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Hematopoietic Stem-Cell Gene Therapy for Cystinosis - PubMed

4 days ago
  • #gene therapy
  • #hematopoietic stem cells
  • #cystinosis
  • Hematopoietic stem-cell gene therapy (CTNS-RD-04) was tested in a phase 1-2 clinical study for cystinosis, a lysosomal storage disorder caused by CTNS gene mutations.
  • The therapy involved autologous CD34+ cells transduced with lentiviral vectors carrying CTNS cDNA, aiming to reduce cystine accumulation in lysosomes.
  • Six participants aged 20-46 received CTNS-RD-04 and were followed for 29-63 months, showing sustained hematopoietic reconstitution and decreased white-cell cystine levels in most cases.
  • Adverse events were mostly mild or moderate, consistent with the myeloablative regimen and underlying disease, with no evidence of monoclonal expansion.
  • The study concluded that CTNS-RD-04 was largely safe and showed efficacy in reducing cystine levels, supported by funding from the California Institute for Regenerative Medicine.