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Comparing the Effectiveness of Matched Related Donor Hematopoietic Stem Cell Transplantation to Disease Modifying Therapy in Pediatric Patients With Sickle Cell Disease

About this study

The WeDecide study is a large observational study comparing the long-term effects of matched related donor hematopoietic stem cell transplantation (MRD HCT) and non-transplant disease-modifying therapies (NT-DMT) for pediatric patients with sickle cell disease (SCD). The study aims to assess health-related quality of life (HRQoL), cognitive function, risks, and benefits of both treatments, including survival rates, chronic complications, and organ damage prevention. With 160 children in the MRD HCT group and 320 in the NT-DMT group, aged 3-20.9 years, the study will follow participants for three years, examining factors like disease severity, treatment history, and social determinants of health. By providing a comprehensive comparison, the study seeks to inform clinical decisions and improve understanding of SCD treatment outcomes, ultimately supporting families and healthcare providers in choosing the best treatment options.

Condition
Sickle Cell Disease (SCD)
Sponsor
University of Rochester

Who can join

Age
3 to 20 years
Sex
All sexes
Healthy volunteers
Not accepted

Inclusion 9

  • Minimum age: 3 years
  • Maximum age: 20 years
  • Study condition: Sickle Cell Disease (SCD)
  • Pediatric patients aged between 3 and 20.9 years.
  • Children diagnosed with sickle cell Anemia (HB SS or HBSB0 Thalassemia)
  • For the MRD HCT group, children who are candidates for matched related donor hematopoietic stem cell transplantation (MRD HCT).
  • For the NT-DMT group, children who are receiving non-transplant disease-modifying therapies (NT-DMT) for SCD.
  • Participants (or their guardians) must provide informed consent to be part of the study.
  • Participants must be willing to undergo the necessary assessments and follow-up visits over the 3-year study period.

Exclusion 5

  • Children younger than 3 years or older than 20.9 years.
  • Children who do not have sickle cell anemia or related conditions.
  • For the MRD HCT group, children who are not eligible for the transplant or do not have a matched related donor.
  • Children who are currently enrolled in other clinical trials that might interfere with the WeDecide study.
  • Children who are unable to adhere to the study protocol or follow-up requirements.

Where

37 sites, 37 recruiting

Alberta Children's Hospital (MRD-HCT)

Calgary, Alberta, Canada

Recruiting

HSC Winnipeg Children's Hospital/University of Manitoba (MRD-HCT)

Winnipeg, Manitoba, Canada

Recruiting

Children's Healthcare of Atlanta (MRD-HCT)

Atlanta, Georgia, United States

Recruiting

Children's of Alabama (MRD-HCT)

Birmingham, Alabama, United States

Recruiting

Boston Children's Hospital (MRD-HCT)

Boston, Massachusetts, United States

Recruiting

Roswell Park (MRD-HCT)

Buffalo, New York, United States

Recruiting

and 31 more sites on ClinicalTrials.gov

Contact

Potential match only. Final eligibility is determined by the study team.