4 Participants NeededMy employer runs this trial

APR-2020 for Diamond-Blackfan Anemia

Recruiting at 1 trial location
NS
Overseen ByNova Silver
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether APR-2020, an experimental treatment, can safely treat Diamond-Blackfan Anemia (DBA) in children and teens. The researchers aim to determine if the treatment can correct the genetic issue causing DBA and reduce or eliminate the need for blood transfusions. Participants will receive the drug through an infusion and have follow-ups for two years. Eligible participants must have a confirmed diagnosis of DBA, require regular blood transfusions, and be able to undergo certain medical procedures. As a Phase 1 trial, participants will be among the first to receive this new treatment, aiding researchers in understanding its effects in people.

Do I need to stop my current medications for the trial?

The trial information does not specify if you need to stop taking your current medications. However, it mentions that taking prohibited medications is an exclusion criterion, so you may need to discuss your current medications with the trial team.

Is there any evidence suggesting that APR-2020 is likely to be safe for humans?

Earlier studies have examined APR-2020 for its safety in treating Diamond-Blackfan Anemia (DBA) in children and teens. Currently, specific information about side effects or negative reactions from these studies is unavailable. As an early-stage trial, the treatment is still undergoing testing to ensure safety for participants.

This phase of the study primarily assesses whether the treatment is generally safe and manageable for participants. Although specific results are not yet available, past trials have involved using participants' own cells in the treatment process, a common practice in gene therapy. This method may reduce the risk of the body rejecting the treatment.

Prospective participants should discuss any concerns with the trial team. They can provide more detailed information about potential risks based on the latest research.12345

Why do researchers think this study treatment might be promising for Diamond-Blackfan Anemia?

Unlike the standard treatments for Diamond-Blackfan Anemia, which often involve corticosteroids or blood transfusions, APR-2020 introduces a novel approach. This new treatment is unique because it targets the underlying genetic causes of the condition rather than just managing symptoms. Researchers are excited about APR-2020 because it has the potential to improve red blood cell production by directly addressing the root problem, offering hope for a more effective and lasting solution.

What evidence suggests that APR-2020 might be an effective treatment for Diamond-Blackfan Anemia?

Research has shown that Diamond-Blackfan Anemia (DBA) is a genetic condition where the bone marrow fails to produce enough red blood cells, leading to severe anemia. Current treatments often involve steroids or blood transfusions. In this trial, participants will receive APR-2020, a new treatment designed to address the genetic cause of DBA, potentially reducing the need for these treatments. Early studies suggest it could target the genetic issues underlying DBA. Although limited data exists on APR-2020's effectiveness, its focus on the genetic cause of DBA offers hope for a more lasting solution.16789

Are You a Good Fit for This Trial?

This trial is for children and teens aged 2–18 with Diamond-Blackfan Anemia caused by RPS19 deficiency, who need regular blood transfusions and have not responded to steroids. Participants must be healthy enough for stem cell procedures and meet other health requirements.

Inclusion Criteria

My bone marrow tests are normal except for RPS19-deficient DBA.
I am between 2 and 18 years old.
I have been diagnosed with DBA caused by RPS19 deficiency.
See 7 more

Exclusion Criteria

I have abnormal genetic changes in my blood cells.
I have a close family member with a known or suspected inherited cancer syndrome.
Evidence of significant pulmonary hypertension, per Investigator assessment
See 18 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Cellular Harvest

Participants undergo two rounds of a cellular harvest procedure to collect their own cells for manufacturing the participant-specific product.

4 weeks

Treatment

Participants receive a one-time infusion of APR-2020 gene therapy.

1 day

Follow-up

Participants initially return to the clinic for two years of follow-up at increasingly sparse intervals to monitor safety and efficacy.

24 months

What Are the Treatments Tested in This Trial?

Interventions

  • APR-2020

Trial Overview

The study tests a new treatment called APR-2020, given as a single infusion made from the participant's own cells. The goal is to see if it’s safe and can reduce or eliminate the need for blood transfusions in these patients.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: APR-2020Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Apriligen, Inc.

Lead Sponsor

Citations

Diamond-Blackfan Anemia - StatPearls - NCBI Bookshelf

Diamond-Blackfan anemia is a rare congenital red cell aplasia characterized by macrocytic anemia, reticulocytopenia, and a paucity of erythroid ...

Study Details | NCT07476183 | Assessing the Safety, ...

Brief summary. The goal of this clinical trial is to learn if APR-2020 is safe and can help treat Diamond-Blackfan Anemia (DBA) in adolescents and children.

Research Publications

A novel autosomal recessive candidate gene responsible for RASopathy-like phenotype and bone marrow failure: RASA3.

Perspectives of current understanding and therapeutics ...

Improving clinical care and elucidating the pathophysiology of Diamond Blackfan anemia: an update from the Diamond Blackfan Anemia Registry.

Favorable outcomes of hematopoietic stem cell ...

Favorable outcomes of hematopoietic stem cell transplantation in children and adolescents with Diamond-Blackfan anemia Available. Clinical ...

Gene therapy (APR-2020), using your child's own cells ...

Gene therapy (APR-2020), using your child's own cells, to treat Diamond-Blackfan anemia (DBA) in children and teens with RPS19 deficiency.

Assessing the Safety, Tolerability, and Efficacy of APR-2020 in ...

Assessing the Safety, Tolerability, and Efficacy of APR-2020 in Pediatric and Adolescent Subjects With RPS19 Deficient Diamond-Blackfan Anemia.

APR-2020 for Diamond-Blackfan Anemia

The goal of this clinical trial is to learn if APR-2020 is safe and can help treat Diamond-Blackfan Anemia (DBA) in adolescents and children.

APR-2020 Gene Therapy for Transfusion-Dependent ...

This phase 1 study aims to evaluate the safety and effectiveness of APR-2020 gene therapy in individuals with transfusion-dependent, steroid-resistant RPS19- ...