ClinicalTrials.gg
RecruitingNCT06908616Updated Apr 6, 2025

Prevalence of Ethnic Neutropenia and Duffy Null Phenotype in Neonates

An observational study in Neutropenia (Low White Blood Cell Count), sponsored by Kaplan Medical Center. Recruiting at 1 site in Israel. Open to participants aged 1 Minute to 1 Day. Per ClinicalTrials.gov, last updated 2025-04-06.

Sponsored by Kaplan Medical Center · Observational

From the registry’s dates

  • Started Oct 2024; still recruiting 2 years 1 month later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,000
Ages
1 Minute to 1 Day
Sex
All
01

Study summary

This is a prospective observational study designed to assess the prevalence of the Duffy null phenotype (associated with ethnic neutropenia) in neonates born at Kaplan Medical Center. Blood samples will be collected from umbilical cords (non-invasively) to evaluate Duffy antigen expression. Data on ethnicity, perinatal factors, and routine blood counts at 9-12 months (when available) will also be collected to correlate phenotype with absolute neutrophil count (ANC).

Read the detailed description

This is a prospective, observational cohort study designed to evaluate the prevalence of the Duffy null phenotype (Fya-/Fyb-) and its association with ethnic neutropenia in neonates born at Kaplan Medical Center in Israel. The Duffy null phenotype has been linked to lower peripheral neutrophil counts without increased infection risk in certain ethnic groups, a condition commonly referred to as benign ethnic neutropenia.

Cord blood samples will be collected from approximately 1,000 neonates during routine G6PD testing. An additional 3 mL will be obtained non-invasively from the umbilical cord after labour to determine the expression of Duffy antigens using serologic gel testing. Parental consent will be obtained, and information regarding ethnicity and family history of neutropenia will be collected.

Participants identified with the Duffy null phenotype will be followed through electronic health records to assess their neutrophil counts during routine blood screening at 9-12 months of age. The study will analyze associations between Duffy phenotype, neutropenia prevalence, and parental ethnic origin.

Findings may support improved diagnostic clarity around neonatal neutropenia and help reduce unnecessary interventions in otherwise healthy infants with genetically determined low neutrophil counts.

02

Conditions studied

  • Neutropenia (Low White Blood Cell Count)

Keywords

  • Neonates
  • Neutropenia
  • Duffy null associated count
03

In context

Neutropenia

316 studies on the registry are indexed under Neutropenia; 42 are open to participants now.

This study's planned enrollment of 1,000 is above the median of 203 across 59 observational studies indexed under Neutropenia.

Browse Neutropenia studies →

Lead sponsor

Kaplan Medical Center is the lead sponsor of 37 studies on the registry; 3 are open to participants now.

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

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Who can participate

Ages eligible
1 Minute to 1 Day
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Neonates born at Kaplan Medical Center

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

  • Neonates born at Kaplan Medical Center between 1.9.2024 and 31.12.2025
  • Parental obtained
  • Umbilical cord blood available for routine testing

Exclusion criteria

Exclusion Criteria:

  • None
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.

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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,000 participants (estimated)
Patient registry
No

Groups and cohorts

  • Neonatal birth cohort

    Neonates born at Kaplan Medical Center whose cord blood is tested for Duffy antigen status and complete blood count. Follow-up neutrophil data is collected at 9-12 months if available.

    Diagnostic Test: Cord blood

Interventions

  • Diagnostic testCord blood

    Cord blood samples will be collected during routine G6PD testing. An additional 3 mL will be obtained non-invasively from the umbilical cord to determine the expression of Duffy antigens using serologic gel testing.

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What researchers measure

Primary outcomes

  1. Prevalence of Duffy null phenotype in neonates

    Percentage of neonates born with the Duffy null phenotype (Fya-/Fyb-) as determined by serologic gel-based testing.

    Time frame: At birth (umbilical cord sample)

Secondary outcomes

  1. Prevalence of neutropenia in infants with Duffy null phenotype

    Percentage of Duffy null infants with ANC \<1000/µL based on routine CBC performed at at 9-12 months

    Time frame: 9-12 months

  2. Association between parental ethnicity and Duffy null phenotype

    Distribution of Duffy null phenotype stratified by self-reported parental origin.

    Time frame: At birth

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Study locations

1 of 1 sites recruiting
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References and documents

Publications

  • Gay K, Dulay K, Ravindranath Y, Savasan S. Duffy-Null Phenotype-Associated Neutropenia is the Most Common Etiology for Leukopenia/Neutropenia Referrals to a Tertiary Children's Hospital. J Pediatr. 2023 Nov;262:113608. doi: 10.1016/j.jpeds.2023.113608. Epub 2023 Jul 6. PubMed 37419240 ↗
  • Rappoport N, Simon AJ, Lev A, Yacobi M, Kaplinsky C, Weingarten M, Somech R, Amariglio N, Rechavi G. Correlation between 'ACKR1/DARC null' polymorphism and benign neutropenia in Yemenite Jews. Br J Haematol. 2015 Sep;170(6):892-5. doi: 10.1111/bjh.13345. Epub 2015 Mar 26. No abstract available. PubMed 25817587 ↗
  • Atallah-Yunes SA, Ready A, Newburger PE. Benign ethnic neutropenia. Blood Rev. 2019 Sep;37:100586. doi: 10.1016/j.blre.2019.06.003. Epub 2019 Jun 21. PubMed 31255364 ↗

Individual participant data

Plan to share: No — The study involves neonates and is based on anonymized samples; individual-level data will not be shared due to privacy and ethical considerations.

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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 Oct 2024 (actual). Primary completion is estimated for Dec 2026, 26 months after the start.

Of 23 observational studies under Neutropenia, half reached primary completion within 43 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 190. This study's planned 26 months is below that.

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

Registered
Mar 27, 2025
First posted
Apr 3, 2025
StartActual
Oct 8, 2024
Primary completionEst.
Dec 31, 2026
CompletionEst.
Dec 31, 2027
Last update
Apr 6, 2025
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 Apr 6, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06908616
Lead sponsor
Kaplan Medical Center
Responsible party
Tal Ben-Ami (Head of Pediatric Hemato-Oncology, Kaplan Medical Center) — Principal investigator
First posted
Apr 3, 2025
Start date
Oct 8, 2024
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Apr 6, 2025

Study contacts

Tal Ben Ami, M.D
Contact
tal.ben.ami11@gmail.com
+972-50-7414922
Yael Zeitak, PhD
Contact
yaelze4@clalit.org.il
+972-52-627-4987
Tal Ben Ami, MD
principal investigator · Kaplan Medical Center

Oversight

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

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