RecruitingNCT06941389

Comparing the Effectiveness of Matched Related Donor Hematopoietic Stem Cell Transplantation to Disease Modifying Therapy in Pediatric Patients With Sickle Cell Disease

Comparing the Effectiveness of Matched Related Donor Hematopoietic Stem Cell Transplantation to Disease Modifying Therapy in Pediatric Patients With Sickle Cell Disease.


Sponsor

University of Rochester

Enrollment

480 participants

Start Date

Jun 1, 2024

Study Type

OBSERVATIONAL

Conditions

Summary

The WeDecide study is a large observational study comparing the long-term effects of matched related donor hematopoietic stem cell transplantation (MRD HCT) and non-transplant disease-modifying therapies (NT-DMT) for pediatric patients with sickle cell disease (SCD). The study aims to assess health-related quality of life (HRQoL), cognitive function, risks, and benefits of both treatments, including survival rates, chronic complications, and organ damage prevention. With 160 children in the MRD HCT group and 320 in the NT-DMT group, aged 3-20.9 years, the study will follow participants for three years, examining factors like disease severity, treatment history, and social determinants of health. By providing a comprehensive comparison, the study seeks to inform clinical decisions and improve understanding of SCD treatment outcomes, ultimately supporting families and healthcare providers in choosing the best treatment options.


Eligibility

Min Age: 3 YearsMax Age: 20 Years

Inclusion Criteria6

  • Pediatric patients aged between 3 and 20.9 years.
  • Children diagnosed with sickle cell Anemia (HB SS or HBSB0 Thalassemia)
  • For the MRD HCT group, children who are candidates for matched related donor hematopoietic stem cell transplantation (MRD HCT).
  • For the NT-DMT group, children who are receiving non-transplant disease-modifying therapies (NT-DMT) for SCD.
  • Participants (or their guardians) must provide informed consent to be part of the study.
  • Participants must be willing to undergo the necessary assessments and follow-up visits over the 3-year study period.

Exclusion Criteria5

  • Children younger than 3 years or older than 20.9 years.
  • Children who do not have sickle cell anemia or related conditions.
  • For the MRD HCT group, children who are not eligible for the transplant or do not have a matched related donor.
  • Children who are currently enrolled in other clinical trials that might interfere with the WeDecide study.
  • Children who are unable to adhere to the study protocol or follow-up requirements.

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Locations(37)

Children's of Alabama (MRD-HCT)

Birmingham, Alabama, United States

Children's of Alabama (NT-DMT)

Birmingham, Alabama, United States

Nemours Children's Hospital, Delaware (MRD-HCT)

Wilmington, Delaware, United States

Children's National Hospital (MRD-HCT)

Washington D.C., District of Columbia, United States

Children's Healthcare of Atlanta (MRD-HCT)

Atlanta, Georgia, United States

Comer Children's Hospital (MRD-HCT)

Chicago, Illinois, United States

Riley Children's Hospital (MRD-HCT)

Indianapolis, Indiana, United States

Riley's Children Hospital (NT-DMT)

Indianapolis, Indiana, United States

Boston Children's Hospital (MRD-HCT)

Boston, Massachusetts, United States

Boston Children's Hospital (NT-DMT)

Boston, Massachusetts, United States

Wahington Univ in St Louis (NT-DMT)

St Louis, Missouri, United States

Washington University in St Louis (MRD-HCT)

St Louis, Missouri, United States

Hackensack University Hospital (MRD-HCT)

Hackensack, New Jersey, United States

Roswell Park (MRD-HCT)

Buffalo, New York, United States

Columbia Presbytarian (NT-DMT)

New York, New York, United States

Cohen's Children Hospital (NT-DMT)

Queens, New York, United States

University of Rochester (MRD-HCT)

Rochester, New York, United States

University of Rochester (NT-DMT)

Rochester, New York, United States

Children's Hospital at Montefiore (MRD HCT)

The Bronx, New York, United States

Children's Hospital at Montefiore (NT-DMT)

The Bronx, New York, United States

UNC Children's Hospital (MRD HCT)

Chapel Hill, North Carolina, United States

UNC Children's Hospital (NT-DMT)

Chapel Hill, North Carolina, United States

Atrium Health (MRD-HCT)

Charlotte, North Carolina, United States

Nationwide Children's Hospital (NT-DMT)

Columbus, Ohio, United States

Oklahoma Children's Hospital (MRD-HCT)

Oklahoma City, Oklahoma, United States

Children's Hospital of Philadelphia (MRD-HCT)

Philadelphia, Pennsylvania, United States

St Jude Children Hospital (NT-DMT)

Memphis, Tennessee, United States

St. Jude Children's Research Hospital (MRD-HCT)

Memphis, Tennessee, United States

Texas Children's Hopsital (NT-DMT)

Houston, Texas, United States

Texas Children's Hospital (MRD-HCT)

Houston, Texas, United States

UT San Antonio (NT-DMT)

San Antonio, Texas, United States

Alberta Children's Hospital (NT-DMT)

Calgary, Alberta, Canada

Alberta Children's Hospital (MRD-HCT)

Calgary, Alberta, Canada

British Columbia Children's Hosptial (MRD HCT)

Vancouver, British Columbia, Canada

HSC Winnipeg Children's Hospital/University of Manitoba (MRD-HCT)

Winnipeg, Manitoba, Canada

The Hospital for Sick Children (MRD-HCT)

Toronto, Ontario, Canada

Universite de Montreal / Ste Justine (MRD HCT)

Montreal, Quebec, Canada

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