Motixafortide and Natalizumab to Mobilize CD34+ Hematopoietic Stem Cells for Gene Therapies in Sickle Cell Disease (SCD)

Clinical Trial
Study Details
Enrollment
10
Interventions
Description

Motixafortide is to be administered as a subcutaneous injection at a dose of 1.25 mg/kg

Name
Motixafortide
Type
Drug
Description

Natalizumab will be administered as an IV infusion at a flat dose of 300 mg

Name
Natalizumab
Type
Drug
Description

Leukapheresis consisting of a 1 Blood Volume procedure

Name
Leukapheresis
Type
Procedure
Phase
Phase 1
Status
COMPLETED
Study ID #
NCT05618301
Study Type
Interventional
Summary

Hematopoietic stem cell (HSC)-based gene therapies now offer curative potential for patients with sickle cell disease (SCD), with decreased toxicity compared to allogeneic hematopoietic cell transplantation. However, effective HSC-based gene therapy depends on collecting sufficient HSCs to generate the therapeutic product, and currently available mobilization regimens carry unacceptable risk for patients with SCD or do not reliably yield optimal numbers of HSCs for gene therapy.

The investigators hypothesize that HSC mobilization with motixafortide (CXCR4i) alone and the combination of motixafortide plus natalizumab (VLA-4i) will be safe and tolerable in SCD patients. In addition, the investigators hypothesize that combined CXCR4 and VLA-4 blockade with motixafortide plus natalizumab will result in a rapid, robust, and synergistic increase in HSC mobilization to peripheral blood (PB) in patients with SCD, when compared to motixafortide alone.

Study Overview
Conditions
Contacts and Locations
Locations
Facility

Washington University School of Medicine
St Louis, Missouri 63110
United States

GeoPoint
38.62727, -90.19789