Disease Directory Alpha-Thalassemia
Blood

Alpha-Thalassemia

Also known as: HbH disease, alpha-thal, hemoglobin H disease

Prevalence

Carrier frequency up to 40% in endemic regions; HbH disease affects approximately 1 in 15,000 globally

Onset

Birth to infancy

Type

Autosomal recessive

Gene

HBA1, HBA2

About Alpha-Thalassemia

Alpha-thalassemia results from deletions or mutations affecting one to four alpha-globin genes on chromosome 16, disrupting hemoglobin alpha-chain synthesis and causing a spectrum of disease from silent carrier state to hydrops fetalis. Hemoglobin H disease (three-gene deletion) causes moderate to severe hemolytic anemia, while four-gene deletion (Hb Bart hydrops fetalis) is typically fatal without in utero intervention. The condition is most prevalent in Southeast Asia, sub-Saharan Africa, and the Mediterranean basin.

Common Clinical Features

Hemolytic anemia ranging from mild to severe depending on gene deletion count Splenomegaly and hepatomegaly Jaundice and neonatal hyperbilirubinemia Pallor and chronic fatigue Hemoglobin H inclusion bodies visible on supravital staining Cholelithiasis from chronic hemolysis Growth delay in severe forms Hydrops fetalis in four-gene deletion (Hb Bart)

Clinical Trial Eligibility Tips

What to know before applying to Alpha-Thalassemia trials.

Specify your genotype precisely (number of deleted alpha-globin genes and any non-deletion mutations) as trials distinguish between HbH disease, Hb Bart, and carrier states.

Transfusion dependency status and splenectomy history are key eligibility criteria for emerging gene therapy trials targeting alpha-thalassemia.

Newborn screening results and hemoglobin electrophoresis or HPLC records help confirm diagnosis for registry enrollment and trial screening.

Patient Resources

Patient Organization

Thalassemia International Federation

Visit website ↗

Orphanet

European reference resource for rare diseases (ORPHA:846)

View on Orphanet ↗

NORD

National Organization for Rare Disorders

Search NORD ↗

Find recruiting Alpha-Thalassemia trials

Search 500,000+ studies from ClinicalTrials.gov, filtered for Alpha-Thalassemia. Updated daily.

Related Rare Diseases