Wiskott-Aldrich SyndromeNCT02064933
Patients Treated for Wiskott-Aldrich Syndrome (WAS) Since 1990
An observational study of Wiskott-Aldrich Syndrome, run by National Institute of Allergy and Infectious Diseases (NIAID) at 43 sites in 2 countries.
Trial summary
Wiskott - Aldrich syndrome (WAS) is a rare serious medical condition that causes problems both with the immune system and with easy bruising and bleeding. The immune abnormalities cause patients with WAS to be very susceptible to infections. Read more about this study
- Who is it for?
- Any age, men only
- Conditions the study is for
- Wiskott-Aldrich Syndrome
- How many people
- 305 participants
- Where
- 43 sitesin 2 countries
- Study dates
- 2 Feb 2014to 1 May 2019
- Phase
- Observational
- 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 Any age
- Men only
- No healthy volunteers
- Child, Adult, Older adult
Study population: Male WAS participants treated at consortium centers Since 1990
Who may be able to join
- WAS participants will be defined as males who have:
- thrombocytopenia (< 100K) AND EITHER molecular diagnosis of WAS OR reduced WASP expression; OR
- thrombocytopenia (< 100K) AND positive family history consistent with WAS diagnosis; OR
- chronic thrombocytopenia (< 100K for minimum of 3 months) AND low mean platelet volume (MPV below normal range for age) AND EITHER recurrent and/or severe infections requiring treatment and/or eczema OR lack of antibody response to polysaccharide antigens or low IgM.
- Longitudinal Analysis (Retrospective and Prospective)
- Stratum A. Participants with WAS who have or will Receive HCT
Show all 10Show fewer
- Participants with WAS who have received an HCT since January 1, 1990
- Stratum B. Participants with WAS who have or will Receive Gene Transfer
- Participants in which the intention is to treat with gene transfer with autologous modified cells
- Cross-Sectional Analysis (Strata A and B) 1. Participants with WAS who are surviving and at least 2 years after the most recent HCT or gene therapy.
Who cannot join
- As this is a natural history study, for both the Longitudinal Analysis and the Cross-Sectional Analysis we will not exclude any patients due to race or age who fit the inclusion criteria.
Trial locations and contacts
43 sites in 2 countries.
43 sites in 2 countries
United States38 sites
Department of Pediatrics, C. S. Mott Children's Hospital, University of Michigan
Ann Arbor, Michigan, 48109
Aflac Cancer and Blood Disorders Center, Emory/Children's Healthcare of Atlanta
Atlanta, Georgia, 30322
Department of Pediatrics, University of Alabama at Birmingham
Birmingham, Alabama, 35233
Boston Children's Hospital
Boston, Massachusetts, 02115
Ann & Robert H. Lurie Children's Hospital of Chicago
Chicago, Illinois, 60614
Cincinnati Children's Hospital Medical Center, University of Cincinnati
Cincinnati, Ohio, 45229-3039
Rainbow Babies and Children's Hospital
Cleveland, Ohio, 44106
Nationwide Children's Hospital
Columbus, Ohio, 43205
Pediatrics, University of Texas Southwestern Medical Center
Dallas, Texas, 75390-9263
Children's Hospital Denver, University of Colorado
Denver, Colorado, 80220
Duke University Medical Center
Durham, North Carolina, 27710
Institute for Pediatric Cancer and Blood Disorders, Hackensack University Medical Center
Hackensack, New Jersey, 07601
Baylor College of Medicine Section of Immunology, Allergy, and Retrovirology, Texas Children's Hospital
Houston, Texas, 77030-2399
Cancer and Blood Disease Institute, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California
Los Angeles, California, 90027
Department of Pediatrics, David Geffen School of Medicine at University of California, Los Angeles,
Los Angeles, California, 90095-1752
American Family Children's Hospital, University of Wisconsin
Madison, Wisconsin, 53705-2275
St. Jude Children's Research Hospital
Memphis, Tennessee, 38105
Children's Hospital of Wisconsin-Milwaukee
Milwaukee, Wisconsin, 53226
Division of Pediatric Blood and Marrow Transplantation, University of Minnesota
Minneapolis, Minnesota, 55455
Center for Cancer and Blood Disorders, Children's Hospital/Louisiana State University
New Orleans, Louisiana, 70118
Department of Pediatrics, Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Lucile Salter Packard Children's Hospital at Stanford
Palo Alto, California, 94304
Children's Hospital of Philadelphia, University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Phoenix Children's Hospital
Phoenix, Arizona, 85016
University of Pittsburgh Children's Hospital of Pittsburgh
Pittsburgh, Pennsylvania, 15224
Division of Pediatric Hematology/Oncology, Oregon Health and Science University
Portland, Oregon, 97239
Mayo Clinic Children's Center
Rochester, Minnesota, 55905
Department of Pediatrics, Golisano Children's Hospital, University of Rochester
Rochester, New York, 14642
Primary Children's Hospital, University of Utah
Salt Lake City, Utah, 84113
Texas Transplant Institute, Methodist Children's Hospital
San Antonio, Texas, 78229
University of California, San Francisco Benioff Children's Hospital
San Francisco, California, 94143-1278
Fred Hutchinson Cancer Research Center and University of Washington-Seattle Children's Hospital
Seattle, Washington, 98109
Cardinal Glennon Children's Hospital, Saint Louis University
St Louis, Missouri, 63104
Saint Louis Children's Hospital, Washington University
St Louis, Missouri, 63110
Blood and Marrow Transplant Program, Johns Hopkins All Children's Hospital
St. Petersburg, Florida, 33701
Maria Fareri Children's Hospital, New York Medical College
Valhalla, New York, 10595
Children's National Hospital-George Washington University School of Medicine and Health Sciences
Washington D.C., District of Columbia, 20010-2970
Nemours Alfred I. duPont Hospital for Children
Wilmington, Delaware, 19803
Canada5 sites
Alberta Children's Hospital
Calgary, Alberta, T3B 6A8
CHU Sainte-Justine, Department of Pediatrics, University of Montreal
Montreal, Quebec, H3T 1C5
The Hospital for Sick Children
Toronto, Ontario, M5G 1XB
Children's & Women's Health Centre of British Columbia
Vancouver, British Columbia, V6H 3V4
Cancer Care Manitoba, University of Manitoba
Winnipeg, Manitoba, R3E 0V9
About this study
Official title: Analysis of Patients Treated for Wiskott-Aldrich Syndrome Since January 1, 1990 (RDCRN PIDTC-6904)
Wiskott - Aldrich syndrome (WAS) is a rare serious medical condition that causes problems both with the immune system and with easy bruising and bleeding. The immune abnormalities cause patients with WAS to be very susceptible to infections. Depending on the specific type of primary immune deficiency diseases, there are effective treatments, including antibiotics, cellular therapy and gene therapy, but studies of large numbers of patients are needed to determine the full range of causes, natural history, or the best methods of treatment for long term success.
