Evidence map›Paper›PMID 39541002›Full record

ArticleJournal of clinical immunology2024

Outcomes of X-Linked Agammaglobulinaemia Patients.

Ben Shillitoe, Jaime S Rosa Duque, Sophie H Y Lai, Tsun Ming Lau, Jeffery C H Chan, Helen Bourne, Catherine Stroud, Terry Flood, Matthew Buckland, Winnie Ip and 12 more

Abstract read
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In one paragraph

Article in Journal of clinical immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Current and future landscape of Bruton tyrosine kinase inhibitors in allergy.The Journal of allergy and clinical immunology · 2025
    Review
  5. Serum sBCMA in primary and secondary antibody deficiency.Clinical and experimental immunology · 2025
    Article
  6. Article
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

22 authors.

Ben Shillitoe *Sheffield Children's NHS Foundation Trust, Sheffield, UK. Benjamin.shillitoe@nhs.net.
Jaime S Rosa Duque *Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China.
Sophie H Y Lai *Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China.
Tsun Ming LauDepartment of Paediatrics and Adolescent Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China.
Jeffery C H ChanDepartment of Paediatrics and Adolescent Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China.
Helen BourneNewcastle upon Tyne NHS Foundation Trust, Newcastle upon Tyne, UK.
Catherine StroudNewcastle upon Tyne NHS Foundation Trust, Newcastle upon Tyne, UK.
Terry FloodNewcastle upon Tyne NHS Foundation Trust, Newcastle upon Tyne, UK.
Matthew BucklandInstitute of Child Health, UCL, London, UK.
Winnie IpGreat Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Austen WorthGreat Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Scott HackettUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Archana HerwadkarSalford Care Organisation, Northern Care Alliance NHS Trust, Manchester, UK.
Tanya CoulterBelfast Health and Social Care Trust, Belfast, UK.
Catherine BlaneyBelfast Health and Social Care Trust, Belfast, UK.
Stephen JollesImmunodeficiency Centre for Wales, University Hospital of Wales, Cardiff, UK.
Tomaz GarcezManchester University NHS Foundation Trust, Manchester, UK.
Eduardo MoyaBradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
Saul FaustNIHR Southampton Clinical Research Facility and Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Mark S PearcePopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Yu Lung LauDepartment of Paediatrics and Adolescent Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China. lauylung@hku.hk.
Andrew R GenneryNewcastle upon Tyne NHS Foundation Trust, Newcastle upon Tyne, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundX-linked agammaglobulinaemia (XLA), caused by mutations in BTK, is characterised by low or absent peripheral CD19 + B lymphocytes and agammaglobulinaemia. The mainstay of treatment consists of immunoglobulin replacement therapy (IgRT). As this cannot fully compensate for the immune defects in XLA, patients may therefore continue to be at risk of complications.

objectivesTo describe the clinical outcomes of XLA patients in the United Kingdom and Hong Kong and evaluate current treatment strategies.

methodsPatients with a definitive diagnosis of XLA were included in this cross-sectional and retrospective analysis of clinical health outcomes. Data pertaining to diagnosis, infection incidence, IgG trough levels and lung function were collected and analysed.

results99 patients with a median age of 29.02 years (IQR 12.83-37.41) and a total follow up of 1922 patient years, were included this study. The median age at diagnosis was 3.30 years (IQR 1.04-8.38) which decreased over time (p = 0.004). 40% of the cohort had radiological evidence of bronchiectasis. Risk of bronchiectasis was not significantly associated with clinical infection incidence (p = 0.880) or IgG trough levels (p = 0.407). Two patients demonstrated novel complications, namely persistent norovirus infection, leading to haemopoietic stem cell transplantation (HSCT).

conclusionsDespite modern therapy, most XLA patients continue to experience complications, most notably bronchiectasis, likely due to absence of IgA/M in current therapies, but lack of B lymphocytes may also lead to additional sequalae. These data strongly support the need for further research, particularly that of curative modalities including HSCT and gene therapy.

Indexed as

AgammaglobulinemiaGenetic Diseases, X-LinkedAdolescentAdultAgammaglobulinaemia Tyrosine KinaseBronchiectasisChildChild, PreschoolCross-Sectional StudiesFemaleHong KongHumansImmunoglobulin GImmunoglobulins, IntravenousMaleMutationAgammaglobulinaemia Tyrosine KinaseImmunoglobulin GImmunoglobulins, IntravenousAgammaglobulinemiaAntibody DeficiencyBronchiectasisImmunodeficiencyImmunoglobulinXLA

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Registered trials

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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.