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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

RecruitingObservational study

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

Who can join

Ages 3 to 20 · All sexes

Full eligibility criteria
Inclusion Criteria:

* 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 Criteria:

* 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.

About the 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.

Sponsor: University of Rochester · Participants: 480 · Started: Jun 1, 2024

Contact the study team

Official record on ClinicalTrials.gov — NCT06941389

Locations in the U.S.

AlabamaChildren's of Alabama (MRD-HCT), Birmingham
Children's of Alabama (NT-DMT), Birmingham (Not yet recruiting)
DelawareNemours Children's Hospital, Delaware (MRD-HCT), Wilmington
District of ColumbiaChildren's National Hospital (MRD-HCT), Washington D.C.
GeorgiaChildren's Healthcare of Atlanta (MRD-HCT), Atlanta
IllinoisComer Children's Hospital (MRD-HCT), Chicago
IndianaRiley Children's Hospital (MRD-HCT), Indianapolis
Riley's Children Hospital (NT-DMT), Indianapolis (Not yet recruiting)
MassachusettsBoston Children's Hospital (MRD-HCT), Boston
Boston Children's Hospital (NT-DMT), Boston (Not yet recruiting)
MissouriWahington Univ in St Louis (NT-DMT), St Louis (Not yet recruiting)
Washington University in St Louis (MRD-HCT), St Louis (Not yet recruiting)
New JerseyHackensack University Hospital (MRD-HCT), Hackensack
New YorkRoswell Park (MRD-HCT), Buffalo
Columbia Presbytarian (NT-DMT), New York (Not yet recruiting)
Cohen's Children Hospital (NT-DMT), Queens (Not yet recruiting)
University of Rochester (MRD-HCT), Rochester (Not yet recruiting)
University of Rochester (NT-DMT), Rochester (Not yet recruiting)
Children's Hospital at Montefiore (MRD HCT), The Bronx (Not yet recruiting)
Children's Hospital at Montefiore (NT-DMT), The Bronx
North CarolinaUNC Children's Hospital (MRD HCT), Chapel Hill (Not yet recruiting)
UNC Children's Hospital (NT-DMT), Chapel Hill (Not yet recruiting)
Atrium Health (MRD-HCT), Charlotte
OhioNationwide Children's Hospital (NT-DMT), Columbus (Not yet recruiting)
OklahomaOklahoma Children's Hospital (MRD-HCT), Oklahoma City (Not yet recruiting)
PennsylvaniaChildren's Hospital of Philadelphia (MRD-HCT), Philadelphia
TennesseeSt Jude Children Hospital (NT-DMT), Memphis (Not yet recruiting)
St. Jude Children's Research Hospital (MRD-HCT), Memphis
TexasTexas Children's Hopsital (NT-DMT), Houston (Not yet recruiting)
Texas Children's Hospital (MRD-HCT), Houston
UT San Antonio (NT-DMT), San Antonio (Not yet recruiting)

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.