Severe Immunodeficiency Diseases
Conditions
Keywords
Patients with the Severe Immunodeficiency diseases, Severe Immunodeficiency diseases
Brief summary
The hypothesis of this study is that children with severe primary immunodeficiencies will benefit from early stem cell transplantation utilizing a reduced intensity conditioning regimen. This regimen is associated with a low risk of complications and will lead to correction of the underlying immunological defects.
Interventions
Patients on this study will receive 5 days of Fludarabine, 1 day of Busulfan Test Dose, 2 Days of Busulfan Regimen Dose, and 4 days of Anti-Thymocyte Globulin
Sponsors
Study design
Eligibility
Inclusion criteria
* Must show one of the following diseases: * SCIDS * Hyper-IgM * Wiskott-Aldrich Syndrome * Chediak-Higashi and Griscelli Syndromes * X-Linked Lymphoproliferative Diseases * IPEX Syndrome * NEMO Syndrome * other severe immunodeficiency diseases not stated above at the discretion of the Principal Investigator * Informed Consent * Adequate Renal Function * Adequate Liver Function * Adequate Cardiac Function * Adequate Pulmonary Function * Adequate Performance Statue * Adequate Venous Access
Exclusion criteria
* Patient/Family has not signed informed consent * Patient does not have a clear diagnosis of a severe immunodeficiency disease * A suitable donor for the patient cannot be found * Patient is HIV positive * Patient has active Hepatitis B * Patient is pregnant * Patient is considered unsuitable for transplant at the discretion of the Principal Investigators or the medical director
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the efficacy of an optimized reduced intensity conditioning regimen using Fludarabine, Busulfan, and Anti-Thymocyte Globulin in preparing severe immunodeficiency patients for allogeneic hematopoietic progenitor cell transplantation | 5 years |
Secondary
| Measure | Time frame |
|---|---|
| To prospectively follow the natural course of severe immunodeficiency diseases after transplantation | 5 years |
| To measure the outcomes after stem cell transplantation using the reduced intensity transplant regimen. | 5 years |
Countries
United States