This is an international prospective registry of patients with Alpha thalassemia to understand the natural history of the disease and the outcomes of fetal therapies, with the overall goal of improving the prenatal management of patients with Alpha thalassemia.
The aim of this registry is to prospectively and retrospectively collect data on patients who are diagnosed with alpha thalassemia major and other alpha thalassemia mutations. Data collected will be used to: 1. Identify patient outcomes of therapies. 2. Improve clinical management of patients with ATM. 3. Improve medical decision making. 4. Improve quality of care.
Study Type
OBSERVATIONAL
Enrollment
500
University of California San Francisco
San Francisco, California, United States
RECRUITINGSurvival to birth
Number of fetuses diagnosed with alpha thalassemia who survive to birth, compared to number of fetuses diagnosed with alpha thalassemia who have fetal demise or are terminated in utero. This is measured in number of fetuses alive at birth divided by number of all fetuses.
Time frame: 6 months
Vineland-3 Adaptive Behavior Scale
Results of neurodevelopmental testing using the Vineland Adaptive Behavior Scale version 3. The Vineland-3 scoring system is based on scores for three specific adaptive behavior domains: Communication, Daily Living Skills, and Socialization. The domain scores are expressed as standard scores with a mean of 100 and standard deviation of 15.
Time frame: 10-15 years
Gestational age at birth
Gestational age of the child at birth. This is measured in weeks.
Time frame: 6 months
Mechanical ventilation
Duration (if any) of requiring mechanical ventilation after birth. This is measured in days.
Time frame: 1 year
Length of hospitalization
Duration of the child's hospitalization after birth. This is measured in days.
Time frame: 6 months-1 year
Resolution of hydrops
Evaluate whether receiving fetal therapy leads hydrops fetalis to resolve. This is measured by ultrasound findings.
Time frame: 6 months
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