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The overall goal of the study is to investigate the functional, biochemical, and gene expression effects of Interferon-gamma 1-b (IFN-γ) on the neutrophils of patients with Chronic Granulomatous Disease (CGD). The investigators hypothesize that the clinical effects demonstrated in patients with CGD treated with IFN-γ (decreased number and severity of infections) are the result of biochemical processes and upregulation of specific genes, which lead to enhanced functionality of this immune cell population.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Interferon Gamma-1B | Drug | Study function and biochemistry of neutrophils off the drug for one week and then 12 hours after first dose and fourth dose. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Neutrophil bacterialcidal activity in patients with Chronic Granulomatous Disease (CGD) on standard treatment schedule and dose of IFN-γ in comparison to results for the patients off IFN-γ. | Determine changes in neutrophil function in neutrophils from patients with CGD | 1 week off drug, 12 hours after a week of treatment |
| Changes in Gene expression as measured with RNA and affimetrics gene chips in patients with Chronic Granulomatous Disease (CGD) on standard treatment schedule and dose of IFN-γ in comparison to results for the patients off IFN-γ. | Determine changes in gene expression in neutrophils from patients with CGD. | 1 week off drug, 12 hours after a week of treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Differences in Neutrophil biochemical studies in patients with Chronic Granulomatous Disease (CGD) on standard treatment schedule and dose of IFN-γ in comparison to results for the patients off IFN-γ. | Determine changes in biochemical tests in neutrophils from CGD patients. | 1 week off drug, 12 hours after first dose of IFN-gamma; 12 hours after a week of treatment |
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Inclusion Criteria:
Current treatment with IFN-γ or intent to treat with this drug
Acute infections resolved
Subject is off treatment medications
Women of childbearing potential must have:
Exclusion Criteria:
Pregnancy,
Breast-feeding, or
Unwillingness to use effective contraception
Recent vaccination (within the last fourteen days)
Current infection or acute health condition requiring treatment
Chronic inflammatory complications of CGD including:
Un-associated chronic lung, liver, kidney, or cardiac disorders requiring active treatment
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The Investigators plan to enroll children and adults, aged 5-60 years with CGD defined by functional and biochemical or genetic testing. Enrollment will be stratified by the four main variants: X-linked, gp91phox deficient patients, and autosomal recessive CGD (p47phox deficient, p67phox deficient, and p22phox deficient patients).
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| Name | Affiliation | Role |
|---|---|---|
| Daniel R. Ambruso, MD | University of Colorado, Denver | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Colorado Anschutz Medical Campus | Aurora | Colorado | 80045 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40920799 | Derived | Ambruso DR, Briones NJ, Tran AD, Sanford B, Childs C, Katz BZ, Ellison M, Johnston RB, Jones KL. Interferon-gamma 1b-induced gene expression alters neutrophil function in patients with chronic granulomatous disease. PLoS One. 2025 Sep 8;20(9):e0331657. doi: 10.1371/journal.pone.0331657. eCollection 2025. |
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| ID | Term |
|---|---|
| D006105 | Granulomatous Disease, Chronic |
| ID | Term |
|---|---|
| D010585 | Phagocyte Bactericidal Dysfunction |
| D007960 | Leukocyte Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D040181 | Genetic Diseases, X-Linked |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D007153 | Immunologic Deficiency Syndromes |
| D007154 | Immune System Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| C554125 | interferon gamma-1b |
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