MedPath

Registry of Congenital Dyserythropoietic Anemia

Conditions
Congenital Dyserythropoietic Anemia
Interventions
Other: Collection of data and genetic analysis
Registration Number
NCT03983629
Lead Sponsor
Lille Catholic University
Brief Summary

Congenital dyserythropoietic anemia is a heterogeneous inherited disease. Hyperplasic erythropoiesis is ineffective and associated with morphological abnormalities of some of the erythroblasts that form the basis of cytological classification. The cumulative incidence is not very clear, but varies between countries from 0.08 million in Scandinavia to 2.6 cases/million inhabitants in Italy where it appears to be the most reported.

The common manifestation is moderate chronic congenital anemia. This anaemia is either normocytic or discreetly macrocytic, non-regenerative or inappropriate regarding anaemia, contrasting with signs of hemolysis with moderate unconjugated hyperbilirubinemia. Diagnosis is usually made in the pediatric period, but because of the great heterogeneity, the diagnosis sometimes may be delayed. Splenomegaly and jaundice are mostly present. Secondary hemochromatosis is common in the absence of transfusion due to hyper-intestinal absorption of iron induced by the dyserythropoiesis.

The transmission mode for Type I and II is autosomal recessive, while it is autosomal dominant or sporadic for Type III.

Several clinical questions remain concerning this disease :

* the median survival of patients is not well known, neither the causes of death

* benefit/risk of splenectomy

* iron overload quantification and consequences

The idea is to stablish a French registry of congenital dyserythropoietic anemia in order to help to understand the correlation between phenotype and genotype of this disease.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
200
Inclusion Criteria
  • Patient with confirmed CDA
  • No opposition to the use of health data for research purposes
Exclusion Criteria
  • Patient opposed to participate in the study

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
CDA patientsCollection of data and genetic analysis-
Primary Outcome Measures
NameTimeMethod
Percentage of mutationsup to three years

Genetic analysis will be performed with whole genome and whole exome sequencing

Secondary Outcome Measures
NameTimeMethod
Rate of Interferon treatment efficacyup to three years
Median survivalup to three years
Prevalence of different causes of deathup to three years

Trial Locations

Locations (1)

Hôpital Saint-Vincent de Paul

🇫🇷

Lille, Hauts-de-France, France

© Copyright 2025. All Rights Reserved by MedPath