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Blood & Immune

Severe Combined Immunodeficiency (SCID) Clinical Trials

Also called SCID, bubble boy disease

Severe combined immunodeficiency (SCID) represents a group of rare genetic disorders affecting development and function of T lymphocytes and B lymphocytes, essential for adaptive immune responses. Multiple genetic causes exist, including IL2RG (X-linked SCID), ADA deficiency, RAG1/RAG2 deficiencies, and others.

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About Severe Combined Immunodeficiency

Severe combined immunodeficiency (SCID) represents a group of rare genetic disorders affecting development and function of T lymphocytes and B lymphocytes, essential for adaptive immune responses. Multiple genetic causes exist, including IL2RG (X-linked SCID), ADA deficiency, RAG1/RAG2 deficiencies, and others.

Without functional T and B cells, infants are profoundly immunocompromised and susceptible to overwhelming infections from bacteria, viruses, fungi, and parasites. Infants typically present within the first weeks to months of life with severe infections including opportunistic infections like Pneumocystis pneumonia and candidiasis.

Without intervention, death typically occurs by age 1 year from uncontrolled infection. Historically, treatment was hematopoietic stem cell transplantation (bone marrow transplant), which could restore immune function in surviving patients. Gene therapy approaches using autologous hematopoietic stem cell modification are emerging and show promise for restoring immune function in many SCID forms.

Common Symptoms of Severe Combined Immunodeficiency

Recognizing the signs of Severe Combined Immunodeficiency early can lead to faster diagnosis and better outcomes. Symptoms may vary in severity from person to person. If you or a loved one are experiencing any of the following, consider speaking with a specialist.

  • Recurrent, severe infections (bacterial, viral, fungal, parasitic)
  • Severe diarrhea and malabsorption
  • Failure to thrive
  • Delayed growth and development
  • Recurrent infections unresponsive to antibiotics
  • Opportunistic infections including Pneumocystis pneumonia and candidiasis

Who Severe Combined Immunodeficiency Affects

Symptoms typically emerge in the first weeks to months of life. Multiple genetic forms with autosomal recessive or X-linked inheritance. Affects males and females (X-linked form) or both equally (autosomal forms).

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Help Paying for Severe Combined Immunodeficiency Treatment

Charity funds and drugmaker programs for Severe Combined Immunodeficiency, checked at the source. Pick your insurance to see what fits.

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  • From a charity · The Assistance Fund
    Primary Immunodeficiency fund
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    Pays for: Copays, coinsurance, deductibles and other health-related expenses.

    The foundation says: “WAITLIST — Accepting Waitlist Patients. TAF is currently accepting requests to join the enrollment waitlist for this program. Waitlists a…”
Status as each foundation showed it on September 28, 2026.

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Side Effect Explorer

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Genetic Testing

Genetic testing can confirm a diagnosis, guide treatment decisions, and identify family members who may be at risk.

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Trusted Severe Combined Immunodeficiency Resources

Reputable organizations and medical references for learning more about Severe Combined Immunodeficiency, including disease registries, foundation resources, and clinical guidelines.

Active Clinical Trials for Severe Combined Immunodeficiency

Use this Severe Combined Immunodeficiency clinical trial finder to see the 11 studies recruiting patients and 3 opening soon in the United States and worldwide, with eligibility criteria in plain English. These studies play a critical role in advancing care for blood & immune conditions and may offer access to treatments not yet widely available. Each trial below is sourced directly from ClinicalTrials.gov, with eligibility criteria translated into plain English to help patients and caregivers evaluate whether a study may be a fit.

TrialsSite mapPipeline timeline

Note: Trial recruitment statuses on ClinicalTrials.gov may not immediately reflect recent FDA decisions, sponsor announcements, or enrollment changes. Always confirm a trial's current status directly with the study coordinator before making plans.

