At a glance
ClinicalIndex Comparison Record- ✓Age <45 years with diagnosed Fanconi anemia
- ✓Biallelic BRCA2 mutations, or aplastic anemia, or advanced MDS (≥5% blasts), or acute leukemia ineligible for total body irradiation
- ✓Aplastic anemia defined as platelet count <20×10⁹, ANC <5×10⁸/L, or Hgb <8 g/dL
- ✓HLA-A, B, DRB1 identical or 1 antigen mismatched related/unrelated bone marrow donor, or HLA-A, B, DRB1 identical, 1 or 2 antigen mismatched related/unrelated umbilical cord blood donor
- ✕Active CNS leukemia at time of HSCT
- ✕Active uncontrolled infection within one week of HSCT
- ✕Pregnant or lactating female
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Hematopoietic Stem Cell Transplantation in High Risk Patients With Fanconi Anemia MT2002-02
In Brief
A Phase 2 clinical trial evaluating anti-thymocyte globulin, filgrastim, and 5 other interventions for Fanconi Anemia. Completed, enrolled 14 participants across 1 site.
Detailed Summary
RATIONALE: A bone marrow or umbilical cord blood transplant may be able to replace blood-forming cells that were destroyed by chemotherapy. Giving combination chemotherapy before a donor stem cell transplant may make the transplant more likely to work. This may be an effective treatment for patients with high risk Fanconi's anemia. PURPOSE: This clinical trial is studying how well combination chemotherapy works in treating high risk patients who are undergoing a donor stem cell transplant for Fanconi's anemia.
Study Details
Timeline
Interventions
Given 15 mg/kg/day intravenously every 12 hours on Days -5 through -1.
given 5 mcg/kg/day intravenously on Day 1 (continue until absolute neutrophil count (ANC) ≥2.5 x 10\^9/L)
Busulfan 0.8 mg/kg intravenously (IV) every 12 hours on Days -7 and -6 (1.0 mg/kg IV if \<4 years old)
10 mg/kg intravenously (IV) on Days -5 through -2.
35 mg/m\^2 intravenously (IV) on Days -5 through -2.
1 mg/kg intravenously (IV) every 12 hours on Days -5 through -1.
Infused on Day 0 - Donor bone marrow or umbilical cord blood will be collected in the usual sterile manner using established parameters determined by the National Marrow Donor Program.