Can lower chemo doses help babies with SCID build better immunity?

NCT ID NCT03619551

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This phase 2 trial studies whether lower doses of the chemotherapy drug busulfan can help infants with severe combined immunodeficiency (SCID) achieve good immune function after a stem cell transplant, while reducing short- and long-term risks. The trial includes 56 babies receiving transplants from unrelated or half-matched related donors, with most T and B cells removed from the donor cells to lower the risk of graft-versus-host disease. Participants are followed for 3 years to see if they can produce antibodies after vaccinations.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

busulfan (chemotherapy) and stem cell transplant with T-cell and B-cell removal

What this could lead to

If successful, this could lead to safer stem cell transplants for babies with SCID, helping them build their own immunity with fewer side effects.

What could go wrong

This is a small, early-phase trial with only 56 participants, so results may not apply to all SCID cases. The experimental cell removal process may not prevent graft-versus-host disease or other complications.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

Omenn syndrome severe combined immunodeficiency

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • All Children's Hospital

    St. Petersburg, Florida, 33701, United States

  • Cancer Care Manitoba/University of Manitoba

    Winnipeg, Winnipeg, MB, Canada

  • Cardinal Glennon Children's Medical Center

    St Louis, Missouri, 63104, United States

  • Centre Hospitalier Universitaire Sainte-Justine

    Montreal, Montreal, QC, Canada

  • Children's Healthcare of Atlanta at Egleston

    Atlanta, Georgia, 30329, United States

  • Children's Hospital / LSUHSC

    New Orleans, Louisiana, 70118, United States

  • Children's Hospital Los Angeles

    Los Angeles, California, 90027, United States

  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104, United States

  • Children's Hospital of Pittsburgh of UPMC

    Pittsburgh, Pennsylvania, 15224, United States

  • Children's Hospital of Wisconsin

    Milwaukee, Wisconsin, 53226, United States

  • Children's Medical Center Dallas

    Dallas, Texas, 75235, United States

  • Children's National Medical Center

    Washington D.C., District of Columbia, 20010, United States

  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohio, 45229, United States

  • Cleveland Clinic Foundation

    Cleveland, Ohio, 44195, United States

  • Cohen Children's Medical Center

    Queens, New York, 11040, United States

  • Comer Children's Hospital/University of Chicago Medicine

    Chicago, Illinois, 60637, United States

  • Dana Farber Cancer Institute - Peds

    Boston, Massachusetts, 02115, United States

  • Duke University Medical Center; Pediatric Blood and Marrow Transplant

    Durham, North Carolina, 27705, United States

  • Fred Hutchinson Cancer Research Center

    Seattle, Washington, 98109, United States

  • Hackensack University Medical Center

    Hackensack, New Jersey, 07601, United States

  • Helen DeVos Children's

    Grand Rapids, Michigan, 49503, United States

  • Indiana University Hospital/Riley Hospital for Children

    Indianapolis, Indiana, 46202, United States

  • Levine Children's Hospital

    Charlotte, North Carolina, 28203, United States

  • Mayo Clinic Arizona and Phoenix Children's Hospital

    Phoenix, Arizona, 85016, United States

  • Memorial Sloan Kettering Cancer Center - Peds

    New York, New York, 10065, United States

  • Morgan Stanley Children's Hospital of New York-Presbyterian - Columbia University Medical Center

    New York, New York, 10032, United States

  • Nebraska Medicine

    Omaha, Nebraska, 68198, United States

  • Oregon Health and Science University

    Portland, Oregon, 97239-3098, United States

  • Rady Children's Hospital, San Diego

    San Diego, California, 92123, United States

  • Shands HealthCare & University of Florida

    Gainesville, Florida, 32610, United States

  • The Children's Mercy Hospitals and Clinics

    Kansas City, Missouri, 64108, United States

  • The Hospital for Sick Children

    Toronto, Ontario, M5G 1E8, Canada

  • The University of Michigan

    Ann Arbor, Michigan, 48109, United States

  • UCLA Center for Health Sciences

    Los Angeles, California, 90095, United States

  • Univeristy of Alabama at Birmingham

    Birmingham, Alabama, 35294, United States

  • University of California San Francisco Medical Center - Peds

    San Francisco, California, 94143, United States

  • University of Colorado - Children's Hospital

    Aurora, Colorado, 80045, United States

  • University of Iowa Hospitals & Clinics

    Iowa City, Iowa, 52242, United States

  • University of Miami/Jackson Memorial Hospital

    Miami, Florida, 33136, United States

  • University of Minnesota Blood and Marrow Transplant Program - Pediatrics

    Minneapolis, Minnesota, 55455, United States

  • University of Wisconsin Hospital and Clinics

    Madison, Wisconsin, 53792, United States

  • Utah Blood and Marrow Transplant Program-Peds

    Salt Lake City, Utah, 84112, United States

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37232, United States

  • Westchester Medical Center

    Valhalla, New York, 10595, United States