This multicenter study combines retrospective, prospective and cross-sectional analyses of the transplant experiences for patients with WAS who have already received HCT since 1990, or who will undergo Hematopoietic cell transplant (HCT) during the study period. The retrospective and prospective portions of the study will address the impact of a number of pre and post-transplant factors on post-transplant disease correction and ultimate benefit from HCT and the cross-sectional portion of the study will assess the benefit of HCT 2 years post-HCT in consenting surviving patients.
- Conditions
- Wiskott-Aldrich Syndrome
- Keywords
- Wiskott-Aldrich Syndrome, Hematopoietic Stem Cell Transplantation, Genetic Therapy
- Medical subject headings
- Wiskott-Aldrich Syndrome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Retrospective Cohort (Longitudinal Analysis) | Participants with WAS treated at consortium centers since 1990 who have received transplant (Stratum A) or gene therapy (Stratum B) | |
| Prospective Cohort (Longitudinal Analysis) | Participants treated at consortium centers since 1990 who will receive transplant (Stratum A) or gene therapy (Stratum B) | |
| Cross-Sectional Cohort (Cross-sectional Analysis) | Living participants with WAS who have received transplant (Stratum A) or gene therapy (Stratum B) at Consortium Centers 1990-Present And >= 2 Years Post-Transplant |
What is being measured
The primary outcome is the main question the study is designed to answer.
Longitudinal Analysis: Overall Survival From Time of HCT/Gene Therapy
The event analyzed is death from any cause. The time to this event is the time from HCT/gene therapy to death or last follow-up.
Measured: an expected average of 5 years
Cross-Sectional Analysis: Proportion of Participants Achieving Full T Cell Reconstitution
Full T cell reconstitution is defined by all of the following:
- CD3 cell count within normal range for age.
- CD4 cell count within normal range for age.
- CD8 cell count within normal range for age
- Donor T cell chimerism > 95%
- Lymphocyte proliferation to PHA. Proliferative responses to PHA within the normal range (at or above the lower limit of normal).
When possible the proliferation to PHA should be calculated as a percentage of the lower limit of normal controls for that laboratory; alternatively, the lower limit of normal controls for the day may be used
Measured: an expected average of 5 years
Cross-Sectional Analysis: Proportion of Participants Achieving Full B Cell Reconstitution
Full B cell reconstitution is defined by all of the following:
- Quantitative immunoglobulins (IgG, IgM, and IgA) within normal range; each immunoglobulin level will be assessed separately.
- Serologic confirmation of post immunization tetanus titer in protective range.
- Serologic confirmation of post immunization pneumococcal titers in protective range (protective titers for > 50% of the serotypes contained in the vaccine) following immunization
Measured: an expected average of 5 years
Cross-Sectional Analysis: Proportion of Participants Achieving Resolution of thrombocytopenia
Resolution of thrombocytopenia defined by Platelets ≥ 150,000/microliter (transfusion independent for at least 7 consecutive days)
Measured: an expected average of 5 years
Cross-Sectional Analysis: Day of Recovery of Absolute Neutrophil Count (ANC) to 500 / uL
Day of Recovery of Absolute Neutrophil Count (ANC) to 500 / uL is defined as the first day of at least 3 different days the ANC is measured as 500 / uL or greater
Measured: an expected average of 5 years
Cross-sectional Analysis: Day of Recovery of Platelet Count to 20,000 / uL
Day of Recovery of Platelet Count to 20,000 / uL is defined as the first day of at least 3 laboratory values obtained on different days where the platelet count was measured as 20,000 / uL or greater, AND without platelet transfusions for at least 7 consecutive days immediately preceding this day.
Measured: an expected average of 5 years
Cross-sectional Analysis: Day of Recovery of Platelet Count to 50,000 / uL
Day of Recovery of Platelet Count to 50,000 / uL is defined as the first day of at least 3 laboratory values obtained on different days where the platelet count was measured as 50,000 / uL or greater, AND without platelet transfusions for at least 7 consecutive days immediately preceding this day.
