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RAG1 LV CD34+ autologous hematopoietic stem cells is an investigational ex vivo gene therapy product developed by Leids Universitair Medisch Centrum (LUMC) for the treatment of RAG1-deficient severe combined immunodeficiency (RAG1-SCID). The therapy consists of autologous CD34+ hematopoietic stem and progenitor cells (HSPCs) transduced ex vivo with a self-inactivating (SIN) lentiviral vector (pCCL.MND.coRAG1.wpre) encoding a codon-optimized human RAG1 gene. RAG1 is essential for V(D)J recombination during early T- and B-cell development, and its deficiency leads to a complete block in lymphocyte receptor rearrangement, causing life-threatening immunodeficiency. Following a single infusion of these gene-corrected cells, the therapy aims to achieve long-term immune reconstitution. It is currently being evaluated in a Phase I/II clinical trial (NCT04797260) in infants who lack an HLA-matched donor for standard allogeneic hematopoietic stem cell transplantation.
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