Stratum A, Typical SCID |
Patients who meet the following inclusion criteria and who received HCT as initial treatment are eligible for enrollment into Stratum A (Classic SCID) of the study:
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Absence or very low number of T cells (CD3 T cells < 300/microliter), AND no or very low T cell function (< 10% of lower limit of normal) as measured by response to phytohemagglutinin (PHA)
Or
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T cells of maternal origin present
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Stratum B, Leaky SCID, Omenn Syndrome, Reticular Dysgenesis |
Patients who were treated initially with HCT and who meet the following criteria are eligible for enrollment into Stratum B of the study:
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Leaky SCID
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Reduced number of CD3 T cells
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for age up to 2 years < 1000/microliter
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for > 2 years up to 4 years < 800/microliter
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for > 4 years < 600/microliter
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Absence of maternal engraftment
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< 30% of lower limit of normal T cell function (as measured by response to PHA)
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Omenn Syndrome
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Generalized Skin Rash
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Absence of maternal engraftment.
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Detectable CD3 T cells, ≥ 300/microliter
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Absent or low (up to 30% of normal) T cell proliferation to antigens to which the patient has been exposed
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If the proliferation to antigen was not performed, but at least 4 of the following 10 supportive criteria, at least one of which must be among those marked with an asterisk (*) below are present, the patient is eligible:
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Hepatomegaly
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Splenomegaly
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Lymphadenopathy
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Elevated IgE
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Elevated absolute eosinophil count
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*Oligoclonal T cells measured by CDR3 length or flow cytometry
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* >80% of CD3+ or CD4+ T cells are CD45RO+
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*Proliferation to PHA is reduced <30% of lower limit of normal
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*Proliferative response in mixed leukocyte reaction is reduced <30% of lower limit of normal
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*Mutation in SCID-causing gene
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Reticular Dysgenesis (RD)
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Absence or very low number of T cells (CD3 T cells <300/microliter)
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No or very low (<10% of lower limit of normal) T cell function (as measured by response to phytohemagglutinin (PHA)
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Severe neutropenias (absolute neutrophil count <200/microliter)
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Sensorineural deafness and/or absence of granulopoiesis at bone marrow examination and/or a deleterious AK2 mutation
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Stratum C, SCID with Non-HCT Treatments |
Patients who met the above criteria for Stratum A or B and were initially treated with PEG-ADA ERT or gene therapy with autologous modified cells are eligible for enrollment into Stratum C (SCID with non-HCT treatments) of the study.
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