Immune

X-Linked Agammaglobulinemia

Also known as XLA, Bruton agammaglobulinemia, BTK deficiency

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

ORPHA:47 ↗Gene BTKPrevalence 1 in 200,000-250,000 male birthsOnset Infancy, typically 6-18 months after maternal antibody wanesPrimary antibody deficiency (B-cell)

1

studies recruiting now

as of 7 Sept 2026

18

studies registered in total

as of 7 Sept 2026

1

countries with a recruiting site

as of 7 Sept 2026

9 Jan 2026

most recent study posted

among recruiting studies

Recruiting trials

Showing the 1 most recently updated recruiting study, as recorded 7 Sept 2026. Live status on each study page.

Search all X-Linked Agammaglobulinemia studies

Where recruiting studies are running

Countries with at least one recruiting site among the studies above, 7 Sept 2026. Tap a country to search trials there.

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Patient organisations

Immune Deficiency FoundationPatient association
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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 sinusitisAbsence of palpable lymph nodes and tonsilsNear-absent serum immunoglobulins (all isotypes)Susceptibility to enteroviral encephalitisRecurrent pneumonia and bronchiectasisArthritis (septic or reactive)Failure to respond to polysaccharide vaccines

From Orphanet’s phenotype annotations (CC BY 4.0). Not a complete list.

Treatments being studied

1 approved treatment and 1 in clinical development, from Open Targets (CC BY 4.0). Not medical advice.

Approved: Hyaluronidase (Human Recombinant) (Cumulase)
Phase 3Human Immunoglobulin G (Flebogamma dif (previously flebogammadif))

Before you apply

Things trial teams commonly ask about for X-Linked Agammaglobulinemia. Not eligibility rules; those are set by each study.

  • 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

Related conditions

Information, not medical advice. Trial listings are shown as recorded on ClinicalTrials.gov; whether any study is right for you is a decision for you and your clinicians, and eligibility is decided by each research team. Disease information from Orphanet (CC BY 4.0).