Measured: an expected average of 5 years
Secondary outcomes (24)
Longitudinal Analysis: Proportion of Participants Achieving Hematologic Reconstitution
Hematologic Reconstitution is defined as attainment of each of the following lab test values:
- Hemoglobin within normal range for age
- WBC count within normal range for age
- Absolute neutrophil count (ANC) within normal range for age
- Platelet count ≥ 150,000/microL and without transfusion for at least 7 consecutive days
Measured: an expected average of 5 years
Longitudinal Analysis: Day of Recovery of Absolute Neutrophil Count (ANC) to 500 / uL
Day of Recovery of Absolute Neutrophil Count (ANC) to 500 / uL is defined as the first day of at least 3 different days the ANC is measured as 500 / uL or greater.
Measured: an expected average of 5 years
Longitudinal Analysis: Day of Recovery of Platelet Count to 20,000 / uL
Day of Recovery of Platelet Count to 20,000 / uL is defined as the first day of at least 3 laboratory values obtained on different days where the platelet count was measured as 20,000 / uL or greater, AND without platelet transfusions for at least 7 consecutive days immediately preceding this day.
Measured: an expected average of 5 years
Longitudinal Analysis: Day of Recovery of Platelet Count to 50,000 / uL
Day of Recovery of Platelet Count to 50,000 / uL is defined as the first day of at least 3 laboratory values obtained on different days where the platelet count was measured as 50,000 / uL or greater, AND without platelet transfusions for at least 7 consecutive days immediately preceding this day.
Measured: an expected average of 5 years
Longitudinal Analysis: Proportion of Participants Achieving Full T Cell Immune Reconstitution
- Absolute CD3 T cell count within normal range for age
- Absolute CD4 T cell count within normal range for age
- Absolute CD8 T cell count within normal range for age
- Proliferative responses to PHA within the normal range (at or above the lower limit of normal).
- When possible the proliferation to PHA should be calculated as a percentage of the lower limit of normal controls for that laboratory; alternatively, the lower limit of normal controls for the day may be used.
Measured: an expected average of 5 years
Longitudinal Analysis: Proportion of Participants Achieving Full B Cell Immune Reconstitution
- Quantitative immunoglobulins (IgG, IgM, and IgA) within normal range for age; each immunoglobulin level will be assessed separately.
- Serologic confirmation of post immunization tetanus titer in protective range.
- Serologic confirmation of post immunization pneumococcal titers in protective range (protective titers for > 50% of the serotypes contained in the vaccine) following immunization.
- Patients who remain on IVIG will be considered not B cell reconstituted.
- Normalization of isohemagglutinin titers.
Measured: an expected average of 5 years
Longitudinal Analysis: State of Lineage Specific Chimerism (HCT Stratum)
Peripheral blood chimerism will be assessed by FISH XX/XY, STRs, or WASP expression.
Measured: an expected average of 5 years
Longitudinal Analysis: Definition of Graft Failure / Rejection
- Less than 5% of donor cells in all lineages or in whole blood by 100 days post-HCT using standard PCR based or in situ hybridization techniques OR
- Second transplant by 100 days post-HCT (unless > 5% CD3 and purpose is to boost immune recovery).
Failure to achieve ≥5% donor cells in all lineages or in whole blood by 100 days post-HCT will be defined as graft failure/rejection. Patients who receive a second transplant by day 100 will be considered graft failure.
Measured: an expected average of 5 years
Longitudinal Analysis: Severe bleeding episodes
Any severe bleeding episode requiring platelet and/or RBC transfusion(s)
Measured: an expected average of 5 years
Longitudinal Analysis: Malignancy
New onset or relapse of lymphoid malignancy confirmed by relevant pathologic and genetic features.
Measured: an expected average of 5 years
Longitudinal Analysis: Growth
Z score of weight and height pre-HCT/gene therapy and post-HCT/gene therapy.
Measured: an expected average of 5 years
Longitudinal Analysis: Incidence of Acute GVHD
The occurrence of skin, gastrointestinal or liver abnormalities fulfilling the Consensus criteria of Grades IIIV or grades III-IV acute GVHD1 are considered events. Death is a competing risk, and patients alive without acute GVHD will be censored at the time of last follow-up.
Measured: an expected average of 5 years
Longitudinal Analysis: Incidence of Chronic GVHD
Chronic GVHD will be graded as limited or extensive.2 Occurrence of symptoms in any organ system that meet the criteria of chronic GVHD will be recorded. Death is a competing risk, and patients alive without chronic GVHD will be censored at time of last follow-up.
Measured: an expected average of 5 years
Longitudinal Analysis: Autoimmunity disorders
Incidence of documented autoimmunity disorders
Measured: an expected average of 5 years
Longitudinal Analysis: Infections / blood borne infections
- Clinical resolution of any pre-HCT opportunistic infections including but not limited to CMV, HSV1, adenovirus, EBV, and VZV. Approximate time to resolution (clinically well, off treatment, and/or negative culture/PCR assay) will be measured from the day of HCT.
- Incidence of documented severe (requiring hospitalization or resulting in death) and/or recurrent bacterial, viral or fungal infection post HCT. These will be reported by site of disease, organism, date of onset post HCT, and whether or not the infection resolved.
- Presence and resolution of severe warts (verruca vulgaris, flat warts) from the day of HCT. Whether the subject had complete resolution, partial resolution, persistent or recurrent warts will be recorded.
- New episodes of infections due to meningococcus, pneumococcus or hemophilus.
- Lymphoproliferative disease due to EBV.
Measured: an expected average of 5 years
Cross-sectional Analysis: Current State of Lineage Specific Chimerism (HCT Stratum)
Peripheral blood donor chimerism will be assessed by FISH XX/XY, STR, and/or WASP expression
Measured: an expected average of 5 years
Cross-sectional Analysis: Current frequency and severity of infections
Measured: an expected average of 5 years
Cross-sectional Analysis: Current Status of Growth
Current Z score of weight and height pre-HCT/gene therapy and post-HCT/gene therapy.
