ClinicalTrials.gg
TerminatedNCT02204904Updated May 21, 2020

Observational Study to Evaluate Allogeneic HSCT Outcomes for Cerebral Adrenoleukodystrophy (CALD)

An observational study in X-Linked Adrenoleukodystrophy (X-ALD), Cerebral Adrenoleukodystrophy (CALD) and Adrenoleukodystrophy (ALD), sponsored by bluebird bio. Terminated at 13 sites in 7 countries. Open to male participants aged Up to 17 Years. Per ClinicalTrials.gov, last updated 2020-05-21.

Sponsored by bluebird bio · Observational

Why this study was terminated
Sufficient enrollment for Month 24 safety and efficacy endpoints
Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
59
Ages
Up to 17 Years
Sex
Male
01

Study summary

Study ALD-103 will be a multi-site, global, prospective and retrospective data collection study that is designed to evaluate outcomes of allo-HSCT in male subjects with CALD ≤17 years of age.

02

Conditions studied

  • X-Linked Adrenoleukodystrophy (X-ALD)
  • Cerebral Adrenoleukodystrophy (CALD)
  • Adrenoleukodystrophy (ALD)

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Keywords

  • X-linked Adrenoleukodystrophy
  • Hematopoietic Stem Cells
03

In context

Adrenoleukodystrophy

68 studies on the registry are indexed under Adrenoleukodystrophy; 19 are open to participants now.

This study's enrollment of 59 is below the median of 120 across 19 observational studies indexed under Adrenoleukodystrophy.

Browse Adrenoleukodystrophy studies →

Lead sponsor

bluebird bio is the lead sponsor of 12 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
Up to 17 Years
Sexes eligible
Male
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Boys aged 17 or younger receiving allogeneic hematopoietic stem cell transplantation for the treatment of cerebral adrenoleukodystrophy prospectively or partially prospective/retrospective

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

  1. Provide from a competent custodial parent or guardian with legal capacity to execute a local Institutional Review Board (IRB)/Independent Ethics Committee (IEC) approved consent. In addition, informed assent will be sought from capable subjects, in accordance with the directive of the institution's IRB/IEC and all other local requirements.
  2. Be male and ≤17 years of age at the time of treatment, for retrospective and partial prospective/retrospective subjects, or at the time of parental/guardian consent and, where appropriate, subject assent, for prospective subjects.
  3. Have a confirmed diagnosis of CALD as defined by abnormal VLCFA profile and cerebral lesion on brain MRI.
  4. Depending on the cohort, the subject must:

    • Be scheduled for evaluation at a study site (prospective cohort only),
    • Have received an allo-HSC infusion and be consented in time to complete the Month 24 Visit on study (partial prospective/retrospective cohort only), or
    • Have received their most recent allo-HSC infusion on or after January 1, 2013 (retrospective cohort only).

Exclusion criteria

Exclusion Criteria:

  1. Previous treatment with a gene therapy product.
  2. Receipt of an experimental transplantation procedure.
Terms in these criteria, in plain language(2)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

05

Study design

Observational model
Cohort
Time perspective
Other
Enrollment
59 participants (actual)
Patient registry
No

Groups and cohorts

  • Allo-HSCT prospective

    Subjects who will be consented before they received an allo-HSC infusion. They will be consented and enrolled on the study during the Screening Period.

    Genetic: Allo-HSCT

  • Allo-HSCT partial prospective/retrospective

    Subjects who will be consented after they received an allo-HSC infusion but before they reach 24 months post-infusion on study. Subjects in this cohort will participate prospectively in at least the Month 24 Visit in order to obtain prospective on-study data for this and all visits after Month 24

    Genetic: Allo-HSCT

  • Allo-HSCT retrospective

    Subjects who received an allo-HSC infusion on or after January 1, 2013 and died before study data collection.

    Genetic: Allo-HSCT

Interventions

  • GeneticAllo-HSCT

    Allogeneic Hematopoietic Stem Cell Transplantation

06

What researchers measure

Primary outcomes

  1. Incidence of transplant-related mortality (TRM).

    TRM is defined as death due to any transplantation-related cause other than disease progression.

