Clinical trial Recruiting at 16 sites Observational Ages 3 to 20

Comparing stem cell transplantation to disease-modifying therapy for children with sickle cell disease

Official title: Comparing the Effectiveness of Matched Related Donor Hematopoietic Stem Cell Transplantation to Disease Modifying Therapy in Pediatric Patients With Sickle Cell Disease.

Run by University of Rochester · NCT06941389 · Data updated 2026-11-12

This study is trying to see how well stem cell transplants work compared to other treatments for children with sickle cell disease over three years.

Quick facts

Study typeObservational
Ages3 Years to 20 Years
SexAll
Enrollment480 (estimated)
SponsorUniversity of Rochester
Academic / other
Locations37 sites (Birmingham, Alabama and 36 other locations)
StatusRecruiting
StartedJune 1, 2024
Main results expectedOctober 1, 2030
Study endsOctober 1, 2030
Registry record updatedJune 4, 2026
Trial IDNCT06941389 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are pediatric patients aged 3 to 20.9 years diagnosed with sickle cell anemia who are either candidates for MRD HCT or currently receiving NT-DMT.

Probably not a fit

Patients who are younger than 3 years or older than 20.9 years, or those with significant comorbidities that interfere with outcomes, may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The WeDecide study is an observational study that compares the long-term effects of matched related donor hematopoietic stem cell transplantation (MRD HCT) and non-transplant disease-modifying therapies (NT-DMT) in pediatric patients with sickle cell disease (SCD). It aims to assess health-related quality of life, cognitive function, and the risks and benefits of both treatments over a three-year period. The study will involve 160 children receiving MRD HCT and 320 children receiving NT-DMT, with evaluations conducted at multiple time points to track health outcomes and treatment impacts. Additionally, it will consider factors such as disease severity and social determinants of health to provide a comprehensive understanding of treatment effects.

Why it matters

Potential benefit: If successful, this study could help identify the most effective treatment options for children with sickle cell disease, improving their quality of life and health outcomes.

How similar studies have gone: This study is significant as it is one of the first to comprehensively compare these two treatment approaches in pediatric patients with sickle cell disease, building on previous research but focusing on a novel comparative analysis.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Pediatric patients aged between 3 and 20.9 years.
* Children diagnosed with sickle cell Anemia (HB SS or HBSB0 Thalassemia)
* For the MRD HCT group, children who are candidates for matched related donor hematopoietic stem cell transplantation (MRD HCT).
* For the NT-DMT group, children who are receiving non-transplant disease-modifying therapies (NT-DMT) for SCD.
* Participants (or their guardians) must provide informed consent to be part of the study.
* Participants must be willing to undergo the necessary assessments and follow-up visits over the 3-year study period.

Exclusion Criteria:

* Children younger than 3 years or older than 20.9 years.
* Children who do not have sickle cell anemia or related conditions.
* For the MRD HCT group, children who are not eligible for the transplant or do not have a matched related donor.
* Children who are currently enrolled in other clinical trials that might interfere with the WeDecide study.
* Children who are unable to adhere to the study protocol or follow-up requirements.

