Sufficient enrollment for Month 24 safety and efficacy endpoints
Observational Study to Evaluate Allogeneic HSCT Outcomes for Cerebral Adrenoleukodystrophy (CALD)
A Prospective and Retrospective Data Collection Study to Evaluate Outcomes in Males ≤17 Years of Age Undergoing Allogeneic Hematopoietic Stem Cell Transplantation for the Treatment of Cerebral Adrenoleukodystrophy
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.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
terminated
Actual enrollment (reported)
59 participants
Study completion date
December 6, 2019
Actual (reported)
Listed locations
7 countries · 13 sites
Trial Relationships
Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Related Scientific Literature
Loading related publications...
Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
TRM is defined as death due to any transplantation-related cause other than disease progression.
Through 100 and 365 days post allo-HSC infusion
Incidence and timing of neutrophil engraftment.
1-48 (± 1) months post allo-HSC infusion
Incidence and timing of platelet engraftment
1-48 (± 1) months post allo-HSC infusion
Incidence of engraftment failure or allograft rejection.
1-48 (± 1) months post allo-HSC infusion
Incidence of primary donor-derived chimerism of ≥50%.
Secondary Outcomes (6)
Incidence of Major Functional Disabilities (MFDs).
1-48 (± 2) months post allo-HSC infusion
Change from Baseline in Loes score
1-48 (± 2) months post allo-HSC infusion
Change from Baseline in Neurological Function Score (NFS)
1-48 (± 2) months post allo-HSC infusion
Frequency and timing of resolution of gadolinium enhancement on MRI, if applicable
1-48 (± 2) months post allo-HSC infusion
MFD-free survival
48 (± 2) months post allo-HSC infusion
+1 more secondary outcomes
Study Arms (3)
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.
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Eligibility Criteria
AgeUp to 17 Years
Sexmale
Healthy VolunteersNo
Age GroupsChild (0-17)
Sampling MethodNon-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
You may qualify if:
Provide informed consent 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.
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
Related Publications (1)
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.
Frequency and severity of Criteria for Adverse Events (CTCAE) ≥Grade 3 AEs, CTCAE ≥Grade 3 infections, and all SAEs.
1-48 (± 1) months post allo-HSC infusion
Proportion of subjects who experience either ≥Grade II acute (Graft versus Host Disease) GVHD or chronic GVHD.
1-48 (± 1) months post allo-HSC infusion
Incidence of ≥Grade II acute GVHD.
1-48 (± 1) months post allo-HSC infusion
Incidence of chronic GVHD.
1-48 (± 1) months post allo-HSC infusion
Number of emergency room visits.
1-48 (± 1) months post allo-HSC infusion
Number and duration of intensive care unit stay.
1-48 (± 1) months post allo-HSC infusion
Number and duration of in-patient hospitalization.
1-48 (± 1) months post allo-HSC infusion
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.
Have a confirmed diagnosis of CALD as defined by abnormal VLCFA profile and cerebral lesion on brain MRI.
Depending on the cohort, the subject must:
Be scheduled for allo-HSCT 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).
You may not qualify if:
Previous treatment with a gene therapy product.
Receipt of an experimental transplantation procedure.
Contact the study team to confirm eligibility.
Buenos Aires, Argentina
McGill University Health Centre
Montreal, 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
Genetic Diseases, Inborn
Congenital, Hereditary, and Neonatal Diseases and Abnormalities
Heredodegenerative Disorders, Nervous System
Metabolism, Inborn Errors
Peroxisomal Disorders
Metabolic Diseases
Nutritional and Metabolic Diseases
Adrenal Insufficiency
Adrenal Gland Diseases
Endocrine System Diseases
December 6, 2019
Actual (reported)
Study Completion
December 6, 2019
Actual (reported)
Last Updated
May 21, 2020
Record last verified: 2019-12
Data Sharing
IPD Sharing
Will share
Source record
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
JSON downloads include source attribution and retrieval details alongside the unchanged original record or the separately normalized values.