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| Sponsor: | National Institute of Allergy and Infectious Diseases (NIAID) |
|---|---|
| Information provided by: | National Institutes of Health Clinical Center (CC) |
| ClinicalTrials.gov Identifier: | NCT00001405 |
Purpose
This protocol is designed to study the techniques needed to develop gene therapy or other treatments for certain inherited immune system diseases.
Healthy normal volunteers between 18 and 65 years of age and patients with chronic granulomatous disease (CGD), X-linked severe combined immune deficiency (X-SCID), leukocyte adhesion deficiency (LAD), interferon gamma receptor deficiency (IGR-deficiency) or other inherited diseases affecting precursor blood cells-bone marrow cells that generate blood cells-may be eligible for this study. Patients who have had repeated severe infections possibly due to an inherited blood cell abnormality may also participate. Candidates will be screened with a medical history, physical examination and blood tests.
Patients with an active infection will be hospitalized during this study. Uninfected participants will be seen as outpatients at the NIH Clinical Center. Participants will have the following procedures:
Four months or more after the end of the study, participants will be asked to repeat the entire procedure to examine the effects of two cycles of G-CSF mobilization in the same individual. This second cycle is optional.
| Condition |
|---|
|
Chronic Granulomatous Disease Healthy Immunologic Disease Leukocyte Adhesion Deficiency Syndrome Severe Combined Immunodeficiency |
| Study Type: | Observational |
| Official Title: | Recruitment and Apheresis Collection of Peripheral Blood Hematopoietic Stem Cells |
| Estimated Enrollment: | 200 |
| Study Start Date: | February 1994 |
The goal of this study is to obtain CD34+ hematopoietic stem cells (HSC) for clinical and research purposes. We will collect HSC from peripheral blood and/or bone marrow.
Participants include: 1. Patients with any primary immune deficiency (PID); 2. Healthy sibling or other related donor of those patients with PID in need of an allogeneic stem cell transplant; 3. Healthy adult volunteers.
The majority of subjects will have HSC collected from peripheral blood by apheresis. Daily subcutaneous injections of G-CSF (granulocyte colony stimulating factor/filgrastim) for 5 to 6 days is a standard method used to mobilize HSC to the peripheral blood prior to apheresis, and will be used for most subjects. Plerixafor (AMD 3100/Mozobil) has recently been approved for use in combination with G-CSF to mobilize HSC and will be used in those patients or sibling/related donors undergoing clinical collection of HSC by apheresis who do not, or are predicted not to respond adequately to G-CSF.
Some patients and healthy sibling/related donors will have a clinical scale aspiration collection of bone marrow to obtain HSC for clinical use. Some patients and healthy volunteers will have a small sample needle aspiration collection of bone marrow obtained for research purposes.
HSC collection from patients with PID may be used for laboratory research or may be designated for future clinical treatment of the patient. HSC collections from healthy sibling/related donor of those patients with PID in need of an allogeneic stem cell transplant will be designated for clinical treatment of the related patient. HSC collection from healthy volunteers will be designated entirely for laboratory research.
HSC will be used for the following three clinical purposes, where clinical treatments would occur under separate IRB approved protocols: 1. Autologous HSC from patients may be genetically modified and infused into the patient for treatment of an infection or the underlying disease (Gene therapy); 2. Autologous HSC from patients may serve as back up (rescue product) for patients undergoing matched unrelated donor transplantation; 3. HSC from a sibling/related donor may be used as a directed donation for allogeneic transplant of the related patient.
HSC will be used for laboratory research studies that include: Delineating the pathophysiology of inherited immune deficiencies; Delineating the physiology of and improving engraftment of hematopoietic stem cells; Determining how hematopoietic stem cells may be maintained in ex vivo culture without losing pluripotent potential; Delineating the molecular mechanisms responsible for lineage specific differentiation; Developing efficient methods for gene transfer into hematopoietic stem cells for corrective gene therapy.
Eligibility| Ages Eligible for Study: | 2 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Healthy Volunteers:
Patients (Patients with a genetically defined PID or clinical history consistent with PID):
Healthy Donors (HLA matched sibling or other related donor of a patient with PID in need of an allogeneic hematopoietic stem cell transplant):
EXCLUSIONS:
Healthy Volunteers and Healthy Donors:
Patients:
Patients or Healthy Donors being considered for clinical scale bone marrow harvesting:
Contacts and Locations| Contact: Patient Recruitment and Public Liaison Office | (800) 411-1222 | prpl@mail.cc.nih.gov |
| Contact: TTY | 1-866-411-1010 |
| United States, Maryland | |
| National Institutes of Health Clinical Center, 9000 Rockville Pike | Recruiting |
| Bethesda, Maryland, United States, 20892 | |
| Sub-Investigator: Patient Recruitment and Public Liaison Office (PRPL) For more information at the NIH Clinical Center contact | |
More Information
| ClinicalTrials.gov Identifier: | NCT00001405 History of Changes |
| Other Study ID Numbers: | 940073, 94-I-0073 |
| Study First Received: | November 3, 1999 |
| Last Updated: | December 23, 2011 |
| Health Authority: | United States: Federal Government |
|
Chronic Granulomatous Disease Apheresis CD34 Cells |
Infection Nadph Oxidase Normal Volunteer |
|
Granulomatous Disease, Chronic Immunologic Deficiency Syndromes Immune System Diseases Severe Combined Immunodeficiency Leukocyte-Adhesion Deficiency Syndrome Granuloma Phagocyte Bactericidal Dysfunction Leukocyte Disorders Hematologic Diseases |
Genetic Diseases, X-Linked Genetic Diseases, Inborn Infant, Newborn, Diseases DNA Repair-Deficiency Disorders Metabolic Diseases Lymphoproliferative Disorders Lymphatic Diseases Pathologic Processes |