Measured: an expected average of 5 years
Cross-Sectional Analysis: Graft-versus-host Disease (GvHD)
Presence of chronic GVHD, current assessment; graded as limited or extensive
Measured: an expected average of 5 years
Cross-Sectional Analysis: Autoimmunity Disorders
Presence of autoimmunity disorders
Measured: an expected average of 5 years
Cross-sectional Analysis: Severe Bleeding Episodes
Any severe bleeding episode requiring platelet and/or RBC transfusion(s) during the previous year.
Measured: an expected average of 5 years
Cross-sectional Analysis: fertility
Whether the subject has biological offspring will be recorded.
Measured: an expected average of 5 years
Cross-sectional Analysis: malignancy
New onset or relapse of lymphoid malignancy confirmed by relevant pathologic and genetic features.
Measured: an expected average of 5 years
Cross-sectional Analysis: Quality of Life Questionnaire
Age appropriate testing will be performed at the cross-sectional visit inpatients surviving at least two years post-transplant
Measured: an expected average of 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Feb 2014 (estimated)
- Study start2 Feb 2014
- Primary completion1 May 2019
- Study completion1 May 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (10)Papers the sponsor has linked to this study.
- Other trials for Wiskott-Aldrich SyndromeStudies of the same condition, open and under way.
- More trials run by National Institute of Allergy and Infectious Diseases (NIAID)The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Other
- Enrolment
- 305 participants (actual)
Sponsor and investigators
- Sponsor type
- US National Institutes of Health
- Collaborators
- Primary Immune Deficiency Treatment Consortium (PIDTC), Rare Diseases Clinical Research Network
- Responsible party
- Sponsor
- Investigators
- Lauri M. Burroughs, MD, Study chair, Fred Hutchinson Cancer CenterDavid J. Rawlings, MD, Study chair, Department of Pediatrics, University of Washington-Seattle Children's HospitalLuigi D. Notarangelo, MD, Study chair, National Institute of Allergy and Infectious Diseases, NIHAlexandra H. Filipovich, MD, Study chair, Children's Hospital Medical Center, Cincinnati
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02064933
- Sponsor's protocol ID
- DAIT RDCRN PIDTC-6904
- Status last verified
- Aug 2020
- First submitted
- 13 Feb 2014
- Last updated
- 10 Aug 2020
- Results posted
- No
- Data monitoring committee
- No
Publications
Griffith LM, Cowan MJ, Kohn DB, Notarangelo LD, Puck JM, Schultz KR, Buckley RH, Eapen M, Kamani NR, O'Reilly RJ, Parkman R, Roifman CM, Sullivan KE, Filipovich AH, Fleisher TA, Shearer WT. Allogeneic hematopoietic cell transplantation for primary immune deficiency diseases: current status and critical needs. J Allergy Clin Immunol. 2008 Dec;122(6):1087-96. doi: 10.1016/j.jaci.2008.09.045. Epub 2008 Nov 6.
PubMed 18992926Griffith LM, Cowan MJ, Notarangelo LD, Kohn DB, Puck JM, Pai SY, Ballard B, Bauer SC, Bleesing JJ, Boyle M, Brower A, Buckley RH, van der Burg M, Burroughs LM, Candotti F, Cant AJ, Chatila T, Cunningham-Rundles C, Dinauer MC, Dvorak CC, Filipovich AH, Fleisher TA, Bobby Gaspar H, Gungor T, Haddad E, Hovermale E, Huang F, Hurley A, Hurley M, Iyengar S, Kang EM, Logan BR, Long-Boyle JR, Malech HL, McGhee SA, Modell F, Modell V, Ochs HD, O'Reilly RJ, Parkman R, Rawlings DJ, Routes JM, Shearer WT, Small TN, Smith H, Sullivan KE, Szabolcs P, Thrasher A, Torgerson TR, Veys P, Weinberg K, Zuniga-Pflucker JC; workshop participants. Primary Immune Deficiency Treatment Consortium (PIDTC) report. J Allergy Clin Immunol. 2014 Feb;133(2):335-47. doi: 10.1016/j.jaci.2013.07.052. Epub 2013 Oct 15.
PubMed 24139498Griffith LM, Cowan MJ, Notarangelo LD, Kohn DB, Puck JM, Shearer WT, Burroughs LM, Torgerson TR, Decaluwe H, Haddad E; workshop participants. Primary Immune Deficiency Treatment Consortium (PIDTC) update. J Allergy Clin Immunol. 2016 Aug;138(2):375-85. doi: 10.1016/j.jaci.2016.01.051. Epub 2016 Apr 22.
PubMed 27262745Pai SY, Logan BR, Griffith LM, Buckley RH, Parrott RE, Dvorak CC, Kapoor N, Hanson IC, Filipovich AH, Jyonouchi S, Sullivan KE, Small TN, Burroughs L, Skoda-Smith S, Haight AE, Grizzle A, Pulsipher MA, Chan KW, Fuleihan RL, Haddad E, Loechelt B, Aquino VM, Gillio A, Davis J, Knutsen A, Smith AR, Moore TB, Schroeder ML, Goldman FD, Connelly JA, Porteus MH, Xiang Q, Shearer WT, Fleisher TA, Kohn DB, Puck JM, Notarangelo LD, Cowan MJ, O'Reilly RJ. Transplantation outcomes for severe combined immunodeficiency, 2000-2009. N Engl J Med. 2014 Jul 31;371(5):434-46. doi: 10.1056/NEJMoa1401177.
