Ignite Creation Date:
2025-12-25 @ 3:21 AM
Ignite Modification Date:
2025-12-26 @ 1:59 AM
Study NCT ID:
NCT00001905
Status:
COMPLETED
Last Update Posted:
2008-03-04
First Post:
1999-11-03
Is NOT Gene Therapy:
False
Has Adverse Events:
False
Brief Title:
Interferon Gamma to Treat Leukocyte Adhesion Deficiency Type I
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D018370', 'term': 'Leukocyte-Adhesion Deficiency Syndrome'}, {'id': 'D007153', 'term': 'Immunologic Deficiency Syndromes'}, {'id': 'C535887', 'term': 'Leukocyte adhesion deficiency type 1'}], 'ancestors': [{'id': 'D000081207', 'term': 'Primary Immunodeficiency Diseases'}, {'id': 'D030342', 'term': 'Genetic Diseases, Inborn'}, {'id': 'D009358', 'term': 'Congenital, Hereditary, and Neonatal Diseases and Abnormalities'}, {'id': 'D007154', 'term': 'Immune System Diseases'}]}, 'interventionBrowseModule': {'meshes': [{'id': 'D007371', 'term': 'Interferon-gamma'}], 'ancestors': [{'id': 'D007372', 'term': 'Interferons'}, {'id': 'D016207', 'term': 'Cytokines'}, {'id': 'D036341', 'term': 'Intercellular Signaling Peptides and Proteins'}, {'id': 'D010455', 'term': 'Peptides'}, {'id': 'D000602', 'term': 'Amino Acids, Peptides, and Proteins'}, {'id': 'D016215', 'term': 'Macrophage-Activating Factors'}, {'id': 'D008222', 'term': 'Lymphokines'}, {'id': 'D011506', 'term': 'Proteins'}, {'id': 'D001685', 'term': 'Biological Factors'}]}}, 'protocolSection': {'designModule': {'phases': ['PHASE2'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'primaryPurpose': 'TREATMENT'}, 'enrollmentInfo': {'count': 5}}, 'statusModule': {'overallStatus': 'COMPLETED', 'startDateStruct': {'date': '1999-04'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2002-03', 'completionDateStruct': {'date': '2002-03'}, 'lastUpdateSubmitDate': '2008-03-03', 'studyFirstSubmitDate': '1999-11-03', 'studyFirstSubmitQcDate': '1999-11-03', 'lastUpdatePostDateStruct': {'date': '2008-03-04', 'type': 'ESTIMATED'}, 'studyFirstPostDateStruct': {'date': '1999-11-04', 'type': 'ESTIMATED'}}, 'conditionsModule': {'keywords': ['Neutrophil', 'Immunodeficiency', 'Cytokine', 'Treatment', 'Trafficking', 'Leukocyte Adhesion Deficiency Type I', 'LAD I'], 'conditions': ['Leukocyte Adhesion Deficiency Syndrome']}, 'referencesModule': {'references': [{'pmid': '3555290', 'type': 'BACKGROUND', 'citation': 'Anderson DC, Springer TA. Leukocyte adhesion deficiency: an inherited defect in the Mac-1, LFA-1, and p150,95 glycoproteins. Annu Rev Med. 1987;38:175-94. doi: 10.1146/annurev.me.38.020187.001135.'}, {'pmid': '9376602', 'type': 'BACKGROUND', 'citation': 'Schiff DE, Rae J, Martin TR, Davis BH, Curnutte JT. Increased phagocyte Fc gammaRI expression and improved Fc gamma-receptor-mediated phagocytosis after in vivo recombinant human interferon-gamma treatment of normal human subjects. Blood. 1997 Oct 15;90(8):3187-94.'}, {'pmid': '3900232', 'type': 'BACKGROUND', 'citation': 'Anderson DC, Schmalsteig FC, Finegold MJ, Hughes BJ, Rothlein R, Miller LJ, Kohl S, Tosi MF, Jacobs RL, Waldrop TC, et al. The severe and moderate phenotypes of heritable Mac-1, LFA-1 deficiency: their quantitative definition and relation to leukocyte dysfunction and clinical features. J Infect Dis. 1985 Oct;152(4):668-89. doi: 10.1093/infdis/152.4.668.'}]}, 'descriptionModule': {'briefSummary': 'This study will evaluate the safety and effectiveness of the drug, interferon gamma, in treating leukocyte adhesion deficiency type I (LAD I). Patients with this inherited immune disorder do not have enough proteins called adhesion molecules on their infection-fighting white blood cells, impairing the ability of these cells to get to the site of infection. As a result, patients have recurrent infections of soft tissues, such as the skin, gums and gastrointestinal tract, and poor wound healing. Infants with severe LAD I often die from multiple infections. Interferon gamma may increase the number of adhesion molecules on white blood cells, and thus improve their function.\n\nPatients with LAD I who weigh more than 13 kilograms (28.5 pounds) may be eligible for this study. Candidates will have personal and family medical histories taken, a physical examination, blood and urine tests and a chest X-ray or computed tomography (CT) scan.