Disease Directory X-Linked Agammaglobulinemia
Immune

X-Linked Agammaglobulinemia

Also known as: XLA, Bruton agammaglobulinemia, BTK deficiency

Prevalence

1 in 200,000-250,000 male births

Onset

Infancy, typically 6-18 months after maternal antibody wanes

Type

Primary antibody deficiency (B-cell)

Gene

BTK

About X-Linked Agammaglobulinemia

X-Linked Agammaglobulinemia is caused by loss-of-function mutations in Bruton's tyrosine kinase (BTK), resulting in a complete or near-complete arrest of B-cell development at the pro-B-cell stage and virtual absence of circulating B cells and all immunoglobulin classes. Affected males present in infancy with recurrent bacterial infections once transplacentally acquired maternal IgG has cleared, and require lifelong immunoglobulin replacement therapy. Carrier females are clinically unaffected but may transmit the condition to half of their sons.

Common Clinical Features

Recurrent bacterial otitis media and sinusitis Absence of palpable lymph nodes and tonsils Near-absent serum immunoglobulins (all isotypes) Susceptibility to enteroviral encephalitis Recurrent pneumonia and bronchiectasis Arthritis (septic or reactive) Failure to respond to polysaccharide vaccines

Clinical Trial Eligibility Tips

What to know before applying to X-Linked Agammaglobulinemia trials.

BTK molecular confirmation is required for most trials; ensure genetic testing report specifying the pathogenic BTK variant is available

BTK inhibitor trials originally developed for B-cell malignancies are being explored in XLA — BTK inhibitor naive status may be an eligibility criterion

Trials enrolling male patients only are common given X-linked inheritance; female carriers are generally not eligible for interventional arms

Patient Resources

Patient Organization

Immune Deficiency Foundation

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Natural History Registry

USIDNET Registry

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Orphanet

European reference resource for rare diseases (ORPHA:47)

View on Orphanet ↗

NORD

National Organization for Rare Disorders

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Find recruiting X-Linked Agammaglobulinemia trials

Search 500,000+ studies from ClinicalTrials.gov, filtered for X-Linked Agammaglobulinemia. Updated daily.

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