PubMed 25075835Haddad E, Allakhverdi Z, Griffith LM, Cowan MJ, Notarangelo LD. Survey on retransplantation criteria for patients with severe combined immunodeficiency. J Allergy Clin Immunol. 2014 Feb;133(2):597-9. doi: 10.1016/j.jaci.2013.10.022. Epub 2013 Dec 10. No abstract available.
PubMed 24331379Shearer WT, Dunn E, Notarangelo LD, Dvorak CC, Puck JM, Logan BR, Griffith LM, Kohn DB, O'Reilly RJ, Fleisher TA, Pai SY, Martinez CA, Buckley RH, Cowan MJ. Establishing diagnostic criteria for severe combined immunodeficiency disease (SCID), leaky SCID, and Omenn syndrome: the Primary Immune Deficiency Treatment Consortium experience. J Allergy Clin Immunol. 2014 Apr;133(4):1092-8. doi: 10.1016/j.jaci.2013.09.044. Epub 2013 Nov 28.
PubMed 24290292Dvorak CC, Cowan MJ, Logan BR, Notarangelo LD, Griffith LM, Puck JM, Kohn DB, Shearer WT, O'Reilly RJ, Fleisher TA, Pai SY, Hanson IC, Pulsipher MA, Fuleihan R, Filipovich A, Goldman F, Kapoor N, Small T, Smith A, Chan KW, Cuvelier G, Heimall J, Knutsen A, Loechelt B, Moore T, Buckley RH. The natural history of children with severe combined immunodeficiency: baseline features of the first fifty patients of the primary immune deficiency treatment consortium prospective study 6901. J Clin Immunol. 2013 Oct;33(7):1156-64. doi: 10.1007/s10875-013-9917-y. Epub 2013 Jul 2.
PubMed 23818196Griffith LM, Cowan MJ, Notarangelo LD, Puck JM, Buckley RH, Candotti F, Conley ME, Fleisher TA, Gaspar HB, Kohn DB, Ochs HD, O'Reilly RJ, Rizzo JD, Roifman CM, Small TN, Shearer WT; Workshop Participants. Improving cellular therapy for primary immune deficiency diseases: recognition, diagnosis, and management. J Allergy Clin Immunol. 2009 Dec;124(6):1152-60.e12. doi: 10.1016/j.jaci.2009.10.022.
PubMed 20004776Burroughs LM, Petrovic A, Brazauskas R, Liu X, Griffith LM, Ochs HD, Bleesing JJ, Edwards S, Dvorak CC, Chaudhury S, Prockop SE, Quinones R, Goldman FD, Quigg TC, Chandrakasan S, Smith AR, Parikh S, Davila Saldana BJ, Thakar MS, Phelan R, Shenoy S, Forbes LR, Martinez C, Chellapandian D, Shereck E, Miller HK, Kapoor N, Barnum JL, Chong H, Shyr DC, Chen K, Abu-Arja R, Shah AJ, Weinacht KG, Moore TB, Joshi A, DeSantes KB, Gillio AP, Cuvelier GDE, Keller MD, Rozmus J, Torgerson T, Pulsipher MA, Haddad E, Sullivan KE, Logan BR, Kohn DB, Puck JM, Notarangelo LD, Pai SY, Rawlings DJ, Cowan MJ. Excellent outcomes following hematopoietic cell transplantation for Wiskott-Aldrich syndrome: a PIDTC report. Blood. 2020 Jun 4;135(23):2094-2105. doi: 10.1182/blood.2019002939.
PubMed 32268350Alexander JL, Davila Saldana BJ, Brazauskas R, Dammalapati SG, Griffith LM, Shah AJ, Shimano KA, Ochs HD, Bleesing JJ, Ebens CL, Kapadia M, Bauchat A, Kapoor N, Oved JH, Eissa H, Lust H, Keller MD, Haines H, Chandrakasan S, Talano JA, Rayes A, Madden L, Shereck E, Miller HK, Satter LF, Martinez C, Rozmus J, Bednarski JJ, Yu LC, Chellapandian D, Aquino VM, Knutsen A, Chong H, Chopek A, Gillio AP, Joshi A, Rangarajan H, Moore TB, Andolina JR, DeSantes KB, Vander Lugt M, Prockop SE, Shyr DC, Sullivan KE, Parikh S, Weinacht KG, Torgerson TR, Marsh R, Dvorak CC, Chan AY, Haddad E, Heimall JR, Pulsipher MA, Leiding JW, Kohn DB, Puck JM, Notarangelo LD, Rawlings DJ, Cowan MJ, Petrovic A, Pai SY, Burroughs LM. Hematopoietic cell transplantation for Wiskott-Aldrich syndrome: a PIDTC report. Blood Adv. 2026 Mar 10;10(5):1783-1798. doi: 10.1182/bloodadvances.2025017662.
PubMed 41346295
Study at a glance
From the registry record, last updated by the sponsor on 10 Aug 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Analysis of Patients Treated for Wiskott-Aldrich Syndrome Since January 1, 1990 (RDCRN PIDTC-6904)
- ClinicalTrials.gov ID
- NCT02064933
- Acronym / sponsor ID
- DAIT RDCRN PIDTC-6904
- Conditions
- Wiskott-Aldrich Syndrome
- Keywords
- Wiskott-Aldrich Syndrome, Hematopoietic Stem Cell Transplantation, Genetic Therapy
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 305 participants (actual)
- Lead sponsor
- National Institute of Allergy and Infectious Diseases (NIAID)US National Institutes of Health
- Collaborators
- Primary Immune Deficiency Treatment Consortium (PIDTC), Rare Diseases Clinical Research Network
- Study start
- 2 Feb 2014 (actual)
- Primary completion
- 1 May 2019 (actual)
- Study completion
- 1 May 2019 (actual)
- First posted
- 17 Feb 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Wiskott - Aldrich syndrome (WAS) is a rare serious medical condition that causes problems both with the immune system and with easy bruising and bleeding. The immune abnormalities cause patients with WAS to be very susceptible to infections. Depending on the specific type of primary immune deficiency diseases, there are effective treatments, including antibiotics, cellular therapy and gene therapy, but studies of large numbers of patients are needed to determine the full range of causes, natural history, or the best methods of treatment for long term success.
