Evidence map›Paper›PMID 30194989›Full record

ReviewThe Journal of allergy and clinical immunology2019

Consensus approach for the management of severe combined immune deficiency caused by adenosine deaminase deficiency.

Donald B Kohn, Michael S Hershfield, Jennifer M Puck, Alessandro Aiuti, Annaliesse Blincoe, H Bobby Gaspar, Luigi D Notarangelo, Eyal Grunebaum

Registry-linked trialAbstract readReview
In one paragraph

Review in The Journal of allergy and clinical immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01346150 (A Retrospective and Cross-Sectional Analysis of Patients Treated for SCID Since January 1,1968), which is not on this map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01346150 unknown statusnot on this map

A Retrospective and Cross-Sectional Analysis of Patients Treated for SCID Since January 1,1968 (RDCRN PIDTC-6902)

TypeobservationalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2011 to 2023Enrolled1,007ConditionsSCID, ADA-SCID, XSCID, Leaky SCID
3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 130 citations in OpenAlex.

  1. Trial
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  7. Observational
  8. Review
  9. Inborn errors of immunity (primary immunodeficiencies).Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2025
    Review
  10. Article
  11. Clinical applications of gene therapy for rare diseases: A review.International journal of experimental pathology · 2023
    Review
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1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 8 institutions in 4 countries.

Donald B KohnDepartment of Microbiology, Immunology and Molecular Genetics, and the Division of Hematology & Oncology, Department of Pediatrics, David Geffen School of Medicine University of California, Los Angeles, Calif.
Michael S HershfieldDepartment of Medicine and Biochemistry, Duke University Medical Center, Durham, NC.
Jennifer M PuckDepartment of Pediatrics, Division of Allergy, Immunology, and Bone Marrow Transplantation, University of California San Francisco, San Francisco, Calif.
Alessandro AiutiSan Raffaele Telethon Institute for Gene Therapy, San Raffaele Scientific Institute, and Università Vita Salute San Raffaele, Milan, Italy.
Annaliesse BlincoeDepartment of Pediatrics, CHU Sainte-Justine, University of Montreal, Montreal, Quebec, Canada.
H Bobby GasparInfection, Immunity, Inflammation, Molecular and Cellular Immunology Section, UCL Great Ormond Street Institute of Child Health, London, United Kingdom.
Luigi D NotarangeloLaboratory of Clinical Immunology and Microbiology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Md.
Eyal GrunebaumDivision of Immunology and Allergy, and the Department of Pediatrics, Developmental and Stem Cell Biology Program, Research Institute, Hospital for Sick Children, Toronto, Ontario, Canada. Electronic address: eyal.grunebaum@sickkids.ca.
Duke Medical Center · USHospital for Sick Children · CANational Institute of Allergy and Infectious Diseases · USThe San Raffaele Telethon Institute for Gene Therapy · ITUniversité de Montréal · CAUniversity College London · GBUniversity of California, Los Angeles · USUniversity of California, San Francisco · US

Funding

Training of Clinical Investigators in Primary Immune DeficienciesU54AI082973 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MALECH, HARRY · 2009 to 2023
$23.3M
Characterization of the cellular and molecular bases of inborn errors of immunityZIAAI001222 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI NOTARANGELO, LUIGI · 2017 to 2025
$15.2M
EFS-ADA Lentiviral Vector Transduction of Bone Marrow CD34+ Cells for ADA-SCIDU01AI100801 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KOHN, DONALD B · 2012 to 2016
$3.2M
Primary Immune Deficiency Treatment Consortium Annual Scientific MeetingR13AI094943 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PUCK, JENNIFER M. · 2011 to 2025
$239k
Intramural NIH HHS Z99 AI999999Medical Research Council G0600773Medical Research Council G0802483Medical Research Council MR/K015427/1NIAID NIH HHS R13 AI094943NIAID NIH HHS U01 AI100801NIAID NIH HHS U54 AI082973
6 · The paper itself

Abstract

Inherited defects in adenosine deaminase (ADA) cause a subtype of severe combined immunodeficiency (SCID) known as severe combined immune deficiency caused by adenosine deaminase defects (ADA-SCID). Most affected infants can receive a diagnosis while still asymptomatic by using an SCID newborn screening test, allowing early initiation of therapy. We review the evidence currently available and propose a consensus management strategy. In addition to treatment of the immune deficiency seen in patients with ADA-SCID, patients should be followed for specific noninfectious respiratory, neurological, and biochemical complications associated with ADA deficiency. All patients should initially receive enzyme replacement therapy (ERT), followed by definitive treatment with either of 2 equal first-line options. If an HLA-matched sibling donor or HLA-matched family donor is available, allogeneic hematopoietic stem cell transplantation (HSCT) should be pursued. The excellent safety and efficacy observed in more than 100 patients with ADA-SCID who received gammaretrovirus- or lentivirus-mediated autologous hematopoietic stem cell gene therapy (HSC-GT) since 2000 now positions HSC-GT as an equal alternative. If HLA-matched sibling donor/HLA-matched family donor HSCT or HSC-GT are not available or have failed, ERT can be continued or reinstituted, and HSCT with alternative donors should be considered. The outcomes of novel HSCT, ERT, and HSC-GT strategies should be evaluated prospectively in "real-life" conditions to further inform these management guidelines.

Indexed as

Adenosine DeaminaseAgammaglobulinemiaSevere Combined ImmunodeficiencyAnimalsConsensusEnzyme Replacement TherapyGenetic TherapyHematopoietic Stem Cell TransplantationHumansPractice Guidelines as TopicAdenosine DeaminaseAdenosine deaminase deficiencyenzyme replacement therapygene therapyhematopoietic stem cell transplantationlentivirussevere combined immune deficiency

Identifiers

PMID30194989
PMCPMC6688493
OpenAlexW2889837594

What OpenQuestion holds

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LicenceTDM
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.