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Active, not recruitingNCT01652092Updated Jun 17, 2026

Allogeneic Hematopoietic Stem Cell Transplant for Patients With Primary Immune Deficiencies

An interventional study of Alemtuzumab 0.3 mg and Cyclophosphamide in SCID, Omenn's Syndrome and Reticular Dysgenesis, sponsored by Masonic Cancer Center, University of Minnesota. Active, not recruiting at 1 site in United States. Open to participants aged Up to 50 Years. Per ClinicalTrials.gov, last updated 2026-06-17.

Sponsored by Masonic Cancer Center, University of Minnesota · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
57
Allocation
Non-randomized
Ages
Up to 50 Years
Sex
All
01

Study summary

This is a standard of care treatment guideline for allogeneic hematopoetic stem cell transplant (HSCT) in patients with primary immune deficiencies.

Read the detailed description

Based on diagnosis and clinical history, a determination of the most appropriate regimen will be made based on the following prep plans:

Arm A: Fully Myeloablative Preparative Regimen, Arm B: Reduced Toxicity Ablative Preparative Regimen, Arm C: Reduced Intensity Conditioning, Arm D: No Preparative Regimen

02

Conditions studied

  • SCID
  • Omenn's Syndrome
  • Reticular Dysgenesis
  • Wiskott-Aldrich Syndrome
  • Bare Lymphocyte Syndrome
  • Common Variable Immunodeficiency
  • Chronic Granulomatous Disease
  • CD40 Ligand Deficiency
  • Hyper IgM Syndrome
  • X-linked Lymphoproliferative Disease
  • Hemophagocytic Lymphohistiocytosis
  • Griscelli Syndrome
  • Chediak-Higashi Syndrome
  • Langerhan's Cell Histiocytosis

Keywords

  • immunodeficiency disorder
  • histiocytic disorder
03

In context

Severe Combined Immunodeficiency

59 studies on the registry are indexed under Severe Combined Immunodeficiency; 14 are open to participants now.

This study's enrollment of 57 is above the median of 10 across 31 interventional studies indexed under Severe Combined Immunodeficiency.

Browse Severe Combined Immunodeficiency studies →

Lead sponsor

Masonic Cancer Center, University of Minnesota is the lead sponsor of 286 studies on the registry; 35 are open to participants now.

Of its 39 completed or terminated interventional studies of FDA-regulated products, 28 (72%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 50 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosis of immunodeficiency or histiocytic disorder including the following:

    • Severe combined immunodeficiency (SCID - all variants)
    • Second bone marrow transplant (BMT) for SCID (after graft rejection)
    • Omenn's Syndrome
    • Reticular dysgenesis
    • Wiskott-Aldrich syndrome
    • Major histocompatibility complex (MHC) Class II deficiency (bare lymphocyte syndrome)
    • Hyper IgM Syndrome (0 Ligand Deficiency)
    • Common variable immunodeficiency (CVID) with severe phenotype
    • Chronic Granulomatous Disease (CGD)
    • Other severe Combined Immune Deficiencies (CID)
    • Hemophagocytic Lymphohistiocytosis (HLH)
    • X-linked Lymphoproliferative Disease (XLP)
    • Chediak-Higashi Syndrome (CHS)
    • Griscelli Syndrome
    • Langerhans Cell Histiocytosis (LCH)
  • Acceptable stem cell sources include:

    • HLA identical or 1 antigen matched sibling donor eligible to donate bone marrow
    • HLA identical or up to a 1 antigen mismatched unrelated BM donor
    • Sibling donor cord blood with acceptable HLA match and cell dose as per current institutional standards
    • Single unrelated umbilical cord blood unit with 0-2 antigen mismatch and minimum cell dose of >5 x 10\^7 nucleated cells/kg as per current institutional guidelines
    • Double unrelated umbilical cord blood units that are:

      • up to 2 antigen mismatched to the patient
      • up to 2 antigen mismatched to each other
      • minimum cell dose of at least one single unit must be ≥ 3.5 x 10\^7 nucleated cells/kg
      • combined dose of both units must provide a total cell dose of ≥ 5 x 10\^7 nucleated cells/kg
  • Age: 0 to 50 years
  • Adequate organ function and performance status.

Exclusion criteria

Exclusion Criteria

  • pregnant or breastfeeding
  • active, uncontrolled infection and/or positive
  • acute hepatitis or evidence of moderate or severe portal fibrosis or cirrhosis on
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

CD4 count

The number of CD4 cells, a type of white blood cell, in a given amount of blood. It is used to follow how well the immune system is doing in HIV.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
57 participants (actual)

Study arms

  • Other
    Arm A: Fully Myeloablative regimen

    For use in patients with diseases including Wiskott-Aldrich syndrome, MHC Class II deficiency, hypomorphic SCID, etc. Receives Alemtuzumab 0.3 mg/kg intravenously (IV) on days -12 through -10, cyclophosphamide 50 mg/kg IV plus MESNA on days -9 through -6, busulfan 0.8 or 1.1 mg/kg IV on days -5 through -2 and stem cell infusion on day 0.