This multicenter study combines retrospective, prospective and cross-sectional analyses of the transplant experiences for patients with WAS who have already received HCT since 1990, or who will undergo Hematopoietic cell transplant (HCT) during the study period. The retrospective and prospective portions of the study will address the impact of a number of pre and post-transplant factors on post-transplant disease correction and ultimate benefit from HCT and the cross-sectional portion of the study will assess the benefit of HCT 2 years post-HCT in consenting surviving patients.
Study design
- Observational model
- Cohort
- Time perspective
- Other
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Retrospective Cohort (Longitudinal Analysis) | – | –Participants with WAS treated at consortium centers since 1990 who have received transplant (Stratum A) or gene therapy (Stratum B) |
| Prospective Cohort (Longitudinal Analysis) | – | –Participants treated at consortium centers since 1990 who will receive transplant (Stratum A) or gene therapy (Stratum B) |
| Cross-Sectional Cohort (Cross-sectional Analysis) | – | –Living participants with WAS who have received transplant (Stratum A) or gene therapy (Stratum B) at Consortium Centers 1990-Present And >= 2 Years Post-Transplant |
Who may qualify
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
- Study population
- Male WAS participants treated at consortium centers Since 1990
Key inclusion criteria (10 listed)
- WAS participants will be defined as males who have:
- Longitudinal Analysis (Retrospective and Prospective)
- Cross-Sectional Analysis (Strata A and B) 1. Participants with WAS who are surviving and at least 2 years after the most recent HCT or gene therapy.
Key exclusion criteria (1 listed)
- As this is a natural history study, for both the Longitudinal Analysis and the Cross-Sectional Analysis we will not exclude any patients due to race or age who fit the inclusion criteria.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Longitudinal Analysis: Overall Survival From Time of HCT/Gene Therapy
Time frame: an expected average of 5 years
The event analyzed is death from any cause. The time to this event is the time from HCT/gene therapy to death or last follow-up.
Cross-Sectional Analysis: Proportion of Participants Achieving Full T Cell Reconstitution
Time frame: an expected average of 5 years
Full T cell reconstitution is defined by all of the following: * CD3 cell count within normal range for age. * CD4 cell count within normal range for age. * CD8 cell count within normal range for age * Donor T cell chimerism > 95% * Lymphocyte proliferation to PHA. Proliferative responses to PHA within the normal range (at or above the lower limit of normal). When possible the proliferation to PHA should be calculated as a percentage of the lower limit of normal controls for that laboratory; alternatively, the lower limit of normal controls for the day may be used
Cross-Sectional Analysis: Proportion of Participants Achieving Full B Cell Reconstitution
Time frame: an expected average of 5 years
Full B cell reconstitution is defined by all of the following: * Quantitative immunoglobulins (IgG, IgM, and IgA) within normal range; each immunoglobulin level will be assessed separately. * Serologic confirmation of post immunization tetanus titer in protective range. * Serologic confirmation of post immunization pneumococcal titers in protective range (protective titers for > 50% of the serotypes contained in the vaccine) following immunization
Cross-Sectional Analysis: Proportion of Participants Achieving Resolution of thrombocytopenia
Time frame: an expected average of 5 years
Resolution of thrombocytopenia defined by Platelets ≥ 150,000/microliter (transfusion independent for at least 7 consecutive days)
Cross-Sectional Analysis: Day of Recovery of Absolute Neutrophil Count (ANC) to 500 / uL
Time frame: an expected average of 5 years
Day of Recovery of Absolute Neutrophil Count (ANC) to 500 / uL is defined as the first day of at least 3 different days the ANC is measured as 500 / uL or greater
Cross-sectional Analysis: Day of Recovery of Platelet Count to 20,000 / uL
Time frame: an expected average of 5 years
Day of Recovery of Platelet Count to 20,000 / uL is defined as the first day of at least 3 laboratory values obtained on different days where the platelet count was measured as 20,000 / uL or greater, AND without platelet transfusions for at least 7 consecutive days immediately preceding this day.
Cross-sectional Analysis: Day of Recovery of Platelet Count to 50,000 / uL
Time frame: an expected average of 5 years
Day of Recovery of Platelet Count to 50,000 / uL is defined as the first day of at least 3 laboratory values obtained on different days where the platelet count was measured as 50,000 / uL or greater, AND without platelet transfusions for at least 7 consecutive days immediately preceding this day.
