Clinical trial Recruiting at 6 sites Phase1; Phase2 Interventional Ages 12 to 50

Gene correction therapy for severe sickle cell disease

Official title: A Phase I/II Study of Nula-cel in Autologous CD34+ Hematopoietic Stem Cells to Convert HbS to HbA for Treating Severe Sickle Cell Disease

Run by Kamau Therapeutics · NCT04819841 · Data updated 2026-11-12

This study is testing a new gene therapy called nula-cel to see if it can safely improve the health of young people with severe sickle cell disease.

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages12 Years to 50 Years
SexAll
Enrollment15 (estimated)
SponsorKamau Therapeutics
Industry-sponsored
Locations6 sites (Los Angeles, California and 5 other locations)
StatusRecruiting
StartedNovember 15, 2021
Main results expectedDecember 31, 2026
Study endsDecember 31, 2028
Registry record updatedJuly 2, 2026
Trial IDNCT04819841 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are individuals aged 12 to 40 with severe sickle cell disease who have experienced recurrent severe vaso-occlusive crises or acute chest syndrome despite appropriate care.

Probably not a fit

Patients with a 10/10 HLA-matched sibling donor or those who have previously undergone hematopoietic stem cell transplantation or gene therapy may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates the safety and preliminary efficacy of nula-cel, a gene correction therapy, in patients with severe sickle cell disease (SCD). Participants aged 12 to 40 will receive the treatment through an IV infusion after undergoing myeloablative conditioning in an autologous hematopoietic stem cell transplant setting. The study aims to gather pharmacodynamic data and assess the overall impact of the therapy on the participants' health.

Why it matters

Potential benefit: If successful, this therapy could significantly improve the quality of life and health outcomes for patients suffering from severe sickle cell disease.

How similar studies have gone: Other studies utilizing gene therapy approaches for sickle cell disease have shown promising results, indicating potential for success in this novel application.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* ≥12 to ≤ 40 years
* Severe disease, as defined by having experienced at least one of the following SCD-related events despite appropriate supportive care measures:
* recurrent severe VOC (≥ 4 episodes in the preceding 2 years)
* ACS (≥ 2 episodes in the prior 2 years with at least one episode in the past year)
* Lansky/Karnofsky performance status of ≥ 80

Exclusion Criteria:

* Available 10/10 HLA-matched sibling donor
* Prior HSCT or gene therapy
* Prior or current malignancy or myeloproliferative or a significant coagulation or immunodeficiency disorder
* Clinically significant and active bacterial, viral, fungal or parasitic infection
* Pregnancy or breastfeeding in a postpartum female
* Presence of a chromosomal abnormality/mutation that may put the participant at an increased risk for MDS or AML per investigator's judgment

Where it's running

  • Children's Hospital Los Angeles
    Los Angeles, California, United States
    Recruiting
  • Lucile Packard Children's Hospital
    Palo Alto, California, United States
    Recruiting
  • Washington University
    St Louis, Missouri, United States
    Recruiting
  • Columbia University Irving Medical Center
    New York, New York, United States
    Recruiting
  • Memorial Sloan Kettering
    New York, New York, United States
    Recruiting
  • Nationwide Children's Hospital
    Columbus, Ohio, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Cerebrovascular Reactivity Testing with HD-DOT in Sickle Cell Patients

    This study tests whether high-density diffuse optical tomography can measure brain blood flow and oxygen use in people with sickle cell disease, to see how these signals relate to stroke risk.

    Recruiting Washington University School of Medicine · St Louis, Missouri · NCT07776444

  • Adapting and testing PEN-Plus in Zambian primary care

    Aiming to see if the PEN-Plus package can be adapted and used in two Zambian hospitals to better manage chronic diseases like heart disease, diabetes, hypertension, and sickle cell in primary care.

    Recruiting Centre for Infectious Disease Research in Zambia · Lusaka, Lusaka Province · NCT07753681

  • Newborn Sickle Cell Screening in Mozambique

    We’re testing a three-part plan to help babies in Mozambique get diagnosed early for sickle cell disease and start care quickly.

    Recruiting St. Jude Children's Research Hospital · Nhamatanda, Sofala · NCT07719972

  • Optimizing Hydroxyurea in Children with Sickle Cell in Africa

    This study tests whether raising hydroxyurea to a maximum tolerated dose is safe and beneficial for Ugandan children with sickle cell anemia already taking a fixed daily dose.

    Recruiting Phase 1/2 Children's Hospital Medical Center, Cincinnati · Kampala · NCT07708714

  • Hematopoietic stem cell editing to treat sickle cell disease

    This study tests whether a patient’s own blood stem cells can be edited to remove the sickle cell triggering gene and then returned to the patient.

    Recruiting Phase 1 Boston Children's Hospital · Boston, Massachusetts · NCT07708350

  • Virtual reality options to help with VOC pain in adults with SCD

    This study tests whether headset-based virtual reality can help reduce pain for adults with sickle cell disease during vaso-occlusive crises treated in an infusion center.

    Recruiting University of Maryland, Baltimore · Baltimore, Maryland · NCT07674277

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.