    Drug: Alemtuzumab 0.3 mg · Drug: Cyclophosphamide · Drug: Busulfan · Biological: Stem Cell Transplantation · Drug: MESNA

  • Other
    Arm B: Reduced Toxicity Ablative Regimen

    For use in patients with diseases including SCID, CGD, CHS and other CID. Receives Alemtuzumab 0.3 mg/kg intravenously (IV) on days -12 through -10, busulfan 0.8 or 1.1 mg/kg IV on days -9 through -6, fludarabine phosphate 40 mg/m\^2 IV on days -5 through -2 and stem cell infusion on day 0.

    Drug: Alemtuzumab 0.3 mg · Biological: Stem Cell Transplantation · Drug: Fludarabine phosphate 40 mg · Drug: Busulfan

  • Other
    Arm C: Reduced Intensity Conditioning

    For use in patients with diseases including HLH. Receives Alemtuzumab 0.2 mg/kg intravenously (IV) on days -14 through -10, fludarabine phosphate 30 mg/m\^2 IV on days -8 through -4, melphalan 140 mg/m\^2 IV on day -3 and stem cell infusion on day 0.

    Biological: Stem Cell Transplantation · Drug: Melphalan · Drug: Alemtuzumab 0.2 mg · Drug: Fludarabine phosphate 30 mg

  • Other
    Arm D: No Preparative Regimen

    For use in patients with complete SCID phenotype with no evidence of maternal engraftment or residual immune function who will be receiving their stem cell transplantation from a genotypically matched donor.

    Biological: Stem Cell Transplantation

Interventions

  • 0.3 mg/kg intravenously (IV) on days -12 through -10

    Also known as: Campath-1H

  • cyclophosphamide 50 mg/kg IV on days -9 through -6

    Also known as: Cytoxan

  • busulfan 0.8 or 1.1 mg/kg IV on days -5 through -2

    Also known as: Myerlan

  • BiologicalStem Cell Transplantation

    Unrelated donor bone marrow will be collected in the usual manner using established parameters determined by the National Marrow Donor Program. A minimum of 3 x 10\^8 nucleated cells/kg recipient weight will be collected with a goal of ≥ 5 x 10\^8 nucleated cells/kg recipient weight. Umbilical cord blood selection will be per the current University of Minnesota Cord Blood Unit Selection algorithm. One or two units may be used to obtain the minimum cell dose. One of the UCB units selected for transplantation must contain ≥ 3.5 x 10\^7 nucleated cells/kg recipient weight based on cell numbers at time of cryopreservation, and the total combined cell dose of both units must be \> 5.0 x 10\^7 nucleated cells/kg.

  • 40 mg/m\^2 IV on days -5 through -2 (for children \< 6 months and/or \< 10 kg weight dose at 1.33 mg/kg)

    Also known as: Fludara

  • 140 mg/m\^2 IV on day -3

    Also known as: Alkeran

  • 0.2 mg/kg intravenously (IV) on days -14 through -10

    Also known as: Campath 1-H

  • busulfan 0.8 or 1.1 mg/kg IV on days -9 through -6

    Also known as: Myerlan

  • fludarabine 30 mg/m\^2 IV on days -8 through -4

    Also known as: Fludara

  • DrugMESNA

    administered as per the standard institutional protocol.

    Also known as: mercaptoethane sulfonate Na (Na being the symbol for sodium), Mesnex

06

What researchers measure

Primary outcomes

  1. Neutrophil Engraftment

    Neutrophil engraftment is defined as the first day of three consecutive days where the neutrophil count (absolute neutrophil count) is 500 cells/mm3 (0.5 x 109/L) or greater.

    Time frame: Day 42

Secondary outcomes

  1. Incidence of Graft Failure

    Graft failure is defined as not accepting donated cells. The donated cells do not make the new white blood cells, red blood cells and platelets.

    Time frame: Day 100

  2. Incidence of Chimerism

    a state in bone marrow transplantation in which bone marrow and host cells exist compatibly without signs of graft-versus-host rejection disease.

    Time frame: Day 100, 6 Months, 1 Year

  3. Incidence of Acute Graft-Versus-Host Disease

    Acute Graft-Versus-Host Disease is a severe short-term complication created by infusion of donor cells into a foreign host.

    Time frame: Day 100

  4. Incidence of Chronic Graft-Versus-Host Disease

    Chronic Graft-Versus-Host Disease is a severe long-term complication created by infusion of donor cells into a foreign host.

    Time frame: 6 Months and 1 Year

  5. Incidence of Transplant-Related Mortality

    In the field of transplantation, toxicity is high and all deaths without previous relapse or progression are usually considered as related to transplantation.

    Time frame: 6 Months

  6. Disease-Free Survival

    the length of time after treatment ends that a patient survives without any signs or symptoms of that cancer or any other type of cancer. In a clinical trial, measuring the disease-free survival is one way to see how well a new treatment works.

    Time frame: 6 Months

  7. Overall Survival

    Overall survival will be defined as time from enrollment to date of death or censored at the date of last documented contact for patients still alive.

    Time frame: 6 Months

07

Study locations

1 site
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01652092
Responsible party
Sponsor
First posted
Jul 27, 2012
Start date
Sep 4, 2012
Primary completion
Dec 30, 2025
Completion
Dec 2026 (estimated)
Last update
Jun 17, 2026

Study contacts

Meera Srikanthan, MD
principal investigator · Masonic Cancer Center, University of Minnesota

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: Alemtuzumab · Cyclophosphamide · Busulfan · Fludarabine phosphate · Melphalan · Mesna

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