24 secondary outcomes
Longitudinal Analysis: Proportion of Participants Achieving Hematologic Reconstitution
Time frame: an expected average of 5 years
Longitudinal Analysis: Day of Recovery of Absolute Neutrophil Count (ANC) to 500 / uL
Time frame: an expected average of 5 years
Longitudinal Analysis: Day of Recovery of Platelet Count to 20,000 / uL
Time frame: an expected average of 5 years
Longitudinal Analysis: Day of Recovery of Platelet Count to 50,000 / uL
Time frame: an expected average of 5 years
Longitudinal Analysis: Proportion of Participants Achieving Full T Cell Immune Reconstitution
Time frame: an expected average of 5 years
Longitudinal Analysis: Proportion of Participants Achieving Full B Cell Immune Reconstitution
Time frame: an expected average of 5 years
Longitudinal Analysis: State of Lineage Specific Chimerism (HCT Stratum)
Time frame: an expected average of 5 years
Longitudinal Analysis: Definition of Graft Failure / Rejection
Time frame: an expected average of 5 years
Longitudinal Analysis: Severe bleeding episodes
Time frame: an expected average of 5 years
Longitudinal Analysis: Malignancy
Time frame: an expected average of 5 years
Longitudinal Analysis: Growth
Time frame: an expected average of 5 years
Longitudinal Analysis: Incidence of Acute GVHD
Time frame: an expected average of 5 years
Longitudinal Analysis: Incidence of Chronic GVHD
Time frame: an expected average of 5 years
Longitudinal Analysis: Autoimmunity disorders
Time frame: an expected average of 5 years
Longitudinal Analysis: Infections / blood borne infections
Time frame: an expected average of 5 years
Cross-sectional Analysis: Current State of Lineage Specific Chimerism (HCT Stratum)
Time frame: an expected average of 5 years
Cross-sectional Analysis: Current frequency and severity of infections
Time frame: an expected average of 5 years
Cross-sectional Analysis: Current Status of Growth
Time frame: an expected average of 5 years
Cross-Sectional Analysis: Graft-versus-host Disease (GvHD)
Time frame: an expected average of 5 years
Cross-Sectional Analysis: Autoimmunity Disorders
Time frame: an expected average of 5 years
Cross-sectional Analysis: Severe Bleeding Episodes
Time frame: an expected average of 5 years
Cross-sectional Analysis: fertility
Time frame: an expected average of 5 years
Cross-sectional Analysis: malignancy
Time frame: an expected average of 5 years
Cross-sectional Analysis: Quality of Life Questionnaire
Time frame: an expected average of 5 years
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Aug 2020.
- Background: PubMed 18992926Griffith LM, Cowan MJ, Kohn DB, Notarangelo LD, Puck JM, Schultz KR, Buckley RH, Eapen M, Kamani NR, O'Reilly RJ, Parkman R, Roifman CM, Sullivan KE, Filipovich AH, Fleisher TA, Shearer WT. Allogeneic hematopoietic cell transplantation for primary immune deficiency diseases: current status and critical needs. J Allergy Clin Immunol. 2008 Dec;122(6):1087-96. doi: 10.1016/j.jaci.2008.09.045. Epub 2008 Nov 6.
- Results publication: PubMed 24139498Griffith LM, Cowan MJ, Notarangelo LD, Kohn DB, Puck JM, Pai SY, Ballard B, Bauer SC, Bleesing JJ, Boyle M, Brower A, Buckley RH, van der Burg M, Burroughs LM, Candotti F, Cant AJ, Chatila T, Cunningham-Rundles C, Dinauer MC, Dvorak CC, Filipovich AH, Fleisher TA, Bobby Gaspar H, Gungor T, Haddad E, Hovermale E, Huang F, Hurley A, Hurley M, Iyengar S, Kang EM, Logan BR, Long-Boyle JR, Malech HL, McGhee SA, Modell F, Modell V, Ochs HD, O'Reilly RJ, Parkman R, Rawlings DJ, Routes JM, Shearer WT, Small TN, Smith H, Sullivan KE, Szabolcs P, Thrasher A, Torgerson TR, Veys P, Weinberg K, Zuniga-Pflucker JC; workshop participants. Primary Immune Deficiency Treatment Consortium (PIDTC) report. J Allergy Clin Immunol. 2014 Feb;133(2):335-47. doi: 10.1016/j.jaci.2013.07.052. Epub 2013 Oct 15.
- Results publication: PubMed 27262745Griffith LM, Cowan MJ, Notarangelo LD, Kohn DB, Puck JM, Shearer WT, Burroughs LM, Torgerson TR, Decaluwe H, Haddad E; workshop participants. Primary Immune Deficiency Treatment Consortium (PIDTC) update. J Allergy Clin Immunol. 2016 Aug;138(2):375-85. doi: 10.1016/j.jaci.2016.01.051. Epub 2016 Apr 22.
- Results publication: PubMed 25075835Pai SY, Logan BR, Griffith LM, Buckley RH, Parrott RE, Dvorak CC, Kapoor N, Hanson IC, Filipovich AH, Jyonouchi S, Sullivan KE, Small TN, Burroughs L, Skoda-Smith S, Haight AE, Grizzle A, Pulsipher MA, Chan KW, Fuleihan RL, Haddad E, Loechelt B, Aquino VM, Gillio A, Davis J, Knutsen A, Smith AR, Moore TB, Schroeder ML, Goldman FD, Connelly JA, Porteus MH, Xiang Q, Shearer WT, Fleisher TA, Kohn DB, Puck JM, Notarangelo LD, Cowan MJ, O'Reilly RJ. Transplantation outcomes for severe combined immunodeficiency, 2000-2009. N Engl J Med. 2014 Jul 31;371(5):434-46. doi: 10.1056/NEJMoa1401177.
- Results publication: PubMed 24331379Haddad E, Allakhverdi Z, Griffith LM, Cowan MJ, Notarangelo LD. Survey on retransplantation criteria for patients with severe combined immunodeficiency. J Allergy Clin Immunol. 2014 Feb;133(2):597-9. doi: 10.1016/j.jaci.2013.10.022. Epub 2013 Dec 10. No abstract available.
