ClinicalTrials.gg
RecruitingNCT06539169Updated Nov 14, 2024

FLOWER: Following Longitudinal Outcomes With Epidemiology for Rare Diseases

An observational study in Alpha-Thalassemia, Beta-Thalassemia and Amyloidosis, sponsored by xCures. Recruiting at 1 site in United States. Per ClinicalTrials.gov, last updated 2024-11-14.

Sponsored by xCures · Observational

From the registry’s dates

  • Primary completion was expected by Jun 2026, 5 months ago, but the record still lists the study as recruiting.
  • Started Jun 2024; still recruiting 2 years 5 months later.
Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
1,000
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 91 studies in beta-Thalassemia with a site in United States — 22 open to participants now, 36 under way, 8 of them phase 3. beta-Thalassemia · United States.

Planned enrollment
5th of 17
1,000 · median 150
Started
2024
with 3 others
Observational
17 of 91
7 open now
Primary completion
2026-06
later than 9 of 35 live
Registered
84th of 91
by date

Among the 91 studies in beta-Thalassemia with a site in United States, this one is the 5th largest by planned enrollment of the 17 observational ones, is one of 4 that started in 2024, is one of 17 observational ones, reaches primary completion later than 9 of the 35 other live ones, and was the 84th registered.

By phase

91 studies; the count open now beside each. This study's row is marked.

Phase 229 · 5 open
Observationalthis study17 · 7 open
Phase 312 · 5 open
Phase 1/211 · 3 open
Phase 110 · 2 open
No phase8 · 0 open
Phase 42 · 0 open
Other kind1 · 0 open
Phase 2/31 · 0 open

By the year they started

First in 1995; this study’s year is marked. 4 started in 2024.

Size and results

Median enrollment 25 across the 71 interventional studies, 150 across the 17 observational. Of the 50 that completed or were terminated, 17 (34%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 91 studies in beta-Thalassemia with a site in United States, or all of them as a file.
02

Study summary

FLOWER is a completely virtual, nationwide, real-world observational study to collect, annotate, standardize, and report clinical data for rare diseases. Patients participate in the study by electronic consent (eConsent) and sign a medical records release to permit data collection. Medical records are accessed from institutions directly via eFax or paper fax, online from patient electronic medical record (EMR) portals, direct from DNA/RNA sequencing and molecular profiling vendors, and via electronic health information exchanges. Patients and their treating physicians may also optionally provide medical records. Medical records are received in or converted to electronic/digitized formats (CCDA, FHIR, PDF), sorted by medical record type (clinic visit, in-patient hospital, out-patient clinic, infusion and out-patient pharmacies, etc.) and made machine-readable to support data annotation, full text searches, and natural language processing (NLP) algorithms to further facilitate feature identification.

Read the detailed description

This study does not require data entry by treating site staff or physicians. Centralized data structuring is completed by xCures study staff. Data elements are aggregated, normalized, and coded to OMOP-based ontologies (SNOMED, LOINC, ICD-10, CTCAE, RxNorm, and MedDRA) in one process, permitting standardization of verbatim terms from medical records. The data collection platform supports 21 CFR Part 11-compliant data annotation with formal QC/QA process, medical review, and source data verification.

Beyond EMR data, raw DICOM images (MRI, CT files) can be collected from all sites of care and anonymized for integration with the clinical data. Molecular profiling and somatic or germline genomics results, and biochemical lab data, when available, are collected from commercial and academic sources and centralized. Additionally, patient- and caregiver-reported outcome surveys (PROs) can be collected to supplement information not found in clinical records.

Together, these clinical, imaging, biomarker, and assessment data will provide a comprehensive and longitudinal documentation of rare diseases in near real-time in a single observational basket study.

Traditional rare disease research registries rely on patients reporting many aspects of their condition via surveys or rely on key opinion leaders at specific institutions managing a team to enroll patients and annotate necessary data. These put unnecessary burdens on patients and strain limited research resources at medical centers. Gathering the necessary data and in sufficient quantities is often a limitation to successfully defining the natural history of a rare disease.

03

Conditions studied

  • Alpha-Thalassemia
  • Beta-Thalassemia
  • Amyloidosis
  • Amyotrophic Lateral Sclerosis
  • Creutzfeld-Jakob Disease
  • Cystic Fibrosis
  • Duchenne Muscular Dystrophy
  • Early-Onset Alzheimer Disease
  • Ehlers-Danlos Syndrome
  • Huntington Disease
  • Gaucher Disease
  • GM1 Gangliosidosis
  • Myasthenia Gravis
  • Pompe Disease
  • Sickle Cell Disease
  • Transthyretin Amyloid Cardiomyopathy
  • Rare Diseases

Keywords

  • rare diseases
04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

This study will include adult and pediatric patients with known or suspected rare disease.

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

  • Any person with a known or suspected rare disease, defined by their prevalence of fewer than 200,000 individuals nationwide. Diseases include but are not limited to:

Alpha- or Beta- Thalassemia Amyloidosis Amyotrophic Lateral Sclerosis (ALS) Creutzfeldt-Jakob disease (CJD) Cystic Fibrosis (CF) Duchenne Muscular Dystrophy (DMD) Early-onset Alzheimer's Disease Ehlers-Danlos Syndrome (EDS) Huntington's Disease (HD) Gaucher Disease GM1 Gangliosidosis Myasthenia Gravis Pompe Disease Sickle Cell Disease Transthyretin Amyloid Cardiomyopathy (ATTR-CM) Transthyretin Amyloid Polyneuropathy (ATTR-PN)

  • Patients or their legally-authorized representative must be willing and able to provide (and assent, if applicable). Deceased persons may participate via consent of their legally-authorized representative in accordance with applicable Federal and state laws

Exclusion criteria

Exclusion Criteria:

  • Patient or LAR is unable to provide .
  • Patient resides in a country other than the United States and is unable to provide access to medical records.
Terms in these criteria, in plain language(1)

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.

05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
1,000 participants (estimated)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Overall Survival (OS)

    Time frame: 5 Years

  2. Safety/tolerability of medications

    Time frame: 5 years

  3. Changes in normal development milestones

    Time frame: 5 years

  4. Changes in functional status

    Time frame: 5 years

  5. Changes in motor function

    Time frame: 5 years

  6. Changes in symptoms or clinical status

    Time frame: 5 years

07

Study locations

1 of 1 sites recruiting
  • xCures
    Los Altos, California 94022, United States
    Recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jun 2024 (actual). Primary completion is estimated for Jun 2026, 24 months after the start.

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

Registered
Aug 1, 2024
First posted
Aug 6, 2024
StartActual
Jun 10, 2024
Primary completionEst.
Jun 10, 2026
CompletionEst.
Jun 10, 2026
Last update
Nov 14, 2024
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 Nov 14, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06539169
Lead sponsor
xCures
Responsible party
Sponsor
First posted
Aug 6, 2024
Start date
Jun 10, 2024
Primary completion
Jun 10, 2026 (estimated)
Completion
Jun 10, 2026 (estimated)
Last update
Nov 14, 2024

Study contacts

Mark Shapiro, MS
Contact
expandedaccess@xcures.com
707-641-4475

Oversight

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

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