14 active trials worldwide
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RECRUITINGPHASE1, PHASE2Recently updatedNCT01306019

Lentiviral Gene Transfer for Treatment of Children Older Than Two Years of Age With X-Linked Severe Combined Immunodeficiency (XSCID)

Intervention: Ex vivo culture and transduction of the patient's autologous CD34+ HSC with lentivirus vector VSV-G pseudotyped CL20- 4i-EF1alpha-hgammac-OPT vector, Busulfan, Palifermin

Sponsor: National Institute of Allergy and Infectious Diseases (NIAID)

This is a Phase I/II non-randomized clinical trial of ex vivo hematopoietic stem cell (HSC) gene transfer treatment for X-linked severe combined immunodeficiency (XSCID, also known as SCID-X1) using a self-inactivating lentiviral vector incorporating additional features to improv...

Ages 2 Years – 50 Years1 location
Started Sep 2012Updated yesterdayEst. Dec 2032 (~6y 3m)
RECRUITINGRecently updatedNCT00055172

Genetic Basis of Immunodeficiency

Sponsor: National Heart, Lung, and Blood Institute (NHLBI)

This study will examine the role of hereditary factors in different forms of severe combined immunodeficiency (SCID).

Patients with immunodeficiencies may be eligible for this study. Candidates include:

* Patients with diminished numbers of T cells or NK cells or both, or

Ages 6 Months – 99 Years1 location
Started Apr 2004Updated yesterdayCompletion date not listed
RECRUITINGRecently updatedNCT00128973

Evaluation of Patients With Immune Function Abnormalities

Sponsor: National Institute of Allergy and Infectious Diseases (NIAID)

This study will evaluate patients with abnormal immune function that results in recurrent or unusual infections or chronic inflammation. This may include inherited conditions, such as X-linked severe combined immunodeficiency (XSCID), chronic granulomatous disease (CGD), and leuk...

Ages not specified1 location
Started Sep 2005Updated 1 week agoCompletion date not listed
NOT YET RECRUITINGPHASE1, PHASE2Recently updatedNCT03217617

SCID-X1 Gene Therapy Via Intravenous Lentiviral (Ivlv-X1) Injection

Intervention: Direct intravenous injection of ivlv-X1 lentiviral vector

Sponsor: Shenzhen Geno-Immune Medical Institute

This is a Phase I/II gene therapy trial treating X-linked severe combined immunodeficiency (SCID-X1) using a self-inactivating lentiviral vector (ivlv-X1) to functionally correct the genetic defect. The primary objectives are to evaluate the safety and efficacy of the direct intr...

Ages 1 Month – 1 Year1 location
Started Jun 2027Updated 1 month agoEst. Dec 2028 (~2y 3m)
NOT YET RECRUITINGNARecently updatedNCT03645460

Gene Therapy for ADA-SCID Using an Improved Lentiviral Vector (Ivlv-ADA)

Intervention: Direct intravenous injection of ivlv-ADA lentiviral vector

Sponsor: Shenzhen Geno-Immune Medical Institute

This is a Phase I/II trial of in vivo lentiviral gene therapy for treating adenosine deaminase severe combined immunodeficiency (ADA-SCID) using a self-inactivating lentiviral vector (LV) ivlv-ADA to functionally correct the genetic defect. The primary objectives are to evaluate ...

Ages 1 Month+1 location
Started Jun 2027Updated 1 month agoEst. Jul 2028 (~1y 10m)
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Active trial locations7 cities in the US

Trial Pipeline

Jan 2021 to Sep 2031
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Data from ClinicalTrials.gov, U.S. National Library of Medicine.
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Related Blood & Immune Conditions

Other rare diseases in the blood & immune category. Patients with Severe Combined Immunodeficiency may find relevant research, shared treatment pathways, or overlapping clinical trials among these related conditions.

Companies Developing Severe Combined Immunodeficiency Treatments

2 pharmaceutical companies have Severe Combined Immunodeficiency in their rare disease portfolio

Frequently Asked Questions About Severe Combined Immunodeficiency