    Time frame: Through 100 and 365 days post allo-HSC infusion

  2. Incidence and timing of neutrophil engraftment.

    Time frame: 1-48 (± 1) months post allo-HSC infusion

  3. Incidence and timing of platelet engraftment

    Time frame: 1-48 (± 1) months post allo-HSC infusion

  4. Incidence of engraftment failure or allograft rejection.

    Time frame: 1-48 (± 1) months post allo-HSC infusion

  5. Incidence of primary donor-derived chimerism of ≥50%.

    Time frame: by 100 days post allo-HSC infusion

  6. Frequency and severity of Criteria for Adverse Events (CTCAE) ≥Grade 3 AEs, CTCAE ≥Grade 3 infections, and all SAEs.

    Time frame: 1-48 (± 1) months post allo-HSC infusion

  7. Proportion of subjects who experience either ≥Grade II acute (Graft versus Host Disease) GVHD or chronic GVHD.

    Time frame: 1-48 (± 1) months post allo-HSC infusion

  8. Incidence of ≥Grade II acute GVHD.

    Time frame: 1-48 (± 1) months post allo-HSC infusion

  9. Incidence of chronic GVHD.

    Time frame: 1-48 (± 1) months post allo-HSC infusion

  10. Number of emergency room visits.

    Time frame: 1-48 (± 1) months post allo-HSC infusion

  11. Number and duration of intensive care unit stay.

    Time frame: 1-48 (± 1) months post allo-HSC infusion

  12. Number and duration of in-patient hospitalization.

    Time frame: 1-48 (± 1) months post allo-HSC infusion

Secondary outcomes

  1. Incidence of Major Functional Disabilities (MFDs).

    MFDs is defined as any of the following: loss of communication, cortical blindness, tube feeding, total incontinence, wheelchair dependence, or complete loss of voluntary movement.

    Time frame: 1-48 (± 2) months post allo-HSC infusion

  2. Change from Baseline in Loes score

    Time frame: 1-48 (± 2) months post allo-HSC infusion

  3. Change from Baseline in Neurological Function Score (NFS)

    Time frame: 1-48 (± 2) months post allo-HSC infusion

  4. Frequency and timing of resolution of gadolinium enhancement on MRI, if applicable

    Time frame: 1-48 (± 2) months post allo-HSC infusion

  5. MFD-free survival

    Time frame: 48 (± 2) months post allo-HSC infusion

  6. Overall survival

    Time frame: 48 (± 2) months post allo-HSC infusion

07

Study locations

13 sites
  • Children's Hospital Los Angeles
    Los Angeles, California 90027, United States
  • Stanford University
    Palo Alto, California 94304, United States
  • Boston Children's Hospital/Massachusetts General Hospital
    Boston, Massachusetts 02141, United States
  • University of Minnesota
    Minneapolis, Minnesota 55455, United States
  • Duke University Medical Center
    Durham, North Carolina 27705, United States
  • The Children's Hospital of Philadelphia
    Philadelphia, Pennsylvania 19104, United States
  • Hospital Austral
    Buenos Aires, Argentina
  • McGill University Health Centre
    Montréal, Quebec H3H 2R9, Canada
  • University Hospital Leipzig
    Leipzig, Germany
  • IRCCS Ospedale Pediatrico Bambine Gesú
    Roma, 00165, Italy
  • Princess Maxima Center for Pediatric Oncology (PMC)
    Utrecht, Netherlands
  • Great Ormond Street Hospital
    London, United Kingdom
  • Central Manchester University Hospitals NHS Foundation Trust
    Manchester, M13 9WL, United Kingdom
08

References and documents

Publications

  • Chiesa R, Boelens JJ, Duncan CN, Kuhl JS, Sevin C, Kapoor N, Prasad VK, Lindemans CA, Jones SA, Amartino HM, Algeri M, Bunin N, Diaz-de-Heredia C, Loes DJ, Shamir E, Timm A, McNeil E, Dietz AC, Orchard PJ. Variables affecting outcomes after allogeneic hematopoietic stem cell transplant for cerebral adrenoleukodystrophy. Blood Adv. 2022 Mar 8;6(5):1512-1524. doi: 10.1182/bloodadvances.2021005294. PubMed 34781360 ↗

Individual participant data

Plan to share: Yes

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 21, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02204904
Lead sponsor
bluebird bio
Responsible party
Sponsor
First posted
Jul 31, 2014
Start date
Apr 2015
Primary completion
Dec 6, 2019
Completion
Dec 6, 2019
Last update
May 21, 2020

Study contacts

Elizabeth McNeil, MD MSc
study director · bluebird bio, Inc.

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Dec 2019. You cannot join it, but the record below documents what was studied.

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