Ignite Creation Date:
2024-05-05 @ 11:21 AM
Last Modification Date:
2024-10-26 @ 9:05 AM
Study NCT ID:
NCT00006319
Status:
ACTIVE_NOT_RECRUITING
Last Update Posted:
2024-07-03
First Post:
2000-09-30
Brief Title:
Molecular and Clinical Studies of Primary Immunodeficiency Diseases
Sponsor:
National Human Genome Research Institute NHGRI
Organization:
National Institutes of Health Clinical Center CC
Study Overview
Official Title:
Molecular and Clinical Studies of Primary Immunodeficiency Diseases
Status:
ACTIVE_NOT_RECRUITING
Status Verified Date:
2023-10-13
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This study will try to identify mutations in the genes responsible for primary immunodeficiency disorders inherited diseases of the immune system and evaluate the course of these diseases in patients over time to learn more about the medical problems they cause The immune system is composed of various cells eg T and B cells and phagocytes and other substances complement system that protect the body from infections and cancer Abnormalities in the genes responsible for the function of these components can lead to serious infections and other immune problems
Patients with Wiskott-Aldrich syndrome adenosine deaminase ADA deficiency Participants will undergo a medical and family history physical examination and additional procedures and tests that may include the following
1 Blood tests for routine laboratory studies ie cell counts enzyme levels electrolytes etc HIV testing immune response to various substances genetic testing and establishment of cell lines to maintain a supply of cells for continued study
2 Urine and saliva tests for biochemical studies
3 Skin tests to assess response to antigens such as the viruses and bacteria responsible for tetanus candida tuberculosis diphtheria chicken pox and other diseases
4 Skin and lymph node biopsies for tissue and DNA studies
5 Chest X-ray CT scans or both to look for cancer or various infections
6 Pulmonary function test to assess lung capacity and a breath test to test for H pylori infection
7 Dental skin and eye examinations
8 Treatment with intravenous immunoglobulins or antibodies to prevent infections
9 Apheresis for collecting white blood cells to study cell function In this procedure whole blood is collected through a needle placed in an arm vein The blood circulates through a machine that separates it into its components The white cells are then removed and the red cells platelets and plasma are returned to the body either through the same needle or through a second needle placed in the other arm
10 Bone marrow sampling to study the disease A small amount of marrow from the hipbone is drawn aspirated through a needle The procedure can be done under local anesthesia or light sedation
11 Placental and umbilical cord blood studies if cord blood is available to study stem cells cells that form blood cells
Information gained from this study may provide a better understanding of primary immunodeficiencies leading to better diagnosis and treatment In addition study participants may receive medical and genetic counseling and may be found eligible for other NIH studies on these diseases
Patients with Wiskott-Aldrich syndrome adenosine deaminase ADA deficiency Participants will undergo a medical and family history physical examination and additional procedures and tests that may include the following
1 Blood tests for routine laboratory studies ie cell counts enzyme levels electrolytes etc HIV testing immune response to various substances genetic testing and establishment of cell lines to maintain a supply of cells for continued study
2 Urine and saliva tests for biochemical studies
3 Skin tests to assess response to antigens such as the viruses and bacteria responsible for tetanus candida tuberculosis diphtheria chicken pox and other diseases
4 Skin and lymph node biopsies for tissue and DNA studies
5 Chest X-ray CT scans or both to look for cancer or various infections
6 Pulmonary function test to assess lung capacity and a breath test to test for H pylori infection
7 Dental skin and eye examinations
8 Treatment with intravenous immunoglobulins or antibodies to prevent infections
9 Apheresis for collecting white blood cells to study cell function In this procedure whole blood is collected through a needle placed in an arm vein The blood circulates through a machine that separates it into its components The white cells are then removed and the red cells platelets and plasma are returned to the body either through the same needle or through a second needle placed in the other arm
10 Bone marrow sampling to study the disease A small amount of marrow from the hipbone is drawn aspirated through a needle The procedure can be done under local anesthesia or light sedation
11 Placental and umbilical cord blood studies if cord blood is available to study stem cells cells that form blood cells
Information gained from this study may provide a better understanding of primary immunodeficiencies leading to better diagnosis and treatment In addition study participants may receive medical and genetic counseling and may be found eligible for other NIH studies on these diseases
Detailed Description:
The purpose of this protocol is to study patients with primary immunodeficiency disorders with the goal of contributing to both the clinical and molecular understanding of this heterogeneous group of inherited diseases Clinical issues to be addressed will include disease manifestations and evolution as well prevention and management of medical problems Patients with diseases of known molecular basis including Wiskott-Aldrich syndrome ADA deficiency JAK3 deficiency and other syndromes will be genotyped in order to investigate phenotype-genotype correlation Patients with disease of unknown or incomplete genetic characterization will be studied with hopes of contributing to the identification of specific genes responsible for disease Studies of fresh cells cell lines and tissue samples will be performed to help characterize the patient s syndrome as well as to test the efficacy of genetic correction when available
The outcome we seek is to improve our knowledge of the molecular basis clinical presentation and evolution of primary immunodeficiency diseases and to collaborate to maintain or improve the health status of our patients No investigational clinical interventions are planned under this protocol It is anticipated that additional protocols will be generated from preliminary data gathered in this umbrella study
The outcome we seek is to improve our knowledge of the molecular basis clinical presentation and evolution of primary immunodeficiency diseases and to collaborate to maintain or improve the health status of our patients No investigational clinical interventions are planned under this protocol It is anticipated that additional protocols will be generated from preliminary data gathered in this umbrella study
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| 00-HG-0209 | None | None | None |