\n\nParticipants will receive injections of interferon gamma under the skin 3 times a week for 3 months. Adult patients will be taught how to give their own injections (similar to insulin injections for diabetes) and parents will be taught how to administer the shots to their child. Blood samples, usually be between 30 to 90 milliliters (2 to 6 tablespoons), will be drawn just before starting medication and again 1 day, 1 week, 1 month, 3 months and 4 months after therapy begins. At these same time intervals, patients will provide a salt-water mouth rinse specimen, which will be tested for changes in the number of white blood cells during interferon gamma treatment.\n\nPatients will be admitted to the NIH Clinical Center for inpatient evaluations at the start of therapy and again after 1 week, 1month, 3 months and 4 months. The initial screening visit will take a few days and subsequent visits will take 1 to 2 days.', 'detailedDescription': 'Leukocyte adhesion deficiency type I (LAD I) is a primary immunodeficiency disease resulting from mutations in the gene encoding CD18. Markedly reduced or absent expression of the leukocyte integrin component CD18 causes significant impairment in leukocyte mobilization to inflammatory sites. Clinically, patients have marked leukocytosis and recurrent infections involving soft tissues such as skin, the gastrointestinal tract and gingiva. Death due to infections in early infancy is common with the severe form of LAD I (CD18 expression less than 0.5%), but patients with the moderate phenotype (CD18 expression 1-10%) may survive into young adulthood. To date, therapy consists of antibiotic treatment for infections and bone marrow transplantation when possible. LAD I is also a candidate for future gene therapy. Recently, it has been shown that in vivo administration of interferon gamma (IFN-gamma) upregulates CD18 expression in normals and alters leukocyte trafficking. We hypothesize that modest increases in CD18 expression in LAD I patients with the moderate phenotype or alterations in CD18 independent trafficking could result in detectable clinical changes and possible clinical improvement.'}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['CHILD', 'ADULT', 'OLDER_ADULT'], 'healthyVolunteers': False, 'eligibilityCriteria': "PARTICIPANT INCLUSION CRITERIA:\n\nLeukocyte Adhesion Deficiency type I, as determined by flow cytometry showing less than 10% CD18 expression in association with typical signs of LAD I .\n\nWeight adequate to permit the blood drawing requirements of the protocol, greater than 13 kg.\n\nPatients should be without serious, ongoing, uncontrolled infections.\n\nAdequate hematopoietic, renal and hepatic function, defined as:\n\nAbsolute neutrophil count greater than or equal to 1500/microL;\n\nHemoglobin greater than or equal to 7g/dL (post transfusion or erythropoeitin);\n\nPlatelet count greater than or equal to 100,000/microL;\n\nCreatinine less than or equal to 1.5 x upper limit of normal;\n\nBilirubin less than or equal to 1.5 x upper limit of normal;\n\nAST/SGOT less than or equal to 2.5 x upper limit of normal;\n\nALT/SGPT less than or equal to 2.5 x upper limit of normal;\n\nCalculated Creatinine Clearance greater than or equal to 60 mL/min.\n\nKarnofsky Performance Status Index greater than or equal to 70.\n\nWritten signed informed consent.\n\nPARTICIPANT EXCLUSION CRITERIA:\n\nHIV infection.\n\nActive malignancy.\n\nSymptomatic cardiac disease or ongoing treatment for same.\n\nPregnant or lactating women.\n\nSurgery during the two weeks prior to the start of IFN-gamma dosing.\n\nConcurrent use of systemic corticosteroids, except for physiologic replacement.\n\nExposure to any investigational drug within four weeks prior to the start of dosing.\n\nAny other major illness which, in the investigator's judgement, may substantially increase the risk associated with the patients participation in this study."}, 'identificationModule': {'nctId': 'NCT00001905', 'briefTitle': 'Interferon Gamma to Treat Leukocyte Adhesion Deficiency Type I', 'organization': {'class': 'NIH', 'fullName': 'National Institutes of Health Clinical Center (CC)'}, 'officialTitle': 'Interferon Gamma Administration in Leukocyte Adhesion Deficiency Type I', 'orgStudyIdInfo': {'id': '990089'}, 'secondaryIdInfos': [{'id': '99-I-0089'}]}, 'armsInterventionsModule': {'interventions': [{'name': 'Interferon gamma', 'type': 'DRUG'}]}, 'contactsLocationsModule': {'locations': [{'zip': '20892', 'city': 'Bethesda', 'state': 'Maryland', 'country': 'United States', 'facility': 'National Institute of Allergy and Infectious Diseases (NIAID)', 'geoPoint': {'lat': 38.98067, 'lon': -77.10026}}]}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'National Institute of Allergy and Infectious Diseases (NIAID)', 'class': 'NIH'}}}}