatous Disease (CGD). This study is being carried out in the United States, Canada and the United Kingdom. The study population will be males or females, who are at least 6 years of age, with adults being treated first before adolescents and children. Approximately 6 to 12 participants will be treated with PM359. They will be in this study. for about 40 months. The study will consist of a screening period of up to 8 weeks, a treatment period and 3 year follow-up period. There will be an optional 15-year follow-up study to further monitor the safety and effectiveness of PM359. Prime Medicine is the Sponsor that will be responsible for funding this clinical study.

Researchers

Emma Morris (Principal Investigator)

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Original classification

Infection, Immunopathology & Immunotherapeutics

Plain English summaries and category classifications on this site are generated by AI and may not perfectly reflect the original research.