Autoimmune Cytopenias as a Sign of Primary Immunodeficiency.

NCT ID: NCT06276036

Last Updated: 2024-03-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

53 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-23

Study Completion Date

2025-06-01

Brief Summary

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Autoimmune cytopenias resistant to treatment are among the most common clinical manifestations observed in patients with congenital alterations of the immune system, such as primary immunodeficiencies (PI). The exact contribution of immune system alterations to the pathogenesis of autoimmune cytopenias has not yet been fully elucidated. Moreover, conventionally employed therapeutic strategies often fail, leading to increased healthcare costs, high morbidity, and even mortality. Therefore, there is a need to establish clinical guidelines for diagnosis and to identify early biomarkers capable of identifying individuals responsive to therapy. Thus, a systematic approach to the study of such pathologies will allow for the identification of early biomarkers and facilitate the development of targeted therapeutic strategies

Detailed Description

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Conditions

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Cytopenia

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Identification of specific markers

Analysis of the immunological profile, Genetic analysis using next-generation sequencing (NGS) technology, Bioinformatic analysis, Functional studies.

Group Type EXPERIMENTAL

Identification of specific markers

Intervention Type OTHER

Analysis of the immunological profile, Genetic analysis using next-generation sequencing (NGS) technology, Bioinformatic analysis, Functional studies.

Interventions

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Identification of specific markers

Analysis of the immunological profile, Genetic analysis using next-generation sequencing (NGS) technology, Bioinformatic analysis, Functional studies.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Clinical and hematological diagnosis of autoimmune cytopenia


* For immune thrombocytopenic purpura: platelet count increase \>30,000 with at least a twofold increase from pre-treatment value
* For autoimmune hemolytic anemia: Hb ≥10 g/dL with an increase of at least 2 g/dL compared to baseline

Exclusion Criteria

* Transient cytopenia without confirmation of autoimmunity where frontline treatment is not necessary
Minimum Eligible Age

1 Year

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Meyer Children's Hospital IRCCS

OTHER

Sponsor Role lead

Responsible Party

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Eleonora Gambineri

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University of South Florida

Tampa, Florida, United States

Site Status

Ghent University Hospital

Ghent, , Belgium

Site Status

Clinica Pediatrica - Università di Catania

Catania, , Italy

Site Status

Meyer Children's Hospital IRCCS

Florence, , Italy

Site Status

IRCCS Istituto Giannina Gaslini

Genova, , Italy

Site Status

Azienda Ospedaliero Universitaria Pisana

Pisa, , Italy

Site Status

Countries

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United States Belgium Italy

Other Identifiers

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CAPID

Identifier Type: -

Identifier Source: org_study_id

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