Where it's running

  • Children's of Alabama (MRD-HCT)
    Birmingham, Alabama, United States
    Recruiting
  • Nemours Children's Hospital, Delaware (MRD-HCT)
    Wilmington, Delaware, United States
    Recruiting
  • Children's National Hospital (MRD-HCT)
    Washington D.C., District of Columbia, United States
    Recruiting
  • Children's Healthcare of Atlanta (MRD-HCT)
    Atlanta, Georgia, United States
    Recruiting
  • Comer Children's Hospital (MRD-HCT)
    Chicago, Illinois, United States
    Recruiting
  • Riley Children's Hospital (MRD-HCT)
    Indianapolis, Indiana, United States
    Recruiting
Show 31 more locations
  • Boston Children's Hospital (MRD-HCT)
    Boston, Massachusetts, United States
    Recruiting
  • Hackensack University Hospital (MRD-HCT)
    Hackensack, New Jersey, United States
    Recruiting
  • Roswell Park (MRD-HCT)
    Buffalo, New York, United States
    Recruiting
  • Children's Hospital at Montefiore (NT-DMT)
    The Bronx, New York, United States
    Recruiting
  • Atrium Health (MRD-HCT)
    Charlotte, North Carolina, United States
    Recruiting
  • Children's Hospital of Philadelphia (MRD-HCT)
    Philadelphia, Pennsylvania, United States
    Recruiting
  • St. Jude Children's Research Hospital (MRD-HCT)
    Memphis, Tennessee, United States
    Recruiting
  • Texas Children's Hospital (MRD-HCT)
    Houston, Texas, United States
    Recruiting
  • Alberta Children's Hospital (MRD-HCT)
    Calgary, Alberta, Canada
    Recruiting
  • HSC Winnipeg Children's Hospital/University of Manitoba (MRD-HCT)
    Winnipeg, Manitoba, Canada
    Recruiting
  • Children's of Alabama (NT-DMT)
    Birmingham, Alabama, United States
    Not yet recruiting
  • Riley's Children Hospital (NT-DMT)
    Indianapolis, Indiana, United States
    Not yet recruiting
  • Boston Children's Hospital (NT-DMT)
    Boston, Massachusetts, United States
    Not yet recruiting
  • Wahington Univ in St Louis (NT-DMT)
    St Louis, Missouri, United States
    Not yet recruiting
  • Washington University in St Louis (MRD-HCT)
    St Louis, Missouri, United States
    Not yet recruiting
  • Columbia Presbytarian (NT-DMT)
    New York, New York, United States
    Not yet recruiting
  • Cohen's Children Hospital (NT-DMT)
    Queens, New York, United States
    Not yet recruiting
  • University of Rochester (MRD-HCT)
    Rochester, New York, United States
    Not yet recruiting
  • University of Rochester (NT-DMT)
    Rochester, New York, United States
    Not yet recruiting
  • Children's Hospital at Montefiore (MRD HCT)
    The Bronx, New York, United States
    Not yet recruiting
  • UNC Children's Hospital (MRD HCT)
    Chapel Hill, North Carolina, United States
    Not yet recruiting
  • UNC Children's Hospital (NT-DMT)
    Chapel Hill, North Carolina, United States
    Not yet recruiting
  • Nationwide Children's Hospital (NT-DMT)
    Columbus, Ohio, United States
    Not yet recruiting
  • Oklahoma Children's Hospital (MRD-HCT)
    Oklahoma City, Oklahoma, United States
    Not yet recruiting
  • St Jude Children Hospital (NT-DMT)
    Memphis, Tennessee, United States
    Not yet recruiting
  • Texas Children's Hopsital (NT-DMT)
    Houston, Texas, United States
    Not yet recruiting
  • UT San Antonio (NT-DMT)
    San Antonio, Texas, United States
    Not yet recruiting
  • Alberta Children's Hospital (NT-DMT)
    Calgary, Alberta, Canada
    Not yet recruiting
  • British Columbia Children's Hosptial (MRD HCT)
    Vancouver, British Columbia, Canada
    Not yet recruiting
  • The Hospital for Sick Children (MRD-HCT)
    Toronto, Ontario, Canada
    Not yet recruiting
  • Universite de Montreal / Ste Justine (MRD HCT)
    Montreal, Quebec, Canada
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Sickle cell disease registry at Ain Shams University

    This project creates an Ain Shams University registry of children and young people with sickle cell disease to track their health over time without providing a treatment.

    Recruiting Ain Shams University · Cairo and 1 other locations · NCT07800247

  • Point-of-care newborn SCD screening and early care in Côte d'Ivoire

    This trial tests whether using a Gazelle-Multispectral point-of-care test at birth plus early, comprehensive SCD care can reduce illnesses and deaths for babies with SCD in the first years of life.

    Recruiting Phase 4 Swiss Tropical & Public Health Institute · Abidjan and 1 other locations · NCT07488520

  • Sickle Cell Kidney Sample Bank

    This project will collect blood and urine from adults with sickle cell disease or sickle cell trait to see if linked samples and medical records can help researchers learn how kidney disease starts and progresses.

    Recruiting at 2 sites University of Texas Southwestern Medical Center · Dallas, Texas and 1 other locations · NCT07064174

  • Examining megakaryocytes in patients with sickle cell disease

    This study looks at how certain blood cells called megakaryocytes behave in people with sickle cell disease to see if they play a role in the complications of the illness.

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  • Adjusting hydroxyurea dose using pharmacokinetics in children with sickle cell disease

    This study tests whether using pharmacokinetic testing to guide hydroxyurea dosing helps kids with sickle cell disease reach the maximum tolerated dose faster than standard blood testing alone.

    Recruiting Phase 2/3 St. Justine's Hospital · Montreal, Quebec · NCT06761560

  • Depo-Provera (depot medroxyprogesterone acetate) for pain and biomarker changes in women with sickle cell disease

    This study will test whether an injectable birth control (Depo-Provera) can reduce pain in adult women with sickle cell disease.

    Recruiting Phase 4 University of Pennsylvania · Atlanta, Georgia and 1 other locations · NCT06665997

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.