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RecruitingNCT05584488Updated Feb 4, 2026

Allergy and Immunology Natural History Study

An observational study in Immune Deficiency, Immune Dysregulation Disorder and Allergic Inflammation, sponsored by Columbia University. Recruiting at 1 site in United States. Open to participants aged Up to 99 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-02-04.

Sponsored by Columbia University · Observational

From the registry’s dates

  • Started Jul 2010; still recruiting 16 years 3 months later.
Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
10,000
Ages
Up to 99 Years
Sex
All
01

Study summary

This protocol is a natural history study designed to evaluate subjects (and some family members) with suspected or identified genetic diseases of allergic inflammation or Immune Dysregulation. Patients determined by clinical history and outside evaluations to be of interest will be consented and enrolled into this study. Blood specimens, stored blood products and derivatives, saliva, hair, fingernail clippings, cord blood, umbilical cord, bone marrow, tissue biopsies and/or buccal swabs from such patients and/or their family members will be obtained for research studies related to understanding genetic and immunopathogenic bases of these diseases. Outside medical records may be obtained, and patient evaluations may be performed to correlate to research laboratory testing results.

Read the detailed description

Studying patients with suspected genetic diseases with features of atopy or affecting atopic pathways, both known and novel disorders, will provide critical populations for understanding atopic pathways and mechanisms of allergic inflammation in atopic dermatitis, and atopic diseases in general. This investigation will include patients with atopic diseases and other related syndromes and both their healthy and ill family members. The goal of these studies is to advance understanding of the genetic and immunologic basis of disorders of allergic inflammation, leading to the development of improved methods for the diagnosis and management of patients with atopic diseases, immunodeficiency, and immune dysregulatory diseases. Immune dysregulation diseases comprise a group of disorders that can trigger defective or uncontrolled immune responses and are characterized by autoimmunity, episodes of recurrent autoinflammation, dysregulation of lymphocyte homeostasis, or hypersensitivity reactions. In addition to classical atopy, the investigators also use this line of research to further study other abnormalities affecting immune dysregulation. Patients with idiopathic anaphylaxis are also of interest.

The continued dissection of the genetic and biochemical bases of known and, as yet, undiscovered defects will have an impact beyond the mast cell and will contribute to the development of new therapies. This investigation will include patients with these and other related syndromes and both their healthy and ill family members. Moreover, these studies will continue to provide a wealth of information about the regulation of allergy and mast cell homeostasis in normal individuals. Research into these fundamental processes will help provide an understanding of how conditions of immediate hypersensitivity and cancers generally arise, and could lead to new preventative measures, diagnostic tests, treatments, or cures for these conditions.

The investigators propose to evaluate subjects who may have, or are suspected of having, inherited diseases of allergic inflammation or Immune Dysregulation which may include the following diseases:

  • Autoimmune diseases
  • Anaphylaxis
  • Allergy
  • Asthma
  • Atopic dermatitis
  • Allergic rhinitis
  • Food allergy
  • Immunodeficiency diseases
  • Immunodysregulatory diseases
  • Piebaldism
  • Urticaria/angioedema
02

Conditions studied

  • Immune Deficiency
  • Immune Dysregulation Disorder
  • Allergic Inflammation

Keywords

  • Eosinophilic Disease
  • Anaphylaxis
  • Elevated IgE levels
  • Autoimmune diseases
  • Allergy
  • Asthma
  • Atopic Dermatitis
  • Allergic Fhinitis
  • Food Allergy
  • Immunodeficiency Diseases
  • Immunodysregulatory Diseases
  • Piebaldism
  • Urticaria
  • Angioedema
03

In context

Immunologic Deficiency Syndromes

204 studies on the registry are indexed under Immunologic Deficiency Syndromes; 50 are open to participants now.

This study's planned enrollment of 10,000 is above the median of 181 across 72 observational studies indexed under Immunologic Deficiency Syndromes.

Browse Immunologic Deficiency Syndromes studies →

Lead sponsor

Columbia University is the lead sponsor of 1,136 studies on the registry; 195 are open to participants now.

Of its 180 completed or terminated interventional studies of FDA-regulated products, 148 (82%) have results posted.

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

04

Who can participate

Ages eligible
Up to 99 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

The total study population for this protocol is up to 10,000 subjects. It is estimated that one half of the total study population will consist of subjects, with the remaining half being biological relatives. Subjects and relatives may be enrolled.

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

  • Subjects, ages birth to 99 years old, known to have or suspected of having an inherited disorder of allergic inflammation, or mast cell homeostasis, or activation or immune dysregulation.
  • Blood relatives of enrolled subjects will be eligible for enrollment.
  • There will be no discrimination as to age, gender, race, or disability.
  • Subjects/guardians must be willing and able to give .
  • Subjects must agree to have their blood stored for future studies of the immune system and/or other medical conditions.

Exclusion criteria

Exclusion Criteria:

  • The presence of an acquired abnormality of the immune system, such as cytotoxic chemotherapy or may be grounds for possible exclusion if, in the opinion of the investigator, the presence of such a disease process would interfere with evaluation.
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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Observational model
Other
Time perspective
Prospective
Enrollment
10,000 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Inherited diseases of allergic inflammation or immune dysregulation

    Patients and blood relatives with disorders of allergic inflammation and immune dysregulation.

06

What researchers measure

Primary outcomes

  1. Total number of underlying susceptibility trait(s) identified

    The primary endpoint will be the determination of the underlying susceptibility trait(s).

    Time frame: Up to 1 year

07

Study locations

1 of 1 sites recruiting
  • Columbia University Irving Medical Center / NewYork-Presbyterian Hospital
    New York, New York 10032, United States
    Recruiting
    • Yannett Franklin · Contactym206@cumc.columbia.edu · 212-305-0473
    • Alexis Boneparth, MD · Sub investigator
    • Manar Abdalgani, MBBS · Sub investigator
    • Emily Mace, PhD · Sub investigator
    • Joyce Yu, MD · Sub investigator
    • Joshua Milner, MD · Principal investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jul 2010 (actual). Primary completion is estimated for Jan 2027, 198 months after the start.

Of 38 observational studies under Immunologic Deficiency Syndromes, half reached primary completion within 77 months of starting (the median), counting those still running; a quarter within 53. This study's planned 198 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 14, 2022
First posted
Oct 18, 2022
StartActual
Jul 16, 2010
Primary completionEst.
Jan 2027
CompletionEst.
Jan 2027
Last update
Feb 4, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05584488
Responsible party
Sponsor
First posted
Oct 18, 2022
Start date
Jul 16, 2010
Primary completion
Jan 2027 (estimated)
Completion
Jan 2027 (estimated)
Last update
Feb 4, 2026

Study contacts

Joshua D. Milner, MD
Contact
jdm2249@cumc.columbia
212-305-2100
Yannett Franklin
Contact
ym206@cumc.columbia.edu
212-305-0473
Joshua D. Milner, MD
principal investigator · Columbia University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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