At a glance
ClinicalIndex Comparison Record- ✓Sickle cell anemia with severe complications despite hydroxyurea: ≥2 acute chest syndrome episodes since age 13, pulmonary hypertension (TRJ velocity >2.5 m/s), ≥2 painful crises/year requiring care, or history of cerebrovascular accident
- ✓Thalassemia major with cardiac or hepatic sequelae: hepatic (≥50% liver enlargement or doubled bilirubin/AST/ALT/alkaline phosphatase) or cardiac (LV dysfunction on MUGA/echo)
- ✓Severe aplastic anemia: cytopenia with ≥2 of 3: ANC <500/μL, platelets <20,000/μL, reticulocyte count <50,000/μL
- ✓PNH with life-threatening complications: history of life-threatening thrombosis, cytopenia, transfusion dependence, or recurrent debilitating hemolytic crisis
- ✕Pregnant or lactating women
- ✕Major medical or psychiatric illness compromising protocol compliance
- ✕Known history of allergy to murine protein
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Allogeneic Mixed Chimerism Stem Cell Transplantation Utilizing In Vivo and In Vitro Campath for Hemoglobinopathies and Bone Marrow Failure Syndromes
In Brief
A Phase 2 clinical trial evaluating Campath, Chemo and/or TBI Allo SCT for Sickle Cell Anemia and 3 related conditions. Completed, enrolled 2 participants across 2 sites.
Detailed Summary
RATIONALE: Although used primarily to treat malignant disorders of the blood, allogeneic stem cell transplantation can also cure a variety of non-cancerous, inherited or acquired disorders of the blood. Unfortunately, the conventional approach to allogeneic stem cell transplantation is a risky procedure. For some non-cancerous conditions, the risks of this procedure outweigh the potential benefits. This protocol is designed to test a new approach to allogeneic stem cell transplantation. It is hoped that this approach will be better suited for patients with non-cancerous blood and bone marrow disorders.
Study Details
Timeline
Interventions
Allogeneic PBSC/marrow will be collected/harvested from the donor after granulocyte colony-stimulating factor (G-CSF) priming. The allogeneic PBSCs will be infused as per current institutional practice.