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Pediatric PatientsPhase 1/2HTLP NeckerNCT03879876

Safety and Efficacy Study of Human T Lymphoid Progenitor (HTLP) Injection After Partially HLA Compatible Allogeneic Hematopoietic Stem Cell Transplantation in SCID Patients

A Phase 1/2 study testing Human T Lymphoid Progenitor (HTLP) injection in people with Pediatric Patients and Any Type of Severe Combined Immunodeficiency (SCID), run by Assistance Publique - Hôpitaux de Paris at 1 site in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to evaluate the safety and the efficacy of Human T Lymphoid Progenitor (HTLP) injection to accelerate immune reconstitution after partially HLA compatible allogeneic hematopoietic stem cell transplantation in SCID patients. Read more about this study

Who is it for?
Ages 2 to 18 years
What is being tested?
Human T Lymphoid Progenitor (HTLP) injection
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
4 participants
Where
1 siteFrance
Study dates
13 May 2020to 24 Apr 2024
Phase
Phase 1/2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 2 to 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Pediatric patients affected by any type of SCID confirmed by clinical, immunological and/or molecular diagnosis and eligible for an allogeneic HSCT
  • Absence of a matched sibling donor or a matched unrelated donor (MUD) 10/10
  • Clinical conditions incompatible with the search of a MUD
  • Written, informed consent of parents/ legal representative (child)
  • Age ≤ 2 years at the time of screening
  • No prior therapy with allogeneic stem cell transplantation
  • No treatment with another investigational drug within one month before inclusion
  • Patient affiliated to social security

Who cannot join

  • Presence of an HLA genoidentical donor
  • Absence of written parental consent
  • Treatment with another investigational drug within one month before inclusion
  • Positive for HIV infection by genome PCR
  • Contra-indication to allogeneic transplantation or conditioning therapy (except SCID patients with DNA repair deficiency)

Trial locations and contacts

1 site in 1 country.

France1 site
  • Unité d'Immunologie Hématologie Rhumatologie Pédiatrique (UIHR),

    Paris, Île-de-France Region, 75015

Other trials in France

About this study

Official title: A Phase I/II Study Evaluating the Safety and the Efficacy of Human T Lymphoid Progenitor (HTLP) Injection to Accelerate Immune Reconstitution After Partially HLA Compatible Allogeneic Hematopoietic Stem Cell Transplantation in SCID Patients

The purpose of this study is to evaluate the safety and the efficacy of Human T Lymphoid Progenitor (HTLP) injection to accelerate immune reconstitution after partially HLA compatible allogeneic hematopoietic stem cell transplantation in SCID patients.

Read the detailed description

Not provided

Being tested
Human T Lymphoid Progenitor (HTLP) injection
Keywords
SCID, hematopoietic stem cell transplantation, Human T Lymphoid Progenitor

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Human T Lymphoid Progenitor (HTLP) injectionDrug

    Injection of progenitors derived from HTLP culture at Day 8-Day 12 after partially HLA compatible allogeneic hematopoietic stem cell transplantation in SCID patients (Day7 of culture)

Study groups in NCT03879876
Study groupRoleWhat they receive
Human T Lymphoid Progenitor (HTLP) injectionExperimentalHuman T Lymphoid Progenitor cells (HTLPs) obtained after a brief period of ex vivo culture in the presence of the fusion protein DL-4, Retronectin® and a combination of cytokines
Receives: Drug: Human T Lymphoid Progenitor (HTLP) injection

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Dose limiting toxicity (DLT)

    to evaluate the procedure safety

    Measured: 3 months post-transplant

  2. reconstitution of the CD3+ TCRαβ+ cell compartment

    determined by the presence of ≥ 300/µL total, circulating CD3+ TCRαβ+ T cells to evaluate the efficacy

    Measured: Month 3

Secondary outcomes (10)
  1. Time course of reconstitution of the different T cell subpopulations

    time necessary to reach a normal number of naïve CD4+ and CD8+ T cells

    Measured: Month 3, month 6, month 12

  2. presence of recent thymic emigrants

    To evaluate the active thymopoiesis

    Measured: Month 3, month 6, month 12

  3. T-cell receptor excision circles (TREC ) number in peripheral blood

    To evaluate the active thymopoiesis

    Measured: Month 3, month 6, month 12

  4. TCR rearrangements

    By NGS analysis

    Measured: Month 3, month 6, month 12

  5. B-cell reconstitution

    number and phenotype for naïve IgD+CD27-, marginal zone IgD+CD27+, switched memory IgD-CD27+, and IgD-CD27- cells

    Measured: Month 6, month 12

  6. Immunoglobulin (Ig) levels

    Measured: Month 6, month 12

  7. NK cell numbers

    Measured: Month 6, month 12

  8. Cumulative incidence of infections

    Measured: 12 months post-transplant

  9. Cumulative incidence of acute and chronic episodes of graft versus host disease (GVHD)

    Measured: 24 months post-transplant

  10. Overall survival

    Measured: 2 years post-transplant

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Mar 2019
  2. Study start13 May 2020
  3. Primary completion3 Sep 2023
  4. Study completion24 Apr 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
4 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03879876
Sponsor's protocol ID
P150949J
Other IDs
2018-001029-14, 2018
Acronym
HTLP Necker
Status last verified
May 2026
First submitted
15 Mar 2019
Last updated
20 May 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Human T Lymphoid Progenitor (HTLP) injection in people with Pediatric Patients and Any Type of Severe Combined Immunodeficiency (SCID), run by Assistance Publique - Hôpitaux de Paris at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Dose limiting toxicity (DLT) (time frame: 3 months post-transplant). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 May 2026.

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