Rare disease drug shows promise in reducing infections
NCT ID NCT02231879
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested two drugs, plerixafor and G-CSF, in 20 people with WHIM syndrome, a rare genetic condition that causes frequent infections and warts. Participants received each drug for a year and tracked their infections. The goal was to see which drug better reduced infection severity. Results showed some participants did better on plerixafor, but others had drug failures, highlighting the need for more research.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Plerixafor (also known as Mozobil) and G-CSF (also known as Neupogen)
- What this could lead to
- If plerixafor works better than G-CSF, it could offer a new treatment option to reduce severe infections in people with WHIM syndrome.
- What could go wrong
- This is a small, early-stage trial with only 20 participants, so results may not apply to everyone. Some participants had drug failures on plerixafor, meaning it didn't work for them.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
-
20 people
The number who actually took part.
- Started
-
Oct 2014
- Finished
-
Feb 2021
- Lead sponsor
-
A government research agency
The lead sponsor is the US National Institutes of Health.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
10 to 75 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
* INCLUSION CRITERIA: Subjects are eligible to enter the study if they meet all of the following criteria: 1. Age greater than or equal to 10 and less than or equal to 75 years. 2. Heterozygous mutation in the C-tail of CXCR4 in addition to a clinical diagnosis of WHIMS. 3. Documented neutropenia with a baseline ANC below 1500 cells/microL of blood. 4. History of severe and/or recurrent infections. 5. Willingness to interrupt G-CSF medication, 2 days prior to study drug injection. 6. Must have a local medical provider for medical management. 7. Must be willing to provide blood, plasma, serum, and DNA samples for storage. 8. All study subjects must agree not to become pregnant or impregnate a female. Women of childbearing potential must agree to take appropriate steps to avoid becoming pregnant for the duration of the study. Participants in whom pregnancy is biologically possible must use at least 2 study approved methods of contraception, one of which must be a barrier method, and must continue contraception until 5 months after stopping the study drug: * Male or female condoms with a spermicide, * Diaphragm or cervical cap with spermicide, * Intrauterine device, * Contraceptive pills or patch, Norplant, Depo-Provera or other FDA-approved contraceptive, * Male partner with vasectomy and documented aspermatogenic sterility. 9. Willingness to comply with the study medications, visits, and procedures, as deemed necessary by the principal investigator (PI). EXCLUSION CRITERIA: If any of the following exclusion criteria are met, a subject will not be enrolled in this study: 1. Neutropenia due to maturation defects in the myeloid lineage or a type of neutropenia, which in the investigator s opinion, is unlikely to improve from the medication administered in this study. 2. Pregnant or breast-feeding women. 3. Known hypersensitivity to plerixafor, G-CSF, or any components of the products. 4. Predisposition to or history of life-threatening cardiac arrhythmia. 5. Requiring dialysis or having markedly impaired renal function with a Creatinine Clearance (CrCl) \<15 mL/min. 6. Condition that in the investigator s opinion places a subject at undue risk by participating in the study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
National Institutes of Health Clinical Center, 9000 Rockville Pike
Bethesda, Maryland, 20892, United States
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