- Results publication: PubMed 24290292Shearer WT, Dunn E, Notarangelo LD, Dvorak CC, Puck JM, Logan BR, Griffith LM, Kohn DB, O'Reilly RJ, Fleisher TA, Pai SY, Martinez CA, Buckley RH, Cowan MJ. Establishing diagnostic criteria for severe combined immunodeficiency disease (SCID), leaky SCID, and Omenn syndrome: the Primary Immune Deficiency Treatment Consortium experience. J Allergy Clin Immunol. 2014 Apr;133(4):1092-8. doi: 10.1016/j.jaci.2013.09.044. Epub 2013 Nov 28.
- Results publication: PubMed 23818196Dvorak CC, Cowan MJ, Logan BR, Notarangelo LD, Griffith LM, Puck JM, Kohn DB, Shearer WT, O'Reilly RJ, Fleisher TA, Pai SY, Hanson IC, Pulsipher MA, Fuleihan R, Filipovich A, Goldman F, Kapoor N, Small T, Smith A, Chan KW, Cuvelier G, Heimall J, Knutsen A, Loechelt B, Moore T, Buckley RH. The natural history of children with severe combined immunodeficiency: baseline features of the first fifty patients of the primary immune deficiency treatment consortium prospective study 6901. J Clin Immunol. 2013 Oct;33(7):1156-64. doi: 10.1007/s10875-013-9917-y. Epub 2013 Jul 2.
- Results publication: PubMed 20004776Griffith LM, Cowan MJ, Notarangelo LD, Puck JM, Buckley RH, Candotti F, Conley ME, Fleisher TA, Gaspar HB, Kohn DB, Ochs HD, O'Reilly RJ, Rizzo JD, Roifman CM, Small TN, Shearer WT; Workshop Participants. Improving cellular therapy for primary immune deficiency diseases: recognition, diagnosis, and management. J Allergy Clin Immunol. 2009 Dec;124(6):1152-60.e12. doi: 10.1016/j.jaci.2009.10.022.
- Results publication: PubMed 32268350Burroughs LM, Petrovic A, Brazauskas R, Liu X, Griffith LM, Ochs HD, Bleesing JJ, Edwards S, Dvorak CC, Chaudhury S, Prockop SE, Quinones R, Goldman FD, Quigg TC, Chandrakasan S, Smith AR, Parikh S, Davila Saldana BJ, Thakar MS, Phelan R, Shenoy S, Forbes LR, Martinez C, Chellapandian D, Shereck E, Miller HK, Kapoor N, Barnum JL, Chong H, Shyr DC, Chen K, Abu-Arja R, Shah AJ, Weinacht KG, Moore TB, Joshi A, DeSantes KB, Gillio AP, Cuvelier GDE, Keller MD, Rozmus J, Torgerson T, Pulsipher MA, Haddad E, Sullivan KE, Logan BR, Kohn DB, Puck JM, Notarangelo LD, Pai SY, Rawlings DJ, Cowan MJ. Excellent outcomes following hematopoietic cell transplantation for Wiskott-Aldrich syndrome: a PIDTC report. Blood. 2020 Jun 4;135(23):2094-2105. doi: 10.1182/blood.2019002939.
- Derived from this study: PubMed 41346295Alexander JL, Davila Saldana BJ, Brazauskas R, Dammalapati SG, Griffith LM, Shah AJ, Shimano KA, Ochs HD, Bleesing JJ, Ebens CL, Kapadia M, Bauchat A, Kapoor N, Oved JH, Eissa H, Lust H, Keller MD, Haines H, Chandrakasan S, Talano JA, Rayes A, Madden L, Shereck E, Miller HK, Satter LF, Martinez C, Rozmus J, Bednarski JJ, Yu LC, Chellapandian D, Aquino VM, Knutsen A, Chong H, Chopek A, Gillio AP, Joshi A, Rangarajan H, Moore TB, Andolina JR, DeSantes KB, Vander Lugt M, Prockop SE, Shyr DC, Sullivan KE, Parikh S, Weinacht KG, Torgerson TR, Marsh R, Dvorak CC, Chan AY, Haddad E, Heimall JR, Pulsipher MA, Leiding JW, Kohn DB, Puck JM, Notarangelo LD, Rawlings DJ, Cowan MJ, Petrovic A, Pai SY, Burroughs LM. Hematopoietic cell transplantation for Wiskott-Aldrich syndrome: a PIDTC report. Blood Adv. 2026 Mar 10;10(5):1783-1798. doi: 10.1182/bloodadvances.2025017662.
- Primary Immune Deficiency Treatment Consortium (PIDTC), Rare Clinical Diseases Research Network, National Institutes of HealthLink provided by the sponsor.
- Division of Allergy, Immunology, and Transplantation (DAIT)Link provided by the sponsor.
- National Institute of Allergy and Infectious Diseases (NIAID)Link provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Lauri M. Burroughs, MD study chair
Fred Hutchinson Cancer Center
David J. Rawlings, MD study chair
Department of Pediatrics, University of Washington-Seattle Children's Hospital
Luigi D. Notarangelo, MD study chair
National Institute of Allergy and Infectious Diseases, NIH
43 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Wiskott-Aldrich Syndrome, run by National Institute of Allergy and Infectious Diseases (NIAID) at 43 sites in 2 countries.
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 10 inclusion and 1 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 10 Aug 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 43 sites in United States, Canada. 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.
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?
Longitudinal Analysis: Overall Survival From Time of HCT/Gene Therapy (time frame: an expected average of 5 years). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02064933, which also lists 10 linked publications.
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 10 Aug 2020.